I understand the physician's perspective of feeling frustrated by some patient complaints. However, effective communication is a two-way street that requires effort from both medical providers and patients. Some patients may not fully understand explanations due to factors like health literacy, language barriers, or emotional states. Regular check-ins could help address such issues and improve satisfaction for all. Overall, prioritizing clear consent and ensuring patients feel heard seems key to strengthening the important relationship between doctors and those they serve.
The document provides global statistics on HIV/AIDS as of 2018. It states that approximately 37.9 million people are living with HIV globally, including 36.2 million adults and 1.7 million children under 15. In 2017, there were around 1.8 million newly infected with HIV, down from 3.4 million in 1996. The annual deaths from AIDS have also declined, with around 940,000 deaths in 2017. The document then shifts to discussing HIV/AIDS in India, providing statistics on people living with HIV and new cases in India in 2017. It outlines some of the main risk groups and transmission modes in India.
ACEs Screening to Treatment - Integrated Primary Care and Behavioral Health M...Michael Changaris
This document outlines a 4-part model for screening, triaging, and treating patients based on their adverse childhood experiences (ACEs). It involves assessing patients' resiliency factors, specific ACE domains like abuse or neglect, ACEs risk level, and functional impacts. Treatment goals include supporting resilience, connecting patients to evidence-based treatments for identified ACEs, and prioritizing interventions based on risk level. Specific interventions are recommended for different ACE domains and risk levels, drawing from treatments for conditions like PTSD, depression, sleep issues, substance use, and more. The model aims to facilitate secondary and tertiary prevention of health and mental health impacts from ACEs.
- Management of depression involves comprehensive assessment including detailed history, physical exam, mental status exam, and establishing a diagnosis based on diagnostic criteria.
- The assessment identifies the patient's symptoms, severity, comorbidities, risk factors, level of functioning, treatment history, and socio-cultural context.
- A treatment plan is formulated considering treatment setting, medications, psychotherapy, and safety monitoring based on the assessment.
•Don’t make firm predictions
•Do what predictions you do for yourself
•Don’t communicate unless asked
•Don’t be specific
•Don’t be extreme
•Be compassionate and optimistic
This document provides an overview of ketamine-assisted psychotherapy (KAP). It discusses ketamine's rapid onset and safety profile, and its ability to access different states of consciousness for therapeutic purposes. Key aspects of the KAP process are outlined, including medical intake and screening, psychological preparation, low to high dosing strategies, and potential experiences during sessions like empathogenic states. Risks and challenges of KAP are addressed. Major goals of the integration process after sessions are described, such as emotional processing and resolving pathogenic beliefs. The document promotes a multidisciplinary treatment approach and lists training opportunities provided by Polaris Insight Center.
Module 8.4 Cognitive Behavioral TherapyHannah Nelson
Cognitive behavioral therapy aims to change unhelpful cognitive distortions and behaviors. It works by helping patients understand the connections between activating events, beliefs and consequences. Therapists help patients identify maladaptive thoughts and beliefs, dispute them through cognitive restructuring, and develop more adaptive ways of thinking and behaving.
Module 8.3 Psychosocial Support for RelativesHannah Nelson
The document discusses psychosocial support for relatives of ICU patients. It notes that critical care experiences can be traumatic for families, with relatives often suffering from PTSD. It emphasizes the importance of communication with relatives and outlines best practices for announcing a patient's death, such as doing so in a private room, avoiding euphemisms, using proper body language, and building on what the family already knows about the patient's condition. The ICU Psychosocial Care Scale is also presented as a tool to assess support for families and patients.
Module 8.1 Psychosocial Support for PatientsHannah Nelson
This document discusses psychosocial support for patients in the ICU. It describes how acute stress can impact critically ill patients, potentially leading to complications like PTSD. Common causes of stress in the ICU include invasive procedures, pain, inability to communicate, and isolation. The document recommends early psychological interventions to reduce anxiety and depression. Strategies for stress reduction include reassurance, pain management, encouraging family presence, effective communication, and environmental control measures.
The document provides global statistics on HIV/AIDS as of 2018. It states that approximately 37.9 million people are living with HIV globally, including 36.2 million adults and 1.7 million children under 15. In 2017, there were around 1.8 million newly infected with HIV, down from 3.4 million in 1996. The annual deaths from AIDS have also declined, with around 940,000 deaths in 2017. The document then shifts to discussing HIV/AIDS in India, providing statistics on people living with HIV and new cases in India in 2017. It outlines some of the main risk groups and transmission modes in India.
ACEs Screening to Treatment - Integrated Primary Care and Behavioral Health M...Michael Changaris
This document outlines a 4-part model for screening, triaging, and treating patients based on their adverse childhood experiences (ACEs). It involves assessing patients' resiliency factors, specific ACE domains like abuse or neglect, ACEs risk level, and functional impacts. Treatment goals include supporting resilience, connecting patients to evidence-based treatments for identified ACEs, and prioritizing interventions based on risk level. Specific interventions are recommended for different ACE domains and risk levels, drawing from treatments for conditions like PTSD, depression, sleep issues, substance use, and more. The model aims to facilitate secondary and tertiary prevention of health and mental health impacts from ACEs.
- Management of depression involves comprehensive assessment including detailed history, physical exam, mental status exam, and establishing a diagnosis based on diagnostic criteria.
- The assessment identifies the patient's symptoms, severity, comorbidities, risk factors, level of functioning, treatment history, and socio-cultural context.
- A treatment plan is formulated considering treatment setting, medications, psychotherapy, and safety monitoring based on the assessment.
•Don’t make firm predictions
•Do what predictions you do for yourself
•Don’t communicate unless asked
•Don’t be specific
•Don’t be extreme
•Be compassionate and optimistic
This document provides an overview of ketamine-assisted psychotherapy (KAP). It discusses ketamine's rapid onset and safety profile, and its ability to access different states of consciousness for therapeutic purposes. Key aspects of the KAP process are outlined, including medical intake and screening, psychological preparation, low to high dosing strategies, and potential experiences during sessions like empathogenic states. Risks and challenges of KAP are addressed. Major goals of the integration process after sessions are described, such as emotional processing and resolving pathogenic beliefs. The document promotes a multidisciplinary treatment approach and lists training opportunities provided by Polaris Insight Center.
Module 8.4 Cognitive Behavioral TherapyHannah Nelson
Cognitive behavioral therapy aims to change unhelpful cognitive distortions and behaviors. It works by helping patients understand the connections between activating events, beliefs and consequences. Therapists help patients identify maladaptive thoughts and beliefs, dispute them through cognitive restructuring, and develop more adaptive ways of thinking and behaving.
Module 8.3 Psychosocial Support for RelativesHannah Nelson
The document discusses psychosocial support for relatives of ICU patients. It notes that critical care experiences can be traumatic for families, with relatives often suffering from PTSD. It emphasizes the importance of communication with relatives and outlines best practices for announcing a patient's death, such as doing so in a private room, avoiding euphemisms, using proper body language, and building on what the family already knows about the patient's condition. The ICU Psychosocial Care Scale is also presented as a tool to assess support for families and patients.
Module 8.1 Psychosocial Support for PatientsHannah Nelson
This document discusses psychosocial support for patients in the ICU. It describes how acute stress can impact critically ill patients, potentially leading to complications like PTSD. Common causes of stress in the ICU include invasive procedures, pain, inability to communicate, and isolation. The document recommends early psychological interventions to reduce anxiety and depression. Strategies for stress reduction include reassurance, pain management, encouraging family presence, effective communication, and environmental control measures.
This document provides an overview of psychographic segmentation for condition management coaching. It begins with an agenda for a coaching facilitation session, including background on a health personality quiz and the 5 psychographic segments. The objective is to engage consumers by having them take a short quiz to learn their health segment. The 5 segments that emerge from factor and cluster analysis are described - Open to Options, Live for Today, Family First, Healthy for Life, and Doctor Knows Best. The document discusses how receptivity to health information varies by segment, defines the "why" behind each segment's behaviors, and provides data comparing segments to illustrate their differences.
Ketamine-assisted psychotherapy is an emerging treatment that combines ketamine administration with psychotherapy. It is distinguished from ketamine infusion clinics by its emphasis on set and setting, the therapeutic relationship, and preparation and integration into the treatment plan. Ketamine has rapid onset and metabolism, and produces dissociative states from psycholytic to psychedelic. Its mechanisms of action involve glutamate and neuroplasticity. Risks include nausea, increased blood pressure, and potential for abuse with chronic use. Polaris Insight Center provides ketamine-assisted psychotherapy following screening, dosing, integration processes to maximize benefits and safety.
The document discusses advance care planning and end-of-life care. It notes that advance care planning is a process of communication between patients, families, and healthcare providers to identify treatment preferences and goals of care. This helps ensure patients receive care that aligns with their values and wishes. The document outlines key aspects of advance care planning like appointing a healthcare proxy, discussing hopes, fears, and goals for treatment. It stresses the importance of having conversations about these issues rather than relying on assumptions or default treatments.
Study and survey results indicate that digital can best be deployed by healthcare and life sciences/pharmaceuticals practitioners and companies to offer "warm" treatment that encourages and empowers patients in order to yield excellent health outcomes and operational efficiencies.
The Impact of Spiritual Health Care on Patients’ Clinical Outcomeijtsrd
MethodA systematic literature review was conducted to determine the definition of spirituality and the impact of spiritual health care on HIV AIDS Patients’ response to treatment. We conducted an internet search using the following questions on google scholar Definition of spirituality what is spiritual health care Impact of spiritual Health care on HIV AIDS Patients response to treatment. Results.Our findings reveal that spirituality and spiritual care positively When God is portrayed as Loving and caring and negatively When God is portrayed as judgmental punishing the sick with the condition impact on the health of HIV AIDS patients. However a Majority of findings show positive impact of spirituality on HIV AIDS patients’ response to treatment.ConclusionSpirituality and spiritual Health care which improve on patients’ spirituality positively impacts HIV AIDS patients’ response to treatment. Thus spiritual interventions could be beneficial in promoting adherence and positive health outcomes in HIVAIDS patients on antiretroviral therapy. Che Joseph Ngwa | Dickson Shey Nsagha | Same Ekobo Legrand | Doumta Charles Falang "The Impact of Spiritual Health Care on Patients’ Clinical Outcome" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-4 | Issue-6 , October 2020, URL: https://www.ijtsrd.com/papers/ijtsrd33646.pdf Paper Url: https://www.ijtsrd.com/medicine/nursing/33646/the-impact-of-spiritual-health-care-on-patients’-clinical-outcome/che-joseph-ngwa
This document provides an overview of ketamine-assisted psychotherapy training at Polaris Insight Center. It discusses ethical considerations for ketamine therapy including codes of ethics, the importance of set and setting, preventing misconduct, and ensuring access. It also covers conducting group ketamine sessions, virtual ketamine therapy, integrating spiritual experiences, and future training opportunities.
American Innovative Healthcare Solutions proposes expanding psychiatric care services through developing a continuum of care. They aim to serve underserved populations like those with chronic mental illness living in nursing homes or group homes. Their model emphasizes collaboration, treating the whole person, and removing obstacles to help patients. They plan to partner with providers, develop different levels of care including inpatient and outpatient services, and leverage Medicare reimbursement to build a sustainable service delivery system.
This document provides information and guidance for starting a ketamine assisted psychotherapy practice. It discusses treatment indications for ketamine therapy including treatment resistant depression, anxiety, PTSD, and addictions. It also lists contraindications. Treatment approaches for ketamine are described, including low and moderate to high dosing. A sample treatment protocol is outlined involving medical and psychological assessment, in-office sessions, at-home sessions, and maintenance phases. Training resources for ketamine therapy are listed. Considerations for a ketamine practice such as vision, education, set and setting, staff training, protocols, partnerships, and adverse events are reviewed.
Mental health education, enrichment and accompaniementCelente French
1. Analyse mental health education, enrichment and accompaniment as ways of promoting community mental health.
2. Evaluate the contribution of mental health education, enrichment and accompaniment to community mental health.
Patient Agency: a focus for integrated careMark Sullivan
In this presentation, I argue that patient agency is an essential goal for mental health care integrated into the primary care management of chronic disease. This model of integrated care was developed by my colleagues Wayne Katon and Jurgen Unutzer. It is now widely disseminated throughout primary care systems nationwide. But it can be implemented in many different ways, with different goals. This presentation uses the example of a patient with diabetes to argue that integrated mental health care should focus on enhancement of patient agency.
Disability and Mental Health: The Ties that BindEsserHealth
Depression and Disability: The Ties That Bind. See how Disability and Depression work hand in hand. Learn the most recent statistics in disability science and how essential it is to tackle the whole picture to help the whole patient.
This document provides information on the financial impact of cancer and resources available to help with costs. It notes that cancer often decreases income and increases expenses like medical bills and travel costs. It outlines social welfare payments, medical cards, health insurance options, and organizations that can assist with financial issues, caregiving needs, travel expenses, and more. The goal is to help minimize stress and difficulties during cancer treatment.
The document provides guidance for stroke patients recovering at home. It emphasizes the importance of following doctors' advice, adapting one's home for needs, maintaining follow-up bloodwork and therapy schedules, and establishing a routine. It recommends speaking to discharge planners early to determine the best recovery option, assessing support needs, and setting achievable goals to smoothly transition from hospital to home.
Palliative Care Advance Care Planning A Collaborative ApproachSheldon Lewin
The document discusses the roles of various healthcare professionals in palliative care and advance care planning. It outlines 5 components of advance care planning including patient options, prognosis, pain management, patient/family treatment decisions, and spiritual needs assessment. It then describes the specific roles of social workers, nurses, chaplains, and case managers which include assessing psychosocial needs, providing education and support, facilitating advance care planning discussions, and coordinating referrals to home health or hospice.
Grief is a natural response to loss, and while grief is often associated with death, it can accompany other sorts of loss, too. When grief is experienced in the workplace, it can impact an employee’s performance, especially if awareness and proper support measures are lacking.
This document provides an agenda for the "Supporting Self-Management & Self-Care" event taking place on June 23, 2015. The agenda includes:
- Welcome and introduction by the managing director of West of England AHSN.
- Several presentations and case studies on topics related to self-management and self-care, including from the Health Foundation, North Somerset Community Partnership, and Philips Research.
- A panel debate and opportunities for networking.
- Company introductions from organizations providing digital solutions to support self-management.
The agenda indicates the event will focus on setting the scene for self-management support, sharing case studies, and discussions around building programs and technologies to enable supported self-care.
This document provides an overview of medical ethics, informed consent, and advance directives. It discusses key principles of medical ethics including autonomy, beneficence, non-maleficence, and justice. It defines informed consent and its legal and ethical basis, noting it is based on a patient's right to receive information and choose treatment. Exceptions to informed consent requirements are also outlined. Advance directives allow for healthcare decision making according to a patient's wishes if they become incapacitated. Case examples demonstrate how these principles apply to clinical scenarios.
The document summarizes a training day on dual diagnosis at Walsingham House. It includes an introduction, learning outcomes, an overview of Walsingham House's integrated treatment model for clients with co-occurring substance misuse and mental health issues. It discusses interventions, case studies, restrictions to the service, the clinical management protocol, and models of service delivery for dual diagnosis clients. Breakout groups discuss interventions and design an ideal dual diagnosis service for a county.
This volunteer organization in Thailand aims to restore harmony and the environment after disasters. It connects over 2,100 volunteers from 7 university clubs under a shared goal of community service and conservation. Last year it organized 16 rural development camps and cleanup after floods. This year's plans include camps focused on the environment, efficient economy, endangered species, youth skills, natural conservation, public health, and community development. The group requests $25,000 for planning, training, transportation, and medical costs to continue its volunteer activities across Thailand.
This document provides an overview of psychographic segmentation for condition management coaching. It begins with an agenda for a coaching facilitation session, including background on a health personality quiz and the 5 psychographic segments. The objective is to engage consumers by having them take a short quiz to learn their health segment. The 5 segments that emerge from factor and cluster analysis are described - Open to Options, Live for Today, Family First, Healthy for Life, and Doctor Knows Best. The document discusses how receptivity to health information varies by segment, defines the "why" behind each segment's behaviors, and provides data comparing segments to illustrate their differences.
Ketamine-assisted psychotherapy is an emerging treatment that combines ketamine administration with psychotherapy. It is distinguished from ketamine infusion clinics by its emphasis on set and setting, the therapeutic relationship, and preparation and integration into the treatment plan. Ketamine has rapid onset and metabolism, and produces dissociative states from psycholytic to psychedelic. Its mechanisms of action involve glutamate and neuroplasticity. Risks include nausea, increased blood pressure, and potential for abuse with chronic use. Polaris Insight Center provides ketamine-assisted psychotherapy following screening, dosing, integration processes to maximize benefits and safety.
The document discusses advance care planning and end-of-life care. It notes that advance care planning is a process of communication between patients, families, and healthcare providers to identify treatment preferences and goals of care. This helps ensure patients receive care that aligns with their values and wishes. The document outlines key aspects of advance care planning like appointing a healthcare proxy, discussing hopes, fears, and goals for treatment. It stresses the importance of having conversations about these issues rather than relying on assumptions or default treatments.
Study and survey results indicate that digital can best be deployed by healthcare and life sciences/pharmaceuticals practitioners and companies to offer "warm" treatment that encourages and empowers patients in order to yield excellent health outcomes and operational efficiencies.
The Impact of Spiritual Health Care on Patients’ Clinical Outcomeijtsrd
MethodA systematic literature review was conducted to determine the definition of spirituality and the impact of spiritual health care on HIV AIDS Patients’ response to treatment. We conducted an internet search using the following questions on google scholar Definition of spirituality what is spiritual health care Impact of spiritual Health care on HIV AIDS Patients response to treatment. Results.Our findings reveal that spirituality and spiritual care positively When God is portrayed as Loving and caring and negatively When God is portrayed as judgmental punishing the sick with the condition impact on the health of HIV AIDS patients. However a Majority of findings show positive impact of spirituality on HIV AIDS patients’ response to treatment.ConclusionSpirituality and spiritual Health care which improve on patients’ spirituality positively impacts HIV AIDS patients’ response to treatment. Thus spiritual interventions could be beneficial in promoting adherence and positive health outcomes in HIVAIDS patients on antiretroviral therapy. Che Joseph Ngwa | Dickson Shey Nsagha | Same Ekobo Legrand | Doumta Charles Falang "The Impact of Spiritual Health Care on Patients’ Clinical Outcome" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-4 | Issue-6 , October 2020, URL: https://www.ijtsrd.com/papers/ijtsrd33646.pdf Paper Url: https://www.ijtsrd.com/medicine/nursing/33646/the-impact-of-spiritual-health-care-on-patients’-clinical-outcome/che-joseph-ngwa
This document provides an overview of ketamine-assisted psychotherapy training at Polaris Insight Center. It discusses ethical considerations for ketamine therapy including codes of ethics, the importance of set and setting, preventing misconduct, and ensuring access. It also covers conducting group ketamine sessions, virtual ketamine therapy, integrating spiritual experiences, and future training opportunities.
American Innovative Healthcare Solutions proposes expanding psychiatric care services through developing a continuum of care. They aim to serve underserved populations like those with chronic mental illness living in nursing homes or group homes. Their model emphasizes collaboration, treating the whole person, and removing obstacles to help patients. They plan to partner with providers, develop different levels of care including inpatient and outpatient services, and leverage Medicare reimbursement to build a sustainable service delivery system.
This document provides information and guidance for starting a ketamine assisted psychotherapy practice. It discusses treatment indications for ketamine therapy including treatment resistant depression, anxiety, PTSD, and addictions. It also lists contraindications. Treatment approaches for ketamine are described, including low and moderate to high dosing. A sample treatment protocol is outlined involving medical and psychological assessment, in-office sessions, at-home sessions, and maintenance phases. Training resources for ketamine therapy are listed. Considerations for a ketamine practice such as vision, education, set and setting, staff training, protocols, partnerships, and adverse events are reviewed.
Mental health education, enrichment and accompaniementCelente French
1. Analyse mental health education, enrichment and accompaniment as ways of promoting community mental health.
2. Evaluate the contribution of mental health education, enrichment and accompaniment to community mental health.
Patient Agency: a focus for integrated careMark Sullivan
In this presentation, I argue that patient agency is an essential goal for mental health care integrated into the primary care management of chronic disease. This model of integrated care was developed by my colleagues Wayne Katon and Jurgen Unutzer. It is now widely disseminated throughout primary care systems nationwide. But it can be implemented in many different ways, with different goals. This presentation uses the example of a patient with diabetes to argue that integrated mental health care should focus on enhancement of patient agency.
Disability and Mental Health: The Ties that BindEsserHealth
Depression and Disability: The Ties That Bind. See how Disability and Depression work hand in hand. Learn the most recent statistics in disability science and how essential it is to tackle the whole picture to help the whole patient.
This document provides information on the financial impact of cancer and resources available to help with costs. It notes that cancer often decreases income and increases expenses like medical bills and travel costs. It outlines social welfare payments, medical cards, health insurance options, and organizations that can assist with financial issues, caregiving needs, travel expenses, and more. The goal is to help minimize stress and difficulties during cancer treatment.
The document provides guidance for stroke patients recovering at home. It emphasizes the importance of following doctors' advice, adapting one's home for needs, maintaining follow-up bloodwork and therapy schedules, and establishing a routine. It recommends speaking to discharge planners early to determine the best recovery option, assessing support needs, and setting achievable goals to smoothly transition from hospital to home.
Palliative Care Advance Care Planning A Collaborative ApproachSheldon Lewin
The document discusses the roles of various healthcare professionals in palliative care and advance care planning. It outlines 5 components of advance care planning including patient options, prognosis, pain management, patient/family treatment decisions, and spiritual needs assessment. It then describes the specific roles of social workers, nurses, chaplains, and case managers which include assessing psychosocial needs, providing education and support, facilitating advance care planning discussions, and coordinating referrals to home health or hospice.
Grief is a natural response to loss, and while grief is often associated with death, it can accompany other sorts of loss, too. When grief is experienced in the workplace, it can impact an employee’s performance, especially if awareness and proper support measures are lacking.
This document provides an agenda for the "Supporting Self-Management & Self-Care" event taking place on June 23, 2015. The agenda includes:
- Welcome and introduction by the managing director of West of England AHSN.
- Several presentations and case studies on topics related to self-management and self-care, including from the Health Foundation, North Somerset Community Partnership, and Philips Research.
- A panel debate and opportunities for networking.
- Company introductions from organizations providing digital solutions to support self-management.
The agenda indicates the event will focus on setting the scene for self-management support, sharing case studies, and discussions around building programs and technologies to enable supported self-care.
This document provides an overview of medical ethics, informed consent, and advance directives. It discusses key principles of medical ethics including autonomy, beneficence, non-maleficence, and justice. It defines informed consent and its legal and ethical basis, noting it is based on a patient's right to receive information and choose treatment. Exceptions to informed consent requirements are also outlined. Advance directives allow for healthcare decision making according to a patient's wishes if they become incapacitated. Case examples demonstrate how these principles apply to clinical scenarios.
The document summarizes a training day on dual diagnosis at Walsingham House. It includes an introduction, learning outcomes, an overview of Walsingham House's integrated treatment model for clients with co-occurring substance misuse and mental health issues. It discusses interventions, case studies, restrictions to the service, the clinical management protocol, and models of service delivery for dual diagnosis clients. Breakout groups discuss interventions and design an ideal dual diagnosis service for a county.
This volunteer organization in Thailand aims to restore harmony and the environment after disasters. It connects over 2,100 volunteers from 7 university clubs under a shared goal of community service and conservation. Last year it organized 16 rural development camps and cleanup after floods. This year's plans include camps focused on the environment, efficient economy, endangered species, youth skills, natural conservation, public health, and community development. The group requests $25,000 for planning, training, transportation, and medical costs to continue its volunteer activities across Thailand.
Are you looking for ways to raise local awareness of Rotary?
A long-term service project can strengthen Rotary’s profile
while serving your community. The Rotary Club of Ratlam,
Madhya Pradesh, India, established a dialysis center at a
local hospital and partners with local philanthropists to
fund kidney treatment for people who can’t afford it. Learn
how projects like this center, which draws patients from a
100 km radius, can strengthen ties between your club and
community and provide much-needed service at reasonable
cost.
El documento describe algunos de los principales beneficios y desafíos de las redes sociales. Entre los beneficios se encuentra mantener el contacto con personas que ya no frecuentamos y conocer gente de otras partes del mundo. Sin embargo, también existe el riesgo de que otros puedan usar la información publicada en las redes para cometer fraudes o extorsiones. El documento también discute el gran impacto que Internet tiene en nuestras vidas como otra rama importante de la cultura.
El documento resume las celebraciones del Bicentenario de la Independencia Argentina en 2016 en diferentes ciudades del país y en el extranjero, incluyendo desfiles cívicos y militares, actos protocolares, iluminaciones de monumentos y celebraciones religiosas en Bariloche, Tucumán, Paraná, Mendoza, Rosario, Corrientes, Córdoba, Buenos Aires y San Juan; y en Brasil, Inglaterra, Países Bajos, Serbia y Francia.
Joshua Pilkenton is seeking a preceptorship with an OB/GYN or Women's Health Nurse Practitioner to complete his Family Nurse Practitioner program. He requires 112 clinical hours from January to April and 150 hours from May to August. Joshua has over 8 years of experience as a registered nurse in a medical intensive care unit and is currently pursuing his Master's in Family Nurse Practitioner at the University of Cincinnati.
Karram sagg By Allah Dad Khan Provincial Coordinator IPM MINFAL IslamabadMr.Allah Dad Khan
This document discusses four common insect pests that damage crops: flea beetles, wireworms, cabbage aphids, and root maggots. For each pest, it provides details on their symptoms, which include small holes in leaves, death of seedlings, stunted growth, and root damage. It also identifies the insects responsible, such as small dark beetles, yellow-brown wireworm larvae, soft-bodied grey-green aphids, and white larvae that pupate in soil. The document aims to educate farmers on identifying these pests based on the damage they cause plants.
Trustmarque Business Productivity OverviewTrustmarque
The document discusses business productivity and how it can be improved through collaboration technologies. It defines business productivity as making it easier for employees to work collaboratively using any device from anywhere with internet access. This allows for rapid sharing of information, quick decision making, cost savings, and using technology as a productivity tool. The benefits of improved productivity include lower travel costs, reduced office space needs, and greater recruitment prospects for businesses. Cloud-based solutions provide advantages like automatic updates, scalable costs, and accessibility from any device, while on-premise systems offer ownership of infrastructure. The company discussed provides services like workshops and assessments to help organizations improve their productivity using Microsoft Office 365 and other collaboration technologies.
Spark Summit EU talk by Heiko KorndorfSpark Summit
Heiko Korndorf presented on scaling SparkR in production and lessons from real-world projects. The presentation covered classifying SparkR as both a data science and data engineering tool. It discussed SparkR's architecture in versions 1.x and 2.x, approaches to parallelizing R code with Spark 1.5/1.6 and YARN, and dynamic R deployment including dependencies. Advanced techniques like 2-level parallelization using GPGPU were also presented. The talk concluded with an outlook on further integrating data engineering and data science and new technical approaches like simplifying data pipelines and moving calculations to GPUs.
Allsop Auctions Service Summary Autumn 2016Laura Kerr
This document summarizes Allsop Auctions' services. Allsop is the largest property auction company in Europe, holding a minimum of 6 commercial and 7 residential auctions per year. They pride themselves on high quality information in their catalogues and excellent client service. Key benefits of selling through auction include speed of sale, certainty of sale on auction day, achieving best price through competitive bidding, and transparency of the process. Allsop markets properties extensively through their online catalogue, print advertising, and social media to maximize exposure and bids.
Is it Behaviors or Motivations that Matter? Hint: We can change behaviorsBrent Walker
The presentation starts with an overview of behavioral science but then focuses on a specific category of consumer science known as psychographic segmentation. The presentation describes psychographic segmentation and provides case studies of how this consumer science has achieved significant results in healthcare for both clinical and business applications.
This workshop was presented at the Queensland Mining Industry Health and Safety Conference 2014 and presents progress on the Working Well Program and ways to support mental health in the workplace.
Integrating technology into mental health and addiction treatment can help overcome barriers to access. E-health programs like SHADE and iTreAD provide online cognitive behavioral therapy to treat comorbid depression and substance use through modules addressing behaviors, thoughts, cravings and relapse prevention. While some populations may be wary of e-health due to concerns about trust, privacy and impersonal nature, studies found no differences in alliance, satisfaction or outcomes between online and in-person CBT. With proper promotion and transparency about program development, e-health can effectively expand treatment access for comorbid disorders.
This is a presentation that I give to medical professionals educating them on the role and potential use of social work in the hospital setting. I presented this on May 22, 2009 to the Trauma Education & Research Committee.
The document provides information on conducting a health assessment, including definitions of key terms, the purposes and types of assessments, frameworks for organizing assessment data, and the components and process of a health assessment. It describes taking a health history to collect subjective data on the client's biographic information, chief complaints, history of present illness, past medical history, family history, lifestyle, and obstetric history if applicable. It also covers preparing for and conducting a physical examination as the objective part of a health assessment.
The document discusses incorporating mental health checkups into regular preventative healthcare visits for adolescent patients ages 11-18. It recommends using the Pediatric Symptom Checklist Youth Version (PSC-Y) screening questionnaire to identify issues related to mental illness, suicide risk, and the need for referral to additional services. It provides guidance on administering and scoring the PSC-Y, interpreting the results, conducting follow-up interviews, and making referrals when appropriate. It also discusses relevant reimbursement codes for billing.
HEALTH CARE MANAGEMENTUNIT I Part IV JOURNAL Instruct.docxpooleavelina
HEALTH CARE MANAGEMENT
UNIT I Part IV JOURNAL Instruction:
You are the newly appointed compliance officer for a major medical center in Chicago. One key objective of your compliance plan is to create a secure and effective reporting process so that you can avoid qui tam lawsuits against your hospital. Your goal is to have zero qui tam lawsuits during your tenure as compliance officer. What steps will you take to avoid such lawsuits against your facility?
Your journal entry must be at least 200 words. No references or citations are necessary. SIMPLE SHEET / NO HEAD RUNNING / NOTHING JUST 200 WORDS _____________________________________________________________________________ DO NOT MIXED Part I & PART II. There are two different assignments. Posted separated.
_____________________________________________________________________________
UNIT I Part IV Instructions
You have just been hired as a compliance officer for your healthcare organization, and you have discovered that the food services department of the organization is not in compliance with state food safety regulations for healthcare organizations. The board of directors has requested a report from you and your team that contains an outline of the issues that have been occurring within the food services department that have caused it to become noncompliant, a plan to bring the department into compliance, and a description of how you and your team plan to maintain the department’s compliance in the future.
Your report should cover the following topics:
· a description of the foodborne hazards that have occurred within the healthcare organization that have caused it to become noncompliant,
· why it is important for patient recovery that the food service department maintain food safety and become complaint with state regulations,
· the key elements of your compliance plan, and
· the importance of internal audits and project management in the creation, implementation, and maintenance of the compliance plan.
Your report should consist of at least three pages, not including a title page and reference pages. Please be sure to use APA formatting for all sources, including your textbook. You must use at least three sources, one of which can be your textbook.
Course Textbook(s)
Safian, S. C. (2014). Fundamentals of health care administration. Upper Saddle River, NJ: Pearson.
Randomized Clinical Trial of Cognitive Behavioral Social Skills Training
for Schizophrenia: Improvement in Functioning and Experiential
Negative Symptoms
Eric Granholm and Jason Holden
Veterans Affairs San Diego Healthcare System and University
of California, San Diego
Peter C. Link
Veterans Affairs San Diego Healthcare System
John R. McQuaid
Veterans Affairs San Francisco Medical Center and University of California, San Francisco
Objective: Identifying treatments to improve functioning and reduce negative symptoms in consumers
with schizophrenia is of high publ ...
This document provides an overview and agenda for a 6-week online training series on Screening, Brief Intervention, and Referral to Treatment (SBIRT) implementation. Week 1 will include introductions, an overview of SBIRT and common screening tools like the AUDIT for alcohol and DAST for drugs. Participants will be assigned to view training videos and practice scoring screening tools in preparation for learning about brief interventions in subsequent weeks. The full training series will cover topics like brief intervention steps, making referrals, integrating SBIRT into clinical workflows, and cultural considerations to help professionals implement evidence-based substance use screening and treatment services.
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2) Nurses are well-positioned to screen for psychological distress using tools like the distress thermometer, and discuss high distress scores with the interdisciplinary team to determine if further evaluation or intervention is needed.
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ADDRESSING PHYSICIAN BURNOUT: IS IT THE ENVIRONMENT OR LACK OF RESILIENCY?Carescribr
Burnout has long been recognized as an occupational hazard for various people‐oriented professions, such as human services, education, and health care. These jobs require an ongoing and intense level of personal, emotional contact. If you speak to any physician they will likely confirm that although such relationships can be rewarding and engaging, they can also be quite stressful. One cultural aspect of these occupations is that they strive to be selfless and put others' needs first; they tend to work long hours and do whatever it takes to help others; to go the extra mile and to give one's all. This can put significant burden on physicians as work settings also tend to be high in demands and low in resources.
The document describes a behavioral health network established by one health system to address emergency department overuse and hospital readmissions related to behavioral health issues. Key components of the network include:
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Journal Club Presentation on Depression, Anxiety in DiabetesDnyaneshwariMate1
This study aimed to determine the prevalence of depression and anxiety in Malaysian diabetic patients and identify associated factors. The study found depression in 20% of patients and anxiety in 9%. Multiple logistic regression identified several predictors of anxiety and depression. Higher neuroticism and depression increased odds of anxiety, while higher conscientiousness and psychological quality of life decreased odds. The findings indicate a need to screen diabetic patients for mental health issues and address psychosocial factors in their care.
This document discusses challenges and strategies for an Improving Access to Psychological Therapies (IAPT) team. The main challenges are: 1) working with patients who have long-term conditions; and 2) meeting increasing demand for services for patients with long-term conditions. To address these, the document proposes: collecting data on current patients with long-term conditions; assessing therapy outcomes and patient surveys; amending screening tools and care pathways; providing staff training; and using standardized measures to evaluate outcomes.
This document provides guidelines for HIV pre-test and post-test counseling. The pre-test counseling guidelines outline establishing rapport, assessing the client's knowledge and risk level, explaining the testing process, and discussing potential results. The post-test counseling guidelines differ based on negative, positive, or indeterminate results, but generally involve discussing the client's reaction, providing information and support, and making a follow-up appointment. The overall aim is to properly inform and support clients before and after HIV testing.
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2. 3. RESEARCH METHOD
Two months experiment
-From 2/1/15 to 3/31/15
-On Monday and Friday
Confined to TCU (Total 20 beds)
Referrals sources restricted to nurses, PCT’s and So-
cial Workers.
-Limited two (2) referrals per day : 21 out of 24 re-
sponded
Chaplain prioritized cold visits
-Limited two (2) visits per day : 25 out of 26 re-
sponded
Chaplain consulted with unit director, nurses, PCT’s
and Social Workers for this research.
Using SDAT (Spiritual Distress Assessment Tools) to
score patient’s spiritual risks in number.
Data Analysis:
-Use T-Test two independent samples
P Value <0.05
4. SDAT (SPIRITUAL DISTRESS ASSESSMENT TOOL)
1. Meaning
The need for life balance and the need to be
able to cope with illness.
2. Transcendence
The need for connection with the patient’s
existential foundation.
3. Values Acknowledgement
The need for health professionals to know
and respect the patient’s values
4. Maintain Control
The need to understand the patient’s need to
feel included in decision-making process and
to be associates with health professionals’
decisions and actions.
5. Psycho-social identity
The need to be loved, to be heard, to be rec-
ognized, to have a positive image of oneself
and to feel forgiven.
1. INSPIRATION
My Schedule
̶ Covering 3 clinical works and others:
Day Surgery, TCU, Palliative Care, On-call, CPE
̶ Early shift (6:15 a.m.- 3:30 p.m.)
̶ In times of high census
Inquisitive mind (self-motivation)
Enhancing research literacy
Practicing experimental research
2. RESEARCH GOALS
Evidence of need-based visitation
(Referral Based Visit vs. Cold Visit)
Find a distinctive spiritual risk in TCU
A Case study for need-based visitation
INTRODUCTION
Page 1/11J-term Research Project Jae Bum Kim
5. SCORING PROCESS
3. 6. Structure of the Spiritual Needs Model
and the Spiritual Distress Assessment Tool
SPIRITUAL NEEDS MODEL SPIRITUAL DISTRESS TOOL (SDAT)
PATIENT INTERVIEW INTERVIEW ANALYSIS
Spiritual dimension Need associated with the
spiritual dimension
Set of questions for patient interview Questions for analysing the interview
and identifying unmet spiritual need
Scoring of unmet spiritual
need
(range from 0 to 3*)
MEANING
Overall life balance
NEED FOR LIFE BALANCE
- need to maintain and/or
rebuild an overall life balance
- need to learn to “live with”
an illness or disability
Does your hospitalisation have any repercussions
on the way you live usually?
Is your overall life balance disturbed by what is
happening to you now (hospitalisation, illness)?
Are you having difficulties coping with what is
happening to you now (hospitalisation, illness)?
How does the patient speak about his
or her need for life balance?
Is the overall life balance of this pa-
tient disturbed?
To what degree does the Need
for Life for Life Balance remain
unmet?
0 0
0 1
0 2
0 3
TRANSCENDENCE
Anchor point exte-
rior to the person
NEED FOR CONNECTION
- need for Beauty
- need to be connected with
the personal existential
anchor
Do you have a religion, a particular faith or spiritu-
ality?
Does what is happening to you now change your
relationship to God /or to your spirituality? (closer
to God, more distant, no change)
Is your religion / spirituality / faith challenged by
what is happening to you now?
Does what is happening to you now change or
disturb the way you live or express your faith /
spirituality / religion?
How does the patient speak about his
or her need for connection?
Is his or her need for connection
disturbed?
To what degree does the Need
for Connection remain unmet?
0 0
0 1
0 2
0 3
VALUES
System of values
that determine
goodness and
trueness for the
person; the system
is made apparent
in the person’s
actions and life
choices
NEED FOR VALUES AC-
KNOWLEDGEMENT
- need that caregivers under-
stand what has value and
significance in his or her life
NEED TO MAINTAIN CON-
TROL
- need to understand and be
involved in caregivers’ deci-
sions and actions
Do you think that the health professionals caring
for you know you well enough?
Do you have enough information about your
health problem, and on the goals of your hospitali-
sation and treatment?
Do you feel that you are participating in the
decisions made about your care?
How would you describe your relationship with
the doctors and other health professionals?
How does the patient speak of his or
her need that caregivers understand
what has value and significance in his
or her life?
How does the patient speak of his or
her need to understand and be in-
volved in caregivers’ decisions and
actions?
To what degree does the Need
for Values Acknowledgement
remain unmet?
0 0
0 1
0 2
0 3
To what degree does the Need
for to Maintain Control remain
unmet?
0 0
0 1
0 2
0 3
PSYCHO-SOCIAL
IDENTITY
The environment
(society, caregiv-
ers, family, close
relations) that
maintain the per-
son’s particular
identity.
NEED TO MAINTAIN IDENTITY
- need to be loved, to be
recognised
- need to be listened to
- need to be in contact (in
particular with the person’s
faith community and other
people)
- need to have a positive self-
image
- need to feel forgiven, to be
reconciled
Do you have any worries or difficulties regarding
your family or other persons close to you?
How do people close to behave with you now?
Does it correspond with what you expected from
them?
Do you feel lonely?
Could you tell me about the image you have of
yourself in your current situation (illness, hospitali-
sation)?
Do you have any links with your faith community?
How does the patient speak of his or
her need to maintain identity?
To what degree does the Need
for Maintain Identity remain
unmet?
0 0
0 1
0 2
0 3
0 = no evidence of unmet spiritual need;
1 = some evidence of unmet spiritual need;
2 = substantial evidence of unmet need;
3 = evidence of severe unmet spiritual need
Page 2/11J-term Research Project Jae Bum Kim
5. Spiritual Risk
Mean Score
Difference t stat p valueCold Visit Referral Visit
Need for Life Balance 1.3 2.0 0.7 3.363 <0.05
Need for Connection 1.0 1.8 0.8 4.411 <0.05
Need for Values Acknowledgement 1.3 2.4 1.1 4.938 <0.05
Need to Maintain Control 1.4 2.4 1.0 5.137 <0.05
Need to Maintain Identity 0.9 1.5 0.6 3.004 <0.05
Total Spiritual Risk Scores 5.7 10.1 4.4 6.306 <0.05
T-TEST: TWO INDEPENDENT SAMPLES (Cold Visit vs. Referral Visit)
Unequal Variances – Two Tail
Unmet needs in referral based visit
shows significantly higher scores
than those of cold visit.
4.4 points higher in total
Need for Life Balance
0.7
Need for Connection
0.8
Need for Values Acknowledgement
1.1
Need to Maintain Control
1.0
Need to Maintain Identity
0.6
* P Value < 0.05
8-1. DISTINCTIVE SPIRITUAL RISK IN TCU
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5.7
10.1
High
Moderate
Mild
Low
ColdVisit ReferralVisit
SpritualRiskScores
(unmetneeds)
15
6. Values Acknowledgement and Maintain to Control show higher scores
than other spiritual risks in both of referral based visit and cold visit
It is related to the matter of Medical Information and Medical Treatment.
1.3
1.4
1.3
1
0.9
2.4
2.4
2.0
1.8
1.5
0 0.5 1 1.5 2 2.5 3
Acknowledgement
Maintain Control
Life Balance
Transcendence
Psycho-Social Identity
5 Spiritual RisksScores
Referral Visit
Cold Visit
Personal Observation
-Delayed visits from medical doctor
-Lack or no enough medical information provided to patients
-Patient’s lower involvement in treatment options
Research Articles
-Satisfaction with medical care by patients has become increasingly
important in today’s health care climate for many reasons.
-Gaps in understanding and communication between patients and
medical doctors could result in decreased quality of care.
8-2. DISTINCTIVE SPIRITUAL RISK IN TCU
Page 5/11J-term Research Project Jae Bum Kim
7. 9. COMMUNICATION DISCREPANCIES BETWEEN MD and PT *
NEVER
SOMETIMES
USUALLY
ALWAYS
*Adapted from Douglas P. Olson, MD; Donna M. Windish, MD: Communication Discrepancies Between Physicians and Hospi-
talized Patients, Arch Intern Med/VOL 170 (NO. 15), AUG 9/23, 2010
A. Did a doctor/medical staff provide new medicine information?
B. Did a doctor/medical staff provide medicine’s side effects information?
Higher percentage of NEVER from patients vs. higher percentage of SOMETIMES from doctors
C. Did a doctor/medical staff invite patient to involvement in treatment options?
Higher percentage of NEVER from patients vs. higher percentage of SOMETIMES from doctors
NEVER
SOMETIMES
USUALLY
ALWAYS
NEVER
SOMETIMES
USUALLY
ALWAYS
NEVER
SOMETIMES
USUALLY
ALWAYS
NEVER
SOMETIMES
USUALLY
ALWAYS
NEVER
SOMETIMES
USUALLY
ALWAYS
Page 6/11J-term Research Project Jae Bum Kim
A. Did a doctor provide medical information in respectable way?
Higher percentage of NEVER from patients vs. higher percentage of SOMETIMES from doctors
B. Did a doctor explain medical information in understandable way?
C. Did a doctor discuss about any Anxieties or fears about patient’s condition or treatment?
Higher percentage of NEVER from patients vs. higher percentage of SOMETIMES from doctors
8. 10. PATIENT’S RATING OF MEDICAL CARE *
Standard Care vs. Intervention Group
The perceived length of stay (LOS) was significantly shorter
(92.6 vs. 105.5).
The proportion of patients who
rated the ED staff physician as
“excellent” or “very good” was sig-
nificantly higher in the intervention
group (Bedside: 87.1% vs. 80.5 % /
Technical Skills: 86.8 % vs. 80.1 %)
Periodic personal interaction and
provision of clinically based infor-
mation in ED is thought to improve
patient’s
perceived LOS, efficiency, and clinical skills of Emergency
Physicians after ED visit.
The amount of information provided to patient and periodic
updating of process and medical information to patient have
effect on patient’s perception of care positively.
* Adapted from T. Paul Tran, MD; Warren P. Schutte, BS: Provision of Clinically Based Information
Improves Patients’ Perceived Length of Stay and Satisfaction with EP, Section of Emergency Medicine, Depart-
Page 7/11J-term Research Project Jae Bum Kim
9. * By chance, I had a conversation with a physician whom I knew since
last year. The doctor was very proud of her specialty as a physician. I
have shared with her about my personal experimental research outcome.
I told her that I found out there was one distinctive unmet spiritual risk in
TCU.
I remarked that patient expressed their unmet needs caused by lower
quality of medical care from medical doctors. I told her that the cause of
unmet spiritual risks from medical service are as follows:
Delayed visit from medical doctors
No detailed/clear/understandable medical information from medical
doctors
Few chances of patients’ involvement in medical decision making
process
The doctor agreed what I found out, but she shared the following per-
spectives from her clinical experience.
There is zero patient’s responsibility as a whole medical system
- “No return from patient”
- Physicians frustrated a lot because of patient’s complaint regardless
of their detailed information provided. For example, “You never told
me,” in response to “Did you read it.”; “Why angiogram now,” in re-
sponse to the procedure schedule; “I never know I have a kidney
problem,” even though doctor explained it a day ago.
- Physicians has “mad lists” on the desk.
- The doctor illustrated one palliative care patient’s daughter who
strongly denied DIALECTICS even though she explained it in detail
two days ago.
The doctor concluded patients need to be EDUCATED as life class to
lessen their unreasonable complaints.
From this conversation, I understand there are huge discrepancies be-
tween the perception of patient and that of medical doctors because of
various reasons.
11. A MEDICAL DOCTOR’S PERSPECTIVE
Page 8/11J-term Research Project Jae Bum Kim
10. When a person is admitted to a hospital, (s)he
must wear a gown, sleep in an unfamiliar bed and
take on the identity of the “patient.”
Physician, as leader of the healthcare team, have
a professional and moral obligation to ensure that
patients feel welcome/comfortable/being
cared for in their new surrounding.
12. VALUE (MEDICAL CARE) RELATED SPIRITUAL
46-47%
Page 9/11J-term Research Project Jae Bum Kim
11. Spiritual Distress Assessment Tool (SDAT)
Spiritual
Dimension
unmet spiritual need identified Unmet spiritual need
1st
visit (10) Last visit
(6)
Meaning -She is experiencing difficulty in breathing (demoralized).
-She needs to learn to live with new condition at Manor care facility.
-She lost her sister a month ago.
-Patient may experience difficulty from smoking withdrawal.
□ 0
□ 1
X 2
□ 3
□ 0
X 1
□ 2
□ 3
Transcen-
dence
-She is religious, faithful Catholic
-She values faith tradition (sacrament)
-She practices prayer every night
-She loves to hold rosary
-She loves to recite Hail Mary
-She is affiliated with local church
□ 0
X 1
□ 2
□ 3
X 0
□ 1
□ 2
□ 3
Values -She is experiencing physical distress in spite of medical treatment.
-She expresses her concern to Dr. R.
-She expresses her desire to allow her body to decline naturally.
□ 0
□ 1
X 2
□ 3
□ 0
X 1
□ 2
□ 3
-She kept on complaining about her breathing problem.
-She delegates most of medical treatment options to POA.
-She did not know POA’s intention beyond decision about Manor
care option itself.
□ 0
□ 1
X 2
□ 3
□ 0
□ 1
X 2
□ 3
Psycho-
Social
Identity
-She is proud of self-supportive life counting on pension.
-She denied support from her niece.
-She lost her sister a month ago.
-She welcomes chaplain’s visit.
-She needs to be reconnected to her son in spite of her disinterest.
-Her sons are not involved in her medical treatment decision making.
□ 0
□ 1
□ 2
X 3
□ 0
□ 1
X 2
□ 3
13. CASE STUDY
Spiritual risks changed from moderate (scores= 10) to mild (scores=6)
0 5 10 15
1stvisit
3rd visit
Case Study (Palliative Patient)
1stvisit
3rd visit
Patient’s unmet spiritual
needs decreased
from 10 to 6
(Moderate Mild)
following 3 times palliative
spiritual care visits.
-Meaning (210)
-Transcendence (10)
-Acknowledgement (21)
-Maintain Control (22)
-Identity (32)
Page 10/11J-term Research Project Jae Bum Kim
12. One person’s experimental research
Lack of Objectivity
Small number of samples
̶ oold iisit Patients (25)
̶ eeferral iisit Patients (21)
No Analysis of Demographic Factors
Close professional relationship with other team
members
Distinctive spiritual risks in TCU
Values (Acknowledgment / Maintain Control)
Medical Information/Communication Important
Evidence of need (referral) based visit
Chaplain as a juggler to handle multitask works
14. LIMITATION OF RESEARCH
15. FINDINGS OF RESEARCH
Page 11/11J-term Research Project Jae Bum Kim