Step 1 In your initial post, respond to the following prompts.

• Provide an example of an evaluation that you have experienced or witnessed and your thoughts on whether that evaluation was appropriate and effective.
• Describe the importance of understanding the client’s educational level in implementing health-promotion interventions.
• Provide methods to assess the client’s educational level with regards to health literacy.
  

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Step 2 Read other students’ posts and respond to at least two of them

In your response to each of your peers, provide an additional method to assess the client’s educational level, and explain how this method is used to assess the educational level of a client. Use your personal experience, if it’s relevant, to support or debate other students’ posts. If differences of opinion occur, debate the issues professionally and provide examples to support opinions. DSN Understanding the Client Education Level for Health Intervention Discussion

Your initial post should be 2-3 paragraphs long and follow the requirements outlined in the discussion rubric. Please add to the discussion in your peer responses with informative responses, instead of posts similar to “great idea! I really agree with you.” The initial post and the peer responses have different deadlines. Make sure that your discussion adheres to these deadlines.

APA guidelines and plagiarism prevention matter in discussion posts just like with other scholarly assignments. Cite all references appropriately using APA format.

Discussion response 1 Donna H

Describe the importance of understanding the client’s educational level in implementing health-promotion interventions.

Health education is one strategy for implementing health promotion and disease prevention programs it provides learning experiences on health topics (Health Education Strategies, 2018). Health education strategies are tailored to their target population it presents information to target populations on particular health topics, including the health benefits/threats they face (Health Education Strategies, 2018). It provides tools to build capacity and support behavior change in an appropriate setting. Health education activities should enhance the overall goal of the health promotion and disease prevention program. Materials developed for health education programs must be culturally appropriate and tailored to the target populations to ensure cultural competence (Health Education Strategies, 2018). DSN Understanding the Client Education Level for Health Intervention Discussion

Provide methods to assess the client’s educational level with regards to health literacy.

Ways to make sure the client’s educational level is being met is by the presentation of information with audiovisual and computer-based supports such as slides and projectors, videos, books, CDs, posters, pictures, websites, or software programs; implementation of programs with integrated; well-planned curriculum and materials that take place in a setting convenient for participants, and plan to learn activities that increase participants’ knowledge and skills (Health Education Strategies, 2018).

Interpretors may also need to be used if you have a client that speaks a different language. I have had to use a My Accessible Real Time Trusted Interpreter (MARTI) to help translate what I was trying to educate my patient and family on because they didn’t speak English. With the MARTIs help the patient was able to fully understand what I was teaching him and was even able to ask questions to get clarification.

Reference

Health Education Strategies – Rural Health Promotion and Disease Prevention Toolkit. (2018, April 30). https://www.ruralhealthinfo.org/toolkits/health-promotion/2/strategies/health-education.

Discussion response 2 Richard H

As

a procedural nurse, I’ve witnessed many consents and process

explanations. I had a low-income client from the reservation recently.

The resident was consenting the patient using words such as retrograde

flow, angiography, angioplasty, thrombus, contrast, etc. These terms

were the ones also on the consent even though we have a grade five

comprehension level policy. When I went into the room and asked the

patient if he understood what was explained, he said, “no but that’s

ok.” I proceeded to explain what each of the terms meant in easy to

understand language like backward flow, live pictures, balloons, blood

clot, etc. I am familiar with this population of patients and

anticipated this person’s health literacy.

Health literacy is defined as the degree to which an individual can obtain, process, and understand basic health information needed to make appropriate health decisions and services needed to prevent or treat illness (Edelman & Kudzma, 2018). Improving people’s health literacy is one of the most fundamental, economic, and effective measures to improve the health of a population (Liu, H., et al., 2018). You can assess a person’s health literacy by asking them what they know about their condition or disease, from here you can formulate a teaching plan the patient can relate to (Kent, 2019).

References:

Edelman, C. & Kudzma, E. (2018). Health promotion throughout the life span, 9^th ed. Elsevier, Inc.

Liu, H., Zeng, H., Shen, Y., Zhang, F., Sharma, M., Lai, W., Zhau, Y., Tao, G., Yuan, J., & Zhao, Y. (2018, August). Assessment tools for health literacy among the general population: A systematic review. International Journal of Environmental Research and Public Health, 15(8), 1711. DOI: 10.3390/ijerph15081711 (Links to an external site.)

Kent, J. (2019, November). Assessing patient health literacy for improved outcomes, safety. Patient Engagement HIT. https://patientengagementhit.com/news/assessing-patient-health-literacy-for-improved-outcomes-safety (Links to an external site.)

 

Reply

Discussion 2: The Impact of Personal Health Records

Read the scenario.

Cindy is a 57-year-old single female who works as a graphic designer. She describes herself as shy and reserved. She weighs 358 lb and is 5′ 8″ tall. She has recently lost her mother and is greatly concerned about improving her own health. She has been diagnosed with the following conditions: type II diabetes, hypertension, and asthma.

For each condition, she sees a different provider in a different health care institution. However, all of the institutions are affiliated with a large regional health care system. Cindy takes five prescription medications for her conditions and fills them at three different pharmacies, each located near one of her providers. In the past, she has kept her medical records in a box in her closet. She has become frustrated with the lack of communication among her providers and her relationship with them. DSN Understanding the Client Education Level for Health Intervention Discussion

Respond to the following question based on this weeks lesson and, if it’s relevant, include your own personal experience

• What types of individuals typically have a personal health record (PHR)?
• How could a PHR help Cindy better manage her diagnoses?
• How do you feel that Cindy’s patient satisfaction could be improved through the use of a PHR?

Read other students’ posts and respond to at least two of them.

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Discussion response 1 Elizabeth D

Personal health records (PHR) allow for patients to access their health information, schedule appointments, e-mail providers, and access information on numerous topics (week7 lesson Personal Health Records). Typically, PHR users are patients who have one or multiple chronic conditions, visit multiple health care providers and pharmacies, and seek to become more involved in their own self-care(week7 lesson Personal Health Records).. Based on the given scenario, Cindy fits the ideal profile for a PHR user. Cindy is a type II diabetic with co-morbidities and seen by multiple providers and pharmacies for each specific condition. The PHR can help Cindy better manage her diagnoses by keeping it organized in one place. Having important health information such as immunization records, lab results, and screening due dates in electronic form makes it easy for patients to update and share their records. PHRs can: Improve patient engagement, coordinate and combine information from multiple providers, help to ensure patient information is available, reduce administrative costs, enhance provider – patient communication, and encourage family health management (Kaelber D, 2008 The value of personal Health Record (PHR) Systems). Cindy satisfaction could be improve through the use of PHR because everything is in one place. All her physicians will know what care she is getting and what medication are being taking. All the information in the PHR accurate and the physicians do not have to worry about the patient forget information or medication.

References

Kaelber D, Pan EC. “The Value of Personal Health Record (PHR) Systems.” (Links to an external site.) AMIA Annu Symp Proc. 2008. https://www.healthit.gov/faq/what-are-benefits-personal-health-records#:~:text=Personal%20health%20records%20(%20PHR%20s,update%20and%20share%20their%20records

Discussion response 2 Rebecca S

The types of individuals that typically have a PHR are those that are comfortable with and have access to the internet. “The more educated, wealthy, and health literate individuals are, the more likely they are to use a PHR to manage their health care. Overcoming demographic barriers is a challenge for the health care industry because often poor, less educated, and less health literate individuals could benefit the most from managing their health care through a PHR. Currently, those who would benefit most from a PHR are often those least likely to use one” (Personal, n.d., Topic 1). There are many ways in which a PHR will help Cindy manage her diagnoses, she would have all her health information in one place and be able to easily share the information with her providers. “PHRs are particularly helpful when managing chronic illness (such as diabetes or hypertension) because patients’ involvement in their own care is crucial to effectively controlling chronic conditions. Many studies have indicated that patient satisfaction with PHRs has improved, and patients are more active in their own health care as a result” (Personal, n.d., Topic 2). I believe that Cindy’s satisfaction will improve as she will be more involved in her own care, all the providers will be aware of treatments and medications she is taking, and the ease at which she would be able to share her information will reduce her level of frustration. “The ability to communicate electronically with providers and perform routine functions, such as refilling medications through a PHR, are among the most important factors that drive patient satisfaction with PHRs” (Personal, n.d., Topic 2). Overall, the PHR will help Cindy manage her own care and improve communication with and between providers, this feel of control will improve Cindy’s self-care.

Reference

Personal Health Records. https://dcn.instructure.com/courses/32725/pages/week-7-lesson-personal-health-records?module_item_id=773306.

Discussion 3: Government in Health Care

Respond to at least two of your fellow students’ posts.

Step 1 Read the scenario.

In 1798, President John Adams signed the Act for the Relief of Sick and Disabled Seamen, imposing a twenty cent per month tax on sailors to be used to pay for care at various American ports. This act led to the eventual development of the U.S. Public Health Service.

Step 2 Post a response to the discussion board.

In your post, respond to the following questions and, if it’s relevant, include your own personal experience:

• Why would the federal government single out sailors for a mandatory health insurance fee?
• Why would state governments think this was a good idea? What would be the advantages of this approach for state governments?
• Be sure to include the historical role of the federal and state governments in health care delivery in your discussion. DSN Understanding the Client Education Level for Health Intervention Discussion

Step 3 Read and respond to two other students’ posts.

Read other students’ posts and respond to at least two of them. Use your personal experience, if it’s relevant, to help support or debate other students’ posts. If differences of opinion occur, debate the issues professionally and provide examples to support your opinions.

In addition to your original post, be sure to provide a meaningful response to at least two of your peer’s posts. Cite any sources in APA format.

Discussion response 1 Lexina

In July of 1798, Congress passed and President John Adams signed “An Act for the Relief of Sick and Disabled Seamen.” The law authorized the creation of a government operated marine hospital service and mandated that privately employed sailors be required to purchase health care insurance (Laskow, 2012). The government operated marine hospitals thought it would be beneficial for merchant marines to pay a tax to support these hospitals, since the mariner’s jobs were dangerous and difficult. This 20-cent tax funded medical care for sick and disabled seamen. The goal was to protect, promote and restore health. To reduce the premature death and discomfort by disease.

Realizing that a healthy maritime workforce was essential to the ability of our private merchant ships to engage in foreign trade and for economic purposes, Congress and the President resolved to do something about it (Ugnar, 2011). At the time the advantages allowed injured or ill sailors to obtain full health care and treatment from government funding hospitals without denial of services. Fewer deaths due to the lack of uninsured and a decrease in bankruptcy. Today, government standards have been put in place to ensure that all health insurance covers a set of essential benefits yet the debate continues whether it’s the government’s role to provide social services to private citizens.

Laskow, Sarah. (2012). A Little Perspective: Congress First Mandated Health Care in 1798. Smithsonian Magazine. https://www.smithsonianmag.com/smart-news/a-little-perspective-congress-first-mandated-health-care-in-1798-17926/ (Links to an external site.)

Ugnar, Rick. (2011). Congress Passes Socialized Medicine and Mandates Health Insurance -In 1798. Forbes. https://www.forbes.com/sites/rickungar/2011/01/17/congress-passes-socialized-medicine-and-

Discussion response 2 Elizabeth D

July of 1798, Congress passed “An Act for the Relief of Sick and Disabled Seaman,” which was signed by President Adams. That law authorized the creation of a government operated system of marine hospitals and mandated that laboring merchant marine sailors pay a tax to support it (Sargent, 2011).In the summer of 1798, 5000 people died of Yellow Fever across the cities of New York, Philadelphia, and Boston. Yellow Fever had become an annual epidemic and various state legislatures began to take action. In 1798, the New York state legislature gave the city of New York authority to pass health regulations in response to the epidemic that killed 1600 people in their own town (Sargent, 2011). An Act for the relief of sick and disabled seamen was passed by the 5th Congress (Links to an external site.). It was signed by President John AdamsLinks to an external site. on July 16, 1798. The Act authorized the deduction of twenty cents per month from the wages of seamen, for the sole purpose of funding medical care for sick and disabled seamen, as well as building additional hospitals for the treatment of seamen. While some argue this is the first Federal individual mandateLinks to an external site. levied on individuals for health insurance, preceding the Patient Protection and Affordable Care ActLinks to an external site. (aka “Obamacare”), passed in early 2010, by nearly 212 years; others would point to the fact that this law was enacted as a matter of national security and not a social welfare program (Sargent, 2011). At the time the advantages was sailors that were injured or had an illness to obtain treatment from government funding hospitals without denial of services. With more deaths due to the lack of being uninsured. The government today put a system in place where all American can have insurance under the Affordable care act. DSN Understanding the Client Education Level for Health Intervention Discussion

References

Sargent, G. (2011). Founding Fathers favored government run health care. Justice Network NoSue.org. https://www.nosue.org/healthcare/sick-and-disabled…