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Discussion 2
· After working through modules 1 – 4, describe what information you found most pertinent to your teaching assignment during this current school year. How can you use the information you learned through the modules in your classroom and your current group of students?
· Requirements: 250 words minimum initial post
answer this discussion based on this:
· Share additional interview and communication techniques that could be effective with your colleague’s selected patient.
· Suggest additional health-related risks that might be considered.
· Validate an idea with your own experience and additional research.
References at least 4-5 no more than 5 years ago.
The client is a 21-year-old Filipino college student who needed to know what birth control is.
During my interview of this patient, I should be aware of the potential impact that social determinants of health may have on her health and risk assessment. For instance, her age may impact her level of knowledge about birth control options, and her ethnicity may influence her cultural beliefs and attitudes towards contraception. Also, her living situation in a dormitory may impact her access to confidential health care services. Such as the ability to walk to amenities within reasonable distance usually walk of thirty minutes or less, recreational spaces, and access to healthy foods, can influence health related behaviors, as well as a person’s access to quality of healthcare.
While communicating with this patient, it is important to be respectful and sensitive to her cultural beliefs and values. It is vital to provide her with accurate and up to date information about birth control options, and to ensure that she understands the potential risks and benefits of each option.
During the interviewing of this patient, I will use active listening skills and will ask open-ended questions in order to obtain the most accurate and complete information possible. I will also consider the potential impact of social determinants of health on her health and risk assessment, and to document all relevant information in her medical record.
When assessing this patient’s health-related risk, I will consider the potential impact of social determinants of health, such as her age, ethnicity, and living situation. I will also consider her current health status and any potential medical conditions that may impact her risk and to ensure that she understand the potential risks and benefits of her treatment options.
Risk assessment instrument
Knowledge, Attitude and Practice Questionnaire about Contraception and Reproductive Health.
Sexual and reproductive health (SRH) needs remain a significant health concern among adolescents and youth, whether they are sexually active or not. Notably, the 1994 International Conference on Population and Development (ICPD) Programme of Action (POA) consensus hallmark was increasing access to SRH (Liang et al., 2019). As such, appropriately addressing the client’s concerns would be vital. The Knowledge, Attitude and Practice Questionnaire about Contraception and Reproductive Health is an assessment tool designed to assess an individual reproductive knowledge and attitudes and consists of demographic Performa, structured attitude scale, structured knowledge questionnaire, and opinion on practice and preferences of contraceptive methods. The tool would be helpful in determining the client’s baseline knowledge and attitudes in sexual and reproductive health to tailor education (Sherpa et al., 2018).
Description of the communication techniques
Youth-friendly health services are important in addressing SRH needs. Youth face multiple barriers in accessing SRH services. Among the key strategies for youth-friendly services is ensuring that the services are private and confidential, cost-effective, and refrain from negative provider attitudes (Obiezu-Umeh et al., 2021).
Another communication consideration would be culture; the client is Filipino. According to the Agency for Healthcare Research and Quality (2019), cultural competence is considered a high priority for final patient-centered outcomes. Different cultures have different value systems that must be reflected in their care for culturally competent care. For instance, a person from another country may have linguistic barriers; notably, engaging a person whose first language is not English may present communication challenges. Establishing if the client is comfortable engaging in English or using an interpreter would be essential. Still, cultural competence requires cultural sensitivity. Notably, as the practitioner, I should refrain from stereotyping and stigmatizing patients, which results in negative consequences (Agency for Healthcare Research and Quality, 2019).
Summary of the interview
Nurse: How are you? I’m the nurse in charge of your case
Client: I’m good
Nurse: What brings you in today?
Client: I want to know about birth control
Nurse: Well, thank you for your inquiry. I know most young people have similar concerns. It is brave of you to seek such information from a health care provider. I will take you through your concerns
Client: Thank you
Nurse: First, I would like to inquire if you are comfortable using the English language
Client: Yes
Nurse: Thank you. Next, I would want to inform your confidentiality right. Notably, everything discussed in this session will be private unless there is enough reason to believe you pose a danger to yourself or others. Then, the information may be passed to relevant authorities to try to mitigate your actions.
Client: Okay
Nurse: I will provide you with one of our sexual and reproductive health assessment tools that will be used to evaluate your current knowledge and attitudes towards sexual and reproductive health. Then will begin a brief education session that best suit your needs.
Client: Okay
Nurse: Fill in this question, and then will proceed. Thank you for being so cooperative
Five targeted questions
1. Do you have a sexual partner now or ever?
2. What is your attitude toward premarital sexual behavior?
3. What kind of contraception do you know?
4. Who should be responsible for contraception?
5. Do you think sex education will lead to more sexual behavior?
References
Agency for Healthcare Research and Quality. (2019). Improving cultural competence to reduce health disparities for priority populations. Effective Health Care (EHC) Program. https://effectivehealthcare.ahrq.gov/products/cultural-competence/research-protocol
Liang, M., Simelane, S., Fortuny Fillo, G., Chalasani, S., Weny, K., Salazar Canelos, P., Jenkins, L., Moller, A. B., Chandra-Mouli, V., Say, L., Michielsen, K., Engel, D., & Snow, R. (2019). The State of Adolescent Sexual and Reproductive Health. The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 65(6S), S3–S15. https://doi.org/10.1016/j.jadohealth.2019.09.015
Obiezu-Umeh, C., Nwaozuru, U., Mason, S., Gbaja-Biamila, T., Oladele, D., Ezechi, O., & Iwelunmor, J. (2021). Implementation strategies to enhance youth-friendly sexual and reproductive health services in sub-Saharan Africa: A systematic review. Frontiers in Reproductive Health, 3. https://doi.org/10.3389/frph.2021.684081
Sherpa, S. Z., Sheilini, M., & Nayak, A. (2018). Knowledge, attitude, practice and preferences of contraceptive methods in udupi district, karnataka. Journal of family & reproductive health, 7(3), 115–120. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4064783/
Scenario: Your manager wants you to make a PowerPoint presentation on the impact of the 9/11 attacks on the United States and its citizens to new members of an emergency managers taskforce.
Create a presentation of at least 5-7 slides in Microsoft PowerPoint, which includes the following:
· Explain the extent and meaning of Homeland Security especially given that it has a number of definitions.
· Explain the findings and implications of the 9/11 Commission report (be brief).
· Identify the various agencies within the Department of Homeland Security.
· Briefly Explain the USA PATRIOT Act.
· Write additional comments in the Notes Section of each slide if needed.
Support your responses with examples and cite any sources in APA format.
answer this discussion based on this:
· Share additional interview and communication techniques that could be effective with your colleague’s selected patient.
· Suggest additional health-related risks that might be considered.
· Validate an idea with your own experience and additional research.
References at least 4-5 no more than 5 years ago.
the interview for this discussion involves a 35-year-old male with a history of morbid obesity with disabilities in a rural setting. Communication and interview techniques for this patient would differ from other patients based on the patient’s gender, young age, rural setting, and comorbidities. Being a mid-30-year-old male in a rural setting myself would give me common ground to relate to the patient and build rapport. Targeting questions based on the patient’s economic status might involve whether his disabilities leave him unable to work. Questions involving his education could be targeted by the rural setting and either poor access to or lack of finishing school for work or service-related reasons. Healthcare access could be targeted by questions revolving around the rural setting, physical distance to healthcare, and how the patient’s obesity affects transportation and healthcare access. Targeting questions on neighborhood and built environment could involve physical distance to food, exercise, or assistance and lack of developed areas for healthy activities. Social and community context questions would involve the patient’s beliefs and cultural attitudes towards healthcare, disability, and obesity, as well as food and lifestyle habits.
Health risks for this patient are many since morbid obesity is a risk factor for many illnesses and diseases. Major health risks include diabetes mellites (Type II), sleep apnea, depression, and many cardiovascular diseases. Chronic illnesses may be less pertinent to the patient’s age; preventing their development will be especially important. The CDC (2022) states that rural Americans are more likely to die prematurely from heart disease, cancer, unintentional injury, chronic lower respiratory disease, and stroke than their urban counterparts. What specific disabilities the patient suffers from will be important in determining how the other factors affect the patient’s risks.
A risk assessment instrument for identifying cardiovascular disease would be most appropriate for this patient. Early identification of cardiovascular disease could help prevent heart disease and stroke. Questions regarding this would revolve around symptoms such as tiredness, inability to perform tasks, shortness of breath, swelling, and more. Questions about physical activity, habits such as smoking, and diet would be important. Tests that would benefit in screening for cardiovascular risks would include blood pressure, cholesterol, and blood sugar (AHA, 2019).
Five targeted questions to ask this patient could be:
1. “What concerns do you have that brought you to seek medical care today?”
2. “Do you consider yourself to be overweight or unhealthy?” (This is a less open-ended question that directs the assessment toward the patients’ beliefs)
3. “Do you have any family members who have or have died from heart disease?” (Alternately: “Tell me about some of the health problems in your family.”)
4. “How often do you see a healthcare professional, and how difficult is it for you to seek medical care?”
5. “Are there any activities of daily living that are more difficult for you than they used to be?”
References
American Heart Association (AHA). 2019. Heart-Health Screenings. Retrieved from https://www.heart.org/en/health-topics/consumer-healthcare/what-is-cardiovascular-disease/heart-health-screenings on 8/31/2022 .
B all, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s Guide to Physical Examination: An Interprofessional Approach (9th ed.). St. Louis, MO: Elsevier Mosby.
Centers for Disease Control and Prevention (CDC). Public Health Research in Rural Communities. Retrieved from: https://www.cdc.gov/chronicdisease/resources/publications/factsheets/research-in-rural-communities.htm on 8/31/2022 .
Sullivan, D. D. (2019). Guide to Clinical Documentation (3rd ed.). Philadelphia, PA: F. A. Davis.
In three- to five-page double-spaced pages, addressing the following:
Must use at least three scholarly, peer-reviewed, and/or other credible sources published in the past five years in APA style.
As a case manager, what three principles will guide your work? Provide a rationale for your choices.
In response to your peers, discuss how your choices are the same and how they differ. See if you can come to an agreement on a final three including the rationale for choosing them. Be sure to use proper APA format and include feedback that demonstrates critical thinking. Remember to introduce new ideas and perspectives and do not just agree or disagree with your peer’s thoughts.
-History does not repeat itself, but it often rhymes.
-History is a set of lies, agreed upon.
-History is the sum total of things that could have been avoided.
-History is a gallery of pictures in which there are few originals and many copies.
History repeats itself, first as a tragedy, then as a farce.
1. Choose three of the five descriptions of history and discuss them from your own perspective and how you feel about the study of the past through the eyes of people. Tie them together logically and discuss how you got to this point. How do you relate these things? Do you agree or disagree as a whole?
2. How would YOU describe history in the most succinct way possible. Use your own words, not text from online or outside sources. I am looking for your own point of view, creativity and insight into how you view things.
INITIAL POST should contain 300 words, substantive and addresses the prompt. Each of the the required secondary posts and commentary should EACH be at least 150 words of relevant and substantial responses
Assignment 2
Write a 5-page paper that provides:
1. A summative description of Transformational Leadership
2. A discussion about the associations (connections) between Transformational Leadership and Covey’s Principle-Centered Leadership model.
3. A discussion about the role of ethics in leadership styles.
4. A discussion about your perceptions of ethics in leadership.
5. A description of how you envision your own leadership style.
APA style with in-text citations.
We all experience vulnerability at times with the decision making process. View the video, The Power of Vulnerability.
Based on the video, how do we make ourselves vulnerable or not so vulnerable with decision-making. Sometimes do we try to make the uncertain, certain, by making a decision without the facts and taking into consideration everyone’s perspective of the decision at hand? Do we pretend that the other perspective doesn’t even exist when we are making decisions?
Identify and discuss the various factors that contribute to imperfect decision making in YOUR organization, the ARMY.
Link to video:
https://www.ted.com/talks/brene_brown_the_power_of_vulnerability