This project demonstrated that health education that is language and literacy appropriate can have a significant impact on improving heart failure knowledge and self-care behaviors among Hispanic heart failure participants. Self-care maintenance scores improved from baseline of 50.58 to 93.33 post-intervention (p= <.001), and self-care management scores improved from baseline from 34.33 to 90.00 post intervention (p= <.001).Ĭonclusion: Heart failure management is complex, and care should be individualized and grounded on an evidence-based heart failure educational program. Heart failure knowledge improved from baseline of 7.42 to 14.42 post-intervention (p = <. Most participants were female, older than 65, and had a high school education. Results: Twelve Hispanic heart failure patients from a cardiology practice in rural Southwestern Arizona participated in this project. Demographic information was obtained pre-intervention and a survey post-intervention to determine satisfaction with the intervention. Both scales were administered pre- and post-educational intervention scores were compared to determine the difference. The Self-Care of Heart Failure Index Scale v7.2, measured self-care behaviors including self-care maintenance, symptom perception, and management. The Dutch Heart Failure Knowledge Scale measured heart failure knowledge. Methods: The American Heart Association’s Rise Above Heart Failure Self-Check pictorial tool was used as the education intervention. Social factors include limited education, income disparities, and health literacy that may worsen health outcomes. Hispanics will show an increased prevalence of heart failure due to cardiometabolic risk factors such as obesity, diabetes, and coronary artery disease. It is estimated that by 2050, the United States (US) population will be one-third Hispanic. Heart failure affects more than eight million Americans leading to high healthcare costs. Only when I am honest and authentic with myself, God, and others, can I deal honestly with my blind spots make progress on this spiritual pilgrimage.Abstract Purpose: The purpose of this Doctor of Nursing Practice project was to implement an educational intervention to improve heart failure knowledge and self-care behaviors in Hispanic heart failure patients.īackground: Heart failure is a chronic health condition associated with frequent hospitalizations and high mortality. Hiding and pretending does nothing for my spiritual progression, and, in fact, only hinders and delays the process. Life is messy, humans are imperfect creatures, and the further I get in life’s journey the more I discover the depths of my own depravity and my need of grace and forgiveness from both God and others. These types of diagrams are used to troubleshoot problem areas in. This morning I’m thinking about living authentically and being honest about who I am. Learn the differences between schematic diagrams and pictorial diagrams to help you. But, God and the prophet saw through her charade, as I believe God does with all of us whenever we try to pull the same trick. Jeroboam’s wife did her best to pretend to be someone she was not when she went to Ahijah the prophet. What would that portrait look like, however, if the camera captured us as we really are? We want to appear, not as we really are, but as who we suspect others want us to be. I think it’s very similar to what many of us church-goers do every Sunday morning. Use different modes (pictorial, verbal, tactile) for redundant presentation. We want to appear to be who we think God and the church want us to be. My illustration was simply that when we go to have our family portraits done, we put on our nice clothes, get cleaned up for the camera, and try our very best to look the part of a picture perfect family. You can customize this crop by setting a crop rectangle manually. The company puts together a directory of the families for the church and makes money off of the photos packages that they sell. When you are straightening a photo, Picktorial automatically crops the photo so it will not contain undefined pixels.
Picktorial error professional#
A company comes in with their portrait cameras and families sign up to come to the church to have their professional portrait done. Every church I’ve ever attended has done a pictorial directory.
I shared a tongue-in-cheek illustration about church pictorial directories. Yesterday I had the privilege to give the Sunday message at Westview church in Waukee.
Ahijah the prophet is there-the one who told me I would be king over this people.” What if church pictorial directories showed us as we really are?Īt that time Abijah son of Jeroboam became ill, and Jeroboam said to his wife, “Go, disguise yourself, so you won’t be recognized as the wife of Jeroboam.
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