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Comparison of Behavioral Models for Change in Community Population

This is a graded discussion: 100 points possible due Sep 21 Discussion 6.1: Comparison of Behavioral Models for Change in Community or Population 11 unread reply.11 reply. Comparison of Models for Behavior Change in Community or Population Health Settings PROMPT How do population healthcare professionals integrate theoretical models of behavior change into a health education program or community interventions? Which model or model are you considering for your final population health education or intervention project? Instructions: Refer to the KUCTB, chapter 45 for resources on supporting and maintaining behavior health change. This is a valuable resource that I encourage you to continue to use, explore and share with your colleagues. Through the Module Six readings and videos, you learned about three models for behavior change. Briefly review those and select two models for analysis and comparison. Inform your classmates as to which model for change you selected for your final intervention proposal. Include two major strengths of each model and provide an example of a successful project based on each model. Mention any limitations or weaknesses Your limit for this discussion board assignment is up to 500 words.

Define, discuss and analyze are the significant preconditions for the Civil Rights movement according to Reed and the Eyes on the Prize?

This module is an overview of the US Civil Rights Movement of the 1950s-late 1960s. Read in your textbook The Art of Protest by T.V. Reed, Chapter One “Singing Civil Rights: The Freedom Song Tradition” Read the article CLASS CONTRADICTIONS IN THE CIVIL RIGHTS MOVEMENT: THE POLITICS OF RESPECTABILITY, DISRESPECT, AND SELFRESPECT Begin to keep track of different protest tactics. You will then view the links to the Eyes on the Prize and the Freedom Riders. Finally, you will have your 2 assessment questions. 1. Define, discuss and analyze are the significant preconditions for the Civil Rights movement according to Reed and the Eyes on the Prize? What grounds the movement? What role does the church play in the movement 2. According to Reed, hat is liberation musicology? How do freedom songs pivot the movement? Discuss the strategy and tactic of the movement. Cite specific examples from the reading to help illustrate your response.

Did you learn anything new by doing the project and/or solving it in the way you did?6. If you shared this project with other people, what was the impact/their reaction?

This week we are going to disrupt our usual schedule and get a little more hands-on. We are going old school on this one- all the way back to “show and tell” days.The assignment is pretty straightforward: Make something creative, document the process with photos, and tell us about your experience. Specifically, I’d like you to answer the following questions:1. Give us a brief description of the project.2. Why did you choose to create this?3. What problems did you encounter along the way?4. How did you solve the problems?5. Did you learn anything new by doing the project and/or solving it in the way you did?6. If you shared this project with other people, what was the impact/their reaction?

What factors might your classmates consider for refinement, improvement or proposed in their professional settings for further consideration?

Please respond to each student post separately, reference each student post separately with at least two references. Comment to two of your classmate’s posts. What seems logical? What factors might your classmates consider for refinement, improvement or proposed in their professional settings for further consideration? Provide a critical appraisal of your peer posts written in a professional and constructive manner. Post should include one to two cited references and consist of 300-450 words. STUDENT POST NUMBER ONE, STUDENT NAME IS ANNETTE Quality Improvement Quality improvement has been a focus in healthcare for many years. As a healthcare provider since 1990, I have seen how quality and improvement has come to the forefront of healthcare and how this has improved so many of the processes we do on a daily basis. From inserting central lines, inserting foley catheters, and inserting ET tubeswe have learned so many things. We have learned to monitor our practice, change our practice, monitor the changes, and then see if those changes made any improvement. That is what quality improvement is all about. As a Future DNP-Why Is Quality Improvement Important In the video with Don Berwick he noted that children are very good at systems thinking (Evans, 2014). He noted that children think about the possibilities that can occur and question. They think in steps and what can happen as they question and explore versus what is happening now and they have a more open or systems thinking mindset (Evans, 2014). Systems thinking lets us look at the whole, rather than the parts of an issue (Trbovich, 2014). It lets us identify the connectiveness and relationships that links systems within healthcare. Systems thinking identifies the elements within a system, how they work together and are interconnected, and how they are related in the overall continuum of care. Systems thinking requires collaboration among heath givers who must work together to develop innovative interventions to improve healthcare (Trbovich, 2014), Importance of Genomic Applications in Healthcare The impact of genomic information and technology has the potential to improve healthcare outcomes, quality, and safety, and result in cost savings. These outcomes are directly dependent on optimizing the use of information technology in the healthcare system, including the EHR (McCormick, 2016, p. 23). I think this quote says it all. The information obtained through genomics can be utilized in improving healthcare in a variety of settings. Through the use of the electronic medical record (EMR) and information gained during assessment, the nurse can have knowledge about genetics and the patient and how this may influence their care or diagnosis. It is about putting the information learned into practice to provide the best quality outcomes to the patient based on their specific and unique characteristics or genetics (McCormick, 2016) Quality Subject of Study I selected the patient with a chronic condition in a rural setting and how patient centered care can impact their outcome. Why this was Selected Chronic disease is a current issue in rural health care (Rural Health Information Hub, 2017). It impacts the residents in the form of quality of life, mortality, and healthcare costs. Those in rural communities tend to be older and have higher healthcare costs, multiple chronic conditions and fewer resources to obtain preventative care (Rural Health Information Hub, 2017). Those in rural communities are more likely to die prematurely from the five leading causes of death than those in urban areas (Center for Disease Control and Prevention (CDC), 2018). In addition, rural communities have fewer healthcare providers and specialists, which causes limited access for patients to be served (CDC, 2018). As a rural healthcare provider in the Emergency Department (ED) of a rural critical access hospital, I see patients daily that come in for emergency care that just need chronic disease management. I think as providers, through the concepts of patient centered care, we can do a much better job of caring for these patients. We need to follow up on patients, provide referrals, set up primary care referrals, and provide education. We cannot accept that our job is done when they leave the ED. We must have a systems thinking view of healthcare and how we can impact the patients care beyond the doors of the ED. Importance As healthcare practitioners, we must look at healthcare in a global perspective and see how ones environment affects healthcare outcomes. Those in rural environments have barriers to healthcare that are not experienced by those in an urban setting. We have to have a global perspective and see what we need to do to ensure a continuum of care is provided to all, regardless of their living situation. We must think outside the box and look at the obstacles to care faced by those in rural settings and develop tools and processes to provide patient centered care that provides positive outcomes with regards to the chronic disease management and the continuum of care. Experience As a nurse in a rural ED, I see multiple patients daily that come in for care of chronic conditions. These patients either have no primary health care provider or do not feel they have the financial ability to see their provider. As a critical access hospital, a recently designated healthcare taxing authority, and a clinic network designated as a rural healthcare provider, we have many opportunities and options available to our rural healthcare patients. We also have an obligation to our tax payers to provide care to those in our community that are in need, while ensure tax payer dollars are utilized in the most appropriate way. I feel as an ED nurse and as a hospital provider we should do more for our patients that come to the ED for management of chronic health conditions. Processes should be put in place to follow up with the patients to ensure they are being placed with a primary care provider to follow their chronic health condition. I believe this is where the concept of patient centered care comes into play. I think through processes developed within the organization, patient centered care can be a focus, which will lead to improved quality outcomes, a decrease in unnecessary ED visits, and an overall improved quality of health in the community. Two Takeaways from Video (Evans, 2014) and Readings for Future Healthcare My two takeaways from the video and reading: First: I have been in healthcare for a long time and have been very involved in the IHI campaigns. I have been very fortunate to work with IHI on a personal basis, developing and writing a paper that was published by The Joint Commission on fall prevention several years ago. I think their philosophy and concepts are wonderful. I am a firm believer in continuous quality improvement and never being okay with the current status, but always striving for more. I was very intrigued by the information on big date when it talked about getting information from social media. It was a little scare to think that the information that was put on social media was being utilized for medical purposes to determine incidence of disease and chronic health conditions in the community (Luo, Wu, Gopukumar, & Zhao, 2016). References Center for Disease Control and Prevention (2018). Preventing chronic diseases and promoting health in rural communities. Retrieved from https://www.cdc.gov/chronicdisease Evans, M. (2014, ). Quality improvement in healthcare. [Video file]. Retrieved from https://www.youtube.com/watch?v=jq52zjMzqyl Luo, J., Wu, M., Gopukumar, D., & Zhao, Y. (2016). Big data application in biomedical research and health care: A literature review. Biomedical Informatics Insights, 8, 1-10. https://doi.org/10.4137/BIl.S31559 McCormick, K. A. (2016). The impact of genomics on health outcomes, quality, and safety. Nurse Manager, 47, 23-26. doi:10.1097/01.NUMA.0000481844.50047.ee Rural Health Information Hub (2017). Chronic disease in rural America. Retrieved from Trbovich, P. (2014). Five ways to incorporate systems thinking into healthcare organizations. STUDENT POST NUMBER TWO, STUDENT NAME IS PEYMANEH ndiagnosed Chronic Kidney Disease (CKD) in the Elderly Population One disease not emphasized by physicians in gerontology is CKD. Unfortunately, neither physicians nor patients pay attention to risk factors such as polypharmacy due to a lack of completeness in the entire approach to patient care. I work with middle- and low-income patients in the community who are poorly educated. These patients do not visit a physician unless they are in pain. Sadly, during my clinical experience I have worked with patients who developed complications related to CKD even though they were unaware of their undiagnosed condition. Most of the time, I have had to refer them to a specialist due to comorbidities. This topic is important because in recent years chronic kidney disease (CKD) has become epidemic and has become a major health problem (Mangione & Dal Canton, 2011). Chronic kidney disease leads to an increase in mortality and morbidity, especially in gerontology (Sonnerstam, Sjolander, & Gustafsson, 2016). I believe quality improvement should focus on early diagnosis and preventive methods for these elderly patients rather than dealing with high costs and painful treatments after the diagnosis has already been made. Two Main Takeaways related to Technology and Genomic Applications Technology plays an important role in improving health care delivery by uncovering new data and creating methods to enhance the quality of health care (Luo, Wu, Gopukumar & Zhao, 2016). Utilizing the genomic revolution in the health care industry helps in early diagnoses and preventing the leading chronic diseases in the country (CDC, 2018). It is fascinating to see how modern technology benefits populations in health promotions. Implementation of technology delivers a safe and high quality of standards, which promotes good health. Benchmark is important in motivating health care professionals to compare their work with standards and make positive changes in their practices (. Department of Health and Human Service, 2013). My concerns are that we have few to no supportive systems from health care organizations and policy holders, no access to current technology and no accessible continuing education for health care workers to implement this Benchmark system. I believe cost is one concerning factor for policy makers in emerging technologies across all health care settings. Politicians need to consider this as a benefit to be included in future budgets. The established supervising committees exist to make sure all clinical settings are hiring staff for managing agencies. Policy holders need to consider using biomedical and genomics to increase quality of care in health care systems that benefit not only society but also health care systems by reducing debility, mortality and complications related to preventive diseases like CKD. References Centers for Disease Control and Prevention (CDC). (2018). About Us. Retrieved from (Links to an external site.) Luo, J., Wu, M., Gopukumar, D. & Zhao, Y. (2016). Big data application in biomedical research and health care: A literature review. Biomedical informatics Insights, (8), 1-10. Retrieved (Links to an external site.) Mangione, F. & Dal Canton, A. (2011). Chronic kidney disease epidemic: Myth and reality. Internal &Emergency Medicine, 6, 69-76. Retrieved from (Links to an external site.) Sonnerstam, E., Sjolander, M., & Gustafsson, M. (2016). Inappropriate prescription and renal function among older patients with cognitive impairment. Drugs & Aging, 33 (12), 889-899. Retrieved from (Links to an external site.) . Department of Health and Human Service (2013). Practice Facilitation Handbook. Retrieved from (Links to an external site.)
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Hazard mitigation in emergency management -chapter 5 & 6 summary

Islam, T., & Ryan, J. (2015). Hazard mitigation in emergency management (1st Ed.). Waltham, MA: Butterworth-Heinemann. ISBN: 978-0124201347.****** Hazard mitigation in emergency management -chapter 5 & 6 summary Write a summary of both Chapter 5, “Hazard Identification Natural Hazards” and Chapter 6, “Hazard Identification Manmade Hazards” Of textbook: Islam, T., & Ryan, J. (2015). Hazard mitigation in emergency management (1st Ed.). Waltham, MA: Butterworth-Heinemann. ISBN: 978-0124201347. There are no right and wrong answers for discussing topics. The quality and clear expression of your comments are much more important. During your reading assignment and in preparation for your discussion forum the following suggestions are offered: -Pull out the main ideas. -Focus on key details. -Use keywords and phrases -Break down the larger ones. -Write only enough to convey the gist of the material -Take succinct but complete notes. Note: The reading summary is an opportunity to concisely summarize some of the key learnings from each weeks assigned readings. The simplest format for the summary would consist of a heading for each chapter or other text assigned, followed by brief paragraphs that address the following: 1. Synthesize and provide an overview of the key points of each chapter as though your reader has never seen the material. 2. What enlightenments or questions arose based on your background and experience as you completed your reading? Islam, T., & Ryan, J. (2015). Hazard mitigation in emergency management (1st Ed.). Waltham, MA: Butterworth-Heinemann.

World Trade Organisation

For your Final Project, you will submit a critical discussion and analysis of the proliferation of customs union and free trade areas among WTO Members and how this affects the MFN requirement. Below is the project question. The Sutherland Report observed that decades after the founding of the GATT, MFN is no longer the rule; it is almost the exception. Certainly, much trade between the major economies is still conducted on an MFN basis. However, what has been termed the spaghetti bowl of customs unions, common markets, regional and bilateral free trade areas, preferences and endless assortment of miscellaneous trade deals has almost reached the point where MFN treatment is exceptional treatment. Certainly the term might now be better defined as LFN, Least-Favoured-Nation treatment. (Peter D. Sutherland et al, The Future of the WTO: Addressing Institutional Challenges in the New Millennium, Report by the Consultative Board to the Director-General Supachai Panitchpakdi, Geneva: World Trade Organisation, (2004), p.19) Present a critical discussion and analysis regarding the validity of the quoted assertion in the Sutherland Report. The project must address the alleged proliferation of customs unions, common markets, and regional and bilateral free trade areas, their consistency with WTO law and assess their detrimental or beneficial effects on international trade in general and the MFN requirement in particular.

Evaluate each example in terms of effectiveness.

This is for a business marketing class. Find and describe three examples of the segmentation, targeting, and positioning . Evaluate each example in terms of effectiveness. Instructions: Your answers to the questions should be 4 -5 pages (total not each), be in APA format, use outside research and represent overall college level work. Please use the APUS library in addition to just the book to find references to back up your answers to these questions

Write a minimum two page reflection on what you learned in this session. The reflection must include a minimum of 4 Cited references (Review course outline/syllabus for specific requirements).

Write a minimum two page reflection on what you learned in this session. The reflection must include a minimum of 4 Cited references (Review course outline/syllabus for specific requirements). The reflection will describe what was learned overall in the readings, lectures, and in discussions, and how that learning can be used to improve your teaching. Reflections are to be submitted once each week and must be typed using APA style. They will be graded using the Reflection Rubric. You must use the following headings on your paper: How do the pre-referral process and RtI inter-relate and support one another? After reviewing an SST, why is it important to understand roles and responsibilities? Parental participation in the assessment process is critical. How would you promote/ensure their participation? On what do I need to focus and perhaps improve? In what areas am I confused or need additional help? https://www.understandingspecialeducation.com/student-study-team.html Understanding the Student Study Team (SST) The Student Study Team is often the first step a parent can take when they have a concern about their childs progress in school. The purpose of the SST is to design a support system for students having difficulty in the regular classroom. The SST is a group formed within the school to further examine a students academic, behavioral and social-emotional progress. The SST team can propose interventions for the student. The team usually consists of a teacher, administrator, and support personnel from the school. Sometimes a special education teacher will also participate to give his or her perspective. The student and parent are also a part of the team. There are many different names for the Student Study Team including Student Intervention Team. This meeting is different than a parent-teacher conference which focuses on improving communication and addressing specific class problems. The SST meeting provides everyone with an opportunity to share concerns and develop a plan. Either a staff member or parent can make a referral. The interventions agreed upon will vary depending on the child’s educational needs. If your child is struggling in school, the SST team tries to determine if it is due to a specific learning disability or another cause such as Impaired vision Social problems Physical or psychological issues Medical conditions Language barriers Other issues affecting the childs performance. If the SST team believes that the child could have a specific learning disability, they may recommend a formal special education evaluation. The student study team may also decide to refer your child for a Section 504 evaluation. Here, you child can also receive modifications. A 504 plan is typically used for a child who has a medical condition and requires accommodations in order to achieve academic success. If you do NOT agree with the recommendations of the SST team, you still have the right to request a formal special education evaluation. Once a school receives your request, they have 60 days to complete the evaluation. The student study team is a valuable resource for parents. I encourage you to use it to your advantage.
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