...Kimberly Douglas Dec 3 2014 Genetics Down Syndrome Down syndrome (DS) or Trisomy 21 is a complex developmental genetic disorder in which a person has 47 chromosomes instead of 46. Normally, a fertilized egg has 23 pairs of chromosomes. But in most cases, people living with Down syndrome have an extra copy of chromosome 21 also known as Trisomy 21, which is responsible for 95% Down syndrome cases and most common genetic cause of human mental retardation, with an incidence of 1-600/1-1000 live births. It is also responsible for premature pregnancy failure. It is the leading cause of cognitive impairment. Down syndrome occurs because of an abnormality characterized by an extra copy of genetic material on all or part of the 21st chromosome. Every cell in the body contains genes that are grouped along chromosomes in the cell's nucleus or center. There are normally 46 chromosomes in each cell, 23 inherited from your mother and 23 from your father. When some or all of a person's cells have an extra full or partial copy of chromosome 21, the result is Down syndrome. Down syndrome is associated with mild to moderate learning disabilities, developmental delays, characteristic facial features, and low muscle tone in early infancy. Many individuals with Down syndrome also have heart defects, leukemia, early-onset Alzheimer's disease, gastro-intestinal problems, and other health issues. The symptoms of Down syndrome range from mild to severe. Life expectancy for individuals with...
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...I know that I am a type B personality so that means that I will be less likely than some other people to have heart disease, based on my personality. I realize that because I am more patient and less competitive, I am going to be less prone to stress. I will not be concerned about accomplishing every single goal I have which can lead to exhaustion, lack of sleep, and thoughts about failure (Steinberg, Bornstein, Vandell, & Rook, 2011). Without this buildup of stress, I am going to live a healthier and overall better life. One aspect that I could change to improve my life is to not worry so much about what other people think of me. I spend a lot of my time wondering what people think about me or worrying that they are judging something about my appearance or personality. If I did not worry so much about what other people thought about me, I could live a life that had a little less stress. Without this stress, I will be able to live a longer and healthier life. If I am able to live a longer and healthier life, I will be a better wife and mother to my...
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...like to state in no way, I would like to demoralize all those people who attended this centre and believes to be completely cured, I am really happy for those people who have been able to cure themselves after attending his course, it is actually a manifestation that they have accepted their problem, changed their speaking style and controlled the flow of speech. However, I would like to raise some serious questions regarding his claim to cure stammering in two weeks and also the techniques that he uses in his claim for fluency. I attended his center sometimes back and although I practiced daily for few months as he advised, I still suffer from blocking problems and there is occasional fumbling of words, but I control it and this control I have learnt to use even before attending Stammering Cure Centre and it has been strengthened after I met a local speech therapist .Two of the persons who attended the centre and with whom I am in contact have lost faith in Mr. Bagchi’s techniques as they discovered 100 % cure are not possible, but yes they have accepted their problem and is trying to refine the art of controlling their speech. Let me make some points below (please note the statements which I have included within quotation marks “…….” are self made statements made by Mr. Bagchi in his website, his book ‘STAMMERING A SURE CURE’ and practice material book. 1) What exactly is cure and fluency? Before entering the room where there were 15-16 guys practicing with him, I had...
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...keep their language, but not for a long time. In 1855, the English language was declared the official language of the country, and was the only language to be use for academic instructions and publications...
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...Introduction It is well known that people suffering from chronic diseases have major impact in the healthcare delivery systems, including the elderly population over the age of 65. With the advances in technology combined with the aging population, more people are living longer with chronic diseases. Longer life expectancies count for higher costs in healthcare for the treatment, management and prevention of further complications arising from chronic diseases. The third most common chronic disease of the older adults is Parkinson’s disease. It is a debilitating disease affecting a person’s motor ability, causing tremors, rigidity, akinesia or slow movement, and postural instability. According to the National Institutes of Health, about 500, 000 individuals in the United States suffer from Parkinson’s Disease, and it is estimated that males are more often affected than females. Parkinson’s disease has a large economic impact and directly affects medical costs, as well as the affecting the person financially, such as lost wages and decreased productivity. According to a recent interview with a client suffering from PD over the course of ten years, the disability directly impacted his personal life, financial status, and family members. The next discussion talks about how the patient learned about his disease and the personal impact it created at the beginning of the disease process until the peak onset later in his life. How the patient learned about his disease During the...
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...Title of Educational Activity: Mindful Listening Purpose / Goals: To provide information and tools to assist the health care professional in communicating more effectively through the client/patient / care giver relationship, as listening is a significant part of the communication process. M0707121 Objectives List the educational objectives. 1. Response to and discuss the question: “What is communication?” Content (Topics) Provide an outline of the content/topic presented and indicate to which objective(s) the content/topic is related. I. A. B. C. D. E. II. A. B. C. D. E. F. III. 1. 2. 3. 1. Communication - What it is It is NOT about words It is about connecting with another person It is about deep listening It is about frank and honest dialog It is about trust Development of listening skills Increase in patient satisfaction Increase in patient retention Increase in best possible clinical outcomes. Increase in patient loyalty Increase in word of mouth referrals Increase in patient cooperation compliance The Myths of Listening Listening means agreeing: agreeing is not good listening Listening is a lot of hard work: focused, deep listening takes 45 seconds Listening requires you have to “act like you’re listening.” Listening takes too much time: people interrupt their clients after the first 12-14 seconds of the client speaking. What Makes A Mindful Listener A. A mindful listener “gets the whole picture”, not just the words but gestures, tone, attitude, expressions and pauses...
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...Individuals with Disabilities Education Act (IDEA) Diversity and Inclusion FDT 4/5 Natalie C. Miller May 4, 2012 Western Governors University Individuals with Disabilities Education Act (IDEA) Before Congress enacted the Education for All Handicapped Children Act of 1975, an underserved number of children in the United States living with disabilities received a fair education. The Education for All Handicapped Children Act of 1975 (PL 94-142) enabled states to provide for and improve the availability of an education for individuals with disabilities. Renamed the Individuals with Disabilities Education Act (PL 101-476) or IDEA in 1990 (Allen and Cowdery, 2009) the amended Act authorizes a Free Appropriate Public Education for children with disabilities from birth to 21 years of age. Since 1990, amendments to IDEA now include changes to how the Individualized Education Programs are implemented; funding is appropriated; identification and determination of children with disabilities; due process procedures for parents of children with disabilities; and the effectiveness of educational services for children with disabilities. This paper will summarize the various changes to IDEA since the acts inception, and the guidelines and steps needed to create an IEP. Six Key Components of the Original 1975 IDEA The Individuals with Disabilities Education Act of 1975 mandates states and public schools provide a “Free-Appropriate Public Education” to students...
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...of HP Enterprise Services. All other logos, trademarks or service marks used herein are the property of their respective owners. HP Enterprise Services is an equal opportunity employer and values the diversity of its people. © 2010 HP Enterprise Services. All rights reserved. Contents Introduction 3 Eligibility 4 Restricted Aid Categories 4 All Arkansas Medicaid Aid Categories 6 Therapy Benefits 10 Program Coverage 12 Prior Authorization Request Procedures for Augmentative Communication Device (ACD) 15 Evaluation 15 Contact List for Reviews, Managed Care and Authorizations 16 National Place of Service Codes 18 Quick Tips for Submitting Claims 19 Introduction to Billing 19 CMS-1500 Billing Procedures - Occupational, Physical, Speech Therapy Procedure Codes 19 Augmentative Communication Device (ACD) Évaluation 22 Billing Instructions - Paper Only 22 Completion of the CMS-1500 Claim Form 22 Special Billing Procedures 29 Common Billing Errors 30 Brief Overview of Benefits 31 Contact Information 32 Introduction This Billing Tips document serves as a training supplement for Arkansas Medicaid providers but does not supersede official program documentation including: Arkansas Medicaid provider manuals, Official Notices and transmittal letters published by the Division of Medical Services and distributed by HP Enterprise Services. This document focuses on Arkansas Medicaid eligibility and billing issues and incorporates the following quick reference items...
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...technologists, people with dyslexia, clinicians and practitioners, or representatives from DEEWR and FaHCSIA. It was decided that a representative Working Party of 8 Forum members should be formed, charged with the task of writing a report proposing a national agenda for action to assist people with dyslexia. The Working Party consulted widely and in particular benefited from comments on a draft report that were received from the following authorities (all of whom have expressed very strong support for the recommendations we have made): • AUSPELD (The Australian Federation of Specific Learning Difficulty Associations) • LDA (Learning Difficulties Australia) • ALDA (The Australian Learning Difficulty Association) • Speech Pathology Australia • The DDOLL (Developmental Disorders of Language and Literacy) network, which was established with funding...
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...Mortality, February 2005; 10(1): 69 – 81 Tube feeding: Prolonging life or death in vulnerable populations? ELAINE J. AMELLA, JAMES F. LAWRENCE, & SUZANNE O. GRESLE Medical University of South Carolina, Charleston, SC, USA Abstract Tube feeding can be an appropriate and effective means of providing nutrition for individuals who are unable to achieve adequate nourishment orally because of various medical problems. However, the delivery of nutrients by tube feeding can cause ethical dilemmas in cases where the effectiveness of tube feeding diminishes and medical complications increase. The decision to tube feed is often influenced by regional and cultural preferences, as well as the high cost of providing mealtime assistance. The effectiveness and appropriateness of tube feeding has been the subject of much debate as it applies to those with severe cognitive impairments and those who are in a persistent vegetative state (PVS). Recent research shows that in these vulnerable populations, tube feeding alone does not necessarily prevent malnutrition and risk of infection or improve functional status and comfort. While advanced directives allow an individual to make decisions about his or her care at the end of life, court cases and religious doctrine examine the individual’s right to autonomous decision making in opposition to preserving the sanctity of life. As long as the outcome of this debate is largely undecided, the process of dying may be prolonged for...
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...TABLE OF CONTENT 1.0 Introduction | | 2.0 Issues Surrounding the Professionalism of Accounting | | 3.0 Literature Review | | 4.0 Presentation of the main Idea about the Professionalism of Accounting | | 5.0 Analysis and discussion | | 6.0 Conclusion | | 7.0 Reference | | 1.0 INTRODUCTION 2.0 ISSUES SURROUNDING THE PROFESSIONALISM OF ACCOUNTING Twenty years ago, Briloff (1986) alerted the profession to the crisis of credibility being faced because society perceived accountants to have lost their commitment to public service. The credibility of the profession is threatened when the ideals of integrity, independence, public service and ethical standards come under suspicion. Well-known scandals of one of the major leading accounting firms in the United States Arthur Andersen coupled with alleged unethical acts committed by Enron have arouse the conscious of the public and stakeholders as to the moral decline and unethical posture of public accountants unveiled a decline in moral reasoning and ethical standards of public accountants (Dellaportas, 2006; Esmond-Kiger, 2004). Over the last few years, the accounting profession has been beaten up badly in the media, somewhat justifiably. The forces at work were numerous and complex and a variety of phenomena created the entire profession had its reputation tarnished. Some forces were not new: delivering services that acted to impair independence; becoming too cozy with clients, active participation...
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...Restorative Care Training for the Certified Nursing Assistant Trainer Manual TABLE OF CONTENTS Introduction Making the Most of the Training Making the Most of the Lesson Plans Making the Most of the Activities Trainer Preparation Welcome Module Activity T1 Welcome to the training Activity T2 Common Rules to Follow Activity T3 Successful Completion Activity T4 You will learn Trainer Preparation Module one Module one Trainer Preparation Module two Module two Trainer Preparation Module three Module three Trainer Preparation Module four Module four Appendix A Feeding Assistance Appendix B Fall Prevention Page T3 Page T3 Page T3 Page T4 Page T5 Page T7 Page T7 Page T8 Page T8 Page 7a Page 8 Page 27a Page 28 Page 35a Page 37 Page 104a Page 105 Page 114 Page 123 T2 Restorative Care; Training for the Certified Nursing Assistant Introduction Welcome to the program Restorative Care. This is the trainer manual used by trainers to teach nurse assistants and home health aides about caring for the person with Restorative issues. This manual accompanies the student manual, Restorative Care. This training is activity based. Participants are encouraged to share in the training process, to talk about relevant experiences if they choose and to ask questions. Making the Most of the Training Program Use this training manual as a guide for training individually or in groups. If you train on an individual basis it will be more effective to brainstorm with them than to use the...
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...characteristics of typical and atypical human growth and development and the characteristics of students with various disabilities that special education teachers are likely to encounter. The test includes a wide range of multiple-choice questions that address Competency 1. * Questions on typical and atypical behaviors and abilities for children and adolescents at particular ages. * Questions on the types and characteristics of various disabilities. * Questions on the similarities and differences among students with and without disabilities. This competency encompasses the following content: ► Demonstrate knowledge of characteristics of typical and atypical human growth and development in various domains (e.g., cognitive, speech/language, social/emotional, physical): Important to this competency is recognizing when a child’s growth or development differs enough from typical patterns to warrant further evaluation by specialists. You will be expected...
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...Policy Number: RS 05 77 05 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CURE PERSONAL INJURY PROTECTION COVERAGE (STANDARD PERSONAL AUTO POLICY) – NEW JERSEY With respect to coverage provided by this endorsement, the provisions of the policy apply unless modified by the endorsement. SCHEDULE I. Principal Personal Injury Protection Coverage Benefits Medical Expenses "Named Insured" and "Family Members" Limit Of Liability $ per person per accident However, regardless of the limit shown above, a limit of $250,000 per person per accident is available for a "named insured" or "family member" for "catastrophic injury treatment". "Insureds" Other Than "Named Insured" and "Fam- $250,000 per person per accident ily Members" Income Continuation Essential Services Death Benefits Income Producer Essential Services Provider Funeral Expenses II. Extended Medical Expense Benefits Coverage Benefits Medical Expenses $100 per week to a maximum of $5,200 $12 per day to a maximum of $4,380 $5,200 less any Income Continuation Benefits paid $4,380 less any Essential Services Benefits paid $1,000 $ Limit Of Liability per person per accident III. Medical Expense Benefits Deductible Unless otherwise indicated below or in the Declarations, medical expense benefits are subject to a deductible of $250 per accident. If indicated to the left or in the Declarations, medical expense benefits applicable to: A. The "named insured" and "family members" shall be subject...
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...Division of Standards and Survey Methods, The Joint Commission Amy Panagopoulos, R.N., M.B.A., Director, Division of Standards and Survey Methods, The Joint Commission Robert Wise, M.D., Vice President, Division of Standards and Survey Methods, The Joint Commission Joint Commission Mission The mission of The Joint Commission is to continuously improve health care for the public, in collaboration with other stakeholders, by evaluating health care organizations and inspiring them to excel in providing safe and effective care of the highest quality and value. The inclusion of an organization name, product, or service in a Joint Commission publication should not be construed as an endorsement of such organization, product, or services, nor is failure to include an organization name, product, or service to be construed as disapproval. © 2010 by The Joint Commission Permission to reproduce this guide for noncommercial, educational purposes with display of attribution is granted. For other requests regarding permission to reprint, please call (630) 792-5954. Suggested Citation The Joint Commission: Advancing Effective Communication,...
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