‘Map-It’ Framework in Addressing Social Determinats of Health

Introduction For the past two decades Utah County has been ranked among those US counties with healthiest populations. In spite of this, assessment on life expectancy of the inhabitants of Utah State shows that some problems have cropped into the local occupants depriving them of their once notable rich health status (Novilla, Barnes, Hanson, West Edwards, 2011). A close examination shows that there are inherent health disparities among Utah citizens and this is as a result of the notable variations in life expectancies among different groups. Research shows that in some parts of the Utah state, life expectancy is 80 years while in the other areas within the same state the life expectancy is 70 years. Research shows that Utah ranking†¦show more content†¦This would form a string basis for the identiofication of the key cause of majority of health care professionals. Given the fact that in most countries individuals do not visit hospitals because of incapability to pay for medical costs, I would do a qualitative research where I would collect health care information from local residents. This research would provide information on the number of people who have died because they where not able to afford health care since they were not members of the Medicaid health care insurance program. Another strategy would involve utilizing data from existing public sources to assess the health and safety needs of the people of Utah County. The main elements of the collected data would involve the identification of the key health indicators and the corresponding risk factors. I would also collect information related to the impact of the social, economic and the environment on the health status of Utah inhabitants. The key sources of data for the assessment of needs of Utah populations would include US census bureau, healthy people 2020, environment public health tracking program, department of mental health and substance abuse and Utah hospital discharge database. Other sources of information for the need assessment would include the indicator based information system indicator for the public health department and Utah’s healthcare access survey (Niederdeppe, Bu, Borah, Kindig Robert, 2008). I

Chief Executive Officer of State Farm Insurance - 936 Words

My topic is on the Chief Executive Officer of State Farm Insurance, Edward B. Rust Jr. Like his grandfather and father before him, Edward B. Rust Jr. became the chairman and chief executive officer of State Farm Insurance Companies. Having been associated with the company his entire life, Rust was well rounded in the mutual insurer s corporate culture, which placed a great deal of emphasis on serving policyholders, who were the legal owners of the company, and avoiding spending money unnecessarily. However, despite a lifelong association with State Farm, Rust maintained that growing up in the Midwest and learning rural values provided a moral foundation that would become more important to his achieving success as a chief executive. One†¦show more content†¦Rust s personal commitment to education was also evident in his willingness to serve as a trustee and adviser to Illinois Wesleyan University, the University of Illinois, and Stanford University as well as serving as the cochairman of the Business Coalition for Excellence in Education and on President Bush s transition team covering educational issues. A message from Mr. Rust, â€Å"Every day each of us makes choices where integrity, honesty, and trustworthiness come into play. These are hard-to-measure qualities, but they re priceless when it comes to customer confidence in what we do and how we do it. It s important that we know this about each other and that our customers know this about us: At State Farm, we do not just do what s legal, but also right.† Mr. Rust has been Chairman of the Board and Chief Executive Officer of State Farm Insurance Companies since 1987. State Farm Insurance is the largest insurer of automobiles and homes in the United States. Along with being the largest insurance agency they are an extremely philanthropic company. Even with all of Mr. Rust’s success, he takes time to help others succeed. He is obviously a great and caring leader. Reference List France, Mike, Father Knew Best—and So Did Grandfather, BusinessWeek, November 8, 1999, p. 142. France, Mike, and Andrew Osterland, StateShow MoreRelatedA Method of Recording Data About the Health Status of a Patient in a Problem-Solving System. the Pomr Preserves the Data in an Easily Accessible Way That Encourages Ongoing Assessment and Revision of the Health Care1235 Words   |  5 Pagesand Chief Information amp; Strategic Technology Officer, BlueCross BlueShield of Tennessee (representing a hospital and medical services corporation) Barbara Houchin, Executive Director of Strategic Planning, Saint Thomas Health Services (representing hospitals) Wendy Long, M.D., Chief Medical Officer, Bureau of TennCare (for Darin Gordon, Deputy Commissioner of the Bureau of TennCare) Ranyan Lu, Director of Research, Clinical Analytics, United Healthcare (representing the health insurance industry)Read MoreChecks and Balances1128 Words   |  5 Pageswas put in to place so that no part of government would have too much power. 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Each offender was handed various degrees of penalties, including jail sentences. AIG’s CEO Hank Greenberg was left unindicted and â€Å"pleading the 5th.† What led these executives down a path that would forever change their careers and left many convinced that corporations are willing to go to any extent to satisfy their greed for profits? This paper will examine the intricacies of AIG’s accounting fraud, and discuss theRead MoreCorporate Governance Benchmarking Paper6593 Words   |  27 Pagesseveral years as it sourced cocoa from farms in the Ivory Coast, which employed child labor† (p. 25). Nestle was criticized for purchasing cocoa from Ivory Cost, which the cocoa may have been produced by minor slaves. The minors who produced cocoa were bought from their desp erate parents and transported to the Ivory Coast. The minors were obligated to work approximately more than 90 hours a week with no pay, limited food, and frequent physical abuse. 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Reflection On A Clinical Experience - Myassignmenthelp.Com

Question: Discuss about the Reflection on a clinical experience Answer: Introduction This essay aims to demonstrate my application of the standards of practice for a registered nurse using a reflective methodology. I will use the Tanners clinical judgement model to reflect upon an incident that occurred during clinical practice session. The incident occurred in the third week of my clinical practice sessions when Warrin Dimer, a 23 year old male was admitted to the ward following severe depression. Upon admission I noticed that his wrist contained several bruise marks due to failed suicide attempts. On following his medical records, I realized that he was suffering from depressive disorder. I was assigned the task of administering him antidepressants. Background This event was quite challenging and difficult for me as although I had acquired clinical knowledge on the pathophysiology and diagnosis of mental disorders, the thought of a hands-on communication with a vulnerable patient made me anxious initially (Chang and Daly 2015). On much persuasion, his elder sister revealed that he had a history of abuse in childhood. Soon, I went to the room where Warrin was kept, to establish a rapport with him before administering any medicines. Noticing Initially I had noticed that Warrin and his family members were very reluctant to speak about his mental condition to any healthcare staff that was present in the ward. Since, they belonged to an aboriginal community; the stigma related to mental health was quite evident among them. As I introduced myself with the aim of building a good patient-nurse relationship, I noticed that on acknowledging their traditional views, I was able to gain their trust. This helped me to gain information on the possible causes that might have led to Warrins present condition. Interpreting On analysing Warrins history I interpreted that his past encounter with childhood abuse might have led to the development of suicidal ideations. Family and peer support supposedly works by preventing suicides. However, the stigma prevalent in his family, owing to their traditional and cultural values prevented them from supporting Warrin. This worsened his condition and increased his vulnerability to depression. I realized that administration of antidepressants along with perceived social support would act as mediators in his treatment. Responding The Nursing and Midwifery Board of Australia has set several standards of practice for enrolled nurses, which are essential for providing evidence-based and patient-centred holistic care approaches. Australia is a huge community with a rich mixture of linguistic and cultural diversity. During my clinical placement I will be expected to work towards building professional and therapeutic relationships with individuals and their families or communities. These individuals may have a range of disabilities or serious health issues related to mental or physical illness. The aforementioned incident helped me show compliance with 2 such standards of practice. Standard 1: Critical thinking and analysis of nursing practice I used a variety of best available evidences and thinking strategies while making decisions that were related to providing patient-centred care to Warrin. I followed this practice to provide a safe and good quality nursing practice. I accessed, analysed and used best available resources from different literature and research findings to investigate the patho-physiological and genetic factors that predispose a person to depressive symptoms. This helped me gain knowledge on the several selective serotonin reuptake inhibitors that act as potential antidepressants. I respected the experiences and cultures while interacting with Warrin and his family members. This practice plays an essential role in underpinning the health of aboriginals. I scheduled meetings with his family members and acknowledged the elders while making any clinical decisions related to Warrins condition. Seeking prior consent of the elders and choosing the proper form of language while addressing them helped me gain their trust (Atkins et al. 2017). I maintained a comprehensive and timely documentation of all the medical assessments that were done post-admission and thoroughly reviewed his previous medical charts to investigate presence of any health conditions that might interfere with the proposed treatment plan. Standard 2: Engaging in therapeutic and professional relationships I purposefully engaged in effective professional and therapeutic relationship with the patient. This helped me to develop mutual respect and trust, which futher assisted in enhancing my nursing skills in providing holistic care. I communicated effectively with Warrin and his family to gain a deeper understanding of the psychological and cultural factors that might interfere with his mental treatment. I tried to show respect to the cultures, rights and beliefs of his community. I spoke slowly and adopted a non-threatening tone to assure them of my intentions (Daly, Speedy and Jackson 2017). I developed a non-judgemental attitude and tried to use open-ended questions while asking Warrin about the childhood abuse he had faced. I advocated on his behalf when the few healthcare staff were found to make explicit comments regarding his mental status and abuse history. I tried to respect his autonomy when he refused administration of tranquilizers (Forrester 2017). I failed to report this notifiable behaviour of the healthcare workers to my mentor. I realised that advocating for a patient right gets justified only when such untoward behaviours are reported. Responding Thus, I can state that the incident helped me gain knowledge on the different challenges that a nurse can face in the practical settings. It helped me recognise the importance of culture and history in the health and wellbeing of patients. However, it also helped me realize that according to the standards that promote engagement in professional and therapeutic relationship, I should have reported ill behaviour of the staff to my senior. I intend to follow this on encountering such a critical incident during my future clinical placement. Reflection Thus, it can be stated that the above incident made me realize the duties of a nurse in clinical settings. I understood that as a registered nurse, I will need to continuously think and analyse thoughtful development of constructive relationships. I will have to develop professionally and maintain my professional capabilities (Andre and Heartfield 2016). I will be responsible for determining, coordinating and providing a safe and quality nursing to my patients. The incident also assisted me to learn that nursing practices also require establishment of non-clinical relationship with clients for their betterment. References Andre, K. and Heartfield, M., 2016.Portfolios for Health Professionals. Elsevier Health Sciences. Atkins, K., De Lacey, S., Britton, B. and Ripperger, R., 2017.Ethics and law for Australian nurses. Cambridge University Press. Chang, E. and Daly, J., 2015.Transitions in Nursing-E-Book: Preparing for Professional Practice. Elsevier Health Sciences. Daly, J., Speedy, S. and Jackson, D., 2017.Contexts of nursing: An introduction. Elsevier Health Sciences. Forrester, K., 2017. AN INTRODUCTION TO LEGAL ASPECTS OF NURSING PRACTICE.Contexts of Nursing: An Introduction, p.153.

King Lear Essays (706 words) - Film, Grimms Fairy Tales, Fiction

King Lear A Fairy Tale Family Families aren't perfect. When one thinks of fairy tales, he thinks of the perfect princes and princesses living happily ever after, similar to Cinderella finding her Prince Charming. However, life was not always perfect for Cinderella; before finding her prince her stepmother and stepsisters tortured her life. In Shakespeare's King Lear, the play presents a happy and loving royal family, almost like a fairy tale. Nevertheless, the families in King Lear parallel the anguish and strife that Cinderella suffered with her family. In King Lear Goneril and Regan portray the two stepsisters of Cinderella. Bound by greed and fortune, both sisters act out a scene of love for their father, King Lear. In reality, though, they plot for his death and his riches: ?There is further compliment of leave-taking between France and [Lear]. Pray you let us hit together; if our father carry authority with such disposition as he bears, this last surrender of his will but offend us.? (Act I, Scene I) Cinderella's father was quite wealthy and once he married Cinderella's stepmother, his wealth was dispersed among the new family. However, after his death, Cinderella had none of her father's inheritance. Goneril and Regan made flowery speeches to declare their love for their father only to inherit the divided kingdom, however their words were only empty and not full of emotions, like their younger sister, Cordelia. Cordelia, like Cinderella, truly loved her father, even if words did not express the way she felt. Unfortunately, both were left with nothing from their father, while the wicked sisters got all. King Lear's family represents a family of royalty and fairy tale, however problems arise in this royal household, just as it did in Cinderella. King Lear is not alone with family problems; his children also trouble his dear friend, Gloucester. Just like King Lear's daughters, Gloucester's bastard son, Edmund, wants the family inheritance for himself. His treachery is as wicked as Goneril and Regan ? to kill their own father. He says to himself, ?Legitimate Edgar, I must have your land. Our father's love is to the bastard Edmund as to th' legitimate.? (Act I, Scene II) Greed has consumed Edmund's mind that he does not care for his brother or father. He acts as the male counterpart of the stepsisters, and Edgar as the female counterpart. This royal household as well, lives the fairy tale setting; however, there is always a twist in a perfect story. Goneril, Regan and Edmund present themselves as the villains of this royal, fantasy family, just as the stepsisters and the stepmother were to Cinderella. To every villain, there is always a hero or heroine. In this case, Cordelia and Edgar, the faithful children, save their fathers from their doom. After Goneril and Regan punish their father by releasing him in the wilderness, Lear goes mad and uncontrollable, however Cordelia is the one who tames her father: ?O my dear father! Restoration hang thy medicine on my lips, and let this kiss repair those violent harms that my two sisters have in thy reverence made.? (Act IV, Scene VII) Even though Lear disinherits Cordelia, she still remains faithful to her father and brings him back to health. She holds no grudge for the banishment onto her. Edgar does the same as well; he duels his bastard brother in honor of his father and says, ?My name is Edgar, and thy father's son. The gods are just, and of our pleasant gives make instruments to plague us.? (Act V, Scene II) Because of Edmund, Edgar fled the country in fear, and Gloucester suffered an eye gouging. But no matter what suffering Edgar went through, he honors his father and fight for him. Both Cordelia and Edgar look past the wronging that their fathers have done to them and instead recognize the suffering that their siblings have done to their fathers. The royal families in King Lear parallel many aspects of a fairy tale, specifically Cinderella. Both have their wicked siblings who plot against the protagonists. Although fairy tales have their villains, just as King Lear had Edmund, Regan and Goneril, they also contain the heroes of the story who make the fairy tale a happy