The LIFEspan model provides a coordinated transition pathway for youth with disabilities from childhood to adulthood. It focuses on preparing children early through skill-building, facilitating independence, and planning for change. As youth age, leadership gradually shifts from providers and parents to the young person through a shared management approach. The model emphasizes partnerships across the lifespan to ensure continuity of services and support. Formal evaluation of the LIFEspan model's outcomes is needed to inform best practices for funding and resource allocation to transition services.
Mike Nolan: how relationship-centred care can improve patient outcomesThe King's Fund
Mike Nolan, Professor of Gerontological Nursing at the University of Sheffield, questions the way we think about patient care and looks at how we can get caring right.
Wellbeing in schools Dr Sue Whatman and colleagues AARE 2017Dr Sue Whatman
This paper was presented in the Sociology of Education SIG at AARE 2017 Canberra. The citation for the paper presentation is:
Whatman, S. Singh, P., Main, K., Low-Choy, S., Rose, J, Thompson, R., & Kearney, J. (2017). Mapping the mutually supportive relationships between teacher and student wellbeing in disadvantaged schools. Paper presented at AARE 2017 Hotel Realm, Canberra. Tuesday, 28th November, 2017.
This presentation to a public health strategy workshop discussed how we could embed behaviour change at population level into our public health strategy
Promoting health with campus substance use policyhealthycampuses
This resource is the first in a series of discussion papers from CARBC that offers a potential framework for guiding thought and action on substance use policy. Dan Reist, Assistant Director, and Tim Dyck, Research Associate, encouraged 2017 SUMMIT participants to carefully consider the broad theoretical perspective of the frame, and then confer with colleagues on how it might be applied to policies within their own campus community context. The framework echoes the Okanagan Charter’s call to adopt an approach to campus well-being that promotes holistic health in all aspects of campus culture and makes it an integral, vital consideration in all policy initiatives.
Mike Nolan: how relationship-centred care can improve patient outcomesThe King's Fund
Mike Nolan, Professor of Gerontological Nursing at the University of Sheffield, questions the way we think about patient care and looks at how we can get caring right.
Wellbeing in schools Dr Sue Whatman and colleagues AARE 2017Dr Sue Whatman
This paper was presented in the Sociology of Education SIG at AARE 2017 Canberra. The citation for the paper presentation is:
Whatman, S. Singh, P., Main, K., Low-Choy, S., Rose, J, Thompson, R., & Kearney, J. (2017). Mapping the mutually supportive relationships between teacher and student wellbeing in disadvantaged schools. Paper presented at AARE 2017 Hotel Realm, Canberra. Tuesday, 28th November, 2017.
This presentation to a public health strategy workshop discussed how we could embed behaviour change at population level into our public health strategy
Promoting health with campus substance use policyhealthycampuses
This resource is the first in a series of discussion papers from CARBC that offers a potential framework for guiding thought and action on substance use policy. Dan Reist, Assistant Director, and Tim Dyck, Research Associate, encouraged 2017 SUMMIT participants to carefully consider the broad theoretical perspective of the frame, and then confer with colleagues on how it might be applied to policies within their own campus community context. The framework echoes the Okanagan Charter’s call to adopt an approach to campus well-being that promotes holistic health in all aspects of campus culture and makes it an integral, vital consideration in all policy initiatives.
Changing Behavior What Does It Mean and How Do We Do It (3 of 3)Rotary International
Wells, toilets, water towers, and pipelines. Even the
well-designed elements of Rotary water, sanitation, and
hygiene (WASH) projects can fail if people don’t use
them. There are many reasons people might hesitate
to use a communal toilet. It’s important to understand
the reasons before you build the toilet. Learn about
behavior change and its role in WASH programs, how it’s
connected with culture and community values, and how
to incorporate it into your WASH projects and measure
the outcomes.
Moderator: F. Ronald Denham, Water and Sanitation
Rotarian Action Group Chair Emeritus, Rotary Club of
Toronto Eglinton, Ontario, Canada
The development, implementation, and evaluation of a mental health strategyhealthycampuses
To chart a milestone-by-milestone map of an aspirational campus mental health strategy, participants at the 2017 SUMMIT followed the University of Calgary’s journey through the development, implementation, and ongoing evaluation of its strategy.
Speaker session 1 (key note)
• Speaker 1: Professor David Hunter, Director of the Centre for Public Policy and Health, Durham University
Title ‘Making a Reality of the Wider Public Health in Local Government’
Job quality & job progression - Virginia HAMILTONOECD CFE
Presentation by Virginia HAMILTON, Workforce practitioner, United States from the OECD capacity building seminar “A workforce for the future - Designing strong local strategies for better jobs and skills”, 28-29 Nov 2017, Venice, Italy.
More information: http://oe.cd/CBSVenice2018
Implementing the National Standard for Psychological Health and Safety in the...healthycampuses
This session was a Pre-Summit Workshop at the 2016 Healthy Minds | Healthy Campuses Summit in Vancouver, BC. Participants were introduced to the National Standard and the 13 factors specifically within the unique context of post-secondary education.
Behavior Change Communication การสื่อสารเพื่อปรับเปลี่ยนพฤติกรรมSmith Boonchutima
Behavior Change Communication (BCC) คือ การสื่อสารเพื่อปรับเปลี่ยนพฤติกรรม สามารถใช้ได้ทั้งในด้านการทำงาน และการออกกำลังกาย มีขั้นตอนการออกแบบการสื่อสารที่เน้นการกำหนดลำดับขั้นแห่งการเปลี่ยนแปลง (Stage of Change or Transtheoretical Model : TTM) และการกระตุ้นแรงจูงใจ (Motivation)
Healthy relationships with food and substanceshealthycampuses
Many factors influence the choices we make around eating and substance use. This 2017 SUMMIT workshop introduced a BC Partners for Mental Health and Addictions Information project on fostering conditions and culture that promote beneficial use of food and substances from a health promotion approach.
a comprehensive presentation on the subject of spinal dysraphism and spina bifida and its neurosurgical management as well as the management of its various other types
Changing Behavior What Does It Mean and How Do We Do It (3 of 3)Rotary International
Wells, toilets, water towers, and pipelines. Even the
well-designed elements of Rotary water, sanitation, and
hygiene (WASH) projects can fail if people don’t use
them. There are many reasons people might hesitate
to use a communal toilet. It’s important to understand
the reasons before you build the toilet. Learn about
behavior change and its role in WASH programs, how it’s
connected with culture and community values, and how
to incorporate it into your WASH projects and measure
the outcomes.
Moderator: F. Ronald Denham, Water and Sanitation
Rotarian Action Group Chair Emeritus, Rotary Club of
Toronto Eglinton, Ontario, Canada
The development, implementation, and evaluation of a mental health strategyhealthycampuses
To chart a milestone-by-milestone map of an aspirational campus mental health strategy, participants at the 2017 SUMMIT followed the University of Calgary’s journey through the development, implementation, and ongoing evaluation of its strategy.
Speaker session 1 (key note)
• Speaker 1: Professor David Hunter, Director of the Centre for Public Policy and Health, Durham University
Title ‘Making a Reality of the Wider Public Health in Local Government’
Job quality & job progression - Virginia HAMILTONOECD CFE
Presentation by Virginia HAMILTON, Workforce practitioner, United States from the OECD capacity building seminar “A workforce for the future - Designing strong local strategies for better jobs and skills”, 28-29 Nov 2017, Venice, Italy.
More information: http://oe.cd/CBSVenice2018
Implementing the National Standard for Psychological Health and Safety in the...healthycampuses
This session was a Pre-Summit Workshop at the 2016 Healthy Minds | Healthy Campuses Summit in Vancouver, BC. Participants were introduced to the National Standard and the 13 factors specifically within the unique context of post-secondary education.
Behavior Change Communication การสื่อสารเพื่อปรับเปลี่ยนพฤติกรรมSmith Boonchutima
Behavior Change Communication (BCC) คือ การสื่อสารเพื่อปรับเปลี่ยนพฤติกรรม สามารถใช้ได้ทั้งในด้านการทำงาน และการออกกำลังกาย มีขั้นตอนการออกแบบการสื่อสารที่เน้นการกำหนดลำดับขั้นแห่งการเปลี่ยนแปลง (Stage of Change or Transtheoretical Model : TTM) และการกระตุ้นแรงจูงใจ (Motivation)
Healthy relationships with food and substanceshealthycampuses
Many factors influence the choices we make around eating and substance use. This 2017 SUMMIT workshop introduced a BC Partners for Mental Health and Addictions Information project on fostering conditions and culture that promote beneficial use of food and substances from a health promotion approach.
a comprehensive presentation on the subject of spinal dysraphism and spina bifida and its neurosurgical management as well as the management of its various other types
INTRODUCTION
All mainstream practice needs to change in order to ensure fairer opportunity for all. Understanding inclusive practice is fundamental to the good practice development within any organisation. Furthermore, an inclusive environment is a right to which we are all entitled, and one that we all have a responsibility to make happen.
Improvement Story session at the 2013 Saskatchewan Health Care Quality Summit. For more information about the summit, visit www.qualitysummit.ca. Follow @QualitySummit on Twitter.
Population and Public Health Branch of Saskatoon Health Region deployed improvement methods to develop a comprehensive strategy to improve outcomes for small children ages 0 to 5. The Early Years Health and Development Strategy (EYHDS) team comprised of 5 front line staff and an improvement consultant worked intensively over three months (Feb, Mar, and April, 2012) to Define, Measure and Analyze the opportunity for improvement and generated 25 recommendations. The result was a set of related recommendations for health planners, governments and community organizations. The presentation will demonstrate how improvement methods can be used effectively in community based health promotion areas of health care.
Better Health
Mary Smillie; Dr. Julie Kryzanowski, Saskatoon Health Region
iHV regional conf: Dr Karen Whittaker - The evaluation of health visiting pra...Julie Cooper
Presentation by Dr Karen Whittaker at the Institute of Health Visiting Regional Professional Conferences 2015.
Dr Karen Whittaker is Senior Lecturer in the School of Health at the University of Central Lancashire.
Getting It Right for Every Child: Managing the change - Jane AldgateIriss
Professor Jane Aldgate, The Open University, http://www.open.ac.uk.
Session 5 - Changing Children's Services.
Getting It Right for Every Child: Childhood, Citizenship and Children's Services, Glasgow, 24-26 September 2008.
http://www.iriss.org.uk/conference/girfec
Core Assets fostering services in Scotland (WS29)Iriss
An overview of the fostering service delivered in Scotland by Core Assets – including an introduction to the team parenting model. To include an overview of international developments and the Core Assets journey into Europe, Australasia, North America and East Asia. Contributor: Core Assets
Person Centered Care through Integrating a Palliative Approach: Lessons from ...BCCPA
Aging adults are entering residential care facilities with more advanced disease than in the past and their length of stay is shorter. Most health care providers in these facilities do not receive targeted education and training in palliative care, nor are they confident to have crucial conversations about goals of care and end of life challenges with residents and their families. Due to limited capacity to manage predictable symptoms related to end of life and insufficient planning, many residents are transferred to hospital in crisis and die in the Emergency Department or acute care wards.
This presentation will showcase some of the initiatives by identifying common themes, unique features of each and strategies for success. Opportunity will be given for delegates to ask questions and brainstorm how lessons learned from these initiatives could inform the care provided at their own facility.
Presented by:
- Jane Webley, RN LLB Regional lead, End of Life, Vancouver Coastal Health (EPAIRS and the Daisy project)
- Dr Christine Jones, Island Health (SSC project: Improving end of life outcomes in residential care facilities: A palliative approach to care)
- Kathleen Yue, RN, BSN, MN, CHPCN (c) Education Coordinator, BC Center for Palliative Care
Gerry Marr, Chief Executive, NHS Tayside and Bernadette Malone, Chief Executive, Perth & Kinross Council describe the approach in Perth & Kinross focusing specifically on the organisational and cultural issues in delivering change in early years. The presenters describe the partnership approach to improvement with specific reference to the Early Years Collaboration and the Evidence2Success project with Dartington Social Research Centre.
See more on the 2013 NHSScotland Event website http://www.nhsscotlandevent.com/resources/resources2013/resources
IF workshop at the European Parliament in Strasbourg, October 2012. Martin Künemund presented the project “We empower Us bh” to share knowledge and good examples to improve job opportunities for people with Spina Bifida and Hydrocephalus.
United Nations Convention on the Rights of Persons with DisabilitiesIFsbh
IF workshop in the European Parliament in Strasbourg, October 2012. Dima Yared, Human Rights Officer at United Nations Office for Human Rights, Regional office for Europe, presented the United Nation Convention on the Rights of Persons with Disabilities and how to use it to advocate for and promote the rights to work of people with disabilities.
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Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
SB care service model LIFEspan, Canada
1. The LIFEspan (Living Independently and
Fully Engaged) Service Model
LIFESPAN
Growing Up Transfer Adult
Ready Services Services
Maxwell, J., Zee, J. & Healy, H.
3. Preparation for adulthood should
start early, be real and positive with
shared expectations and provide
hope for the future.
Kieckhefer, 2002
Reiss & Gibson, 2002
4. The ultimate goal of care is to assist
children to participate fully in the
lives of their families and of their
community.
King G. et al
5. Growing up Ready framework provides a
coordinated pathway developed
through evidence based practice.
Gall, Kingsnorth and Healy, 2006
6. Shared management is a
philosophical approach to transition
planning from childhood, an alliance
between children, families and service
providers is essential to allow young
people with disabilities to develop into
independent healthy ,functioning
adults.
CM. Trahms 2004 Kieckhefer and Trahms 2000
7. Shared Management Roles
PROVIDER PARENT/FAMILY YOUTH
Major Provides care Receives care
responsibility
& knowledge
source
Supports Manages Participates
TIME
parents &
youth
Consults Supervises Manages
Acts as Consults Supervises
Resource
(Kieckhefer,
2002)
8. The role of the players in the alliance
change as the young person grows
up, leadership is gradually shifted (in
a planned systematic and
developmentally appropriate way)
from the service provider and parents
to the young person.
Gall, Kingsnorth & Healy, 2006
10. Start to help prepare children and youth
for adult life by:
• Thinking about the future,
• Fostering independence and problem solving,
• Look for chances to practice and master skills,
• Planning for change and celebrating
milestones.
Reiss & Gibson, 2002
11. The Growing Up Ready
Framework
The Growing Up Ready framework
provides a coordinated pathway
developed through evidence based
practice.
Gall, Kingsnorth & Healy, 2006
12. Timetable for Growing Up
• Starts early
• Outlines a progression
of skills targeted at age
appropriate times
• Voice of text shifts
• Poster & Pamphlet
versions
13. Life Skills are the problem solving & life
management skills that an individual uses to
function successfully.
• Experiential learning provide real life opportunities
• Encourage calculated risk taking
• Promote problem solving skills
• Opportunity to make mistakes in a supportive
environment and learn from them
Kingsnorth, Healy, Macarthur (2007)
16. Transitions
Transition from childhood to adult life
became increasingly recognizes as a
major hurdle that few were well
prepared for.
17. The LIFEspan model
The LIFEspan model recognizes the value of:
• Partnerships with the client, family, and other
health care and community providers –
increasing the capacity of the client, caregivers
& the community
• Age-appropriate services that focus on
Preparation for, Access to, Coordination of, and
Continuity of service across the lifespan
• Developing and sharing expertise in the
management of the chronic health care needs
of persons with disabilities of childhood onset
18. Transfer Services
LIFESPAN
Growing Up Transfer Adult
Ready Services
Services
Maxwell, J., Zee, J. & Healy, H.
19. Transfer Process Essentials
• A plan that is managed & has a definite
structure
• A family centered approach in collaboration
with professionals
• A documented clinical pathway
• Continuum of services support for youth and
families
• Somewhere to go! (adult providers)
20. A shift in practice..
The Chronic Care Model (Wagner, 1998) focuses on:
• Improved patient/client self management which aims to
make the patients and their caregivers more knowledgeable
about their conditions,
• Planned visits are needed to address prevention and health
maintenance
• Strong links and partnerships with the community
• Care coordination between facilities, and at a client level
• Development of expertise
• The importance of improving the primary care for chronic
conditions
21. Transition essentials
Youth are ready for
transition when:
• Professional Checklist
completed
• Personal/portable health
record
• Family doctor in place
• Consent & guardianship
• Transfer of care
22. Formal Evaluation
“…transition models… need to be trialed and
evaluated in order to best inform how
resources need to be distributed.” (Steinbeck,
Brodie,Towns, 2007)
ONF proposal – Evaluation of the LIFEspan
model of linked care
Primary outcome: Continuity of care (remain
linked to the healthcare system)
Secondary outcomes: improved health,
wellness, participation, quality of life
23. Lessons learned
• Network, network, network
• Make connections in adult sector even if
not perfect match (“start somewhere”)
• Make connections with primary care,
acute care, rehab, and community
providers
• Engaging and working with consumers
• Find local champions and experts
• Research & evaluation