...Improving Compliance to Treatment Plan in DM Patients Table of Contents Problem Identification 3 Literature Review 5 Critical Analysis and Evaluation of Literature 6 Formulation of Intervention Protocol for Clinical Problem 12 Proposed Intervention 12 Outcomes and Associated Evaluation Criteria 13 References 15 Appendix: Table 18 Improving Compliance to Treatment Plan in DM Patients INTRODUCTION The Centers for Disease Control and Prevention (CDC) (2011) identified diabetes mellitus (DM) as a major public health disorder in the United States that results in one’s shortage of insulin or...
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...Efficacy of ABA intervention research: Can you trust it? Isaac Lynn Abstract Autism interventions are loudly proclaimed to be effective, yet evidence-based research is often non-existent. In the absence of quality research, interventions such as the most widely utilized in autism, ABA, is touted to be absolutely effective and possibly the only answer for gains to be made in changing autism. Unfortunately, this may diminish the ability of the individual with autism to change in a positive manner. Additionally, immense monetary bills compound the problem. Caregivers may even bankrupt themselves trying to save their child or family member paying high premiums for ABA services that may or may not actually effectively change or manage behaviors of individuals with autism. This paper will discuss whether or not ABA research actually proves the effectiveness of ABA interventions. ABA interventions are defined as “those in which the principles of learning theory are applied in a systematic and measurable manner to increase, reduce, maintain and/or generalize target behaviors” (Education, 2007). ABA includes methodology such as reinforcement of target behaviors, shaping and chaining new behaviors, fading inappropriate behaviors, response and stimulus prompting, discrimination training, programming new behaviors, ideas and attitudes...
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...ASD, which includes a variety of traits that range from mild to severe, is estimated to affect about 1% of the population, although it is under-recognized in the developing world. The review, by specialists in pediatrics, psychiatry, epidemiology, neurology and genetics from across Canada, outlines the current understanding of ASD and best practices for pediatricians, family doctors and specialist clinics, and identifies resources for clinicians. Topics include: What causes autism? The causes are thought to be multi-factorial: genetic, epigenetic, and non- genetic factors. How is ASD diagnosed?The diagnostic assessment of ASD allows a physician to determine if a child meets the accepted ASD criteria (usually per Diagnostic and Statistical Manual of Mental Disorders [DSM] criteria), identify comorbid medical orgenetic syndromes or psychopathology, and identify the patient’s treatment needs. Red flags come from parents...
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...Running Head: DEPRESSION IN THE ADOLESCENT ONCOLOGY PATIENT 1 Depression in the Adolescent Oncology Patient: A Multidisciplinary Concept Analysis Joliette Tiffany Grice University of Texas at Arlington College of Nursing In Partial Fulfillment of the Requirements of N5327 Section 400 Analysis of Theories in Nursing Ronda Mintz-Binder, DNP, RN June 10th, 2012 Depression in the Adolescent Oncology Patient: A Multidisciplinary Concept Analysis We all go through up and downs in our mood, sadness is a normal reaction to life’s trials and tribulations. Many people use the word depression to explain these feelings, but depression is much more than just a feeling of sadness. According to Mosby’s Medical, Nursing, & Allied Health Dictionary (2002), depression is an abnormal emotional state characterized by exaggerated feelings of sadness, melancholy, dejection, worthlessness, emptiness, and hopelessness that are inappropriate and out of proportion to reality. Depression may be expressed in a wide spectrum of affective, physiologic, cognitive, and behavioral manifestations. A depressed teenager may be hostile, grumpy, or may easily lose his or her temper. Unexplained aches and pains are also common symptoms of depression in young people. The adolescent oncology patient may suffer from all of these symptoms due to the life altering circumstances that a cancer diagnosis brings. However, due to side effects of treatment...
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...If successful, the core math program will meet the needs of at least eighty percent of our students. Since a majority of our students identified as needing high levels intervention services, we will be utilizing small group instruction to deliver mastery based lessons on foundational skills. A student who is severely behind in math will be placed in MATH 180. MATH 180 is a comprehensive system of curriculum, instruction, remediation, and assessments designed to equip struggling middle school students with the knowledge they need to thrive in algebra. As the team begins to identify instructional strategies that increase student achievement we looked to the work of John Hattie. In his research, Hattie explains the importance of sharing learning intentions and success criteria. The basic premise of Hattie's work is to allow students to have the same information as their teacher regarding what they should be learning. As a team, we begin developing learning intentions and success criteria for each module. A learning intention is a statement, created by us, that describes clearly what we want our students to know, understand, and be able to do as a result of learning and teaching activities. Success criteria are linked to learning intentions. They are developed by the team and describe what success looks like. The use of learning...
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...PRINCIPLES OF PERFORMANCE MANAGEMENT Do a Performance Improvement Analysis Measure the frequency of behavior (what the individual says or the physical movements made) and the outputs (the physical evidence of completed work produced by those behaviors) prior to any management change. This analysis can be done for just one behavior and output or for many by job category, department and organization. Through this analysis, one measures present performance, establishes standards, specifies why behavior is deficient, calculates the net economic value of improvement after the cost of solutions, and places them in priority order. The result of this analysis is identification of potentially high-payoff behaviors and outputs that can be improved - an important first step, because, surprisingly, key behaviors and outputs are often overlooked or undervalued in organizations. Introduce the procedures used in Performance Management and quantify the amount of change that occurs in specific time periods. Because the investment in changing behavior is often very low and the economic payoffs may be high, the potential high return on investment usually excites top management Be specific Describe and communicate desired performances and the standards for judging them in terms that are measurable, observable and objective. A description of the events that are signals prompting the response should be included. In training, coaching, measuring performance, feeding back performance data...
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...Until Every Piece Fits Autism: a pervasive developmental brain disorder, has taken over controversial issue debates, and impacted families all across the globe. Autism has been a part of my life beginning at age five, before I could even conceptualize what a complex disorder it truly is. I was in kindergarten and like any other five year-old, I was curious about how other people acted. I noticed that some kids were more socially isolated than others, had trouble making friends or even playing with others. I noticed that when it got really loud, or whenever we were doing an activity involving a lot of tactile input, certain kids would pull away and repeat certain behaviors. One particular kid would hunch his back, hyper-extend his fingers, shake them vigorously, as if to dry them off in absence of paper towels, and rock back and forth on his heels. These types of behaviors were relatively commonplace in my experience and I accepted them as absolutely harmless. I had seen the calming affect these rituals had on my classmate. My five year-old self was unknowingly picking up on behaviors that were the hallmark of autism. I attended an elementary school that was located in the autism hub of the county; so several students with autism were mainstreamed, or assimilated, into my classes. These students were not the majority. Rather, neurotypical students, a term used to describe children without a diagnosis of an autism spectrum disorder, composed the majority of our school’s population...
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...POSTPARTUM DEPRESSION: LITERATURE REVIEW OF RISK FACTORS AND INTERVENTIONS Donna E. Stewart, MD, FRCPC E. Robertson, M.Phil, PhD Cindy-Lee Dennis, RN, PhD Sherry L. Grace, MA, PhD Tamara Wallington, MA, MD, FRCPC ©University Health Network Women’s Health Program 2003 Prepared for: Toronto Public Health October 2003 Women’s Health Program Financial assistance by Health Canada Toronto Public Health Advisory Committee: Jan Fordham, Manager, Planning & Policy – Family Health Juanita Hogg-Devine, Family Health Manager Tobie Mathew, Health Promotion Consultant – Early Child Development Project Karen Wade, Clinical Nurse Specialist, Planning & Policy – Family Health Mary Lou Walker, Family Health Manager Karen Whitworth, Mental Health Manager Copyright: Copyright of this document is owned by University Health Network Women’s Health Program. The document has been reproduced for purposes of disseminating information to health and social service providers, as well as for teaching purposes. Citation: The following citation should be used when referring to the entire document. Specific chapter citations are noted at the beginning of each chapter. Stewart, D.E., Robertson, E., Dennis, C-L., Grace, S.L., & Wallington, T. (2003). Postpartum depression: Literature review of risk factors and interventions. POSTPARTUM DEPRESSION: LITERATURE REVIEW OF RISK FACTORS AND INTERVENTIONS Table of Contents EXECUTIVE SUMMARY 2 OVERALL METHODOLOGICAL FRAMEWORK 5 CHAPTER 1: RISK FACTORS FOR...
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...Project proposal 1. Title of the Proposed project Study the corelates of study habits among teen agers and development of intervention program and its improvement. 2. Back ground of the study Academic qualification, normally is the initial introduction of any person. Academic process starts from 1st year of school and is further shaped during all the years of school/college education. Academic qualification is achieved by learning and education. Process of formal learning takes place throughout life as a child in school and later as an adult in graduation/post-graduation. As most of the processes have parameters which govern performance of the process, learning process have parameters which are laid in early school years. Academic performance depends on study habits formed in early age. The relationship between study habit and students’ academic performance has for long received attention from scholars and educational agencies. Nuthane & Yenage (2009) have examined the causes of poor academic performance among university undergraduates. One of these factors identified was study habits. Early schooling years are normally spent at home with family. Family members are directly or indirectly influencing children in the early age for all sorts of habits including study habits. Like all other habits, once formed, habits are difficult to change. Family atmosphere is the initial setup through which child...
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...and/or kind from his/her accepted age appropriate, ethnic, or cultural norms that they adversely affect educational performance in one or more areas: self-care, social relationships, personal adjustments, academic progress, classroom behavior, or work adjustment” (Level 1V: Program Planning, n.d.). Emotional/behavioral disorders are the most under diagnosed and/or misdiagnosed group of disorders that students may have. The signs and symptoms of emotional/behavioral disorders can be missed, mimic other disorders and some cases emotional/behavioral disorders coincide with other disabilities. There are a few categories that must be taken into consideration when assessing a student for emotional/behavioral disorders as well as implementing interventions that will meet the specific needs of EBD students. The categories that the following essay will discuss are biological, family, school and culture. Within each category are a few factors that need to be fully understood and considered in order to have a clear, complete and concise view of the student’s emotional and behavioral needs and the causes of it. Biological Factors Biological factors occur naturally and within the child. According to the article Biological Issues Related to Emotional/behavioral Disorders (2014) biological factors includes chemical imbalances, genetic predisposition; exposure to harmful chemicals during and after pregnancy and poor nutrition. When children are exposed to harmful chemicals during and after...
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...initially conducted through approaches used in the treatment of adults, with substance abuse disorders. It came to light in the 1980’s that the approaches used in treatment of adults, did not adequately address, pertain, or appropriately aid adolescents (Winters, Botzet, & et al, 2011). Adults and adolescents possess different manifestation elements of substance abuse, therefore through assessment, an adolescent will be referred to one of five criteria levels for suggested treatment approaches to be used. The five criteria levels for suggested treatment approaches, as well as, the approaches will be discussed and examined in the following. The five levels...
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...Applying Epidemiology Charles B. Moore HCA 415 Instructor: Quida Davis April 27, 2014 Applying Epidemiology A mother of a young child called the Vermont Department on February 5 to report the possibility of a foodborne disease outbreak after her child aged 5 years and two other children of her neighbor aged 7 and 10 years became ill with a lot of vomiting and diarrhea that took place within an interval of 12 hours. The child’s sickness became severe that the mother took her to a local hospital where she was kept at the emergency department. The mother stated that the child complained of nausea at 10 o’clock the February 2nd, later, the child began vomiting and having multiple episodes of diarrhea, she was not able to eat or drink anything without vomiting. In the evening, the woman took the child to the local hospital where she was admitted at the emergency department, here they noted the child was dehydrated and had a high fever. The stool and blood specimen of the child was collected and the child was given intravenous fluids as a treatment and later she was released; the following day the mother made follow ups on the test results for the child and it turned out the stool culture displayed negative results for usual bacteria (Brehm-Stecher et al, 2009, p. 1774). Two children who were nearby neighbors reported to have nausea, diarrhea, vomiting and fever, these were similar symptoms that the other child had even though these two children were not as ill as the woman’s...
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...responsible for monitoring laboratory results, stool, and provision of fresh plasma when necessary. The collaboration of the caregiver and the hospital will assist in the efficient care of the woman. Risk for Impairment in Skin Turgor The caregiver should inspect the skin regularly to check the turgor, vascularity, and color. There should also be an evaluation for edema, and hydration of the skin and mucous membranes. Additionally, there should be an application of soothing skin care products daily. The patient should also sleep on an orthopedic mattress, and frequently change positions. These activities will also reduce adverse outcomes on the skin. Evaluation of Patient Outcomes The evaluation will involve analysis of the above-mentioned criteria after the interventions. These will be periodically monitored and compared to check the progress of the...
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...Evaluation of Interventions to Decrease the HIV/STI Risk Behaviors of African American Youth: Can We Control Future Trends? Beatrice Simiyu Capstone Project Dr. Bruce Johnson Abstract As a result of the need to recognize successful human immunodeficiency virus (HIV) and sexually transmitted infections (STI) interventions tailored for African American youth, a literature review of six HIV/STI randomized controlled trials interventions targeting African American youth conducted in the United States were evaluated. A comparative analysis was used; the settings, procedures and outcomes of the different interventions targeting African American youth were compared, contrasted and combined to ultimately identify trends that are likely to initiate and possibly sustain change in HIV/STI risk behaviors among African American youth who are a vulnerable group. Variables were evaluated by the various intervention impacts on reducing sexual risk behaviors by an indication of a delay in first sexual intercourse, a decline in the number of sex partners and frequency of sex, and increase in condom use and a reduction in positive STI outcomes. Outcomes were used to facilitate identification of public health strategies that might be most beneficial in targeting African American youth and pinpoint what manner current public health strategies neglects to focus on their needs. The research and practice implications of the findings imply that enhancing future HIV/STI targeting African American...
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...Process Evaluation DRAFT Report School Community Liaison and Security Programme Prepared for the National Committee for Families and Children (NPA M&E Sub-Committee);and Ministry of Education, Youth & Sports John D. Flowers Table of Contents Executive Summary ......................................................................................................................... Error! Bookmark not defined. 1.0 1.2 1.2.1 1.2.2 1.1.3 2.0 2.1 2.2 2.1 2.2 3.0 3.1 3.2 3.2.1 3.2.2 3.2.3 3.2.4 3.2.5 3.3 3.5 3.5.1 3.5.2 3.5.3 3.5.4 3.6 Background ................................................................................................................................................................................ 2 Project Description and Scope .......................................................................................................................................... 3 Purpose of the Consultancy ..................................................................................................................................... 4 Scope ............................................................................................................................................................................ 4 Key Activities and Main Deliverables .................................................................................................................... 4 Evaluation Design and Framework .....................................................................
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