...diagnosed with a poor prognosis. Essay will identifies response of each aspect and give examples. Identify the most of responses associated with grief. Essay introduces Kubler Ross’s Stage of dying theory and use theory to demonstrate emotional responses. A new diagnosis of life-threatening disease has a broad impact on a person's emotional, cognitive, social, spiritual, and physical well-being (Hill, Muers, Connolly, & Round, 2003) When someone confronts life-threaten illness that exceed coping resources, the reaction from emotional, cognitive, behavioral, and physiological is psychological stress. Responses are dependent on wide range of factors, such as the nature of the stressor, individual's physical and emotional capabilities, life experiences, social environment, coping skills, resources, and so on. (N.A. Kasparian.2013) Physical responses depend on disease such as painful, insomnia, headache, tachycardia, hyperventilation, anorexia, and diarrhea and so on. Other responses come with the grief. “Grief can be represented by physical sensations, such as a lump in the throat, tightness in the chest, aching arms, oversensitivity to noise, shortness of breath, lack of energy, muscle weakness, dry mouth, or loss of coordination.†(Gill.2012). Psychiatrist Elisabeth Kubler-Ross focuses attention on the emotional needs and reactions of dying patients. Stage of...
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...Compassion Fatigue: A Requisite Nursing Agenda Deborah A. Boyle, MSN, RN, AOCNS®, FAAN Abstract Nurses have a longstanding history of witnessing the tragedy experienced by patients and families; however, their own reactions to profound loss and premature death have not been systematically addressed. There is a paucity of research describing interventions to prevent or minimize the ramifications of repeated exposure to traumatic events in the clinical workplace. Compassion fatigue is a contemporary label affixed to the concept of personal vicarious exposure to trauma on a regular basis. Yet this phenomenon of compassion fatigue lacks clarity. In this article, the author begins by describing compassion fatigue and distinguishing compassion fatigue from burnout. Next she discusses risk factors for, and the assessment of compassion fatigue. The need to support nurses who witness tragedy and workplace interventions to confront compassion fatigue are described. Citation: Boyle, D., (Jan 31, 2011) "Countering Compassion Fatigue: A Requisite Nursing Agenda" OJIN: The Online Journal of Issues in Nursing Vol. 16, No. 1, Manuscript 2. DOI: 10.3912/OJIN.Vol16No01Man02 Key words: Compassion fatigue, nurse stress, work setting improvements, communication skills Nurses care for ill, wounded, traumatized, and vulnerable patients in their charge. This exposes them to considerable pain, trauma, and suffering on a routine basis (Coetzee & Klopper, 2010; Hooper, Craig, Janvrin, Wetzel, & Reimels, 2010)...
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...Health traditions between cultures vary according to the heritage a family is part of. The Heritage Assessment Tool helps evaluate the family whom is interviewed in order to develop a plan for health maintenance, health protection, and health restoration. Each culture offers a different set of traditions and beliefs that contribute to the health care practices they participate in and how the traditions of that heritage are incorporated into the health practices present in the United States. The three families that were interviewed using the Heritage Assessment Tool were families from Native American Indian ancestry, Mexican ancestry, and Portuguese ancestry. All three families were born and raised in the United States, but their ancestors were from other countries, except the Native American family. Although these families were born and raised in the United States, they still carried on some of the traditions from their ancestors. There are many similarities within the three cultures above. All three cultures are family oriented, family is considered to be very important and family gatherings to celebrate holidays and rituals are huge gatherings that involve all the relatives old and young. It is common for these cultures to have large families; it is not unusual to have more than just the immediate family living in the home. In Mexican, Portuguese, and American Indian households, other family members also live in the same household. All three cultures also have many differences...
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...Promoting Cultural Sensitivity A Practical Guide for Tuberculosis Programs That Provide Services to Hmong Persons from Laos U.S. Department of Health and Human Services Centers for Disease Control and Prevention Hla dej yuav hle khau; Tsiv teb tsaws chaw yuav hle hau. “When you cross a river, take off your sandals; when you emigrate from one country to another, take off your hat.” –Hmong Proverb Promoting Cultural Sensitivity A Practical Guide for Tuberculosis Programs That Provide Services to Hmong Persons from Laos Female elder. © Frank Carter. U.S. Department of Health and Human Services Centers for Disease Control and Prevention 2008 For Additional Information For more information or for a list of available guides, please contact: Division of Tuberculosis Elimination National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention Coordinating Center for Infectious Diseases Centers for Disease Control and Prevention 1600 Clifton Road, NE, Mailstop E-10 Atlanta, GA 30333 Phone: (404) 639-8120 Web site: http://www.cdc.gov/tb Suggested Citation Centers for Disease Control and Prevention. (2008). Promoting Cultural Sensitivity: A Practical Guide for Tuberculosis Programs That Provide Services to Hmong Persons from Laos. Atlanta, GA: U.S. Department of Health and Human Services. 2 Contents Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Intended Audience . . . . . . . . . . . . . . ....
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...Impact of Uninsured Population Project, Part 3: Impact of Alaska Natives with Colon Cancer on Alaska Native Tribal Health Consortium T. Jayd HCS/531 February 21,2011 Joe Rudd Impact of Uninsured Population Project, Part 3: Impact of Alaska Natives with Colon Cancer on Alaska Native Tribal Health Consortium Colon cancer has been identified as one of the leading causes of death among the Alaska Natives. In response to this discovery and in an effort to improve the health of the Alaska Native population, the Alaska Native Tribal Health Consortium (ANTHC) has developed several health support services to increase awareness, provide preventative services, and offer a variety of treatment options. Because of the large percentage of uninsured and underinsured among this population, ANTHC faces the financial impacts that the decline of health in the Alaska Native people has on the organization. Frugal management of the allocated finds and resources will enable ANTHC to stimulate economically profitable areas of the organization and create internal supplementation to the financial concerns. Providing accessible preventative programs and health education in the remote villages throughout Alaska will enable ANTHC to more effectively observe the health trends and effectively manage and provide health care services for the Alaska Natives. Demographics and Needs of Alaska Natives with Colon Cancer The Alaska Native population is a largely uninsured and underinsured population, living...
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...African American Health Care Analysis Cheryl Robinson Capella University CST5500 Multi-Cultural Issues in Health Care Crobinson82@capellauniversity.edu Dr. C Vaugh Abstract It is a cliché of health education that programs and interventions will be more effective when they are culturally appropriate for the populations they serve. In practice, however, the strategies used to achieve cultural appropriateness vary widely. This paper briefly describes African American history and how it relates to health care services. It explains the culture, value and belief of African American when it involves health promotion and disease prevention. Some major health concerns and barriers are noted within the black communities and population as well as way to promote health and disease prevention throughout the African American communities. History of African American population African Americans first arrived to the United States as a crew on a pirate ship in the year 1619. The American population saw these new immigrants as an opportunity and captured many of the six million African immigrants and sold them as slaves (Bennett, 1992 as cited in Edelman & Mandle, 2002). The African American community suffered through a history of slavery and discrimination which has led to their current health and wellness problems. Many of their current problems have been linked to the segregation and cruel treatment that they were subjected to in the past, but African Americans have...
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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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...Cancer Control Knowledge into Action WHO Guide for Effective Programmes Diagnosis and Treatment Cancer Control Knowledge into Action WHO Guide for Effective Programmes Diagnosis and Treatment WHO Library Cataloguing-in-Publication Data Diagnosis and Treatment. (Cancer control : knowledge into action : WHO guide for effective programmes ; module 4.) 1. Neoplasms – diagnosis. 2. Neoplasms – therapy. 3. Early detection. 4. National health programs. 5. Guidelines. I.World Health Organization. II.Series. ISBN 978 92 4 154740 6 (NLM classification: QZ 241) © World Health Organization 2008 All rights reserved. Publications of the World Health Organization can be obtained from WHO Press, World Health Organization, 20 Avenue Appia, 1211 Geneva 27, Switzerland (tel.: +41 22 791 3264; fax: +41 22 791 4857; e-mail: bookorders@who.int). Requests for permission to reproduce or translate WHO publications – whether for sale or for noncommercial distribution – should be addressed to WHO Press, at the above address (fax: +41 22 791 4806; e-mail: permissions@who.int). The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may...
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...Klamath County Community Health Western Governors University Klamath County has many health needs and is at risk for high mortality and morbidity. Heart disease is the leading cause of death followed by cancer and chronic respiratory disease. (The Healthy Communities Institute, 2013). Smoking, obesity, and poor air quality are all contributing factors to these health risks. Also, as the general population continues to age pre-existing medical conditions, chronic health problems and weakened immune systems increase the areas aging population's susceptibility to influenza and pneumonia. However, only 57.8% of adults over 65 received an influenza vaccine in Klamath County (The Healthy Communities Institute, 2013). And unfortunately access to healthcare remains woefully unsatisfactory in the County. Lastly, and most heartbreaking, is that the child abuse rates in Klamath County are among the highest in the state (The Healthy Communities Institute, 2013), while conducting the County Health Survey these three critical areas of concern have become painfully evident. All three issues should be addressed according to the Health People 2020 goals that have been set forth to improve the health and well-being of all Americans (Healthy People 2020, n.d.). WINDSHIELD SURVEY Klamath County, Oregon, is the Southernmost County in the state, boarded by California to the South, the Fremont National Forest to the East, and by the Deschutes National Forest to the North and West. Klamath...
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...Explore different ideas on how to change declining birth rates and promote better health care for all nations. Key Words: Pregnancy, birth rates, death rates , birth defects,social conflict, health care associated with pregnancy. INTRODUCTION In December of 2013, The World Health Organization (WHO) conveyed a consultation on improving the measurement of quality of maternal, newborn, and child care in health facilities. This annual report proposed 19 core indicators for reporting on the quality of MNHC care in nations around the globe. While some key interventions have increased over the past decade, little progress has been made in the quality of care in some health care facilities around the world. The amount of health care coverage provided to mothers, newborns, and children in low income nations is very minimal compared to high income nations particularly in the United States where health care and food programs have been implemented to help the poor and create a better chance of survival among women and children. This gap of inequality in health care contributes to the 289,00 women who die each year due to complications in pregnancy and childbirth and the 6.6 million children who die of birth complications and childhood diseases before the age of 5. The need for more established...
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...716 Index major depressive disorder, brain imaging studies, 70–71 malignant catatonia, 333 malingering, 530–531 ‘manic depressive insanity’, 45 manic states, 250, 253 abnormal beliefs and perceptions, 254 amphetamines and, 266 course and outcome, 274 delusional, 16 in HIV patients, 345 in ICD-10, 42 in old age aetiology, 369 clinical features, 370 treatment, 370 in old age, 369–370 mixed state with depression, 255 sensations in, 6 stroke and, 344 stupor in, 31 manic states, 15–17 Marchiafava-Bignami syndrome, 206, 338 Marijuana Anonymous, 239 marital status, and suicide, 454 masculinity drunkenness and, 428 sense of, 395 Massachusetts Male Aging Study, 402 Massachusetts Women’s Health Study (MWHS), 442 masturbation, 396 McNaughton Rules, 558 McNaughton, Daniel, 558 m-CPP 435 , MDMA (3, 4-methylenedioxymethamphetamine; ‘ecstasy’), 328 medial temporal lobe volume in Alzheimer’s disease, 359 MRI for detecting, 75 medical conditions anxiety disorders in, 170 depression treatment, 521 detection of psychiatric illness, 483 feigned illness, 530–531 mental disorders due to, 327 anxiety disorders, 333 cannabis and psychosis, 330 catatonia, 332 cognitive disorders, 334 delusions, 329 depression and Parkinson’s disease, 332 general principles, 327 hallucinations, 328 mood disorders, 330 personality disorder, 333 psychotic disorder, 328 stimulant psychosis, 329 mental disorders due to, 326–335 relationship to affective change...
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...1 HLTH 21: Health Education Spring 2012 Course Orientation This course is all about what YOU want and need to know about personal, family, and community health with an emphasis on epidemiology of disease, nutritional behavior, communicable disease, disease prevention, mental health, and substance abuse. It's really up to you to decide how much you want to get out of this course in terms of meeting your personal and professional goals. Learning Outcomes By the end of this course, students should be able to: Assess health behavior choices, apply that information to everyday life for the improvement of individual, family, and community well-being. Identify preconceived ideas about knowledge, values, and behavior that affect health and compare with established research and accepted scientific evidence. How to be Successful in this Course Plan to spend at least 9 hours per week on this course. Login and keep up with readings, discussions, and quizzes on a weekly basis. Click on Course Map and get familiar with it. First, introduce yourself in the Discussion Forum. Before you begin with the Module readings, take some time to get to know your classmates. Click on the Discussion and Private Messages link to the left of your screen. Click on Discussion Forum titled: Introductions Post a message to tell us a little bit about yourself such as your major, degree plans, career goals, hobbies/interests, and why you are taking this course. Read your...
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...Clin Soc Work J (2014) 42:323–335 DOI 10.1007/s10615-014-0496-z ORIGINAL PAPER Trauma Through the Life Cycle: A Review of Current Literature Shulamith Lala Ashenberg Straussner Alexandrea Josephine Calnan • Highlight every key term that refers to the following key concepts: 1) "trauma" generally a) "large T trauma" b) "micro-trauma" 2) "resilience" Published online: 31 May 2014 Ó Springer Science+Business Media New York 2014 Abstract This paper provides an overview of common traumatic events and responses, with a specific focus on the life cycle. It identifies selected ‘‘large T’’ and ‘‘micro’’ traumas encountered during childhood, adulthood and late life, and the concept of resilience. It also identifies the differences in traumatic events and reactions experienced by men compared to women, those related to the experience of immigration, and cross generational transmission of trauma. Descriptions of empirically-supported treatment approaches of traumatized individuals at the different stages of the life cycle are offered. Keywords PTSD Á Large-T and micro-traumas Á Neurobiology Á Gender differences Á Immigrants Á Treatment approaches The past is never dead. It’s not even past. William Faulkner The conflict between the will to deny horrible events and the will to proclaim them aloud is the central dialectic of psychological trauma. Judith Lewis Herman S. L. A. Straussner (&) Silver School of Social Work, New York University, 1 Washington...
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...IHS Affirmative Observation One: Inherency 2 Advantage One: Health 5 Advantage Two: Indigenous Economy 9 Observation Two: Solvency 14 Only federal action can solve the case- denying Indian health care furthers an ongoing policy of American Indian genocide 17 Inherency – Lack of Funding 18 Inherency – Lack of Funding 19 Inherency – Lack of Funding 20 Inherency – Lack of Funding 21 Health Impacts – Disease/Death 22 Health Impacts – Disease/Death 23 Health Impacts – Disease/Death 24 IMPACT: Mental Health and Suicide 25 IMPACT: Mental Health and Suicide 26 Extensions to Genocide/Racism Impact 27 Extensions to Genocide/Racism Impact 28 IMPACT: Moral Obligation/Human Rights 29 Solvency Extension - IHCIA/IHS Solves 30 Solvency Extension - IHCIA/IHS Solves 31 Solvency Extension - IHCIA/IHS Solves 32 Solvency Extension - IHCIA/IHS Solves 33 Solvency Extension - IHCIA/IHS Solves for cultural sensitive health 34 Solvency Extension – Congress Key 35 Solvency Extension – Federal Government Key 36 A2: I.H.S. is Racist 37 A2: Transportation 38 A2: “Structural/Distribution Barriers” 39 A2: No Qualified Professionals 40 A2: Bureaucrats 41 A2: IHS has arbitrary eligibility standards 42 A2: Blood Quantum 43 A2: Medicaid Solves 44 AT: Medicaid Solves 45 AT: Medicaid Solves 46 A2: IHS doesn’t use traditional medicine 47 Tribal...
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...Antiretroviral Therapy Guidelines for HIV-Infected Adults and Adolescents Including Post-exposure Prophylaxis May 2007 NACO Ministry of Health & Family Welfare Government of India Assessment and Management of HIV-Infected Person No Is HIV infection confirmed? Send to ICTC for confirmation of HIV status Yes Perform history taking and physical examination (see p 9 ) Evaluate for signs and symptoms of HIV infection or OIs and WHO clinical staging (see p 10) Provide appropriate investigations/treatment of OIs (see p 13 ) If pregnant, refer to PPTCT Screen for TB Screen for STI Identify need for: CTX prophylaxis (see p 16 ) ART (see p 18 ) No Pre ART care (see p 15 ) Yes Give patient education on treatment and adherence (see p 54 ) Arrange psychosocial, nutrition and community support (see p 56) Start ART, (see p 19 ) Arrange follow-up + monitoring (see p 25 ) Assess adherence every visit Provide positive prevention advice and condoms Provide patient information sheet on the ART regimen prescribed (see annex 7, 8) Antiretroviral Therapy Guidelines for HIV-Infected Adults and Adolescents Including Post-exposure Prophylaxis May 2007 NACO National AIDS Control organisation Ministry of Health and Family Welfare Government of India with support from CDC . Clinton Foundation . WHO TAble of T A b l e o f Acronyms and Abbreviations Introduction....... ..........................................................................................
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