Running head: CREATING A PLAN OF CARE 1
CREATING A PLAN OF CARE 10
Creating a Plan of Care
South University
NSG4055 Illness & Disease Management across Life Span
Professor
Creating a Plan of Care
The chronic disease selected for the plan of care is cardiovascular disease. This disease continues to pose major challenges not only for patients and their family members but also to the nation’s health care system. The rationale for choosing cardiovascular disease is because of the high rates of mortality and the effects of the co-morbidities associated with the chronic illness. According to Santulli (2013), cardiovascular disease is the single leading cause of fatalities in the United States, accounting for approximately 600,000 deaths annually. In 2011, approximately 26.6 million Americans were living with the chronic disease. The health care costs associated with the disease account for more than $500 billion annually. There are also many disparities in prevalence of risk factors, mortality, access to treatment and treatment outcomes based on race/ethnicity, socioeconomic status, gender, age and geographic area. Hence, tackling the disease should be a major priority for the US government. The main objective of the Healthy People 2020 initiative for cardiovascular disease is “improving cardiovascular health through early detection, prevention and treatment of the risk factors for stroke and heart attack”. This report outlines a comprehensive plan of care that can help in addressing and mitigating cardiovascular disease.
Holistic Plan of Care
Creating a holistic plan of care will indeed be essential for ensuring that people with chronic conditions such as cardiovascular disease lead a healthy life. Cardiovascular disease has a significant impact on the patient and the health care system. Apart from the emotional distress, patients with this condition also face some financial burdens, social burdens and increased levels of discrimination (Earnshaw & Quinn, 2012). In the course of completing the project, I administered a questionnaire to a coworker by the initials C.K. during week 2 to find out how she deals with the condition.
The questionnaire looked into various aspects such as family history, related medical conditions, the risk factors of cardiovascular disease, lifestyle choices and the coping strategies or support received by the patient. Understanding all these aspects can help in developing a well-managed care plan (Larsen & Lubkin, 2013). The results of the questionnaire revealed that C.K. observes healthy lifestyle, has the right levels of support and adheres to the medication regimen. All these factors helped her to cope effectively with the condition. However, even though she attested to leading a healthy lifestyle, C.K. also revealed that her family faced s ...
This systematic review examined the effectiveness of disease management and case management for people with diabetes. The review found:
1) Disease management was effective in improving glycemic control, screening for diabetic complications, and monitoring of lipid levels.
2) Case management was effective in improving both glycemic control and provider monitoring of glycemic control, particularly in managed care settings in the U.S. for adults with type 2 diabetes.
3) Case management delivered with disease management or additional interventions was also effective.
CARDIOVASCULAR DISEASE
CARDIOVASCULAR DISEASE
Cardiovascular Disease
Introduction
Cardiovascular disease posits a major cause of premature deaths and disability throughout the world and contributes to a significant increase in healthcare costs, particularly in medication, healthcare services, and production loss. Specifically, heart diseases and stroke accommodate the highest prevalence rate in the USA; accommodate an average of 610,000 and 365,000 annual deaths from CVD (CDC, 2015). Similarly, every year, CVD causes the USA approximately, $207 billion for medication, healthcare services, and productivity loss. Noteworthy, heart diseases and stroke incidences vary with factors such as ethnicity, gender, age, and individuals with certain disorders. Similarly, the project accommodates notable articulations on intervention, comparison, outcome, and time as a fundamental consideration in heart diseases and stroke in the USA. Thus, an enriched articulation on heart diseases and stroke are underscoring for the project presentation.
Definition
According to (Mayo Clinic, 2018), Heart disease describes a condition that affects the heart; including blood vessels diseases arrhythmias, and other heart defects. Significantly, the heart disease is interchangeable for the CVD, articulating on the infections involving narrowed or blocked blood vessels, causing a heart attack, chest pain, and stroke, among other clinical presentations. Similarly, (Mayo Clinic, 2018) acknowledges that many CVD is preventable and treatable with healthy lifestyle choices.
Epidemiology
Cardiovascular diseases posits an undying cause of death in the USA, projected at 840, 678 deaths in 2016, averagely one in three deaths (Salim et al. 2020). Similarly, between 2013 and 2016 121.5 million adults Americans presented notable for of the CVD. Notably, between 2013 and 2015 direct and indirect costs of managing the CVD in the USA, recorded $213.8 billion and $137.4 billion respectively. Statistically, between 2013 and 2016, 57.1% of non-HN black females and 60.1% of non-HN black males presenting CVD manifestations (Salim et al. 2020). According to the researcher causes of the CVD Include atherosclerosis resulting from an unhealthy diet, lacking exercise, overweight, and smoking. In the epistemology studies, risk factors such as age, sex, family history, smoking, chemotherapy and radiation drugs, high blood pressure, poor diet, obesity, physical inactivity, stress, and poor hygiene are underscoring risk factors in the CVD (Mayo Clinic, 2018). Thus, heart disease epistemological indicates the patterns, causes, risk factors, and specific populations in the USA.
Clinical Presentations
Cardiovascular disease acclaims clinical presentations that may differ between men and women. According to (Mayo Clinic, 2018), men present significant chest pain that women and women clinical presentations such as shortness in breathing, nausea, and fatigue are more evident than in men. Admi ...
Interdisciplinary care plan7 class nur3400ssuser47f0be
This document summarizes a systematic review that analyzed 48 studies on patient engagement strategies to improve quality of care. The review identified techniques to enhance patient engagement in design, recruitment, involvement and leadership. Engagement strategies ranged from low-level consultation to high-level co-design partnerships. Outcomes included educational tools, policies, and care process improvements. Higher engagement levels led to more impactful outcomes. Some patients felt tokenistic involvement despite positive experiences. Overall, engagement informed various outcomes, but more evidence is needed on its impact on quality and patients' experiences.
RunningHead: PICOT Question 1
RunningHead: PICOT Question 7
PICOT Question
Avery Bryan
NRS-433V
Professor Christine Vannelli
May 19, 2019
Clinical Problem
A report from the Center for Disease Control and Prevention in 2015 revealed that (9.4%) 30.3 million Americans are diabetic and 84.1 million have prediabetes. This is a total population of over 100 million is at risk of developing type 2 diabetes which is a growing health problem being the seventh leading cause of death in the U.S. An estimated 1.5 million new cases were among 18-year old bracket and the rates of diagnosed diabetes increased proportionally to age. Below 44 years accounted for 4%, below 64 years at 17 % and 25% for those above 65 years across both genders. One-third of adults in America has prediabetes but sadly, they are unaware despite reports released by The National Diabetes Statistics Report every year. These reports elaborate on prevalence and incidence, prediabetes, long-term complications, risk factors, mortality, and cost. Diabetes poses the risk of serious complications like death, blindness, stroke, kidney disorders, cardiac diseases and health problems that lead to amputation of legs. However, the risks can be mitigated through physical body activities, proper dieting and prescribed use of insulin and other related measures to control the blood sugar levels. Diabetes Prevention Program was funded by NIH to research a yearly evidence-based program to improve healthy weight loss through diet and physical activities. There also efforts to determine the effectiveness of public service campaigns in improving the real-life experience in the diagnosis and treatment of diabetes.
PICOT Question.
The population affected by diabetes cuts across all ages, gender, race, and ethnicity. The prevalence is significantly high from 18 years and it increases with age to about 25% above 65 years. In terms of gender, men are at higher risk accounting for 37% while women are at 30% across races and educational levels. On races, the rates were higher among Indians/Alaska natives at 15%, non-Hispanic blacks at 12.7% and Hispanics at 12%. Among Asians, the rates were lower at 8% and 7.4% for non-Hispanic whites.
Intervention indicator for diabetes shows that individuals who do not observe a healthy diet are more exposed to the disease. Some risk behaviors include lack of exercise and excessive intake of junk foods that lead to obesity and increased blood sugar levels. Diabetes prevalence varied according to education levels were those with less than high school education at 12.6% and 7.2% for those higher than high school education.
Comparison and use of a control group from the popularity of Complementary and Alternative Medicine and Traditional Chinese Medicine showed distinct knowledge of diabetes, blood sugar control, and self-care. The experimental group received education through interactive multimedia for three months while the control group received.
Interdisciplinary care plan7 class nur3400ssuserd93c47
This document provides background information on an interdisciplinary care plan for a patient named McKay Johnson who has been diagnosed with diabetes and heart disease. It includes details about Johnson's medical history and current condition based on examinations and lab results. It then outlines the nursing interventions and treatment goals that are part of Johnson's interdisciplinary care plan to manage his diabetes and heart condition. The care plan involves monitoring Johnson's symptoms, administering and adjusting his medications, educating him on his conditions and treatment, and ensuring he follows a healthy diet and lifestyle to control his health issues. The overarching goal is to lower Johnson's blood glucose, BMI, and other marker levels through this collaborative treatment approach.
The document summarizes recommendations from a task force on interventions to reduce morbidity and mortality from diabetes. It finds:
1) Disease management in clinical settings is strongly recommended based on evidence it improves glycemic control and monitoring.
2) Case management is also strongly recommended based on evidence it improves glycemic control when combined with disease management.
3) Diabetes self-management education in community gathering places is recommended for adults with type 2 diabetes based on evidence of improved glycemic control.
- Chronic diseases like heart disease, cancer and diabetes account for most deaths in the US and costs over $700 billion annually, yet less than 3% of healthcare spending goes to prevention.
- Adopting therapeutic lifestyle changes focusing on diet, exercise and avoiding tobacco has been shown to help patients achieve health goals without medication and reduce risk of chronic diseases.
- Studies have found that a low glycemic index diet combined with soy protein and phytosterols helped obese post-menopausal women significantly reduce weight, blood pressure, cholesterol and triglycerides.
Concepts of AgingCase Study Concepts of AgingSuzanne JacksoAlleneMcclendon878
Concepts of Aging
Case Study: Concepts of Aging
Suzanne Jackson is a registered nurse working in the office of an internal medicine physician. In this setting, Ms. Jackson has encountered a significant number of patients who identify with the older adult population. Many of them have significant comorbid conditions. Mrs. Bortello presents to the primary care office requesting assistance in the home. She is 86 years old and has a medical history of diabetes and congestive heart failure. She states she has noticed a recent increase in weakness when she is ambulating within the home and she is fearful about falling and suffering a hip fracture. Further discussion between Ms. Jackson and Mrs. Bortello indicates that the patient is interested in assistance with shopping and activities of daily living (ADLs).
Question 1
Which of the following settings of care would be most appropriate for Mrs. Bortello’s housing needs?
A. Acute care
B. Long-term care
C. Independent living
D. Subacute care
Question 2
Housing for the older adult is primarily based on which of the following factors?
A. Promotes functional independence
B. Promotes functional dependence
C. Provides access to primary care
D. Provides access to transportation
Question 3
Older adults tend to move less frequently and prefer to grow older where they reside. This is known as:
A. Ageism
B. Aging in place
C. Countermigration
D. Immigration
Question 4
Which assessment tool is used to determine the capacity of the older adult to carry out basic self-care activities?
A. Geriatric assessment
B. Depression screening tool
C. Nutritional assessment
D. Functional ability
INTERDISCIPLINARY CARE PLAN 7
Abstract
Patient care has received much attention in today’s healthcare system. It enhances the treatment plan by involving different health specialists in caring for the patient. Interdisciplinary approach involves elements such as leadership, teamwork, patient-centered practice, and through communications. The care providers ensure effective assessment of the condition thus meeting patient’s desires and needs. The team pools their knowledge and expertise together towards the recovery of the patients not just the treatment of the disease. Ideally, effective patient outcomes can be achieved through a collaborative approach to the treatment plan. This reduces readmission rates and avoids duplication of duties during the treatment process. The future of health care delivery depends on how effectively the health providers implement the interdisciplinary approach. In this paper, the interdisciplinary care plan will be drafted for McKay Johnson, a patient diagnosed with diabetes and heart disease.
Keywords: interdisciplinary, therapy, diabetes, heart disease.
Background Information
Patient Name:?
Age: ?
Sex: ?
Demographics: ?
Condition: (Diabetes and Heart Disease) or any other PMH
Situation: Patient is forgetful and lives alone
Medical History
Johnson was dia ...
This systematic review examined the effectiveness of disease management and case management for people with diabetes. The review found:
1) Disease management was effective in improving glycemic control, screening for diabetic complications, and monitoring of lipid levels.
2) Case management was effective in improving both glycemic control and provider monitoring of glycemic control, particularly in managed care settings in the U.S. for adults with type 2 diabetes.
3) Case management delivered with disease management or additional interventions was also effective.
CARDIOVASCULAR DISEASE
CARDIOVASCULAR DISEASE
Cardiovascular Disease
Introduction
Cardiovascular disease posits a major cause of premature deaths and disability throughout the world and contributes to a significant increase in healthcare costs, particularly in medication, healthcare services, and production loss. Specifically, heart diseases and stroke accommodate the highest prevalence rate in the USA; accommodate an average of 610,000 and 365,000 annual deaths from CVD (CDC, 2015). Similarly, every year, CVD causes the USA approximately, $207 billion for medication, healthcare services, and productivity loss. Noteworthy, heart diseases and stroke incidences vary with factors such as ethnicity, gender, age, and individuals with certain disorders. Similarly, the project accommodates notable articulations on intervention, comparison, outcome, and time as a fundamental consideration in heart diseases and stroke in the USA. Thus, an enriched articulation on heart diseases and stroke are underscoring for the project presentation.
Definition
According to (Mayo Clinic, 2018), Heart disease describes a condition that affects the heart; including blood vessels diseases arrhythmias, and other heart defects. Significantly, the heart disease is interchangeable for the CVD, articulating on the infections involving narrowed or blocked blood vessels, causing a heart attack, chest pain, and stroke, among other clinical presentations. Similarly, (Mayo Clinic, 2018) acknowledges that many CVD is preventable and treatable with healthy lifestyle choices.
Epidemiology
Cardiovascular diseases posits an undying cause of death in the USA, projected at 840, 678 deaths in 2016, averagely one in three deaths (Salim et al. 2020). Similarly, between 2013 and 2016 121.5 million adults Americans presented notable for of the CVD. Notably, between 2013 and 2015 direct and indirect costs of managing the CVD in the USA, recorded $213.8 billion and $137.4 billion respectively. Statistically, between 2013 and 2016, 57.1% of non-HN black females and 60.1% of non-HN black males presenting CVD manifestations (Salim et al. 2020). According to the researcher causes of the CVD Include atherosclerosis resulting from an unhealthy diet, lacking exercise, overweight, and smoking. In the epistemology studies, risk factors such as age, sex, family history, smoking, chemotherapy and radiation drugs, high blood pressure, poor diet, obesity, physical inactivity, stress, and poor hygiene are underscoring risk factors in the CVD (Mayo Clinic, 2018). Thus, heart disease epistemological indicates the patterns, causes, risk factors, and specific populations in the USA.
Clinical Presentations
Cardiovascular disease acclaims clinical presentations that may differ between men and women. According to (Mayo Clinic, 2018), men present significant chest pain that women and women clinical presentations such as shortness in breathing, nausea, and fatigue are more evident than in men. Admi ...
Interdisciplinary care plan7 class nur3400ssuser47f0be
This document summarizes a systematic review that analyzed 48 studies on patient engagement strategies to improve quality of care. The review identified techniques to enhance patient engagement in design, recruitment, involvement and leadership. Engagement strategies ranged from low-level consultation to high-level co-design partnerships. Outcomes included educational tools, policies, and care process improvements. Higher engagement levels led to more impactful outcomes. Some patients felt tokenistic involvement despite positive experiences. Overall, engagement informed various outcomes, but more evidence is needed on its impact on quality and patients' experiences.
RunningHead: PICOT Question 1
RunningHead: PICOT Question 7
PICOT Question
Avery Bryan
NRS-433V
Professor Christine Vannelli
May 19, 2019
Clinical Problem
A report from the Center for Disease Control and Prevention in 2015 revealed that (9.4%) 30.3 million Americans are diabetic and 84.1 million have prediabetes. This is a total population of over 100 million is at risk of developing type 2 diabetes which is a growing health problem being the seventh leading cause of death in the U.S. An estimated 1.5 million new cases were among 18-year old bracket and the rates of diagnosed diabetes increased proportionally to age. Below 44 years accounted for 4%, below 64 years at 17 % and 25% for those above 65 years across both genders. One-third of adults in America has prediabetes but sadly, they are unaware despite reports released by The National Diabetes Statistics Report every year. These reports elaborate on prevalence and incidence, prediabetes, long-term complications, risk factors, mortality, and cost. Diabetes poses the risk of serious complications like death, blindness, stroke, kidney disorders, cardiac diseases and health problems that lead to amputation of legs. However, the risks can be mitigated through physical body activities, proper dieting and prescribed use of insulin and other related measures to control the blood sugar levels. Diabetes Prevention Program was funded by NIH to research a yearly evidence-based program to improve healthy weight loss through diet and physical activities. There also efforts to determine the effectiveness of public service campaigns in improving the real-life experience in the diagnosis and treatment of diabetes.
PICOT Question.
The population affected by diabetes cuts across all ages, gender, race, and ethnicity. The prevalence is significantly high from 18 years and it increases with age to about 25% above 65 years. In terms of gender, men are at higher risk accounting for 37% while women are at 30% across races and educational levels. On races, the rates were higher among Indians/Alaska natives at 15%, non-Hispanic blacks at 12.7% and Hispanics at 12%. Among Asians, the rates were lower at 8% and 7.4% for non-Hispanic whites.
Intervention indicator for diabetes shows that individuals who do not observe a healthy diet are more exposed to the disease. Some risk behaviors include lack of exercise and excessive intake of junk foods that lead to obesity and increased blood sugar levels. Diabetes prevalence varied according to education levels were those with less than high school education at 12.6% and 7.2% for those higher than high school education.
Comparison and use of a control group from the popularity of Complementary and Alternative Medicine and Traditional Chinese Medicine showed distinct knowledge of diabetes, blood sugar control, and self-care. The experimental group received education through interactive multimedia for three months while the control group received.
Interdisciplinary care plan7 class nur3400ssuserd93c47
This document provides background information on an interdisciplinary care plan for a patient named McKay Johnson who has been diagnosed with diabetes and heart disease. It includes details about Johnson's medical history and current condition based on examinations and lab results. It then outlines the nursing interventions and treatment goals that are part of Johnson's interdisciplinary care plan to manage his diabetes and heart condition. The care plan involves monitoring Johnson's symptoms, administering and adjusting his medications, educating him on his conditions and treatment, and ensuring he follows a healthy diet and lifestyle to control his health issues. The overarching goal is to lower Johnson's blood glucose, BMI, and other marker levels through this collaborative treatment approach.
The document summarizes recommendations from a task force on interventions to reduce morbidity and mortality from diabetes. It finds:
1) Disease management in clinical settings is strongly recommended based on evidence it improves glycemic control and monitoring.
2) Case management is also strongly recommended based on evidence it improves glycemic control when combined with disease management.
3) Diabetes self-management education in community gathering places is recommended for adults with type 2 diabetes based on evidence of improved glycemic control.
- Chronic diseases like heart disease, cancer and diabetes account for most deaths in the US and costs over $700 billion annually, yet less than 3% of healthcare spending goes to prevention.
- Adopting therapeutic lifestyle changes focusing on diet, exercise and avoiding tobacco has been shown to help patients achieve health goals without medication and reduce risk of chronic diseases.
- Studies have found that a low glycemic index diet combined with soy protein and phytosterols helped obese post-menopausal women significantly reduce weight, blood pressure, cholesterol and triglycerides.
Concepts of AgingCase Study Concepts of AgingSuzanne JacksoAlleneMcclendon878
Concepts of Aging
Case Study: Concepts of Aging
Suzanne Jackson is a registered nurse working in the office of an internal medicine physician. In this setting, Ms. Jackson has encountered a significant number of patients who identify with the older adult population. Many of them have significant comorbid conditions. Mrs. Bortello presents to the primary care office requesting assistance in the home. She is 86 years old and has a medical history of diabetes and congestive heart failure. She states she has noticed a recent increase in weakness when she is ambulating within the home and she is fearful about falling and suffering a hip fracture. Further discussion between Ms. Jackson and Mrs. Bortello indicates that the patient is interested in assistance with shopping and activities of daily living (ADLs).
Question 1
Which of the following settings of care would be most appropriate for Mrs. Bortello’s housing needs?
A. Acute care
B. Long-term care
C. Independent living
D. Subacute care
Question 2
Housing for the older adult is primarily based on which of the following factors?
A. Promotes functional independence
B. Promotes functional dependence
C. Provides access to primary care
D. Provides access to transportation
Question 3
Older adults tend to move less frequently and prefer to grow older where they reside. This is known as:
A. Ageism
B. Aging in place
C. Countermigration
D. Immigration
Question 4
Which assessment tool is used to determine the capacity of the older adult to carry out basic self-care activities?
A. Geriatric assessment
B. Depression screening tool
C. Nutritional assessment
D. Functional ability
INTERDISCIPLINARY CARE PLAN 7
Abstract
Patient care has received much attention in today’s healthcare system. It enhances the treatment plan by involving different health specialists in caring for the patient. Interdisciplinary approach involves elements such as leadership, teamwork, patient-centered practice, and through communications. The care providers ensure effective assessment of the condition thus meeting patient’s desires and needs. The team pools their knowledge and expertise together towards the recovery of the patients not just the treatment of the disease. Ideally, effective patient outcomes can be achieved through a collaborative approach to the treatment plan. This reduces readmission rates and avoids duplication of duties during the treatment process. The future of health care delivery depends on how effectively the health providers implement the interdisciplinary approach. In this paper, the interdisciplinary care plan will be drafted for McKay Johnson, a patient diagnosed with diabetes and heart disease.
Keywords: interdisciplinary, therapy, diabetes, heart disease.
Background Information
Patient Name:?
Age: ?
Sex: ?
Demographics: ?
Condition: (Diabetes and Heart Disease) or any other PMH
Situation: Patient is forgetful and lives alone
Medical History
Johnson was dia ...
The document summarizes cardiovascular disease (CVD) prevalence, costs, risk factors, and prevention programs in the United States. It notes that CVD is the leading cause of death, costs over $444 billion annually in healthcare expenditures, and that over 83 million Americans have at least one CVD. Risk factors discussed include hypertension, high cholesterol, smoking, obesity, physical inactivity, and diabetes. Prevention programs highlighted are the Sodium Reduction Community Program and WISEWOMAN program, which provide screening, lifestyle programs, and referrals to underserved women.
Diabetes Evidence Based Practice Paper.pdfsdfghj21
The document discusses using an evidence-based practice paper to improve population health outcomes for diabetes. It recommends explaining how evidence-based practices could better manage diabetes and provide a higher return on investment. The Health Belief Model is presented as a framework to help those with diabetes manage their condition through behavior change. Specifically, it could encourage self-care behaviors important for chronic disease management.
Strategies for reducing morbidity and mortality from diabetes through healthสปสช นครสวรรค์
This document summarizes recommendations from the Task Force on Community Preventive Services regarding interventions to reduce morbidity and mortality from diabetes. It finds that disease and case management in healthcare systems are strongly recommended for people with diabetes. It also recommends diabetes self-management education in community settings like community centers for adults, and in the home for children and adolescents with type 1 diabetes. There was insufficient evidence to recommend other settings or for adults with type 2 diabetes in the home. The Task Force conducted systematic reviews of interventions focused on healthcare systems and community-based self-management education.
This is the ongoing project discussion portion of this class. My pop.docxglennf2
This is the ongoing project discussion portion of this class. My population is geriatric/elderly. The problem is BP...
I will attach previous discussions because it all needs to tie in together
350 words
at least 3 references cited in the discussion.
must be last 5 years
Overview: Dr. Marcia Stanhope (2020) explained that evidence-based public health practice refers to those decisions made by using the best available evidence, data and information systems and program frameworks; engaging community stakeholders in the decision-making process; evaluating the results; and then disseminating that information to those who can use the information.
Practicum Discussion: This week, your assignment will be to incorporate all of the information you have gathered from the community—including the population itself, health data, interviews/conversations with interested community members, and your community assessment, including your Windshield Survey—as well as what you have gathered from scholarly literature to propose measureable interventions. Measureable interventions mean that the results can be measured through some data that could be collected (Stanhope, 2020). This requires thinking in terms of actions and then measuring results. An evaluation of interventions is important to see whether or not they are effective in solving a health care problem. Remember, you will need to use the data you gathered to determine whether or not a problem exists in your community and to then determine whether your interventions might be effective.
Please discuss the following points in your Practicum Discussion:
Identify one evidence-based behavior change that would promote health in your selected population.
Suggest one specific culturally sensitive, evidence-based, measureable intervention to address the health problem for your selected population.
Think in terms of measuring outcomes. What outcomes would you expect to see once the intervention(s) are in place? Be specific.
By Day 4
Post
your response to this Discussion.
Support your response with references from the professional nursing literature.
GOAL of PRACTICUM PROJECT
Overall Purpose for Practicum:
Develop a potential project to improve the health of a specific population of interest or a population at risk.
This practicum is designed to help you develop as a scholar practitioner and health leader to promote positive social change in your own community. In this practicum experience you will focus on
primary prevention
of a health problem in your community (see text for definition.) You already possess the knowledge and skills to help those who are acutely ill. This experience will help learn how to prevent a health problem in a specific population at risk at the
community and system level of care
(see text for definition). Consequently, because you are well aware of how to care for individuals you will now develop leadership and advocacy skills to improve the health of the communi.
Running head Community Teaching Work Plan ProposalPrimary Pre.docxhealdkathaleen
This document outlines a teaching plan for educating young adults aged 25-38 about preventing heart disease. The plan involves teaching for 1.5 hours at a group home, using a laptop, snacks, and pamphlets. The teaching will focus on the risks and prevention of heart disease, using statistics to emphasize the importance. The goals are to improve the audience's knowledge of heart disease and its prevention, as well as support the Healthy People 2020 objective of reducing coronary heart disease deaths. The teaching methods will actively engage the audience and use visual aids and discussion to communicate key messages effectively.
The Hidden Risk That Is Tearing Your Company Apart Acbg 3 30 10leanhealthguru
The ACBG Edge is an process that allows construction companies manage the health and productivity risk of their employees. This complements American Construction Benefits Group\’s Lean Health Insurance Advantage. Together, these construction wellness processes create champion companies in 3 short years.
Predicting Trends in Preventive Care Service Utilization Impacting Cardiovasc...gpartha85
National reports point towards disparities in the utilization of preventive care services but sparse literature exists regarding predicting utilization pattern of preventive care services.
METHODS: The 2007 Medical Expenditure Panel Survey (MEPS), a national probability sample survey of the ambulatory civilian US population, was analyzed to determine demographic patterns of utilization. Recommendations by JNC-VII and NCEP were used to determine guideline adherence to blood pressure and cholesterol checkup respectively. Utilization of blood pressure screening and cholesterol checkup services were used as the dependent variable while age, gender, race, ethnicity, insurance status, perceived health status were used as independent variables. Since guidelines differ for people with elevated blood pressure, respondents with elevated blood pressure were identified in the MEPS database by self-reported diagnosis. Descriptive statistics were used to describe the population, chi-square analysis was used to determine the group differences for the categorical variables. Multivariate logistic regression model was built to predict odds of utilizing appropriate preventive se!
rvices. All analysis was carried out using SAS v9.1.
RESULTS: Total number of adult respondents was 20,434 of which data was available for blood pressure checkup for 20,187 respondents and 15,784 respondents for cholesterol checkup. Overall, respondents were found to adhere to guideline recommendations for getting the blood pressure (n=17,959, 89.0%) and cholesterol (n=14,956, 94.7%) check-up done. A univariate chi-square analysis showed statistically significant differences across all independent variables between people who utilized the preventive care service and those who didn t for blood pressure checkup (p<0><0>65) had much higher odds of using the blood pressure (OR=2.815, CI=2.317-3.420 ) and cholesterol (OR=3.190, CI=2.396-4.!
249 ) preventive services. Males had much lower odds of getting blood pressure (OR=0.350, CI=0.318-0.384) and cholesterol (OR=0.597, CI=0.516-0.692) checks done compared to females. Odds of utilization were nearly similar for all races. Uninsured had lower odds for blood pressure (OR=0.282, CI=0.253-0.315) and cholesterol (OR=0.314, CI=0.262-0.376) use compared to privately insured people.
CONCLUSIONS: Overall MEPS respondents adhered to blood pressure and cholesterol check up guidelines. The study was however successful in identifying existing age, race, income, insurance status related disparities in US population.
Effects of a Community Population Health Initiative onBlood .docxgidmanmary
Effects of a Community Population Health Initiative on
Blood Pressure Control in Latinos
James R. Langabeer II, PhD, EdD; Timothy D. Henry, MD, FACC; Carlos Perez Aldana, MS; Larissa DeLuna; Nora Silva, MPA;
Tiffany Champagne-Langabeer, PhD, RD
Background-—Hypertension remains one of the most important, modifiable cardiovascular risk factors. Yet, the largest minority
ethnic group (Hispanics/Latinos) often have different health outcomes and behavior, making hypertension management more
difficult. We explored the effects of an American Heart Association–sponsored population health intervention aimed at modifying
behavior of Latinos living in Texas.
Methods and Results-—We enrolled 8071 patients, and 5714 (65.7%) completed the 90-day program (58.5 years �11.7; 59%
female) from July 2016 to June 2018. Navigators identified patients with risk factors; initial and final blood pressure (BP) readings
were performed in the physician’s office; and interim home measurements were recorded telephonically. The intervention
incorporated home BP monitoring, fitness and nutritional counseling, and regular follow-up. Primary outcomes were change in
systolic BP and health-related quality of life. Using a univariate paired-samples pre–post design, we found an average 5.5% (7.6-
mm Hg) improvement in systolic BP (139.1 versus 131.5, t=10.32, P<0.001). Quality of life measured by the European quality of
life 5-dimension visual analog scale improved from 0.79 to 0.82 (t=31.03, P<0.001). After multivariate regression analyses,
improvements in quality of life and overall body mass index were significantly associated with reductions in systolic BP.
Conclusions-—A noninvasive, population health initiative that encourages routine engagement in patients’ own BP control was
associated with improvements in systolic BP and quality of life for this largely Latino community. (J Am Heart Assoc. 2018;7:
e010282. DOI: 10.1161/JAHA.118.010282.)
Key Words: blood pressure measurement/monitoring • ethnicity • hypertension • population
H ypertension remains a major but modifiable risk factorfor cardiovascular disease (CVD) and stroke in the
United States. It is estimated that the hypertension preva-
lence rates based on current guidelines affect 46% of the
population, or nearly 115 million adults in the United States
alone.1 The American Heart Association (AHA) established
strategic impact goals aimed at reducing CVD and stroke
deaths by 20% by the year 2020.2 The strategy introduced a
concept for cardiovascular health that is characterized by 7
metrics known as “Life’s Simple 7.”3 These metrics focus on
the patient’s self-engagement in monitoring their health and
key measures and emphasizes 4 health behaviors and 3
health factors, including blood pressure (BP) reduction.
Cardiovascular health has been shown to have ethnic and
racial variation due to genetic, culture, nutritional, socioeco-
nomic, and other factors.4,5 Hispanic and Latino people
(Latinos) compose the largest ...
Effects of a Community Population Health Initiative onBlood .docxtoltonkendal
Effects of a Community Population Health Initiative on
Blood Pressure Control in Latinos
James R. Langabeer II, PhD, EdD; Timothy D. Henry, MD, FACC; Carlos Perez Aldana, MS; Larissa DeLuna; Nora Silva, MPA;
Tiffany Champagne-Langabeer, PhD, RD
Background-—Hypertension remains one of the most important, modifiable cardiovascular risk factors. Yet, the largest minority
ethnic group (Hispanics/Latinos) often have different health outcomes and behavior, making hypertension management more
difficult. We explored the effects of an American Heart Association–sponsored population health intervention aimed at modifying
behavior of Latinos living in Texas.
Methods and Results-—We enrolled 8071 patients, and 5714 (65.7%) completed the 90-day program (58.5 years �11.7; 59%
female) from July 2016 to June 2018. Navigators identified patients with risk factors; initial and final blood pressure (BP) readings
were performed in the physician’s office; and interim home measurements were recorded telephonically. The intervention
incorporated home BP monitoring, fitness and nutritional counseling, and regular follow-up. Primary outcomes were change in
systolic BP and health-related quality of life. Using a univariate paired-samples pre–post design, we found an average 5.5% (7.6-
mm Hg) improvement in systolic BP (139.1 versus 131.5, t=10.32, P<0.001). Quality of life measured by the European quality of
life 5-dimension visual analog scale improved from 0.79 to 0.82 (t=31.03, P<0.001). After multivariate regression analyses,
improvements in quality of life and overall body mass index were significantly associated with reductions in systolic BP.
Conclusions-—A noninvasive, population health initiative that encourages routine engagement in patients’ own BP control was
associated with improvements in systolic BP and quality of life for this largely Latino community. (J Am Heart Assoc. 2018;7:
e010282. DOI: 10.1161/JAHA.118.010282.)
Key Words: blood pressure measurement/monitoring • ethnicity • hypertension • population
H ypertension remains a major but modifiable risk factorfor cardiovascular disease (CVD) and stroke in the
United States. It is estimated that the hypertension preva-
lence rates based on current guidelines affect 46% of the
population, or nearly 115 million adults in the United States
alone.1 The American Heart Association (AHA) established
strategic impact goals aimed at reducing CVD and stroke
deaths by 20% by the year 2020.2 The strategy introduced a
concept for cardiovascular health that is characterized by 7
metrics known as “Life’s Simple 7.”3 These metrics focus on
the patient’s self-engagement in monitoring their health and
key measures and emphasizes 4 health behaviors and 3
health factors, including blood pressure (BP) reduction.
Cardiovascular health has been shown to have ethnic and
racial variation due to genetic, culture, nutritional, socioeco-
nomic, and other factors.4,5 Hispanic and Latino people
(Latinos) compose the largest .
511vol. 14 • no. 5 American Journal of Lifestyle Medicine.docxstandfordabbot
511
vol. 14 • no. 5 American Journal of Lifestyle Medicine
AnAlytic
Abstract: There is overwhelming
evidence in the scientific and medical
literature that physical inactivity is a
major public health problem with a
wide array of harmful effects. Over 50%
of health status can be attributed to
unhealthy behaviors with smoking, diet,
and physical inactivity as the main
contributors. Exercise has been used
in both the treatment and prevention
of a variety of chronic conditions such
as heart disease, pulmonary disease,
diabetes, and obesity. While the
negative effects of physical inactivity
are widely known, there is a gap
between what physicians tell their
patients and exercise compliance.
Exercise is Medicine was established
in 2007 by the American College of
Sports Medicine to inform and educate
physicians and other health care
providers about exercise as well as
bridge the widening gap between health
care and health fitness. Physicians have
many competing demands at the point
of care, which often translates into
limited time spent counseling patients.
The consistent message from all health
care providers to their patients should
be to start or to continue a regular
exercise program. Exercise is Medicine
is a solution that enables physicians to
support their patients in implementing
exercise as part of their disease
prevention and treatment strategies.
Keywords: inactivity; exercise; vitals;
behaviors; referral
Physical inactivity underlies many
of the chronic conditions that
affect people worldwide, has an
astonishing array of harmful health
effects, and is associated with escalating
health care costs. For example, 7 cancers
have been linked to a physically inactive
lifestyle.1 Depression affects 17 million
Americans2 and has been directly linked
to insufficient physical activity.3
Alzheimer’s disease and related
dementias are increasing at a frightening
rate. By 2025, the number of people
aged 65 years and older with Alzheimer’s
disease is expected to reach 7.1 million
people. In the United States alone, more
than 30 million adults are estimated to
have diabetes,4 95% of whom have type
2 diabetes (T2DM). Considering that a
new case of diabetes is diagnosed every
21 seconds, it is no surprise that diabetes
is the most expensive disease in America,
coming in at a price tag of $327 billion
annually.5 Underlying the vast majority of
T2DM are unhealthy lifestyle behaviors
(poor nutrition and insufficient physical
activity leading to overweight and
obesity). In addition to T2DM, an
unhealthy lifestyle (including tobacco
use, excessive alcohol intake, poor sleep,
and stress) underlies prevalent and costly
chronic diseases (eg, heart disease and
cancer) leading to premature morbidity
and mortality.
While other determinants of health
(genetics, environment, and medical
care) influence health outcomes, by far
the most important factor contributing to
health outcomes is in.
This study analyzed US health care spending from 1996-2013 using 183 data sources to estimate spending for 155 conditions stratified by age, sex, and type of care. The key findings were:
1) Diabetes had the highest spending in 2013 at $101.4 billion, with 57.6% spent on pharmaceuticals and 23.5% on ambulatory care.
2) Ischemic heart disease and low back/neck pain had the second and third highest spending in 2013.
3) Spending increased for 143 of 155 conditions from 1996-2013, with the largest increases for diabetes ($64.4 billion) and low back/neck pain ($57.2 billion).
4) Emergency
Predicting Trends in Preventive Care Service Utilization Impacting Cardiovasc...gpartha85
This study aimed to characterize patterns of preventive care service utilization for cardiovascular disease and predict trends in a U.S. population using national health survey data. Descriptive analyses found high utilization of blood pressure and cholesterol screening across populations. Logistic regression identified factors associated with screening, such as women and Asians being less likely than men and other races to receive screenings. The results can help guide policies to reinforce screening guidelines for underserved groups.
A correlation study to determine the effect of diabetes self management on di...Kurt Naugles M.D., M.P.H.
Self-Management in this presentation refers to those activities people undertake in an effort to promote health, prevent disease, limit illness, and restore well being. Several investigators contend that self-management be made a major component of many patient health-care strategy (Glasgow, et al., 2001; Wagner, et al., 2001). Currently, nearly 125 million Americans suffer from chronic debilitating illnesses (Anderson, 2000). These national figures clearly underscore the need to develop a multidimensional approach in regards to disease management. Accordingly, measures that incorporate the patient’s perspective in managing his or her health should be explored.
Diabetes mellitus is among those conditions suspected to be highly influenced by self-management activities (Sprangers, et. al., 2000). If benefits do indeed exist, they need to be fully evidenced. The investigation presented here sought to examine the role self management plays in the health outcomes of individuals living with diabetes.
Health Awareness as a Predictor of Chronic Non-Communicable Diseases in St. V...Jodean Campbell
Objective:
To evaluate the effect of health awareness on health values such as dietary structure and choices. To evaluate the effect of health awareness levels on the presence of Chronic Noncommunicable Diseases in St. Vincent and the Grenadines.
Results:
Participants with high awareness levels have higher educational levels and lower incidences of non-communicable diseases than individuals with low awareness levels. Chi square test gave a p value less than 0.00001 for the association between awareness level and disease. The relationship between awareness level and education, yielded a p value of 0.000088.
This document summarizes a study that aims to use a mobile app and behavioral intervention to help lower blood pressure by following the DASH diet plan. Participants will use the app to track their diet, weight, blood pressure and activity levels over 12 weeks. They will also receive weekly counseling from health coaches. The main goal is to see if this mHealth approach can successfully reduce blood pressure and improve healthy behaviors. Materials for the study include a custom mobile app, web portal, Bluetooth devices to track metrics, and health coaches trained in the DASH plan and motivational interviewing.
The document is a summary of evidence-based guidelines for managing high blood pressure in adults. It recommends:
1) Treating hypertensive persons aged 60 or older to a blood pressure goal of less than 150/90 mm Hg, and those aged 30-59 to less than 140/90 mm Hg.
2) Initiating drug treatment for nonblack populations with angiotensin-converting enzyme inhibitors, angiotensin receptor blockers, calcium channel blockers, or thiazide-type diuretics. For black populations, recommend calcium channel blockers or thiazide-type diuretics.
3) Treating hypertensive adults with diabetes or chronic kidney disease to
The investigation (summarized in the attached slides) analyzed how at-risk obese/overweight patients interact with beneficial interventions (2013 AHA/ACC risk, cholesterol, obesity and lifestyle prevention guidelines). The study estimated the savings potential if overweight/obese patients in the ACC/AHA four statin benefit groups stepped-down one risk level.
Title: Cost Of Obesity-Based Heart Risk In The Context Of Preventive And Managed Care Decision-Making: An NHANES Cross-Sectional Concurrent Study
By: John Frias Morales
Running Head PICOT1PICOT4Comment by Crystal Bowm.docxglendar3
Running Head: PICOT 1
PICOT 4
Comment by Crystal Bowman: Hi Yeni…..You did a good job overall with your paper. I do not see an actual PICOT question presented so it is difficult to tell what your primary focus is. Please see the comments for feedback. Thanks, Prof Bowman & Tania
PicotPICOT
GCU NRS-490Yeni Hernandez
Yeni HernandezGrand Canyon University: NRS 490 Comment by tania: Incorrect title page format.
Title
Student’s Name
Grand Canyon University: course prefix and number
Date
December 9, 2018
Picot
This paper discusses the unprecedented complexities and issues related to dementia and particularly people living with dementia (PWD) and research in the field utilizing the quantitative measures to understand the severity of the symptoms as stipulated by Pan et al. (2013) of 51 patients with vascular dementia. The primary focus of the study is based on the demographics of old or aging populations who have been outlined as people at higher risks and prevalence of vascular and dementia complexities.
Problem/Patient Population
The research analysis presents the aging population as the primary population considering that dementia affects people in their senior years. The severities of the behavioral and psychological symptoms consistent with vascular dementia are outlined based on the metrics set through quantitative measures for 51 patients in three environments, diurnal, evening and nocturnal events. Considering that dementia dimension is mainly characterized by amnesia and memory loss the conflict in concern with this population, especially with the old or aging population, is presented through the effective delivery of care to and achieveing better patient outcomes for the PWD. patients. It is critical to note that dementia reduces the functionalities of the patients, thereby increasing the risks of other issues includingsuch as becoming unfit due to lack of exercise. among other concerns.
Intervention
For this particular group of patients, the intervention is solely based on improving outcomes and maintaining a comfortable lifestyle for the outlined patients at risks (Hughes & Common, 2015). The intervention is based on a combination of two aspects:; exercise and medication. By iIntegrating a routine exercises plan to for patients with dementia, it has been shown that exercise can to improve memory loss symptoms as well as keep improving the patient fitness. It has been shown that rRegular exercise results in an improvements of brain functions in two ways; both indirect methods and direct methods. Indirectly exercise helps by stimulatinge and improvinge mood, and sleep, as well as reducinge stress and anxiety. Theseis is are common characteristics of vascular dementia in among the older populationgenerations. Directly the benefits are derived from the ability of exercise to reduce insulin resistance, decrease reducing inflammation and stimulateion of the growth factors. In the older population people with dementia, “chem.
Running Head PICOT1PICOT4Comment by Crystal Bowm.docxtodd581
Running Head: PICOT 1
PICOT 4
Comment by Crystal Bowman: Hi Yeni…..You did a good job overall with your paper. I do not see an actual PICOT question presented so it is difficult to tell what your primary focus is. Please see the comments for feedback. Thanks, Prof Bowman & Tania
PicotPICOT
GCU NRS-490Yeni Hernandez
Yeni HernandezGrand Canyon University: NRS 490 Comment by tania: Incorrect title page format.
Title
Student’s Name
Grand Canyon University: course prefix and number
Date
December 9, 2018
Picot
This paper discusses the unprecedented complexities and issues related to dementia and particularly people living with dementia (PWD) and research in the field utilizing the quantitative measures to understand the severity of the symptoms as stipulated by Pan et al. (2013) of 51 patients with vascular dementia. The primary focus of the study is based on the demographics of old or aging populations who have been outlined as people at higher risks and prevalence of vascular and dementia complexities.
Problem/Patient Population
The research analysis presents the aging population as the primary population considering that dementia affects people in their senior years. The severities of the behavioral and psychological symptoms consistent with vascular dementia are outlined based on the metrics set through quantitative measures for 51 patients in three environments, diurnal, evening and nocturnal events. Considering that dementia dimension is mainly characterized by amnesia and memory loss the conflict in concern with this population, especially with the old or aging population, is presented through the effective delivery of care to and achieveing better patient outcomes for the PWD. patients. It is critical to note that dementia reduces the functionalities of the patients, thereby increasing the risks of other issues includingsuch as becoming unfit due to lack of exercise. among other concerns.
Intervention
For this particular group of patients, the intervention is solely based on improving outcomes and maintaining a comfortable lifestyle for the outlined patients at risks (Hughes & Common, 2015). The intervention is based on a combination of two aspects:; exercise and medication. By iIntegrating a routine exercises plan to for patients with dementia, it has been shown that exercise can to improve memory loss symptoms as well as keep improving the patient fitness. It has been shown that rRegular exercise results in an improvements of brain functions in two ways; both indirect methods and direct methods. Indirectly exercise helps by stimulatinge and improvinge mood, and sleep, as well as reducinge stress and anxiety. Theseis is are common characteristics of vascular dementia in among the older populationgenerations. Directly the benefits are derived from the ability of exercise to reduce insulin resistance, decrease reducing inflammation and stimulateion of the growth factors. In the older population people with dementia, “chem.
The document summarizes the key findings and recommendations from a systematic review of evidence on the management of high blood pressure conducted by the Eighth Joint National Committee panel members. The panel recommends treating hypertensive patients aged 60 or older to a blood pressure goal of less than 150/90 mm Hg, and those aged 30-59 to a goal of less than 140/90 mm Hg. For nonblack patients, including those with diabetes, initial drug treatment should include a thiazide-type diuretic, calcium channel blocker, angiotensin-converting enzyme inhibitor, or angiotensin receptor blocker. For black patients, including those with diabetes, a calcium channel blocker or thiazide-type di
SPT 208 Final Project Guidelines and Rubric Overview .docxsusanschei
SPT 208 Final Project Guidelines and Rubric
Overview
Marketing and advertising are often used interchangeably, yet throughout this course you have learned that marketing is a much larger concept that requires a
strong understanding of consumer behavior, products and services, and often the greater economic environment. Marketing is applicable to every industry and
discipline in one way or another, but within the sport industry we have the chance to see the application of marketing concepts as if under a spotlight due to the
industry’s global reach and importance to society.
Your final project is the creation of an Opportunity and Consumer Analysis. You will select a sport team, individual, facility, or organization as the focus of your
consumer and opportunity analysis. When selecting your area of focus, think about your interests and career aspirations. As you progress through the course,
you will have the opportunity to practice the skills required for this project in several milestone activities. Your final deliverable will include a strengths,
weaknesses, opportunities, and threats (SWOT) analysis of your selected focus; a consumer analysis; an analysis of successful marketing and media strategies;
and a brief 1-, 3-, and 5-year plan that allows you to explain your intended use of a proven marketing strategy and various media opportunities. Please note that
your Opportunity and Consumer Analysis will be an eligible artifact to include in your program portfolio, as it will highlight your ability to recognize consumer
characteristics and opportunities for brand improvement.
The project is divided into two milestones, which will be submitted at various points throughout the course to scaffold learning and ensure quality final
submissions. These milestones will be submitted in Modules Three and Five. The final Opportunity and Consumer Analysis will be submitted in Module Seven.
This assessment addresses the following course outcomes:
• Analyze consumer behaviors for the influence of political, cultural, and social events on consumer motivation at the local, national, or international
levels within the sport industry
• Illustrate the application of key marketing strategies in successful sport-specific marketing campaigns
• Identify proven marketing strategies that can be successfully applied to specific sport marketing scenarios to attract consumers
• Compare media opportunities for successfully communicating and marketing towards specific consumers within the sport industry
Prompt
Develop a comprehensive Opportunity and Consumer Analysis. Select a sport team, individual, facility, or organization and provide a thorough analysis of the
existing marketing strategies and consumers, and determine an opportunity for greater consumer reach. Outline a brief 1-, 3-, and 5-year plan for the marketing
opportunity.
Specifically, the following critical elements must be addressed:
I. Marketing Foc.
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The document summarizes cardiovascular disease (CVD) prevalence, costs, risk factors, and prevention programs in the United States. It notes that CVD is the leading cause of death, costs over $444 billion annually in healthcare expenditures, and that over 83 million Americans have at least one CVD. Risk factors discussed include hypertension, high cholesterol, smoking, obesity, physical inactivity, and diabetes. Prevention programs highlighted are the Sodium Reduction Community Program and WISEWOMAN program, which provide screening, lifestyle programs, and referrals to underserved women.
Diabetes Evidence Based Practice Paper.pdfsdfghj21
The document discusses using an evidence-based practice paper to improve population health outcomes for diabetes. It recommends explaining how evidence-based practices could better manage diabetes and provide a higher return on investment. The Health Belief Model is presented as a framework to help those with diabetes manage their condition through behavior change. Specifically, it could encourage self-care behaviors important for chronic disease management.
Strategies for reducing morbidity and mortality from diabetes through healthสปสช นครสวรรค์
This document summarizes recommendations from the Task Force on Community Preventive Services regarding interventions to reduce morbidity and mortality from diabetes. It finds that disease and case management in healthcare systems are strongly recommended for people with diabetes. It also recommends diabetes self-management education in community settings like community centers for adults, and in the home for children and adolescents with type 1 diabetes. There was insufficient evidence to recommend other settings or for adults with type 2 diabetes in the home. The Task Force conducted systematic reviews of interventions focused on healthcare systems and community-based self-management education.
This is the ongoing project discussion portion of this class. My pop.docxglennf2
This is the ongoing project discussion portion of this class. My population is geriatric/elderly. The problem is BP...
I will attach previous discussions because it all needs to tie in together
350 words
at least 3 references cited in the discussion.
must be last 5 years
Overview: Dr. Marcia Stanhope (2020) explained that evidence-based public health practice refers to those decisions made by using the best available evidence, data and information systems and program frameworks; engaging community stakeholders in the decision-making process; evaluating the results; and then disseminating that information to those who can use the information.
Practicum Discussion: This week, your assignment will be to incorporate all of the information you have gathered from the community—including the population itself, health data, interviews/conversations with interested community members, and your community assessment, including your Windshield Survey—as well as what you have gathered from scholarly literature to propose measureable interventions. Measureable interventions mean that the results can be measured through some data that could be collected (Stanhope, 2020). This requires thinking in terms of actions and then measuring results. An evaluation of interventions is important to see whether or not they are effective in solving a health care problem. Remember, you will need to use the data you gathered to determine whether or not a problem exists in your community and to then determine whether your interventions might be effective.
Please discuss the following points in your Practicum Discussion:
Identify one evidence-based behavior change that would promote health in your selected population.
Suggest one specific culturally sensitive, evidence-based, measureable intervention to address the health problem for your selected population.
Think in terms of measuring outcomes. What outcomes would you expect to see once the intervention(s) are in place? Be specific.
By Day 4
Post
your response to this Discussion.
Support your response with references from the professional nursing literature.
GOAL of PRACTICUM PROJECT
Overall Purpose for Practicum:
Develop a potential project to improve the health of a specific population of interest or a population at risk.
This practicum is designed to help you develop as a scholar practitioner and health leader to promote positive social change in your own community. In this practicum experience you will focus on
primary prevention
of a health problem in your community (see text for definition.) You already possess the knowledge and skills to help those who are acutely ill. This experience will help learn how to prevent a health problem in a specific population at risk at the
community and system level of care
(see text for definition). Consequently, because you are well aware of how to care for individuals you will now develop leadership and advocacy skills to improve the health of the communi.
Running head Community Teaching Work Plan ProposalPrimary Pre.docxhealdkathaleen
This document outlines a teaching plan for educating young adults aged 25-38 about preventing heart disease. The plan involves teaching for 1.5 hours at a group home, using a laptop, snacks, and pamphlets. The teaching will focus on the risks and prevention of heart disease, using statistics to emphasize the importance. The goals are to improve the audience's knowledge of heart disease and its prevention, as well as support the Healthy People 2020 objective of reducing coronary heart disease deaths. The teaching methods will actively engage the audience and use visual aids and discussion to communicate key messages effectively.
The Hidden Risk That Is Tearing Your Company Apart Acbg 3 30 10leanhealthguru
The ACBG Edge is an process that allows construction companies manage the health and productivity risk of their employees. This complements American Construction Benefits Group\’s Lean Health Insurance Advantage. Together, these construction wellness processes create champion companies in 3 short years.
Predicting Trends in Preventive Care Service Utilization Impacting Cardiovasc...gpartha85
National reports point towards disparities in the utilization of preventive care services but sparse literature exists regarding predicting utilization pattern of preventive care services.
METHODS: The 2007 Medical Expenditure Panel Survey (MEPS), a national probability sample survey of the ambulatory civilian US population, was analyzed to determine demographic patterns of utilization. Recommendations by JNC-VII and NCEP were used to determine guideline adherence to blood pressure and cholesterol checkup respectively. Utilization of blood pressure screening and cholesterol checkup services were used as the dependent variable while age, gender, race, ethnicity, insurance status, perceived health status were used as independent variables. Since guidelines differ for people with elevated blood pressure, respondents with elevated blood pressure were identified in the MEPS database by self-reported diagnosis. Descriptive statistics were used to describe the population, chi-square analysis was used to determine the group differences for the categorical variables. Multivariate logistic regression model was built to predict odds of utilizing appropriate preventive se!
rvices. All analysis was carried out using SAS v9.1.
RESULTS: Total number of adult respondents was 20,434 of which data was available for blood pressure checkup for 20,187 respondents and 15,784 respondents for cholesterol checkup. Overall, respondents were found to adhere to guideline recommendations for getting the blood pressure (n=17,959, 89.0%) and cholesterol (n=14,956, 94.7%) check-up done. A univariate chi-square analysis showed statistically significant differences across all independent variables between people who utilized the preventive care service and those who didn t for blood pressure checkup (p<0><0>65) had much higher odds of using the blood pressure (OR=2.815, CI=2.317-3.420 ) and cholesterol (OR=3.190, CI=2.396-4.!
249 ) preventive services. Males had much lower odds of getting blood pressure (OR=0.350, CI=0.318-0.384) and cholesterol (OR=0.597, CI=0.516-0.692) checks done compared to females. Odds of utilization were nearly similar for all races. Uninsured had lower odds for blood pressure (OR=0.282, CI=0.253-0.315) and cholesterol (OR=0.314, CI=0.262-0.376) use compared to privately insured people.
CONCLUSIONS: Overall MEPS respondents adhered to blood pressure and cholesterol check up guidelines. The study was however successful in identifying existing age, race, income, insurance status related disparities in US population.
Effects of a Community Population Health Initiative onBlood .docxgidmanmary
Effects of a Community Population Health Initiative on
Blood Pressure Control in Latinos
James R. Langabeer II, PhD, EdD; Timothy D. Henry, MD, FACC; Carlos Perez Aldana, MS; Larissa DeLuna; Nora Silva, MPA;
Tiffany Champagne-Langabeer, PhD, RD
Background-—Hypertension remains one of the most important, modifiable cardiovascular risk factors. Yet, the largest minority
ethnic group (Hispanics/Latinos) often have different health outcomes and behavior, making hypertension management more
difficult. We explored the effects of an American Heart Association–sponsored population health intervention aimed at modifying
behavior of Latinos living in Texas.
Methods and Results-—We enrolled 8071 patients, and 5714 (65.7%) completed the 90-day program (58.5 years �11.7; 59%
female) from July 2016 to June 2018. Navigators identified patients with risk factors; initial and final blood pressure (BP) readings
were performed in the physician’s office; and interim home measurements were recorded telephonically. The intervention
incorporated home BP monitoring, fitness and nutritional counseling, and regular follow-up. Primary outcomes were change in
systolic BP and health-related quality of life. Using a univariate paired-samples pre–post design, we found an average 5.5% (7.6-
mm Hg) improvement in systolic BP (139.1 versus 131.5, t=10.32, P<0.001). Quality of life measured by the European quality of
life 5-dimension visual analog scale improved from 0.79 to 0.82 (t=31.03, P<0.001). After multivariate regression analyses,
improvements in quality of life and overall body mass index were significantly associated with reductions in systolic BP.
Conclusions-—A noninvasive, population health initiative that encourages routine engagement in patients’ own BP control was
associated with improvements in systolic BP and quality of life for this largely Latino community. (J Am Heart Assoc. 2018;7:
e010282. DOI: 10.1161/JAHA.118.010282.)
Key Words: blood pressure measurement/monitoring • ethnicity • hypertension • population
H ypertension remains a major but modifiable risk factorfor cardiovascular disease (CVD) and stroke in the
United States. It is estimated that the hypertension preva-
lence rates based on current guidelines affect 46% of the
population, or nearly 115 million adults in the United States
alone.1 The American Heart Association (AHA) established
strategic impact goals aimed at reducing CVD and stroke
deaths by 20% by the year 2020.2 The strategy introduced a
concept for cardiovascular health that is characterized by 7
metrics known as “Life’s Simple 7.”3 These metrics focus on
the patient’s self-engagement in monitoring their health and
key measures and emphasizes 4 health behaviors and 3
health factors, including blood pressure (BP) reduction.
Cardiovascular health has been shown to have ethnic and
racial variation due to genetic, culture, nutritional, socioeco-
nomic, and other factors.4,5 Hispanic and Latino people
(Latinos) compose the largest ...
Effects of a Community Population Health Initiative onBlood .docxtoltonkendal
Effects of a Community Population Health Initiative on
Blood Pressure Control in Latinos
James R. Langabeer II, PhD, EdD; Timothy D. Henry, MD, FACC; Carlos Perez Aldana, MS; Larissa DeLuna; Nora Silva, MPA;
Tiffany Champagne-Langabeer, PhD, RD
Background-—Hypertension remains one of the most important, modifiable cardiovascular risk factors. Yet, the largest minority
ethnic group (Hispanics/Latinos) often have different health outcomes and behavior, making hypertension management more
difficult. We explored the effects of an American Heart Association–sponsored population health intervention aimed at modifying
behavior of Latinos living in Texas.
Methods and Results-—We enrolled 8071 patients, and 5714 (65.7%) completed the 90-day program (58.5 years �11.7; 59%
female) from July 2016 to June 2018. Navigators identified patients with risk factors; initial and final blood pressure (BP) readings
were performed in the physician’s office; and interim home measurements were recorded telephonically. The intervention
incorporated home BP monitoring, fitness and nutritional counseling, and regular follow-up. Primary outcomes were change in
systolic BP and health-related quality of life. Using a univariate paired-samples pre–post design, we found an average 5.5% (7.6-
mm Hg) improvement in systolic BP (139.1 versus 131.5, t=10.32, P<0.001). Quality of life measured by the European quality of
life 5-dimension visual analog scale improved from 0.79 to 0.82 (t=31.03, P<0.001). After multivariate regression analyses,
improvements in quality of life and overall body mass index were significantly associated with reductions in systolic BP.
Conclusions-—A noninvasive, population health initiative that encourages routine engagement in patients’ own BP control was
associated with improvements in systolic BP and quality of life for this largely Latino community. (J Am Heart Assoc. 2018;7:
e010282. DOI: 10.1161/JAHA.118.010282.)
Key Words: blood pressure measurement/monitoring • ethnicity • hypertension • population
H ypertension remains a major but modifiable risk factorfor cardiovascular disease (CVD) and stroke in the
United States. It is estimated that the hypertension preva-
lence rates based on current guidelines affect 46% of the
population, or nearly 115 million adults in the United States
alone.1 The American Heart Association (AHA) established
strategic impact goals aimed at reducing CVD and stroke
deaths by 20% by the year 2020.2 The strategy introduced a
concept for cardiovascular health that is characterized by 7
metrics known as “Life’s Simple 7.”3 These metrics focus on
the patient’s self-engagement in monitoring their health and
key measures and emphasizes 4 health behaviors and 3
health factors, including blood pressure (BP) reduction.
Cardiovascular health has been shown to have ethnic and
racial variation due to genetic, culture, nutritional, socioeco-
nomic, and other factors.4,5 Hispanic and Latino people
(Latinos) compose the largest .
511vol. 14 • no. 5 American Journal of Lifestyle Medicine.docxstandfordabbot
511
vol. 14 • no. 5 American Journal of Lifestyle Medicine
AnAlytic
Abstract: There is overwhelming
evidence in the scientific and medical
literature that physical inactivity is a
major public health problem with a
wide array of harmful effects. Over 50%
of health status can be attributed to
unhealthy behaviors with smoking, diet,
and physical inactivity as the main
contributors. Exercise has been used
in both the treatment and prevention
of a variety of chronic conditions such
as heart disease, pulmonary disease,
diabetes, and obesity. While the
negative effects of physical inactivity
are widely known, there is a gap
between what physicians tell their
patients and exercise compliance.
Exercise is Medicine was established
in 2007 by the American College of
Sports Medicine to inform and educate
physicians and other health care
providers about exercise as well as
bridge the widening gap between health
care and health fitness. Physicians have
many competing demands at the point
of care, which often translates into
limited time spent counseling patients.
The consistent message from all health
care providers to their patients should
be to start or to continue a regular
exercise program. Exercise is Medicine
is a solution that enables physicians to
support their patients in implementing
exercise as part of their disease
prevention and treatment strategies.
Keywords: inactivity; exercise; vitals;
behaviors; referral
Physical inactivity underlies many
of the chronic conditions that
affect people worldwide, has an
astonishing array of harmful health
effects, and is associated with escalating
health care costs. For example, 7 cancers
have been linked to a physically inactive
lifestyle.1 Depression affects 17 million
Americans2 and has been directly linked
to insufficient physical activity.3
Alzheimer’s disease and related
dementias are increasing at a frightening
rate. By 2025, the number of people
aged 65 years and older with Alzheimer’s
disease is expected to reach 7.1 million
people. In the United States alone, more
than 30 million adults are estimated to
have diabetes,4 95% of whom have type
2 diabetes (T2DM). Considering that a
new case of diabetes is diagnosed every
21 seconds, it is no surprise that diabetes
is the most expensive disease in America,
coming in at a price tag of $327 billion
annually.5 Underlying the vast majority of
T2DM are unhealthy lifestyle behaviors
(poor nutrition and insufficient physical
activity leading to overweight and
obesity). In addition to T2DM, an
unhealthy lifestyle (including tobacco
use, excessive alcohol intake, poor sleep,
and stress) underlies prevalent and costly
chronic diseases (eg, heart disease and
cancer) leading to premature morbidity
and mortality.
While other determinants of health
(genetics, environment, and medical
care) influence health outcomes, by far
the most important factor contributing to
health outcomes is in.
This study analyzed US health care spending from 1996-2013 using 183 data sources to estimate spending for 155 conditions stratified by age, sex, and type of care. The key findings were:
1) Diabetes had the highest spending in 2013 at $101.4 billion, with 57.6% spent on pharmaceuticals and 23.5% on ambulatory care.
2) Ischemic heart disease and low back/neck pain had the second and third highest spending in 2013.
3) Spending increased for 143 of 155 conditions from 1996-2013, with the largest increases for diabetes ($64.4 billion) and low back/neck pain ($57.2 billion).
4) Emergency
Predicting Trends in Preventive Care Service Utilization Impacting Cardiovasc...gpartha85
This study aimed to characterize patterns of preventive care service utilization for cardiovascular disease and predict trends in a U.S. population using national health survey data. Descriptive analyses found high utilization of blood pressure and cholesterol screening across populations. Logistic regression identified factors associated with screening, such as women and Asians being less likely than men and other races to receive screenings. The results can help guide policies to reinforce screening guidelines for underserved groups.
A correlation study to determine the effect of diabetes self management on di...Kurt Naugles M.D., M.P.H.
Self-Management in this presentation refers to those activities people undertake in an effort to promote health, prevent disease, limit illness, and restore well being. Several investigators contend that self-management be made a major component of many patient health-care strategy (Glasgow, et al., 2001; Wagner, et al., 2001). Currently, nearly 125 million Americans suffer from chronic debilitating illnesses (Anderson, 2000). These national figures clearly underscore the need to develop a multidimensional approach in regards to disease management. Accordingly, measures that incorporate the patient’s perspective in managing his or her health should be explored.
Diabetes mellitus is among those conditions suspected to be highly influenced by self-management activities (Sprangers, et. al., 2000). If benefits do indeed exist, they need to be fully evidenced. The investigation presented here sought to examine the role self management plays in the health outcomes of individuals living with diabetes.
Health Awareness as a Predictor of Chronic Non-Communicable Diseases in St. V...Jodean Campbell
Objective:
To evaluate the effect of health awareness on health values such as dietary structure and choices. To evaluate the effect of health awareness levels on the presence of Chronic Noncommunicable Diseases in St. Vincent and the Grenadines.
Results:
Participants with high awareness levels have higher educational levels and lower incidences of non-communicable diseases than individuals with low awareness levels. Chi square test gave a p value less than 0.00001 for the association between awareness level and disease. The relationship between awareness level and education, yielded a p value of 0.000088.
This document summarizes a study that aims to use a mobile app and behavioral intervention to help lower blood pressure by following the DASH diet plan. Participants will use the app to track their diet, weight, blood pressure and activity levels over 12 weeks. They will also receive weekly counseling from health coaches. The main goal is to see if this mHealth approach can successfully reduce blood pressure and improve healthy behaviors. Materials for the study include a custom mobile app, web portal, Bluetooth devices to track metrics, and health coaches trained in the DASH plan and motivational interviewing.
The document is a summary of evidence-based guidelines for managing high blood pressure in adults. It recommends:
1) Treating hypertensive persons aged 60 or older to a blood pressure goal of less than 150/90 mm Hg, and those aged 30-59 to less than 140/90 mm Hg.
2) Initiating drug treatment for nonblack populations with angiotensin-converting enzyme inhibitors, angiotensin receptor blockers, calcium channel blockers, or thiazide-type diuretics. For black populations, recommend calcium channel blockers or thiazide-type diuretics.
3) Treating hypertensive adults with diabetes or chronic kidney disease to
The investigation (summarized in the attached slides) analyzed how at-risk obese/overweight patients interact with beneficial interventions (2013 AHA/ACC risk, cholesterol, obesity and lifestyle prevention guidelines). The study estimated the savings potential if overweight/obese patients in the ACC/AHA four statin benefit groups stepped-down one risk level.
Title: Cost Of Obesity-Based Heart Risk In The Context Of Preventive And Managed Care Decision-Making: An NHANES Cross-Sectional Concurrent Study
By: John Frias Morales
Running Head PICOT1PICOT4Comment by Crystal Bowm.docxglendar3
Running Head: PICOT 1
PICOT 4
Comment by Crystal Bowman: Hi Yeni…..You did a good job overall with your paper. I do not see an actual PICOT question presented so it is difficult to tell what your primary focus is. Please see the comments for feedback. Thanks, Prof Bowman & Tania
PicotPICOT
GCU NRS-490Yeni Hernandez
Yeni HernandezGrand Canyon University: NRS 490 Comment by tania: Incorrect title page format.
Title
Student’s Name
Grand Canyon University: course prefix and number
Date
December 9, 2018
Picot
This paper discusses the unprecedented complexities and issues related to dementia and particularly people living with dementia (PWD) and research in the field utilizing the quantitative measures to understand the severity of the symptoms as stipulated by Pan et al. (2013) of 51 patients with vascular dementia. The primary focus of the study is based on the demographics of old or aging populations who have been outlined as people at higher risks and prevalence of vascular and dementia complexities.
Problem/Patient Population
The research analysis presents the aging population as the primary population considering that dementia affects people in their senior years. The severities of the behavioral and psychological symptoms consistent with vascular dementia are outlined based on the metrics set through quantitative measures for 51 patients in three environments, diurnal, evening and nocturnal events. Considering that dementia dimension is mainly characterized by amnesia and memory loss the conflict in concern with this population, especially with the old or aging population, is presented through the effective delivery of care to and achieveing better patient outcomes for the PWD. patients. It is critical to note that dementia reduces the functionalities of the patients, thereby increasing the risks of other issues includingsuch as becoming unfit due to lack of exercise. among other concerns.
Intervention
For this particular group of patients, the intervention is solely based on improving outcomes and maintaining a comfortable lifestyle for the outlined patients at risks (Hughes & Common, 2015). The intervention is based on a combination of two aspects:; exercise and medication. By iIntegrating a routine exercises plan to for patients with dementia, it has been shown that exercise can to improve memory loss symptoms as well as keep improving the patient fitness. It has been shown that rRegular exercise results in an improvements of brain functions in two ways; both indirect methods and direct methods. Indirectly exercise helps by stimulatinge and improvinge mood, and sleep, as well as reducinge stress and anxiety. Theseis is are common characteristics of vascular dementia in among the older populationgenerations. Directly the benefits are derived from the ability of exercise to reduce insulin resistance, decrease reducing inflammation and stimulateion of the growth factors. In the older population people with dementia, “chem.
Running Head PICOT1PICOT4Comment by Crystal Bowm.docxtodd581
Running Head: PICOT 1
PICOT 4
Comment by Crystal Bowman: Hi Yeni…..You did a good job overall with your paper. I do not see an actual PICOT question presented so it is difficult to tell what your primary focus is. Please see the comments for feedback. Thanks, Prof Bowman & Tania
PicotPICOT
GCU NRS-490Yeni Hernandez
Yeni HernandezGrand Canyon University: NRS 490 Comment by tania: Incorrect title page format.
Title
Student’s Name
Grand Canyon University: course prefix and number
Date
December 9, 2018
Picot
This paper discusses the unprecedented complexities and issues related to dementia and particularly people living with dementia (PWD) and research in the field utilizing the quantitative measures to understand the severity of the symptoms as stipulated by Pan et al. (2013) of 51 patients with vascular dementia. The primary focus of the study is based on the demographics of old or aging populations who have been outlined as people at higher risks and prevalence of vascular and dementia complexities.
Problem/Patient Population
The research analysis presents the aging population as the primary population considering that dementia affects people in their senior years. The severities of the behavioral and psychological symptoms consistent with vascular dementia are outlined based on the metrics set through quantitative measures for 51 patients in three environments, diurnal, evening and nocturnal events. Considering that dementia dimension is mainly characterized by amnesia and memory loss the conflict in concern with this population, especially with the old or aging population, is presented through the effective delivery of care to and achieveing better patient outcomes for the PWD. patients. It is critical to note that dementia reduces the functionalities of the patients, thereby increasing the risks of other issues includingsuch as becoming unfit due to lack of exercise. among other concerns.
Intervention
For this particular group of patients, the intervention is solely based on improving outcomes and maintaining a comfortable lifestyle for the outlined patients at risks (Hughes & Common, 2015). The intervention is based on a combination of two aspects:; exercise and medication. By iIntegrating a routine exercises plan to for patients with dementia, it has been shown that exercise can to improve memory loss symptoms as well as keep improving the patient fitness. It has been shown that rRegular exercise results in an improvements of brain functions in two ways; both indirect methods and direct methods. Indirectly exercise helps by stimulatinge and improvinge mood, and sleep, as well as reducinge stress and anxiety. Theseis is are common characteristics of vascular dementia in among the older populationgenerations. Directly the benefits are derived from the ability of exercise to reduce insulin resistance, decrease reducing inflammation and stimulateion of the growth factors. In the older population people with dementia, “chem.
The document summarizes the key findings and recommendations from a systematic review of evidence on the management of high blood pressure conducted by the Eighth Joint National Committee panel members. The panel recommends treating hypertensive patients aged 60 or older to a blood pressure goal of less than 150/90 mm Hg, and those aged 30-59 to a goal of less than 140/90 mm Hg. For nonblack patients, including those with diabetes, initial drug treatment should include a thiazide-type diuretic, calcium channel blocker, angiotensin-converting enzyme inhibitor, or angiotensin receptor blocker. For black patients, including those with diabetes, a calcium channel blocker or thiazide-type di
Similar to Running head CREATING A PLAN OF CARE .docx (20)
SPT 208 Final Project Guidelines and Rubric Overview .docxsusanschei
SPT 208 Final Project Guidelines and Rubric
Overview
Marketing and advertising are often used interchangeably, yet throughout this course you have learned that marketing is a much larger concept that requires a
strong understanding of consumer behavior, products and services, and often the greater economic environment. Marketing is applicable to every industry and
discipline in one way or another, but within the sport industry we have the chance to see the application of marketing concepts as if under a spotlight due to the
industry’s global reach and importance to society.
Your final project is the creation of an Opportunity and Consumer Analysis. You will select a sport team, individual, facility, or organization as the focus of your
consumer and opportunity analysis. When selecting your area of focus, think about your interests and career aspirations. As you progress through the course,
you will have the opportunity to practice the skills required for this project in several milestone activities. Your final deliverable will include a strengths,
weaknesses, opportunities, and threats (SWOT) analysis of your selected focus; a consumer analysis; an analysis of successful marketing and media strategies;
and a brief 1-, 3-, and 5-year plan that allows you to explain your intended use of a proven marketing strategy and various media opportunities. Please note that
your Opportunity and Consumer Analysis will be an eligible artifact to include in your program portfolio, as it will highlight your ability to recognize consumer
characteristics and opportunities for brand improvement.
The project is divided into two milestones, which will be submitted at various points throughout the course to scaffold learning and ensure quality final
submissions. These milestones will be submitted in Modules Three and Five. The final Opportunity and Consumer Analysis will be submitted in Module Seven.
This assessment addresses the following course outcomes:
• Analyze consumer behaviors for the influence of political, cultural, and social events on consumer motivation at the local, national, or international
levels within the sport industry
• Illustrate the application of key marketing strategies in successful sport-specific marketing campaigns
• Identify proven marketing strategies that can be successfully applied to specific sport marketing scenarios to attract consumers
• Compare media opportunities for successfully communicating and marketing towards specific consumers within the sport industry
Prompt
Develop a comprehensive Opportunity and Consumer Analysis. Select a sport team, individual, facility, or organization and provide a thorough analysis of the
existing marketing strategies and consumers, and determine an opportunity for greater consumer reach. Outline a brief 1-, 3-, and 5-year plan for the marketing
opportunity.
Specifically, the following critical elements must be addressed:
I. Marketing Foc.
Ssalinas_ThreeMountainsRegionalHospitalCodeofEthics73119.docx
Running head: CODE OF ETHICS 1
CODE OF ETHICS 4
Three Mountains Regional Hospital Code of Ethics
Sharlene Salinas
Professor Bradshaw
HSA4210
July 31, 2019
Three Mountains Regional Hospital Code of Ethics
Progressive developments in science and technology in the 20th century contributed to advances in healthcare and medicine that have helped many lives. Healthcare professionals are confronted with ethical dilemmas and moral questions as the context in which healthcare is provided keeps on changing. Healthcare specialists are required to be dedicated to excellence within their professional practice of promoting community, organizational, family, and individual health. Healthcare code of ethics provides a platform for shared professional values (Wocial & Tarzian, 2015). It is the responsibility of healthcare specialists to reach the best possible standards of conduct and to encourage these ethical practices to those with whom they work together. Healthcare professionals are facing challenges as the context in which healthcare is provided keeps on changing.
The Three Mountains Regional Hospital code of ethics will clarify the roles and responsibilities within the healthcare profession. The code of ethics will also guide the healthcare professionals on addressing common ethical questions. With 15,000 admissions annually, the Three Mountains Regional Hospital requires a code of ethics that will guide the healthcare professionals in the hospital in dealing with such a capacity. Healthcare professionals from the hospital will be defined by their purpose but not their job description (Turner & Epstein, 2015). The proposed code of ethics will inform individual decision-making when faced with ethical situations within a given relationship or role at the Three Mountains Regional Hospital.
Ethics are an essential part of healthcare, and they should provide value in practical situations. The proposed code of ethics will provide a structure and shape to the Three Mountains Regional Hospital’s environment and summarize the healthcare organization’s ethical position. The code of ethics will describe the ethical attitude shared by healthcare workers at Three Mountains Regional Hospital, and it will be valuable and influential on the success of the healthcare organization. The mission of the code of ethics is to guide the hospital is leading the way to a healthier community through the provision of quality care.
Code of Ethics
· Uphold the policies of the Three Mountains Regional Hospital (Merry & Walton, 2017).
· Protect the intellectual, physical, and electronic property of the hospital (Hoppe & Lenk, 2016).
· Promote a healthy, secure, and safe working environment (Merry & Walton, 2017).
· Act responsibly and honestly by avoiding perceived or actual conflicts of interest (Merry & Walton, 2017).
· Protect and respect the privacy and confidentiality of all individuals and informat.
Spring 2020Professor Tim SmithE mail [email protected]Teach.docxsusanschei
Spring 2020
Professor: Tim Smith E mail: [email protected]
Teaching Assistant: Ray Kim E mail [email protected]
Office hours: PLF South 113 TBA
EVOLUTION OF ROCK
MCY 127
Course Description:
This general education course is a study of the birth and evolution of the music form of Rock and Roll. It is a study of both the historical and musical elements of rock with a focus on the performers and the songs in the genre. Some of the objectives for this course include:
Increasing awareness of the wide range of musical styles that “add up” to form rock
Provide insight on the cultural evolution of rock and how it applies to society
Study how technological advances have influenced both the performers and composers in rock
Prerequsites:
None
Required text:
None
Required listening: Spotify playlist MCY127TS
Course Requirements and Grading:
Test 1 20%
Midterm exam 25%
Test 3 20%
Final exam 25%
Essay on live musical performance 10%
Essay assignment will consist of attending a live musical performance at the Frost School of Music (or approved off campus performance). At the conclusion of the performance, you will obtain signatures of two or more participants. You will compose an essay that will summarize the performance (ensemble, repertoire, etc.). You will compare and/or contrast the performance with details we have studied in class. The essay should be two to three pages long, computer printed, double spaced, and stapled. It will be due on Thursday, November 19.
Conduct and rules:
Rock and roll is a joyous art form. I intend for the class to be a fun and learning environment. I hope to engage you as adults, not as adolescents. However, inappropriate language or behavior to one another will not be tolerated, and will result in the student facing disciplinary action and potential removal from the class. You are adults. I am not your baby-sitter. If you fail to attend class regularly, you will find it much more difficult to excel in the course. SHOW UP AND PAY ATTENTION! It will make your life easier in the long run. Plagiarism on your essay will not be acceptable, and will result in the loss of 10% of your final grade. Cheating is rampant. While I will make every effort to curb the options students might have to copy one another on tests, I can’t stop it completely. I will have assistance from the Honor Council on test days, and cheating will result in a zero on that test. None of you can afford this. I truly believe that if you will engage the material, come to the lectures, and actively listen to the required listening material, you will not find a need to cheat.
If you are feeling overwhelmed by any of the material, please make an appointment to meet with me during office hours.
Lectures and listening:
Each class will consist of a lecture and a period of listening to music appropriate to that lecture. The music played in class will be made available to you through Blackboard in addition. You will be responsible for the material presented.
Spring 2020 – Business Continuity & Disaster R.docxsusanschei
Spring 2020 – Business Continuity & Disaster Recovery Planning (ISOL-632-50)
Incident Management
S no
Disaster Type
Plans & Precautions
Initial Action
Stabilization Strategy
1
Thunderstorm
2
Floods
3
Tornadoes
4
Severe weather such as blizzard
5
Hurricanes
6
Explosion such as bomb threats
.
Sports Business Landscape Graphic OrganizerContent.docxsusanschei
This document outlines key aspects of careers in the sports business industry including content providers, distribution channels, goods and service providers, common job titles, typical training and education requirements, standard job roles and responsibilities, average salary outlooks, current job availability in various locations, and overall job outlooks along with potential pros and cons of different positions.
Spring 2020Carlow University Department of Psychology & Co.docxsusanschei
Spring 2020
Carlow University
Department of Psychology & Counseling
Professional Counseling Program
LGBT Lives Cultures & Theories
PRC-742-G1, PY-235-DA, WS-237-DA
3 Credits; No Prerequisites
Course Syllabus- Spring 2020
Wednesday’s 6:00pm-8:30pm
Instructor: Michelle Colarusso, Ph.D., LPC, NCC Office: TBD
Cell phone: 724-396-9769 E-mail: [email protected]
Office hours: By appointment only Location: Antonian Hall 403
Carlow's Mission Statement
The mission of Carlow University, a Catholic liberal arts university, is to involve persons, primarily women, in a process of self-directed, lifelong learning which will free them to think clearly and creatively, to discover and to challenge or affirm cultural and aesthetic values, to respond reverently and sensitively to God and others, and to render competent and compassionate service in personal and professional life.
Course Description
This course will address issues related to counseling gay, lesbian, bisexual and transgender clients. These include issues of sexual identity development, coming out, homophobia and heterosexism, family and relationship issues, multicultural issues, youth, aging, spirituality, HIV/AIDS, and substance abuse as well as ethical and professional issues in working with gay, lesbian, bisexual and transgender clients through affirmative counseling/therapy.
Learning Outcomes and Assessment
What students will learn
How students will learn it
How students will demonstrate learning
Impact dominant culture has on LGBT individuals
Readings, Experiential Activities, Class Discussions
Class Participation, Reflection Journals, Exam
Multifaceted issues facing specific LGBT populations
Readings, Experiential Activities, Class Discussions
Class Participation, Reflection Journals, Exam
Familiarize themselves with theories of identity development
Readings, Experiential Activities, Class Discussions
Class Participation, Reflection Journals, Exam
Affirmative counseling/therapy and their knowledge and skill in providing it.
Readings, Experiential Activities, Class Discussions
Class Participation, Reflection Journals, Exam
Variety of counseling issues that have particular relevance to LGBT clients.
Readings, Experiential Activities, Class Discussions
Class Participation, Reflection Journals, Exam
Access to local and national resources available to assist in work with LGBT clients.
Readings, Experiential Activities, Class Discussions
Class Participation, Reflection Journals, Exam
Course Requirements and Resources
Methods of Involvement & Examination
Methods of Instruction
Classes will consist of didactic and experiential elements, including lectures, large and small group discussions, modeling, structured role-plays and simulations, live or video demonstrations, and student presentations in class and on CelticOnline/Schoolology. Primary methods include lecture/discussion, readings, and a variety of experiential exercises. Students will immurse themselves into the LGBTQ Cul.
SPOTLIGHT ON STRATEGY FOR TURBULENT TIMESSpotlight ARTWORK.docxsusanschei
SPOTLIGHT ON STRATEGY FOR TURBULENT TIMES
Spotlight ARTWORK Tara DonovanUntitled, 2008, polyester film
HBR.ORG
What Is
the Theory
f ̂ Fiof
y
Firm?
Focus less on competitive advantage and more on growth
that creates value, by Todd Zenger
f asked to define strategy, most execu-
tives would probably come up with
something like this: Strategy involves
discovering and targeting attractive
markets and then crafting positions that
deliver sustained competitive advan-
tage in them. Companies achieve these
positions by configuring and arranging
resources and activities to provide either
unique value to customers or common
value at a uniquely low cost. This view of strategy as
position remains central in business school curricula
around the globe: Valuable positions, protected from
imitation and appropriation, provide sustained profit
streams.
Unfortunately, investors don't reward senior
managers for simply occupying and defending po-
sitions. Equity markets are full of companies with
powerful positions and sluggish stock prices. The
retail giant Walmart is a case in point. Few people
would dispute that it remains a remarkable firm. Its
early focus on building a regionally dense network
of stores in small towns delivered a strong positional
advantage. Complementary choices regarding ad-
vertising, pricing, and information technology all
continue to support its low-cost and flexibly mer-
chandised stores.
Despite this strong position and a successful stra-
tegic rollout, Walmart's equity price has seen little
growth for most of the past 12 or 13 years. That's be-
cause the ongoing rollout was anticipated long ago,
and investors seek evidence of newly discovered
value—value of compounding magnitude. Merely
sustaining prior financial returns, even if they are
outstanding, does not significantly increase share
price; tomorrow's positive surprises must be worth
more than yesterday's.
Not surprisingly, I consistently advise MBA stu-
dents that if they're confronted with a choice be-
tween leading a poorly run company and leading a
well-run one, they should choose the former. Imag-
ine assuming the reins of GE from Jack Welch in Sep-
tember 2001 with shareholders' having enjoyed a 40-
fold increase in value over the prior two decades. The
expectations baked into the share price of a company
like that are daunting, to say the least.
To make matters worse, attempts to grow often
undermine a company's current market position.
As Michael Porter, the leading proponent of strat-
egy as positioning, has argued, "Efforts to grow blur
June 2013 Harvard Business Review 73
SPOTLIGHT ON STRATEGY FOR TURBULENT TIMES
uniqueness, create compromises, reduce fit, and
ultimately undermine competitive advantage. In
fact, the growth imperative is hazardous to strategy."
Quite simply, the logic of this perspective not only
provides little guidance about how to sustain value
creation but also discourages growth that might in
einy way move a compeiny away from i.
Sport Ticket sales staff trainingChapter 4Sales .docxsusanschei
Sport Ticket sales staff training
Chapter 4
Sales Staff
Developed not born
Skill set of a seller
Different to skill set of a manager
Sales process
Develop lifelong relationship with purchaser
Best source of increasing business
Upselling
Referrals
Sales Department
Recruit
Train
Develop
Motivate
Retain
Recommendations
Balance in house and outsourced
Communication between sales manager and sales staff
Success celebrations
Gather feedback from sales staff
Recruiting/Hiring
Personality, creativity (intangibles)
Fit with organization
Dress for success (opportunity taken seriously)
Positive attitude
Welcoming personality
Poised/confident (not over confident)
Initiative (carry conversation)
Energy, enthusiasm, commitment
Sales positions
10-20 inside sales staff
Supervisor to staff ratio 1:8
Annual training
New employee training (1 week to 1 month)
Ideal structure
8-16 Part-time
2 ½ months than ready to replace nonperforming FT
6-8 full time season ticket dedicated
3-6 full time group sales dedicated
Self-training
One book per month, mentor, seminars, practice
Sales Culture
Desired outcomes
Effectiveness
Productivity
Stability
Long term growth
Created by the sales manager (leadership)
Orlando Magic three A’s
Action
Visible displays
Find needs, wants, desires of employees
Reward accomplishments
Attitude
Believe in sales staff
Atmosphere
Visible signs of success
gong
Retaining/Motivating
Database management
Lead distribution
Reporting
Evaluation
Satisfy need of employees first
Better able to meet customer needs
Achieve organizational goals
Four types of sales employees
Competitor
Rivalries, win contests
It’s All About me
Recognized as best
Achiever Team Builder
Recognition of achievements, group success
Empathetic Seller
Cultivate relationships, not volume producers
Sales Career
Exploration
Establishment
Maintenance
Disengagement
Employee rate feeling appreciated and informed as top want
Sport Consumer Incentivization
Chapter 3
Incentives
Depend on consumption motives
Items of perceived value that add to offer
Overcome indifference or resistance
Later stage of buying/communication process
Price based incentives
Discounting core product damaging
Contingency based
Consumer action (provide info, prior purchase, etc) prior to price reduction
Attract infrequent customers
8% increase in attendance (top 10, 2004)
“cherry pickers” – only attend with promotion
MLB
14% increase, 2% watering down effect, more is better, weekdays (vs. high attendance – max total entertainment value)
Incentives continued
Rule changes, star players (consumption incentive)
Place based incentives
26 fundamental motives for sport consumption
Primary motives
Achievement
Ordinary runners (sense of accomplishment)
Perfect attendance
Vicarious achievement (enhance self esteem through success of athlete)
Sponsors – increased sales volume, exposure
Craft
Developing or observing physical skill
Winning record – highest predictor of attendance/s.
SPOTLIGHT ARTWORK Do Ho Suh, Floor, 1997–2000, PVC figures, gl.docxsusanschei
SPOTLIGHT ARTWORK Do Ho Suh, Floor, 1997–2000, PVC figures, glass plates, phenolic sheets, polyurethane resin; modules 100 x 100 x 8 cm
Installation view at Lehmann Maupin Gallery, New York
Why We Love
to Hate HR
...and What HR
Can Do About It
by Peter Cappelli
SPOTLIGHT ON RETHINKING HUMAN RESOURCES
Peter Cappelli is a
professor of management
at the Wharton School and
the author of several books,
including Will College
Pay Off? A Guide to the
Most Important Financial
Decision You’ll Ever Make
(PublicAffairs, 2015).
HBR.ORG
July–August 2015 Harvard Business Review 55
These feelings aren’t new. They’ve erupted now
and in the past because we don’t like being told how
to behave—and no other group in organizational life,
not even finance, bosses us around as systematically
as HR does. We get defensive when we’re instructed
to change how we interact with people, especially
those who report to us, because that goes right to the
core of who we are. What’s more, HR makes us per-
form tasks we dislike, such as documenting problems
with employees. And it prevents us from doing what
we want, such as hiring someone we “just know” is
a good fit. Its directives affect every person in the
organization, right up to the top, every single day.
The complaints also have a cyclical quality—
they’re driven largely by the business context. Usu-
ally when companies are struggling with labor issues,
HR is seen as a valued leadership partner. When
things are going more smoothly all around, manag-
ers tend to think, “What’s HR doing for us, anyway?”
This doesn’t mean that HR is above reproach.
Quite the contrary: It has plenty of room to improve,
and this is a moment of enormous opportunity. Little
has been done in the past few decades to examine the
value of widely used practices that are central to how
companies operate. By separating the effective from
the worthless, HR leaders can secure huge payoffs for
their organizations. But it’s important to understand
HR’s tumultuous history with business leaders and
the economy before turning our attention to what the
function should be doing now and in the future.
The “Personnel” Pendulum
How top executives feel about HR pretty reliably re-
flects what’s going on in the U.S. economy. When the
economy is down and the labor market is slack, they
see HR as a nuisance. But sentiments change when
labor tightens up and HR practices become essential
to companies’ immediate success.
Think back to the Great Depression. People would
put up with nearly anything to stay employed. Line
managers complained that personnel departments
were getting in the way of better performance, which
they thought could be achieved with the “drive” sys-
tem: threatening workers and sometimes even hit-
ting them if they failed to measure up.
Similarly, business leaders didn’t put a lot of
stock in HR during the 2001 and 2008 recessions, be-
cause employees—keenly aware of how replaceable
th.
Sponsorship Works 2018 8PROJECT DETAILSSponsorship tit.docxsusanschei
Sponsorship Works 2018 8
PROJECT DETAILS
Sponsorship title:
Audi Cup
Duration of sponsorship:
2009-present
Case study entered by:
Audi AG
Sponsor’s industry sector:
Automotive
Rights-holder:
Audi AG (Ownership Platform)
Agency:
brands and emotions GmbH
– Lead Agency, Audi Cup
Other organisations involved in the
planning, activation or evaluation:
FC Bayern Munich;
Several service providers (including event
agency, TV commercialisation,
TV production, etc.).
Campaign summary
Launched in 2009, the year of Audi’s 100th anniversary,
the Audi Cup is a pre-seasonal worldwide football
tournament. Leading teams including FC Barcelona,
Real Madrid and Manchester United meet in Munich
for the biennial Audi Cup during the summer break in
football.
The event is an owned and mainly refinanced
platform by Audi with a strong international media
presence, achieving around 2.5 billion consumer
contacts across television and online media at each
tournament in around 200 countries. With cutting-edge
technologies as an integral part of its staging and
coverage, the event provides a global opportunity to
highlight Audi’s “Vorsprung durch Technik” values.
Planning
Business needs
The Audi Cup provides an ideal platform to present
a strong, resonating connection between top-level
international football and the brand’s “Vorsprung
durch Technik” positioning. Audi has been involved in
international football for over 14 years and the launch
of the Audi Cup in 2009 established a new benchmark
in proprietary sports marketing, creating a whole new
way for Audi to implement its own rights in a highly
controlled and targeted manner.
Taking a “high-tech” approach to the world of
football broadcasting and marketing, the Audi Cup
meets the clear business need for Audi to demonstrate
Audi and the Audi Cup
A u d i a n d t h e A u d i C u p
Sponsorship Works 2018 9
A u d i a n d t h e A u d i C u p
and underpin its core brand proposition as a highly
innovative, technologically advanced automotive
company.
The development and implementation of tools
including the first ever implementation of digital overlay
of led boards in live broadcasting and the first ever live
holographic press conference in sport, a dedicated
chatbot and Alexa Skill and the Audi Player Index, not
only underline Audi’s status as a “high-tech” brand but
genuinely enhance enjoyment of the tournament for
fans, building a truly relevant connection.
Sponsorship selection
Audi’s long association with football, with its focus on
high-profile, global clubs, saw the brand develop from
a classic sponsor to an owner and organiser of various
leading platforms in its own right – the Audi Cup, Audi
Summer Tour and Audi Football Summit. With these
properties and its year-round association with the
game, Audi set itself the goal of elevating its successful
sponsorships into full ownership; Audi shifted from a
host or a marque associated with the.
SPM 4723 Annotated Bibliography You second major proje.docxsusanschei
SPM 4723
Annotated Bibliography
You second major project for the course will be an annotated bibliography. Instead of writing a
paper, an annotated bibliography requires you to research a particular legal topic or question, of
your choosing, in sports and find academic and law review articles that address that topic. You
will develop a question about a legal topic in sports and find seven law review articles to
summarize. Each article summary should be 300-350 words in length and should both explain
the contents of the article and its relevance to your question or topic. The summaries should be
written in your own words. You are required to select law review articles using LexisNexis. The
format for the annotated bibliography is explained below.
Please put your topic as the title for your paper. Next, each annotation should begin with the
APA citation for the article in bold print (do not include web links), followed by a summary of
the article (300-350 words) explaining how it addresses your question. The complete annotated
bibliography should be double-spaced, 12pt Times New Roman font with one-inch margins. You
will be submitting it through Turnitin via Canvas, do not include your name, course number,
date or UFID on your annotated bibliography (similar to the case briefs). You should start each
annotation on a separate page, and please remember to begin each annotation with the APA
citation for the article as instructed above. This assignment is due on Wednesday, April 22nd.
1.Which of the following is not a key component of the conceptual framework of accounting?
Select one:
a. internal users
b. the objective of financial reporting
c. cost constraint on useful financial reporting
d. elements of the financial statements
2.The balance sheet and income statement for Joe's Fish Hut are presented below:
Joe's Fish Hut
Balance Sheet
As at December 31
2016
2015
ASSETS
Current Assets
Cash
$180,623
$60,300
Accounts receivable
$18,900
$14,200
Inventory
$23,600
$25,300
Total Current Assets
$223,123
$99,800
Property, plant & equipment
$129,000
$184,000
Less: Accumulated depreciation
$-26,900
$-21,600
TOTAL ASSETS
$325,223
$262,200
LIABILITIES AND EQUITY
Liabilities
Current Liabilities
Accounts payable
$28,000
$41,800
Current portion of bank loan
$9,500
$9,500
Total Current Liabilities
$37,500
$51,300
Non-current portion of bank loan
$71,000
$42,000
TOTAL LIABILITIES
$108,500
$93,300
Shareholders' Equity
Common shares
$80,000
$54,400
Retained earnings
$136,723
$114,500
TOTAL SHAREHOLDERS' EQUITY
$216,723
$168,900
TOTAL LIABILITIES AND EQUITY
$325,223
$262,200
Joe's Fish Hut
Income Statement
For the Year Ended December 31, 2016
Sales
$137,000
COGS
$83,200
Gross Profit
$53,800
Operating Expenses
Insurance Expense
$1,600
Rent Expense
$5,380
Salaries Expense
$5,150
Telephone Expense
$840
Interest Expense
$1,340
Depreciation Expense
$5,300
Total Operating Expenses
$19,610
Operating Profit Before .
Speech Environment and Recording Requirements• You must have a.docxsusanschei
Speech Environment and Recording Requirements
• You must have an audience of at least 5 adults 18 years or older for all speeches. The audience must be live and in person, that is, physically present. Virtual attendance is not permitted. Your video recording must show the 5 individuals sitting as ENGAGED audience members. The audience should be visible before, during, and after the speech and you should be facing your audience. The camera should be placed behind your audience.
• You are required to record and post all 3 speeches in order to earn a passing grade in this course.
• The video must be of a high enough quality that the instructor is able to see your full facial expressions and gestures. Your instructor will need to be able to hear your voice very clearly. You risk a failing grade if your instructor is not able to discern facial expressions or subtle changes of vocal intonation on the recording.
• Be sure to record your presentation from head to toe. Your instructor needs to be able to see your posture and other elements.
• Be certain to record your video in landscape (wide), not portrait (tall).
• You may not stop the recording and re-record a section of your speech. What you
submit must be a complete presentation from start to finish with NO EDITING. You could record your speech a few times and then pick the best presentation to send. Just make sure you only submit one copy of your best speech.
• You will upload your speech following the YouTube directions and proper privacy guidelines. Speech capture directions and instructions are in Module 1 of the Blackboard online classroom.
• Be certain to provide a video link to your speech that is available for your instructor and college administrators to view without requiring passwords or special permissions. Submitting a link that does not immediately provide this access results in a failing grade for your speech and could result in a failing grade for the course. You cannot use Google Hangouts or other mediated communication in place of a live audience. Your live audience must be physically present at the location you deliver your speech.
• Any attempt to circumvent live speech audience requirements perceived by your instructor as deceptive, dishonest or otherwise disingenuous results in a zero for your speech with no opportunity to make it up and may result in a failing grade in the course and referral to the appropriate FSCJ administrative official for academic dishonesty.
• The video link (URL) you provide for your speech must remain posted, active and viewable until 14 calendar days following the official scheduled end of the semester, according to the official FSCJ academic calendar. Removing your speech from the URL or link you provide automatically reverts any score you have to a zero and will result in a failing grade for the course.
• Attempts to work around presenting in front of a live audience are considered academic dishonesty.
• Posting your speech on a screen or readin.
Sped4 Interview 2.10.17 Audio.m4aJodee [000008] And we are .docxsusanschei
Sped4 Interview 2.10.17 Audio.m4a
Jodee: [00:00:08] And we are looking at the collaborative process between secondary special ed teachers and transitioning and transition specialists when transitioning students with autism spectrum disorder or other disabilities from secondary to higher. OK so the first question is is describe the condition process as you understand it from the guidelines of the secondary transition plan.
Sped4: [00:00:52] OK. So first thing is a series of assessments that are appropriate for assessing it can include you know obviously interviewing the teacher not not the teacher the student and then sometimes parents are involved in that process. Then there's other batteries of tests. Things like the couter doing AZCIS things other interests inventories and things of that nature to get that. Looking at transcripts students grades grade reports in those things and taking those all that data and that assessment information and looking at that.That's my understanding and interpretation and kind of what I do.
Jodee: [00:01:46] So you know it's the responsibility of the secondary teacher special ed teacher as the case manager to interview the students. And you know one of the big pieces that we look at is the age appropriate goals. You know if you've got a student who is who is autistic academically They're very bright. They can do the work but they have absolutely zero social skills. And they want you maybe studied to be. They want to go into broadcast journalism or something along those lines. So it's like having you determined you know is it like a collaborative effort. You determine and work with the other person you know because sometimes you have to be that person and say yes might not be the best fit for you. How does that kind of playing into things.
Sped4: [00:02:51] I don't know like I don't mind doing that or being the one.
Sped4: [00:02:58] I haven't run into that exact situation but I have other situations where students wanted to go straight to university from high school and just had these visions of grandeur. But their GPA would not allow for that or they had other deficiencies and things of that nature. And so it's just it's sometimes it's like literally printing out the requirement and showing them just saying you know these aren't going to work. It's not a possibility. However it doesn't mean that you can't go on to higher education. And just providing them alternative routes like one if there is enough time if there for example is there a sophomore or a junior. You know we look at like Well is there enough time to get rid of these deficiencies. Can you take some of these courses. Can you do that to get your GPA up to get rid of the deficiencies et cetera. Is that feasible. Is that feasible with money or mom is mom and dad going to pay for that you know. And is there enough time or looking. OK well if that's not an option then community college is not necessarily a bad thing to do it right. When did yo.
Sped Focus Group.m4aJodee [000001] This is a focus group wi.docxsusanschei
Sped Focus Group.m4a
Jodee: [00:00:01] This is a focus group with the secondary special education teachers. So anybody feel free to chime in and we just talked about the secondary transition plan and theoretical principles of Situation and support. So the first question is How does political correctness influence transition process. So think about some of the terminology that's changed. For example we don't refer to kids with cognitive impairment as being mentally retarded. So how does that PC influence the transition process. And anybody can feel free to speak up if they would like.
TS5: [00:00:49] Well I guess I'll start because I'm probably the least politically correct person around. I think you make an example of the fact of you know you know with. What you can and cannot say Well not everybody is up to date on the current lingo and everybody apparently might may be in denial about where their child is at cognitively when using certain terms they may expect more from their or their child than they're actually capable because we're not using terms of people understand or that people use. Obviously I'm not talking about in a hurtful way but you know I mean I have a student now that he's I guess they went out of their way to label him. You know he has a label of autism. But I keep telling these people on my autism is not his problem his cognitive is his problem as long as that IEP keeps talking about autism then that seems to be the direction of where they want to go with the services. And and I keep saying that autism is not the problem. So that's just my 2 cents on.
Jodee: [00:02:12] How has that worked so far just to kind of pair off your response on that TS5 how has it like you're able to see that it's not the Autism that's a problem. How do you stear that to the correct path and have deal with this and what the kid is capable of doing regarding transition.
Sped5: [00:02:34] Well I was fortunate in this area where I think it was an issue of the mom was in denial that it wasn't all the other teachers were like no. This is what this is what he needs. You know because of the IEP I'm trying to get him. You know support all the time and it's just a matter of when they look at the IEP and says why is it that it will be this and this and I'm like I didn't write the IEPP I didn't put down autism. I'll just tell you what I see now what I have and that's what it is. And so it wasn't until at an an IEP meeting that the other teachers who see them every day too are like no this is where he's at. He needs the support he needs this because of x y z. So you know that's just for example.
Jodee: [00:03:25] Okay TS7 I'm going to kind of put you on the spot on for a minute when we talked a couple of days ago about that one student what were some of the things that you might have encountered in working with the parents on regarding transitioning him. And you know just to give a bit with a bit of background history it was a young man diagnosed with.
Specialized Terms 20.0 Definitions and examples of specialized.docxsusanschei
Specialized Terms
20.0
Definitions and examples of specialized terms for adaptive behavior assessments including content and statistical terms are proficient.
Limitations of Standardized Assessments
20.0
Substantial explanation of at least two limitations of standardized assessments is provided.
Consultative Role of Special Education Teacher
20.0
The description of consultative role of the special education teacher in helping parents/ guardians understand the process of assessments and terminology is expertly addressed.
Aesthetic Quality
5.0
Design is pleasing. Skillful handling of color, text and visuals creates a distinctive and effective presentation. Overall, effective and functional audio, text, or visuals are evident.
Mechanics of Writing (includes spelling, punctuation, grammar, and language use)
5.0
Submission is virtually free of mechanical errors.
Organization
5.0
The content is well-organized and logical. There is a sequential progression of ideas that relate to each other. The content is presented as a cohesive unit and provides the audience with a clear sense of the main idea.
Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)
5.0
Sources are documented completely and correctly, as appropriate to assignment and style, and format is free of error.
Total Percentage
100
.
Special notes Media and the media are plural and take plural verb.docxsusanschei
Special notes: Media and the media are plural and take plural verbs. The use of personal pronouns "we" and "you" are unacceptable in academic writing except when otherwise indicated. The use of the first person "I" is not called for in this assignment.
Write a 700- to 1,050-word paper in which you answer the following questions:
· What were the major developments in the evolution of mass media during the last 120 years or so? Discuss at least five forms of major mass media in order of development. Choose from movies, recorded music, radio, television, video games, internet streaming, and social media. Newspapers may be included but only those developments in the last 120 years or so. We are not requesting the history of mass media, mass media developments before 1900, and identification of communications devices that are person to person and not mass media such as the telegraph and telephone.
· What innovations did each provide to consumers (what was new about them)? How did each medium change the lives and behavior of people after its introduction?
· What is meant by the term media convergence, and how has it affected everyday life?
· Conclude with a reflection on why media literacy is important for responsible media consumption today.
Format your essay according to appropriate course-level APA guidelines. Spelling and grammar check your work.
Note: your first paper will be annotated with regard to formatting, spelling, grammar, and usage, for which you will not be penalized, but you are responsible for applying these notes to subsequent assignments.
.
SPECIAL ISSUE ON POLITICAL VIOLENCEResearch on Social Move.docxsusanschei
SPECIAL ISSUE ON POLITICAL VIOLENCE
Research on Social Movements and Political Violence
Donatella della Porta
Published online: 15 July 2008
# Springer Science + Business Media, LLC 2008
Abstract Attention to extreme forms of political violence in the social sciences has been
episodic, and studies of different forms of political violence have followed different
approaches, with “breakdown” theories mostly used for the analysis of right-wing radicalism,
social movement theories sometimes adapted to research on left-wing radical groups, and
area study specialists focusing on ethnic and religious forms. Some of the studies on extreme
forms of political violence that have emerged within the social movement tradition have
nevertheless been able to trace processes of conflict escalation through the detailed exam-
ination of historical cases. This article assesses some of the knowledge acquired in previous
research approaching issues of political violence from the social movement perspective, as
well as the challenges coming from new waves of debate on terrorist and counterterrorist
action and discourses. In doing this, the article reviews contributions coming from research
looking at violence as escalation of action repertoires within protest cycles; political
opportunity and the state in escalation processes; resource mobilization and violent
organizations; narratives of violence; and militant constructions of external reality.
Keywords Political violence . Social movements
Attention to extreme forms of political violence in the social sciences has been episodic, with
some peaks in periods of high visibility of terrorist attacks, but little accumulation of results.
There are several reasons for this. First, some of the research has been considered to be more
oriented towards developing antiterrorist policies than to a social science understanding of the
phenomenon. In fact, “many who have written about terrorism have been directly or indirectly
involved in the business of counterterrorism, and their vision has been narrowed and distorted
by the search for effective responses to terrorism…. [S]ocial movement scholars, with very few
exceptions, have said little about terrorism” (Goodwin 2004, p. 259). Second, studies of
different forms of political violence have followed different approaches, with “breakdown”
theories mostly used for the analysis of right-wing radicalism, social movement theories
sometimes adapted to research on left-wing radical groups, and area study specialists focusing
on ethnic and religious forms. Third, and most fundamentally, there has been a tendency to reify
Qual Sociol (2008) 31:221–230
DOI 10.1007/s11133-008-9109-x
D. della Porta (*)
Department of Political and Social Sciences, European University Institute,
Badia Fiesolana, Via dei Roccettini 9, 50016 San Domenico di Fiesole Firenze, Italy
e-mail: [email protected]
definitions of terrorism on the basis of political actors’ decisions to use violence (Tilly 200.
SPECIAL ISSUE CRITICAL REALISM IN IS RESEARCHCRITICAL RE.docxsusanschei
This document provides an introduction to critical realism as a philosophy and framework for information systems research. It discusses the key concepts of critical realism such as the ontological view that an objective reality exists independently of our knowledge, and the stratified view of reality consisting of the real, actual, and empirical domains. Critical realism supports methodological pluralism using a variety of quantitative and qualitative methods to study different types of objects. The document also discusses how critical realism has been applied in social science research, focusing on the work of Margaret Archer and Tony Lawson in developing critical realist approaches within their fields.
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 ...
Communicating effectively and consistently with students can help them feel at ease during their learning experience and provide the instructor with a communication trail to track the course's progress. This workshop will take you through constructing an engaging course container to facilitate effective communication.
Philippine Edukasyong Pantahanan at Pangkabuhayan (EPP) CurriculumMJDuyan
(𝐓𝐋𝐄 𝟏𝟎𝟎) (𝐋𝐞𝐬𝐬𝐨𝐧 𝟏)-𝐏𝐫𝐞𝐥𝐢𝐦𝐬
𝐃𝐢𝐬𝐜𝐮𝐬𝐬 𝐭𝐡𝐞 𝐄𝐏𝐏 𝐂𝐮𝐫𝐫𝐢𝐜𝐮𝐥𝐮𝐦 𝐢𝐧 𝐭𝐡𝐞 𝐏𝐡𝐢𝐥𝐢𝐩𝐩𝐢𝐧𝐞𝐬:
- Understand the goals and objectives of the Edukasyong Pantahanan at Pangkabuhayan (EPP) curriculum, recognizing its importance in fostering practical life skills and values among students. Students will also be able to identify the key components and subjects covered, such as agriculture, home economics, industrial arts, and information and communication technology.
𝐄𝐱𝐩𝐥𝐚𝐢𝐧 𝐭𝐡𝐞 𝐍𝐚𝐭𝐮𝐫𝐞 𝐚𝐧𝐝 𝐒𝐜𝐨𝐩𝐞 𝐨𝐟 𝐚𝐧 𝐄𝐧𝐭𝐫𝐞𝐩𝐫𝐞𝐧𝐞𝐮𝐫:
-Define entrepreneurship, distinguishing it from general business activities by emphasizing its focus on innovation, risk-taking, and value creation. Students will describe the characteristics and traits of successful entrepreneurs, including their roles and responsibilities, and discuss the broader economic and social impacts of entrepreneurial activities on both local and global scales.
Temple of Asclepius in Thrace. Excavation resultsKrassimira Luka
The temple and the sanctuary around were dedicated to Asklepios Zmidrenus. This name has been known since 1875 when an inscription dedicated to him was discovered in Rome. The inscription is dated in 227 AD and was left by soldiers originating from the city of Philippopolis (modern Plovdiv).
Walmart Business+ and Spark Good for Nonprofits.pdfTechSoup
"Learn about all the ways Walmart supports nonprofit organizations.
You will hear from Liz Willett, the Head of Nonprofits, and hear about what Walmart is doing to help nonprofits, including Walmart Business and Spark Good. Walmart Business+ is a new offer for nonprofits that offers discounts and also streamlines nonprofits order and expense tracking, saving time and money.
The webinar may also give some examples on how nonprofits can best leverage Walmart Business+.
The event will cover the following::
Walmart Business + (https://business.walmart.com/plus) is a new shopping experience for nonprofits, schools, and local business customers that connects an exclusive online shopping experience to stores. Benefits include free delivery and shipping, a 'Spend Analytics” feature, special discounts, deals and tax-exempt shopping.
Special TechSoup offer for a free 180 days membership, and up to $150 in discounts on eligible orders.
Spark Good (walmart.com/sparkgood) is a charitable platform that enables nonprofits to receive donations directly from customers and associates.
Answers about how you can do more with Walmart!"
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.
Strategies for Effective Upskilling is a presentation by Chinwendu Peace in a Your Skill Boost Masterclass organisation by the Excellence Foundation for South Sudan on 08th and 09th June 2024 from 1 PM to 3 PM on each day.
Your Skill Boost Masterclass: Strategies for Effective Upskilling
Running head CREATING A PLAN OF CARE .docx
1. Running head: CREATING A PLAN OF CARE
1
CREATING A PLAN OF CARE
10
Creating a Plan of Care
South University
NSG4055 Illness & Disease Management across Life Span
Professor
Creating a Plan of Care
The chronic disease selected for the plan of care is
cardiovascular disease. This disease continues to pose major
challenges not only for patients and their family members but
also to the nation’s health care system. The rationale for
choosing cardiovascular disease is because of the high rates of
mortality and the effects of the co-morbidities associated with
the chronic illness. According to Santulli (2013), cardiovascular
disease is the single leading cause of fatalities in the United
States, accounting for approximately 600,000 deaths annually.
In 2011, approximately 26.6 million Americans were living with
the chronic disease. The health care costs associated with the
disease account for more than $500 billion annually. There are
also many disparities in prevalence of risk factors, mortality,
access to treatment and treatment outcomes based on
race/ethnicity, socioeconomic status, gender, age and
geographic area. Hence, tackling the disease should be a major
priority for the US government. The main objective of the
Healthy People 2020 initiative for cardiovascular disease is
“improving cardiovascular health through early detection,
prevention and treatment of the risk factors for stroke and heart
attack”. This report outlines a comprehensive plan of care that
2. can help in addressing and mitigating cardiovascular disease.
Holistic Plan of Care
Creating a holistic plan of care will indeed be essential for
ensuring that people with chronic conditions such as
cardiovascular disease lead a healthy life. Cardiovascular
disease has a significant impact on the patient and the health
care system. Apart from the emotional distress, patients with
this condition also face some financial burdens, social burdens
and increased levels of discrimination (Earnshaw & Quinn,
2012). In the course of completing the project, I administered a
questionnaire to a coworker by the initials C.K. during week 2
to find out how she deals with the condition.
The questionnaire looked into various aspects such as family
history, related medical conditions, the risk factors of
cardiovascular disease, lifestyle choices and the coping
strategies or support received by the patient. Understanding all
these aspects can help in developing a well-managed care plan
(Larsen & Lubkin, 2013). The results of the questionnaire
revealed that C.K. observes healthy lifestyle, has the right
levels of support and adheres to the medication regimen. All
these factors helped her to cope effectively with the condition.
However, even though she attested to leading a healthy
lifestyle, C.K. also revealed that her family faced some level of
emotional distress and financial burdens due to her condition.
The subsequent discussion in week 3 tackled the issue of
catering for the support needs of patients afflicted with
cardiovascular disease. As it became apparent, the support
needs can aid the patients to cope effectively with their
conditions. In terms of priority, the most essential support
needs for these patients are emotional support, informational
support, self-management support needs, financial support and
spiritual support. Apart from providing the support needs for
patients, professional nurses can also play a proactive role
towards the acceptance of treatment and diagnosis by patients
with chronic conditions. To this end, they must be on the
3. frontline in sensitizing patients about the importance of taking
regular screening tests as well as teaching them about available
therapies and self-management techniques (Wagner, Austin, &
Davis, 2001).
Noteworthy, environmental factors such as exposure to
contaminants and various chemicals can increase the
susceptibility of people to cardiovascular disease. Furthermore,
social determinants such as socioeconomic status, availability
of support networks and social norms prevalent in the society
can also aggravate the chronic conditions faced by patients. The
week 4 discussion revealed that people with cardiovascular
disease could gain tremendously from community resources
available in the localities. For example, in my region of Miami,
some of the vibrant community resources that provide support
to patients include the Baptist Health South Florida, the Heart
Smart Initiative and the Patti and Allan Herbert Wellness
Center. All these centers offer free screening services and
sensitize patients with chronic illnesses on the best ways that
can enable them to cope effectively with their conditions.
Incorporating these centers can help in the development of a
well-managed care plan.
Nursing Diagnoses
A nursing diagnosis is essential for identifying the problems
that might arise from cardiovascular disease. For the patients
with impaired cardiovascular function, one applicable nursing
diagnosis is decreased cardiac output. According to Larsen &
Lubkin (2013), the symptoms to look for in this diagnosis
include abnormal heart rhythm, rapid breathing, restlessness,
fatigue, edema, restlessness, dizziness and chest pain. The other
applicable nursing diagnosis for cardiovascular disease is
activity intolerance. The signs and symptoms to check for
activity intolerance include statements of fatigue, exertional
dyspnea, dizziness or chest pain, a significant change in blood
pressure with activity (15-20 mm Hg) and abnormal heart rate
response to an activity, for example an increase in rate of 20
4. beats per minute above resting rate (Dzau & Antman, 2006).
The other applicable nursing diagnosis for cardiovascular
disease is ineffective tissue perfusion (cardiopulmonary). Some
of the defining characteristics of this diagnosis include altered
respiratory rate, chest retraction, abnormal arterial blood gases,
chest pain, nasal flaring, dyspnea and sense of “impending
doom”.
Assessment Data (Subjective and Objective)
The subjective assessment data includes information about the
present symptoms and signs, the onset of the symptoms,
frequency of the illness and exposure to allergens. Apart from
the symptoms aforementioned in the nursing diagnosis section,
the subjective data will also include family history, past
medical history and risk factors. The subjective data will also
seek to inquire about any family history of coronary artery
disease, hypertension, diabetes or obesity. For the risk factors
of cardiovascular disease, important data will include
cholesterol level, activity level, cigarette smoking and blood
sugar levels (Dzau & Antman, 2006). The objective data will
come from various measurement instruments including
electrocardiograms, x-rays, stress tests, radiological images and
echocardiograms. These instruments will be able to reveal
valuable data about the blood sugar levels, blood pressure and
level of cholesterol, all of which are critical indicators of the
presence of cardiovascular disease.
Subjective date: C.K is visiting the health center for a follow-
up. C.K is now asymptomatic. Patient would like to discuss
about high blood pressure, hypercholesterolemia, and family
history. Patient’s mother died of heart disease. C.K reported
having one sister with high blood pressure and one brother with
type 2 diabetes. C.K’s level of education is high school. She
works now as a secretary with a salary of $30,000.00 yearly.
Patient engages in regular physical exercises, refrains from
smoking and observes a healthy diet.
Objective Data: Patient's temperature is97.9 degrees Fahrenheit.
5. Normal values: 97.8 - 99.1 degrees Fahrenheit (MedlinePlus,
2013).Patient's pulse is 68 beats per minute. Normal ranges: 60
- 100 beats per minute, (MedlinePlus, 2013). Respiration rate
is17 breaths per minute. Normal ranges 12 - 18 breaths per
minute, (Medline Plus, 2013). Blood pressure level is 150/88,
Normal ranges from 90/60 mm/Hg to 120/80 mm/Hg, (Medline
Plus, 2013). No pain this follow-up visit.Patient's height is 61
inches. Currently weight is144 pounds. No findings at the
physical assessment follow up. Lab Tests and Results: Total
cholesterol 198. Considered Normal. Normal values 150-199
(Merck Manuals, 2015).Low-density lipoprotein (LDL). 132.
Considered a little high. Normal values of 130 and below
(Merck Manuals, 2015).High-density lipoprotein (HDL). 38.
Considered low. Normal values above 40 (Merck Manuals,
2015). Triglycerides. 249. Considered Normal. Normal value
below 250 (Merck Manuals, 2015). Fasting blood sugar (FBS).
110. Normal values between 70-105 (Merck Manuals,
2015).Hemoglobin A1c 5.5. Normal level is below 5.7 percent.
Chest x-ray is normal. Electrocardiogram shows a normal sinus
rhythm.
Interview Results
The interview results indicate that the patients with the chronic
illnesses have taken some realistic measures to increase their
coping strategies with the condition. For instance, C.K.
confided that she frequently goes for routine medical check-ups
including blood pressure check-ups and tests to determine her
cholesterol levels. Although initially her blood cholesterol and
blood pressure levels were high, she has managed to normalize
them because of adhering to the prescribed medications.
Furthermore, the results from the interview indicated that the
patient engages in regular physical exercises, refrains from
smoking and observes a healthy diet, all of which can go a long
way in enabling her to cope with her condition more effectively.
Desired Outcomes
6. One of the desired outcomes is that the patients maintain
adequate cardiac output as evidenced by systolic BP within 20
mm Hg of baseline, strong peripheral pulses and heart rate of 60
to 100 beats per minute with regular rhythm. Another desired
outcome is for the patients to report decreased episodes of
angina and dyspnea (Santulli, 2013). After the interventions,
patients will also be able to check the blood sugar levels and
cholesterol levels and ascertain whether they are normal or
high. Another desired outcome is for the patients to verbalize
understanding of the condition, treatment and diagnosis of
cardiovascular disease. People afflicted with the chronic
condition will also be able to initiate measures such as healthy
dieting and refraining from self-destructive behaviors that
increase their susceptibility to the disease such as smoking.
Evaluation Criteria
The evaluation will strive to ascertain whether the plan of care
meets the outcome criteria. As Larsen & Lubkin (2013) clearly
point out, an important instrument for evaluating whether the
plan meets the desired outcomes will be by using a checklist.
The checklist will outline all the desired outcomes including
adequate cardiac output, patients’ ability to monitor their blood
pressure and the ability of patients to make informed lifestyle
choices, after which I will assign a relevant score indicating the
extent to which patients have satisfied the requirements of the
desired outcomes.
Actions and Interventions
One of the nursing interventions for the patients with
cardiovascular disease will be providing assistance with the
self-care activities that patients require for functioning
optimally. The other important action and intervention will be
sensitizing patients on various coping strategies for
cardiovascular disease. To this end, it will be paramount to
inform them the importance of adhering to medication regimen,
the importance of weight control and blood pressure control as
well as the importance of diet, physical exercise and smoking
7. cessation (Wagner et al., 2001). The education will help to
support individual efforts of controlling or preventing the risk
factors associated with cardiovascular disease. Another
intervention will be liaising with faith and community based
organizations that can help in various domains such as
screening patients with cardiovascular disease. Furthermore, it
will be critical to provide behavioral counseling in order to
empower the chronically ill patients to deal with various issues
such as stress and discrimination from members of the
community.
Evaluation of Patient Outcomes
Evaluating patient outcomes will be essential for guaranteeing
that the plan of care realizes its intended goals. One way of
evaluating the patient outcomes will be comparing the progress
that patients make against national benchmarks such as the
objectives listed under Healthy People 2020 initiative. This will
help to ascertain whether the patients are taking the necessary
measures to alleviate the risk factors associated with the chronic
illness. It will also be critical to use patient registries in order
to evaluate the outcomes. According to Dzau & Antman (2006),
a patient registry is a powerful tool for observing the course of
the disease, understanding variations in outcomes and treatment,
describing care patterns, measuring quality of care as well as
examining factors that influence quality of life and disease
prognosis.
Strategies for the Family or Caregiver
Family members and the caregiver will play an instrumental
role in guaranteeing the success of the care plan. They will need
to provide the right level of support to the patients in order to
enable them cope effectively with their chronic conditions. The
main forms of support that the family and caregiver will provide
include emotional support, social support, informational support
and financial support (Earnshaw & Quinn, 2012). Furthermore,
family members and the caregivers will have to ensure that
patients adhere to the prescribed medications and go for regular
8. check-ups as advised by the health care practitioner. In
addition, family members will provide relevant information
about the patient’s progress in order to ensure that nurses offer
safe, appropriate, quality, patient-centered and culturally
congruent care.
Conclusion
Cardiovascular disease continues to be a major public health
concern in the nation. This disease is the major leading cause of
fatalities in the US. In addition, it causes tremendous suffering
to patients and places a huge burden on the health care system.
Hence, coming up with a realistic plan of care will help patients
afflicted with the disease to find effective coping mechanisms.
The assignments covered from week 1 to week 4 have been
valuable in creating a well-managed plan of care. For instance,
they have identified the impact of cardiovascular disease, the
importance of meeting the patient’s support needs and the
community resources that can help patients with the chronic
disease. The holistic plan of care will be effective since it has
identified the nursing diagnoses for cardiovascular disease, the
assessment data, interview results, desired outcomes, evaluation
criteria, actions and interventions as well as evaluation of
patient outcomes. In order to enhance the success of the plan, it
will be vital to incorporate family members and caregivers in it,
mainly because of the support that they can provide to the
patients.
References
Dzau, V. J., & Antman, E. M. (2006). The Cardiovascular
Disease Continuum Validated: Clinical Evidence of Improved
Patient Outcomes. Circulation, 114, 2850-2870. Retrieved
October 1, 2015, from
http://circ.ahajournals.org/content/114/25/2850.full
Earnshaw, V., & Quinn, D. (2012). The impact of stigma in
healthcare on people living with chronic illnesses. Journal of
Health Psychology, 17 (2), 157 –168. Retrieved October 1,
9. 2015, from
http://www.researchgate.net/publication/51530503_The_impact
_of_stigma_in_healthcare_on_people_living_with_chronic_illne
sses
Larsen, P. D., & Lubkin, I. M. (2013). Chronic illness : impact
and interventions (8 ed.). Burlington, Mass.: Jones & Bartlett
Learning.
MedlinePlus. (2013). Vital signs. Retrieved from
http://www.nlm.nih.gov/medlineplus/ency/article/002341.htm
Merck Manuals (2015). Blood test: normal values. Retrieved
form
http://www.merckmanuals.com/professional/appendixes/normal
_laboratory_values/blood_tests_normal_values.html
Santulli, G. (2013). Epidemiology of Cardiovascular Disease in
the 21st Century: Updated Numbers and Updated Facts. Journal
of Cardiovascular Disease, 1 (1), Online. Retrieved October 1,
2015, from http://researchpub.org/journal/jcvd/number/vol1-
no1/vol1-no1-1.pdf
Wagner, E. H., Austin, B. T., & Davis, C. (2001). Improving
Chronic Illness Care: Translating Evidence Into Action. Health
Affairs, 20 (6), 64-78. Retrieved October 1, 2015, from
http://content.healthaffairs.org/content/20/6/64.long
Running head: Support needs of diabetic patient
Support needs of diabetic patient 7
Support needs of diabetic patient
10. Lissette Valcarcel
SU_NSG4055_W3_A2
Introduction
Diabetic persons require various forms of support if they are to
live long with this disorder. This document discusses three
forms of support that a diabetic person would need drawing
from the interview I had with my diabetic participant. Further,
it discusses some of the strategies for implementing the healthy
people initiative towards achieving its goal concerning diabetes.
Support needs of diabetes patient
Emotional support.
From the interview with my participant, it was clear that very
often he experiences certain negative emotions such as anger,
fear, frustration, hopelessness shame and at the time a lot of
gilts. This is not the case just with my participant, but research
has indicated that it is a common feature in most of the diabet8c
persons. Normally, once diagnosed with diabetes, an individual
goes through stages like those that a bereaved person mentally.
Just like that bereaved person needs some emotional support so
is a diabetic person like my participant. The stages that my
patient underwent are disbelief, denial, anger and currently, he
seems to be in a state of depression. It seems from my interview
with him that despite the support he gets, he still at times
experience depression a lot. This concept of emotional support
is needed from the side of the family to the medical
professionals handling a patient like my participant.
It is important to understand clearly that emotional support is
part of the treatment process for any diabetic person. Research
has indicated diabetes to be linked to other disorders like blood
pressure which is linked to psychological stress (Haas et al.,
2012). One of the best ways of ensuring that a diabetic
individual stays stress-free is to limit or help reduce any
psychological or mental stress that would otherwise result in
negative emotions. The emotional support offered to the
11. individual makes him feel that, all is not lost. The concept of
making the patient feel that even with diabetes, there is still life
and he can live as normal as other persons make him eliminate
the feelings of hopelessness that brings fear in him. Some of the
ways to provide emotional support are through therapy groups
which will make the patient feel that he is not the only one. The
other one is mental therapy by a medical professional. It
involves just talking to the patient about life and about himself
making him feel not left alone.
Then there is the family concept. Making the individual feel
that despite the disorder, he is still a member of the family. Not
being left out in the family matters and ensuring that the
patient’s happiness matters to all the family members is very
important in providing emotional support. Then there is the
concept of pressure at work. This requires colleagues and the
employer to understand the patient’s situation and handle the
patient with a lot of care. Not subjecting him to a lot of pressure
at work will help eliminate work pressure that maintaining some
peace of mind.
Financial support
Research has shown that diabetic person has financial needs that
are almost three times those of healthy people (Chiang et al.,
2014). On average, my participant indicated that he spends
approximately $13, 700 annually on all the expenses related to
healthcare. In some cases, the family alone is not always able to
cater for the expenses. The healthy people 2020 needs to have a
scheme for financial aid to this population as my participant
stated during the interview. Other than family support, a patient
can get support from insurance scheme. There are insurance
policies that can help cover medical expenses. There are cases
of outpatient where the patient financial sources must be relied
on. When an individual whether healthy or sick is subjected to
financial limitations in time of great need then automatically
stress sets in. This is not healthy for a diabetic person and such
a situation hinders the possible achievement of the healthy
people 2020 goals. There is there for the need for the family,
12. healthy people 2020 initiative and other organizations like
American Association of the Diabetic persons to come to the
financial aid of persons with diabetes.
Physical support
In my interview, it came out clear that my participant felt tired
after doing hard physical jobs. That is an indication that
diabetic persons are not good with hard labor jobs. In cases of
the workplace, the employer needs to ensure that the kind of
responsibilities assigned to the person is light in terms of
physical labor required. The family plays the greatest role in
ensuring physical support is offered in terms of the kinds of
physical responsibilities performed by the patient in the family
are not heavy duties. Physical support from the family also
involves the family members ensuring that the patient has a
recommended eating habit and lifestyle (Haas et al., 2012).
Advising the patient against certain foods and making available
the right ones are some of the physical support aspects that
family members can provide. Co-workers can ensure that the
patient is engaged in light physical activities as recommended
by their physicians. This can be during gymnastics among other
organization leisure moments.
Implementation of healthy people 2020 objectives
The main objective of healthy people 2020 to the diabetic
people is to increase the life expectancy of the people with
diabetes, reducing the cases of disorders associated with
diabetes to the diabetic patients and finally reducing new cases
of people being diagnosed of the disorder. There are various
implementation strategies put by the healthy people 2020
initiative that will help my client.
Interventions that involve community health workers
This strategy is to use the community health workers to help the
patients manage and live a longer lifespan. The community
health worker in case acts as the bridge between the patient and
the healthcare system. This strategy is such that the patient has
a very close contact with the community health worker
13. responsible for the specified location. The community health
worker is in turn in close coordination with the doctors and
other medical professionals in the healthcare facilities and
systems. The key responsibility of the healthcare worker is
monitoring the patient closely and reporting the progress of the
whole treatment and management process. Further, the
community health care professional provides advice to the
patent on various diabetic management issues. This individual
also schedules the meetings with the doctor.
Self-management mobile phone application
The healthy people 2020 initiative also has a mobile application
used by the patients for self-management. The patient enters
data into the application or they can use medical devices that
automatically enters data into the application (Diabetes, 2016).
The application then sends the data to the centralized healthcare
system the patient then receives a response from the medical
professionals assigned to assist by the system. Based on the data
entered, the response is the doctor’s feedback concerning the
state the patient is in. The feedback provides the patient with
what they are required. It works as a consultation interface for
the patient.
Use of telehealth to provide dietary intervention to the patients
This is a concept of information technology applied in this case.
In this case, the healthcare providers and the patients can
communicate through phone, e-mail, or even web-based
applications. The intervention is to help the patients manage
their diet and live a lifestyle recommended by the professionals.
In most cases, this intervention would be distance.
Public education
The other strategy that is applicable to implementing this
healthy person 2020 initiative is general education to the public.
Providing information to the public concerning diabetes as a
disease helps create awareness in them. It involves indicating to
them what it is, what can cause it and ways to prevent it.
Further, it is aimed at educating them on how to live together
with the diabetic people, what to do and what not to do.
14. Combining all these together, the concept of reducing new cases
will be achieved.
Conclusion
Diabetic persons require three main forms of support.
Emotional, financial, and physical support. Emotional support is
about feeling, financially is concerned with money needs and
physical support is for duties. Public education, telehealth,
community health workers and use of mobile phone application
are some of the strategies for achieving the goals.
References
Chiang, J. L., Kirkman, M. S., Laffel, L. M., & Peters, A. L.
(2014). Type 1 diabetes through the
lifespan: a position statement of the American Diabetes
Association. Diabetes Care, 37(7), 2034-2054.
Haas, L., Maryniuk, M., Beck, J., Cox, C. E., Duker, P.,
Edwards, L., ... & McLaughlin, S.
(2012). National standards for diabetes self-management
education and support. The Diabetes Educator, 38(5), 619-629.
Diabetes. (2016). Retrieved November 27, 2017, from
https://www.healthypeople.gov/2020/topics-
objectives/topic/diabetes/ebrs
Running head: Healthy people 2020
Healthy people 2020
2
15. Healthy people 2020
Diabetes mellitus
Introduction
This is a disease that results from the body’s inability to
produce enough insulin or inability of the body to produce an
appropriate response to insulin. This is the hormone regulation
the way the body absorbs glucose. The improper functioning of
the insulin in the body may result in elevated levels of blood
glucose resulting in various abnormal metabolic activities. This
finally results in complications in the body functioning. I am
interested in this illness because of its prevalence currently.
Across the globe, the number of individual suffering from
diabetes mellitus has increased in the past ten years and that has
brought this concern. Currently, in the United States, the effect
is estimated at 29.1 million. The disease has been classified by
the healthy people 2020 initiative group as occupying the 7nth
position among the leading causes of death currently.
Morbidity and comorbidity in the United States
There are various disparities in the diabetes risk. The people
from the minority population are most likely to suffer from type
2 diabetes. The minority groups, in this case, comprises 25% of
the adult patient suffering from diabetes in the United States.
The majority group comprises the children and adolescent with
diabetes type 2. According to the healthy people initiate 2020,
the African American, American Indians, and some Asian
Americans are at higher risk of suffering from type 2 diabetes.
The prevalence of this illness among the American Indians is 2-
5 times that of the whites. Averagely, African Americans are
1.7 times as likely compared to Mexican Americans (Healthy
people 2020, 2016). There are some barriers to the progress of
16. diabetes care. The first one being the challenges arising from
the design of the healthcare system and the other one being the
continuous increase of diabetes cases. This results to decrease
in the attention and resources available for every patient. Apart
from the two, there are other comorbidities associated with
diabetes. These include fracture risks, cancer risk, and
prognosis, cognitive impairment, and incontinence.
Impact on health of the nation
Though manageable, diabetes is still one of the diseases posing
a major health threat to the United States population and its
healthcare system. This illness affects approximately 26
million people in this country with approximately 18.8 million
people diagnosed and about seven million not yet diagnosed.
Diabetes comes with an array of health issues. Among them
being lower limb amputation, it has been determined to possibly
cause blindness and kidney failure. Again, it contributes a lot to
cardiovascular diseases. Research has indicated that
approximately 68% of people suffering from diabetes end up
dying of cardiovascular diseases. Economically, research shows
that in 2012, this illness caused the United States to close to
$245billion as both direct and indirect costs (The Cost of
Diabetes, 2015). Since 1990, the prevalence of this illness has
increased by approximately 60% to the currently estimated
figures of 29.1 million. Looking at the figure as at 2012 which
stood at 18.8 million and the figures produced by the healthy
2020 people as at 2017 which stands at 29.1 million. That
indicates clearly how fast this disease is escalating and how
much it is affecting the United States healthcare system.
Even though the government is trying all the best to equip the
healthcare facilities with the necessary equipment and personnel
to fight this disease, the rate at which it is advancing is too high
for the government to meet. That is what results in the high
doctor-patient ratio and minimum resources allocated to each
patient. This intron effects the quality of medical care provided
by the hospital facilities across the country and for that matter,
the difficulty in fighting the illness sets in. Looking at the total
17. population of the United States population which is
approximately 324 million, 29 million are diabetic. That is a
large population of unhealthy people. That implies that the
number of people who can work effectively to deliver to the
country’s economy is reduced by 29 million. The numbers
indicate that the health of the United States population is
reducing as years passes by.
Healthy people 2020 goals and objectives
The healthy people 2020 initiative have various objectives and
goals for this population.
i. Reduce the number of new cases of diabetes. The initiative is
aiming at providing lifestyle education and other means of
living free of diabetes through conduction public education and
awareness.
ii. Reduce death rate caused by diabetes. This involves teaching
the diabetic person way to live with diabetes. The concept of
disease management is something the initiative has the aimed at
doing. This is to be achieved in three ways, the first way is to
reduce the general mortality among the persons with diabetes
and secondly is to reduce the number of cardiovascular deaths
occurring to the diabetic persons. Finally, the initiative is aimed
at reducing the rate if lower extremity amputation in diabetic
patients.
iii. To improve the glycemic control among diabetic patients.
The initiative is aimed at reducing the proportion of the persons
with diabetes with an A1c value which is greater than 9%.
Secondly, the initiative aims at improving the lipid control in
diabetic persons, increase the number of people diagnosed with
diabetes and their blood pressure put under control. Ensure that
the proportion of persons with diabetes having annual dental
examination is increased. Increase the number of diabetic
individuals with glycosylated hemoglobin measured at least
twice a year. Increases the number of people receiving diabetes
education once they are diagnosed with the disease. Increasing
the number of diabetic patients performing self –blood glucose
monitoring daily. Increase the number of diabetic persons who
18. obtain urinary microalbumin measurement. Increase the number
of diagnosed cases of diabetes (Healthy people 2020, 2016).
iv. To increase behaviors for prevention for persons at high risk
of suffering diabetes. This goal has the various objectives
among them is increasing the number of people at high risk of
suffering from diabetes who have prediabetes reporting the
increase in levels of physical activity. Secondly, the initiative
aims at increasing the number of people with prediabetes
reporting attempts of loss of weight. Finally, this initiative also
aims at increasing the number of people at high risk of suffering
from diabetes who report reduced amounts of fat in their diets.
In general, the main objective of this initiative is to reduce the
burden of diabetes and improve quality of life for the people
who are suffering from the illness and those at risk of being
affected by the disorder.
Questionnaire
Please enter the following details
Name__________________________ Age
_________________________________
Gender_________________________
Date_________________________________
Please answer the following questions to the best of your
knowledge. Feel free while providing your response and do not
feel obligated or compelled.
When were you diagnosed of this disorder?
_____________________________________________________
19. ________________________
What type of diabetes were diagnosed of?
_____________________________________________________
________________________
What were some of the symptoms you had before being
diagnosed of this disorder?
_____________________________________________________
_______________________
What was your lifestyle before the diagnosis of the disorder?
I.e. feeding habit and level of exercise.
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
___________________
Have any member of your family suffered from diabetes before?
If yes please indicate who.
_____________________________________________________
_____________________________________________________
__________________________________________________
How do you feel when working or after doing some physical
job?
_____________________________________________________
_____________________________________________________
__________________________________________________
Please comment on you level of anger?
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
______________________
How frequent are attended to by your doctor?
_____________________________________________________
20. ________________________________
What advice have your doctor given to you on how to make a
difference on our physical and emotional health?
What kinds of food have your healthcare team advised you to
take?
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
______________________
Which tests have your healthcare doctor asked you to take?
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_
What medications have the doctor prescribed for you? Please
indicate the dosage where you can.
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
______________________
What are some of the physical activities your doctor has advised
you to undertake?
_____________________________________________________
_____________________________________________________
_____________________________________________________
22. professionals where the diagnosis was done. This document is a
discussion on the impacts of this disorder as per the analysis of
an interview I conducted with one of my diabetic friends.
Results of the interview
The initials of the patient friend with whom I conducted the
interview is R.O. He was diagnosed with the disorder in 2010
while he was at the age of 22. He was diagnosed with type 1
diabetes. Before being diagnosed with the disorder, R.O
experienced the following symptoms; frequent urination and in
large quantities. He often felt very thirsty and wanted to drink
water always. He was losing weight over time. He indicated in
his response that his weight dropped from 70kg in March 2009
to 65Kg in August 2009. He always felt very hungry. Sometimes
he experienced blurred vision and felt tired most of the time.
R.O admitted that in his life, he has never been engaged in any
meaningful exercise. He liked consuming meat and other animal
products implying that there was a possibility of feeding on
saturated fats. He also had no regular eating hours. In fact, he
liked skipping breakfast according to his response. No member
of his family has ever suffered from this disorder.
Sometimes he feels angry at very simple things, he feels very
tired when he engages in the vigorous activity. He indicates that
since the diagnosis, his family has offered emotional support
such as encouragement and physical support such as ensuring he
has not involved in vigorous physical chores around. He feels
that this has enabled him to cope well. According to R.O., his
doctor has advised him to avoid emotional stress and engage in
light physical exercise. Since the diagnosis, the doctor advised
him to avoid foods rich in saturated fats, those that contain high
levels of sodium and those containing excess sugar. There are
other tests that the doctor advised him to take. One is the blood
pressure test and those related to cardiovascular systems. The
main medication prescribed by his doctor is insulin given by
regular injection and pramlintide also regularly injected.
Analysis
According to the results of the interview, the ability to live for
23. long with this disorder is all about its management. The
management of the illness can be divided into three aspects.
These are treatment, copying, and support.
Treatment
The main form of treatment as per this case is insulin injection.
The existence of diabetes type 1 implies the inability of the
pancreases to produce enough insulin. The role of insulin in the
body is to ensure proper usage of the glucose consumed by an
individual. Low level of insulin implies that the glucose
consumed is not properly used in the body such that its level in
the blood rises (Chiang et al., 2014). The treatment is aimed at
ensuring that the glucose level in the blood is kept at normal
levels. The injection of insulin in the body is to restore its level
back to normal so that the blood glucose levels are maintained.
That implies three options of insulin depletion, the first one is
short-acting insulin, and there is the rapid-acting insulin and
finally the intermediate-acting insulin. The other for medication
used in the treatment of this disorder is the pramlintide. This
medication delays the time taken by the stomach to empty itself.
It basically lowers the secretion of glucagon after the meals
taken. Further, it reduces the appetite through a central
mechanism so that at the end of it all it helps reduce the glucose
level in the blood. As part of treatment, other tests are
necessary. Diabetes is known to result in other disorders such as
blood pressure and various cardiovascular diseases.
Determining their presence and treating or controlling the is key
to the success of the treatment process. It is not logical to treat
a person with diabetes without treating and managing any
associated disorder. The main objective is to increase lifespan
hence the need to take these tests as in the case of R.O.
Copping
The other management method to this disorder rests on the
advice offered by the doctor. The first one is a change in eating
habit. Reducing consumption of red meat, animal products
means reducing the calories that an individual takes in. this
reduces the possibility of obesity and diabetes. Sugary foods
24. high glucose contentment once they have been broken down.
With the low levels of insulin in the body, consuming a lot of
this food implying introducing high levels of surplus glucose in
the body which in turn causes a rise in the blood glucose level
hence worsening the situation (Evert et al., 2014). The other
aspect is avoiding emotional and physical stress. Mental or
psychological stress has been found to increase glucose level in
the blood and that is the reason it is discouraged. Stress
hormone called cortisol increases the blood sugar level (Reagan,
2012). Exposing oneself to stress result to production of this
which in turn increases the glucose level in the blood. Light
exercise helps relax the mind and the whole situation is hence
kept under control. Constant doctor-patient contact like the case
of R.O is another coping mechanism. Further advice from the
doctor and close monitoring to avoid any escalation of the
situation.
Support
The other coping strategy is drawn from support from various
people within the environment of the patient. In the case of
R.O, family and workmates provided the necessary support. The
family is one of the main sources of stress. The family in
ensuring that the patient is not subjected to emotional family
stress is very key (Haas et al., 2012). Finding a solution to
family problems without causing any tension that would
escalate the situation is the key concept of family support.
Further, the family provides financial support for treatment and
medication. Family members taking over responsibilities that
require a lot of mental effort or physical effort that would result
in stress is also a mechanism. The other support source is an
understanding of the employer and the work. The main idea
behind this is to provide a conducive environment for
management of the illness. The employer ensuring that work
pressure is reduced is important. The baseline is understanding
the patient and what is required of the people in his
25. environment.
Impact of the interview findings on care plan for diabetic
persons
The development of care plan for a given group of people
suffering from a given disorder relies heavily on knowledge of
the illness. That is management mechanisms which include
copping, treatment, and support. The information gathered from
this interview provides the care program planner with the
information on what is required in the care environment. Again,
it provides the information on treatment methods which is a key
concept in the development of the care program. What should be
avoided and that which should be encouraged by the care
program depends on the information gathered in the interview.
In general, the interview sheds light on the requirement that
must be included in the care program which is treatment
mechanism, copping and support.
Conclusion
Diabetes as a disorder associated with low levels of insulin in
the body. The resultant effect is a high level of glucose in the
blood. Treatment of the disorder involves insulin injection and
pramlintide for those with diabetes type 1. The copping
mechanism includes reducing emotional and psychological
stress. This requires support from family members and the
workmates among the different types of people in the patient’s
environment. The development of a care plan relies on the
knowledge about the patient’s disorder type and what kind of
support necessary for him. The care plan must ensure that the
coping mechanisms necessary for the patient are included.
References
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(2014). Type 1 diabetes through the
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Haas, L., Maryniuk, M., Beck, J., Cox, C. E., Duker, P.,
Edwards, L., ... & McLaughlin, S.
26. (2012). National standards for diabetes self-management
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Reagan, L. P. (2012). Diabetes as a chronic metabolic stressor:
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Evert, A. B., Boucher, J. L., Cypress, M., Dunbar, S. A., Franz,
M. J., Mayer-Davis, E. J., ... &
Yancy, W. S. (2014). Nutrition therapy recommendations for the
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