...Professor and Chair of the Occupational Therapy Department at the University of Utah. She was recently appointed editor-in-chief of the American Journal of Occupational Therapy and serves as Chair of the Nursing and Rehabilitation Committee-Stroke Council, of the American Heart Association. Additionally at the American Heart Association, she is a member of both the Leadership Council - Stroke Council and the Stroke Rehabilitation and Recovery Committee - Stroke Council. Her current professional affiliations include the American Occupational Therapy Association (AOTA), Society for Neuroscience, and the American Congress of Rehabilitation Medicine. Motor rehabilitation is premised on the belief that behavior (e.g., practice and motor-based intervention) forces neuroplastic changes in the central nervous system (CNS) which lead to better motor function. According to Richards, Hanson, Wellborn, & Sethi (2008b) the current evidence supports that "repetitive behavior that produces motor skill acquisition does...
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...Application of Clinical Psychology Paper Amanda Ayers PSY/480 March 02, 2016 Mark Peterson Application of Clinical Psychology Paper What is a case study? According to Merriam Webster, a case study is a process or record of research in which detailed consideration is given to the development of a particular person, group, or situation over a period of time (2016). In this paper, a case study will be examined and applied to clinical psychology aspects in real-world situations. The case study will be looking at a 19 year old Chinese male named Joe. Joe’s situation will be discussed in overview. Following this will be a discussion of the biological, psychological and social factors that are involved in Joe’s case. Lastly, the case study will be used to explain the different interventions that would be appropriate to use in relation to the field of clinical psychology. Now let us take a look at Joe and his case. The Overview The case study applied in this situation looks at a 19 year old Chinese male. This individual suffers from episodes of depression along with some anxiety. His name is Joe. Joe has an overwhelming feeling of not being “good enough”. In his daily life, he takes the responsibility of taking care of his invalid mother as well as two younger siblings. Joe’s father left when he was 5 years old and an only child. At the age of 12 his father returned. Within two years after his father’s return his parents had 2 more children. At the age of 16...
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...202: Language Disorders (Acquired) 2 Assessment 2: Case Study MEDICAL DIAGNOSIS: Sustained a left-sided MCA CVA involving lateral frontal lobe TIME POST-ONSET: 6 months SPEECH LANGUAGE DIAGNOSIS: Broca’s aphasia characterised by severe difficulties with expressive language skills involving both verbal and written modalities. ------------------------------------------------- Background Ruby is a 39-year old woman who lives at home in the UK with her husband and two children, 9 and 7 years old. Ruby was first admitted to hospital on the 1st of February 2014 following right side weakness in upper and lower limbs, aphasia and an associated fall getting out of bed in the morning. She was found to have an acute left sided middle cerebral artery infarct involving the lateral frontal lobe. The pre-central gyrus was also involved and damage possibly extends to the lateral fissure and subcortical structures. This has resulted in a right-sided hemiplegia affecting her upper limb primarily. No preceding significant medical history. Ruby has previously spent 2 weeks in a specialist stroke unit and then 3 months in a rehabilitation unit during which she received treatment from physio, OT and speech pathology. Include client demographic information; include information about previous intervention details social history, premorbid level of function, and any other relevant medical or allied health intervention details to date. Language Assessment Ruby’s communication...
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...World Health Organization defines health as “a state of complete physical, social, and mental well-being, and not merely the absence of disease or infirmity” (WHO, 2006). As healthcare evolves overtime, goals of health promotion also change. Disease prevention is the current goal of health promotion. This paper will define health promotion, its purpose and the role of nurses in health promotion. Three recent publication of professional journal articles reviewed will also be discussed as it relates to three level of health promotion. Define Health Promotion Health promotion is defined as the “information and education to individuals, families, and communities that-encourage family unity, community commitment, and traditional spirituality, that make positive contributions to their health status”(DefinitionofWellness.com, 2012). It is also the education and related organizational, economic and environmental supports to achieve a better quality of life. In health promotion, health is viewed as a positive construct and involves people in a participatory capacity. Thus by providing people with the knowledge of the factors that can affect their health, people are encouraged to take increased control of their health (Bennett, Perry, & Lawrence, 2009). Purpose of Health Promotion The ultimate aim of the health promotion is the absence of disease and a sense of wellbeing. It positively influences the health behavior of individuals and communities as well as their living and working...
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...A Criticism of Neoliberal Policies as a Method of Development * Neoliberalism is a philosophical theory that uses market value as the primary method of evaluating all aspects of life. Thus, the market is seen as the template for all other activities within a society, even those that involve an ethical dimension. (Paul Sukys, 2009) Thesis Statement: The pro-market principles that neoliberalism encourages do have benefits that, if managed realistically, are means of development and sustainment for countries worldwide. * “The neoliberal doctrine emphasizes competition over cooperation and in doing so encourages each individual to pursue his or her own well being, thus effectively creating "companies of one" who will sell whatever they possess (talents, property, abilities, education, and so on) in order to accumulate "points," in whatever way those points may be defined within a given system.” (Jason Read, 2008) * “Neoliberalization has not been very effective in revitalizing global capital accumulation, but it has succeeded remarkably well in restoring, or in some instances (as in Russia and China) creating, the power of an economic elite...” (David Harvey, 2007) * Neoliberalism is an ideology, method of governance, and a set of policies which originated out of classical liberalism and as a backlash to Keynesianism during the early 1980’s (Steger and Roy 2010:10-11) * Neoliberal intellectuals insisted that the ‘free market’ was a superior mechanism for...
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...4515 K v Mor ls f ayaD c r R sa h t et iP Ditl ‘ dln ei r liai l er ot a eer Su n h h sie Moei n e n ol c d ,s td lg E p ye unvr k.m.morrell@lboro.ac.uk m l e T roe , o ’ John Loan-Clarke is a Lecturer in Organisational Behaviour, j.loan-clarke@lboro.ac.uk Professor Adrian Wilkinson is Professor of Human Resource Management, a.j.wilkinson@lboro.ac.uk All authors are based at: Loughborough University Business School, Loughborough LE11 3TU, UK. Key Words: Employee Turnover, Organisational Change, NHS 1 Organisational Change and Employee Turnover Abstract This paper investigates employee turnover, using data from a recent study of 352 NHS nurse leavers. We explore individual decisions to quit in a context characterised by change, and suggest a mechanism whereby organisational and contextual change can prompt individual leaving decisions. We develop and test hypotheses designed to shed light on the links between organisational change and individual decisions to quit. We then develop a theoretical, heuristic model describing the relationship between organisational change and turnover. The managerial implications of this model are outlined and the paper concludes with an agenda for future research. Introduction Employee turnover is a much studied phenomenon (Shaw, Delery, Jenkins and Gupta 1998: 511). Indeed, one recent meta-analysis (Hom and Griffeth: 1995) alone reviewed over 800 such studies (Iverson 1999). However, there is no universally accepted account...
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...CNE V Continuing Nursing Education Objectives and instructions for completing the evaluation and statements of disclosure can be found on page 224. What Is Normal?' Evaluating Vital Signs Dehra Van Kuiken, Myra Martz Huth ital signs (VS) are indicators of physiological functioning and include temperature, respiratory rate, fieart rate (pulse), and blood pressure (BP). Health care professionals measure VS to assess, monitor, evaluate, and document an individual's physiological status or change in condition (Royal College of Nursing, 2011). Depending on the individual's condition, VS are monitored and recorded routinely by policy, tradition, or expert opinion, whether needed or not (Evans, Hodgkinson, & Berry, 2001; Zeitz & McCutcheon, 2006). Five years ago, pédiatrie nurse leaders and evidencebased practice (EBP) experts from children's hospitals across the country voiced concerns about the frequency of VS at a National Summit for Pédiatrie and Adolescent EvidenceBased Practice (Melnyk et al., 2007). This summit resulted in our team formulating a clinical question, searching for the evidence, critically appraising the evidence, and formulating conclusions on normal parameters. Before the question on the frequency of ys could be addressed, two fundamental questions needed exploration, and thus, became the focus of our work. The questions are: • Among pédiatrie patient ages 1 through 5 years, what are "normal" VS parameters? • Among pédiatrie patient ages 1 through 5 years...
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...Baclofen is a GABA agonist which means it inhibits calcium uptake causing the release of excitatory neurotransmitters (Nuttin et al,. 1999). Diazepam is an agonist of the GABAA receptor which causes the opening of a channel and allows a chloride influx (Cartlidge et al,. 1974). Due to the differences between baclofen and diazepam there was a study done to compare the two drugs. It was noted that diazepam may be more effective than baclofen but it produced side effects (Cartlidge, Hudgson...
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... Previous research revealed that 63% of the staff on this unit identified that inadequate staffing greatly affected patient safety. In order to research this issue further, the nursing students developed a follow-up survey that would help to identify the aspects of patient safety that are most affected. By understanding which aspects of patient safety create an issue on this unit, the group will develop an intervention with increasing safety as the expected outcome. Safety on this unit is difficult to measure because the unit does not face the same problems that staff encounter on Medical Surgical Units. One way to measure safety on 5E is to review the number of patient falls. Data was obtained that revealed in November of 2012, 5E reported the most falls of any unit in the hospital. Other safety markers are difficult to identify and are not regularly measured. During a typical day shift, the staff on the unit consists of four registered nurses (RNs), two patient care assistants (PCAs), one house unit coordinator (HUC), and two therapists, either occupational (OT) or recreational (RT). Twenty-three beds are available on 5E and at the time of the survey, twenty patients were currently...
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...Transition to adult services for young people with disabilities:current evidence to guide future research DEBRA STEWART MSC OT REG 691 words The transition from adolescence to adulthood is an important developmental stage for all young people.1 This period of transition presents particular challenges for youth with disabilities, their families, their medical and rehabilitation teams, and the broader healthcare system.2,3 Young people with disabilities face numerous barriers in achieving autonomy and independence, and they often need support from their family and community to make a successful transition into the adult world.4,5Almost two decades of study indicate that young people with disabilities and chronic health conditions do not have the same outcomes as their peers on such important domains as health status, academic achievement, interpersonal relationships, community participation, and employment. During the transition to adulthood, young people with disabilities are transferred from child- and family-centred systems, such as school and pediatric rehabilitation centres, into adult systems6,8 The importance of adequate preparation for young people with chronic health conditions and disabilities as they move towards adulthood has been identified by a joint consensus statement on healthcare transitions released by three American professional bodies representing pediatricians, family physicians, and internists.2 Whereas earlier consensus statements focused on transition...
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...introduces the subject, and other biblical testimony on the nature of revelation is subsumed under the discussion of biblical authority. The paper also includes a brief historical treatment of the Enlightenment and post-Enlightenment understandings of biblical revelation/authority and an analysis and critique of their basic presuppositions in light of Scripture. Following the conclusion, a selected bibliography of sources cited and other useful books and articles on the subject is provided. Appendices include: (1) a chart schematizing the two major modern approaches to the Bible's revelation and authority (Appendix I, A-D); (2) some of Ellen White's insights on biblical revelation/authority (Appendix I, E); (3) the Methods of Bible Study Committee statement on the historical-critical method (Appendix I, F); and (4) a...
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...revelation-inspiration-illumination introduces the subject, and other biblical testimony on the nature of revelation is subsumed under the discussion of biblical authority. The paper also includes a brief historical treatment of the Enlightenment and post-Enlightenment understandings of biblical revelation/authority and an analysis and critique of their basic presuppositions in light of Scripture. Following the conclusion, a selected bibliography of sources cited and other useful books and articles on the subject is provided. Appendices include: (1) a chart schematizing the two major modern approaches to the Bible's revelation and authority (Appendix I, A-D); (2) some of Ellen White's insights on biblical revelation/authority (Appendix I, E); (3) the Methods of Bible Study Committee statement on the historical-critical method (Appendix I, F); and (4) a compilation of Ellen White references to "higher criticism" (Appendix II). A. Revelation-Inspiration-Illumination:...
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... itsstrategic location, soundness of its operations, and efficiency of its management systems. The administrator's effectiveness depends upon the efficiency with which he is able to achieve the goals and objectives. Some of the major factors determining the effectiveness of a health institution includes patient care management and patient satisfaction. Hospitals are very expensive to build and to operate. Administrators and professionals have to be extremely cost conscious. Effective computerised systems and procedures need to be implemented to ensure proper utilization of limited resources toward quality health care. It becomes even more important when an in-house medical facility is provided by an industry for it’s employees, as is the case for Tata Steel. Patient care management in Tata hospital has fully utilised the power of computers in Medicare, whereby network of integrated systems maintaining patient database for the hospital services in the areas of Pathology, Radiology, Medical Research, In-patient Admissions and Billing, Medical Stores & Pharmacy are operational. The implementation of the above modules have evolved user-friendly computerized systems which are loved and cared by all. Tata Main Hospital (commonly known as TMH) at Jamshedpur caters its services to the employees (around 60,000) of Tata Steel, their families, and dependent relations. It also extends it’s...
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...LIBERTY UNIVERSITY BAPTIST THEOLOGICAL SEMINARY Dr. Daniel Warner of the requirements for the completion of the course OBST 510 Old Testament – Introduction to Old Testament by Sheniece Wallace September , 2014 Introduction John N. Oswalt, curiosity about the study of the Bible and theological questions was influenced in the 1960s, during his graduate studies at Asbury Theological Seminary. Followed by further education in Theology, triggered a facet of questions during his time at Harvard Divinity. William F. Albright, a scholar proposed the questions the Israelites of the Old Testament and their reasoning about there beliefs. The radical Prolegomena for Oswalts, book sprung up a multitude of questions for him to consider answering his and humanity questions about the godly ideology in religion culture. His statements questions godly character whether it was wrong , right, or believable. He mentions his hypothesis of revelation: as humans we couldn’t possibly be in control of our own purpose and that we need a higher power to sustain us. Comparison is made between religions of Israelite the and ancient near east; the worship of their deity. The thought of serving one deity, then, why were so many other religions evolved? Subliminally, in my words, questions the Biblical integrity and purpose being accredited to for humans to believe as truth...
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...Theory of Constraints The topic for my discussion on the Theory of Constraint is the team that handles rental properties for a real estate business. This includes homes as well as commercial properties for rent, from the perspective of the tenant and the landlord. The organization is a team of real estate agents that specialize in rental properties. The goal is to generate profitable revenue by ensuring the quota is met for lease contract agreements to go to settlement in the specified time. Throughput are the number of contracts for the lease of properties that have completed, settled, and funded. Inventory comprises of available rental properties that have been listed with the company, as well as landlords that are represented by agents of the company. Operating expenses include costs associated with the listing or showing of rental properties, such as open houses, advertising costs, and transportation of prospective tenants to the property. The bottleneck is the landlord’s approval and acceptance of the terms of the contract. This will be discussed in more detail in the five steps below. 1) Identify the system’s bottlenecks. Typically the landlord will want to maximize profit by listing the property for as much as possible. Regardless of the listing price being inline with the market area, or being overpriced, lease offers will often be less than the asking price. With lease offers from more than one prospective tenants require more time in their decision...
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