...Standardized Simulation NR442 Asthma Management/Nabiha Meer Chamberlain College of Nursing: Nursing Students We want to thank you in advance for your active participation in this standardized simulation. Our purpose is to immerse you in a high quality clinical experience that will enhance critical thinking, decision-making, and prepare you as you move forward in the curriculum and transition into practice. The following material can be used in scenario preparation. You will find preparation documentation that includes course and student learning outcomes as well as general scenario information and resources. A brief patient history will be provided in addition to the most recent physician orders. Be prepared to document your assessment findings, administration of medication, and nursing notes. A medication administration record, laboratory results and patient education material will be provided for you during the simulated experience. One of the most important aspects of simulation is the assessment of performance and debriefing. Keep in mind that the purpose of participation is to enhance your learning and allow you to identify areas of needed remediation. There is no high-stakes testing. We are only asking that you engage in the learning experience and begin to use the feedback provided to enhance your practice. We want you to be able to self-reflect on your actions and interventions and remediate areas that you identify. An assessment matrix has been created...
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...OUT LINE: “Cultural competence an important skill to a health care practice”: * What is cultural competence? What is not? 1. It’s not cultural awareness, cultural sensibility. 2. According to the anthropologist, Williams Haviland: Cultural 3. According to the office of Minority Health, defined Cultural and linguistic ( Website: www.competence (http://minorityhealth.hhs.gov/) 4. Kate Berardo as Cultural Awareness is the foundation of communication. 5. Stephanie Quappe and Giovanna Cantatore( 2007). * Why is cultural competence important in the health field? 1. I’ am an immigrant (My experience) : I have seem poor quality of care 2. Personal experience as an interpreter. (Example). * The Benefit and the lack of cultural competence:(Negative & positive effects): 1. Zborowski, M. (1952). Cultural Components in Responses to Pain. Journal Of Social Issues, 8(4), 16-30. 2. Dr Elyse R. Pork PhD from, Massachusetts General Hospital/Harvard Medical School, Boston, MA, (2006) 3. http://xculture.org/why-cultural-competency 4. Used: Schwartz, M. C. (1978). Helping the worker with counter-transference. Social Work, 23(3), 204. 5. Cultural Competence in Psychosocial and Psychiatric Care: A Critical Perspective with Reference to Research and Clinical Experiences in California, US and in Germany. Social Work In Health Care, 39(3-4), 231-247. doi:10.1300/J010v39n03_ ...
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...Health and Wellness in Native North America It is true that many of the old ways have been lost. But just as the rains restore the earth after a drought, so the power of the Great Mystery will restore the way and give it new life. We ask that this happen not just for the Red People, but for all people, that they all might live. Black Elk, Oglala, Sioux Contemporary health status of American Indians can be best viewed through the lens of various federal policies enacted over the past 500 years. These policies were developed largely in response to dramatic population losses among the indigenous peoples of America, resulting from genocidal actions of military campaigns, the lack of immunity to the diseases that accompanied European colonizers, and the assimilation efforts that destroyed tribal structures and wellness practices. Medical services were first coordinated through army physicians in the Department of War in an effort to control the spread of diseases from early reservation sites placed on or near military forts. By the twentieth century, the rapid decline of the Indigenous population, documented by the “Meriam Report” of 19281 prompted new assimilation efforts to save the first Americans. Healthcare services were re-coordinated within the Bureau of Indian Affairs and then into the Public Health Service, finally resting within the Federal Indian Health Service (IHS). Assimilation policies, however, proved to be highly destructive resulting in the...
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...HLTHIR403C. Work effectively with culturally diverse clients and co-workers Author John Bailey Copyright Text copyright © 2008 by John N. Bailey. Illustration, layout and design copyright © 2008 by John N. Bailey. Under Australia's Copyright Act 1968 (the Act), except for any fair dealing for the purposes of study, research, criticism or review, no part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by any means without prior written permission from John N. Bailey. All inquiries should be directed in the first instance to the publisher at the address below. Copying for Education Purposes The Act allows a maximum of one chapter or 10% of this book, whichever is the greater, to be copied by an educational institution for its educational purposes provided that that educational institution (or the body that administers it) has given a remuneration notice to JNB Publications, Disclaimer All reasonable efforts have been made to ensure the quality and accuracy of this publication. JNB Publications assumes no responsibility for any errors or omissions and no warranties are made with regard to this publication. Neither JNB Publications nor any authorised distributors shall be held responsible for any direct, incidental or consequential damages resulting from the use of this publication. To Order this Publication This publication can be ordered in a wire bound...
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...13 CASE Emanuel Medical Center: Crisis in the Health Care Industry The Haley Eckman Story On Friday, four-year-old Haley Eckman stayed home from school because of a slight fever. She complained that she was feeling very tired. That night, Haley’s temperature increased to 104°F. At 3:15 A.M., Mr. and Mrs. Eckman took Haley to the emergency department (ED) of Emanuel Medical Center (EMC) in Turlock, California. They registered at the admissions desk and waited for someone to see them. After what seemed like forever to the Eckmans, a triage nurse came out to evaluate Haley. He asked several questions, but failed to take her temperature – a routine procedure in that situation. He then disappeared, leaving the Eckmans to wait yet again. While they waited, Haley vomited. She said she felt very weak. The family asked if Haley could lie down in a bed while they waited to see a doctor. A staff member told them that there were no available This case study was prepared by Randall Harris, Kevin Vogt, and Armand Gilinsky as a basis for class discussion rather than to illustrate either effective or ineffective handling of an administrative situation. © 2004 by Randall Harris, Kevin Vogt, and Armand Gilinsky. Used with permission from Randy Harris. both13.indd 670 11/11/08 12:04:27 PM MORE PROBLEMS THAN THE ED 671 beds, and that they would have to wait. The Eckmans saw several empty beds across the hall from where they sat as the staff member said...
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...i GOVERNMENT OF UGANDA Ministry of Health HEALTH SECTOR STRATEGIC PLAN III 2010/11-2014/15 ii TABLE OF CONTENTS FOREWORD BY MINISTER OF HEALTH .......................................................................................... IV ACKNOWLEDGEMENTS ......................................................................................................................... V LIST OF ACRONYMS .............................................................................................................................. VI EXECUTIVE SUMMARY ........................................................................................................................ IX 1. INTRODUCTION .................................................................................................................................. 1 1.1 CONTEXT AND RATIONALE FOR DEVELOPMENT OF THE HSSP III ..................................................................... 1 1.2 DEVELOPMENT PROCESS FOR THE HSSP III ............................................................................................................ 1 2. BACKGROUND ..................................................................................................................................... 2 2.1 SECTOR ORGANISATION, FUNCTION AND MANAGEMENT ..................................................................................... 2 2.1.1 The Ministry of Health and national level institutions .........................................................
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...Effectiveness Outcomes) 41 7.6: Best 5 Bs (Leadership Outcomes) 45 GLOSSARY OF TERMS AND ABBREVIATIONS APP: Annual Planning Process 5Bs: AtlantiCare’s five “Bests” or performance excellence commitments – Best People and Workplace, Best Quality, Best Customer Service, Best Financial Performance, Best Growth ARMC : AtlantiCare Regional Medical Center ASC: Ambulatory Surgery Center ASPP: Annual Strategic Planning Process A AAAHC: Accreditation Association for Ambulatory Health Care AAI: AtlantiCare Administrators Incorporated AAP: Annual Action Plan B BFP: Best Financial Performance Big Dots: The system-level measurements or targets for each of the 5 Bs (performance excellence commitments). Business units (and their departments) have measurable action plans and goals that align with/support the Big Dots. ABCs: AtlantiCare’s Best Customer Service Standards– AtlantiCare’s customer service training program. BMI: Body Mass Index ABH: AtlantiCare Behavioral Health BOT: Board of Trustees ACS: American College of Surgeons BP: Blood Pressure ACR: American College of Radiology...
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...ISSN 0950 2254 ISBN 0 7559 2856 3 (web only publication) ISBN 0-7559-2856-3 www.scotland.gov.uk/socialresearch The text pages of this document are produced from 100% Elemental Chlorine-Free material. The paper carries the Nordic Ecolabel for low emissions during production, and is 100% recyclable. Astron B44477 12/05 9 780755 928569 Education The Role of the Social Worker in the 21st Century – A Literature Review THE ROLE OF THE SOCIAL WORKER IN THE 21ST CENTURY A LITERATURE REVIEW ‘Indeed we have only the most general ideas of what we are trying to produce, what constitutes the essential skill of the social worker, and consequently still more varied ideas as to how to set about it’ (Younghusband, 1959, p.28). Professor Stewart Asquith Dr Chris Clark Professor Lorraine Waterhouse University of Edinburgh The views expressed in the report are those of the author(s) and do not necessarily reflect those of the Scottish Executive or any other organisation(s) by which the author(s) is/are employed. The Scottish Executive is making this research report available on-line in order to provide access to its contents for those interested in the subject. The Executive commissioned the research but has not exercised editorial control over the report. This web only report is accompanied by "Insight 25: The Role of the Social Worker in the 21st Century" also in web only format. Both reports are published by Information and Analytical Services...
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...Advancing Effective Communication, Cultural Competence, and Patient- and Family-Centered Care A Roadmap for Hospitals Quality Safety Equity A Roadmap for Hospitals Project Staff Amy Wilson-Stronks, M.P.P., Project Director, Health Disparities, Division of Quality Measurement and Research, The Joint Commission. Paul Schyve, M.D., Senior Vice President, The Joint Commission Christina L. Cordero, Ph.D., M.P.H., Associate Project Director, Division of Standards and Survey Methods, The Joint Commission Isa Rodriguez, Project Coordinator, Division of Quality Measurement and Research, The Joint Commission Mara Youdelman, J.D., L.L.M., Senior Attorney, National Health Law Program Project Advisors Maureen Carr, M.B.A., Project Director, Division of Standards and Survey Methods, The Joint Commission Amy Panagopoulos, R.N., M.B.A., Director, Division of Standards and Survey Methods, The Joint Commission Robert Wise, M.D., Vice President, Division of Standards and Survey Methods, The Joint Commission Joint Commission Mission The mission of The Joint Commission is to continuously improve health care for the public, in collaboration with other stakeholders, by evaluating health care organizations and inspiring them to excel in providing safe and effective care of the highest quality and value. The inclusion of an organization name, product, or service in a Joint Commission publication should not be construed as an endorsement of such organization, product, or services, nor is failure...
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...neuroscientist, but also because I’m the parent of two young children, who at the time were two and a half years old and seven weeks old. So I was utterly surprised by my reaction to what Trump had to say next. “I’d like to respond,” said Trump. “Autism has become an epidemic….It has gotten totally out of control….you take this little beautiful baby, and you pump — I mean, it looks just like it’s meant for a horse, not for a child. And we’ve had so many instances, people that work for me. Just the other day, two years old, two and a half years old, a child, a beautiful child went to have the vaccine, and came back, and a week later got a tremendous fever, got very, very sick, now is autistic.” My response was immediate and visceral. An image of a nurse inserting a horse-size syringe into my tiny baby emerged inside my head and would not fade away. It did not matter that I knew perfectly well that the syringe used for immunization was a normal size— I...
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...Puerto Rico and the impacting the Medicare, Medicare patient services and employees. Most of the people in the island think that the Affordable Care Act is giving more security and help to address the existing disparities in the healthcare system. With the new Patient Protection & Affordable Care Act, the insurance companies can no longer drop the coverage if one becomes sick, bill individual into bankruptcy because of an annual or lifetime limit, and they will not be able to discriminate against anyone with a pre existing condition. Most of the Medicare and Medicaid community suffers do to the imbalance in our healthcare system this situation affects the quality of care and places a financial strain on the government, individuals and families, employers and employees, and public and private providers. Most of the Medicare beneficiaries have to enroll in the MA program to help them to succeed and receive the adequate treatments without MA to help the disadvantaged seniors on the island, Puerto Rico's elderly citizens will be forced to turn to Mi Salud in larger numbers. Although Mi Salud is scheduled to receive an average of $690 million annually during the next five years, the widening deficit in MA funding is likely to create a net negative impact on federal funding for healthcare in Puerto Rico. The Health care Policies and Issues Ethical concerns and issues The Affordable Care Act (ACA) policies are intended to give patients more access to health care without any...
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...University policy. Students should become familiar with the policies in this Catalog. These policies outline both student rights and student responsibilities. The University reserves the right and authority at any time to alter any or all of the statements contained herein, to modify the requirements for admission and graduation, to change or discontinue programs of study, to amend any regulation or policy affecting the student body, to increase tuition and fees, to deny admission, to revoke an offer of admission and to dismiss from the University any student at any time, if it is deemed by the University to be in the best interest of the University, the University community, or the student to do so. The provisions of this publication are subject to change without notice and nothing in this publication may be considered as setting forth terms of a contract between a student or a prospective...
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...the delimitation of frontiers. Contributors and Acknowledgements Sarah Blake,1 Aubrey Cody,1 Anjali Kaur,1 Nejla Liias, 1 Christopher Lindahl,2 Emily Bell,1 Julie Kragh,1 Jessica Mack,1 and Kristin Cox Mehling1 served as researchers and authors of this working paper. The authors would like to thank the following individuals for their contributions to the development and conceptualization of these case studies: Oliver Sabot Hans Hogerzeil Patricia Mechael Catherine Taylor Kanika Bahl Julia White Kabir Ahmed Mark Young Renee van de Weerdt Deborah Armbruster Jennifer Lockwood-Bergeson Michael Mbizvo Clinton Health Access Initiative Groningen University mHealth Alliance PATH Results for Development Institute UN Secretariat UNFPA UNICEF UNICEF USAID USAID WHO The authors would also like to thank the following individuals who provided key insight into maternal health commodities in Bangladesh, Ethiopia, India, Nigeria, Tanzania and Uganda: Samit Tandon Abhijit Das Billy Stewart Abu Jamil Faisel Manju Shukla Peter Haulohner Anteneh Tsige Albert Kalangwa Michael Tekie Asia Kassim Hussein Esther Obinya Indrani Chakma Lianne Kuppens Luwei Pearson Naawa...
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...AIDS LEGAL Network Q A Publication of the AIDS Legal Network • September/November 2008 Patrick Eba One size punishes all… A critical appraisal of the criminalisation of HIV transmission Lauded by lawmakers as an expression of their strong will to ‘fight AIDS’, HIV-specific laws have become a ubiquitous feature of the legal response to HIV in sub-Saharan Africa1 As of 1st December 2008, twenty countries in ECOWAS Parliament, the West African Health Organisation sub-Saharan Africa had adopted HIV-specific laws.2 (WAHO), the Center for Studies and Research on HIV-specific laws or ‘omnibus HIV laws’, as they are Population for Development (CERPOD), the Network of sometimes ironically referred to, are legislative provisions Parliamentarians in Chad for Population and Development that regulate, in a single document, several aspects of HIV and the USAID West African Regional Programme.3 and The stated objective of these HIV-specific laws, as communication; HIV testing, prevention treatment, care provided under several of their preambulary provisions, and support; HIV-related research; and the protection of is to and AIDS, including HIV-related education people living with HIV. The emergence of HIV-specific …ensure that every person living with HIV or laws in sub-Saharan Africa can be traced to the adoption presumed to be living with HIV enjoys the full of the Model Law on STI/HIV/AIDS for West...
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...ANNUAL REPORT ON SENTINEL AND SERIOUS UNTOWARD EVENTS (1 October 2012 – 30 September 2013) ANNUAL REPORT ON SENTINEL AND SERIOUS UNTOWARD EVENTS 1 October 2012 – 30 September 2013 HOSPITAL AUTHORITY HONG KONG 1 ANNUAL REPORT ON SENTINEL AND SERIOUS UNTOWARD EVENTS (1 October 2012 – 30 September 2013) ACKNOWLEDGEMENT This is the sixth Annual Report on Sentinel and Serious Untoward Events. By continuously learning from sentinel and serious untoward events and by building safe systems, processes and practices to mitigate the recurrence of such events, it demonstrates the Hospital Authority’s commitment to quality and patient safety. We would like to take this opportunity to acknowledge all frontline staff, nurses, clinicians, risk managers and executives for their immense dedication and support in improving patient safety in recent years. Without their invaluable and incessant efforts in planning and executing various improvement initiatives to enhance patient safety through risk identification and mitigation, the publication of this annual report would not have been as meaningful. Patient Safety and Risk Management Department Quality and Safety Division 2 ANNUAL REPORT ON SENTINEL AND SERIOUS UNTOWARD EVENTS (1 October 2012 – 30 September 2013) TABLE OF CONTENTS Executive Summary 4 CHAPTER 1 – Introduction 9 CHAPTER 2 – Sentinel and Serious Untoward Event Policy 11 CHAPTER 3 – Sentinel Events Reported from 1 October 2012 to 30 September 2013 13 CHAPTER 4...
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