scholarly journals Storytelling to Inspire Dialysis Patients to Learn about Living Donor Kidney Transplant

2021 ◽  
pp. 1-7
Author(s):  
Emily H. Wood ◽  
Amy D. Waterman ◽  
Rachyl Pines

<b><i>Background:</i></b> Policy changes including the Advancing American Kidney Health initiative and CMS’s ESRD Quality Incentive Program recommend increasing educational initiatives within dialysis centers to increase living kidney donor transplant (LDKT) rates. LDKT education can be challenging in dialysis centers due to limited provider time to educate, patient fears or reluctance to learn about LDKT, and difficulty educating potential living donors. New educational innovations that increase dialysis patient curiosity about pursuing LDKT are needed. <b><i>Summary:</i></b> Digital first-person storytelling, or the sharing of narratives by individuals in their own words, is a culturally competent, health literate, patient-driven approach to expanding patient understanding about LDKT that can supplement traditional educational strategies without additional burden for dialysis providers. The Living Donation Storytelling Project is an online digital library of over 150 video stories told by diverse kidney recipients, donors, those in search of a donor, and their family/friends. By honestly discussing how they overcame fears and challenges related to LDKT, these stories address sensitive topics that can be hard for providers to introduce by using easily accessible learning methodology that may better connect with racial/ethnic minorities, scared patients, and patients facing health literacy challenges. <b><i>Key Messages:</i></b> Supplementing traditional educational approaches with digital storytelling may help overcome time limitations in educating for busy providers, boost providers’ own knowledge about LDKT, serve as a free supplemental resource for patients, reduce fears and increase self-efficacy about transplant, help more patients to share about transplant with their social networks, and ultimately increase LDKT rates.

2007 ◽  
Vol 17 (3) ◽  
pp. 180-182 ◽  
Author(s):  
Jerome F. O'Hara ◽  
Katrina Bramstedt ◽  
Stewart Flechner ◽  
David Goldfarb

Evaulating patients for living kidney donor transplantation involving a recipient with significant medical issues can create an ethical debate about whether to proceed with surgery. Donors must be informed of the surgical risk to proceed with donating a kidney and their decision must be a voluntary one. A detailed informed consent should be obtained from high-risk living kidney donor transplant recipients as well as donors and family members after the high perioperative risk potential has been explained to them. In addition, family members need to be informed of and acknowledge that a living kidney donor transplant recipient with pretransplant extrarenal morbidity has a higher risk of a serious adverse outcome event such as graft failure or recipient death. We review 2 cases involving living kidney donor transplant recipients with significant comorbidity and discuss ethical considerations, donor risk, and the need for an extended informed consent.


Author(s):  
Kemper Lewis ◽  
Deborah Moore-Russo

Historically, the teaching of design theory in an engineering curriculum was relegated to a senior capstone design experience. Presently, however, engineering design concepts and courses can be found through the entirety of most engineering programs. Educators have recognized that engineering design provides a foundational platform that can be used to develop educational strategies for a wide array of engineering science principles. More recently, educators have found that product archaeology provides an effective platform to develop scalable learning materials, strategies, and educational innovations across these design courses. In this paper, we focus on the upper level design experience and present a set of innovative strategies aimed at teaching design in a global perspective. Moreover, this approach facilitates meeting the challenging requirements of ABET’s Outcome h. The effectiveness of the strategies is assessed using a benchmark national survey on the Engineer of 2020. Results demonstrate a significant increase in student perception across a number of skill and knowledge areas, which are critical to the next generation of engineers.


Author(s):  
Stephanie R. Logan

The United States is becoming a more racially, ethnically, and linguistically diverse nation. More specifically, in public schools, students of color and those of Native American ancestry are anticipated to represent the majority of the student population in the near future. In contrast to the change in student demographics, the majority of classroom teachers remain White and monolingual. The differences in racial, ethnic, and linguistic experiences of the student and teacher populations could create cultural conflicts between the two groups. In response, this endeavor is purposed to provide an instructional framework for teacher educators who are tasked with preparing culturally competent teachers for increasingly multicultural classrooms.


Author(s):  
FELIPE GONZÁLEZ CASTRO ◽  
JEANNE L. OBERT ◽  
RICHARD A. RAWSON ◽  
COURTNEY V. LIN ◽  
RON DENNE

Author(s):  
Stephanie R. Logan

The United States is becoming a more racially, ethnically, and linguistically diverse nation. More specifically, in public schools, students of color and those of Native American ancestry are anticipated to represent the majority of the student population in the near future. In contrast to the change in student demographics, the majority of classroom teachers remain White and monolingual. The differences in racial, ethnic, and linguistic experiences of the student and teacher populations could create cultural conflicts between the two groups. In response, this endeavor is purposed to provide an instructional framework for teacher educators who are tasked with preparing culturally competent teachers for increasingly multicultural classrooms.


2019 ◽  
Vol 41 (9) ◽  
pp. 845-867 ◽  
Author(s):  
Wei Zhang ◽  
Yan Yan Wu ◽  
Bei Wu

This study examines racial/ethnic disparities of dental service utilization for foreign-born and U.S.-born dentate residents aged 50 years and older. Generalized linear mixed-effects models (GLMM) were used to perform longitudinal analyses of five-wave data of dental service utilization from the Health and Retirement Study (HRS). We used stratified analyses for the foreign-born and U.S.-born and assessed the nonlinear trend in rates of dental service utilization for different racial/ethnic groups. Findings indicate that Whites had higher rates of service utilization than Blacks and Hispanics regardless of birthplace. For all groups, the rates of service utilization decreased around age 80, and the rates of decline for Whites were slower than others. The U.S.-born showed the trend of higher rates of service utilization than the foreign-born for all racial/ethnic groups. These findings suggest the importance of developing culturally competent programs to meet the dental needs of the increasingly diverse populations in the United States.


Author(s):  
Karen Zilberstein

Social workers either treat or refer clients to psychotherapies that reflect dominant societal beliefs with neoliberal underpinnings. Despite efforts to adapt treatments to different racial, ethnic and socio-economic groups, deeply embedded values of individuality and resilience remain in most mainstream psychotherapies. While the field is broad, encompassing hundreds of different therapies with various goals, deliveries and indicators of change, most modern treatments draw upon such ideas. Neoliberal values of free choice, creativity, self-expression and permission for people to shape themselves confer many benefits, but they also limit the conception and delivery of interventions, and contribute to inequality in service usage and outcomes. By critically analysing neoliberal cultural ideas of resiliency and individualism, and how they embed themselves in psychotherapeutic theories and practice, social workers may be able to create treatments that are more culturally competent and palatable to underserved populations and those suffering from the effects of structural inequities.


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