...Communication Barriers at Duke Medical Center Introduction: Effective communication requires messages to be conveyed clearly to the appropriate parties, but along the way there are many communication barriers that can create misunderstandings and misinterpretations of the intended message (Burns et al., 2012). Such misunderstandings and misinterpretations are apparent in the case of Jesica Santillon. This case study will identify the social and cultural barriers that may have made it difficult for the doctors to communicate with Jessica’s family. This case study will also offer recommendations on modification of the transplant process to ensure that misunderstandings are eliminated or minimized; and lastly it will propose some general communication strategies to manage communication with each group involved in this tragic case. Communication Barriers There may have been many communication barriers that hindered the doctors from effectively communicating with Jesica’s family. We will discuss some social and cultural communication barriers between the physicians and Jesica’s family: The language differences may have been a leading obstacle to effective communication between the physicians and the family, The family recently migrated to the United States seeking treatment for Jesica's condition and were not fluent in the English language. Health literacy may have also induced the communication barrier between the physicians and...
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...I agree with you that health literacy is a serious and real problem in the health care field. Limited health literacy affects a patient's entire health care experience. Patients with low health literacy are more likely to miss preventive measures, which will most likely require rehospitalization. It is imperative for nurses to avoid jargons and use simple language to get the message across. While Henderson’s theory supports nursing as a profession in assisting patients who are well or sick and ensuring 14 basic needs, Orem’s theory is more contemporary where a nurse engages patient in plan of care and guides the patient to be self-dependent in the acquisition of knowledge and skills. Orem’s theory supports that client has the primary responsibility of personal health, with the nurse acting as a guide. Furthermore as long as self-care abilities equal or exceed self-care demands, such patients have no need for nursing ( Hohdorf,2010). However, if self –care deficit is recognized ,nurses should individualize care based on patient situation and must clearly communicate in order to improve and coordinate patient care. In order to improve and coordinate patient care, decisions made by nurses must be individualized to the patient situation, information collected by nurses must be clearly communicated to other health care providers and nurses must actively intervene and suppor Hohdorf, M. (2010). Self-Care Deficit Nursing Theory in Ingolstadt -- an...
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...ASAN AUTISTIC SELF ADVOCACY NETWORK POLICY BRIEF • MARCH 2013 Organ Transplantation and People with I/DD: A Review of Research, Policy and Next Steps Ari Ne’eman, Autistic Self Advocacy Network Steven Kapp, University of California, Los Angeles Caroline Narby, Autistic Self Advocacy Network Introduction Since organ transplantation was introduced as a viable treatment option, people with disabilities have faced significant barriers to accessing the life-saving procedure. The Rehabilitation Act of 1973 prohibited discrimination on the basis of disability by entities receiving federal funds, and the Americans with Disabilities Act of 1990 extended this protection more broadly across other areas of society. However, it has historically been difficult to enforce federal civil rights law within the area of medical decision-making. Due to the lack of medical knowledge on the part of the average patient or family member, people with I/DD often face little recourse when denied transplantation or even referral for consideration for such a procedure. In the last twenty years, some progress has been made on this issue, yet the need for further action on the part of activists and policymakers remains exceptionally clear. Background … it has historically been difficult to enforce federal civil rights law within the area of medical decision-making. People with I/DD and Organ Transplantation: A History of Discrimination In 1995, Sandra Jensen, a 34-year...
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...DARDEN CONSULTING CASE BOOK 2012-2013 EDITION TABLE OF CONTENTS 1. The Consulting Case Interview 1. Structure of the Case Interview 2. Frameworks 3. The Math 2. Company Overviews & Interview Processes 3. Practice Cases 1. 2. 3. 4. 5. 6. 7. Bike DVD Rental Service in NYC Dry Wall Competitive Threat Organ Donation Case Central Power Chemicals, Inc. Hospital Profitability Contact Lens Manufacturer Growth TABLE OF CONTENTS (CONT’D) 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. E-commerce in the Airline Industry Big Green Biofuels New Rubber Plant Investment Asian Mobile Service Provider Radiator Lens for Defense Aircraft Capital Investment for Utility Electric Car Manufacturer Growth Miner’s Dilemma Big Truck Company Auto Spare Parts Machine Company Non-Profit Revenue Decline Gas Liquefaction 4. Acknowledgements THE CONSULTING CASE INTERVIEW STRUCTURE OF THE CASE INTERVIEW The consulting case interview typically lasts between 20-30 minutes and consists of the following parts: • • • • • Case Overview / Prompt Clarifying Questions Structure / Framework Building & Explanation Problem Solving & Analysis Recommendation The interview should be highly conversational and interactive. Depending on the firm, and depending on the round, some interviews can be more structured than others. Please see the subsequent section for more information on firm-specific preferences and formats. STRUCTURE OF THE CASE INTERVIEW Case Overview / Prompt The case interview...
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...Definition Organ transplantation is the moving of an organ from one body to another or from a donor site to another location on the person's own body, to replace the recipient's damaged or absent organ. The emerging field of regenerative medicine is allowing scientists and engineers to create organs to be re-grown from the person's own cells (stem cells, or cells extracted from the failing organs). Organs and/or tissues that are transplanted within the same person's body are called auto grafts. Transplants that are recently performed between two subjects of the same species are called allograft. Allograft can either be from a living or cadaveric source. Organs that can be transplanted are the heart, kidneys, liver, lungs, pancreas, intestine, and thymus. Tissues include bones, tendons (both referred to as musculoskeletal grafts), cornea, skin, heart valves, nerves and veins. Worldwide, the kidneys are the most commonly transplanted organs, followed by the liver and then the heart. Cornea and musculoskeletal grafts are the most commonly transplanted tissues; these outnumber organ transplants by more than tenfold. Organ donors may be living, brain dead, or dead via circulatory death. Tissue may be recovered from donors who die of circulatory death, as well as of brain death – up to 24 hours past the cessation of heartbeat. Unlike organs, most tissues (with the exception of corneas) can be preserved and stored for up to five years, meaning they can be "banked". Transplantation...
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...including: • Respecting the religious or cultural wishes of the deceased and their family where possible and ensuring legal obligations are met • Ensuring timely verification of death • Preparing the deceased for viewing, where appropriate and supporting the family • Offering the family present the opportunity to participate in the process and supporting them to do so • Ensuring, where relevant, that families are informed about the need for post mortem examination and given information about tissue retention and disposal methods • Preparing the deceased for transfer to the mortuary or the funeral directors premises. • Ensuring the privacy, dignity and respect of the deceased is maintained at all times • Facilitating people’s wishes for organ donation • Returning the deceased’s property National End of Life Care Programme; end of life care Quality Standard ; When a Patient Dies 2005; Standards for bereavement care in the UK revised by Cruse Bereavement Care and the Bereavement Services • Association; new regulations on death certification process. Element - 3 Understand factors regarding communication in end of life care 2 Explain your role in responding to key questions and cues from individuals and others regarding their end of life experience sensitivity to cultural, religious and other beliefs and customs; effective, straightforward, and open communication with individuals, families, friends and workers information is clear, and free from jargon. 3 Describe how you might...
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...Council (for the promotion of peace), a Secretariat (administration and information) as well as the International Court of Justice (for judicial matters). Under the Charter, the Security Council has a primary responsibility for the maintenance of international peace and security. The Security Council takes the lead in determining the existence of a threat to the peace or act of aggression. While the UN has had its fair share of success, it has also encountered several obstacles in its path of executing peacekeeping missions. This paper investigates the challenges that the Council has stumbled upon in its mandate to maintain world peace and order. Also of importance are the measures and propositions projected to help the Council overcome these barriers. 1. Using examples, explain any five challenges of the UN Security Council in its mandate to maintain world peace and order The world has changed dramatically since the United Nations was established after World War II, but the organization has not adapted to...
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...support your arguments but make sure to state your own opinion on the issues as well. Stem Cell Research TJ AS OF: 2/4/2009--Introduced. Stem Cell Research Improvement Act of 2009 - Amends the Public Health Service Act to require the Secretary of Health and Human Services to conduct and support research that utilizes human embryonic stem cells, regardless of the date on which the stem cells were derived from a human embryo. Limits such research to stem cells that meet the following requirements: (1) the stem cells were derived from human embryos donated from in vitro fertilization clinics, were created for the purposes of fertility treatment, and were in excess of the needs of the individuals seeking such treatment; (2) prior to donation, it was determined that the embryos would never be implanted in a woman and would otherwise be discarded; and (3) the individuals seeking fertility treatment donated the embryos with written informed consent and received no financial or other inducements. Requires the Director of the National Institutes of Health (NIH) to issue guidelines on research involving human embryonic stem cells. Authorizes the Director to issue guidelines on research involving other human stem cells, as scientifically warranted. Provides for updates of guidelines under this Act. Directs the Secretary to take into consideration guidelines on human stem cell research developed by nationally- and internationally- recognized...
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...tu Twelve Domains of Culture Chart |Mexican |Chinese |South Korean |Indian |Laotian |German |Canadian |Japanese |Filipino |Brazilian | |Overview, inhabited localities, & topography |Prefer to be referred to as Mexican American, geo-graphically, historically, and culturally diverse, reside mostly in CA, TX, IL, AZ, FL, NM, CO, 90% live in urban areas, fastest growing ethnic population in U.S. |Immigrants to Western countries very diverse, culture differs with mix of west and traditional values & beliefs, value accountability to family & neighbors, value higher education, most live in CA, NY, FL, TX |Some major industries are electronics, telecommu-nication, chemicals, & steel. Entertain-ment industry is booming. Mountain-ous. Rapidly increasing immigrant group in U.S.. |Leave their country to attain a higher standard of living. Both religious & social system |Land-locked country in South-east Asia. Mountains & flood-plains. Trop-ical mon-soon climate. Mon-soon season from May to October Popula-tion of 5.2 million as of 1998. 70% of popula-tion is under 30 years old. Most live in rural villages near a temple. Paddy rice is subsis-tence for major popula-tion. |Reserved, formal, like order, love music & celebra-tions. Christmas tree with all its décor is a German creation. 60 million Germans in U.S.. Beautiful landscapes mountain ranges, lowlands & ocean borders. Largest economy in Europe, third largest in world. Climate similar to NW portion of U.S.. Embrace...
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...realize the potential of this research both in the United States and globally. It would be in the best interest of humankind for this research to continue with allowance and funding from the government. According to the National Institutes of Health Resource for Stem Cell Research: Stem cells have the potential to develop into many different cell types in the body during early life and growth. Stem cells are distinguished from other cell types by two important characteristics. First, they are unspecialized cells capable of renewing themselves through cell division, sometimes after long periods of inactivity. Second, under certain physiologic or experimental conditions, they can be induced to become tissue- or organ-specific cells with special functions. Given their unique regenerative abilities, stem cells offer new potentials for treating diseases such as diabetes, and heart disease. (n.d.) Although these cells have these unique capabilities to possibly save lives, they are also the center of much controversy surrounding their usage. The debate on the ethicality of this stem cell research continues on today. The battle for legality and funding of stem cell research has been fought for many years in the United States. As far back as 1974, the US Congress placed a ban on nearly all federally funded fetal tissue research. That same year the National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research...
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...Collegiate Church of St Mary, Warwick Marketing Plan Terry Babbage 2008 1 CONTENTS Part One: Summary of main recommendations………………………………3 Part Two: Marketing St Mary’s: the current position………………………..5 The product………………………………………………………………………..5 Unique selling point…………………………………………………..………….6 Current marketing activity………………………………..………………………6 Charging policy…………………………………………………………..………7 SWOT analysis……………………………………………………………………8 Tourism sites in Warwick…………………………………………………………9 Tourism organisations…………………………………………………………….9 Local websites…………………………………………………………………….11 Part Three: Proposed actions……………………………………………..……12 Internal communications and report structure…………………………………….12 Gift Aid……………………………………………………………………………12 Church layout…………………………………………………………..…………13 Charging policy options…………………………………………………………...14 Advertising options………………………………………………………………..16 The Shop…………………………………………………..………………………17 Website…………………………………………………………………………….18 Visitor makeup…………………………………………………………………….19 Guiding and group visits…………………………………………………………..20 Appendix: Statistics……………………………………………………………,,,21 2 PART ONE : SUMMARY OF MAIN RECOMMENDATIONS This report has developed from the growing awareness that St Mary’s finance were not as healthy as they once were, and that action needed to be taken, fairly urgently, to maximise income. Terry Babbage has compiled this Plan, working closely with Jayne McHale and Clive Black. It is envisaged that they will continue to oversee its implementation...
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...Exploring History and Theories in Euthanasia and Physician Assisted Suicide: An Annotated Bibliography The ethical considerations for euthanasia and physician assisted suicide (PAS) have been debated for decades. As this topic evolves from jurisdiction to jurisdiction, nurses must be prepared to help manage individual cases, as well as participate in shaping the end of life field. If we understand the history of practicing jurisdictions and the evolution of euthanasia and PAS, we can help develop and manage a prudent course of action. Regardless of the nurse’s personal views, this polarizing ethical issue requires a commitment to comprehending the laws of the jurisdiction and adherence to professional responsibilities. Pereira, J. (2011) Legalizing euthanasia or assisted suicide: the illusion of safeguards and controls. Current Oncology, 18, e38-e45. Retrieved from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3070710/pdf/conc-18-e38.pdf The bioethics article offers an extensive body of work that empirically analyzes the effectiveness of boundaries with euthanasia and PAS. The author contends that policy dictates mandatory reporting of euthanasia in practicing countries, but warns of several “transgressions” that occur within the current procedural structure. The main body of the article provides examples and studies to fortify the significant frequency of these transgressions. The slippery slope argument is also addressed. Where by the author documents the historical...
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...Culturally Competent Group Paper: Muslim Americans Culturally Competent Paper: Muslim Americans American Muslims are a growing minority group that share a religious identity, but are ethnically and racially diverse. In the United States, the largest ethnic groups that identify as Muslim include US born African Americans, immigrants from South Asia, and immigrants from the Middle East (Padela & Curlin, 2013). Despite the ethnic diversity within Muslim Americans, Padela and Curlin (2013) state that empirical research shows that “religions shape their adherents’ understanding of disease and illness, their health-related behaviors, their interactions with and expectations of the healthcare system, and their adherence to medical recommendations” (p. 1334). Thus, in order to provide culturally competent care to patients that practice Islam, nurses must have an understanding of the Muslim patient’s religious practices and influences. Muslims believe in the integration of daily prayer, spiritual medicine practices, and reading of the Qur’an, the religious text of Islam, with modern medical treatment. Therefore, healthcare beliefs are informed by their religious views and practices. Health is essential to Muslims because their faith compels them to maintain optimal health by practicing everything in moderation such as praying, exercising, working, and eating. On the other hand, illness can be indicative of penance of sin or a test of a Muslim’s faith. When illness...
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...What is a burn? Burns are physical injuries that occur when the human skin comes in contact with heat, radiation, electricity or certain chemicals. Burns are extremely dangerous and excruciatingly painful. Even a minor burn can be extremely painful. They can cause a severe damage to the skin and in some cases also to some internal organs of the body. They form permanent or temporary marks on the skin and involve the damage of the layers of skin. Basically burns are caused by any hot object or a chemical. Usually the most common agent causing burns is the fire. Other agents are hot liquids, electricity and chemicals and gas. Each year, over 200,000 Canadians receive medical care for burn injuries. More than 5000 of these are hospitalized for an average of two weeks, and of these, four percent will die from their injuries. How many of you have had a burn? How many of you have had, or ever had a loved one have a burn so severe that they had to go to a burn ward for treatment? I’d like to take this opportunity to give you a little history on the creation of burn wards in Canada, specifically Winnipeg, Regina (my own personal experience with my brother) and Toronto, the costs of these services, the leadership required to make these services a reality, and the important role these services play in the welfare of injured Canadians as a whole. Prior to the 1960s, burn victims were treated in general surgical wards. There were no specialized facilities for treating burn...
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...number of Asian Indian elders who followed their offspring to this country has also risen (India, 2015). There are now two major groups of Asian Indians, those who came to U.S. in the late 1960’s and early 70’s, and the group who came much later. According to the 1990 Census data, there were approximately 23,000 Asian Indian elders over the age of 65; 83% are foreign born and 51% do not speak English very well. Only 12%, however are classified as linguistically isolated (without an adult who speaks English in the household) – the smallest of any Asian ethnic group (India, 2015). Older Asian Indian immigrants are often financially dependent on their children. They face the challenges of a culturally different society, such as a language barrier, culture mismatch, new lifestyle factors, and role reversal. In traditional Indian society, extended family members usually live together as a single-family unit. Often, the husband's parents will join the family after they have retired or when help is needed. The grandparents' role in raising the children is highly respected, and they form the linkage to the Indian culture, religion, and heritage. Older Asian Indian immigrants may not speak English and may need a health care interpreter or translator. The majority of Asian Indians practice the Hindu religion. Others practice Sikhism, Buddhism, Jainism, Christianity, or Islam. While there are more than three hundred languages and...
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