identify and demonstrate (as applicable) role and participation in the Occupational Therapy process (referral, screening, evaluation, treatment planning, intervention, reevaluation and discharge planning)
APA format
Case study of Harris
Harris: Spinal Cord Injury at T3, Complete
Harris is a 20-year-old African American male with a diagnosis of complete spinal cord injury at T3 and resultant paraplegia. Harris also has a diagnosis of a fractured right tibia and fibula and right proximal radial and ulna fractures. Harris was admitted to the rehabilitation hospital from the acute-care hospital where he stayed for 2k weeks after his accident.
Harris was in an automobile accident that resulted in his injuries. He was a passenger in the car and was struck from the right side by another car. Harris was pinned in the car for a short period of time and reports having no feeling in his legs immediately after the two cars collided. His friend, who was driving the car, was not seriously injured.
Harris lives with his fiancée, Marsha, on the 15th floor of a new apartment complex in the city, It is a small one-bedroom apartment, They intend to be married next spring. Harris is also planning on completing his baccalaureate degrec in computer science and has one semester left to finish, Harris works full-time for his brother’s plumbing business as a bookkeeper. During the little free time he has, he likes to travel with Marsha and golf with his friends. Harris had no funcional deficits before the accident.
Harris’ family is extremely supportive and visits daily. His brother Jeff calls frequent|y and his mother makes all his favorite meals, which she brings in for the nurses as well as Harris. Harris’ father is not well and cannot visit as often due to respiratory distress, but teleshones his son regularly. Marsha, who is a dental hygienist, has taken time off work to be with Harris every day at the hospital.
Harris is admitted to the rehabilitation hospital with the goal of returning home. He is eager to get started and tells the admission nurse “he more therapy, the better.” Harris will be evaluated by PT, OT, nursing, social work, and the physiatrist.
Occupational Therapy Evaluation
Upon evaluation, Harris is talkative and motivated. He is in a wheelchair with lateral supports. His right LE is in a full-arm cast and his right LE is in a cast from the toes distal to the knee. Harris says he is right-handed. When asked how he has been feeling since the accident, his reply is “fine.” When the question is rephrased as to his emotional state, his response is the same.
Harris has no cognitive, perceptual, visual, or hearing deficits. He has no sensation in either LE and reports no sensation in his buttocks as well., His LE sensation is intact, as is the sensation in his superior trunk region. His sensation is impaired in his inferior trunk region. Harris’ low back area cannot be assessed during the evaluation due to his position in the chair.
Harris has no AROM in the LEs. His motion is intact in the left UE and cervical area. His right LE cannot be fully assessed due to the cast. Motion in his right digits is normal given the limitations of the cast. His left UE has normal strength, right UE is not fully assessed, but Harris can lift the cast up over his head.
Harris has no complaints of pain except for stiffness in his neck. He has some light edema in the right digits at the MCP to DIP joints but no cyanosis. He has multiple bruises and abrasions over his body that nursing is monitoring.
Harris’ sitting balance is poor to fair, and he is unable to sit up independently without minimal assistance. He does attempt to correct himself when leaning but lacks the strength to maintain upright posture without external assistance. He is independent in sitting with the lateral supports in the wheelchair.
Harris uses a sliding board with moderate assistance to transfer from surface to surface. He is non-ambulatory and is non-weight-bearing on the right leg. Harris requires ocasional assistance to propel himself in a wheelchair because of his inability to use his right arm. He performs bathing tasks ably and can wash his face, hands, chest, and peri-area independently. He requires total assistance for back, buttocks, and legs. He requires maximum assistance for dressing himself. Harris reports feeding himself without help although “it’s messy sometimes.” Harris has a catheter for urination and had been incontinent of bowel since the accident. His admission Functional Independence Measure (FIM) scores were in the 3 to 4 range for UE tables and 1l range for LE tables.
Assignment Objectives:
· The student will identify and demonstrate (as applicable) role and participation in the Occupational Therapy process (referral, screening, evaluation, treatment planning, intervention, reevaluation and discharge planning)
· The student will determine and select the model of practice/frame of reference that would best guide the treatment of the identified impairments.
· The student will demonstrate proficiency in applying OT treatment techniques and practices to a case study that will be assigned to them.
· The student will create a problem list, list of strengths, long-term goals, and short-term goals.
· The student will demonstrate treatment session which will be described in an intervention note.
· After the treatment session, the student will identify opportunities to recommend to the occupational therapist the need for referring client for reevaluation, discharge planning and additional evaluation for other services and/or professional(s).
Procedure:
· The student will be assigned a case study with an array of physical dysfunctions.
· Student will complete an analysis based on a structure and guideline that requires information in regards to: Problems, strengths of the client, long-term and short-term goals for treatment.
· Student will develop two treatment sessions applying techniques, strategies and practices
· Student will demonstrate by role play, one treatment session.
· Student will write an intervention/treatment note accordingly.
analyze the law and potential changes on health care expenditures in the United States from the time before the Affordable Health Care Act was passed to the present time.
Introduction
The Affordable Health Care Act (ACA) was enacted in March, 2010 (Healthcare.gov,
n.d.) to increase the availability of healthcare to Americans. Several changes have
been made to the law in recent years, and as recently as 2021 adjustments were
made to the provisions of the ACA (Andrews, 2021). In this capstone paper you will
analyze the impact of the law on expenditures for health care. (How did this act
change/affect the amount spent on healthcare?)
Activity Instructions
Using the concepts, you have learned in this class, up to and including this week,
analyze the law and potential changes on health care expenditures in the United
States from the time before the Affordable Health Care Act was passed to the
present time. Also compare the changes in expenditures on health care if a
single-payer plan was adopted.
Among other concepts that you can utilize in your analysis, you may consider the
supply and demand in the healthcare market (both on the output market and on
the input markets), elasticity, Economies of Scale and Scope, incentives facing the
market participants, the role that preventative medicine may have, moral hazard and
adverse selection issues, availability of insurance, as well as any other concepts from
the course that you find relevant.
Writing and Submission Requirements
6-8 pages (approx. 300 words per page), not including title page or
references page
References page (minimum of 5 resources)
discuss what your professional identity will look like.
From your readings, discuss what your professional identity will look like. Cite current (less than 5 years) references from professional nursing journals.
Find an article that explores this issue, summarize the article’s findings, and add a possible solution to the problem.
When discussing stress and burnout in nursing, the nursing shortage is a concern that comes to the top of the list (for legal and ethical reasons), both for working nurses and educational faculty. Find an article that explores this issue, summarize the article’s findings, and add a possible solution to the problem.
relate any ethics theory that supports the same point of view and explain how it correlates to what you believe for transplant tourism.
complete the template on top and on the bottom there is a series of questions that need to be answered in paragraphs of at least one page, relate any ethics theory that supports the same point of view and explain how it correlates to what you believe for transplant tourism.
Is there a difference in DV based on level of IV?
For your RQ, you need two variables. If you compare those with ADHD to a control group you would have a grouping IV. See if you can then fit your RQ into this format:
Is there a difference in DV based on level of IV?
The scale you select to measure attitudes must be a known scale from literature (with psychometric properties). See if you can find one you would like to use and go ahead and tell us what it is and called.
How has the social control of African Americans in the United States changed or adapted over time?
Based on your viewing of the documentary “13th” please respond to the following prompt. Your response should be approximately 1-2 pages, typed, and double-spaced.
Prompt: How has the social control of African Americans in the United States changed or adapted over time? What impact do you think this historical experience has on modern race relations and, more specifically, the contemporary justice system? What were the one or two most meaningful things you learned from your viewing of this film?
Here is a link to the full feature film via YouTube: https://www.youtube.com/watch?v=krfcq5pF8u8&t=917s
How significant was discretion with respect to the defense attorney?
Viewing Guide: CJL 3510 – Indictment – The McMartin Trial
Prosecutors
1. The text discusses the prosecutor’s office at work. From the tape, cite some examples of work issues related to the text.
2. How does discretion fit into the picture?
3. Cite a specific example of conflicting goals?
4. What role did politics play in the prosecution of this case (cite specific examples)?
Defense Attorneys
1. Review the section on defense attorneys and courtroom work groups. From the tape, cite some examples that parallel the text.
2. How significant was discretion with respect to the defense attorney?
3. How did the defense attorney’s attitude change as the trial process progressed (cite specific examples)?
4. How was the defense attorney viewed by the prosecutor? By the press? By clients?
Defendants and Victims
1. How important were the victims in the decision-making process engaged by the prosecutors and the judge?
2. Cite a specific example of an action you believe might have been classified as manipulating the victim.
3. How can the needs of the victim be reconciled with the concept of due process for the defendant (How can the needs of both the victim and the defendant be addressed within the same justice system)?
4. In your opinion, how (specifically) was the presumption of innocence violated in this case?
Develop tailored messages that are culturally relevant on a public health issue of your choice for THREE of the listed specific audiences.
Instructions:
Develop tailored messages that are culturally relevant on a public health issue of your choice for THREE of the listed specific audiences. You may use pictures, words, infographics, etc., or a combination of means. Please keep text under 200 characters (characters, not words!). Please fill out page two with your assignment. Please refer to the assignment rubric below, which will assess student performance, understanding, and ability to apply information covered in the module on tailored communication.
Audiences: (please write a tailored message for 3 of the audiences listed below. Note: please choose appropriate audience based on your selected public health topic.)
- 4-5 year old male
- Hispanic female age 20
- Male age 30
- Older adult (female, 65)
- Parent of teenagers
- Parent of toddlers
- Sexually active male teenager (ages 16)
- Smoker
- Pregnant woman
- High school dropout (female, age 30)
What statistic or statistics that you reviewed in Module 4 was most interesting, thought-provoking, and/or surprising to you? Why?
In Module 4, you interacted with content about rates of justice involvement (as victims and offenders) across races and ethnicity.
Part 1: What statistic or statistics that you reviewed in Module 4 was most interesting, thought-provoking, and/or surprising to you? Why?
Part 2: Given what you learned in Module 4, what strategy or strategies (e.g., more policing, gun control, providing opportunity/upward mobility, community building, etc.) do you think may be most effective for addressing disproportionately high rates of homicide in racially segregated, disadvantaged communities where people racialized as Black disproportionately reside?
