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Reducing health disparities in the deaf community: the impact of interpreters and the rise of deaf healthcare professionals
No full textTethered to Whiteness: The School-to-Prison Pipeline and Uneven Emancipation in Jason Reynolds\u27 Miles Morales: Spider-Man
Get PDFBetween Laughter and Tears: Topsy\u27s Performance in Harriet Beecher Stowe\u27s Uncle Tom\u27s Cabin
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Evidence on Use of PAMs with Lateral Elbow Tendinopathy: An Evidence-based Practice Project
Get PDFThe overall focus of each of case scenarios are related to assessment or interventions that are related to Choosing Wisely Campaign items 1, 2, 3, 5, 8, 10. Case scenarios were developed related to each initiative with clientele and conditions across the lifespan in various practice settings. Practice settings included school district, outpatient pediatric, primary care, skilled nursing facility, work rehabilitation, and acute care
Providing Trauma Informed Care with an Emphasis on Sexual Trauma: A Pilot Education Program to Students Providing Care to Latinx Patients in a Free Primary Care Clinic
Get PDFProviding Trauma Informed Care with an Emphasis on Sexual Trauma: A Pilot Education Program to Students Providing Care to Latinx Patients in a Free Primary Care Clinic
What are the seen and unseen requirements to be qualified as a federal/government interpreter?
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Barriers to using telehealth during a pandemic versus in-person appointments to conduct nutrition assessments in a community health clinic setting
No full textObjectives: Barriers to healthcare among undocumented immigrants include fear of deportation, national policies excluding patients from receiving healthcare, and resource constraints, such as a lack of financial assets and transportation. The pandemic has exacerbated these barriers for community health clinic patients at St. Mary\u27s Health Clinics (SMHC). Nutrition assessments are pivotal in providing holistic healthcare at SMHC, as high rates of food insecurity and chronic diseases exist, in addition to a unified need for education on culturally appropriate food selections for long-term health. The primary objective was to assess the barriers for SMHC patients when conducting nutrition assessments via telehealth versus an in-person clinic.Methods: SMHC registered nurses (RN) triaged patients in need of nutrition assessment based on recent laboratory results or patient requests. The schedule was coordinated between RN, registered dietitian (RD), interpreter, and patient; the interpreter connected the patient to the telehealth appointment by providing call-in details or merging phone calls. The appointment was conducted via a secure virtual platform where phone or computer access was granted to all parties. Perception of barriers to telehealth were recorded by RD.Results: Pre-pandemic, 6–8 nutrition assessments were conducted in-person monthly. Between the initiation of telehealth in July and December of 2020, 62 telehealth appointments were conducted, averaging 12.4 appointments per month. As a result of telehealth, the barrier of transportation to appointments was eliminated, nutrition assessment volume increased by 1.5–2 times, flexibility in appointment scheduling times increased, and the risk of spreading illness decreased. Challenges of telehealth were the inability to conduct nutrition-focused physical examinations, the presence of distractions in patient and/or provider home environments, increased coordination of care across the interprofessional team, and miscommunication/technology issues with the telehealth platform.Conclusions: Telehealth has reduced some of the barriers to conducting nutrition assessments and has allowed for accessibility to a wider patient population, however, additional challenges unique to telehealth during the global pandemic were present