Friday, January 31, 2020

Health Care Communications Methods Essay Example for Free

Health Care Communications Methods Essay You are the communications coordinator for a national drug manufacturer. Recently, there have been reports of significant negative effects caused by one of your medications that are used by a significant population. News reports have alleged that one of the individuals affected is a well-known public figure. You are tasked with addressing the news reports and the general public regarding this situation. As one of the head members of communications at DrugsRus for the past 15 years, it has been shown firsthand the belongings of narcotic medications on our local population. These have been analyzed and investigated on a national level. It is only recently that the overwhelming craving to the drugs has become widespread within our area; spreading like weeds throughout the country. The increase of drug dependent patients and drug related episodes has resulted in a raised amount of attention and concern from the public. Taking all of this into consideration, overdosing occurrences from incompatible interactions with other medications; narcotic, controlled, or non-narcotic properties alike, have resulted in an exceptional need for change within our business concerning patient rules, regulations, guidelines and restrictions. Changes to otherwise generally agree upon medications as well as required authorization approvals upon external medication intake must be reconsidered. Some have been asked by our board members to develop a communication strategy to address these needs as well as the impact HIPPA and other regulations will have on this type of communication. The following will include the communication strategy decided upon to take as well as the encountered use of regulatory systems such as HIPPA, followed by the advantages and disadvantages of using traditional, electronic and social media for our healthcare communication. Furthermore, the reasons of each of the components of the communication strategies chosen. Communication Channels Although telecommunications is moving forward quickly at a distressing rate, historically established methods of communication in healthcare are still very successful. These traditional communication channels include face-to-face discussions, telephone calls, post mail, fax, memorandums, board meetings, and reports to name a few. Technology has raised the use of electronic communication methods which has in turn has paved the way for new kinds of social media communication methods. Electronic channels of communication include emails, text messaging, EMRs, two-way radios, instant messaging, overhead audio announcements and video conferencing among many other portable devices. Social media channels include newspapers, television broadcasting, online networking, advertisements, webcasts, and social media websites. Unlike using postal mail, utilizing social media and electronic forms of communication would allow the user to emit and obtain information simultaneously as well as gain feedback and reply virtually within minutes. There is always a need for previously documented communication, so advantages of traditional channels include the ability to record and obtain the message that was communicated at a later date for conformation and review. However, the disadvantage is that formal means are usually delayed, meaning the message may not be received until a later date depending upon the medium used, such as with postal mail. The advantages of electronic channels are that messages can be communicated online with ease as well as with the ability to save, download and store the information on a storage media for printing and accessing at a later time. This has virtually eliminated the delay of other traditional means by allowing for the same documentation but at an instant; as well as allows multiple, simultaneous access. Disadvantages of the electronic means can include invasion of privacy and possible security breach as well as it may not reach the part of the public unable to afford such devices or internet access. Advantages of using the social media aspect can attract the attention needed to promote a product or service intended or drive traffic to the intended website of services. This type of channel has the ability to bring people together from all over the world as well as allows each person to express their own opinions and ideas, providing well-needed feedback. Disadvantages of this method when not used properly or failed to promote the communication effectively can cause a permanent damage to the company’s reputation; as this mistake is seen in front of hundreds or thousands of people who also have direct and easy access of spreading their messages online. This way of communicating can also be more time consuming as someone has to be constantly checking in to make comments, answer questions, and reply to feedback. Regulatory Effects While healthcare organizations are responsible to adhere to regulations on a federal level such as with (HHS) Department of Health and Human Services and (HIPPA) Health Insurance Portability and Accountability Act; they are bound by state, local, and some private accrediting organization regulations as well. Any method of communication taken in regards to internal employee and patient awareness as well as external partners, patient families, and the general public must obtain and maintain compliance with regulations set forth by all of the agencies involved. It is important to understand that under the HIPPA privacy law, any identifying information of any patient must have that patient’s written consent before their medical information can be shared. This includes the verbal, written, and electronic use in addition to, appointing a privacy officer responsible for compliance to these standards as well as the ability to identify all ways they intend on communicating the patient information (Osborne, M. Ed. ,OTR/L, 2002). One example, according to the Joint Commission and HIPPA, (SMS) short message service or text messaging is non-secure and noncompliant with safety and privacy regulations and therefore not permitted (Brooks, MD, 2012). In order to use social media channels the information must be DE-identified to maintain compliance with all federal, state and local regulations. Communication Strategy The guidelines, regulations, and restrictions reform will educate employees and target patients, to prohibit the use of adverse medications while receiving treatment at DrugsRus by informing them of the deadly effects and loss of life as a result, using counselors, nurses and physicians through in house meetings, group therapy, one-on-one sessions, automated voicemail messages, flyers, and overhead announcements as well as updated patient rules and regulations pamphlets distributed at the medication window, for the purposes of saving lives and promoting sobriety throughout the recovery process. Rationale for Components Educating our employees will be the first line of defense as our staff can educate the patients as well as enforce the new rules effectively. Counselors can discuss adverse effects of combining medications while in one-on-one sessions with patients. Flyers posted on the walls and offered at the check-in window as well as overhead announcements will catch the attention of patient entering and sitting in the front lobby. Group meetings will be held for patients to discuss changes and express their feelings about the new rules as well as receive feedback as to why these measures have been taken and were needed. Updated pamphlets will be given to each patient as they enter to receive their medication, ensuring every patient is made aware of these official changes. Voicemail messages will follow to ensure the patients at home will be notified of a change and will be opted to prepare for the transition. The object is to reach all of the sixteen hundred patients receiving treatment in enough time to save lives. Each passing day is another chance for an adverse reaction to take another life. In order to implement changes effectively and quickly, all measures of communication must be utilized. Summary In conclusion, as the opiate trend rises among our local and national population, the rise of deaths due to adverse effects of these medications has risen to an all-time high. It is because of the fatalities that a reform of the present patient rules, regulations and guidelines must be implemented and adhered to immediately. As communications officers, we have been asked to develop a strategy to address those needs. We have included some of the present communication methods as well as channels and measures with which to use them effectively. We have included some of the regulations surrounding the legal use of those communication methods. We have given a complete communication strategy which addresses who and what the communication strategy will involve. We have showed how we are going to implement the communication, where and the results of the communication strategy. We have followed up with the reasons this communication effort is so important to our patients and facility as well as vital to our community as a whole.

Wednesday, January 22, 2020

Lord of the Flies :: essays research papers

Lord of the Flies   Ã‚  Ã‚  Ã‚  Ã‚  Ã¢â‚¬Å"A thing was crawling out the forest. It came darkly, uncertainly. The shrill screaming that rose before the beast was like a pain.† This so-called beast that emerged from the forest was Simon, one of the boys who was stranded on the island. After he emerged from the forest, Simon discovered what the â€Å"pig’s head on a stick† represented, his untimely demise and tribal chaos. This was also when the real Lord of the Flies that was stalking the boys on the island reared its ugly head.   Ã‚  Ã‚  Ã‚  Ã‚  While Simon was concealed in the forest, watching the self-proclaimed â€Å"hunters† kill a sow, he observed them place the head of this pig on a stick as an offering to the â€Å"beast.† After the hunters left, Simon began to see what that the pig’s head represented. It showed that an immense amount of turmoil was going to take place on the island. This turmoil began when Jack started his own little tribe that was comprised of all the hunters and offered anyone free membership. Everyone, except Ralph and Piggy, joined the new clique because Jack claimed that they would always have meat to eat. Ralph and Piggy knew that this was the wrong decision to make because Jack was very immature had no clue how to lead anyone and all he wanted to do was kill.   Ã‚  Ã‚  Ã‚  Ã‚  After the new tribe was formed, they moved themselves to a rock peninsula because they thought it would make a good fort, whereas Ralph and Piggy continued to live at the original place on the beach. Since Piggy and Ralph were now considered outcasts, Jack’s tribe stole Piggy’s glasses one night so that they could have fire. When Ralph and Piggy went to their little fort to get them back, a large boulder was pushed off their fort, killing Piggy and leaving Ralph all alone. Jack then made it his mission to hunt down Ralph and place his head on a stick, just like the pig’s. Jack never did kill Ralph because a British naval vessel showed up to rescue the boys from the island but the beast still resided there.   Ã‚  Ã‚  Ã‚  Ã‚  The beast that stalked the island is maturity. Simon, Ralph, and Piggy realized that the only way to survive was to grow up and try to act like adults. Jack and his hunters, on the other hand, did not want to mature and act like adults.

Tuesday, January 14, 2020

National Government in America 1775 to 1789

Americans developed many types of â€Å"national† governments between 1775 to 1789. Each of these variations in centralized governments served different purposes through out this time period. They also represented the ideologies and fears of the people in how they were regarded, empowered, and organized. One of the first unified fronts that the colonial states presented in a form of centralized governments was the formation of the Second Congress. The Second Congress met on May 10, 1775 in Philadelphia. It had many of the same restrictions that the First Congress had when it met in September 1774. Their purpose was to perform in two contradictory ways. First they had to raise money for an army. All the while negotiating a reconciliation with England. Some of the delegates included, John Hancock, John and Samuel Adams, John Dickinson, George Washington, Benjamin Franklin, and James Madison. Although these delegates were, for the most part, of the same mind in 1775, times would later change them: influencing all of them in different political directions. This Congress had virtually no power. They did not have any authority to write or change laws. But they could raise an army, finance the war, gathering a pro-independence coalition, and they could explore diplomatic alliances with foreign countries. So little power was given to Congress, by the states, because of a deeply embedded fear of a powerful centralized government. Unwilling to repeat the mistake made in Britain, placing so much power in such a small governing body, was something that the states strived to not repeat. And they kept that in mind when they elected to draft the Articles of Confederation. The Articles of Confederation, drafted by John Dickinson in May 1775, allowed Congress to issue bills, borrow money, to settle all disputes between states, and to administer unsettled western lands. However, many state governments did not like the last two provisions (settle disputes between states and control all western lands). Those issues would cause Congress to debate the Articles for years. To amend the Articles, all states had to unanimously agree to the changes. Again the second class powers given to the national government was due to the states fear of an all-powerful central government. For it could potentially jeopardize the freedoms of the people it governed. Just like it had when the king of England and Parliament passed various revenue generating taxes on the colonies without representation. By 1781 economic turmoil began to weaken the newly formed confederation of the states. The cost of the war had plunged the colonies into economic hardship. From 1781 to 1788 is known as the â€Å"critical period.† After the revolution the first priority was to pay for the war itself. Congress had given land certificates to solders that fought in the war against the British, as payment for their service. They had also printed money to pay for the military supplies and pay solders, but the money was never backed by â€Å"hard money.† Hard money is gold or silver. In 1775 this printed money had some value, but it was virtually worthless by 1781. Many states had also printed paper money in excess, as well. Further confusing and disrupting the economy and plunging the country into deeper economic debt. Even though Congress was granted the right to print money, it did not have the right to tax. Without the ability to tax, Congress had no means of collecting revenue to pay for the war. A weakness that was discovered when Robert Morris served as Superintendent of Finance for the Confederation from 1781 to 1784. Morris originally proposed a five-percent impost tax on all imported goods into the country. But most coastal states already had impost taxes, which they used to pay for their potions of the war debt. Also Congress did not have the authority to impose such taxes on the states populations according to the Articles of Confederation. Nor did they have any means of enforcing compliance of such tax laws. This proposal was soon dropped. A second plan by Morris called for a nationally supported bank that would hold Congress†s hard money along with other investors and private citizens. In return the bank would give the government short-term loans. This plan also allowed the bank to print â€Å"banknotes.† Banknotes were paper money that was backed by hard money in the bank vaults: therefore they would not depreciate in value. The theory behind this was that with paper money backed by hard money it would provide the nation with some economic stability. Morris† national bank worked with limited success. The bank was relatively small; it printed little money (even thought it actually printed more paper money than what it could back in hard money) for circulation. Therefore, it had limited impact on the economy: providing little stability. In the fall of 1786 the economic troubles of the Confederation reached a peak. Armed men threatened the courts in Massachusetts over the newly imposed taxes passed by the state. Not only were additional taxes passed, but also the state insisted that they be paid in hard money. Most citizens at the time had little hard money on hand. This caused many to arm themselves again, in protest against the hardships that the government was imposing on them. Daniel Shays was the leader, who was a farmer, and also had served as a captain in the Continental army during the revolution. Shays, with 2,500 other, marched on the courts of Massachusetts. James Bowdoing, governor of Massachusetts at the time, quickly put the rebellion down. Later this uprising would be called Shays Rebellion. The significance of Shays Rebellion was that it demonstrated that the nation was still in unrest. Originators of the revolution found themselves on the other side of the table. In their efforts to repay the war debt and maintain a standard of living and success of their businesses, they had placed economic hardships on the people in the form of excessive taxes. Although Congress and the state governments had few options (one being to print money in excess or to heavily tax the people), some thought that there was a better way. Economic problems come from the simple fact that all thirteen states printed their own money. Some states (with strong economies: Virginia and New York) relied on taxes solely to repay their portions of the war debt quickly. While other states that had poor economies simply printed more money to compensate for monetary fluctuations. One theory was that if a unified economy could be established it would help ease the situation and growing tensions. But to have that you would need a unified national government, one with more powers than the present Congress had to manage it. At the prompting of James Madison, the Virginia legislature called a meeting of the states. The way this meeting was called bypassed the confederation Congress. The purpose of this meeting was to try and modify the Articles of Confederation, to give Congress power to regulate trade in hopes to improve the economic problems. But only five of the nine states, which agreed to participate, attended. Out of those who did attend, all had the same impression of a pending national crisis. So the meeting was rescheduled for Philadelphia in May 1787 in order to try and get more participants to attend. During the time it took for a quorum to gather, Madison and the Virginian delegates drafted a fifteen-point plan, which totally restructured the confederation. Once the seriousness was reveled of what was really under discussion, it was unanimously decided to keep all of the proceedings completely confidential. To help keep order, George Washington was elected to preside over the convention. Virginia was the first to propose vast changes in the federal government. Their plan, presented by Edmund Randolph, called for a three-branch government. With a two chamber legislature, a powerful executive, and judiciary branch. This government operated directly on the people. Congress had the right to veto state legislation, coerce states militarily to obey national laws, and to legislate in areas were states are incompetent. The executive and judiciary branch could veto jointly any legislation presented by Congress. To say the least this plan was heavily debated. But it did not meet any out right opposition. William Paterson, who was from New Jersey, presented an alternative plan in mid June. This plan became know as the New Jersey Plan and resembled some of the Articles of Confederation. It had a single house Congress in which the states would have one vote. But it would have a shared three-man presidency, of who were elected by Congress. This three-man group took the place of the executive and judiciary branches. This plan gave vast powers to Congress: it was allowed to regulate trade, and to use force on unruly states. However, the plan still rested on the confederation principle of the national government that was to be an assembly of states and not of the people. A compromise later broke the heavy debates over the two plans. By mid July it was agreed that the new form of government should be a three-branch government with supreme power over the states and bicameral legislature (with a Lower House of Representatives appointed by population and the Senate who represented each state). In the Senate the two senators could vote independently of each other. This was the first emergence of the present day federal government; a government based on the representation of the people. The next hurtle was to define who the people were. In southern states they had large majorities of people who could not vote, but would give power to them through the new form of Congress. But these people were slaves: the debate was, are they citizens or are they property. To the southern states they were citizens, with the idea that they would allow more power for them in the Congress. However, smaller northern states with little or no slaves viewed them as property. Who had no right to representation in Congress. This debate created what is known as the â€Å"three-fifths clause.† Which stated that only three-fifths of the non-voting population could be counted when deciding the number of representatives in Congress. With most of the problems out of the way, the next step was to have the thirteen states ratify the new form of government. Only nine states needed to ratify, and pass, the proposal in order to make it law, however, it was going to be an up hill battle. For the states would not give up their powers so easily. The proponents of the new government called themselves Federalist; opponents to the new government took the name of Anti-Federalist. By May 1788, eight of the states ratified the proposal. To help gain more support, the federalists James Madison and John Jay wrote a series of essays called â€Å"The Federalists Papers.† The essays started in October 1787, and totaled eighty-five altogether. They were published in New York newspapers in hopes to win the states vote for the new government. New York was critical to the success of the proposal, after Virginia, New York was the next most influential state. If New York could be persuaded to pass the new form of government it would assure solidity and legitimacy to the new government. Even though Virginia and New York†s ratification was not necessary to the passing of the new government, the federalists wanted to have a unanimous vote. Having these two states would help in pulling the remaining two states in (North Carolina and Rhode Island) into a unanimous agreement among the thirteen states. These two states did finally ratify the new government, but not until May of 1790, and at that, they barely ratified the new government by only a two-vote margin. Prior to the revolution the ideology that prevailed was that government should be local, and directly represent the people. If a government was to be too large and to far from the people it served, it had the potential to become a dictatorship in its management of country affairs. But because of the economic strain of the war, the thirteen different economies and monetary systems were not adequate. Nor could they stabilize the economics of the confederacy. A few politicians of the time (like James Madison and Alexander Hamilton) had a vision of a more powerful centralized government that would be able to bring the states in line with national policy and help to stabilize the local economies. While showing the world a unified front among the states. Several debates would develop over the idea of a more powerful government over such things as the definition of representation by population, the western territories, and the power of the states vs. the power of the federal government and Congress. Compromises, persuasive arguments, and essays would have to be made by everyone. But finally, in May of 1790, the thirteen states would agree on a larger, more powerful federal government. Which had authority over the states in matters of taxation, trade, and fundamental laws that transverse state lines.

Monday, January 6, 2020

Obesity Obesity And Obesity - 1190 Words

Problem statement is obesity: What could be done to reduce childhood obesity rates in Mississippi? Background: Childhood obesity is a serious problem that puts children at high risk of developing other related health issues. Obesity can lead to cardiovascular diseases, type-2 diabetes, high blood pressure, asthma, sleep disorders, low self-steam, negative body image, and depression. In the United States, more than half of Americans are obese where Mississippi has the third highest rates of obesity (CDC, 2014). Mississippi has the highest level of poverty and the highest rate of obesity among adults (35%). According to the CDC, data from Youth Risk Behaviors Surveillance System shows that 31.4% of high school students in Mississippi†¦show more content†¦The other bad stakeholder is the governor of Mississippi Phil Bryant who signed a senate bill on 2013 which became a law in Mississippi. The law basically prevents counties from banning extra-large soft-drinks, and does not require restrictions on restaurants to put calories counts on menus. He stated that the government is not responsible for an individual s health, but a person s health depends on their choices of diet and exercise. Options: One of the options that can help in reducing the rates of obesity among children is increasing the access to healthier and nutritious choices of food such as fruits and vegetables by making healthy food more affordable by reducing the prices of fresh produce and financing small grocers and gas stations, which can be the only available access to food in poor communities, by the government to provide more fresh and healthy food by giving them tax credits for offering fresh fruits and vegetables. Another option that can benefit the Mississippi state in reducing childhood obesity rates is to increase schools health and wellness standards and physical education. Supporting policies that require schools to ban soft drinks and to provide physical education and high nutritional quality of food served in schools can help in preventing students and young generations from becoming obese. Also, connecting schools with local farms and supporting farmers toShow MoreRelatedObesity : Obesity And Obesity986 Words   |  4 PagesObesity is one of the major health epidemics that human being struggle to deal with it. Obesity is a chronic disease characterized by excessively high body fat in relation to lean body mass. In the last 20 years, people started complaining that fast food is the main cause of rising obesity. However, a lot of research proves that fast food is not the source of obesity. The rising obesity problem cannot be blamed on the fast food industry; there are several other fa ctors leads to obesity. OverRead MoreObesity : Obesity And Obesity798 Words   |  4 Pages Obesity Close to over one-third of adults living in the United States are obese (Diet and Obesity). Unfortunately, one third of children in the United States are also obese or overweight. Obesity has grown throughout the United States and has led to major health problem and can even be fatal. About 365,000 or more people die every year due to obesity. With numbers increasing obesity should be furthered examined to help prevent these conditionsRead MoreObesity : Obesity And Obesity1442 Words   |  6 Pages5/13/16 Take home Project: Obesity Obesity basically means having too much body fat. Not being overweight for your height, having too much muscle, or water in your body. What exactly is obesity? â€Å"Obesity is a condition that is associated with having an excess of body fat, defined by genetic and environmental factors that are difficult to control when dieting. 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Or are we ourselves and our lack of knowledgeRead MoreObesity : Obesity And Obesity Essay1508 Words   |  7 Pagesleads to health risks and obesity, people are still putting unhealthy food into their body daily.   The United States has the highest obesity rate in the world by 6% and the government should be helping to lower that percentage (http://www.nationmaster.com/country-info/stats/Health/Obesity).   The best for the United States to help the obesity rate is by implementing a fat tax.   A fat tax is a tax on foods that are considered unhealthy and are believed to lead people to obesity.   The main way fat taxesRead MoreObesity : Obesity And Obesity1417 Words   |  6 Pagesconcerned. Doctors often use a formula based on height and weight, called body mass index (BMI), to determine obesity. Children with a BMI over 21 is considered obese and over 18 is overweight (Arnett, J.J.2016). Adults with a BMI of 30 or more are considered obese. Severe obesity, also known as severe obesity or morbid obesity, occurs when a BMI of 40 or more is present. With morbid obesity, there may be serious health problems. If children do not have enough activities, they will not be able to burnRead MoreObesity : Obesity And Obesity1413 Words   |  6 Pagescertificates, diabetes was mentioned as a cause of death (6). The Centers for Disease Control refers to â€Å"twin epidemics of diabetes and obesity, because obesity greatly increases the risk of diabetes, and the number of Americans who are obese has been increasing rapidly† (9). A newly developed term, â€Å"diabesity,† is commonly used to represent the close relationship between obesity and diabetes (8). Type 1 diabetes usually occurs in childhood and is defined when the pancreas fails to produce a healthy amountRead MoreObesity : Obesity And Obesity892 Words   |  4 Pagesadults are considered obese in America. In recent years obesity is the health topic of choice these days because obesity in America is a growing epidemic. One out of twenty people in America have extreme obesity. According to a 2009-2010 survey conducted by the National Health and Nutrition examination this data states that about one third of children and adolescents ages six to nine are considered to be overweight or obese. Adolescent obesity has more than tripled in young adults and doubled in childrenRead MoreObesity : Obesity And The Obesity2209 Words   |  9 Pages OBESITY in America As the world is growing day by day the problem of obesity is also increasing all over the world. Since from1980 to 2014, the obesity has risen two times as compared to the previous years. The obesity is related to the how much energy is left, but the most important cause of having the obesity is â€Å"dysbalance between energy intake and energy expenditure† (Nazarii Kobyliak 1). The obesity is the excessive fat in the body and it can cause to any age group form child to the oldRead MoreObesity : Obesity And Obesity985 Words   |  4 Pages Obesity is one of the major health epidemic that human being struggle to deal with it. Obesity is a chronic disease characterized by excessively high body fat in relation to lean body mass. In the last 20 years, people started complaining that fast food is the main cause of rising obesity. However, a lot of research proves that fast food is not the source of obesity. The rising obesity problem cannot be blamed on the fast food industry ; there are several other factors leads to obesity.