The document discusses effective communication skills for dispensers at rural drug vendors. It covers several case studies where patients misunderstood or did not follow treatment instructions correctly due to poor communication. The document emphasizes using plain language, focusing on key messages, checking for understanding through teach back methods, and effectively soliciting questions from patients. It also discusses barriers to communication like the environment and patient factors. Good listening skills, questioning techniques, and strategies to improve communication between dispensers and prescribers are presented. The importance of collaboration and addressing issues rather than personalities to achieve positive outcomes is highlighted.
This document provides guidance on conducting comprehensive health histories and interviews. It outlines the standard format for a health history, including identifying data, chief complaint, history of present illness, past medical history, family history, social history and review of systems. It describes the ideal sequence of an interview, including establishing rapport, inviting the patient's story, and creating a shared understanding. The document also reviews techniques for skilled interviewing, guidelines for using interpreters, exploring the patient's perspective, and addressing sensitive topics. It provides models for assessing symptoms and screening for alcohol use. Overall, the document aims to instruct healthcare providers on best practices for obtaining full health histories through effective patient interviews.
AETCOM all competencies.pptx pathology practical59w4pymhcm
This document discusses guidelines for treating multi-drug resistant tuberculosis (MDR TB). It notes that MDR TB is resistant to both isoniazid and rifampin, with or without resistance to other first-line drugs. Treatment involves 6-9 months of a combination of second-line drugs from various groups. It has removed kanamycin and capreomycin from recommendations and advises only using clavulanic acid with carbapenems. One of the new recommended MDR regimens is also mentioned.
Therapeutic communication techniques are essential for collecting patient information and building rapport. These include using open-ended questions to gather details, active listening skills like restatement and reflection, and observing nonverbal cues. The medical assistant prepares for and assists with the physical exam by setting up supplies, positioning the patient appropriately, and ensuring comfort. The exam follows a head-to-toe sequence and incorporates inspection, auscultation, and other objective assessment methods. Maintaining patient privacy, confidentiality, and centered care are important legal and ethical duties of medical assistants.
alla about hospital pharmacy go deep study patient councelSanjiv Pandey
1. Counseling is the process of giving and receiving information in a way that is meaningful, memorable and usable, changes behavior and facilitates a successful rehabilitative outcome.
2. Studies show that only about 50% of information provided by healthcare providers is retained, and 40-80% can be forgotten immediately. Verbal information should be supplemented with written and/or visual information.
3. Effective counseling involves providing advice as concrete instructions, using easy to understand language, presenting a limited amount of information, and supplementing verbal information with written, graphical, and pictorial materials.
Top 7 Insights from Years of Observing Real-world Healthcare Communication Ogilvy Health
Over the past 15 years, the Ogilvy CommonHealth Behavioral Insights team has used sociolinguistic techniques to study and improve healthcare communication. We spearheaded this research by studying dialogues between patients and healthcare providers using our proprietary methodology. Continue reading to better understand how to incite behavior change and improve healthcare communications.
This document provides guidance on effective patient interviewing skills for physicians. It discusses the importance of professionalism, ethics, using a biopsychosocial model, and patient-centered care. The four core ethical principles are autonomy, beneficence, non-maleficence, and justice. Effective communication involves actively listening, establishing rapport, asking open-ended questions to understand the patient's perspective, and using closed-ended questions to obtain specific details. The goal is to collaborate with patients to understand their health issues and concerns in a holistic manner.
The communication process involves a sender transmitting a message through a channel to a receiver. It includes several key elements:
1. A sender encodes a message based on a thought or idea they want to convey.
2. The message is transmitted through a channel, such as verbal or written communication.
3. The receiver decodes the message to derive meaning from it.
4. Feedback from the receiver allows the sender to assess how well the message was understood and make adjustments if needed.
The communication context and the relationship between the sender and receiver can impact how the message is interpreted at each stage of the process. Successful communication requires understanding these dynamics.
The document discusses effective communication skills for dispensers at rural drug vendors. It covers several case studies where patients misunderstood or did not follow treatment instructions correctly due to poor communication. The document emphasizes using plain language, focusing on key messages, checking for understanding through teach back methods, and effectively soliciting questions from patients. It also discusses barriers to communication like the environment and patient factors. Good listening skills, questioning techniques, and strategies to improve communication between dispensers and prescribers are presented. The importance of collaboration and addressing issues rather than personalities to achieve positive outcomes is highlighted.
This document provides guidance on conducting comprehensive health histories and interviews. It outlines the standard format for a health history, including identifying data, chief complaint, history of present illness, past medical history, family history, social history and review of systems. It describes the ideal sequence of an interview, including establishing rapport, inviting the patient's story, and creating a shared understanding. The document also reviews techniques for skilled interviewing, guidelines for using interpreters, exploring the patient's perspective, and addressing sensitive topics. It provides models for assessing symptoms and screening for alcohol use. Overall, the document aims to instruct healthcare providers on best practices for obtaining full health histories through effective patient interviews.
AETCOM all competencies.pptx pathology practical59w4pymhcm
This document discusses guidelines for treating multi-drug resistant tuberculosis (MDR TB). It notes that MDR TB is resistant to both isoniazid and rifampin, with or without resistance to other first-line drugs. Treatment involves 6-9 months of a combination of second-line drugs from various groups. It has removed kanamycin and capreomycin from recommendations and advises only using clavulanic acid with carbapenems. One of the new recommended MDR regimens is also mentioned.
Therapeutic communication techniques are essential for collecting patient information and building rapport. These include using open-ended questions to gather details, active listening skills like restatement and reflection, and observing nonverbal cues. The medical assistant prepares for and assists with the physical exam by setting up supplies, positioning the patient appropriately, and ensuring comfort. The exam follows a head-to-toe sequence and incorporates inspection, auscultation, and other objective assessment methods. Maintaining patient privacy, confidentiality, and centered care are important legal and ethical duties of medical assistants.
alla about hospital pharmacy go deep study patient councelSanjiv Pandey
1. Counseling is the process of giving and receiving information in a way that is meaningful, memorable and usable, changes behavior and facilitates a successful rehabilitative outcome.
2. Studies show that only about 50% of information provided by healthcare providers is retained, and 40-80% can be forgotten immediately. Verbal information should be supplemented with written and/or visual information.
3. Effective counseling involves providing advice as concrete instructions, using easy to understand language, presenting a limited amount of information, and supplementing verbal information with written, graphical, and pictorial materials.
Top 7 Insights from Years of Observing Real-world Healthcare Communication Ogilvy Health
Over the past 15 years, the Ogilvy CommonHealth Behavioral Insights team has used sociolinguistic techniques to study and improve healthcare communication. We spearheaded this research by studying dialogues between patients and healthcare providers using our proprietary methodology. Continue reading to better understand how to incite behavior change and improve healthcare communications.
This document provides guidance on effective patient interviewing skills for physicians. It discusses the importance of professionalism, ethics, using a biopsychosocial model, and patient-centered care. The four core ethical principles are autonomy, beneficence, non-maleficence, and justice. Effective communication involves actively listening, establishing rapport, asking open-ended questions to understand the patient's perspective, and using closed-ended questions to obtain specific details. The goal is to collaborate with patients to understand their health issues and concerns in a holistic manner.
The communication process involves a sender transmitting a message through a channel to a receiver. It includes several key elements:
1. A sender encodes a message based on a thought or idea they want to convey.
2. The message is transmitted through a channel, such as verbal or written communication.
3. The receiver decodes the message to derive meaning from it.
4. Feedback from the receiver allows the sender to assess how well the message was understood and make adjustments if needed.
The communication context and the relationship between the sender and receiver can impact how the message is interpreted at each stage of the process. Successful communication requires understanding these dynamics.
This document discusses the important role of effective communication skills for physicians from a psychological perspective. It outlines 4 key points:
1. The importance of effective communication skills like eye contact, body language, and active listening for accurate diagnosis, treatment compliance, patient satisfaction, and cost effectiveness.
2. Teaching patients effective coping strategies for stress, anxiety, and worries like peer support groups, laughter therapy, and establishing worry-free zones.
3. The value of involving a multidisciplinary team for treating patients with conditions like panic attacks, OCD, depression, and substance abuse issues.
4. The need to refer psychotic patients to consultant psychiatrists for further consultation.
This document discusses key concepts for patient assessment and communication in medical imaging. It emphasizes the importance of critical thinking, problem solving, cultural awareness and establishing effective communication. The radiographer must collect subjective and objective data on the patient, analyze the data to develop a customized care plan, implement the plan and evaluate the results. Nonverbal communication, gender factors and other variables that could impact the patient experience are also addressed.
This document discusses key concepts for patient assessment and communication in medical imaging. It emphasizes the importance of critical thinking, problem solving, cultural awareness and establishing rapport when interacting with patients. Effective communication involves both verbal and nonverbal elements, with factors like gender, disabilities and grief needing consideration. The goals are to obtain necessary medical histories, explain procedures, ensure patient comfort and provide education to support patient rights and self determination.
This document discusses key concepts for patient assessment and communication in medical imaging. It emphasizes the importance of critical thinking, problem solving, cultural awareness and establishing rapport when interacting with patients. The radiographer must collect both subjective and objective data about the patient, analyze the information to develop an individualized care plan, implement the plan and evaluate the results. Nonverbal communication, gender factors and other variables that could impact the patient experience are also addressed.
This document discusses key concepts for patient assessment and communication in medical imaging. It emphasizes the importance of critical thinking, problem solving, cultural awareness and establishing rapport when interacting with patients. The radiographer must collect both subjective and objective data about the patient, analyze the information to develop an individualized care plan, implement the plan and evaluate the results. Non-verbal communication, gender factors and other variables that could impact the patient experience are also addressed.
Effective communication is an essential skill for healthcare professionals but one not all possess naturally. Communication can be improved by understanding potential barriers like assumptions, fatigue, distractions, and privacy laws. Strategies like SBAR provide frameworks for exchanging information clearly and briefly between team members. While challenges to communication exist, following standards of being complete, clear, brief and timely can help verify understanding and exchange information successfully.
Three Mountains Regional Hospital· Medical and surgical facility.docxjuliennehar
Three Mountains Regional Hospital
· Medical and surgical facility.
· Offer outpatient and inpatient surgeries.
· Committed to providing high-quality health services.
Electronic Medical Record
Defined as medical records kept on a computer.
Records are kept by doctors, health care providers, hospital or medical office staff.
Contents of EMR
The records contain general patient information, such as:
· Health condition
· Diagnostic tests
· Prescriptions and
· Treatment
· Personal details like name, contacts, and date of birth
EMRs are safe and confidential.
Records can be shared securely through a network.
HIPPA/
Confidentiality
It is a U.S legislation that safeguards medical information.
The law provides privacy and security to health data.
It requires health care information to be handled with confidentiality.
Level of Confidentiality
High-levels of confidentiality assured when transferring, receiving, sharing, or handling protected health information.
Release of Information
To maintain patient confidentiality and comply with set laws, health information will only be released upon written authorization by the patient.
The process of requesting your health records at Three Mountains Regional hospital is as follows:
· Obtain, fill and submit Authorization for Release of Health Information Form
·
· Form must be completed and signed.
· Specify information to be released.
· Health practitioner to review request and clinical appropriateness for release.
· After approval, information is released.
NB:
The following Protected health information cannot be shared without patient permission:
· Test and laboratory results
· Demographic information
· Mental health condition
· Medical histories and
· Insurance information
Privacy Pledge
At Three Mountains Regional Hospital, we pledge to keep all your information private and confidentiality in compliance with the law and through our
You did a nice job with the brochure layout, as it looks very good and you made a nice use of graphics and language. Nice work on the EMR. You need to discuss the joint committee requirement and add a citation to show that you used the material. In the HIPPA section, good job defining how HIPPA provides privacy and security protection. You need to expand and tell the patient how HIPPA is used by the facility to ensure their privacy. Your release of information good and explains the process as nice use of steps a patient needs to do besides just contacting the facility to get a form . You need to draft a more developed privacy pledge that adds a goal to comply with all federal and state laws regarding privacy to your pledge.
specific privacy policies.
Title
ABC/123 Version X
1
Grading Guide for Issues of Substance Abuse and Addiction
CPSS 420
1
University of Phoenix Material
Week 5: Substance Abuse Treatment
Content (80%)
Points Earned:
· All key elements of the assignment are covered in a substantive way. Major points are stated clearly; are supporte ...
Here are the key points to cover in a systems review:
- Briefly ask about symptoms related to major organ systems: cardiovascular, respiratory, gastrointestinal, genitourinary, neurological, musculoskeletal, skin, ears/nose/throat, eyes.
- Ask focused questions about symptoms related to the presenting complaint and related systems.
- Note any pertinent positives or negatives. No need to record if all negatives unless related to presenting complaint.
- Aim to be thorough but brief. Focus on symptoms not covered elsewhere in history.
- Document any significant findings to follow up in detail in HPI or PMH as needed.
This document discusses doctor-patient communication and interactions. It provides an overview of some of the most cited authors on this topic, including DiMatteo, Hall, Kaplan, and Roter. It describes the Roter Interaction Analysis System (RIAS), a method for coding doctor-patient interactions. The document also lists some of the most cited journals on this subject and discusses lay information mediaries, models of mediary behavior, and methods used to study doctor-patient communication such as observational scales.
Communication is the transfer of information meaningful to those involved. Interactive communication is a process that facilitates a dialogue to provide multiple opportunities to accurately interpret meaning and respond appropriately. An interactive model is similar to a discussion rather than a lecture.
For example, using an interactive model, a patient may be asked what they know about their medications. As the patient describes aspects of his or her medication therapy, the pharmacist can then respond to fill in knowledge gaps, correct misinformation and verify patient understanding, thus eliminating or minimizing misunderstandings.
Interactive communications are effective for many interpersonal situations, but are especially useful when working with patients to assure appropriate use of medications.
The Profile4-year-old biracial male living with his grandmother lourapoupheq
The patient profile is a 76-year-old black male with disabilities living in an urban setting. The discussion summarizes how the clinician would conduct an interview and assessment for this patient. Effective communication techniques are emphasized, such as speaking slowly and clearly given potential hearing loss. A full assessment of functional status, activities of daily living, fall risk, medications, mental health, and social support systems would be conducted using tools like HEEADSSS. Targeted questions focus on living situation, assistance needs, falls history, medications, expenses, and substance use. Risk factors addressed include falls, functional impairment, polypharmacy, and potential for depression or substance abuse issues.
As an advanced practice nurse, it is important to tailor communication techniques and target questions when building a health history for patients. For a 14-year-old biracial male living in public housing, the nurse would use open-ended questions, active listening and age-appropriate language to establish rapport. Targeted questions would address environmental exposures, social support systems, and substance abuse risk factors. The CRAFFT screening tool would help identify substance abuse risks. Potential health risks include infectious diseases and pollution exposure due to his living situation.
This document discusses communication skills and concepts relevant to healthcare professionals. It covers definitions of communication, principles of communication like listening, probing and observing. It discusses consultation and counseling processes, models of breaking bad news, and dealing with angry patients. It provides guidance on initiating sessions, gathering information, building relationships, explaining and planning, and closing sessions. Quizzes are also included to test understanding of communication skills.
This document discusses the importance of using teach-back, a health literacy tool that ensures patient understanding. Teach-back involves asking patients to explain healthcare information in their own words to check for understanding. It is supported by research showing patients remember less than half of what clinicians explain. The document provides guidance on how to properly use teach-back, including asking open-ended questions, using plain language, and continuing teach-back until the patient demonstrates accurate understanding.
This document discusses the importance of using teach-back, a health literacy tool that ensures patient understanding. Teach-back involves asking patients to explain healthcare information in their own words to check for understanding. It is supported by research showing patients remember less than half of what clinicians explain. The document provides guidance on how to properly use teach-back, including asking open-ended questions, using plain language, and continuing teach-back until the patient demonstrates accurate understanding.
Communication: Empathy and How To Give Bad News -Journal Article and Discussionflasco_org
Providing a course that is relevant, practical and patient-centered that will positively impact the speed in which entry-level oncology specialists integrate into the oncology practice setting.
This document discusses various aspects of health communication including communication processes, messages, channels, interpersonal communication, mass media, group discussions, barriers to communication, and counseling techniques. It emphasizes the importance of communication skills for health workers including effective speaking, listening, questioning, and counseling skills. Specific techniques are outlined for breaking bad news to patients and dealing with emotional patients. The goals of communication are described as disseminating information, education, behavior change, counseling, advocacy, and informed participation.
This document describes the development of an evidence-based health literacy toolkit for hearing loss. It discusses low health literacy rates and issues with existing patient materials and counseling in audiology. The toolkit, called the Hearing Health Literacy Toolkit, uses the 5 A's model (Assess, Advise, Agree, Assist, Arrange) as a framework. It incorporates tools and techniques grounded in health literacy principles, motivational interviewing, shared decision making, and patient-centered care to improve how audiologists educate and treat patients with hearing loss. The goal is to help patients better understand and manage their condition.
The document discusses challenges in communication between patients and healthcare providers that can act as barriers to effective patient care. It highlights several potential barriers, including patients' unmotivated behavior, substance abuse issues, mental health conditions that impact speech, and stigmatizing beliefs held by providers. These barriers can hinder information gathering, rapport building, and treatment. The document advocates for healthcare providers to employ empathetic and motivational communication strategies, continue their education, and recognize how their own biases may impact care in order to overcome these barriers and better serve patients.
Assessment of competencies by John Senior Part 1ALLEICARG DC
This document provides information on assessing patients, including:
1. It outlines the steps to take in initiating a clinical assessment, including introducing yourself, focusing on your assessment, and concluding your time with the patient.
2. A sample patient assessment form is presented that is used to assess factors like self-care ability, living situation, and medication usage.
3. Two case studies are described to demonstrate assessing specific patient populations - one involving mental health issues, and another involving a culturally diverse family.
1
Activity Analysis of Coloring
Mariah Stump
Therapeutic Recreation: Professional Practicum I
2
Activity Analysis: Coloring
Description:
Coloring is a leisure activity that involves creativity and imagination. Coloring can be an
individual or group activity. In order to color, the participant must have a coloring sheet, coloring
utensils, sharpener, and a hard surface. The coloring utensils can be crayons, colored pencils, or
markers. The goal of coloring is to bring color to the objects on the coloring sheets by shading
them with the coloring utensils. After choosing a coloring sheet, the participant must choose the
colors they feel will look best on the picture. If the coloring utensil is not sharp, they can use a
sharpener. Then the participant chooses a section to start and which color to use for that section.
They should start by coloring the inside edge of the section to help them stay in the lines. After
coloring the edge, they can color the center. They should continue to choose a section, choose a
color, shade the inside edge, and shade the center until the picture is fully colored (How).
Precautions/ Safety Issues:
Some people may want to take precaution if they are allergic to some of the chemicals in
crayons, colored pencils, or markers. They must avoid ingesting any of these coloring utensils.
Participants also need to avoid inhaling the smell of the markers. This could cause damage to the
brain, lungs, heart, liver, kidney, and peripheral nerves if it becomes a habit (Inhalants).
Special Considerations:
This activity is for people age 4 and up. Children younger than four have a hard time
staying in the lines, and may not benefit from the activity (Eye). Also, people that are blind may
be unable to do this activity unless adaptations are made.
Demands:
Although coloring is mainly a cognitive activity, it also has some physical, social, and
emotional demands. Some of the cognitive demands include deciding what picture to color and
which colors to use. Coloring is physically demanding, because the participant must have hand-
eye coordination in order to color in the lines. Sitting is the primary body position during
coloring, so the participant must also have sitting endurance. The dominant arm, wrist, hand, and
fingers are also involved, so the person must have the arm strength and stability needed to finish
the coloring page. Coloring is normally an individual activity, however, more than one person
3
can participate at one time. Coloring in a group could make the activity socially demanding, if
the people choose to interact with one another. Coloring could make a person feel joyful,
relaxed, or frustrated. Joy or happiness could come from completing the coloring page. Coloring
has been shown to relieve stress, so participants may feel relaxed or laid back while participating
in this activity. Coloring can als.
0 Choose one of the organizations described in the Four Case Studie.docxpoulterbarbara
0 Choose one of the organizations described in the “Four Case Studies on Corporate Social Responsibility” article; analyze the information about the organization; and write a 4-page case study paper (2 pages of content). Include in-text citations from at least 2 peer reviewed sources. The case study paper should include the following sections: A. Introduction B. Description of the organization’s original corporate social responsibility (CSR) policies and reporting C. Description of the conflicts D. Description of resultant changes in the CSR policies and reporting E. Conclusion
.
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This document discusses the important role of effective communication skills for physicians from a psychological perspective. It outlines 4 key points:
1. The importance of effective communication skills like eye contact, body language, and active listening for accurate diagnosis, treatment compliance, patient satisfaction, and cost effectiveness.
2. Teaching patients effective coping strategies for stress, anxiety, and worries like peer support groups, laughter therapy, and establishing worry-free zones.
3. The value of involving a multidisciplinary team for treating patients with conditions like panic attacks, OCD, depression, and substance abuse issues.
4. The need to refer psychotic patients to consultant psychiatrists for further consultation.
This document discusses key concepts for patient assessment and communication in medical imaging. It emphasizes the importance of critical thinking, problem solving, cultural awareness and establishing effective communication. The radiographer must collect subjective and objective data on the patient, analyze the data to develop a customized care plan, implement the plan and evaluate the results. Nonverbal communication, gender factors and other variables that could impact the patient experience are also addressed.
This document discusses key concepts for patient assessment and communication in medical imaging. It emphasizes the importance of critical thinking, problem solving, cultural awareness and establishing rapport when interacting with patients. Effective communication involves both verbal and nonverbal elements, with factors like gender, disabilities and grief needing consideration. The goals are to obtain necessary medical histories, explain procedures, ensure patient comfort and provide education to support patient rights and self determination.
This document discusses key concepts for patient assessment and communication in medical imaging. It emphasizes the importance of critical thinking, problem solving, cultural awareness and establishing rapport when interacting with patients. The radiographer must collect both subjective and objective data about the patient, analyze the information to develop an individualized care plan, implement the plan and evaluate the results. Nonverbal communication, gender factors and other variables that could impact the patient experience are also addressed.
This document discusses key concepts for patient assessment and communication in medical imaging. It emphasizes the importance of critical thinking, problem solving, cultural awareness and establishing rapport when interacting with patients. The radiographer must collect both subjective and objective data about the patient, analyze the information to develop an individualized care plan, implement the plan and evaluate the results. Non-verbal communication, gender factors and other variables that could impact the patient experience are also addressed.
Effective communication is an essential skill for healthcare professionals but one not all possess naturally. Communication can be improved by understanding potential barriers like assumptions, fatigue, distractions, and privacy laws. Strategies like SBAR provide frameworks for exchanging information clearly and briefly between team members. While challenges to communication exist, following standards of being complete, clear, brief and timely can help verify understanding and exchange information successfully.
Three Mountains Regional Hospital· Medical and surgical facility.docxjuliennehar
Three Mountains Regional Hospital
· Medical and surgical facility.
· Offer outpatient and inpatient surgeries.
· Committed to providing high-quality health services.
Electronic Medical Record
Defined as medical records kept on a computer.
Records are kept by doctors, health care providers, hospital or medical office staff.
Contents of EMR
The records contain general patient information, such as:
· Health condition
· Diagnostic tests
· Prescriptions and
· Treatment
· Personal details like name, contacts, and date of birth
EMRs are safe and confidential.
Records can be shared securely through a network.
HIPPA/
Confidentiality
It is a U.S legislation that safeguards medical information.
The law provides privacy and security to health data.
It requires health care information to be handled with confidentiality.
Level of Confidentiality
High-levels of confidentiality assured when transferring, receiving, sharing, or handling protected health information.
Release of Information
To maintain patient confidentiality and comply with set laws, health information will only be released upon written authorization by the patient.
The process of requesting your health records at Three Mountains Regional hospital is as follows:
· Obtain, fill and submit Authorization for Release of Health Information Form
·
· Form must be completed and signed.
· Specify information to be released.
· Health practitioner to review request and clinical appropriateness for release.
· After approval, information is released.
NB:
The following Protected health information cannot be shared without patient permission:
· Test and laboratory results
· Demographic information
· Mental health condition
· Medical histories and
· Insurance information
Privacy Pledge
At Three Mountains Regional Hospital, we pledge to keep all your information private and confidentiality in compliance with the law and through our
You did a nice job with the brochure layout, as it looks very good and you made a nice use of graphics and language. Nice work on the EMR. You need to discuss the joint committee requirement and add a citation to show that you used the material. In the HIPPA section, good job defining how HIPPA provides privacy and security protection. You need to expand and tell the patient how HIPPA is used by the facility to ensure their privacy. Your release of information good and explains the process as nice use of steps a patient needs to do besides just contacting the facility to get a form . You need to draft a more developed privacy pledge that adds a goal to comply with all federal and state laws regarding privacy to your pledge.
specific privacy policies.
Title
ABC/123 Version X
1
Grading Guide for Issues of Substance Abuse and Addiction
CPSS 420
1
University of Phoenix Material
Week 5: Substance Abuse Treatment
Content (80%)
Points Earned:
· All key elements of the assignment are covered in a substantive way. Major points are stated clearly; are supporte ...
Here are the key points to cover in a systems review:
- Briefly ask about symptoms related to major organ systems: cardiovascular, respiratory, gastrointestinal, genitourinary, neurological, musculoskeletal, skin, ears/nose/throat, eyes.
- Ask focused questions about symptoms related to the presenting complaint and related systems.
- Note any pertinent positives or negatives. No need to record if all negatives unless related to presenting complaint.
- Aim to be thorough but brief. Focus on symptoms not covered elsewhere in history.
- Document any significant findings to follow up in detail in HPI or PMH as needed.
This document discusses doctor-patient communication and interactions. It provides an overview of some of the most cited authors on this topic, including DiMatteo, Hall, Kaplan, and Roter. It describes the Roter Interaction Analysis System (RIAS), a method for coding doctor-patient interactions. The document also lists some of the most cited journals on this subject and discusses lay information mediaries, models of mediary behavior, and methods used to study doctor-patient communication such as observational scales.
Communication is the transfer of information meaningful to those involved. Interactive communication is a process that facilitates a dialogue to provide multiple opportunities to accurately interpret meaning and respond appropriately. An interactive model is similar to a discussion rather than a lecture.
For example, using an interactive model, a patient may be asked what they know about their medications. As the patient describes aspects of his or her medication therapy, the pharmacist can then respond to fill in knowledge gaps, correct misinformation and verify patient understanding, thus eliminating or minimizing misunderstandings.
Interactive communications are effective for many interpersonal situations, but are especially useful when working with patients to assure appropriate use of medications.
The Profile4-year-old biracial male living with his grandmother lourapoupheq
The patient profile is a 76-year-old black male with disabilities living in an urban setting. The discussion summarizes how the clinician would conduct an interview and assessment for this patient. Effective communication techniques are emphasized, such as speaking slowly and clearly given potential hearing loss. A full assessment of functional status, activities of daily living, fall risk, medications, mental health, and social support systems would be conducted using tools like HEEADSSS. Targeted questions focus on living situation, assistance needs, falls history, medications, expenses, and substance use. Risk factors addressed include falls, functional impairment, polypharmacy, and potential for depression or substance abuse issues.
As an advanced practice nurse, it is important to tailor communication techniques and target questions when building a health history for patients. For a 14-year-old biracial male living in public housing, the nurse would use open-ended questions, active listening and age-appropriate language to establish rapport. Targeted questions would address environmental exposures, social support systems, and substance abuse risk factors. The CRAFFT screening tool would help identify substance abuse risks. Potential health risks include infectious diseases and pollution exposure due to his living situation.
This document discusses communication skills and concepts relevant to healthcare professionals. It covers definitions of communication, principles of communication like listening, probing and observing. It discusses consultation and counseling processes, models of breaking bad news, and dealing with angry patients. It provides guidance on initiating sessions, gathering information, building relationships, explaining and planning, and closing sessions. Quizzes are also included to test understanding of communication skills.
This document discusses the importance of using teach-back, a health literacy tool that ensures patient understanding. Teach-back involves asking patients to explain healthcare information in their own words to check for understanding. It is supported by research showing patients remember less than half of what clinicians explain. The document provides guidance on how to properly use teach-back, including asking open-ended questions, using plain language, and continuing teach-back until the patient demonstrates accurate understanding.
This document discusses the importance of using teach-back, a health literacy tool that ensures patient understanding. Teach-back involves asking patients to explain healthcare information in their own words to check for understanding. It is supported by research showing patients remember less than half of what clinicians explain. The document provides guidance on how to properly use teach-back, including asking open-ended questions, using plain language, and continuing teach-back until the patient demonstrates accurate understanding.
Communication: Empathy and How To Give Bad News -Journal Article and Discussionflasco_org
Providing a course that is relevant, practical and patient-centered that will positively impact the speed in which entry-level oncology specialists integrate into the oncology practice setting.
This document discusses various aspects of health communication including communication processes, messages, channels, interpersonal communication, mass media, group discussions, barriers to communication, and counseling techniques. It emphasizes the importance of communication skills for health workers including effective speaking, listening, questioning, and counseling skills. Specific techniques are outlined for breaking bad news to patients and dealing with emotional patients. The goals of communication are described as disseminating information, education, behavior change, counseling, advocacy, and informed participation.
This document describes the development of an evidence-based health literacy toolkit for hearing loss. It discusses low health literacy rates and issues with existing patient materials and counseling in audiology. The toolkit, called the Hearing Health Literacy Toolkit, uses the 5 A's model (Assess, Advise, Agree, Assist, Arrange) as a framework. It incorporates tools and techniques grounded in health literacy principles, motivational interviewing, shared decision making, and patient-centered care to improve how audiologists educate and treat patients with hearing loss. The goal is to help patients better understand and manage their condition.
The document discusses challenges in communication between patients and healthcare providers that can act as barriers to effective patient care. It highlights several potential barriers, including patients' unmotivated behavior, substance abuse issues, mental health conditions that impact speech, and stigmatizing beliefs held by providers. These barriers can hinder information gathering, rapport building, and treatment. The document advocates for healthcare providers to employ empathetic and motivational communication strategies, continue their education, and recognize how their own biases may impact care in order to overcome these barriers and better serve patients.
Assessment of competencies by John Senior Part 1ALLEICARG DC
This document provides information on assessing patients, including:
1. It outlines the steps to take in initiating a clinical assessment, including introducing yourself, focusing on your assessment, and concluding your time with the patient.
2. A sample patient assessment form is presented that is used to assess factors like self-care ability, living situation, and medication usage.
3. Two case studies are described to demonstrate assessing specific patient populations - one involving mental health issues, and another involving a culturally diverse family.
Similar to Bipolar TherapyBipolar TherapyClient of Korean DescentAncestr.docx (20)
1
Activity Analysis of Coloring
Mariah Stump
Therapeutic Recreation: Professional Practicum I
2
Activity Analysis: Coloring
Description:
Coloring is a leisure activity that involves creativity and imagination. Coloring can be an
individual or group activity. In order to color, the participant must have a coloring sheet, coloring
utensils, sharpener, and a hard surface. The coloring utensils can be crayons, colored pencils, or
markers. The goal of coloring is to bring color to the objects on the coloring sheets by shading
them with the coloring utensils. After choosing a coloring sheet, the participant must choose the
colors they feel will look best on the picture. If the coloring utensil is not sharp, they can use a
sharpener. Then the participant chooses a section to start and which color to use for that section.
They should start by coloring the inside edge of the section to help them stay in the lines. After
coloring the edge, they can color the center. They should continue to choose a section, choose a
color, shade the inside edge, and shade the center until the picture is fully colored (How).
Precautions/ Safety Issues:
Some people may want to take precaution if they are allergic to some of the chemicals in
crayons, colored pencils, or markers. They must avoid ingesting any of these coloring utensils.
Participants also need to avoid inhaling the smell of the markers. This could cause damage to the
brain, lungs, heart, liver, kidney, and peripheral nerves if it becomes a habit (Inhalants).
Special Considerations:
This activity is for people age 4 and up. Children younger than four have a hard time
staying in the lines, and may not benefit from the activity (Eye). Also, people that are blind may
be unable to do this activity unless adaptations are made.
Demands:
Although coloring is mainly a cognitive activity, it also has some physical, social, and
emotional demands. Some of the cognitive demands include deciding what picture to color and
which colors to use. Coloring is physically demanding, because the participant must have hand-
eye coordination in order to color in the lines. Sitting is the primary body position during
coloring, so the participant must also have sitting endurance. The dominant arm, wrist, hand, and
fingers are also involved, so the person must have the arm strength and stability needed to finish
the coloring page. Coloring is normally an individual activity, however, more than one person
3
can participate at one time. Coloring in a group could make the activity socially demanding, if
the people choose to interact with one another. Coloring could make a person feel joyful,
relaxed, or frustrated. Joy or happiness could come from completing the coloring page. Coloring
has been shown to relieve stress, so participants may feel relaxed or laid back while participating
in this activity. Coloring can als.
0 Choose one of the organizations described in the Four Case Studie.docxpoulterbarbara
0 Choose one of the organizations described in the “Four Case Studies on Corporate Social Responsibility” article; analyze the information about the organization; and write a 4-page case study paper (2 pages of content). Include in-text citations from at least 2 peer reviewed sources. The case study paper should include the following sections: A. Introduction B. Description of the organization’s original corporate social responsibility (CSR) policies and reporting C. Description of the conflicts D. Description of resultant changes in the CSR policies and reporting E. Conclusion
.
1 Case Study #23 Is Yahoo!’s Business Model .docxpoulterbarbara
1
Case Study #23:
Is Yahoo!’s Business Model
Working in 2011 and Today?
BUS 189 - Prof. Larry Gee
Team # 5 - The A+ Students
Aimee Gohil - # 7260
Sean Luis - # 0283
PM - Karin Proven - # 7884
Krysta Sumabat - # 2199
Friday, December 4 2015
2
Table of Contents
Appendix 1: History, Development, and Growth ……….………………………………………. 3
Appendix 2: Internal Strengths and Weakness ….………………………………………………. 8
Appendix 3: Nature of External Environment …..……………………………………………... 11
Appendix 4: SWOT Analysis…………….………….…………………………………………. 12
Appendix 5: Corporate-Level Strategy ...………………………………………………………. 18
Appendix 6: Business- Level Strategy …………………………………………………………. 20
Appendix 7: Company Structure and Control Systems………...………………………………. 22
Appendix 8: Recommendations...………………………………………………………………. 24
Case Question 1 ……….………………………………………………………….…….……… 25
Case Question 2 ……….………………………………………………………………..……… 29
Case Question 3 ………………………………………………………………………..………. 32
Case Question 4 ……………………………………………………………………….….……. 36
Conclusion …………………………………………………………………………….….……. 38
Bibliography………………………………….………………….……………………….….…. 40
3
Appendix 1: The History, Development, and Growth
Yahoo! is a global technology company best known and recognized for their search
engine, web portals, email services, and similar technologies. Yahoo! is currently working hard
to stand out from competitors by executing several strategies, including corporate level strategies
such as acquisitions, horizontal and vertical integration. It is clear with the struggles Yahoo! has
faced over the past 7 years that they need to regain market share, expand their demographics,
improve innovation, and build brand loyalty to be profitable. The company’s past strategy of
acquisitions has been costly and has not produced the desired result.
Yahoo! was founded by David Filo and Jerry Yang and the company is based in the heart
of the Silicon Valley in Sunnyvale, California. (McCullough) In 1994, David and Jerry were
graduate students at Stanford University, studying to obtain their Ph.D. in Electrical
Engineering. The World Wide Web was a tool they used, but the user experience left them
extremely frustrated. Thousands of pages would appear which were random and unorganized,
making the tool overly cumbersome and difficult to use effectively. Realizing there was a better
way to organize the information, the pair found a way to manage all these websites by specific
content. What David and Jerry provided was a hierarchically organized index compared to an
index of pages. They named this organized hierarchy “David and Jerry’s Guide to The World
Wide Web” and published it in 1994.
Initially their site was used mainly by their friends and for their own personal
use. However, over time, more and more people came across the time saving website, spreading
the word about “David and .
06identifying exceptions and RECOGNIZING WINSWe can .docxpoulterbarbara
|06|identifying exceptions and
RECOGNIZING WINS
“We can always choose to
perceive things differently.
We can focus on what’s
wrong in our life, or we can
focus on what’s right.”
Marianne Williamson
RECOGNIZING WINS | 98
Where We Have Been
In the previous chapter, you learned the concept of neuroplasticity, the brain’s ability to be “plastic” or “changeable”
in nature by actually growing new neural pathways when tasked with creating new thinking patterns. You also
discovered that you cannot always trust your thoughts as they can get stuck in the habit of delivering faulty
information based on self-limiting and self-sabotaging beliefs. You were also introduced to the concept of cognitive
reframing, which highlights your ability to view the same information or experience through a different and more
productive frame of reference. And finally, we shared the narrative concept of externalizing problems; the concept
invited you to examine whether your self-concept was too closely defined by common problems like procrastination,
anxiety, or overwhelm. We further examined what steps to take to start to have a constructive relationship with
externalized problems by dialoguing with them as a way of escaping their impact.
Where We Are Going
In this chapter, we will dive deeply into the concept of finding exceptions to problem-saturated stories. Returning
again to Angela, we will use her story as a teaching tool as we bring into focus exactly how the narrative process is
engineered to discover these exceptions to problems. Highlighting her process will set the stage for you to highlight
your own as you begin inquiring into your own personal narrative in a way that draws on actual evidence from your
own life story thus far.
In this chapter, you will come to find that you, like us all, have unexamined exceptions to the problem-laden beliefs
that may be hard to abandon. Because of this, you will be taught how to explore the creative process of finding
exceptions—those times when despite all odds and the many neural pathways that have already been carved so
deeply to support the dominance of problems, something exceptional still occurred (Figure 1).
Gearing Up
» To develop a new relationship to your problem(s), now that you have learned to
externalize them
» To expand your non-cognitive vernacular (generate more words to convey the Big 7)
» To take cognitive reframing to the next level by learning how to find exceptions to your
problems (times the problem wasn’t in control)
» To understand the neuroscience behind asking the right questions and visualizing
yourself as successful in combating the effects of your problem(s)
» To see the importance of recognizing wins in your life
» To recognize that your wins are not context dependent, but “you” dependent
Figure 1. Exceptions can be found
anywhere, even in something as
simple as paying a bill on time
rather than letting the problem of
procrastination t.
08creating YOUR GAME PLANNothing will work unle.docxpoulterbarbara
|08|creating
YOUR GAME PLAN
“Nothing will work
unless you do.”
Maya Angelou
YOUR GAME PLAN | 135
Where Have We Been
In the previous chapter, we focused on the importance of cultivating courage as a necessary component in creating a
life that is aligned with your greatest gifts, values, and, of course, engaging in the exploratory process of uncovering
your personal “why.” You were encouraged to discover your “courage compass” and to use it as often as is helpful
and enjoyable, but particularly when fear comes knocking. You were also taught about the astonishing power of your
imagination and its ability to activate your unconscious mind’s internal GPS in helping you to move in the direction of
your desired future. Lastly, you learned how neuroscience relates to visualization, feeling and experiencing yourself
embody real or imagined moments in a sequence of events that aids the brain in believing them.
Where We Are Going
Well, you’ve made it to the end. This final chapter of the re:MIND methodology culminates into a process of
synthesizing all that you have learned in the previous chapters into very personalized “game plan” (Figure 1). We say
personalized because as we lead you through this process of creating a trustworthy game plan that can weather all the
storms of your life, we will focus on proactively anticipating and forecasting any challenges that might arise, so that they
do not derail your progress. You see, you will want to be at-the-ready and prepared when problems surface because, as
you learned in Chapter 7, your life and your legacy are too important to leave in the hands of self-doubt, or problems
like fear, guilt, or anxiety. But first, we’re going to look back on your journey. Without further ado, let’s get started.
Gearing Up
» To review all that you’ve learned in order to prepare you for the final step
» To re-visit the structure of positive self-talk
» To create your personal game plan
» To help you plan against multiple mindset problems
» To prepare you for future mindset problems outside your plan
Figure 1. Your game plan will prepare
you for what is to come.
YOUR GAME PLAN | 136
Remembering Your Journey
Every step of this process has been leading you to this final outcome. The opportunity here lies in combining the
material in a way that makes the most sense for you given the challenges that you currently face, or that you anticipate
facing in the near future. By having a game plan, you will be armed with a coping strategy that is comprehensive,
reliable, and fully committed to your success. Before we dive into the game plan, let’s take a brief journey and review
what you’ve learned as a way of refreshing your mind and preparing you for this final step.
Self-Talk, Self-Doubt, and Your Personal Narrative
When you first started, you may not have had a clear sense as to where this journey was taking you. The process
started with three students tripping over both a l.
1 2Week 4 Evidence and Standards ACC49142020Week .docxpoulterbarbara
1
2
Week 4 Evidence and Standards ACC/491
4/20/20Week 4 Evidence and Standards
Comparison of Audit, Scientific and Legal Evidence Standards.
According to "Investopedia" (2020), generally accepted auditing standards (GAAS) are a set of systematic guidelines used by auditors when conducting audits on companies' financial records. GAAS helps to ensure the accuracy, consistency, and verifiability of auditors' actions and reports. The Auditing Standards Board (ASB) of the American Institute of Certified Public Accountants (AICPA) created GAAS. (para 1).
Scientific evidence is information gathered from scientific research, which takes a lot of time to conduct. But there are a few things that all this research needs to have in common to make it possible for businesses to accept it as "evidence" ("The Conversation," 2020).
Legal evidence is represented by what is lawful to be proven by law to be valid or invalid, true or untrue.
Consideration of Sample Sizes and Methods (random, haphazard, monetary unit sample, judgmental) and how sampling affects evidence.
Evidence gathered should be representative of the population. The chances that the sample taken is not representative of the population is sampling risk, which should be controlled by using proper sample size and appropriate selection. (Arens, Elder, & Beasley, 2014, p. 476)
The selection of a sample is made using the following methods: random, haphazard, monetary unit, and judgmental.
Random sample selection is made by giving all items in a population the same chance of being selected. Sample selection is used when there is no need to emphasize some items in the population. (Arens, Elder, & Beasley, 2014, p. 478)
Haphazard sample selection is made without any distinguishing characteristics such as size or source. (Arens, Elder, & Beasley, 2014, p. 480)
Monetary unit sampling is a statistical method used for testing details of balances. Samples are selected based on the probability proportional to size sample selection. (Arens, Elder, & Beasley, 2014, pp. 566-567)
Judgmental sampling is based on the auditor's decision on which items from the population to review. It's based on auditor's knowledge of the business and industry, as well as their experience in auditing.
Relevance, Reliability and Sufficiency of Evidence.
Our company's control over financial reporting is a process that's designed to assure the reliability of financial reporting and the preparation of financial statements for external purposes under generally accepted accounting principles. Management is responsible for establishing and maintaining internal control over financial reporting (as defined in Rule 13a-15(f) under the Exchange Act). They assess the effectiveness of the internal control over financial reporting based on the criteria that were set forth in the Internal Control-Integrated Framework that was issued by the Committee of Sponsoring Organizations of the Treadway Commission (2013 framework). Managem.
.,Discuss power, authority, and violenceDifferentiate between .docxpoulterbarbara
.,Discuss power, authority, and violence
Differentiate between the different types of governments around the world
A response to the initial question(s) below
Responses to at least two other students' posts
Step 1
Conduct research on the Internet.
Pick three countries from around the world that have different political systems than the United States. Explore their characteristics in terms of power and authority.
Step 2
Write a post answering following questions.
How does the political system work in each of these countries?
Who are the power holders? Are they elected?
Do they have governments?
Answer the questions in paragraphs and please add sociology references to each paragraph.
.
. Why is understanding the fundamentals of persuasion and argume.docxpoulterbarbara
. Why is understanding the fundamentals of persuasion and argumentation necessary in technical writing?
2. In analyzing the audience for a persuasive document, what broader goals is the write hoping to achieve?
3. In planning a persuasive document, what constraints must the writer consider? Please be precise.
4. What are the elements of a persuasive argument? Briefly explain each.
5. A successful persuasive document must avoid logical fallacies, name them.
6. What is persona? What characteristics would help a writer to demonstrate, as well as establish, an attractive persona to his or her audience when preparing a persuasive document?
7. What are the elements of a coherent paragraph?
.
09-15 PRACTICAL EXERCISE PE 4-04-1 TITL.docxpoulterbarbara
09-15
PRACTICAL EXERCISE: PE 4-04-1
TITLE: Project PRT
INTRODUCTION:
Many situations will occur during your tours, which test your ability to solve complex problems.
When we are faced with solving a problem the first and most critical step is identifying the
problem. Often times we try to fix symptoms of the problem instead of the problem itself.
INFORMATION:
Upon graduating the SEA, you report to your new squadron. During your check-in brief with the
Command Master Chief, you discover the collateral duty of Command Fitness Leader (CFL) is
vacant. You have the training and interest in this program and willingly volunteer. Your
Commanding Officer’s welcome aboard interview goes well and he appears very satisfied of
your eagerness to accept duties as CFL. During the interview he mentions the number one
complaint from the crew is their inability to perform PT during the workday. His concern is the
high number of failures among the younger members of the crew during the previous PFA cycle
(13 percent of Sailors fewer than 24 years old failed the run portion and seven percent of the
command failed the body composition portion of the previous cycle’s PFA). The current
command instruction requires personnel to PT after normal working hours. The Captain wants
to make the PT program a part of the workday and asks you to develop a schedule where
everyone will have an opportunity to meet the CNO’s directives (one hour per day/three times
per week).
When you meet the Maintenance Master Chief, you mention the concern of the Captain over the
Command PT program. The Master Chief is aware of the crew’s complaints regarding the
requirement to PT after normal working hours. He doesn’t see the importance of the program
when weighed against the amount of daily mission-essential maintenance required on “his”
aircraft. Three of the six department heads seem satisfied with the current program and do not
see a need for change. You find the CPOs are not happy with the current program (because of
the high failure rate on the previous PFA) and fully support a change. They are unwilling to defy
the Maintenance Master Chief. The Command Master Chief pledges his full support of any
reasonable plan you and the Chiefs develop as long as each department maintains no less than a
supervisor, collateral duty inspector (supervisor can dual hat as CDI), and three workers. Your
plan must have PT for everyone.
ASSIGNMENT- Post your answer on the discussion board:
1. Identify the problem.
2. Write a problem statement.
3. Explain why you believe the problem you identified is the root cause and not a symptom.
Assignment 3: Project Proposal – Execution, Control, and Closure
Due Week 10 and worth 150 points
Note: This is the third of three assignments which, as a whole, will cover all aspects of the project life cycle relevant to your selected project. THIS ASSIGNMENT IS BASED .
0Running Head NON-VERBAL COMMUNICATIONS 10NON-VERBAL C.docxpoulterbarbara
0
Running Head: NON-VERBAL COMMUNICATIONS 1
0
NON-VERBAL COMMUNICATION
Contributor, N. T. (2019, December 23). Communication skills 3: non-verbal communication. Retrieved from https://www.nursingtimes.net/clinical-archive/assessment-skills/communication-skills-3-non-verbal-communication-15-01-2018/
Non-verbal communication is primarily about body language, but other factors such as the layout or decoration of a room, or someone’s clothing or appearance, can also communicate messages. Non-verbal communication can be a supplemental for verbal communication and can reinforce or substitute a spoken message. The non-verbal communication can be different in each situation and each encounter. It is affected by the patient’s sensitivities, how one is regarded and the situation itself. it is very important to facilitate the positive non-verbal interactions in the health care settings. Body language can be crucial as it aids in communication and also helps to decode and react appropriately to other people’s visual and cues. Also, the cultural differences can affect the non-verbal communication as some non-verbal communication can be considered appropriate in some cultures. Thus, it is required to have some knowledge regarding cultural differences and cultural competence.
Liu, Calvo, A., R., Lim, & Renee. (2016, June 7). Improving Medical Students' Awareness of Their Non-Verbal Communication through Automated Non-Verbal Behavior Feedback. Retrieved from https://www.frontiersin.org/articles/10.3389/fict.2016.00011/full
The non-verbal communication of clinicians has an impact on patients’ satisfaction and health outcomes. Yet medical students are not receiving enough training on the appropriate non-verbal behaviors in clinical consultations. Computer vision techniques have been used for detecting different kinds of non-verbal behaviors, and they can be incorporated in educational systems that help medical students to develop communication skills. We describe EQClinic, a system that combines a tele-health platform with automated non-verbal behavior recognition. The system aims to help medical students improve their communication skills through a combination of human and automatically generated feedback. EQClinic provides fully automated calendaring and video conferencing features for doctors or medical students to interview patients. We describe a pilot (18 dyadic interactions) in which standardized patients (SPs) (i.e., someone acting as a real patient) were interviewed by medical students and provided assessments and comments about their performance. After the interview, computer vision and audio processing algorithms were used to recognize students’ non-verbal behaviors known to influence the quality of a medical consultation: including turn taking, speaking ratio, sound volume, sound pitch, smiling, frowning, head leaning, head tilting, nodding, shaking, face-touch gestures and overall body movements. The results showed that students’ awareness.
... all men are created equal ... they are endowed by their Cre.docxpoulterbarbara
"... all men are created equal ... they are endowed by their Creator with certain unalienable Rights, ... among these are Life, Liberty, and the pursuit of Happiness." – Preamble to the Declaration of Independence (National Archives, 2020)
Imagine that you are Thomas Jefferson during the eventful days of 1776 (the year the Declaration of Independence was signed), when protest and revolt energized the air.
If Thomas Jefferson looked into the future, he might not have realized just how important and revered the Declaration of Independence would become. The Declaration is studied and admired all over the world, and its importance continues to grow.
Read more about the Declaration and its importance in this article
.
For your Discussion Board post complete the following:
Explain why you think the Declaration has become the revered document that it is.
Discuss whether you think the Declaration of Independence is relevant in your life today and why
.
-Extended definition of AI and contextual overview.-Detailed d.docxpoulterbarbara
-Extended definition of AI and contextual overview.
-Detailed discussion of two or three uses of AI – what it can do and reasons why it is likely to be beneficial.
-Analysis of any problems arising from these uses of AI.
Harvard references style
.
1 CDU APA 6th Referencing Style Guide (Febru.docxpoulterbarbara
This document provides guidelines for referencing and citing sources using the APA (American Psychological Association) style. It includes information on formatting reference lists, citing sources in text, and examples of how to reference different source types such as books, journal articles, web pages, and more. Key elements such as author names, publication dates, titles, and publisher information are outlined.
1 How to Overcome Public Perception Issues on Potable R.docxpoulterbarbara
1
How to Overcome Public Perception Issues on Potable Reuse Projects
Michael R. Markus, P.E., Orange County Water District, Fountain Valley, CA
Eleanor Torres, Orange County Water District, Fountain Valley, CA
Abstract
The purpose of this paper is to provide an overview of how the Orange County Water District
(the District; OCWD) was able to insulate itself from public opposition to its potable reuse
project, the Groundwater Replenishment System (GWRS).
To understand what challenges the District would be facing it is important to first understand
what was happening with other projects that were being developed at the same time in
Southern California. Second, it is important to understand the process by which the outreach
program was developed and how it was executed. That program was ongoing and changed
with the project to help anticipate and react to various issues that developed. Finally, it will be
shown how important it is to continue the outreach efforts and outline the various steps the
District has taken to educate people on the benefits of reuse.
Introduction
The Orange County Water District manages a very large groundwater basin (basin) in central
and north Orange County in the state of California, U.S.A. It was created by the State
Legislature in 1933 for that purpose and is governed by a 10-member Board of Directors that
sets policy, establishes the amount of pumping out of the basin and sets tariffs. The District
currently has set the amount of groundwater that can be pumped out of the basin at 77% of the
total water demands for its 19 retail agencies which serve 2.5 million people. The remaining
23% of its water supply is dependent on water that is imported into the region.
The Southern California region has a semi-arid climate, which receives approximately 355 mm
of rainfall per year. Most of its water is imported from two primary outside sources, the
Colorado River and the Sacramento-San Joaquin Delta (the Delta) in Northern California. The
Metropolitan Water District of Southern California (MWD) built a 320 km aqueduct in the
1930’s bringing water from the Colorado River into Southern California and then participated in
the building of a 640 km aqueduct in the 1960’s from Northern California to bring water from
the Delta to Southern California. These supplies are enough to meet the water demands in
most years, but they are variable and the amount of water through these systems is dependent
on hydrology and certainly in the future, climate change.
Groundwater basins provide an important source of supplemental supply to the imported water
provided by MWD. A sustainably managed basin can provide a reliable source of low-cost
water, with groundwater costing half as much as imported water. The Orange County Water
District relies on rainfall, stormwater capture, Santa Ana River flows, untreated imported water
and recycled water for refilling its basin. This amount of water.
. Thoroughly complete each part of the prewriting process.. .docxpoulterbarbara
. Thoroughly complete each part of the prewriting process.
. Create a strong thesis statement.
. Analyze quotations and supporting evidence.
Remember that the purpose of researched information is to prove your own point--not to make that point for
Include strong supporting evidence, if required.
Once you've done some research, you'll probablAll essays must have a main ide
) Is my name clearly on the assignment EXACTLY the way it is documented in StraighterLine’s system? (E.g., if your middle initial is in the system, is it on your paper?)
2.) If applicable, have I used one of the required topics for the paper?
3.) Am I uploading the correct assignment?
4.) Have I met the minimum word requirement?
5.) Have I submitted
my own work
? Plagiarized essays WILL BE FLAGGED and you will need to resubmit a revised version.
6.) Have I used both in-text
and
bibliographic citations as appropriate?
7.) Have I saved my paper in a format Turn It In can open?
8.) Have I removed any previous comments I got from tutors?
DRAF1): Descriptive Paragraph (Optional)
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DRAFT: Compare/Contrast
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DRAFT: Personal Narrative (Optional)
(7)
FINAL: Personal Narrative (Required)
0
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. Research Paper Give a behaviorists response to the charge t.docxpoulterbarbara
. Research Paper
Give a behaviorist's response to the charge that:
a. Behavior therapists ignore the past.
b. Behavior therapy is coercive.
c. Rewarding behavior causes children to refuse to do anything unless a reward follows.
d. If one child is reinforced, another child might increase his negative behavior to get a reward.
Address each one of these charges separately, and give research evidence to support your statements and arguments. the doc must have 5 minimum page length.
.
-QuestionsDiscuss how Adam vision was formedHow did he deve.docxpoulterbarbara
-Questions:
Discuss how Adam vision was formed
How did he develop compassion for the outsider and marginalized?
Is compassion inborn or learned?
How does humor fit into health care delivery?
Why aren’t there more people like Adams?
Explain how Sr Adams fits into either an opt group or in group
Format:
3-5 pages
times new roman 12
1 inch margins
double spaced
.
Reimagining Your Library Space: How to Increase the Vibes in Your Library No ...Diana Rendina
Librarians are leading the way in creating future-ready citizens – now we need to update our spaces to match. In this session, attendees will get inspiration for transforming their library spaces. You’ll learn how to survey students and patrons, create a focus group, and use design thinking to brainstorm ideas for your space. We’ll discuss budget friendly ways to change your space as well as how to find funding. No matter where you’re at, you’ll find ideas for reimagining your space in this session.
Leveraging Generative AI to Drive Nonprofit InnovationTechSoup
In this webinar, participants learned how to utilize Generative AI to streamline operations and elevate member engagement. Amazon Web Service experts provided a customer specific use cases and dived into low/no-code tools that are quick and easy to deploy through Amazon Web Service (AWS.)
This document provides an overview of wound healing, its functions, stages, mechanisms, factors affecting it, and complications.
A wound is a break in the integrity of the skin or tissues, which may be associated with disruption of the structure and function.
Healing is the body’s response to injury in an attempt to restore normal structure and functions.
Healing can occur in two ways: Regeneration and Repair
There are 4 phases of wound healing: hemostasis, inflammation, proliferation, and remodeling. This document also describes the mechanism of wound healing. Factors that affect healing include infection, uncontrolled diabetes, poor nutrition, age, anemia, the presence of foreign bodies, etc.
Complications of wound healing like infection, hyperpigmentation of scar, contractures, and keloid formation.
How to Fix the Import Error in the Odoo 17Celine George
An import error occurs when a program fails to import a module or library, disrupting its execution. In languages like Python, this issue arises when the specified module cannot be found or accessed, hindering the program's functionality. Resolving import errors is crucial for maintaining smooth software operation and uninterrupted development processes.
A review of the growth of the Israel Genealogy Research Association Database Collection for the last 12 months. Our collection is now passed the 3 million mark and still growing. See which archives have contributed the most. See the different types of records we have, and which years have had records added. You can also see what we have for the future.
This slide is special for master students (MIBS & MIFB) in UUM. Also useful for readers who are interested in the topic of contemporary Islamic banking.
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...PECB
Denis is a dynamic and results-driven Chief Information Officer (CIO) with a distinguished career spanning information systems analysis and technical project management. With a proven track record of spearheading the design and delivery of cutting-edge Information Management solutions, he has consistently elevated business operations, streamlined reporting functions, and maximized process efficiency.
Certified as an ISO/IEC 27001: Information Security Management Systems (ISMS) Lead Implementer, Data Protection Officer, and Cyber Risks Analyst, Denis brings a heightened focus on data security, privacy, and cyber resilience to every endeavor.
His expertise extends across a diverse spectrum of reporting, database, and web development applications, underpinned by an exceptional grasp of data storage and virtualization technologies. His proficiency in application testing, database administration, and data cleansing ensures seamless execution of complex projects.
What sets Denis apart is his comprehensive understanding of Business and Systems Analysis technologies, honed through involvement in all phases of the Software Development Lifecycle (SDLC). From meticulous requirements gathering to precise analysis, innovative design, rigorous development, thorough testing, and successful implementation, he has consistently delivered exceptional results.
Throughout his career, he has taken on multifaceted roles, from leading technical project management teams to owning solutions that drive operational excellence. His conscientious and proactive approach is unwavering, whether he is working independently or collaboratively within a team. His ability to connect with colleagues on a personal level underscores his commitment to fostering a harmonious and productive workplace environment.
Date: May 29, 2024
Tags: Information Security, ISO/IEC 27001, ISO/IEC 42001, Artificial Intelligence, GDPR
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LAND USE LAND COVER AND NDVI OF MIRZAPUR DISTRICT, UPRAHUL
This Dissertation explores the particular circumstances of Mirzapur, a region located in the
core of India. Mirzapur, with its varied terrains and abundant biodiversity, offers an optimal
environment for investigating the changes in vegetation cover dynamics. Our study utilizes
advanced technologies such as GIS (Geographic Information Systems) and Remote sensing to
analyze the transformations that have taken place over the course of a decade.
The complex relationship between human activities and the environment has been the focus
of extensive research and worry. As the global community grapples with swift urbanization,
population expansion, and economic progress, the effects on natural ecosystems are becoming
more evident. A crucial element of this impact is the alteration of vegetation cover, which plays a
significant role in maintaining the ecological equilibrium of our planet.Land serves as the foundation for all human activities and provides the necessary materials for
these activities. As the most crucial natural resource, its utilization by humans results in different
'Land uses,' which are determined by both human activities and the physical characteristics of the
land.
The utilization of land is impacted by human needs and environmental factors. In countries
like India, rapid population growth and the emphasis on extensive resource exploitation can lead
to significant land degradation, adversely affecting the region's land cover.
Therefore, human intervention has significantly influenced land use patterns over many
centuries, evolving its structure over time and space. In the present era, these changes have
accelerated due to factors such as agriculture and urbanization. Information regarding land use and
cover is essential for various planning and management tasks related to the Earth's surface,
providing crucial environmental data for scientific, resource management, policy purposes, and
diverse human activities.
Accurate understanding of land use and cover is imperative for the development planning
of any area. Consequently, a wide range of professionals, including earth system scientists, land
and water managers, and urban planners, are interested in obtaining data on land use and cover
changes, conversion trends, and other related patterns. The spatial dimensions of land use and
cover support policymakers and scientists in making well-informed decisions, as alterations in
these patterns indicate shifts in economic and social conditions. Monitoring such changes with the
help of Advanced technologies like Remote Sensing and Geographic Information Systems is
crucial for coordinated efforts across different administrative levels. Advanced technologies like
Remote Sensing and Geographic Information Systems
9
Changes in vegetation cover refer to variations in the distribution, composition, and overall
structure of plant communities across different temporal and spatial scales. These changes can
occur natural.
বাংলাদেশের অর্থনৈতিক সমীক্ষা ২০২৪ [Bangladesh Economic Review 2024 Bangla.pdf] কম্পিউটার , ট্যাব ও স্মার্ট ফোন ভার্সন সহ সম্পূর্ণ বাংলা ই-বুক বা pdf বই " সুচিপত্র ...বুকমার্ক মেনু 🔖 ও হাইপার লিংক মেনু 📝👆 যুক্ত ..
আমাদের সবার জন্য খুব খুব গুরুত্বপূর্ণ একটি বই ..বিসিএস, ব্যাংক, ইউনিভার্সিটি ভর্তি ও যে কোন প্রতিযোগিতা মূলক পরীক্ষার জন্য এর খুব ইম্পরট্যান্ট একটি বিষয় ...তাছাড়া বাংলাদেশের সাম্প্রতিক যে কোন ডাটা বা তথ্য এই বইতে পাবেন ...
তাই একজন নাগরিক হিসাবে এই তথ্য গুলো আপনার জানা প্রয়োজন ...।
বিসিএস ও ব্যাংক এর লিখিত পরীক্ষা ...+এছাড়া মাধ্যমিক ও উচ্চমাধ্যমিকের স্টুডেন্টদের জন্য অনেক কাজে আসবে ...
This presentation includes basic of PCOS their pathology and treatment and also Ayurveda correlation of PCOS and Ayurvedic line of treatment mentioned in classics.
BÀI TẬP DẠY THÊM TIẾNG ANH LỚP 7 CẢ NĂM FRIENDS PLUS SÁCH CHÂN TRỜI SÁNG TẠO ...
Bipolar TherapyBipolar TherapyClient of Korean DescentAncestr.docx
1. // Bipolar TherapyBipolar Therapy
Client of Korean Descent/Ancestry
BACKGROUND INFORMATION
The client is a 26-year-old woman of Korean descent who
presents to her first appointment following a 21-day
hospitalization for onset of acute mania. She was diagnosed
with bipolar I disorder.
Upon arrival in your office, she is quite “busy,” playing with
things on your desk and shifting from side to side in her chair.
She informs you that “they said I was bipolar, I don’t believe
that, do you? I just like to talk, and dance, and sing. Did I tell
you that I liked to cook?”
She weights 110 lbs. and is 5’ 5”
SUBJECTIVE
Patient reports “fantastic” mood. Reports that she sleeps about 5
hours/night to which she adds “I hate sleep, it’s no fun.”
You reviewed her hospital records and find that she has been
medically worked up by a physician who reported her to be in
overall good health. Lab studies were all within normal limits.
You find that the patient had genetic testing in the hospital
(specifically GeneSight testing) as none of the medications that
they were treating her with seemed to work.
Genetic testing reveals that she is positive for CYP2D6*10
allele.
Patient confesses that she stopped taking her lithium (which was
prescribed in the hospital) since she was discharged two weeks
ago.
MENTAL STATUS EXAM
The patient is alert, oriented to person, place, time, and event.
She is dressed quite oddly- wearing what appears to be an
evening gown to her appointment. Speech is rapid, pressured,
tangential. Self-reported mood is euthymic. Affect broad.
Patient denies visual or auditory hallucinations, no overt
delusional or paranoid thought processes readily apparent.
2. Judgment is grossly intact, but insight is clearly impaired. She
is currently denying suicidal or homicidal ideation.
The Young Mania Rating Scale (YMRS) score is 22
RESOURCES
§ Chen, R., Wang, H., Shi, J., Shen, K., & Hu, P. (2015).
Cytochrome P450 2D6 genotype affects the pharmacokinetics of
controlled-release paroxetine in healthy Chinese subjects:
comparison of traditional phenotype and activity score systems.
European Journal of Clinical Pharmacology, 71(7), 835-841.
doi:10.1007/s00228-015-1855-6
Decision Point OneSelect what the PMHNP should do:Begin
Lithium 300 mg orally BID
Begin Risperdal 1 mg orally BID
Begin Seroquel XR 100 mg orally at HS
35. Decision Point One
Begin Lithium 300 mg orally BID
RESULTS OF DECISION POINT ONE Client returns to clinic
in four weeks Client informs the PMHNP that she has been
taking her drug “off and on” only when she “feels like she
needs it” Today’s presentation is similar to the first day you
met her
Decision Point Two
Select what the PMHNP should
do next:Increase Lithium to 450 mg orally BID
36. RESULTS OF DECISION POINT TWO Client returns to clinic
in four weeks Client returns reports that she is still taking the
medication when she feels that she needs it She remains quite
manic and reports that her family is getting really upset because
she likes to play her new guitar at night
Decision Point Three
Select what the PMHNP should
do next:Assess for rationale for non-compliance and educate
client
Guidance to Student
The PMHNP should further assess for
dangerousness to self or others. The client should be assessed
for self-care, to including hygiene, eating, sleeping, etc.
Hospitalization may be indicated if the client remains non-
compliant and is a danger to self. If the client is not a danger to
self, and hospitalization is not indicated, the PMHNP needs to
assess for rationale for non-compliance. Many clients enjoy
37. mania as it is a nice feeling to be consistently happy. When
clients are successfully treated for mania, they often describe
themselves as feeling ‘down’ or ‘flat.’ The PMHNP needs to
assess for depression at this point as opposed to normalization
of mood. Abilify is also FDA approved as monotherapy for
mania and mixed presentations, but at a dose of 15 mg. day., so
although you may be tempted to begin Abilify- be certain to use
correct dose. Also, because it can be “activating” you need to
dose this drug in the morning. However, the client is non-
compliant and therefore, eliciting reasons for non-compliance is
essential to the care of this client.
Start OverConsider hospitalization
Guidance to Student
The PMHNP should further assess for
dangerousness to self or others. The client should be assessed
for self-care, to including hygiene, eating, sleeping, etc.
Hospitalization may be indicated if the client remains non-
compliant and is a danger to self. If the client is not a danger to
self, and hospitalization is not indicated, the PMHNP needs to
assess for rationale for non-compliance. Many clients enjoy
mania as it is a nice feeling to be consistently happy. When
clients are successfully treated for mania, they often describe
themselves as feeling ‘down’ or ‘flat.’ The PMHNP needs to
assess for depression at this point as opposed to normalization
of mood. Abilify is also FDA approved as monotherapy for
mania and mixed presentations, but at a dose of 15 mg. day., so
although you may be tempted to begin Abilify- be certain to use
correct dose. Also, because it can be “activating” you need to
dose this drug in the morning. However, the client is non-
38. compliant and therefore, eliciting reasons for non-compliance is
essential to the care of this client.
Start OverChange to abilify 10 mg orally at HS
Guidance to Student
The PMHNP should further assess for
dangerousness to self or others. The client should be assessed
for self-care, to including hygiene, eating, sleeping, etc.
Hospitalization may be indicated if the client remains non-
compliant and is a danger to self. If the client is not a danger to
self, and hospitalization is not indicated, the PMHNP needs to
assess for rationale for non-compliance. Many clients enjoy
mania as it is a nice feeling to be consistently happy. When
clients are successfully treated for mania, they often describe
themselves as feeling ‘down’ or ‘flat.’ The PMHNP needs to
assess for depression at this point as opposed to normalization
of mood. Abilify is also FDA approved as monotherapy for
mania and mixed presentations, but at a dose of 15 mg. day., so
although you may be tempted to begin Abilify- be certain to use
correct dose. Also, because it can be “activating” you need to
dose this drug in the morning. However, the client is non-
compliant and therefore, eliciting reasons for non-compliance is
essential to the care of this client.
Start OverAssess rationale for non-compliance to elicit reason
for non-compliance and educate client re: drug effects, and
pharmacology
39. RESULTS OF DECISION POINT TWO Client returns to clinic
in four weeks Client states that the drug makes her nauseated
and gives her diarrhea Client states that she stops taking it until
these symptoms abate, at which point she re-starts only to
experience the symptoms again
Decision Point Three
Select what the PMHNP should
do next:Change to Depakote ER 500 mg at HS
Guidance to Student
In this case, the client is having nausea
and diarrhea, classic side effects of lithium therapy. Changing
the client to an extended release formulation can often prevent
these symptoms while at the same time affording the client the
benefit of lithium’s mood stabilizing properties. Also, lithium is
a good choice for control of mania and has also been shown to
decrease risk of suicide, which adds to its overall benefits.
Depakote may be an option if changing to sustained release
lithium does not alleviate the side effects. Oxcarbazpine
(Trileptal) is an option, but is a second line therapy and is not
appropriate at this stage as the client has not had an adequate
40. trial of first line agents.
Start OverChange Lithium to sustained release preparation at
same dose and frequency
Guidance to Student
In this case, the client is having nausea
and diarrhea, classic side effects of lithium therapy. Changing
the client to an extended release formulation can often prevent
these symptoms while at the same time affording the client the
benefit of lithium’s mood stabilizing properties. Also, lithium is
a good choice for control of mania and has also been shown to
decrease risk of suicide, which adds to its overall benefits.
Depakote may be an option if changing to sustained release
lithium does not alleviate the side effects. Oxcarbazpine
(Trileptal) is an option, but is a second line therapy and is not
appropriate at this stage as the client has not had an adequate
trial of first line agents.
Start OverChange to trileptal 300 mg orally BID
Guidance to Student
In this case, the client is having nausea and
diarrhea, classic side effects of lithium therapy. Changing the
client to an extended release formulation can often prevent
these symptoms while at the same time affording the client the
benefit of lithium’s mood stabilizing properties. Also, lithium is
41. a good choice for control of mania and has also been shown to
decrease risk of suicide, which adds to its overall benefits.
Depakote may be an option if changing to sustained release
lithium does not alleviate the side effects. Oxcarbazpine
(Trileptal) is an option, but is a second line therapy and is not
appropriate at this stage as the client has not had an adequate
trial of first line agents.
Start OverSwitch to Depakote ER 500 mg orally at HS
RESULTS OF DECISION POINT TWO Client returns to clinic
in four weeks Client reports that she has been compliant and
you notice a marked reduction in manic symptoms. Young
Mania Rating Scale was 11 (50% reduction from first office
visit) Client reports that she has gained 6 pounds over the last 4
weeks and wants to stop the medication because of this
Decision Point Three
Select what the PMHNP should
do next:Educate client regarding diet/weight loss and continue
client on the same drug/dose
42. Guidance to Student
The PMHNP should begin by educating
the client regarding weight loss/and importance of diet/exercise
while taking Depakote which can cause weight gain. Decreasing
the dose of Depakote would not be appropriate as she still has
symptoms and decreasing dose of Depakote may result in some
weight loss, it may result in a return of manic symptoms. The
PMHNP can switch to Zyprexa but if weight gain is the issue,
then this will be compounded by Zyprexa which is associated
with significant weight gain (up to 20 kg over a 24 month
period).
Start OverDecrease Depakote ER to 250 mg orally at HS
Guidance to Student
The PMHNP should begin by educating the
client regarding weight loss/and importance of diet/exercise
while taking Depakote which can cause weight gain. Decreasing
the dose of Depakote would not be appropriate as she still has
symptoms and decreasing dose of Depakote may result in some
weight loss, it may result in a return of manic symptoms. The
PMHNP can switch to Zyprexa but if weight gain is the issue,
then this will be compounded by Zyprexa which is associated
with significant weight gain (up to 20 kg over a 24 month
period).
Start OverSwitch medication to Zyprexa 15 mg orally daily at
HS
43. Guidance to Student
The PMHNP should begin by educating
the client regarding weight loss/and importance of diet/exercise
while taking Depakote which can cause weight gain. Decreasing
the dose of Depakote would not be appropriate as she still has
symptoms and decreasing dose of Depakote may result in some
weight loss, it may result in a return of manic symptoms. The
PMHNP can switch to Zyprexa but if weight gain is the issue,
then this will be compounded by Zyprexa which is associated
with significant weight gain (up to 20 kg over a 24 month
period).
Start Over