with the stated problem and purpose statements worked well with the study, besides the fact it could not infer causality. The problem described how little research had been done to understand the relationship between environmental and personal factors contribute to diabetes, and the purpose sought to determine the role of one’s living status and racial identity to diabetes. The research design was a cross-sectional survey with a stratified sample design. The stratified sample design was used to choose a population that fit the studies criteria, which focused solely African-American and Caucasians who lived in poor or nonpoor neighborhoods, and were identified to have diabetes. The target population were Caucasians and African-Americans in the United States who were classified to have diabetes.
At Kaweah Delta Family medicine center, we can implement some of the interventions discussed earlier to reduce our no show rate. One of the first interventions includes sending patients preferred reminder modality in their preferred languages. Young age is one of the independent predictor of high likelihood of missing an appointment 7. Using text message service in this technology friendly population can improve appointment adherence . A randomized control study found text messages modality equivalent but cost effective compared to telephone reminders.
1.1 Describe the causes and effects of complex disabilities and conditions. Mental health issues ranging from the doubts and uncertainties have become a part of daily routine, towards serious long term situation which can be very complex for managing and having a diversifying impact on the overall live of the people. The usual child health leads to contribute towards overall development (Watson & Le Couteur, 2011). Therefore it is important to take special care of people with complex disability as they turn out to be sensitive enough about the situation and environment they are living in.
Various instruments have been used to measure HRQOL in diabetes patients including generic and diabetes-specific measures. The generic HRQOL instruments frequently used to assess type 2 diabetes are those derived from the Medical Outcomes Study (MOS), specifically the Short Form-36 (SF-36) and Short Form-20 (SF-20). Patients with diabetes had among the least scores on physical, role, social functioning and health perceptions, but not on mental health or bodily pain . HRQOL in type 2 diabetes has been determined by a number of other generic instruments too. These include the Sickness Impact Profile (SIP), EuroQol (EQ5D), Nottingham Health Profile (NHP), Quality of Well-Being Scale (QWB), Well-Being Questionnaire (WBQ), and the World Health Organization Quality of Life Questionnaire (WHOQOL)
This theory proposed by Engel (7) and reflects the complex relationship between psychological, social and biological factors. A bio-psychosocial approach to migraine management needs to reflect these complex relationships. The studies showed that psychological factors can be involved in migraine in 4 different ways: 1) Migraines can be triggered by them; 2) Severe migraine can itself be a cause of significant psychological problem; 3) Even if psychological factors is not significantly involved in some kinds migraines, psychological techniques can help effectively & 4) Longitudinal data demonstrate a complex bidirectional association between mood disorders and migraine
The Transactional Theory of Stress and Coping was developed by American psychologist Richard S. Lazarus. It is used to analyze the complex processes individuals undergo in coping with stressful life experiences. The core assumption of this theory is that coping is a process wherein adaptational outcomes are determined by how individuals appraise stressful experiences, the coping styles that are employed by the individual, and how dispositional and situational factors serve as mediating variables (Lazarus & Folkman, 1984; Lazarus, 1999). In early traditional approaches, studies have primarily focused on examining the causal relationship between stress and coping.
Mental health is a state of psychological well-being. According to World Health Organization (WHO) mental health includes "subjective well-being, perceived self-efficacy, autonomy, competence, intergenerational dependence, and self-actualization of one's intellectual and emotional potential, among others." (Organization, WHO 2001) However, cultural differences, race, ethnicity, personal background, subjective assessment, and socioeconomic status all affect how mental health is defined. This variation in definitions of mental health between different sects of our society further causes drift in methods of treatment, and may cause the burden of mental health to be greater on some cultures.
Overall, substance abuse has an impact on all four development domains. For cognitive development, it can affect and impair a person’s cognitive skills. Secondly, it can cause depression in the emotional development domain. For the social development domain, it can lead to a bad relationship with the people the consumer is surrounded by. Lastly, for physiological development, it can cause health problems such as HIV/AIDS.
TV511’s policy allows most employees to use their own laptops for working purposes without installing or applying any security managements on them. The business and personal data coexist on same device then it is very difficult to find a balance between a strict security control of enterprise and privacy of personal data, specifically when the device is no longer a corporate issued asset. Operating System Staff members of sale department and customer services are in favor of using Apple MacBook due to their elegant style and remarkable battery life.
In addition to the threaded discussion, HIPPA is of importance because it protects any information in which individuals can identify the patient, their health and history such as their name, social security number, contact, and billing information, and insurance ("American Medical Association ," 2015). HCPCS level two codes is one of the most popular coding systems because it is so widely used and is accepted by many healthcare facilities using private and public insurers. Gatlin, Mburu, Jackson, and Hunt mentioned that level two codes are used to identify products, supplies, and services not included in the CPT codes. Some examples include ambulance services and
Accountable Care Organizations: The Affordable Care Act (ACA) sanctions the practice of Accountable Care Organizations (ACOs) to bring the advancement in health care space by enhancing the care quality, emphasizing patient’s safety and reduce health care costs in Medicare. This program was begun on January 1, 2012. Its target is not to create any demonstration project, instead it aims to produce an entity which can directly contract with Medicare. The Centers for Medicare and Medicaid Services (CMS) explain ACO as an association of health service providers, i.e. hospitals, physicians, insurers, and others allied with patient care reform that will work together to undertake accountability for the quality of patient care, and how money is spent
Deep Venous Thrombosis Prophylaxis; Lovenox vs Heparin On June 30, 2011, the Centers for Medicare and Medicaid Services (CMS) presented their final ruling on non-payment policies for provider preventable conditions (PPCs). One of the other provider preventable conditions includes the development of deep vein thrombosis (DVT) prophylaxis in any health care setting (Federal Register, 2011, p. 32817). Due to the significant cost of providing care for preventable conditions that are now not reimbursed through the CMS and many health insurance companies, hospitals around the country have implemented new policies to ensure patients remain free of venous blood clots during their hospital stay. The practice of injecting either Lovenox or heparin
Background: In 2007, the Rio Grande Valley area doctors and business leaders formed an association called as the Rio Grande Valley Association of Diabetes (RGVAD) which aims to provide the awareness on diabetes to the residents from Hidalgo County. RGVAD provides programs and services that focus specifically for the areas in Hidalgo County and guarantees that all grants created by this association are used by the people or residents of the Rio Grande Valley region. In recent years, Diabetes has affect approximately 18 million people which is about 9% of the population in the United States. In addition, 13 million people have diabetes and which is unknown to people.