Factors in Planning Health Interventions

Factors in Planning Health Interventions Identify, assess and discuss both direct and indirect impacts on health the following determinants have with regards to planning, implementation, and the evaluation of health interventions. Determinant factors Demographic distribution of populations Political values Religious beliefs Human values Ethnicity Traditions Numerous aspects unite collectedly in order to influence the wellbeing of a person and the society. There are factors that cosiderably affect the individuals by the conditions and the environment whether the individuals are healthy or not. These factors are the environment that we live in, our status in life, literacy, and our associations to the people that sorrounds us ( World Health Organization WHO, 2014). Determinants Factors a. Demographic distribution of populations Distribution of population is the number of people living in one place. Demography is focused on the analysis of the population size and structure, specifically in connection to its determinants, fertility, mortality and immigration. Demography has a lot of major issues in its root like global population growth, the challenges of population and the effect of different issues faced by the environment. This could also be rooted in their knowledge about the effect of their actions. Some places aren’t learned enough on the consequences they need to face in doing something. If the population size is big, lesser focus on each family will be given and any help wouldn’t be lend to them, which might result to poverty and hunger that will soon become an illness. The major reason for population changes, whether in an individual country or for the whole world, is the change in birth and death rates. Thebirth rateis the number of live babies born in a year for every 1000 people in t he total population.Death ratesare number of people dying per 1000 people. When birth rates are higher than death rates the population of an area will increase (InternetGeogrphy, 2014). b. Political value Political values are one of the determinants of health. Somehow, it can affect one’s health through their perspective. How they perceive the political values that are instilled to them could be one factor. It depends on the mind setting of the person, if they rely so much on the politics’ promises to create their lives (Levine, 2012). If they think the government can support their needs, which, in reality, is very rare, then their health might be at risk. One must understand the politics’ issue and how it runs in their country. And this belief may result to poverty/hunger, which later will cause illness to the people. Stress may be considered as one of the indirect impact of political values, stress is considered as one of the major causes of different illness recognized and some political values that are not met and was discouraged may lead into giving stress to people. c. Religious beliefs Religious belief doesn’t have that direct impact on their health but indirectly with the belief they stand in for their religion, it may become a determinant of their health. With respect to each all religions, each of it has their own belief and perspective in all aspects. Having a religious belief may have both positive and negatives impacts on health and morbidity. Some religion might consider one thing a bad habit while the other doesn’t even mind it. There are few who have cited several possible reasons basically related with lesser stress levels in a religious community. It has been found that going to church increases life expectancy (Hummer, Roger, Ellison, 1999) with a life expectancy at 20-83 years for often-regular attendees and 75 years for non-attendees. The result however does not necessarily mean that you can rely your life expectancy by the number of visits you have on churches thus it will help you with your health issue with consideration on the belie f they stand. People having strong faith were found to have lesser suicidal characters than those atheists. Another factor for this is the food that each religion is allowed to eat. There are foods that is not allowed in some religion which lead them into a healthier living and other religions which has no restrictions that leads to neglecting the right food to eat and eventually may cause illness. d. Human values Human values just like political values have an impact in people’s health. It is more of their disposition towards themselves. How they value and believe in something that might happen in them. This is more on their self-concept and the importance they give in themselves. Human values also consider factors like eating the right food for a long lasting living and eating or practicing whatever they have been used to without even considering their health. Also it can be rooted on what they have been used to since then, this will be the result of their health. There are different kinds of people who does not believe in taking a lot of care of them and might as well believe in destiny, which refutes the belief of having good health for a long lasting life, this may be considered as the indirect impact of human values. e. Ethnicity Ethnicity is one of the influential socio cultural factor that affects nutritional and health status. It has a vital part in determining culinary practices. The idea of ethnicity is the person’s culturally used practices that comes from its pith place which means, what has been practiced since they were born. Discoveries say that acculturation tends to show relevant differences in person’s health and dietary practices once they become acculturated to their culture (Wikipedia, 2014). This has something to do with how they deal with others who are within their ethnic group. It is what the people in the place they live in that has an effect of what they practice. This is one of the determinants of the health of people, their ethnicity that brings them to what are practicing until now because they have been used to. The state of their health might have something to relate with in their bloodline. f. Traditions Tradition refers to one’s belief that is being passed by their elders. It is their practices that has significance in the past and is still acknowledged until now. This has a great impact on one’s health. It is more on what practices or intake they have been used to since they were young and relatively, it may have an effect on their health later on. It is the summation of their cultural experiences is what somehow defines their health. With the continuous practices of these, surely it will have an impact on one’s health. This is with regard to their values of their elders, how they respect their culture. Indirectly, it has in impact on their health in a way that it defines their health in the present time. Reference World Health Organization WHO. (2014). The determinants of health. Retrieved November 25, 2014, from World Health Organization WHO: http://www.who.int/hia/evidence/doh/en/ InternetGeogrphy. (2014). Population Distribution . Retrieved November 2014, 2014, from InternetGeogrphy: http://www.geography.learnontheinternet.co.uk/topics/popn1.html Levine, S. (2012, July 13). Story: Political values Te ara. Retrieved November 26, 2014, from New Zealand politics and political values: http://www.teara.govt.nz/en/political-values/page-1 Hummer, R. A., Roger, R. G., Ellison, C. G. (1999). Religious involvement and U.S. adult mortality. Retrieved November 25, 2014, from PubMed: http://www.ncbi.nlm.nih.gov/pubmed/10332617 Wikipedia. (2014, May). Ethnicity and health. Retrieved November 26, 2014, from Wikipedia the free Encyclopedia: http://en.wikipedia.org/wiki/Ethnicity_and_health

History and Physical Examination Essay

Admitting Diagnosis: Stomatitis possibly methotrexate related. Chief Complaint: Swelling of lips causing difficulty swallowing. HISTORY OF PRESENT ILLNESS: This patient is a 57-year-old Cuban woman with a long history of rheumatoid arthritis. She has received methotrexate on a weekly basis as an outpatient for many years. Approximately two weeks ago she developed a respiratory infection for which she received antibiotics and completed that course of antibiotics. She developed some ulcerations of her mouth and was instructed to discontinue the methotrexate approximately 10 days ago. She showed some initial improvement but over the last 3 to 5 days has had malaise, a low grade fever and severe oral ulcerations with difficulty in swallowing. Although she can drink liquids with less difficulty. Patient denies any other problems at this point except for a flare of arthritis since discontinuing the methotrexate. She has rather diffuse pain involving both small and large joints. This has caused her some anxiety. MEDICATIONS: 1. Prednisone 7.5 mg p.o. daily. 2. Estradiol 0.5 mg p.o. q.a.m. 3. Mobic 7.5 mg p.o. daily, recently discontinued because of questionable allergic reaction. 4. HCTZ 35 mg p.o. every other day and oral calcium supplements. 5. In the past she has been on penicillamine, azathioprine, and hydroxychloroquine but she has not had Azulfidine, cyclophosphamide or chlorambucil. ALLERGIES: None by history. FAMILY/SOCIAL HISTORY: None contributory. PHYSICAL EXAMINATION: This is a chronically ill appearing female alert oriented and cooperative. She moved with great difficulty because of fatigue and malaise. VITAL SIGNS: Blood pressure 107/80. Heart rate 100 and regular. Respirations 22. HEENT: Normocephalic, no scalp lesions, dry eyes with conjunctival injection, mild exophthalmos, dry nasal mucosa, marked  cracking and bleeding of her lips with erosions of the mucosa. She has a large ulceration of the mucosa at the bite margin on the left. She has some scattered ulcerations on her hard and soft palate. She has difficulty opening her mouth because of pain. Tonsils not enlarged. No visible exudate. SKIN: She has some mild ecchymosis on her skin and some erythema. She has patches but no obvious skin breakdown. She has some fissuring in thebuttocks crease. PULMONARY: Clear to percussion and auscultation bilaterally. CARDIOVASCULAR: No murmurs or gallops noted. ABDOMIN: Soft, non-tender, protuberant, no organomegaly and positive bowel sounds. NEUROLOGIC: Cranial nerves 2 through 12 are grossly intact. Diffuse hyporeflexia. MUSCULOSKELETAL: Corrosive destructive changes in the elbows, wrists and hands consistent with rheumatoid arthritis. Has bilateral total knee replacements with stove pipe legs and perimalleolar pitting edema 1+. I feel no pulses distally in either leg. PHYCIATRIC: Patient is a little anxious about these new symptoms and theyre significance. We discussed her situation and I offered her psychological services. She refused for now. PROBLEMS: 1. Swelling of lips and dysphasia with questionable early Stevens-Johnson syndrome. 2. Rheumatoid arthritis class 3, stage 4. 3. Flare of arthritis after discontinuing methotrexate. 4. Osteoporosis with compression fracture. 5. Mild dehydration. 6. Nephrolithiasis 7. Anxiety PLAN: 1. Admit patient for IV hydration and treatment of oral ulcerations. 2. Obtain a dermatology consult.  3. IV leucovorin will be started and the patient will be put on high dose corticosteroids. 4. Considering patients anxiety perhaps obtain services of Stella Rose Dickinson PHD phycology at a later date.

College Filmmaking Narrative Essay Samples Ideas

College Filmmaking Narrative Essay Samples Ideas Who Else Wants to Learn About College Filmmaking Narrative Essay Samples? Among the absolute most vital parts of the essay writing approach is editing, and enhancing asks an excellent deal of time. Nowadays you recognize exactly how to select a quote and contrast essay theme, following is a set of numerous fascinating problems that can be written on. There are lots of hints and data about mind mapping on the net, therefore it's not so difficult to learn more about it. You always have to include such info in the introduction. The narrative is extremely personal, and that means you should underline the importance of the ongoing events for your identity. Your audience ought to be in a position to form a complete impression of what you're trying to describe to them. In the majority of cases, a personal story will be sufficient to engage your audience. You can have each of the metaphors on the planet but if they don't earn sense a nd create an impact, you'll have lost your purpose for writing your narrative. Great narrative essay writing is truly an art form, and it isn't a talent that the majority of us have. If your essay should have the very best story, which means that your layout should target only that. The reader may not be interested in what you've got to say for the remaining part of the essay depending on the intro you provided. The introduction ought to be interesting and permit the reader know what things to anticipate from your paper. Interesting movies generally have characters that don't understand the situations they are in. The sorts of the essays are based on the purpose they are being written for. At our essay service, they are always delivered in a short time. An essay is simply a little masterpiece which each and every student needs to be able to create. Try to remember that even though narrative essays seem an easy job, it remains an assignment that should be ready on time. When building the body of the essay, you can begin with the most fundamental idea about your principal topic and after that you may expand from that point. Get your creative juices flowing by brainstorming all the potential ideas you can imagine to tackle your essay question. An essay outline will be able to help you see what topics would be useful to write about, along with organizing the topic which you choose. It's tough to pick just a single topic whenever there are so many you could write about. There's no suitable topic for this kind of essay. The subject of the narrative essay usually indicates the writer's experience and there's absolutely no need to use any data from the outside sources. There is not a single topic that has to be utilized in writing a personal narrative essay, since most writers choose a topic that has particular meaning in their opinion. Whether you're accomplished at writing essays or not, a template will make it a lot simpler that you complete the essay. An outline doesn't demand much work, but it might change the way that you create your essay and drastically improve it. Following few tips can help you create a narrative essay outline. A narrative paper outline should have an overview of all of the points which you wish to elaborate in the essay. Normally it's one tenth of the true essay word count but there might be few variations depending on the reach of the essay. It also needs to be interesting so the reader would want to learn more and continue reading the essay. Before you commence writing, you should attempt to comprehend what the primary aim of narrative essay writing. However simple writing this kind of essay is, an essay writer is still required to experience the essay writing process if he would like to think of an adequate paper. Definitions of College Filmmaking Narrative Essay Samples To offer you a remedy on the best way to compose an impressive college essay, here are a couple of ideas you may wish to consider. When it's a component of the college admissions process, moreover, it is not difficult to acquire nervous and experience writer's block. If you're in college you're in for both big and smaller surprises. Among the most widespread forms of assignments that virtually every student gets is narrative essay writing. Writing a college essay can arrive in various forms and styles based on your taste. Writing skills in college isn't restricted to essays. With this much information from which to select, students must narrow their ideas. Possessing a an outline template is among the ways you may shape your thoughts into focused targets.

An Example of Descriptive Essay - 1001 Words

Descriptive Essay 1) Definition: Descriptive essay is one of the many types of writing styles that provides a detailed description for a particular person, place, memory, experience or object. Descriptive essay is purposely created so readers can readily imagine its particular subject matter. It focuses on the five senses which are sight, smell, touch, sound and taste. 2) Example: Spring Everyone has a comfortable place to escape to for relaxation. They go there when they need to be alone, away from people’s disturbane. My best place is nature in spring, the king of seasons as people call it. The spring time relaxes me like no exact place could do. I really enjoy the charming beauty of nature in this beautiful season.†¦show more content†¦In fact, nature appears in its best form. It provides us with all kinds of pleasure. Other things that I also love about spring are those smells that are widespread in nature. The air is fresh and full of pleasant aromas of different flowers. When I am walking in the fields or any other place during spring time, my noses catch a mixture of smells that really increases my strong love for nature. I will now say I am absolutely calm when I am listening, feeling, smelling, and looking at the spring around me. Spring is my favourite season, and nature when it is spring is relaxing and comfortable. The earth wears a green dress. Again it comes to life. Descriptive Essay 1) Definition: Descriptive essay is one of the many types of writing styles that provides a detailed description for a particular person, place, memory, experience or object. Descriptive essay is purposely created so readers can readily imagine its particular subject matter. It focuses on the five senses which are sight, smell, touch, sound and taste. 2) Example: Spring Everyone has a comfortable place to escape to for relaxation. They go there when they need to be alone, away from people’s disturbane. 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