Teaching end-of-life preparation to African Americans

2020 ◽  
pp. 1-6
Author(s):  
Delicia Pruitt ◽  
Kirsten Weber ◽  
Neli Ragina
Keyword(s):  
End Of Life ◽  
Educational Intervention ◽  
Terminal Illness ◽  
Active Role ◽  
The Elderly ◽  
Teaching Tool ◽  
Educational Tool ◽  
Before And After ◽  
The One ◽  
Demographic Covariates

Abstract Objective This is a pilot study with a primary goal to develop an effective, targeted educational intervention that can serve as a teaching tool to educate African American (AA) population, especially the elderly, on options of end of life (EOL) prior to critical care. Method We first assessed the level of preparation for EOL in the AA community through a survey instrument. The survey was used to determine the deficits in knowledge in AA population in Mid-Michigan regarding EOL choices before and after the educational intervention. Paired-sample t-test was used to assess changes in understanding about EOL planning options. Regressions analysis was used to assess these changes while including several demographic covariates. P < 0.05 was considered statistically significant. Results Our pilot data indicated that the educational intervention could be used as an effective teaching tool in educating AA population on EOL choices. Significance of results AA patients are more likely to choose life-sustaining measures at the end of their lives compared to other ethnic groups despite terminal illness. This decision is partly based on lack of knowledge of the available options of care at the EOL. Due to multiple life-sustaining measures, the AA patients are not receiving the care to help them peacefully die. This study provides evidence that physicians will need to increase their educational efforts with the AA population to help them better understand EOL options. An educational tool like the one developed in this study may be helpful and lessen the time of education so that the physician can answer any questions at the end of the session and also empower individuals and communities to take an active role in creating a culture of wellness at the EOL and decreasing morbidity.

The physician's role in the assessment and treatment of spiritual distress at the end of life

2006 ◽  
Vol 4 (1) ◽  
pp. 81-86 ◽  
Author(s):  
ANTHONY E. BROWN ◽  
SIMON N. WHITNEY ◽  
JAMES D. DUFFY
Keyword(s):  
End Of Life ◽  
Terminal Illness ◽  
Clinical Utility ◽  
Active Role ◽  
Spiritual Needs ◽  
Spiritual Distress ◽  
Dying Patients ◽  
Assessment And Treatment ◽  
Clinical Tools ◽  
Structured Approach

Objective:Patients at the end of their life typically endure physical, emotional, interpersonal, and spiritual challenges. Although physicians assume a clearly defined role in approaching the physical aspects of terminal illness, the responsibility for helping their patients' spiritual adaptation is also important.Methods:This article (1) describes the terms and definitions that have clinical utility in assessing the spiritual needs of dying patients, (2) reviews the justifications that support physicians assuming an active role in addressing the spiritual needs of their patients, and (3) reviews clinical tools that provide physicians with a structured approach to the assessment and treatment of spiritual distress.Results:This review suggests that physicians can and should be equipped to play a key role in relieving suffering at the end of life.Significance of results:Physicians can help their patients achieve a sense of completed purpose and peace.

scholarly journals Meningkatkan kemandirian pasien pasca stroke melalui in-house training kader pendukung lansia pasca stroke

2019 ◽  
Vol 1 (1) ◽  
pp. 95
Author(s):  
Nurul Aktifah ◽  
Wahyu Ersila ◽  
Lia Dwi Prafitri ◽  
Rifqi Sabita
Keyword(s):  
Community Service ◽  
Daily Living ◽  
Active Role ◽  
The Elderly ◽  
Population Based ◽  
Post Stroke ◽  
Field Practice ◽  
Before And After ◽  
Improve Health

AbstrakInsiden stroke mengenai populasi usia lanjut yang berusia 75-84 tahun sekitar 10 kali dari populasi 55-64 tahun. Berdasarkan Rencana Strategis Kementerian Kesehatan 2015-2019, maka perlu adanya upaya peningkatan promosi kesehatan dan pengabdian masyarakat, serta kegiatan promotif dan preventif, yang dapat dilakukan melalui peningkatkan peran aktif kader dalam upaya promotif dan preventif melalui praktik pendidikan kesehatan dengan tujuan untuk memandirikan klien dalam melakukan Activity Daily Living (ADL). Tujuan pengabdian masyarakat ini adalah menghasilkan kader yang terlatih melakukan pendidikan kesehatan dan praktik lapangan serta memberikan pencegahan pada lansia yang beresiko terhadap stroke di wilayah Puskesmas Buaran. Metode yang dilakukan dimulai dengan pembentukan kader pendukung lansia pasca stroke pada bulan September 2018, diikuti dengan pelatihan kader dan berakhir dengan monitoring dan evaluasi keterampilan kader secara mandiri di bulan Februari 2019. Hasil yang diperoleh yaitu terbentuknya 20 kader yang memiliki pengetahuan tentang konsep stroke dan cara melatih Activity Daily Living (ADL) sebelum dan setelah pelatihan (xˉ= 86) , praktik keterampilan (xˉ = 79.30), dan praktik lapangan (xˉ= 86,75). Kesimpulan dari pengabdian masyarakat ini adalah melalui pelatihan terstruktur dengan penyediaan keterampilan promosi kesehatan menejemen lansia pasca stroke akan mampu membentuk kader pendukung lansia pasca stroke yang terlatih. Kata kunci: Kader; lansia; stroke AbstractStroke incidence in the 75-84-year-old population is about 10 times that of the 55-64-year population. Based on the Ministry of Health's 2015-2019 Strategic Plan, it is necessary to improve health and community service promotion, as well as promotive and preventive activities, which can be done through increasing the active role of cadres in the field of health education and field practice on Activity Daily Living (ADL). The purpose of community service is to produce cadres who improve education and field practice and provide a budget for the elderly who are at risk of stroke in the Buaran health district. The method was begun with the formation of post-stroke supporting cadres in September 2018, followed by cadres training and ended by monitoring and evaluating cadre skills independently in February 2019. The results obtained were the formation of 20 cadres who were knowledgeable about the concept of stroke and methods training Activity Daily Living (ADL) before and after training (xˉ = 86), skill practice (xˉ = 79.30), and field practice (xˉ = 86.75). The conclusion of this community service is through structured training with the provision of health promotion skills for post-stroke elderly management will be able to form  supporting cadres for trained post-stroke elderly. Keywords: Cadre; elderly; stroke

scholarly journals DEVELOPMENT OF TOEIC TEST-TAKING SKILLS BY APPLYING KAHOOT! AS A REMEDIAL TEACHING TOOL

2020 ◽  
pp. 77-85
Author(s):  
Kanokrat Kunasaraphan
Keyword(s):  
Learning Strategies ◽  
Difference Score ◽  
Average Score ◽  
Teaching Tool ◽  
First Year Students ◽  
Test Taking ◽  
Remedial Teaching ◽  
Before And After ◽  
Group 5 ◽  
The One

The purpose of this study is to investigate and compare TOEIC scores before and after applying Kahoot! as a remedial teaching tool on the sample of 180 (6 groups, 30 students each group) first-year students enrolled on the Airline Business Program in the International College, Suan Sunandha Rajabhat University. The research instruments in this study were TOEIC test and all questions on Kahoot! to improve students’ skills in TOEIC test reading section. The researcher applied Kahoot! at the end of 15 classes, 15-20 minutes each class. The researcher analyzed students’ TOEIC scores before and after applying Kahoot! as a remedial teaching tool by calculating TOEIC scores and percentage. The findings show that all average scores in the semester 1/2018 were higher than the score in semester 3/2017 which the score in listening section was more than the one in the reading section. Similarly, in each group, the average score in semester 1/2018 was higher than the score in semester 3/2017 while the score in listening section was more than the one in reading section. Generally, students’ TOEIC scores before applying Kahoot! were higher than after applying Kahoot!. The percentage of difference score before and after employing Kahoot! in the reading section was more than in the listening section. The group that obtained the highest percentage of difference score was group 6, followed by groups 5, 2, 4, 3 and 1, respectively. In part of the listening section, the group that obtained the highest percentage of difference score was group 4, followed by groups 6, 2, 5, 3 and 1, respectively. In part of the reading section, the group that obtained the highest percentage of difference score was group 5, followed by groups 6, 3, 2, 4 and 1, respectively. From Kahoot! score results, the researcher found that the average score, including the percentage of correct answers on Kahoot! tends to get higher. Therefore, lecturers should promote and develop students’ TOEIC test-taking skills in part of its listening and reading sections by means of integrating Kahoot! or other active learning strategies in the everyday classroom.

scholarly journals EDUCATIONAL INTERVENTION ON HIV/AIDS WITH ELDERLY INDIVIDUALS: A QUASI-EXPERIMENTAL STUDY

2020 ◽  
Vol 29 ◽  
Author(s):  
Wallacy Jhon Silva Araújo ◽  
Gabriela Rodrigues Bragagnollo ◽  
Kelly Cristina do Nascimento ◽  
Rosangela Andrade Aukar de Camargo ◽  
Clodis Maria Tavares ◽  
...  
Keyword(s):  
Experimental Study ◽  
Educational Intervention ◽  
The Elderly ◽  
Chi Square ◽  
Elderly Individuals ◽  
Unified Health System ◽  
Before And After ◽  
Quasi Experimental ◽  
Teaching Learning ◽  
Hiv Aids

ABSTRACT Objective: to analyze the knowledge of the elderly assisted by the Unified Health System (Sistema Único de Saúde, SUS) about HIV/AIDS infection in a health unit, before and after an educational intervention. Method: a quasi-experimental study analyzing the changes related to the knowledge about HIV/AIDS of 60 elderly individuals divided into two groups, who participated in an educational intervention, in an outpatient clinic of a SUS rehabilitation center in the second half of 2016. To evaluate the effectiveness of the teaching/learning process, a semi-structured questionnaire called QHIV3I was applied before and after the intervention. For data analysis, the generalized version of McNemar's chi-square test was used. Results: comparing the knowledge of the elderly before and after the educational intervention showed a higher number of correct answers, with a minimum percentage of 3.34% and a maximum of 75%. Significant statistical differences were found in one of the questions in the concept, transmission and treatment domains; and in the two vulnerability questions. Conclusion: it was found that the educational intervention contributed to the improvement of knowledge about HIV/AIDS in the elderly population. Thus, it is reasserted that the health promotion policy finds its essential foundation in health education strategies.

The Double Parallel Curriculum in Palliative Care: Teaching Learners to Teach End-of-Life Care at the Bedside

2016 ◽  
Vol 34 (9) ◽  
pp. 825-830
Author(s):  
Jennifer Healy ◽  
Phylliss Chappell ◽  
Shuko Lee ◽  
Jeanette Ross ◽  
Sandra Sanchez-Reilly
Keyword(s):  
Palliative Care ◽  
End Of Life ◽  
Educational Intervention ◽  
Family Care ◽  
Easy Access ◽  
Teaching Tool ◽  
Bedside Teaching ◽  
Access Technology ◽  
Dying Patients ◽  
Eol Care

Context: Dying is a natural process, yet physicians are often uncomfortable caring for dying patients. Learners have limited exposure to curriculum on caring for dying patients and often navigate these encounters without appropriate skills and confidence. We developed and implemented the Double Parallel Curriculum in Palliative Care (DP-PC): End-of-Life (EOL) module. The DP-PC focuses on teaching third-year medical students (MS3) to not only take care of patients in their last hours of life but give learners the confidence to teach patient’s families what to expect as they hold vigil at their loved one’s bedside. Objectives: To develop and implement an educational intervention that improves learners’ knowledge and confidence in EOL patient and family care. To expand learner confidence to a dual level (learners become teachers) with a simplified and culturally sensitive electronic bedside teaching tool designed to guide learners and patients/families conversations. Methods: Curriculum was completed during MS3 ambulatory rotation and included pre-/posttests, an online case-based module, faculty demonstration, and learner role-play using the bedside teaching tool. Results: A total of 247 participants took the pretest, 222 participants took the posttest, and 222 participants matched the pre-/posttest surveys. Students’ knowledge of EOL care and the confidence to teach other learners and families about EOL care significantly improved after completing the curriculum. Conclusion: The DP-PC is a technology-savvy educational intervention that improves learner confidence and knowledge toward caring for dying patients and their families. Easy access, technology-based teaching tools may enhance bedside teaching of health-care learners and improve the care of patients and their families at the end of life.

PENGARUH LATIHAN RANGE OF MOTION (ROM) AKTIF ASSITIF TERHADAP RENTANG GERAK SENDI PADA LANSIA YANG MENGALAMI IMMOBILISASI FISIK

2019 ◽  
Vol 13 (2) ◽  
Author(s):  
Andri Setyorini ◽  
Niken Setyaningrum
Keyword(s):  
Range Of Motion ◽  
Human Life ◽  
The Elderly ◽  
General Purpose ◽  
Test Statistic ◽  
Physical Mobility ◽  
Motion Exercise ◽  
The One ◽  
The Individual ◽  
Active Training

Background: Elderly is the final stage of the human life cycle, that is part of the inevitable life process and will be experienced by every individual. At this stage the individual undergoes many changes both physically and mentally, especially setbacks in various functions and abilities he once had. Preliminary study in Social House Tresna Wreda Yogyakarta Budhi Luhur Units there are 16 elderly who experience physical immobilization. In the social house has done various activities for the elderly are still active, but the elderly who experienced muscle weakness is not able to follow the exercise, so it needs to do ROM (Range Of Motion) exercise.   Objective: The general purpose of this research is to know the effect of Range Of Motion (ROM) Active Assitif training to increase the range of motion of joints in elderly who experience physical immobility at Social House of Tresna Werdha Yogyakarta unit Budhi Luhur.   Methode: This study was included in the type of pre-experiment, using the One Group Pretest Posttest design in which the range of motion of the joints before (pretest) and posttest (ROM) was performed  ROM. Subjects in this study were all elderly with impaired physical mobility in Social House Tresna Wreda Yogyakarta Unit Budhi Luhur a number of 14 elderly people. Data analysis in this research use paired sample t-test statistic  Result: The result of this research shows that there is influence of ROM (Range of Motion) Active training to increase of range of motion of joints in elderly who experience physical immobility at Social House Tresna Wredha Yogyakarta Unit Budhi Luhur.  Conclusion: There is influence of ROM (Range of Motion) Active training to increase of range of motion of joints in elderly who experience physical immobility at Social House Tresna Wredha Yogyakarta Unit Budhi Luhur.

PENGARUH TERAPI TERTAWA TERHADAP PENURUNAN TEKANAN DARAH LANSIA DI UPT PANTI WREDHA BUDHI DHARMA YOGYAKARTA

2019 ◽  
Vol 13 (1) ◽  
Author(s):  
Niken Setyaningrum ◽  
Andri Setyorini ◽  
Fachruddin Tri Fitrianta
Keyword(s):  
Blood Pressure ◽  
Data Analysis ◽  
The Elderly ◽  
Control Group ◽  
Group Comparison ◽  
Control Blood Pressure ◽  
Men And Women ◽  
Treatment Of Hypertension ◽  
Before And After ◽  
The Difference

ABSTRACTBackground: Hypertension is one of the most common diseases, because this disease is suffered byboth men and women, as well as adults and young people. Treatment of hypertension does not onlyrely on medications from the doctor or regulate diet alone, but it is also important to make our bodyalways relaxed. Laughter can help to control blood pressure by reducing endocrine stress andcreating a relaxed condition to deal with relaxation.Objective: The general objective of the study was to determine the effect of laughter therapy ondecreasing elderly blood pressure in UPT Panti Wredha Budhi Dharma Yogyakarta.Methods: The design used in this study is a pre-experimental design study with one group pre-posttestresearch design where there is no control group (comparison). The population in this study wereelderly aged over> 60 years at 55 UPT Panti Wredha Budhi Dharma Yogyakarta. The method oftaking in this study uses total sampling. The sample in this study were 55 elderly. Data analysis wasused to determine the difference in blood pressure before and after laughing therapy with a ratio datascale that was using Pairs T-TestResult: There is an effect of laughing therapy on blood pressure in the elderly at UPT Panti WredhaBudhi Dharma Yogyakarta marked with a significant value of 0.000 (P <0.05)

Older workers in the Russian labor market: Trends in employment reallocation

2019 ◽  
pp. 5-34
Author(s):  
Anna L. Lukyanova ◽  
Rostislav I. Kapeliushnikov
Keyword(s):  
Older Workers ◽  
Service Sector ◽  
Age Groups ◽  
The Elderly ◽  
Education And Health ◽  
Job Opportunities ◽  
Intellectual Labor ◽  
Market Trends ◽  
Trade Education ◽  
The One

The paper analyzes changes in job opportunities of older workers in Russia in the period 2005—2017. The study uses the data from the Russian Labor Force Survey conducted by Rosstat. Changes in the occupational and industrial composition of elderly workers follow the trends pursued by other age groups: employment shifts from low- to high-skilled occupations, from physical to intellectual labor, and from material production to the service sector. We find a stronger polarization among older workers as their occupational structure is biased in favor of, on the one hand, the most and, on the other hand, the least qualified types of jobs. Employment of the elderly has fallen sharply in agriculture and manufacturing with a significant increase in trade, education, and health. Although the employment structure of older workers is generally more “traditionalist”, recent decades have witnessed its transformation in “progressive” directions, similarly to other age groups. These findings suggest that the legislated increase in the state retirement age is not likely to give rise to sizeable unemployment among the elderly. Most of them will be able to work in the occupations and industries previously dominated by young and prime-age workers.

scholarly journals Lost in Migration – Mirandese at a Crossroads

2019 ◽  
Vol 5 (1) ◽  
pp. 488-495
Author(s):  
Cláudia Martins ◽  
Sérgio Ferreira
Keyword(s):  
Minority Language ◽  
Three Dimensions ◽  
Highly Qualified ◽  
Linguistic Rights ◽  
The Bible ◽  
Literary Forms ◽  
Before And After ◽  
The 1960S ◽  
The One ◽  
The 19Th Century

AbstractThe linguistic rights of Mirandese were enshrined in Portugal in 1999, though its “discovery” dates back to the very end of the 19th century at the hands of Leite de Vasconcellos. For centuries, it was the first or only language spoken by people living in the northeast of Portugal, particularly the district of Miranda do Douro. As a minority language, it has always moved among three dimensions. On the one hand, the need to assert and defend this language and have it acknowledged by the country, which proudly believe(d) in their monolingual history. Unavoidably, this has ensued the action of translation, especially active from the mid of the 20th century onwards, with an emphasis on the translation of the Bible and Portuguese canonical literature, as well as other renowned literary forms (e.g. The Adventures of Asterix). Finally, the third axis lies in migration, either within Portugal or abroad. Between the 1950s and the 1960s, Mirandese people were forced to leave Miranda do Douro and villages in the outskirts in the thousands. They fled not only due to the deeply entrenched poverty, but also the almost complete absence of future prospects, enhanced by the fact that they were regarded as not speaking “good” Portuguese, but rather a “charra” language, and as ignorant backward people. This period coincided with the building of dams on the river Douro and the cultural and linguistic shock that stemmed from this forceful contact, which exacerbated their sense of not belonging and of social shame. Bearing all this in mind, we seek to approach the role that migration played not only in the assertion of Mirandese as a language in its own right, but also in the empowerment of new generations of Mirandese people, highly qualified and politically engaged in the defence of this minority language, some of whom were former migrants. Thus, we aim to depict Mirandese’s political situation before and after the endorsement of the Portuguese Law no. 7/99.

Sign in / Sign up

Export Citation Format

Share Document