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STUDENT DIGITAL NEWSLETTER ALAGAPPA INSTITUTIONS |
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Paul D. Russ, MD
The special education teachers often needed to prove themselves for the partnership treatment under eye bags order 100 mg topiramate visa. In most cases medications images buy topiramate 200mg without a prescription, the inequality in roles was explained as necessary because the special education teacher lacked content knowledge medications 5 songs purchase topiramate 200mg. Implementing co-teaching involved overcoming deep-rooted attitudes and administrative barriers medications zofran purchase topiramate 100mg on-line. The most common problems were: negative views toward inclusion, jealousy of the professional autonomy of teachers and rejection of the idea that co-teaching would benefit teachers and their students. Concrete manipulation (manipulating physical objects to represent mathematical problems) 2. Abstract application (writing mathematical symbols to represent and solve problems). The study was focused on the question whether students can learn a selfinstructional strategy to help them monitor their performance, whether the programme would improve their performance and whether students would generalise and maintain the intervention effects. Six students with learning disabilities were selected from a general secondary school. Findings indicated that the programme dramatically improved problem-solving skills involving integer numbers. Overall, participants were of the opinion that the programme helped them to become better problem solvers and they felt it had helped them to feel better about their algebra ability. This study examined two case examples of schools that have attempted to include students with mild disabilities successfully throughout the general education programme. Although the study does not provide quantitative figures, authors stated that the inclusion of students with special needs was supported by the use of this model. Three kinds of intervention were used: learning strategy interventions (students were taught various learning strategies), instructional interventions (teachers used content enhancement routines to improve understanding) and empowerment interventions (to stimulate students to do their best and create positive relationships with others in school). Authors stated that the successful inclusion of students with mild disabilities was accomplished by giving teachers considerable time for planning and administrative support throughout the change process. The process of building an environment that is conducive to Inclusive Education and Classroom Practice in Secondary Education 19 inclusion takes considerable time and broad based faculty and administrative support and commitment. The emphasis of this model was to shift the responsibility for learning from teacher to student; it taught students when and how to select a strategy and how to use the strategies. In addition, it focused on teaching students how to generalise their use of the strategy. During the pilot year, 1,023 students were enrolled in Junior High, including 78 students with special needs. All students were expected to achieve all of the course requirements set by the English teacher. Findings suggested that students with learning disabilities could succeed in intermediate English classes when they were provided with strategies training. Weller (2000) described a revision of the schedule in a school, which had already incorporated an inclusion programme since 1990. Authors stated that the inclusion programme seemed to be highly effective since the school was frequently visited and the programme was recognised as a model programme by the Council for Exceptional Children. Additional information on the inclusion model of this school was provided by Cole and McLeskey (1997): "the indispensable aspect of this programme is the collaborative partnerships used to transform classrooms into settings in which the needs of a broad range of students can be met. These partnerships require significantly different Inclusive Education and Classroom Practice in Secondary Education 20 roles for teachers of students with special needs, as well as for content-area teachers. They also require that teachers become equal partners in the education of all students. The traditional schedule consisted of six classes per semester, offered daily during 50-minute periods. The new schedule consisted of eight courses per semester, having four periods per day, each lasting 85 minutes. After many meetings, 80% of the staff voted for the implementation of the new schedule. The study aimed at addressing the question: what are the benefits and challenges that accrue for an inclusion programme when block scheduling is implemented The authors used qualitative methods to provide a better understanding of the influence of the implementation of block scheduling. Classroom observations and interviews were conducted during the first year of implementation. Block scheduling facilitated the inclusion of students with high-incidence disabilities and assisted in meeting the educational needs of all students. It facilitated teachers working together to examine current teaching practices and share responsibility for modifying the curriculum. It enhanced the development of lessons that were more focused on student co-operation and participation. It gave students the chance to take two more classes per semester and gave them more elective time. This provided students with special needs the opportunity to explore interests and undeveloped and overlooked talents. It created a more relaxed atmosphere and more flexibility for students and teachers. The new schedule magnified the need for teachers and students to develop effective organisational skills. The implementation increased the need for teachers to keep in contact with each other. For students who missed classes, it was hard to find time to meet a teacher; there was no consultationtime built into the schedule. Performances are tested weekly and results are entered into a computer programme that summarises performance into a graph. To increase performance, the use of a computer programme that provides recommendations about instructional adjustments, appears to be essential. The results of two methods of reading assessment, using computer and paper and pencil are examined in a study by Horton and Lovit (1994). In one condition, students read textbook passages presented on a computer, completed study guides and took 15 item tests on the computer. In the other condition, students read passages from their textbooks, completed study guides, and took 15 item tests with pencil and paper. The 72 students were divided into three groups: teacher directed, dyadic and independent. Two classes in middle school science, two in middle school social studies and two in high school social studies participated. In each grade level, one class served as an experimental group and one served as a control group. The independent measures were nine multiple-choice tests, prepared by the teachers and edited by the research staff. The programme presented 1) directions and instructions 2) a reading passage was presented, taken verbatim from the text, normally consisting of about seven screens of text, and 3) a multiple-choice test. The results of the group analysis significantly favoured the computer group on factual questions for both the students with and without learning disabilities. Individual analyses indicate few significant differences between the two types of group reading inventories. Inclusive Education and Classroom Practice in Secondary Education 22 References International review Allsopp, D. Using classwide peer tutoring to teach beginning algebra problem-solving skills in heterogeneous classrooms. Effects of curriculumbased measurement and consultation on teacher planning and student achievement in mathematics operations. Classwide curriculum-based measurement: Helping general educators meet the challenge of student diversity. A comparison of two methods of administering group reading inventories to diverse learners. Effects of a problem-solving strategy on the introductory algebra performance of secondary students with disabilities.
State of California Board of Registered Nursing - the Nurses Role in Pain Management symptoms pancreatitis generic 100mg topiramate with visa. Patient and Family Education Section Description: this section includes educational kits and books treatment juvenile rheumatoid arthritis topiramate 100mg sale, instructional guides and videos and health information sheets on various procedures appropriate for lay community City of Hope Publications 1 symptoms liver disease order 100 mg topiramate visa. Support for Patients and Family Caregivers in Lung Cancer: Educational Components of an Interdisciplinary Palliative Care Intervention symptoms bipolar discount 100 mg topiramate with amex. Effectiveness of a clinical intervention to eliminate barriers to pain and fatigue management in oncology. Everything Nobody Tells You About Cancer Treatment and Your Sex Life from A to Z - University of Oklahoma College of Nursing. Family Carers in Palliative Care: A Guide for Health and Social Care Professionals - Hudson, P. A Helping Handbook: When a Loved One is Critically Ill - Stephanie Waxman - this 48 page Helping Handbook is a safe place to put private thoughts, to be inspired by poetry, to be reminded that we are not the first ones to encounter conflicting feelings at a time of illness. The project materials include outlines, Power Point presentations, handouts and a comprehensive bibliography for each module. An article summarizing this project was published in the Journal of Pain and Symptom Management, 2002, 23(3), 7-8, which provides further detail regarding the training program. It is used by patients in making treatment and self-care decisions, health care professionals for education purposes, and parents and children to learn about prevention and staying healthy. Coping with Cancer: Supportive and Palliative Care- National Cancer Institute - About Children with Cancer Website. It provides a wealth of resources to help them understand their pain and seek effective treatment. National Institutes of Health, National Institute on Aging - this booklet provides an overview of issues commonly facing people caring for someone nearing the end-of-life. Financial Issues and Cancer - American Cancer Society - Advanced Illness: Financial Guidance for Cancer Survivors and Their Families Website. Guide to Controlling Cancer Pain - American Cancer Society - Learn about a variety of methods for pain control and discover how to achieve the optimal balance between pain relief and potential side effects of pain medication. This resource can help people with cancer partner with their health care teams to create effective pain-relief plans tailored to their unique situations. Leukemia & Lymphoma Society Resource Center - the latest information for patients, caregivers and healthcare professionals. Pain - National Cancer Institute - Important facts about cancer pain, treatment that will help you learn about pain control for people with cancer, including how to work with your doctors, nurses, and pharmacists to find the best method to control your pain. Patient Education - Poetry of Pain - the poems explore the frustration, fear, anger, depression, acknowledgement and hope that Linda Martinson experienced as a person dealing with chronic pain. Patient Support and Treatment - American Cancer Society - Helps guide, support and inform patients through every step of their journey. Bloch Cancer Foundation & Block Cancer Hotline - There are over 300 up to date cancer support organizations listed supporting specific types of cancer, organizations offering financial aid, blogs, a cancer checklist, patient matching services, meditation, transportation and more. Guidelines include breast cancer, chronic myelogenous leukemia, melanoma, malignant pleural mesothelioma, multiple myeloma, non-small cell lung cancer, ovarian cancer and prostate cancer. Other Organizational Links American Cancer Society Cancer and Careers Cancer Connect Cancer Network Cancer Support Community. Quality Improvement this section includes medical review tools, strategic plans, performance and quality improvement packets, a manual for building an institutional commitment to pain management", and sample materials for quality improvement committee. Patient-centered cancer treatment planning: Improving the quality of oncology care. The Healthcare Quality Book: Vision, Strategy, and Tools, 2nd Edition - Ransom, E. A vision statement, basic assumptions, targets, goals, and strategies for implementation are outlined. Cost Effectiveness Section Description: this section includes several City of Hope publications related to cost issues in pain management. A Guide to Building a Hospital-Based Palliative Care Program - Center to Advance Palliative Care Website: shop. Other Organizations Links Center to Advance Palliative Care Health Economics Information Resources: -A Self Study Course Health Economics Resource Center. Ethical and Legal Issues Section Description: this section includes materials and resources related to ethical, legal and regulatory issues in pain management, decision-making and the relief of suffering. Ethical issues in research to improve the management of malignant bowel obstruction: challenges and recommendations. Ethical challenges in the management of chronic nonmalignant pain: Negotiating through the cloud of doubt. Health Care Ethics: Critical Issues for the 21st Century, 2nd Edition - Morrison, E. Code of Ethics for Nurses with Interpretive Statements - American Nurses Association. Palliative Care Ethics: A Companion for All Specialties, 2nd Edition - Randall, F. American Society of Law, Medicine & Ethics - A community of colleagues across three disciplines exploring the major health issues to protect public health; reduce racial, ethnic, and economic health disparities; promote patient safely and quality of care; and facilitate dialogue on emerging biomedical science and research. Research Instruments/Resources Section Description: this section includes numerous clinical and research tools addressing quality of life, pain, psychosocial assessment, medical staff knowledge and attitudes, brief pain surveys, palliative care and needs assessments from various sources are included in this section. These short surveys developed by Margo McCaffery and Betty Ferrell are intended for practical use in situations such as staff education where limited time and resources are available for data collection or analysis. Since then over 40 questionnaires have been developed and translated some of them into over 45 different languages. Used extensively by clinical settings for several years, this tool provides descriptive data regarding areas of needed pain education. McGill Short-Form Pain Questionnaire - the McGill Short Form Pain Questionnaire is a patient-reported instrument that employs 16 items plus a single-item global scale, each with a 2-day time frame. There are five domains that include: physical well-being, physical symptoms, psychological, existential, and support. The instrument was designed to be general in nature in order to maintain brevity and to assure applicability to all patients. Medical Algorithms Project - Institute for Algorithmic Medicine - More than 12,500 algorithms, organized into 45 chapters, are available as spreadsheets which can be opened in your browser. Includes pain chart audit instrument, a version for surgical pain, and a patient interview tool. The first level is free of charge and contains basic useful information of these instruments. Promoting Excellence in End of Life Care - this website includes validated tools for clinical assessment and research in palliative care. Slide presentations, new instruments and old draft instruments are also available on the website. Instrument sections are divided as follows: Quality of Life, Pain and Other Symptoms, Emotional and Cognitive Symptoms, Functional Status, Survival Time and Aggressive Care, Advance Care Planning, Continuity of Care, Spirituality, Grief and Bereavement, Caregiver Well-being, and Patient Centered Reports and Rankings. It includes letters, essays, articles, and book reviews written by people with chronic pain or their families. Anderson experts, the latest reports on cancer treatment and research and tips for cancer survivorship and prevention.
Emotional awareness gives us the data we need to spot and then solve emotional problems which if unaddressed can sabotage our productivity and our mental and physical health treatment effect definition safe 100 mg topiramate. While there are plenty of free assessments medicine 1900 buy 100 mg topiramate visa, and some may give you some useful information medications errors pictures buy topiramate 200mg with amex, for the most part they are not reliable indicators of your emotional intelligence symptoms zinc deficiency discount 100 mg topiramate with visa. The Yale Center for Emotional Intelligence recommends making a chart on a regular basis of how you feel. The Yale Mood Meter app-which features a four-quadrant chart with two axes: energy and pleasantness-can be downloaded to easily record your feelings. You can set your phone to alarm on whatever schedule you prefer- every hour, every meal, or once or twice a day-and record where in the four quadrants your mood at that moment fits, creating a visual map of your moods for that day, week, and month. The point is not to change or like your moods, but to faithfully become aware of what you feel on those two dimensions. After placing the emotion within one of the four quadrants mentioned above, then identify its degree of intensity-slight to severe, and give that feeling a more nuanced name, like melancholy or annoyance instead of sadness, contentment or joy instead of pleasantness. Identifying the physical sensations that go along with whatever you are feeling can help distinguish emotions. Ideally, this is someone who often sees things differently than you do and also seems to move in and out of difficult situations with aplomb. Practicing mindfulness allows us to make enough room mentally to detach from our emotions long enough to identify them. It also gives us a short "vacation" from the stress of emotional turmoil so we can hopefully view our emotional landscape from a refreshed vantage point. Research indicates that putting away the devices for even a few days and interacting socially with others can significantly raise your emotional perception skills. You can say "it looks like you are [insert emotion here-angry, pleased, defiant, etc. Watching movies on mute (a good way to spend time on an airplane) is an excellent method to build your emotion reading skills. Try to understand the action by the facial expressions and body language-you can turn on the sound periodically to verify or redirect your take. Our mirror neurons can convey to us the feelings of someone else by our replicating their outward expressions. If contorting your face in a meeting is a no-go, at least think consciously about their specific expressions in trying to understand what they feel. In it, an advanced robot that crash lands on an alien planet helps the natives solve problems by interpreting their body language and nonverbal cues. Daniel Goleman heralds the importance of signaling a slowdown to your brain and your body by taking a deep oxygen-filled breath before taking any important actions. Acceptance does not mean resigning yourself to negativity but responding to your emotions with an open attitude-letting yourself experience them without jumping to behavioral conclusions, a danger for those of us high in a sense of urgency. It is still a good place to start in order to achieve better emotional and behavioral management. Consciously asking questions or attempting to analyze the problem can also delay and help redirect a habitual emotional response to a more rationally engaged one. Taking a walk outdoors has been demonstrated to improve mental functioning and positive well-being, and is a particularly good antidote to brooding, rumination, and depression. But the walk has to be outside in a natural setting, not on asphalt in an urban setting. Telling ourselves repetitively our angry aggravations or negative predictions will not help us make good emotional management decisions. Reframing our internal dialogue away from entrenched pessimism is a way to build a new response. Get in the habit of marshaling credible counterarguments against that internal voice predicting doom and gloom and blaming it all on you. In addition to helping us identify our emotions, practicing mindfulness allows us to learn how to slow ourselves down from automatically reacting and give ourselves time to choose better responses. To achieve their best performance, lawyers need to be keenly aware of how they come off to their clients and colleagues and also how to handle professional challenges. That understanding will improve their client service skills and their personal functioning. Including discussions in performance reviews of collegiality, collaboration and teamwork helps spotlight their importance and promotes developing those skills. I s there something in your life you would really like to do next, but you are not feeling confident about it, so you avoid it Do you have something coming up in your life that you are anxious about, and you want to raise your level of confidence about it Next time you are feeling particularly low in confidence about something you need to undertake, ask yourself these questions. First, recall a time when you were successful at doing that particular thing in the past (or doing something similar). When you realize you have done this same endeavor successfully in the After asking myself the questions above, I realized that I had actually mastered many keynote skills in all my years of workshop delivery. This gets you thinking about everything that is already working in your favor, and you will experience a boost in confidence. Once you have asked yourself the questions above and are feeling a shift in your confidence, ask yourself this important question: What is one small step I can take to get myself closer to my goal Researchers explored the best thinking from all over the world on virtue and positive human qualities in philosophy, virtue ethics, moral education, psychology, and theology over the past 2500 years. Character strengths are stable, universal personality traits that show themselves in how you think, feel, and behave. Most people likely can enhance their capacity for expressing each of the 24 character strengths. Studies show that using your signature strengths more or in new ways can improve well-being. Character strengths buffer people from the negative effects of vulnerabilities. As you learn more about your 24 strengths, you can begin to develop your competence in using them all in the right proportion that each situation calls for. This can improve your interpersonal effectiveness and other aspects of personal performance and sense of well-being (BiswasDiener, Kashdan, & Gurpal, 2012). Think of a specific time when you were at your best- when you really were feeling and behaving at a high level and you felt that you were being your authentic self. Which one of your signature strengths seems most evident in your every-day life right now According to Seligman (2002) and Peterson (2006), the regular use of signature strengths-especially in service to others-cultivates well-being. A good place to start is with a well-tested exercise in which you pick a signature strength and, for the next week, use it in a new way every day (Peterson, 2006; Seligman & Peterson, 2005). The strengths of hope, zest, gratitude, curiosity, and love, have the strongest link to life satisfaction (Park, Peterson, & Seligman, 2004). So you might consider them as top targets if they are among your signature strengths. For ideas on activities that incorporate your signature strengths, take the Person-Activity Fit Diagnostic test developed by Sonja Lyubomirsky (2008). If you are a naturally quiet lawyer, this activity can help identify your natural gifts. With enhanced selfawareness, instead of trying to force extroversion to fit the "stereotypical gregarious lawyer" mold in our day-to-day lives, we can capitalize on our inherent strengths in being authentically empowered advocates. How do you capture the thoughts of others, and your own thoughts, while others are speaking This does not necessarily mean artistic, but instead, being innovative in your thinking. The "Silent but Gifted" Law Student: Transforming Anxious Public Speakers into WellRounded Advocates. Now, try to recall specific situations in which any of the foregoing inherent traits were beneficial in solving a problem, resolving a conflict, achieving progress in a stalled situation, or counseling another person through a difficult circumstance. Trait: Trait: Trait: Scenario: Scenario: Scenario: As introverts, many of us feel pressure to try to "act extroverted," when in reality, it is our introverted assets that make us authentically powerful legal advocates. Next time you are in an interactive lawyering scenario, consider how your introverted strengths can power you through the experience in an authentic and fulfilling manner.
Syndromes
Persons with dementia are very unpredictable medications reactions purchase topiramate 200 mg with amex, and similar to caring for a toddler medications you can take while breastfeeding buy cheap topiramate 200mg on line, must be under constant vigilance for their own safety ad medicine cheap topiramate 200 mg with mastercard. Some tips for accomplishing this are: Place door locks out of the line of sight by installing them way at the top or bottom of the door symptoms 8dpo effective topiramate 200mg. Camouflage the door by covering it with a poster of a bookcase or a floor to ceiling drape. Try monitoring devices such as door alarms or floor mat pressure alarms that signal the caregiver when a door is opened. Alert all neighbors that your loved one has dementia, should not be wandering outside alone, and may need assistance getting back home. Keep a list of places where the person may wander to , such as past jobs, former homes, church, or favorite restaurant. Critical medical information will be provided to emergency responders when needed. The bracelet transmits a unique signal which can be picked up by special equipment if the person wanders and is lost. Persons with dementia may even "escape" from an environment that has been secured. Caregivers should never assume that the environment is totally fool proof when it comes to dementia. Living in a secure facility A person with dementia who lives in a secure facility may or may not have a problem with the fact that the door is locked and they are unable to leave on their own. Sometimes, depending on their level of cognition, if you explain to them that the security is for others, not them, they will be satisfied with this answer. They may stand at the door and pound or scream to get out, or go from door to door and window to window to look for a way to get out. There is no one right answer for dealing with this situation and it must be handled on an individual basis. As a last resort, talking to a physician and prescribing a mild anti anxiety medication may be necessary. Ultimately, escape proofing the environment is the best way to ensure the safety of the resident. A person with dementia will need assistance with all of these activities and caregivers should strive to make the activity as pleasant and as comfortable as possible in the hopes of improving self esteem and preventing discomfort, embarrassment, aggression and agitation. Men always want to look handsome and women always want to look pretty, no matter their age. A general rule for personal care is to encourage and cue the person to do as much as possible for themselves, but be ready to assist when needed. Know if there are physical problems that could cause pain Hip problems Mouth sores Shoulder pain Know when to ask. Explore other options beyond the traditional such as a wash cloth bath or bed bath instead of a shower or tub bath. Offer just two choices so as not to overwhelm, making sure the choices are appropriate for the weather and match appropriately. Hand person one item of clothing at a time while giving short simple instructions. If the person wants to wear the same outfit repeatedly, try getting a duplicate of it or have a similar option available. If this is not possible, you may have to slip the garment out of the room at night to wash. If they need to be dressed: Dress the person while they are sitting on the toilet or sitting in a chair. Placing a walker in front of them to hold on to while they stand up and sit down during the process is helpful. Put your hand up the arm sleeve or pants leg first as this makes it easier to put the garment on. Because it is such an intimate experience, people with dementia may perceive it as unpleasant or threatening. Assess his or her ability to: Know how to use different products (soap, shampoo, washcloth, etc. Use large beach towels or bath blankets that completely wrap around the person for privacy and warmth. If the person resists bathing or acts out, distract him or her and try again later. If the person usually bathes in the morning, it may confuse him or her to bathe at night. Use simple phrases to coach the person through each step of the bathing process, such as: "Put your feet in the tub. Consider shampooing hair at another time or on a different day or at the beauty shop. Remember after-bath care Check for rashes and sores, especially if the person is incontinent or unable to move around. Use cornstarch or talcum powder under the breasts and in the creases and folds of skin. A person with dementia will forget how to brush their teeth and as the disease progresses, the person may forget that dental care is important and completely neglect caring for their teeth and gums. Most women will, however, still enjoy having all of this done with and for them and this can be a great pampering activity for ladies with dementia. Each individual will have hairstyle preferences and lipstick and nail polish color preferences that should be honored. Before assisting with shaving, make sure the gentleman wants you to shave him or help him shave. Wearing gloves when shaving is necessary for professional staff and helps prevent infection and the chance of coming into contact with blood if the gentleman is accidentally nicked or cut. Safety or disposable razors: use a blade that is sharp as a dull blade is hard on the skin. Soften the beard with a warm, wet washcloth on the face a few minutes before shaving. Electric razors: Do not use near a water source, around oxygen, or if the gentleman has a pacemaker. Shave beard with back and forth motion in direction of beard growth or in circular motion with 3-head shaver. In the early stages of dementia they may need help: Finding the bathroom Finding and wiping with toilet paper Remembering where to put the used toilet paper Remembering how to pull clothing down and then back up As the dementia progresses they may start to "have accidents" requiring the need for adult protective briefs, and they may or may not be resistant to the need for these products. The shift from continence to total incontinence is usually gradual and a combination of various products is available for different purposes. Stick on pads worn in regular underwear Pull-ups Pull-ups with an extra pad Button style briefs Tab style briefs, with extra pads at night General Toileting Tips: Establishing a routine of taking the person to the toilet every 2 hours can help prevent accidents. Identifying the bathroom with a sign and/or putting a line of tape on the floor that leads/points to the bathroom may help the person find the bathroom easier. Protecting the bed with waterproof pads positioned strategically underneath the person can lessen total bed changes and laundering of bedding. Changing a person who can still communicate and stand and sit on their own, who wears pullups. If person is able to stand - position person in front of toilet, pull down pants, remove soiled brief (tear if pullup and place in bag), seat person on toilet and encourage them to go to bathroom in toilet if they can. When they are finished, tell person what you are going to do and thoroughly clean their private area with wet wipes, being careful to wipe from front to back. If they are able to do this part for their self, give them a wet wipe and let them. Tell person what you are going to do and thoroughly clean their private area with wet wipes, being careful to wipe from front to back. Roll the person to one side, pull pants down as far as possible on that side, and undo tab on the briefs. Roll to other side, pull down pants on that side and undo tab on that side of the briefs. With the person still on their side, roll the back and front of the soiled brief into itself and remove.
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