CASE PRESENTATION REHABILITATION CENTER PULDERBOS BELGIUM. Leen Govaerts CF NURSE

Size: px
Start display at page:

Download "CASE PRESENTATION REHABILITATION CENTER PULDERBOS BELGIUM. Leen Govaerts CF NURSE"

Transcription

1 CASE PRESENTATION REHABILITATION CENTER PULDERBOS BELGIUM Leen Gvaerts CF NURSE

2 CASE 1

3 Medical histry By Brn at 37 weeks: BW 3,125 kg 48h after birth: mecnium Ileus, abdminal surgery in 2 times (abdminal stma) CF diagnsis by sweat test and genetics; hmzygte df508 Difficulty weight gain in the first mnth, mthermilk with additinal calries 1 mnth 2 mnths

4 Medical histry 1rst respiratry exacerbatin ral antibitics and every 1,5 hurs feeding Hspitalisatin IV treatment AB 10 days Hspitalisatin intestinal bstructin (MIE) 2nd respiratry exacerbatin start ral AB Hspitalisatin fr IV AB E cli, P putida 3 mnths 4 mnths 5 mnths 6 mnths 7 mnths

5 Medical histry Questin fr submissin inpatient rehabilitatin Demand frm CF center and parents Respiratry deteriratin and difficult parent-child relatinship Mther : Fear f evlutin t depressin having a break dwn Father : Engaged but nt a lt actually present Siblings: Sister f 4 years ld with intermittent respiratry infectins Transfer frm hspital t Pulderbs 7 mnths 8 mnths 9 mnths

6 Inpatient rehabilitatin - Pulderbs 1st day after admissin fever, cugh +++, mucus+++, anrexia After tw days f intensive respiratry physitherapy withut imprvement Therapy changes Oral AB 14 days nasgastric tube mucusdrainage with PEP Medicatin: Crens, Vitamines, Ursdexichlic acid Inhalatin therapy: Intermittent Salbutaml and Fluticasn Aersls: 3 x mucclear 7%, 1 x pulmzyme, 2 x clistineb Respiratry physitherapy 3 times a day Big therapy burden 8 mnths 9 mnths 10 mnths

7 Aims and gals f inpatient rehabilitatin Optimalisatin therapy Optimize therapy and medical treatment Optimize and stimulate ral medicatin appelsauce General and specific mtr develpement Optimize hyper-calric diet Reduce tube feeding

8 Aims and gals f inpatient rehabilitatin Assessing the scial situatin and pssibilities fr cping fr the mther rigid persnality absent father several hspitalisatins great pressure and tensin Mther always have t push bundaries very sick sn sister wh needs supprt and care by mther little supprt and understanding frm family

9 Aims and gals f inpatient rehabilitatin Out f balance

10 Aims and gals f inpatient rehabilitatin Optimalisatin therapy Psychscial and familial aspects : difficult parent-child relatinship big therapy burden Need fr : Teaching parents supprting Parents Building a safety net, hme guidance

11 Pints f discussin Psychlgical decmpensatin r are we verasking the parents? Hw hard is it t see everything in prper perspective? The need fr educatin and bservatin f the child and parent in the diagnsis f CF

12 CASE 2

13 Medical histry Data n admissin in Pulderbs 9 year ld girl CF, df508, mecnium ileus at birth Chrnic brnchusbstructin and brnchiectasia Chrnic clnisatin Pa and multiresistant Achrmbacter Xylsdans Frequente respiratry excacerbatins Lngfunctin: FEV1: 25 35% Cnditinal decline Failure t thrive, anrexia and vmiting Cyantic, O2 saturatin 87% Clubbing, thraxhyperinflatin Dyspne, tachypne Diffuse crackles

14 Aims and gals f inpatient rehabilitatin respiratry rehabilitatin Intensifying respiratry physitherapy Optimize and fine tuning medicatin Start xygen therapy Apprach t nutritin prblems with failure t thrive Optimize and fine tuning medicatin Maximise calries Tailring schedule tube feeding Stimulatin f ral feeding Imprvement f the physical cnditin

15 Interdisciplinary apprach Cntinuus nursing and pedaggic supprt Age apprpriate self-reliance, taking int accunt her physical capabilities Prviding schl during the admissin Guiding parents and ther caregivers Dealing with negtiatin and behavir Teaching Striving fr reintegratin at hme

16 Challenges and interventins in cf care Physitherapy Challenges Interventins Respiratry physitherapy Many viscus sputa Cugh and vmiting mucus Dyspne Insufficient mucus draining thrugh lack f strength Exercize physitherapy Muscle mass and endurance Respiratry physitherapy Intensive respiratry physitherapy and drainage Change aersl machine (Akita) because f inefficient breathing Start Bibap during physitherapy Exercize physitherapy Cntrlled exercize with xygen Use f wheelchair during (lnger) distances Daily mments f rests with Bipap

17 Challenges and interventins in cf care medicatin Challenges Interventins Cntinus fine-tuning medicatin Cntinusly adjusting inhalatin medicatin Decreasing crticids Antibitics systematic Intermittent IV AB therapy

18 Challenges and interventins in cf care feeding Challenges Interventins Less appetite because f her CF Picky eater Many mucus and cughing while eating Fatigue during meal Increasing fd supply, maximize calries Psitive stimulatin and n pressure n quantity Adjust nutritin and physitherapy, search fr the ptimal mment Help with meals and custm fd Fractinated administering tube feeding

19 Challenges and interventins in cf care emtinal Challenges Interventins Hard and time-cnsuming daily therapy Little understanding well being and health Enrmus pressure n nutritin (frm parents) Lts f negtiating abut therapy and nutritin (mainly at hme) Difficulty t recgnize brders Take away the pressure f the meals Make therapy duratin achievable Educating child and parents

20 Challenges and interventins in cf care sleeping Challenges Interventins Dyspne and cughing at night + vmiting because f lts f mucus Enuresis ncturna Oxygen and intermittent Bipap during sleep Enuresis ncturna : n pririty because f her medical cnditins

21 After resignatin Pulderbs Further deteriratin Admissin t hspital Signed up fr lungtransplantatin Pretransplant she came n the intensieve care unit (n a ventilatr and eventually ECMO) She has been transplanted at the age f 10

22 Pints f discussin Yu can nt always achieve all gals and aims Cntinuusly fine tuning gals and aims Smetimes it is a whle achievement t stabilize the cnditin

23

Course Description: Required readings will be posted weekly. Course Objectives: Students will:

Course Description: Required readings will be posted weekly. Course Objectives: Students will: FCS The Hspitalized Child 4611/5611 Spring 2013 Mnday Evenings 6:00pm-8:45pm Appalachian State University Instructrs: Pamela Nrcrss, MS, CCLS and Dr. Ellen Carpenter Curse Descriptin: Children underging

More information

Sample Aggregate Review - Root Cause Analysis Stage 3 or 4 Pressure Ulcers Acquired After Admission (Adverse Event type 17)

Sample Aggregate Review - Root Cause Analysis Stage 3 or 4 Pressure Ulcers Acquired After Admission (Adverse Event type 17) Lack f effective multidisciplinary cllabratin n pressure ulcer Lack f clinical practice/knwledge Limited patient and family pressure ulcer educatin Lack f staff cmpetency related t pressure ulcer Decisin

More information

Medical Management. At a Glance 2. When to Notify Medical Management 3. Procedures Requiring Predetermination 4. Care Management Services 5

Medical Management. At a Glance 2. When to Notify Medical Management 3. Procedures Requiring Predetermination 4. Care Management Services 5 Medical Management At a Glance 2 When t Ntify Medical Management 3 Prcedures Requiring Predeterminatin 4 Care Management Services 5 Abut Identifi TM 5 Cmplex Care Management 6 Maternity Prgram 8 Medical

More information

Pennsylvania Advance Health Care Directive

Pennsylvania Advance Health Care Directive Pennsylvania Advance Health Care Directive This frm lets yu have a say abut hw yu want t be treated if yu get very sick. This frm has 3 parts. It lets yu: Part 1: Chse a medical decisin maker. A medical

More information

The Family Cost Share system is designed so families with the ability to pay will share in the cost of services.

The Family Cost Share system is designed so families with the ability to pay will share in the cost of services. Paying fr Early Childhd Interventin Services What is ECI? Texas Early Childhd Interventin (ECI) prgrams serve families with children birth t 36 mnths with develpmental delays r disabilities. ECI prvides

More information

FCS The Hospitalized Child Spring 2014 Tuesday Evenings 5:00pm-7:45pm Appalachian State University Instructor: Pamela Norcross, MS, CCLS, CEIM

FCS The Hospitalized Child Spring 2014 Tuesday Evenings 5:00pm-7:45pm Appalachian State University Instructor: Pamela Norcross, MS, CCLS, CEIM FCS The Hspitalized Child Spring 2014 Tuesday Evenings 5:00pm-7:45pm Appalachian State University Instructr: Pamela Nrcrss, MS, CCLS, CEIM Curse Descriptin: Children underging hspitalizatin and medical

More information

TAKING OWNERSHIP OF HEALTH CARE

TAKING OWNERSHIP OF HEALTH CARE TAKING OWNERSHIP OF HEALTH CARE TIPS FOR PARENTS AND CAREGIVERS Are yu ready fr the day when yu take yur sn r yur daughter fr a medical appintment and the dctr r medical staff says t yu, as the parent

More information

Group Income Protection (GIP) Claim Case Studies

Group Income Protection (GIP) Claim Case Studies www.gruprisk.rg.uk Grup Incme Prtectin (GIP) Claim Case Studies What is GIP? GIP is a plicy taken ut by emplyers t cver their prmise t prvide sick pay t emplyees if illness r injury prevents them wrking

More information

British Columbia Nephrology Social Work Scope of Practice

British Columbia Nephrology Social Work Scope of Practice British Clumbia Nephrlgy Scial Wrk Scpe f Practice This scpe f practice was develped by the British Clumbia Nephrlgy Scial Wrk Prfessinal Practice Cuncil (BCNSWPPC) in 2008 t identify, establish, and prmte

More information

Care Plan Oversight. Home Health Certification. July 23, 2014. Agenda

Care Plan Oversight. Home Health Certification. July 23, 2014. Agenda Care Plan Oversight Hme Health Certificatin July 23, 2014 Agenda Care Plan Oversight Why We Are Prviding the Educatin Prcedure cdes Descriptin f Services Wh Can Perfrm Frequency f Services Face-t-Face

More information

What are the qualifications for teachers and paraprofessionals who are hired to work in a preschool program?

What are the qualifications for teachers and paraprofessionals who are hired to work in a preschool program? FAQ n Indiana Title I Preschls Qualificatins What are the qualificatins fr teachers and paraprfessinals wh are hired t wrk in a preschl prgram? Preschl teachers and assistants are expected t meet the highest

More information

Virginia Teaching Requirements for Standard 10.3

Virginia Teaching Requirements for Standard 10.3 Virginia Teaching Requirements fr Standard 10.3 Students in grade 10 demnstrate cmprehensive health and wellness knwledge and skills. Their behavirs reflect a cnceptual understanding f the issues assciated

More information

SUPPORT FOR ALBERTANS AFFECTED BY WILDFIRE. Help in a stressful time.

SUPPORT FOR ALBERTANS AFFECTED BY WILDFIRE. Help in a stressful time. SUPPORT FOR ALBERTANS AFFECTED BY WILDFIRE Help in a stressful time. There are resurces available t help yu and yur lved nes cpe with stress in difficult times. We re here t help. It s nrmal t feel stress.

More information

NHPCO Guidelines for Using CAHPS Hospice Survey Results

NHPCO Guidelines for Using CAHPS Hospice Survey Results Intrductin NHPCO Guidelines fr Using CAHPS Hspice Survey Results The Centers fr Medicare and Medicaid Services (CMS) has develped the Cnsumer Assessment f Healthcare Prviders and Systems (CAHPS ) Hspice

More information

New Patient Registration and Medical History. Address City State Zip code

New Patient Registration and Medical History. Address City State Zip code Wexfrd Allergy, Asthma & Immunlgy, LLC Phne (724)719 2441 / Fax (724)719 2451 100 Bradfrd Rad, Suite 410, Wexfrd, PA 15090 www.wexfrdallergy.cm New Patient Registratin and Medical Histry Name Tday s date

More information

PATIENTS WITH SPECIAL NEEDS

PATIENTS WITH SPECIAL NEEDS PATIENTS WITH SPECIAL NEEDS This prtcl includes: Patient with trachestmies Patient n ventilatrs Patients with indwelling catheters Patients with gastrstmy tubes Bariatric patients GENERAL CONSIDERATIONS

More information

Administration of Medication in School Policy & Procedures

Administration of Medication in School Policy & Procedures Administratin f Medicatin in Schl Plicy & Prcedures Plicy Last Reviewed: July 2014 Agreed by Directrs: T be cnfirmed Plicy Next Review: July 2016 Inspired t strive fr persnal excellence Redcar Academy

More information

Ghnjasryj. Aged Care Emergency. Model of Care

Ghnjasryj. Aged Care Emergency. Model of Care Ghnjasryj Aged Care Emergency Mdel f Care Nvember 2013 INTRODUCTION It is well dcumented that lder peple require emergency care mre ften than ther ppulatins, and generally have lnger Emergency Department

More information

The SENCO Responsible for:

The SENCO Responsible for: 1. Wh are the best peple t talk t at Keelham Primary Schl abut my child s difficulties with learning/ Special Educatinal Needs r disability (SEND)? The SENCO Respnsible fr: Crdinating all the supprt fr

More information

Name Date Age Gender M or F. If you had to describe your major symptoms for which you are seeking therapy, they would be:

Name Date Age Gender M or F. If you had to describe your major symptoms for which you are seeking therapy, they would be: Pearl n Ridgeland n Clintn n Laurel n Suthwest Name Date Age Gender M r F Please briefly describe why yu are here: If yu had t describe yur majr symptms fr which yu are seeking therapy, they wuld be: Depressin

More information

Standards of Care for Adults with Intellectual and Developmental Disabilities

Standards of Care for Adults with Intellectual and Developmental Disabilities Standards f Care fr Adults with Intellectual and Develpmental Disabilities March 7, 2012 Dr. Sarah Ailey Diana Umali Christine Uyen With Acknwledgements t: Mlly Miller and Kathleen Smulkstys INTRODUCTION

More information

Nursing Process Outline - Kim Baily RN, MSN, PhD

Nursing Process Outline - Kim Baily RN, MSN, PhD Nursing Prcess Outline - Kim Baily RN, MSN, PhD Five Steps f the Nursing Prcess Methd f prviding care Purpseful, systematic, and rderly Scpe and Standards f Practice Assessment: Nurse cllects data Diagnsis:

More information

Rehabilitation Psychology Minimum Degree Requirements and Satisfactory Progress Chart March 2014

Rehabilitation Psychology Minimum Degree Requirements and Satisfactory Progress Chart March 2014 Rehabilitatin Psychlgy Minimum Degree Requirements and Satisfactry Prgress Chart March 2014 Rehabilitatin Psychlgy Master s Degree: M.S. Rehabilitatin Psychlgy Minimum Graduate Degree Credit Requirement

More information

Specialist stroke rehabilitation and support will address the following issues either directly or by onward referral where required:

Specialist stroke rehabilitation and support will address the following issues either directly or by onward referral where required: Strke Cmmunity Rehabilitatin and ESD Service Specificatin Care pathway/service Cmmissiner lead Prvider lead Perid 2013/14 Applicability f Mdule E (Service requirements) Strke cmmunity rehabilitatin (including

More information

Services and Medicaid in the OASAS Treatment System

Services and Medicaid in the OASAS Treatment System Services and Medicaid in the OASAS Treatment System Arlene Gnzález-Sánchez, Cmmissiner Rbert Kent, General Cunsel General Patient Statistics 261,775 unique individuals were treated in the OASAS system

More information

Technical Standards for Admission, Progression and Graduation

Technical Standards for Admission, Progression and Graduation Technical Standards fr Admissin, Prgressin and Graduatin Missin f the Schl f Nursing. The University f Maryland Schl f Nursing seeks t shape the prfessin f nursing by develping nursing leaders in educatin,

More information

Updated PT, OT, and ST Benefit Changes for Acute Services for Texas Medicaid Effective January 1, 2014

Updated PT, OT, and ST Benefit Changes for Acute Services for Texas Medicaid Effective January 1, 2014 Updated PT, OT, and ST Benefit Changes fr Acute Services fr Texas Medicaid Effective January 1, 2014 Infrmatin psted December 31, 2013 Nte: This article applies t claims submitted t TMHP fr prcessing.

More information

Where youth & teens with unique & special needs can develop relationships and. experience social growth through recreation.

Where youth & teens with unique & special needs can develop relationships and. experience social growth through recreation. The Afterschl Prgram... Where yuth & teens with unique & special needs can develp relatinships and experience scial grwth thrugh recreatin. A partnership f The Rchester Parks & Recreatin Department and

More information

Educator Guide: Abraham Lincoln Leadership Case Study

Educator Guide: Abraham Lincoln Leadership Case Study Educatr Guide: Abraham Lincln Leadership Case Study Abraham Lincln Leadership Case Study Educatr Guide Overview: Students will explre the characteristics f leadership thrugh a 90 minute study f Abraham

More information

Duty Statement Manager The Early Years at Seymour (TEYS)

Duty Statement Manager The Early Years at Seymour (TEYS) Duty Statement Manager The Early Years at Seymur (TEYS) Psitin Title Respnsible T Time Fractin Status Salary and Cnditins Psitin Purpse: Manager The Early Years at Seymur (TEYS) Business Manager and Head

More information

Occupational Therapy

Occupational Therapy Health Prfessins: Occupatinal Therapy Overview f Prfessin Pre-Requisites Applicatin Prcess Timeline Admissin Exam- GRE Additinal Requirements Overview f OT Schl Imprtant Websites Overview f Prfessin: (surce:

More information

ONGOING FEEDBACK AND PERFORMANCE MANAGEMENT. A. Principles and Benefits of Ongoing Feedback

ONGOING FEEDBACK AND PERFORMANCE MANAGEMENT. A. Principles and Benefits of Ongoing Feedback ONGOING FEEDBACK AND PERFORMANCE MANAGEMENT A. Principles and Benefits f Onging Feedback While it may seem like an added respnsibility t managers already "full plate," managers that prvide nging feedback

More information

TennCare Level 2 Adult Mental Health Case Management Definition

TennCare Level 2 Adult Mental Health Case Management Definition TennCare Level 2 Adult Mental Health Case Management Definitin Level 2 adult case management is defined as services furnished t assist individuals in gaining access t needed medical, scial, educatinal,

More information

MODULE: EARLY IDENTIFICATION OF AUTISM SPECTRUM DISORDERS

MODULE: EARLY IDENTIFICATION OF AUTISM SPECTRUM DISORDERS SCREENING AND DIAGNOSIS INSTRUMENTS The fllwing ntes prvide a guide in reading the fllwing tables. * Age Range: Inclusive (e.g., 2 6 years = frm 2 years 0 mnths thrugh 6 years 11 mnths) Training Needs:

More information

Chronic Pelvic Pain. Despite all the pain CPP causes, doctors are often not able to find a reason or cure to help these women.

Chronic Pelvic Pain. Despite all the pain CPP causes, doctors are often not able to find a reason or cure to help these women. What is Chrnic Pelvic Pain (CPP)? Chrnic Pelvic Pain Chrnic pelvic pain is ne f the mst cmmn medical prblems amng wmen. Twentyfive percent f wmen with CPP may spend 2-3 days in bed each mnth. Mre than

More information

Mental Health Recovery Exercises for Students

Mental Health Recovery Exercises for Students Mental Health Recvery Exercises fr Students 1 Mental Health Recvery Exercises fr Students The fllwing exercises are intended fr use with scial wrk students in either classrm r field settings. Mst f the

More information

School Counseling Model for Indian Schools

School Counseling Model for Indian Schools Schl Cunseling Mdel fr Indian Schls A schl puts in the best f its effrts t help every child perfrm t his/her best ptential. In spite f this, nt all children rise up t the expectatins f the schl r teachers

More information

Touch Associated Clicker Training

Touch Associated Clicker Training Tuch Assciated Clicker Training Welcme! Thank yu fr inquiring abut the TACT behavir mdificatin prgram. On the fllwing pages yu will find valuable infrmatin n the TACT prgram. If, after reviewing this infrmatin,

More information

MATERNIDAD LA LUZ, THE BIRTH PLACE, INC.

MATERNIDAD LA LUZ, THE BIRTH PLACE, INC. MATERNIDAD LA LUZ, THE BIRTH PLACE, INC. is a Texas state licensed cmmunity birth center, ffering yu and yur family a place t have a safe, supprtive, and natural birth. Since 1987, ver 12,500 babies have

More information

West Nile Virus. Frequently Asked Questions

West Nile Virus. Frequently Asked Questions Ministry f Health and Scial Slidarity West Nile Virus Frequently Asked Questins What is West Nile virus infectin? West Nile Virus infectin is a disease transmitted by msquites that carry the virus. The

More information

RESTRUCTURING THE ADDITIONAL DUTY HOURS ALLOWANCE. Part I of Volume II JOB DESCRIPTIONS FOR ALLIED HEALTH STAFF II

RESTRUCTURING THE ADDITIONAL DUTY HOURS ALLOWANCE. Part I of Volume II JOB DESCRIPTIONS FOR ALLIED HEALTH STAFF II RESTRUCTURING THE ADDITIONAL DUTY HOURS ALLOWANCE Part I f Vlume II JOB DESCRIPTIONS FOR ALLIED HEALTH STAFF II ACCRA, SEPTEMBER, 2005 Ghana Ministry f Health Ghana Health Services Cnsultants: Cedar Care

More information

Homeward Bound What can I expect when I am discharged from the hospital? Do not How do I care for my incisions?

Homeward Bound What can I expect when I am discharged from the hospital? Do not How do I care for my incisions? Hmeward Bund What can I expect when I am discharged frm the hspital? Yu can expect t stay in the hspital 4-5 days. Befre yu leave, yu will learn hw t care fr yurself at hme. A friend r family member shuld

More information

THE WISCONSIN PRESCHOOL PROFESSIONAL CREDENTIAL INSTRUCTOR S GUIDE COURSE TWO CHILD DEVELOPMENT. Revised February 2011

THE WISCONSIN PRESCHOOL PROFESSIONAL CREDENTIAL INSTRUCTOR S GUIDE COURSE TWO CHILD DEVELOPMENT. Revised February 2011 THE WISCONSIN PRESCHOOL PROFESSIONAL CREDENTIAL INSTRUCTOR S GUIDE COURSE TWO CHILD DEVELOPMENT Revised February 2011 WTCS - Wiscnsin Technical Cllege System - 1 - Last Revised February 2011 The Registry

More information

LTAC s Role in the Continuum: Opportunities for Enhanced Financial Performance and Patient Satisfaction

LTAC s Role in the Continuum: Opportunities for Enhanced Financial Performance and Patient Satisfaction LTAC s Rle in the Cntinuum: Opprtunities fr Enhanced Financial Perfrmance and Patient Satisfactin O H I O H O S P I T A L A S S O C I A T I O N A N N U A L M E E T I N G J U N E 9, 2 0 1 5 Presenters Thmas

More information

Medication Guide. AUBAGIO (oh-bah-gee-oh) (teriflunomide) tablets

Medication Guide. AUBAGIO (oh-bah-gee-oh) (teriflunomide) tablets Medicatin Guide AUBAGIO (h-bah-gee-h) (teriflunmide) tablets Read this Medicatin Guide befre yu start using AUBAGIO and each time yu get a refill. There may be new infrmatin. This infrmatin des nt take

More information

CSHCN Services Program Automated Inquiry System (AIS) User Guide 1-800-568-2413

CSHCN Services Program Automated Inquiry System (AIS) User Guide 1-800-568-2413 CSHCN Services Prgram Autmated Inquiry System (AIS) User Guide 1-800-568-2413 The Children with Special Health Care Needs (CSHCN) Services Prgram Autmated Inquiry System (AIS) prvides prmpt answers t questins

More information

Herefordshire Parent Partnership Service

Herefordshire Parent Partnership Service Herefrdshire Parent Partnership Service APPROACHES TO ADHD Appraches t the management f ADHD Once yur child s ADHD has been identified/diagnsed, a prgramme will be needed that allws the best cntrl f his/her

More information

Enrollee Health Assessment Program Implementation Guide and Best Practices

Enrollee Health Assessment Program Implementation Guide and Best Practices Enrllee Health Assessment Prgram Implementatin Guide and Best Practices March 2015 033129 (03-2015) This guide will help yu answer these questins: What is the Enrllee Health Assessment (EHA) prgram and

More information

Maintain a balanced budget primarily the General & Park Funds

Maintain a balanced budget primarily the General & Park Funds EXHIBIT B City f Chic Budget Cntingency Plan P The purpse f the Budget Cntingency Plan is t establish a guideline and general apprach t respnd t adverse financial and ecnmic cnditins that culd negatively

More information

2. Visit the Admissions section of the TCC website http://www.tcc.edu/students/admissions/. Follow steps #1-3.

2. Visit the Admissions section of the TCC website http://www.tcc.edu/students/admissions/. Follow steps #1-3. Dear Early Childcare Educatr, We are pleased t infrm yu that GrwSmart is nw accepting applicatins fr teacher schlarships fr the upcming semester. Please share the fllwing infrmatin with yur clleagues and

More information

M.O.D.E.L. Care Implementation and HealthWyse Support

M.O.D.E.L. Care Implementation and HealthWyse Support Andrea LeBlanc, COO Brenda Czad, Directr f Hme Care Rbert Pahlavan, HeathWyse CEO M.O.D.E.L. Care Mtivatin M.O.D.E.L. Care Fundatin M.O.D.E.L. Care Imprtance and Cllabratin with ur EMR Vendr What is M.O.D.E.L.

More information

Aim The aim of a communication plan states the overall goal of the communication effort.

Aim The aim of a communication plan states the overall goal of the communication effort. Develping a Cmmunicatin Plan- Aim Aim The aim f a cmmunicatin plan states the verall gal f the cmmunicatin effrt. Determining the Aim Ask yurself r yur team what the verall gal f the cmmunicatin plan is.

More information

MEASUREMENT INTRODUCTION

MEASUREMENT INTRODUCTION INTRODUCTION : Measurement is designed t prvide quick practice and review pprtunities fr students with learning differences. Each f the 180 warm-up activities has clear and simple directins. The practice

More information

A Guide to Understanding and Claiming the Disability Tax Credit:

A Guide to Understanding and Claiming the Disability Tax Credit: A Guide t Understanding and Claiming the Disability Tax Credit: The Gvernment f Canada ffers a variety f tax benefits t peple with disabilities. These benefits are prvided under the assumptin that peple

More information

POSITION: Palliative Care Registered Nurse Division 1. Coordinator Nursing Services. Nicholson Street, Fitzroy North. DATE: December 2015

POSITION: Palliative Care Registered Nurse Division 1. Coordinator Nursing Services. Nicholson Street, Fitzroy North. DATE: December 2015 POSITION: Palliative Care Registered Nurse Divisin 1 REPORTS TO: LOCATED: Crdinatr Nursing Services Nichlsn Street, Fitzry Nrth DATE: December 2015 ORGANISATIONAL ENVIRONMENT Melburne City Missin (MCM)

More information

Calling 9-1-1 from a Cell Phone

Calling 9-1-1 from a Cell Phone Calling 9-1-1 frm a Cell Phne When calling 9-1-1 frm a cell phne, yur lcatin may nt autmatically display t the 9-1-1 center as it des when calling frm mst hmes r businesses. Be Prepared t tell the 9-1-1

More information

STUDENTS Policv 2750. Student Welfare. Wellness

STUDENTS Policv 2750. Student Welfare. Wellness STUDENTS Plicv 2750 Student Welfare Wellness The District prmtes healthy schls, by supprting wellness, gd nutritin, and regular physical activity as part f the ttal learning envirnment. The District supprts

More information

South African Nursing Council (Under the provisions of the Nursing Act, 2005)

South African Nursing Council (Under the provisions of the Nursing Act, 2005) Suth African Nursing Cuncil (Under the prvisins f the Nursing Act, 2005) e-mail: registrar@sanc.c.za web: www.sanc.c.za P O Bx 1123, Pretria, 0001 Republic f Suth Africa Tel: 012 420-1000 Fax: 012 343-5400

More information

MASTER OF ADVANCED STUDIES IN CLINICAL MEDICINE SPECIALIZATION INFECTIOUS DISEASES AND PREVENTION AND CONTROL OF INFECTION

MASTER OF ADVANCED STUDIES IN CLINICAL MEDICINE SPECIALIZATION INFECTIOUS DISEASES AND PREVENTION AND CONTROL OF INFECTION MASTER OF ADVANCED STUDIES IN CLINICAL MEDICINE SPECIALIZATION INFECTIOUS DISEASES AND PREVENTION AND CONTROL OF INFECTION 1. Overall Objectives The Master f Advanced Studies (MAS) in Clinical Medicine,

More information

ICD-10 Frequently Asked Questions: (resource CMS website)

ICD-10 Frequently Asked Questions: (resource CMS website) ICD-10 Frequently Asked Questins: (resurce CMS website) 1. Will ICD-9-CM cdes be accepted n claims with FROM dates f service r dates f discharge/through dates n r after Octber 1, 2015? N. ICD-9-CM cdes

More information

Please provide a 2-3 sentence summary of your proposal: Financial Profile of Organization:

Please provide a 2-3 sentence summary of your proposal: Financial Profile of Organization: Name f Applicant Organizatin: Address: City, State, Zip: Phne: Fax: Email: Primary Cntact & Title: Federal EIN Number: Website: Age f Organizatin: Please prvide a 2-3 sentence summary f yur prpsal: Financial

More information

Advantage EAP Employee Assistance Program

Advantage EAP Employee Assistance Program Advantage EAP Emplyee Assistance Prgram July 2015 Finding Balance Creating Balance? 1,2 Finding balance in life ften feels ut f reach. It feels like everywhere we turn we are being asked t d mre and mre.

More information

PREGNANCY RISK ASSESSMENT MONITORING SYSTEM (PRAMS) UTAH QUESTIONNAIRE

PREGNANCY RISK ASSESSMENT MONITORING SYSTEM (PRAMS) UTAH QUESTIONNAIRE PREGNANCY RISK ASSESSMENT MONITORING SYSTEM (PRAMS) UTAH QUESTIONNAIRE First, we wuld like t ask yu a few questins abut the time befre yur new baby was brn. Please check the bx next t the best answer.

More information

Licensed Practical Nurse (LPN) Role and Scope Course

Licensed Practical Nurse (LPN) Role and Scope Course Licensed Practical Nurse (LPN) Rle and Scpe Curse LPN Rle and Scpe 7/11/2014 1 Intrductin This mdule was develped t implement the educatinal prvisins in R4-19-301, which requires candidates wh are graduates

More information

blurriness or shadows in the center of your vision a blind spot in the center of your vision sensitivity to light unusually colored (tinted) vision

blurriness or shadows in the center of your vision a blind spot in the center of your vision sensitivity to light unusually colored (tinted) vision MEDICATION GUIDE GILENYA (je-len-yah) (finglimd) capsules Read this Medicatin Guide befre yu start using GILENYA and each time yu get a refill. There may be new infrmatin. This infrmatin des nt take the

More information

Documentation of Skilled Versus Unskilled Care for Medicare Beneficiaries

Documentation of Skilled Versus Unskilled Care for Medicare Beneficiaries Dcumentatin f Skilled Versus Unskilled Care fr Medicare Beneficiaries Medicare guidelines state that all services must be medically necessary and be prvided at a level f cmplexity and sphisticatin that

More information

DALBAR Due Diligence: Trust, but Verify

DALBAR Due Diligence: Trust, but Verify BEST INTEREST INVESTMENT RECOMMENDATIONS Advisr Rle under Best Interest Regulatins January 27, 2016 In the era when the cntractual bligatin is t act in the client s best interest, investment decisins can

More information

Worksheet Checklist -Nebraska Veterans' Home

Worksheet Checklist -Nebraska Veterans' Home Wrksheet Checklist -Nebraska Veterans' Hme Cmplete the Wrksheet and btain all necessary dcuments BEfORE cntacting the Sarpy Cunty Veterans' Service Office at 402-593-2203 t schedule an appintment t cmplete

More information

Pediatric Asthma. Below is a list of common asthma triggers.

Pediatric Asthma. Below is a list of common asthma triggers. Pediatric Asthma Asthma is a chrnic (lng-lasting) inflammatry disease f the lwer airways f the lungs in which varius triggers cause narrwing which leads t difficulty breathing. These changes cmmnly ccur

More information

Baltimore Conference Call with Director of Student Services 11-18-13

Baltimore Conference Call with Director of Student Services 11-18-13 Baltimre Cnference Call with Directr f Student Services 11-18-13 80,000 students 85% FRL Cntent f Cde Had 26,000 suspensins per year --- had a 24% drp in Year 1 after Cde changed Suspensin nw used as last

More information

Inspired Leaders Principal Licensure Program PROGRAM APPLICATION

Inspired Leaders Principal Licensure Program PROGRAM APPLICATION Inspired Leaders Principal Licensure Prgram PROGRAM APPLICATION Applicatin Submissin Prcess: Submit the fllwing t the Center fr Educatinal Leadership: Prgram applicatin Experience Verificatin Frm Tw Current

More information

Typical Interview Questions and Answers

Typical Interview Questions and Answers Typical Interview Questins and Answers Why d yu want t wrk fr this cmpany? Why are yu interested in this jb? The interviewer is trying t determine what yu knw and like abut the cmpany, whether yu will

More information

Integration of Behavioral and Primary Health Care

Integration of Behavioral and Primary Health Care Integratin f Behaviral and Primary Health Care Integratin f Behaviral and Primary Health Care (ppt) Integratin f Behaviral and Primary Health Care Diana Knaebe, President/CEO, Heritage Behaviral Health

More information

PT, OT, and ST Benefits to Change for Acute Services for Texas Medicaid

PT, OT, and ST Benefits to Change for Acute Services for Texas Medicaid PT, OT, and ST Benefits t Change fr Acute Services fr Texas Medicaid Infrmatin psted Nvember 15, 2013 Effective fr dates f services n r after January 1, 2014, benefit criteria fr physical (PT), ccupatinal

More information

NHS Citizen Assembly Stocktake (March 2015) Mental health and parity of esteem. Version 1

NHS Citizen Assembly Stocktake (March 2015) Mental health and parity of esteem. Version 1 NHS Citizen Assembly Stcktake (March 2015) Mental health and parity f esteem Versin 1 1 Mental health and parity f esteem Parity f Esteem Objective 1. In line with the cmmitment in the Mandate, 2013 t

More information

THE FACULTY OF LAW AND SOCIAL SCIENCES. Department of Economics and Department of Development Studies

THE FACULTY OF LAW AND SOCIAL SCIENCES. Department of Economics and Department of Development Studies Appendix G REC 25 May 2011 THE FACULTY OF LAW AND SOCIAL SCIENCES Department f Ecnmics and Department f Develpment Studies PROGRAMME SPECIFICATIONS FOR THE DEGREES OF MPHIL AND PHD IN INTERNATIONAL DEVELOPMENT

More information

Pediatric Moderate Sedation in the ED Survey

Pediatric Moderate Sedation in the ED Survey Pediatric Mderate Sedatin in the ED Survey Jb Title f Survey Respndent(s) Check all that apply CQI Liaisn ED Medical Directr ED Nurse Manager ED Staff Nurse ED Physician ED Educatr Anesthesilgist Chief/staff

More information

Accident Investigation

Accident Investigation Accident Investigatin APPLICABLE STANDARD: 1960.29 EMPLOYEES AFFECTED: All emplyees WHAT IS IT? Accident investigatin is the prcess f determining the rt causes f accidents, n-the-jb injuries, prperty damage,

More information

Chronic daily headaches By Mayo Clinic staff

Chronic daily headaches By Mayo Clinic staff Chrnic daily headaches By May Clinic staff Original Article: http://www.mayclinic.cm/health/chrnic-daily-headaches/ds00646 Definitin Mst peple have headaches frm time t time. But if yu have a headache

More information

AQF LEVEL AQF LEVEL 7 CRITERIA BACHELOR DEGREE PROGRAM LEARNING OUTCOMES

AQF LEVEL AQF LEVEL 7 CRITERIA BACHELOR DEGREE PROGRAM LEARNING OUTCOMES Bachelr f Nursing PURPOSE AQF LEVEL AQF LEVEL 7 CRITERIA BACHELOR DEGREE PROGRAM LEARNING OUTCOMES The Bachelr Degree qualifies individuals wh apply a brad and cherent bdy f knwledge in a range f cntexts

More information

PT and OT Benefits to Change for Home Health for Texas Medicaid

PT and OT Benefits to Change for Home Health for Texas Medicaid PT and OT Benefits t Change fr Hme Health fr Texas Medicaid Infrmatin psted Nvember 15, 2013 Effective fr dates f services n r after January 1, 2014, benefit criteria fr physical therapy (PT) and ccupatinal

More information

FAQs. Therefore, the company submitting the application will be required to confirm that

FAQs. Therefore, the company submitting the application will be required to confirm that Versin January 2014 FAQs WHAT KIND OF COMPANY IS NFFX BUSINESS SUPPORT CENTER? NFFX was established as an inter-cmmunity partnership between the cities f Nürnberg and Fürth in the year 2010. It is funded

More information

Obtaining Controlled Drugs In Primary Care- Supply Routes In Exceptional Circumstances

Obtaining Controlled Drugs In Primary Care- Supply Routes In Exceptional Circumstances Obtaining Cntrlled Drugs In Primary Care- Supply Rutes In Exceptinal Circumstances Backgrund This guidance is intended fr use by trained nursing/medical/pharmacy staff acrss NHS Grampian and describes

More information

Frequently Asked Questions: Wisconsin Medicaid (MA) and BadgerCare Plus (BC+) Case Management Benefit Programs

Frequently Asked Questions: Wisconsin Medicaid (MA) and BadgerCare Plus (BC+) Case Management Benefit Programs Frequently Asked Questins - Medicaid Case Management Frequently Asked Questins: Wiscnsin Medicaid (MA) and BadgerCare Plus (BC+) Case Management Benefit Prgrams Bth Targeted Case Management (TCM) and Prenatal

More information

l{ baby was born 3 or more weeks prematurely, # o{ weeks premature: Last name Relationship to baby: State/ Province Home telephone number:

l{ baby was born 3 or more weeks prematurely, # o{ weeks premature: Last name Relationship to baby: State/ Province Home telephone number: 9 mnths 0 days thrugh 9 mnths 30 days Mnth Ouestinnaire Please prvide the fllwing infrmatin. se black r blue ink nly and print legibly when cmpleting this frm. Date ASQ cmpleted:,,b:by's.infi;nat!ri Middle

More information

Dr. Tozzi s and Dr. Roehrig s Patient Guide to Total Knee Replacement

Dr. Tozzi s and Dr. Roehrig s Patient Guide to Total Knee Replacement Dr. Tzzi s and Dr. Rehrig s Patient Guide t Ttal Knee Replacement This guide is meant t help yu better understand yur upcming knee surgery. It is generalized infrmatin, and individual patients have unique,

More information

Master of Education in Organizational Leadership PROGRAM APPLICATION

Master of Education in Organizational Leadership PROGRAM APPLICATION Master f Educatin in Organizatinal Leadership PROGRAM APPLICATION Applicatin Submissin Prcess: Submit the fllwing t the Center fr Educatinal Leadership: Prgram applicatin Experience Verificatin frm Tw

More information

Section Twelve. Special Education Staff

Section Twelve. Special Education Staff Sectin Twelve Special Educatin Staff Sectin 2 SPECIAL EDUCATION STAFF The chart belw utlines the elementary and secndary teaching supprt and nnteaching supprt persnnel and their qualificatins. Elementary

More information

Frequently Asked Questions: CMMI Data Collection

Frequently Asked Questions: CMMI Data Collection Frequently Asked Questins: CMMI Data Cllectin 1. What are the minimum requirements fr a care manager s cmputer? 2. What data are cllected frm the practices as part f the CMMI grant? 3. What is the PAM?

More information

What are Positive Behaviour Support Plans?

What are Positive Behaviour Support Plans? What are Psitive Behaviur Supprt Plans? Prduced by Deena M Martin, PhD fr the Alberta Cuncil f Disability Services March 2012 Written by Deena M Martin, PhD Alberta Cuncil f Disability Services Bay 19,

More information

Excellence in Mental Health Act Medicaid Pilot Program: Summary and Details

Excellence in Mental Health Act Medicaid Pilot Program: Summary and Details Excellence in Mental Health Act Medicaid Pilt Prgram: Summary and Details March 31, 2014 On March 31, 2014, Cngress passed the Prtecting Access t Medicare Act (H.R. 4302). This legislatin includes prvisins

More information

UCMC Physical Therapy Critical Care Fellowship Overview. The Goals of the Physical Therapy Critical Care Fellowship Programs at UCMC are:

UCMC Physical Therapy Critical Care Fellowship Overview. The Goals of the Physical Therapy Critical Care Fellowship Programs at UCMC are: UCMC Physical Therapy Critical Care Fellwship Overview Missin f Physical Therapy Fellwship Prgram: In cnjunctin with the University f Chicag Medicine s missin t prvide superir healthcare, the missin f

More information

BridgeValley Community and Technical College Financial Aid Office 2015-2016 Maximum Hour Financial Aid Suspension Appeal Process

BridgeValley Community and Technical College Financial Aid Office 2015-2016 Maximum Hour Financial Aid Suspension Appeal Process BridgeValley Cmmunity and Technical Cllege Financial Aid Office 2015-2016 Maximum Hur Financial Aid Suspensin Appeal Prcess T receive financial aid administered by BridgeValley Cmmunity and Technical Cllege,

More information

MARYLAND MEDICAID: SUMMARY OF MENTAL HEALTH AND SUBSTANCE ABUSE BENEFITS

MARYLAND MEDICAID: SUMMARY OF MENTAL HEALTH AND SUBSTANCE ABUSE BENEFITS MARYLAND MEDICAID: SUMMARY OF MENTAL HEALTH AND SUBSTANCE ABUSE BENEFITS Key Ppulatins Cvered Diagnsis Cvered Under Specialty Mental Prvided n FFS Basis Thrugh Value ptins Specialty Mental Prvided n FFS

More information

Mental Health and Addiction Services Presentation to Health PEI Board July 7, 2015

Mental Health and Addiction Services Presentation to Health PEI Board July 7, 2015 Mental Health and Addictin Services Presentatin t Health PEI Bard July 7, 2015 Intrductin Objective f tday s presentatin: Prvide a current state verview f Mental Health and Addictin Services, fcusing n

More information

Transmittal 1744 Date: MARCH 12, 2002. HEADER SECTION NUMBERS PAGES TO INSERT PAGES TO DELETE 2154-2158 2-86.7-2-86.10 (4 pp.) 2-86.7-2-86.10 (4 pp.

Transmittal 1744 Date: MARCH 12, 2002. HEADER SECTION NUMBERS PAGES TO INSERT PAGES TO DELETE 2154-2158 2-86.7-2-86.10 (4 pp.) 2-86.7-2-86.10 (4 pp. Medicare Carriers Manual Department f Health & Human Services (DHHS) Centers fr Medicare & Medicaid Services (CMS) Part 3 - Claims Prcess Transmittal 1744 Date: MARCH 12, 2002 CHANGE REQUEST 2068 HEADER

More information

Colorectal Multidisciplinary Care: Current Practices MD Anderson Cancer Center

Colorectal Multidisciplinary Care: Current Practices MD Anderson Cancer Center Clrectal Multidisciplinary Care: Current Practices MD Andersn Cancer Center Miguel Rdriguez-Bigas, MD Michael Overman, MD Tni Abbasi, DNP, RN, MBA, NEA-BC April 16, 2015 Agenda Multidisciplinary Cancer

More information

Initiation and Engagement of Alcohol and Other Drug Dependence Treatment: (a) Initiation, (b) Engagement (NQF 0004)

Initiation and Engagement of Alcohol and Other Drug Dependence Treatment: (a) Initiation, (b) Engagement (NQF 0004) Initiatin and Engagement f Alchl and Other Drug Dependence Treatment: (a) Initiatin, (b) Engagement (NQF 0004) EMeasure Name Initiatin and Engagement f Alchl and Other Drug Dependence Treatment: (a) Initiatin,

More information

Being Healthy in the New Year: Preventing Late Effects from Cancer Treatments

Being Healthy in the New Year: Preventing Late Effects from Cancer Treatments Being Healthy in the New Year: Preventing Late Effects frm Cancer Treatments Healthy fr the Hlidays: Nvember 14, 2015 Leslie Hern, RN, BSN, MN, APRN, FNP-BC Fred Hutchinsn Cancer Research Center & Seattle

More information