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Imagine you were just hired by your home county’s public health department to develop a program to combat type 2 diabetes. What do you think can and/or should be done? 

In your reading this week, you’ve learned a bit about diabetes.  You’ve learned about how an unhealthy diet can contribute to type 2 diabetes and about how a healthy diet and exercise can help treat type 2 diabetes.

 

For this discussion, I want you to think about diabetes at the community level, not just the individual level.  Diabetes is on the rise all across the U.S. and around the world.  A problem that is so complex and widespread must be addressed at a system level, not just by individuals.


Discussion Question:

 

1. Diabetes is one of the diseases that the CDC tracks.  They have statistics on the frequency of diabetes going back for decades.  You can access this information in a variety of accessible graphs and reports. GO TO LINK  (http://www.cdc.gov/diabetes/atlas/countydata/atlas.html)

Click on the link above and explore a bit.  I highly recommend the interactive atlas which shows frequency of diabetes by county.  (That’s where the image above came from.)

Then, come back here and report on any interesting or surprising discoveries.

 

2. Imagine you were just hired by your home county’s public health department to develop a program to combat type 2 diabetes. What do you think can and/or should be done? 

 

Be specific:  For example, don’t just say “education,” tell us what people need to learn.  And tell us how to do it.

 

 

Questions to consider:  What do people need to know?  What’s the best way to tell them?  How can you convince people to make better choices?  How can you make it easier for people to make better choices?

Describe how to interpret the results from various muscular fitness tests.

E189-86161 Exercise Assess/Prog Implement

 

Howley, E and Thompson, E (2012). Fitness Professionals Handbook. 6th ed.

CHAPTER 9

1.  Define terminology used to describe muscular fitness.

 

2.  Discuss  precautions  that  enhance  participant  safety  during  muscular  fitness  assessments.

3.  Describe various methods of assessing muscular fitness, including repetition maximum tests, push-up and abdominal curl-up tests, the YMCA bench press test, and others.

 

4.  Identify methods for standardizing testing protocols to increase accuracy and reproducibility of test results.

5.  Describe how to interpret the results from various muscular fitness tests.

 

6.  Describe how to assess muscular strength and endurance in older adults .

7.  Describe the benefits, safety, and precautions for assessing muscular fitness in clients who are at elevated risk for adverse cardiovascular responses such as those with high BP or CHD.

 

8.  Describe the benefits, safety, and precautions for assessing muscular fitness in children and adolescents.

 

CHAPTER 10

1.  Describe the relationship between flexibility or ROM and low-back function.

 

2.  List five factors that can affect flexibility or ROM.

 

3.  Describe the amount of flexion that can occur between the rib cage and the sacrum and state a general rule for performing lumbar extension exercises.

 

4.  Explain why having good ROM at the hip joint is important to having a healthy back.

 

5.  Describe the pros and cons of the sit-and-r each test.

CHAPTER 13

1.  Explain the physiological principles of overload, specificity, and progressive resistance and how they relate to exercise programming for developing muscular fitness.

 

2.  De scribe  the  following  methods  of  resistance  training:  isometrics,  dynamic  constant external resistance training, variable resistance training, isokinetics, and plyometrics.

 

3.  Describe the modes of resistance training.

 

4.  Discuss the health and fitness benefits of resistance training and understand precautions that enhance participant safety.

 

5.  Describe the variables that are used to design resistance training programs and discuss the relationship among the amount of resistance used, the training volume, the repetition velocity, and the rest intervals between sets and exercises.

 

6.  Understand periodization and its application in the design of exercise programs, and differentiate between overreaching and overtraining.

 

7.  Describe  the following systems of resistance training: single set, multiple set, circuit training, preexhaustion, and assisted training.

 

8.  Discuss the safety, benefits, and recommendations of resistance training for youth, older adults, pregnant women, and people considered to be at elevated cardiovascular or musculoskeletal risk.

CHAPTER 14

 

1.  Describe motion segments and the shock absorbers of the spine, and explain the role of the facet joints.

 

2.  Differentiate  between  functional  and  structural  spinal  curves  and  describe limitations that each may impose on exercise programs.

 

3.  Explain why it is important that the muscles of the trunk be able to control pelvic positioning.

 

4.  Differentiate between the low-back problems typically seen in adults and those seen in youth.

 

5.  Describe how the anatomical limitations of ROM should be a factor when prescribing ROM exercises.

 

6.  Identify the components of core stability (CS).

 

7.  Explain how the muscles of the trunk work together as a dynamic corset.

 

8.  Describe exercises that will increase the strength and endurance of muscles that are fundamental to the development of CS.

 

9.  Explain why CS requirements can differ for an office worker and a competitive athlete.

 

10.  Explain why flexibility is important to having a healthy spine.

discuss which form of stratification exists in the US?

  1. Explain in your own words as to why economic inequalities exist in societies? Which theorist’s model fits your viewpoint the best and why? Please elaborate on your analysis by giving examples.
  2. Define the 3 Standards of Equality clearly (excluding Ontological Equality). Give examples for each one and explain them well.
  3. Explain the different Forms of Stratification mentioned in the text. Using examples, discuss which form of stratification exists in the US?
  4. Describe how important your social class has been in determining the outcomes and your life chances. (Provide two or three examples). Then describe if and how multiple statuses such as your race, gender, geographic location you were born, etc. intersected in shaping the outcomes?
  5. Explain horizontal social mobility, vertical social mobility, and structural mobility. Use 2-3 examples for each type of social mobility while defining the concepts.

 

Describe the basic workflow of a health care organization using EHRs.

Weekly Overview

Week Two

Overview

A health record contains vital information about the patient, such as the patient’s health and treatment history. This week, you will identify the different health care forms used to keep patient information in the electronic health record (EHR). Some forms are completed by the patient, such as consent and medical history forms, while others are completed by the health care provider. You also will learn about the basic workflow of a health care organization that uses an EHR. Mapping out the workflow in the health care office allows organizations to analyze the current process for patient care and helps identify ways to maximize efficiencies.

What you will cover

0. Electronic Health Records (EHR)

a. Discuss the functions health care records serve.

1) Track patient information

2) Assist health care providers in providing patient care

3) In hospital settings the data flows into the EHR from the different departments systems

a) Labatory

b) Radiology

c) Pharmacy

d) Surgery

b. Identify different health care forms use to keep patient information in EHRs.

1) Patient

a) Consent forms

b) Medical history

2) Health care provider

a) Doctor’s notes

b) Outpatient forms

c) Lab forms

d) Insurance reimbursement forms

e) Discharge forms

f) Prescriptions

g) Referrals

c. Describe the basic workflow of a health care organization using EHRs.

1) The patient contacts health care provider and the appointment is scheduled

2) The patient arrives and is checked into the office

3) The demographic information is entered into the EHR

4) Insurance information is scanned into the EHR and insurance eligibility is confirmed

5) The patient completes a health history and current reason for the visit

6) The EHR specialist enters the data into the EHR for the medical staff to access during the visit

7) The patient is called to the exam room

8) The patient’s vitals are taken and recorded into the EHR. The nurse reviews the history and chief complaint for accuracy.

9) The physician enters and reviews the EHR

10) The physician uses the SOAP format to record the visit: Subjective, Objective, Assessment, and Plan

11) Subjective: The physician discusses the current problem with the patient and documents the discussion in the EHR

12) Objective: The physician performs the physical examination

13) Assessment: The diagnosis is determined and problem list updated

14) Plan: The plan of treatment is determined. The physician prescribes medications, treatments, or additional tests using the EHR.

15) If lab work ordered, the orders is sent electronically lab

16) Patient education is provided on the current plan of treatment

17) The patient is checked out using the EHR to schedule follow-up appointments

18) If requested, the EHR specialist sends out requests for records from specialist or additional physicians that provide care to the patient