Application of Health Literacy & Motivational Interviewing Concepts to Promote Wellness

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Discussions are not just opinion to obtain full points, postings must be based on supported fact, not simply opinion. Posting should be a minimum of one short paragraph and a maximum of two paragraphs.  Word totals for each post should be in the 100-200 words range.  Whether you agree or disagree explain why with supporting evidence and concepts from the readings or a related experience.  Include a reference, link, or citation when appropriate. APA 6th edition format for references as well as in-text citations is expected.

Application of Health Literacy & Motivational Interviewing Concepts to Promote Wellness

Health literacy is not simply the ability to read health information. The National Institutes of Health defines health literacy as the ability to read, comprehend, and analyze information; decode instructions, symbols, charts, and diagrams; weigh risks and benefits; and ultimately make decisions and take action.

After the reading the following HRSA guideline https://www.hrsa.gov/advisorycommittees/bhpradvisory/actpcmd/Reports/twelfthreport.pdf

Discuss how shared decision making , motivational interviewing, and best practices of models of care can improve the health literacy of a especial popualtion ( children ,elderly, veterans)

Generic Strategies and Balanced scored Card

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Please respond to the following: “Generic Strategies and Balanced scored Card”

  • Determine whether or not you believe the process of formulating strategy in the health care industry is complex. Justify your response with at least one (1) example of a situation or scenario that supports your position.
  • Assess the degree of guidance provided by Kaplan and Norton’s Balanced Scorecard as a management tool for guiding health care marketers in performing strategic management duties and responsibilities. Provide at least two (2) specific examples of the Balanced Scorecard Model that apply within a health care organization with which you are familiar.

Reply Quote

What does the video describe as the final electron acceptor in the electron transport chain?

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Module 2 – Case

PHYSICAL AND CHEMICAL CONTROL OF GROWTH AND VIABILITY

Case Assignment

In the Module 2 Case Assignment you will explore bacterial growth and methods used to measure and control the growth of microbes. After you have read the information on the Home page, answer the following questions:

  1. Review the video on metabolism again from the Module Overview. Where is metabolism being accomplished in the human cell? Be specific and include a brief description of the organelle being described.  Does a human cell accomplish aerobic or anaerobic metabolism?
  2. What does the video describe as the final electron acceptor in the electron transport chain?
  3. Using the dichotomous key linked to the term identify, which organisms in the first frame of the video have been described in previous module materials?

Now choose a pathogenic bacterium to discuss and find the antibiotic that can be used to control it. Use this link to Antibiotic Modes of Action to learn more about how antibiotics work and to identify the appropriate antibiotic for your chosen pathogen.  Use the following format to write this section of your Case Assignment:

Introduction

Include the growth requirements and phenotypic characteristics of your pathogenic bacteria.  Refer to the dichotomous keys, growth patterns, and the CDC website to properly discuss these phenotypic descriptions of your pathogen.

Body Paragraph 1

Is this bacteria ONLY pathogenic or does it reside as a normal part of the Human Microbiome?  If it is also a nonpathogenic resident microbe, what conditions create the pathogenic state?  (We use the term “opportunistic pathogen” to describe this type of pathogen).

Body Paragraph 2

Describe the mode of action of the antibiotic class used to control this bacterium. Use the information you gathered from answering questions 1-3 about human cell metabolism to explain how antibiotics are specifically effective only against bacteria (while leaving human cells unharmed).

Conclusion

Summarize the topics you described and explain how the characteristics of your pathogen can be used to control it.

Assignment Expectations

Format

TUI encourages all students to comply with APA style and format guidelines for proper citation of references.  Use the formatting in your Background page as a model.

Scholarly Content                  

Your case assignments are considered scholarly works. Your final work should include peer reviewed (scholarly) sources.  Please use the formatting demonstrated in your Background section to cite the tutorials and readings from the Overview.

Please keep in mind that you should not use sources such as “Answers.com” or “Wikipedia” or “Wikianswers.”  None of these are scholarly sources and they can be “modified” by any registered user which makes them unreliable.

Appropriate Headings and Paper Flow

Remember that you are preparing a formal academic paper. Your paper should make use of appropriate headings and subheadings.  You should not cut and paste the questions posed and answer them like a “Question and Answer” session.  Your finished paper should read like an academic paper. Upload your final word document to the case assignment dropbox.

PHYSICAL AND CHEMICAL CONTROL OF GROWTH AND VIABILITY

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Module 2 – SLP

PHYSICAL AND CHEMICAL CONTROL OF GROWTH AND VIABILITY

Overview

Bacteria can talk to each other via molecules they produce themselves. In this way, bacteria can synchronize together and function as one large unit or colony. The phenomenon is called quorum sensing, and is important to bacterial metabolism, growth and virulence. Watch the following video on “How Bacteria Talk”, then read the link below on “Quorum Sensing” to learn more.

Bassler, B.(2009). How Bacteria “talk”. Accessed at http://www.ted.com/talks/bonnie_bassler_on_how_bacteria_communicate#t-1038504 on September 14, 2016.

What is Quorum Sensing? Accessed at https://www.nottingham.ac.uk/quorum/what.htm  on September 14, 2016.

Instructions

Prepare a 2- to 3-page paper in which you address the following questions:

  1. How would you define quorum sensing in bacteria?
  2. How can quorum sensing improve nutrient delivery to bacteria?
  3. Not all bacterial relationships are harmful like the example Dr. Bassler gave for the squid and bacterial bioluminescence. Describe an example of a microbial relationship in the human body that is beneficial. Which body system is involved (intestinal tract, skin, etc.)? Which bacterial species is involved? How is it beneficial for both the bacterium and host?
  4. What does the concept of quorum sensing mean for virulence and disease in humans?
  5. Based on Dr. Bassler’s research on quorum sensing, what might the “next generation” of antibiotics look like? How might they work?

SLP Assignment Expectations

Format

TUI encourages all students to comply with APA style and format guidelines for proper citation of references.  Use the formatting in your Background page as a model.

Scholarly Content                  

Your SLP assignment is considered a scholarly work. Your final work should include peer reviewed (scholarly) sources.  Please use the formatting demonstrated in your Background section to cite the tutorials and readings from the Overview.

Please keep in mind that you should not use sources such as “Answers.com” or “Wikipedia” or “Wikianswers.”  None of these are scholarly sources and they can be “modified” by any registered user which makes them unreliable.

Appropriate Headings and Paper Flow

Remember that you are preparing a formal academic paper. Your paper should make use of appropriate headings and subheadings.  You should not cut and paste the questions posed and answer them like a “Question and Answer” session.  Your finished paper should read like an academic paper. Upload your final word document to the SLP assignment dropbox.

Why is it easier to develop drugs to kill bacteria than viruses or protozoa?

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View this animation on Chemotherapeutic Agents and use the websites from the CDC antibiotic resistance FAQ site and the Antimicrobial Resistance Learning Site to address the following topics:
  1. Why is it easier to develop drugs to kill bacteria than viruses or protozoa?
  2. How do microbes become resistant to antimicrobial control methods?
  3. Conduct some independent research on resistant bacteria. Find one bacterial species in the news recently that is showing high levels of antibiotic resistance. How is this creating an issue for the medical community?

Please use the resources above to address these questions and cite the website you used in your initial post.

How do these components affect health care reimbursement?

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Review Figure 10.1 on p. 239 and the Billing Workflow section on pp. 238-239 of Health Information and Technology Management.

Write a 150- to 350-word response to the following:

Discuss at least two components described in the Billing Workflow section in Ch. 10 of Health Information and Technology Management.

  • How do these components affect health care reimbursement?

Billing Workflow

  • 1. Providers of all types verify patient insurance eligibility with the health plan, either prior to or during the admission or visit. Medical offices collect and post copays at the visit.
  • 2. The patient is treated and discharged or checked out.
  • 3. As you learned in Chapter 9, the provider usually needs to bill a third party, the insurance plan, in order to receive payment. The insurance bill is called a claim. The first step in preparing the claim is to assign procedure codes for the services rendered and the supplies used and diagnosis codes representing the disease or medical condition.
  • 4. Using these codes and the patient registration information, a computer program generates a paper or electronic claim to be sent to the insurance plan.Before the claim is sent to the insurance plan, an insurance or claim specialist reviews the claim to make sure there are no errors. Because of the volume of claims, a computer program is used to examine the claim data and identify problems. Once the claim is correct, it is sent to the insurance plan (usually electronically).
  • 5. When the claim is received by the insurance plan, it is adjudicated. If the claim is correct, a payment is sent to the provider; this is called the remittance. A paper or electronic document is generated that explains the amounts that were paid. This is called the remittance advice or explanation of benefits(EOB).
  • 6. When the remittance is received by the provider, the payment amount is recorded in the patient accounts system. Frequently, the amount billed does not equal the amount paid. This may be the result of a contractual agreement that stipulates that the provider will accept a discounted payment and/or that a portion of the charges is the patient’s obligation. An accounting entry called a write-down adjustment is posted to adjust the charge.
  • 7. If the patient has a secondary insurance plan, a claim is next sent to the second plan. In certain cases the first plan will automatically forward the claim to the second plan. This is called a “piggyback” claim or coordination of benefit (COB) claim. For example, when a Medicare patient has a supplemental insurance policy with the fiscal intermediary who processes the Medicare claims, the company will sometimes process the secondary claim automatically. This eliminates the need for the provider to file a second claim. These are also known as crossover claims.
  • 8. Most health plans require the patient to pay a portion of the medical bill. These payments are referred to as the copay, coinsurance, and deductible amounts. The copay amount is usually stated on the patient’s insurance card and collected during the patient visit. The coinsurance amount is usually a percentage of the allowed amount and is not known until the claim has been adjudicated. The EOB tells the provider what amount is the patient’s responsibility.When all the patient’s insurance plans have responded with remittance advice, a bill or statement is sent to the patient for any amounts due that are the patient’s responsibility. The patient statement should clearly show the amounts paid or denied by the insurance plans, any adjustments to the charges required by the plan contract, and the amount due from the patient.
  • 9. When patient payments are received by the medical office or hospital, they are posted to the patient’s account. When the account balance is zero, no further statements will be sent.

Explain how using EDI facilitates electronic transactions.

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I have uploaded an example. Please use the example provided as a reference only

 

Imagine you are the office manager at a small doctor’s office. As the office manager, you are in charge of educating new hires.

Write a 700- to 1,050-word reference guide describing electronic data interchange (EDI).

Include the following in your summary:

  • Define EDI.
  • Explain how using EDI facilitates electronic transactions.
  • Explain how HIPAA has changed how health care information is transmitted in EDI.
  • Describe the relationship between Electronic Health Records, reimbursement, HIPAA, and EDI transactions.

Cite a minimum of two outside sources. For additional information on how to properly cite your sources, log on to the Reference and Citation Generator in the Center for Writing Excellence.

Format your assignment according to APA guidelines.

Do you think that alternative forms of community consent should be actively pursued?

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KKKK…..Week 4 /Discussion Question 1/please see attached

A Computer-Based Education Intervention to Enhance Surrogates’ Informed Consent for Genomics Research

  1. Do you think that alternative forms of community consent should be actively pursued? Why or why not?

Alternative forms of community consent should be actively pursued. They should be pursued because some research such as genomics research are complex and have inherent social, legal, and ethical implications. Hence, the alternative forms of community consent should be actively pursued so that to have informed consent.

  1. How would you feel if your medical records were examined and included in research without your consent based on an illness in the past?

If my past medical records were examined and included in research without my consent I would feel exposed, upset, and humiliated.  The act of releasing my medical history without consent to the public involves a breach to my privacy and it is illegal.  I would then seek legal avenues for relief, such as perhaps suing the facility who released my records for invasion of privacy or breach of doctor-patient confidentiality.

What could be the causes of this tingling sensation?

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 WEEK 3 discussion

Tam……

Breathing, Heart, and Lungs

An anxious patient is having rapid and shallow breathing. After a few moments, he complains of a tingling sensation.

1)What could be the causes of this tingling sensation?

Anxiety can increase in those patients that are already having rapid and shallow breathing. Hyperventilation added to this can cause the tingling sensation due to a decrease in C02.

2)What are the various patterns of respiration and their significance?

Normal respirations are 10-20 is also called sigh rate, depth is 500-800ml “air moving in and out with each respiration, pattern is even”. (Jarvis 2016 pg. 442). “These values increase as a normal response to exercise, fear, or fever”. (Jarvis 2016 pg. 442).

Tachypnea Hyperventilation Rapid is shallow breathing. Has an increased rate greater than 24 per minute. This rate can increase with respiratory insufficiency, alkalosis, pleurisy, pneumonia, pleurisy, diabetic ketoacidosis, salicylate overdose, hepatic coma and lesions of the midbrain and alteration in blood gas concentration, but it a normal response to fever, fear, or exercise.

Bradypnea Hypoventilation: Slow breathing. Is a decreased but regular rate less than 10 per minute. Can be caused by drugs, increased intracranial pressure and diabetic coma.

“An irregular shallow pattern caused by an overdose of narcotics or anesthetics” (Jarvis 2016 pg. 442). It may also occur with conscious splinting of the chest to avoid respiratory pain and with prolonged bed rest.

Cheyne-Stokes Respiration: “respirations gradually wax and wane in a regular pattern, increasing in rate and depth and then decreasing”. (Jarvis 2016 pg. 442). Breathing periods are 30-45 seconds with about 20 second period of apnea. Common causes are severe heart failure, renal failure, meningitis, drug overdose, and increased intracranial pressure.

Biot Respiration is similar to Cheyne-Stokes respiration, except that the pattern is irregular and seen with head trauma, brain abscess, heat stroke, spinal meningitis, and encephalitis.

3)Ethnicity and culture influence risk factors for heart disease. Do you agree? Why or why not?

Heart disease knows no ethnic/culture. Some risk factors that cause heart disease is obesity, tobacco use and high cholesterol. These are modifiable. In other words, most of these can be prevented. High blood pressure is mainly in the Africa American culture and for some of them, blood pressure can be prevented or at least controlled. If not controlled, it can lead to heart disease.

4)What is the technique of percussion and palpation of the chest wall for tenderness, symmetry, bulges, fremitus, and thoracic expansion? Explain.

To palpate the chest wall, place your hands on the anterolateral wall with your thumbs along the coast margins with hands pointing toward the xiphoid process. You ask the patient to take a deep breath while watching your thumbs move apart symmetrically and take note of the smooth chest expansion with your fingers. “Any limitation in thoracic expansion is easier to detect on the anterior chest because greater range of motion exists with breathing here” (Jarvis 2016 pg. 432).

To assess tactile fremitus, began palpating over the lung apices in the supraclavicular areas comparing vibrations from one side to the other as the person repeats the words ninety-nine.

You then palpate the anterior chest wall looking for tenderness or detect any superficial lumps or masses. Note the skin mobility, turgor, temperature and moisture.

With percussion of the chest, you start at the apices in the supraclavicular area, going to the interspaces, comparing one side with the other, going in a downward motion, down the anterior chest.

5)Would you anticipate hearing hyper-resonance on a patient with a history of tobacco use?  Why or why not?

Yes. Hyperresonance is found when too much air is present like in emphysema which is caused from tobacco use.

6)What are the mechanics of breathing with reference to lung borders and the anatomical structure of the lungs and diaphragm?

Inspiration is the breathing in air into the lungs, the chest wall increases in size. When it is expelled it is caused expiration. This is the mechanical action of breathing. Expansion and contraction. There are four major functions of the respiratory system. Supplying oxygen to the body for energy production, removing carbon dioxide as a waste product of energy reactions, maintaining homeostasis of arterial blood and maintain heat exchange.

Disease Surveillance System with HIV/AIDS in lower income communities

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Due 6/3  7 p.m EST

2 pages APA format not including reference page (min 4)

Topic: Disease Surveillance System with HIV/AIDS in lower income communities)

Disease surveillance is an essential part of public health. It provides valuable information to public health officials, allowing them to detect and prevent the spread of disease. In your Scholar-Practitioner Project, you create a disease surveillance system to monitor a disease or condition (HIV in lower income communities)

you write a 2pg paper analyzing the influence that specific historical events have had in the evolution of disease surveillance systems. In addition, you forecast the next phase(s) in disease surveillance and explain how the changes that you predict will impact public health policy and practice

Scholar-Practitioner Project: Disease Surveillance System