Effective Communication Strategies For Patients With...

Engaging patients with chronic conditions typically begins in the primary care setting. The key players in this phase are the primary care provider and the health coach. The role of the primary care team is critical, but limited, in the patient engagement process. The main goal of the primary care team is to support the patient through the use of a tailored wellness plan based on the patient’s needs, values, and preferences. Here are a few effective communication strategies and discussion aids to initiate the patient engagement conversation. Motivational interviewing (MI) is a patient-centered technique that is associated with positive behavioral outcomes. This approach necessitates the building of rapport between you and the patient through non-judgmental discussions, engaging the patient, eliciting change talk, and evoking motivation to make positive behavioral changes. This communication style is different from the previous authoritarian model, where the care team member was responsible for making all the health decisions and the patient simply followed what was advised. The essential elements of MI are evocation (not education), autonomy (not authority), and collaboration (not confrontation). †¢ Evocation emphasizes the patient’s need to verbalize his own motivation and commitment to change. With evocation, the patient should be doing most of the talking. Your role is to focus on listening to the patient’s concerns. †¢ Autonomy means that the patient is in chargeShow MoreRelatedChronic disease managment771 Words   |  4 Pagesï » ¿Chronic Disease Management What is self-management? Self-care management is defined as the behaviour employed by an individual in managing and implementing the treatment regimen within the individuals lifestyle routine and it recognizes an individuals central role in managing chronic diseases (Costantini et al., 2008). 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Many experts in healthcare economics point out that chronic medical conditions are directly associated with higher costs (G., 2010). This association is mainly attributed to the high usage of all types of care (Kongstvedt, 2013). Reports show that the number of people suffering with chronic conditions is radically rising and forecasts suggest that the number of American’s with one or more chronic conditions will continue to grow by an estimatedRead MoreModels of Care Essay620 Words   |  3 Pagesmodels which are Chronic Care Model and Patient-Centered Medical Home Model. Also to provide how both achieve quality and safety and add as much information on how both models benefit in providing care to the patients. 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Population health attempts to improve the health of the entire population by addressing these shortcomings. At the heart of population health are the principles of lowering costs while simultaneously providing high-quality care. If population health is to be successful, the process must include pati ent participation (Nash, Fabius, Skoufalos, Clarke, Horowitz, 2016). PracticeRead MorePalliative Care Is The End Of Life Care1418 Words   |  6 Pagesdeclining health from an ultimately terminal illness, through chronic illness (Lubkin Larsen, 2012).Palliative care seeks to prevent and relieve suffering and to support the best possible quality of life for patients and their families regardless of their stage of disease (Holtz, 2012). Additionally, palliative care preserves a patient’s quality of life and provides respite for their families. Meanwhile, the aging population faces chronic illnesses with which they will live with for years before theirRead MoreEpidemiology Is The Foundation Of Public Health Essay1406 Words   |  6 Pagespublic health, tracking insights into the origin, allocation, and impediment of disease in populations. It is a study of how frequently diseases transpire in different groups of people and why. Various factors contribute towards the incidence of chronic disease, as identified with the development of the advanced model of the triangle of epidemiology. The triad comprises of an outer agent, a vulnerable host and a setting that brings the host and agent together (CDC, 2012). In this model, diseaseRead MoreMaking Healthcare Delivery More Patient Centered Is Not An Easy Process794 Words   |  4 Pageshealthcare delivery more patient-centered is not an easy process. Patient centeredness is one of the six interrelated factors constituting high quality-care identified by 2000 Institute of Medic ine report. Patient-centered care can be defined as a healthcare setting in which patients are encouraged to be actively involved in their care, with a physical environment that promotes patient comfort and staff who are dedicated to meeting the physical, emotional, and spiritual needs of patients (Charmel Frampton

17 Free Spanish Worksheets to Help Test Your Knowledge

Try your hand at one of these free Spanish worksheets. Print one of them off to help you learn or reinforce your skills over numbers, colors, common phrases, and other Spanish basics. Youll also want to check out these free Spanish printables to help you learn Spanish. There are printable flashcards, alphabet printables, color chart posters, and more printables to help you learn new words and reinforce ones you know. Free Spanish Worksheets to Help You Learn Numbers Learning to count in Spanish is a good first step in learning the language. These free Spanish worksheets will help you learn your numbers in Spanish to make everything from counting money to finding streets easier. Spanish Numbers: A 12-page worksheet for testing if you know the numbers 1-10 in Spanish through various games, like counting the objects, matching the number with the Spanish word, and finishing a number series. Answers are included at the bottom.Counting in Spanish: This free Spanish worksheet with have you hunting around your home to find out how many items in certain categories you have. The answer must be written in Spanish.Learning Number Words in Spanish: Complete this worksheet by writing the Spanish number that goes in each blank. See How Well You Know Your Colors With These Free Spanish Worksheets Learning colors in Spanish is another basic skill to learn. These free Spanish worksheets will help you identify and write out colors. Rainbow Colors: Label the different parts of the rainbow with the right color. An answer key is included.I Know My Colors: Color each object with the color listed below each of them.Colors in Spanish: Learn the words for colors in Spanish that includes a pronunciation guide. More Free Spanish Worksheets Here are more free Spanish worksheets to help you with vocabulary and phrases concerning greetings, relatives, animals, body parts, shapes, and more. Adjective Quiz: A 32-word match questions. Write out the Spanish word that corresponds with the pictures and English adjectives.Mi Familia Interesante: Create descriptions of you and your family members using this worksheet of Spanish terms for relatives.Shapes: Test your knowledge of the Spanish translations for shapes with this printable worksheet. Just draw a line from the word to the shape. An answer key is located at the very bottom of the document, along with the correct way to pronounce the shapes in Spanish.  Possessive Adjectives: Learn about the possessive adjectives mi(s), tu(s), and su(s) in this free Spanish worksheet.Word Match Quiz for Introductions: Read the English words or phrases and see if you can correctly match them up with the Spanish equivalents from the word list. Answers are located at the very bottom of the last page.Singular Pronouns: Fill in the blank to complete these Spanish sentences that are missing singular pronouns. These are multiple-choice, and every answer is shown for you at the bottom of the final page.Greetings in Spanish: Learn phrases in Spanish so you can have a simple and friendly introduction in Spanish.Common Words and Phrases: Anser each question in Spanish and translate English statements to Spanish.The Weather: Look at the pictures and write the correct Spanish phrase to identify the weather event.About My Family: In this Spanish worksheet, youll be reading questions about your family that are in Spanish, and youll need to answer the questions in Spanish.Practice With Location Phrases: Fill in the blank with the Spanish word that makes sense in the sentence and with the picture. Theres a word bank included.

An ethnohistory of the utah paiutes Free Essays

Dr. Ron Holt is a dignified socio-cultural anthropologist specializing in applied fieldwork and tribal politics. He currently resides in northern Utah as a professor (among many other things) at Weber State University where he educates young minds on the world of anthropology. We will write a custom essay sample on An ethnohistory of the utah paiutes or any similar topic only for you Order Now The collection of information in this text covers every important aspect of the life of the American Indian Paiute tribe with a main emphasis on their introduction to the Anglo-Americans. Throughout the text Dr. Holt emphasizes many occurrences regarding the co-existence of American Indians and Anglo Americans and despite a few positive outcomes, nearly every influential aspect of the whites is to be understood as a negative one. Dr. Holt vividly depicts the introduction of the white man and makes a valid point in designating who the instigator of the degradation of the Paiutes was. A main emphasis on his writing of this book is to display the truth behind the Paiute struggles and reveal what they went through as a people. Before the publishing date of this text in 1992 the life of the Paiutes had been vaguely documented. Through personal field work, material in the LDS archives, the Smithsonian Institute and many other sources such as journals and university archives, Dr. Holt was able to obtain a topical and chronological collection of information regarding the entire known existence of the Utah Paiutes since the year they were first witnessed in 1776. In 1981 while teaching at Southern Utah College (now Southern Utah University) Dr. Holt was asked by a local Paiute tribesman to research a potential reservation plan for the Utah Paiutes, an American Indian band of that area. This being an opportunity for Dr. Holt to produce a dissertation for his schooling he took the offer and ultimately produced a one-of-a-kind collection of American Indian knowledge. Through extensive field work and research, material was gathered and organized into data pertaining to the lives of the Paiutes. From this collection the text BENEATH THESE RED CLIFFS was produced. The beginning of the first chapter in this text introduces the reader to a specific way of life for a specific kind of people. After obtaining a feeling of understanding and curiosity about the Paiutes, the text throws the reader into an eternal downward spiral of bad news and depression. As documented, within a very short one hundred and fifty year span, the proud native people of southern Utah were greatly reduced in numbers and transformed from successful hunter-gatherers into beggars and seasonal or part-time workers. The main cause of their depression is seriously attributed to the settlement of the Mormons in the southern Utah area. The Paiutes were a dark skinned people that had a historical religious meaning to the Mormons known as Lamanites. From this historical belief the Mormons decided the Paiutes needed to be educated and â€Å"saved† from whatever their previous way of life was. Although the church believed they were doing good by taking over control of the Paiutes they conveniently turned a blind eye to the side effects of assimilation and paternalism which ultimately led to the downfall of the Paiute Nation. They were forced to beg for much of what they lived on because their foraging lands were being dominated by grazing cattle and incoming settlers. To add to their list of troubles in the 1800’s the Paiutes had to deal with population declination due to New Mexican and Ute slave trafficking. Targeting mainly female children and women, the reproduction rate of the Paiutes was severely crippled. With ratios of nearly two-to-one for men to women, the Paiutes had limited means of procreation. Without women to gather food and mate with the tribe was staring death in the face. After the catastrophic introduction to whites and slavery pre 1900s, a surviving life style for the Paiutes started to become a little more manageable. Ironically during the Great American Depression in the 1930’s and 1940’s the Paiutes struggled a little less because the rest of the American nation had it so hard. Through manual labor for the Mormons and seasonal foraging for Pine Nuts and other edibles, the Paiutes survived living one day at a time, but this was to be short lived. In the 1950’s the government decided to â€Å"Terminate† all American tribes deemed capable of surviving on their own. Termination was a swift process that was intended to initiate capable American Indians to the stature of a Citizen of The United States of America; the Paiutes were not prepared for the termination bill, but in 1957 it happened anyway. The bill organized a support system for the new way of life that all terminated American Indians would have to assist them with the transformation. The structure of this ingenious plan consisted of three support organizations: The BIA (Bureau of Indian Affairs) withdrawal office, an educational and vocational training program held by the University of Utah and the BIA relocation program. The Paiutes were now no longer part of a tribe; they were instead â€Å"Citizens of The State,† who were subject to state laws, federal taxes and state taxes. After termination the Paiutes were desperate for a substantial income. Their bands had inhabited over nearly 30 million acres of land in areas including four states: Arizona, California, Utah and Nevada; this was without a doubt their most valuable asset. In 1965, after a long demeaning process, the Paiutes agreed to sell 26. 4 million of these acres for 27. 3 cents per acre. With the sale of tribal lands the Paiutes had their substantial influx of money and were able to become a self sustaining people again. The 1970’s initiated the restoration process which turned the Paiutes back into a recognized American Indian group, but their struggle to recover from termination continues today. How to cite An ethnohistory of the utah paiutes, Papers

Life of Celia Cruz free essay sample

The talented singer was born on October 21, 1925, in the Santo Suarez neighborhood of Havana. Her singing talent was obvious even when she was young, but instead of pursuing a career in singing, she studied to be a teacher. This was because her father told her that he did not believe that singing was a worthwhile profession for a woman. Still, she went after a career in singing, after encouragement from her mother, teacher and aunt. Celia Cruz began singing in talent shows and doing recordings for radio stations, but neither were sold for money. Her first recordings were made in 1978 in Venezuela with the Turpial label. She sang these with the Leonard Melody and Alfonso Larrain orchestras. In 1950, she was called in to be the lead singer of a Cuban band, La Sonara Matancera. At first, the public did not like her, because she was black, but eventually, because of her hard work, talent and the fact that the orchestra stood by her, the public accepted her, and she became famous throughout Cuba. Celia was a member of La Sonora for fifteen years, and then in July 15, 1960, she decided to migrate to the United States to pursue her singing career. It only took her one year to become a legal citizen of the US. After becoming a citizen in 1961, Cuban Communist leader Fidel Castro was furious and barred Cruz returning to Cuba, enforcing the ban even after her parents’ deaths. Celia for her part has vowed not to return to Cuba until such time as the Castro regime is disposed. Although Celia Cruz had made numerous recordings with La Sonora Mantancera, she experienced little success in the United States in the 1960s. She spoke English well, but she refused to record in the language. Younger Latin Americans at the time were gravitating away from big-band dance music and toward rock-and-roll, in both Latin and non-Latin inflections. Celia’s fortunes began to improve when she meshed her talents with those of the musicians and bandleaders who were creating the new music called salsa—chief among them Tito Puente, Johnny Pacheco and Willie Colon. Salsa was firmly rooted in Cuban dance traditions, but it was high-energy new hybrid that incorporated elements of jazz, traditional Afro-Caribbean rhythms, and other forms. Celia on stage was a commanding figure whose control over audiences resulted not only from her flamboyant, stage-filling attire, but also from her ability to engage them in call-and-response patterns that spring from salsa’s Afro-Cuban roots. Celia was any music promoter’s dream because of the added value she brought to every contract. She offered more than just interesting musical interpretations: Celia transformed herself into a stage image projected well beyond any performance. Her magic included a distinctive orchestra sound, staging, scenery, and props, backup choruses, and a lot of color and special effects. Celia was very fond of sunglasses. They had to be prescriptions and she ordered them in exaggerated sizes and adorned with small, bright-colored stones to make them more festive. Wigs were the second most important prop for Celia in the creation of her image. Besides Queen of Salsa, she could also be considered Queen of Wigs. She had them in every color – though she preferred blond or silver – and every style, to cover her curly hair. This artist with the chameleon image confided that her collection of wigs was not extravagant, that it seemed so only because they were coiffed in different styles each time. Wigs were one of her stage trademarks. From the beginning of her singing career, Celia Cruz was a permanent guest at Cuban radio stations. In the times before television, radio programs enjoyed large audiences, not only on the island but in the whole Caribbean area, where area waves carried without difficulty. In Cuba, as well as in Latin America, musical programs and soap operas were tremendously popular. Radio provided practically the only entertainment beside movies, which also attracted large audiences. Celia’s first experience as an actress came to her through her friendship with Maria Teresa Coalla, who created a character especially for Celia in a soap opera broadcast by Radio Progreso in the fifties. Her director was Bernardo Pascual, who was then married to Delia Fiallo, later famous in Miami as a soap opera scriptwriter. Celia was afraid of ridicule, but her friends and colleagues at the radio station encouraged her with only one advice: to be herself, without imitating any other actress. Her success was overwhelming. The rival station also had a soap, Divorciadas, with the highest rating, but after Celia joined it bypassed the competition. The best actress award that year went to Celia. One of Celias performance trademarks is a full-throated shout of Azucar! (Sugar! ); she explained its 1970s origins in a 2000 Billboard interview. I was having dinner at a restaurant in Miami, and when the waiter offered me coffee, he asked me if I took it with or without sugar. I said, Chico, youre Cuban. How can you even ask that? With sugar! And that evening during my show I told the audience the story and they laughed. And one day, instead of telling the story, I simply walked down the stairs and shouted Azucar! Celia might be compared with US jazz vocalist Sarah Vaughan in her ability to bring vocal techniques to a primarily instrumental music, but she has a more essentially popular appeal than any jazz singer. Seemingly indestructible vocally, Celia continued a full schedule of concerts and recordings throughout the 1980s and beyond. She received a Grammy award for the album Ritmo en el corazon, recorded with conga player Ray Barretto, in 1990, as well as an honorary doctorate from Yale University. Still a major star in her own right, Celia became an inspiration for numerous younger performers (such as Gloria Estefan) in the 1990s; her audience hardly aged along with her. Weve never had to attract these kids, she told Time. They come by themselves. Rock is a strong influence on them, but they still want to know about their roots. For most Latin Americans, indeed, Celia Cruz has been and remains a much-loved figure, an icon of Latin culture. There were simply three great loves in Celia’s life: Pedro Knight, music and of course, Cuba. Celia’s love life has been a secret well kept by those close to her. Hector Ramirez Bedoya revealed in his Historia de la Sonora Mantancera y sus estrellas (History of the Sonora Mantancera and its Stars, 1996); Celia was engaged for a while to Alfredo Leon, a young bass player and the son of Bienvenido Leon, member of the noted Septeto Nacional. An old photo of Celia, wearing full, flowery skirt and singing into a microphone, shows Alfredo accompanying her on the tumbadora. How Celia and Pedro fell in love is a modern day fairy tale. Theirs was an affection that grew out of friendship; developing slowly until eventually it led them to the altar. As Pedro tells it, â€Å"We got to know each other while working with the Sonora, and became fast friends. There is no way to say when our romance started. Celia was a sensible, reliable young woman, and in time our friendship turned to love. Neither of us thought that we were going to end up getting married one day, but that’s what happened. † When Celia and Pedro Knight met, he was still married to his first wife, with whom he had six children. A year after Celia joined the Sonora, in 1950, Pedro obtained his divorce. Their courtship had been very discreet, but one day Rogelio Martinez heard about the blossoming romance from one of the orchestra members. After a ten-year courtship, Pedro finally convinced Celia to marry him. They were married on Saturday, July 14, 1962, in a simple ceremony before a Connecticut judge. Singer Rolando Laserie was their best man; his wife, Tita Borggiano, was the matron of honor; and Laserie’s manager, Catalino Rolon, a witness. By then Celia was already thirty-six and Pedro thirty-nine. Because Celia was still mourning over the death of her mother, Ollita, there was no party or honeymoon. Their marriage took place a short time after the death of her mother, a moment she could not share with her family because the Cuban government did not allow her to reenter her country. So Pedro, according to Celia, replaced both her mother and her father. During a routine exam, Celia’s physician detected cancer in the breast, the same illness that killed her mother. In August, at the Hackensack Hospital in New Jersey, Celia underwent surgery to remove her left breast, and in September she returned to the hospital for a second operation. The whole situation was handled with the utmost discretion, and not even her closest fans got the news. Celia did not want her fans to pity her because of her illness. The headaches the she began experiencing after her first operation were becoming worse, and she also suffered from fainting spells and shivering. Back in New York, she underwent intense testing, which confirmed the fatal diagnosis: a brain tumor. Despite the optimism that always had characterized her, she could not help feeling depressed when the results if the pathological tests came in. they confirmed that the excised tumor was malignant. Later, three additional inoperable tumors were detected in her brain. After resting in Hawaii and upon her return to New York, Celia finished the necessary paperwork to establish a nonprofit organization devoted to benefitting the musical education of young Hispanics, and to raising funds for the fight against cancer. On February14, 2003, the Fundacion Celia Cruz was officially created for those important causes. Monday July 14 was her forty-first wedding anniversary. Pedro knelt beside her and whispered, â€Å"Happy anniversary, my love. † A tear ran down Celia’s cheek, but she said nothing, returning to the stupor induced by her medications, and she finally took refuge in an unconscious state. On Wednesday morning, it appeared that the battle had been lost. Surrounding her was her loved ones: Pedro Knight; Cuqui Pacheco; her manager and adopted son, Omer Pardillo-Cid; her niece, Linda Becquer-Dakota; her sister Gladys; her friends Luis and Leticia Falcon; and two nurses Celia Cruz, the legendary singer of Afro-Cuban rhythms, la Guarachera de Cuba and Queen of Salsa with a happy â€Å"tumbao,† died at 4:55 in the afternoon. Her marvelous voice is still with us through her recordings and her luminous call to joy, Azucar! will be with us forever. She was a very kind person that gave back hope and inspired many singers, as well as others of different industries. Celia demonstrated to the world that anything you set your mind to be possible with effort and drive. Sometimes life can be difficult and as a single mother with a full time job and now also a part time student, it seems harder than ever, but with that same spirit determination and drive that Celia had until the end. BIBLIOGRAPHY Marceles, Eduardo. Azucar! The Biography of Celia Cruz. New York: Reed Press, 2004