...Efficacy of Cardiac Rehabilitation A study conducted in Britain shows that the 40% mortality rate among men and 10% mortality rate among women between the ages of 45 and 65 years are due to coronary heart disease (Brennan, 1997). In Europe 22% of deaths are related to coronary heart disease. Most heart attack survivors are not receiving enough systematic help with rehabilitation, which results in anxiety, stress, depression and finally poor outcomes (Brennan, 1997). Living with these symptoms causes increased rate of morbidity and mortality after the infarction. One of the goals of cardiac rehabilitation is the reduction of morbidity and mortality through exercise training, dietary changes, smoking cessation and type A behavior modification. The second goal is amelioration of distress associated with cardiac pathology through the use of new coping strategies such as behavioral and cognitive techniques and stress management programs and anger control (Brennan, 1997). Exercise program is the most important intervention by researchers and clinicians. But the other form of intervention, like the effectiveness of smoking cessation programs, has received little attention. This article reviews the evidence for the efficiency of different forms of intervention that are focused on reducing distress and limiting risks during the post-infarction period. Exercise programs in cardiac rehabilitation studies prove their impact on the recurrence of myocardial infarction (Brennan, 1997)...
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...juveniles, the law enforcement officials, and the public alike. One of the first changes Delaware can take to make their juvenile justice system stand out from other states is to remove the mandatory rules to charge some juveniles as adults. Currently, only four other states do not utilize mandatory rules for sentencing juveniles as adults (Trying Juveniles as Adults, 1998). This may seem like an easy way out for some juveniles who have committed more serious offenses, but it’s important to remember that these juveniles are, in fact, still juveniles. They haven’t fully developed mentally, physically, psychologically, etc., and it’s unreasonable to charge them as adults for crimes that they have committed as juveniles. Focusing on rehabilitation for our juveniles should be a main priority, not locking them away for years on end and depriving them of services such as substance abuse counseling and psychological therapy programs that they would immensely benefit from. Another recommendation that could help Delaware’s juvenile justice system is to expand the civil citation program. The Civil Citation program was initially implemented in Leon County, Florida, and the goal of this program is to hold the juvenile offender accountable for their actions by providing an alternative to...
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...Main Campus HealthSouth Rehabilitation Hospital 2935 colonial Drive Columbia, SC 29203 (803) 401-1331 HealthSouth: Columbia - www.healthsouthcolumbia.com HealthSouth is one of the nation's largest healthcare services providers, operating Acute Rehab and Outpatient Rehab Centers nationwide. Our vast network of highly skilled professionals and the latest equipment and technology offers patients access to high-quality healthcare. HealthSouth Rehabilitation offers a low therapist to patient ratio guaranteeing the patient gets the one-on-one attention they deserve. Treatment is available for individuals who have suffered a major accident or illness, including trauma, stroke, head injury, spinal cord injury, hip fracture, amputation, arthritis, chronic pain, neuromuscular and pulmonary diseases. HealthSouth treats people of all ages on an outpatient basis with specialized rehabilitation programs for adolescent, adult, and geriatric populations. HealthSouth Rehabilitation Hospital of Columbia offers comprehensive outpatient therapy services. HealthSouth Rehabilitation Hospital of Columbia is a 96-bed acute care rehabilitation hospital located in Columbia, S.C. Established in 1989, we are the only freestanding comprehensive medical rehabilitation hospital in the Midlands, serving Lexington, Richland, Kershaw and surrounding counties. Health South Rehabilitation Hospital is own and operated by The Gores Group, in Los Angeles, a private equity firm. For-profit HealthSouth...
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...of development by helping through social/personal, career development and the achievement of academic goals (American School Counselor Association, 2012). School counselors may work in post secondary schools, high schools, junior high, middle, and elementary schools. School counselors can collaborate with school professionals to make sure that the needs of these students are met. School counselors can also work in a college setting, which includes guidance and academic counselors. Counselors are there to offer guidance and academic assistance to college-aged students (O*NET, 2006). Rehabilitation counseling is an area of expertise for counselors who are interested in working with the disabled. Their area of concentration is to “counsel population with disabilities resulting from accidents, disease or illness, birth defects, or other causes” (Occupational Outlook Handbook, 2012). Rehabilitation counselors develop programs tailored to help meet the needs of this population and in process help them have self-sufficiency. Mental health counseling is a field of counseling that deals with populations like; families, couples, and individuals. Mental health counselors address issues like emotional and mental disorders (Occupational Outlook Handbook, 2012). They can work in many fields such as hospitals, nonprofit organizations, and even set up a...
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...City Council Exercise By Mohammad Russel Ranking: 1. Condominium building 2. Parking lot for Saint Stanislaus Church 3. Women center 4. NAFCO, to set up a drug rehabilitation center with residential facilities 5. Gas station by major oil company 6. Friendship house 7. Private club by John Lateck Concluding points: 1. Everyone just ranking the value by their own decision. When we get to know all of our group members ranking value. We are discussing more about this to make it perfect ranking. 2. When group can get to know all member’s individual perspective for their ranking value and then we can note the important ideas and reason to make the final ranking. 3. a. we can analyze the existing situation b. listen and raise question among us c. allow free expression 4. a. All conflicts cannot be resolved b. Make necessary adjustment, reinforce and confirm 5. By value we are taking our decision and individual taking decision are not the same. So there are bunch of decision in the group by the members even though there is a right answer. Questions: 1. What criteria were used by the group, and how were they determined? We ranked the bid list by discussing our own individual ranking among members and then we determine by the most significant value which we agree by all of us. 2. Were individual values and preferences affected at any time during the decision-making process? If so, how? Yes, individual values and preferences affect the time during the decision-making...
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...Argosy University | Psychology in The Community | Resources for Domestic Violence Victims, Addiction Counseling, and Faith-Based Treatment for Logan, Ut. | | Stefani Coltrin | 6/22/2015 | The contents in this paper are to help those who are looking for domestic violence services, drug addiction counseling, and faith-based treatment. These are some of the options available for the Logan, Ut and Northern Utah area. | If you are a client who was looking for substance abuse treatment first you would need to find out if you want outpatient or inpatient treatment. If you are looking for outpatient treatment Bear River Substance Abuse has an IOP program that you can attend for 4 weeks while being there 4 hours a day. Bear River Substance Abuse Program also provides classes such as early recovery group, recovery skills, relapse prevention, women’s group, and aftercare. There are a lot amazing inpatient rehabs that are designed for both males and females. If you are a mother who is trying to get your child back then the House of Hope would be good suggestion. The House of Hope offers a great program called “Women and Children” where they offer much more than just substance abuse. They will assist you with getting your children back, let your children live with you, and provide a lot of educational classes. Most residential treatment centers are longer than 30 days. Some of the inpatient treatment facilities that I would recommend days are House of Hope, Odyssey House...
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...Nearly 4 years ago today Amber W. was struggling with her weight. At the same time she was struggling to fit into a society that puts blame and shame on the obese. But an involvement with a 12 step program put her on a path to truth of self, recovery and eventually life changing weight loss. “Prior to being introduced to 12 steps, my life was about food and the acquisition of it,” said Amber. Only 48 months ago Amber weighed nearly 320 lbs with a dress size of 26. Tired of fad diets and breaking self promises, she turned to the help of the well-known 12 steps for addiction and as she put it ‘got real’ about her food addiction. She found a long term solution for her food issues in understanding the science of addiction to food and by committing herself to the 12 steps of addiction recovery. Both Amber and her colleague Dr. Vera Tarman agree that weight loss is only a result of the recovery process for the food addict. Amber went from sneaking food and staying away from public interactions to becoming an advocate for food addiction in the public eye, truly a real life success story. “The process of surrendering to addiction is difficult for most people,” said Dr. Tarman, Canada’s foremost food addiction expert. “For those people like Amber who embrace the science behind food addiction and the need to change the way they think and act; the results of recovery can be remarkable.” Today Amber has lost over 150 lbs and more importantly is totally committed to the recovery...
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...Serena Hollis Intake Interview Analysis Interviewing Techniques PSY405 A02 Professor: Alina Perez-Sheppe AUO 7/9/14 My ideal job and career choice is either one of the two which are as female therapist and or addictions counseling therapist. An agency that I have in mind is located in Florida and is known as Sunrise rehabilitation institutes and detox center. This my ideal type of work and surroundings that I would love to work in. The Sunrise medical unit is also an option for me for these areas both house men and women who are in need of counseling and therapeutic healing and resource counselors as well. The units are set up according to gender in the detox center and in the medical unit when first admitted is where gender status does not matter. At times individuals are sent to Sunrise by mistake not knowing whether or not someone needs detoxing and or psychotropic medication maintenance has been a dilemma for many years at Sunrise. As a volunteer I was able to see right away that I can and would fit in easily with the routine and staff. Sunrise offer an in house therapeutic program for men and women for 30 days and 60days if needed depending on the individual. Whether recovering from drugs or alcohol and or a dual diagnosis such as bi polar and or depression or anxiety conditions. Anything more acute is referred out to another location in the area. There have been times when someone came in with a more sever issue and or needed medical detox from opiates and had...
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...Introduction There are about as many treatments for substance abuse as there are substances in this world. Some have been shown to be highly effective and others have raised an eyebrow or two. In this paper, I will compare three widely popular substance abuse treatments, one of which I got to experience first-hand. While I will not say, I am an expert on treatment modalities I will provide some important pros and cons about each treatment as I see it relates to most substance abuse communities. I would like to also have you, the reader, come away with more knowledge and insight about these treatments so that you can make an educated and informed decision concerning treatment options. The first treatment I will discuss is the traditional 12-step program and my observations as a first-time visitor at a meeting. I will then move on to SMART Recovery and discuss what I found on their website. Lastly, I will go over Celebrate Recovery and how that program operates. Traditional 12-Step Introduction Founded by Bill Wilson in the mid-1930’s AA or Alcoholics Anonymous is a free, “higher power” based, self-help program based on the assumption that change can result in a group that shares common problems (Pita, 2014). The members of this group are encouraged to share their emotions and feelings about addiction and recovery in hopes of helping each other motivate or maintain sobriety. This treatment is divided in to 12-steps that are worked at the individuals own pace. In a meeting, there...
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...the cath lab at The term cath lab or cardiac catheterization laboratory refers to an examination room in a hospital or medical facility, in which diagnostic imaging equipment is used to view the arteries of the heat and its chambers. A cath lab is a highly sterile room, everyone has to wear, caps, gowns, mask and gloves during a procedure. Education of Cath lab nurse In order to perform the role of a cath lab nurse, one should possess a nursing degree, and a registered nurse license. A RN may opt to merely specialize in cath lab nursing. According to the not-for-profit, Cardiovascular Credentialing International, Inc. (CCI) website, a cath lab nurse should obtain the RCIS examination and credential. “CCI administers the Registered Cardiovascular Invasive Specialist (RCIS) examination. This credential has been recognized by our own society (the Society of Invasive Cardiovascular Professionals, or SICP) as the only credential for professionals working in cardiac catheterization laboratories that tests for all of the knowledge and skills that are necessary to do so.” (cathlabdigest, 2015). Role of the Cath Nurse Patient Assessment and Preparation Registered nurses who work in a cardiac catheter laboratory assist physicians with patient assessments. This includes task such as ensuring that the patient’s chart and records are updated, helping the patient to overcome fear by answering questions regarding the cardiac procedure. Patient education in a cath...
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...forefront of its market. Outlined throughout the analysis is the organization’s history, the suggested Directional Strategies, the Expansion of Scope strategies, and the Implementation strategies along with other key elements that are necessary for the plan to be a success. It will provide an inside look at why new alternatives are not needed and the why the focus should be placed on the products and services already offered and the introduction of the new cardiac care unit to maintain its position in the healthcare market. The purpose is to initiate a strategic plan which makes recommendations to leadership based on the results of the study and to maintain an overall setting of patient and family satification. Key Issues The lack of open heart surgery program at Cabarrus Medical Center results in requiring patients who require open heart surgery or coronary angioplasty services to transfer to another hospital, delaying necessary treatment and causing anxiety and hassle to the patient and their family. Should the current mix of cardiac services be expanded to include open heart surgery? Are there adequate patient volumes in the hospital’s service area to support an expansion effort? Is there sufficient justification to obtain the required Certificate of Need from the North Carolina Department of Health and Human Services? Is there sufficient revenue to cover the costs associated with the required construction, renovation, medical...
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...Valerie Johnson AMT2 Task 2 Western Governor’s University May 1, 2014 Trinity Community Hospital conducted a focused community health needs assessment centering on cancer, orthopedic and cardiovascular services. The information was obtained through a multitude of sources including: epidemiological surveys, focus groups, interviews with healthcare professionals and healthcare facilities’ planning guidelines. Risk Factors Oncology Services The needs assessment revealed that 15% of the population will be older than age 65 within the next 5 years. 50% of men and 33% of women are expected to develop cancer during their lifetime. New cases of cancer are expected to grow by 34% in the next 5 years. Current physician practices that serve oncology patients are at their full capacity. Additional facilities and equipment are needed to be able to provide the care that is needed. There is poor coordination of care between the different disciplines that provide care to these patients. There are delays in scheduling care for oncology patients. There are no established programs focused on cancer prevention and control. Educational programs on the risk factors for cancer are limited. Orthopedic Services The needs assessment reveals that there will be anticipated growth in orthopedics. Orthopedic cases are expected to increase by 46%. Inpatient volume is expected to increase by 30% and outpatient procedures by 350%. The community needs additional physicians in order to accommodate...
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...Social Network Addiction A Social Network is a social structure typically online made up of particular organizations or individuals which are connected through common interests, relationship beliefs, or friendship. The term social network was first termed by J. A. Barnes in 1954. He associated the term with the patterns and concepts use by the public and his fellow social scientists that tied them to one another. Now in 2010 people usually relate to a social network by thinking of Facebook and Myspace. These websites have grown so large and fast in the past decade that there have even been movies made about their success with A list actors competing for lead roles. It seems that the whole world has gotten caught up with this so-called Facebook and Internet addiction. I catch my sister spending up to 20 hours a week wasting her life away on Internet alone. CNN reports people spending entire nights just customizing their page, even if they have work the next day. Scientists like Dr. Block of Seattle’s research institute report of patients who use the Internet excessively more than 30 or 40 hours a week. New studies suggest Internet addicts are in the millions. There are lots of treatments available from 12 step programs found all over the internet ironically to methods like using a timer next to your computer every time you log on. The one I found to be most useful was a software program that will let you log onto a site life Facebook on specific days but only for...
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...Many individuals enter into Drug Court each year from different walks of life. Each year in July, the National Association of Drug Court Professionals (NADCP) request data from community corrections to review arrest of past Drug Court graduates. Through April 1996 to May 2011, data came available on 1,409 individuals who entered Drug Court. The average age of someone who received services through Drug Court was thirty-two-years-old while two thirds were under the age of thirty-five and a quarter of individuals were under the age of twenty-five (Norman, Gray and MacMaster). Drug Court has been shown to have a greater effect on relatively younger high-risk individuals, who were diagnosed with anti-social personality disorder and who previously failed in less intensive treatments (National Association of Drug Court Professionals). When Drug Court accepts someone to the program, the participant is usually non-violent offender whose current charges are due to his or her substance abuse addiction. Participants reported a long history of substance usage for about 17.9 years. The majority of the defendants received substance abuse addiction. Participants reported a long history of substance abuse usage for about 17.9 years. The majority of the participants received substance abuse treatment in the past while none was able to maintain their recovery. The major drug of choice for participants was cocaine at 57.2%, marijuana at 14%, methamphetamine 8.6%, alcohol 8.2%, and prescription...
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