12 Domains In The Purnell Model

Fadiman confronts another interviewing barrier when she works with the medical staff of Merced County Medical Center, the hospital where Lia Lee was taken and treated many times. Fadiman constantly reviewed Lia’s medical records, as well as consulted and interviewed many of the physicians and nurses who worked with Lia and her family. Fadiman had to alter her interviewing style and the way in which she planned the interviews while interviewing the staff of Merced County Medical Center. These individuals did not require an interpreter because they were native English speakers. Because of this, Fadiman had an easier time communicating with the interviewees, but had to remember the culture they were used to. The resident doctors and nurses Fadiman was discussing Lia’s case with worked at the Family Practice Residency, which receives most of its payment through government programs like Medi-Cal or Medicare (Fadiman 1997:24). Because of this, most patients this staff was used to seeing were low-income, and

In writing this paper the author will provide her research information about on three terms UDL RTI, and what is MTSS? And expand on answering these seven questions: What role do you think the special education teacher plays in these models? What role do you think the general education teacher plays in these models? What are some of the different ways a school can structure all three of these models? What are some of the best practices or methodologies that should be applied to an RTI model? What are some of the difficulties that schools might encounter when they begin an RTI model? ‘What is your vision for the future of UDL MTSS and RTI? Lastly, how is a referral for special education different for a student who was involved in the RTI model, versus a school without this model?

Asare, I have seen a significant growth in her professionalism and knowledge of medicine that will lend itself well in her pursuit for a career as a physician. Ms. Asare has demonstrated a demeanor of confidence, poise, and competence time and time again in her involvements with patients. Likewise, she has grown accustomed to critically thinking and applying knowledge gained from her studies as an undergraduate to better understand patient illness and practices within the field of healthcare, which was made evident her increasing ability to recall relevant medical information regarding patient visits. I believe that her level of professionalism and capability to seek constant improvement in her knowledge will play a vital part in the success of Ms. Asare in both medical school and healthcare

My journal is going to be over Cierra’s cultural background. Cierra has a daughter named Chloe, they both are the ones that make up their family. Cierra was also born in the united states. She currently is working at AutoZone warehouse. In her family, she is of course the mother of Chloe but isn’t just her mom in this situation. Cierra also holds the father position which I find inspiring because she is able to fill two spots for her daughter. I grew up half my childhood without my father, so I understand her position by growing up and watching my mom raise three girls on her own. Cierra’s concept of health practice and belief in her family is to make sure her daughter gets the proper care when it comes to her appointments/ checkups to ensure

Comparing the three interviews, it is apparent that all three cultures could require a different healthcare approach. It is interesting to see the family dynamics, and pasts all play a role in their healthcare decision-making and thoughts. Being aware that each family dynamic is unique it is important to avoid stereotypes, and get

For my module 1 case, I am tasked to review the case of Lanesha Johnsons and answer the following questions; from a cultural perspective, is it unusual that Grandmother Marietta is the primary caregiver? Discuss the ways in which Lanesha, Grandma Marietta, and Hannah Healthcare approach this situation from totally different perspectives. How does Lanesha 's temperament affect the situation? What responsibilities do health care providers have in this situation? The case regarding Lanesha Johnson is both frustrating and eye opening, because it seems that the resolution to this case is so easy, but when you look at it through the lens of cultural barriers, the situation because much more murky. Let’s address the first barrier, Marietta as the primary caregiver.

The family chosen for this interview is headed by a 25-year-old African American, single female, Joan, the parent of 4-year-old female twins. Joan has just recently divorced from her spouse of three years. She is currently working a full-time job as a pharmacy technician; in addition to attending night classes, four nights a week. Her goal is to obtain a Bachelors degree, which she is planning to use as a foundation for her entrance into medical school.

I am drawn to family medicine by this same appreciation for humanism that is evident to me among practitioners in this field. I am similarly motivated and excited by the intellectual challenges, scope, and meaningfulness offered by a career in family medicine. I strive to join a residency program that will provide rigorous clinical training among a diverse patient population while offering extensive resident responsibility for patient care. I believe that a family medicine residency program will inspire me to excel and arm me with the tools I need to achieve my future goals. Upon completion of residency, I aim to devote myself to serving the underserved while dedicating time to conducting research and participating in community and medical

For example, the eldest male of the family is the one who makes healthcare related decisions for the family members and the entire family needs to be included in all aspects of the patients care (Giger & Davidhizar, 1999). Nurses should conscience of this and try to include family whenever possible.

Your post was very transparent; the code of ethics, medical malpractice knowledge, and cultural competency knowledge all serve as basic compliance guidelines within the healthcare arena. The ideas you proposed was well-defined; There were several key pointers that I found interesting in your presentation, the key pointer that stood out to me was medical malpractice and cultural competency. You highlighted several examples of barriers within the healthcare field due to cultural differences; In the article by Harris, “Cultural Competence: Its promise for reducing healthcare disparities,” it is suggested that cultural competence is a contributing factor to healthcare disparities. Being knowledgeable of cultural competence increases

My aspiration for the medical field was enforced as I observed the positive effect my primary care doctor had on my family. The accessibility and quality of

Moreover, the family understands the specifics about the individual's condition and their daily routines. This can help health care professionals to decide if the person is following the proper steps in their therapy. Once this takes place, is the point that health care professionals can make adjustments to reflect changing realities. Those patients, who have their families involved, will be able to receive better care by ensuring that nothing is overlooked. This is the point that physicians will have a more complete picture surrounding their underlying levels of health. (Saleeba, 2009)

Deciding to pursue a career in Family Medicine was not a choice that I made easily. Before entering medical school, I assumed Pediatrics was the field for me. Taking on a leadership role as a volunteer peer tutor for students with disabilities in high school had stimulated my interest in working with adolescents. However, after completing rotations in various specialties, I recognized that I enjoyed caring for patients of all ages and wanted to be in a profession where I can treat not only the disease but the person as a whole.

Family as context is the first approach that focuses on the patient while the family is in background. The family

The role and definition of family can vary from one culture to another. Generally speaking, the culture in the United States places a lot of emphasis on individuality and personal freedom. In many cultures, the family unit has a very strict and defined hierarchy. Often the Father is seen as the head of the household and is responsible for much of the decision making. This can include decisions concerning the health care of a family member. It could also result in reluctance for the head of the family to place himself in a position of relying on others for care, a perceived position of weakness. In many cultures, the family goes beyond the nuclear family, and extends to the community, friends and neighbors. These are strongly held beliefs, and we must refrain from judging them as right or wrong based on our own culture. Rather, weneed to find ways to work within the framework of the family structure of the patient. ( Falvo, pp.186-187)