
Identify a difficult conversation that may occur in a professional setting.
Summarize the conversation topic, setting, and individuals involved, indicate the potential challenges based on cultural differences, low health literacy and what the individuals involved could address to decrease the challenge/improve the situation. Use of textbook is important to address these potential challenges.
Need to focus the discussion you may choose to conduct the critique from a particular role (e.g. medical professional, public health practitioner, patient, member of the public) but you must state that you are taking this approach.
Essays should be approximately 2 pages in length, double spaced.
5-7 references. Mandatory use of the textbook as one of the sources.
CHAPTER 7: Planning Health Communication Interventions
CHAPTER 8: Implementation and Evaluation
facebook.com/LinguaLIBvk.com/lingualibTherefore, although race may not be clearly definedbiologically, it is very real socially, by which we meanthat society may allocate valued resources based on thisconstruct. Ethnicity tends to work through the transmissionof cultural learning from one generation toanother. As such, race and ethnicity can strongly affecthealth outcomes through the media of culture andsociety, including selection of mates from within onlyspecific groups.AgeHave you seen the questions in TABLE 1-3 before?If so, you are likely to be one of nearly 23,000 students(graduate and undergraduate) who completedthe American College Health Association’s NationalCollege Health Assessment in the past few years.Table 1-3 shows data from the first set of questionsthat asks about topics addressed by college healthinformation providers as well as student interest inthese topics.More than 50% of students wanted more informationabout the following topics, in descending orderof interest:■■ Stress reduction■■ Nutrition■■ Helping others in distress■■ Sleep difficulties■■ Depression and anxiety■■ Physical activityLagging only slightly behind was informationpertaining to sexual assault or violence prevention,sexually transmitted diseases (STDs), and suicide prevention.Runners-up included tobacco use, pregnancyprevention, and cold/flu/sore throats. If you were ahealth education coordinator at a university, whatwould you do with these data?Now compare the issues of concern to collegestudents to the data in FIGURE 1-5 showing theCDC’s depiction of the leading causes of death by agegroup in the United States. Examining the columnsBOX 1-3 Diseases of Origin?Sickle Cell DiseaseaRed blood cells that contain normal hemoglobin are disc shaped, which allows the cells to move easily through largeand small blood vessels to deliver oxygen. Sickle hemoglobin can form stiff rods within the red cell, changing it into acrescent or sickle shape. Sickle-shaped cells can stick to vessel walls, causing a blockage that slows or stops the flow ofblood. When this happens, oxygen cannot reach nearby tissues.People who have SCD inherit two abnormal hemoglobin genes, one from each parent. In all forms of SCD, at leastone of the two abnormal genes causes a person’s body to make hemoglobin S. When a person has two hemoglobin Sgenes, hemoglobin SS, the disease is called sickle cell anemia. This is the most common and often most severe kind ofSCD. Hemoglobin SC disease and hemoglobin Sβ thalassemia are two other common forms of SCD.A common myth about SCD is that it is an African disease affecting only people in Africa or their descendants. Infact, SCD occurs more often among people who come from areas where malaria was common, such as Africa, but alsoincluding the Middle East, India, some Mediterranean countries, and Latin America. Anthropologists theorize this isrelated to the protective effect that the sickle cell mutation provides against malaria infection in the heterozygous state.Tay-Sachs: Not Only a “Jewish Disease”bTay-Sachs is a neurodegenerative disease that is fatal in the homozygous state. Babies born with Tay-Sachs diseaseappear normal at birth, but begin to show symptoms at 4 to 6 months of age. Children then gradually lose their sight,hearing, and swallowing abilities, and usually die by the age of 5 years.Jewish individuals whose families originated in Eastern Europe, so-called Ashkenazi Jews, have long known to testfor carrier status of Tay-Sachs before starting a family. Among the more orthodox populations that arrange marriages,rabbis often require blood tests before condoning a match. Of course, practicing Judaism as a religion had nothingto do with the disease directly, but because Jews in that part of the world limited their marriages to within theircommunities, and the carrier status was nonfatal, the gene was maintained at a higher rate within this ethnic group.Today, it is known that French Canadian, Cajun (Louisiana), and Irish populations also have higher than average ratesof the disease. These days, due to more mixing of populations than was done in past centuries, all young adults areadvised to get genetic screening before starting families.a Data from Sickle cell disease. National Heart, Lung, and Blood Institute website. http://www.nhlbi.nih.gov/health/health-topics/topics/sca. Accessed February 13, 2018; Sickle cell disease (SCD).Centers for Disease Control and Prevention website. https://www.cdc.gov/ncbddd/sicklecell/data.html. Accessed February 13, 2018; About sickle cell: myths and misconceptions. The Sickle CellAssociation of Ontario. https://sites.google.com/a/sicklecellontario.org/www/sickle-cell-101/myths-and-misconceptions. Accessed February 13, 2018.b Data from Tay-Sachs disease. Einstein Healthcare Network website. http://www.einstein.edu/genetic/tay-sachs-disease/. Accessed February 13, 2018.10 Chapter 1 Your World, Your Health
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