Jayson wrote:
Hello professor and classmates, 

      The benefits of having different types of health programs varying by state is that we get to see flexibility. What I mean by this is that we can see if certain programs are faring better with people in general. That’s the good thing about having variety, we get to see some good and not so good health programs. Like the book mentioned, “every state (and territory) has a unique Medicaid structure- no two programs are exactly alike” (Teitelbaum & Wilensky, 2007, pp. 201). With that being said it would make sense in the end to have a uniform health program across the nation. For example, what if someone who has a certain disease lives in Utah, but the programs there does not have the option to cover their disease, but Florida can. This means that the person would need to move to Florida, or travel, just to get the proper treatment which would cost more money on top of all the other expenses the person is probably having. In this instance it makes sense to have a uniform healthcare program. This can be looked at form another stance though. If that same person was to look for care in any state and it was not available because of the uniform health program, then that person is stuck with not getting proper treatment.

      The medically need, I find, is a bit unnecessary. Don’t get me wrong I am all for everyone getting medical care, but it is also unfair to them. For them to get help is based on their income and they become eligible if the income is below the cutoff line after expenses. The inconsistency of this is that the person may “not be eligible for the first six months of the year, but will be eligible for the second six months of the year” (Tietelbaum & Wilensky, 2007, pp. 204). This does not make sense from a medical point of view because the person getting treatment would be off and on treatments. This could just end up being a waste of time, treatments, and resources because of the inconsistency associated with this category. 

Tietelbaum, J. & Wilensky, S. (2007) Essentials of Health Policy and Law. (3rd ed., pp. 201-204) Burlington, MA: Jones and Bartlett Learning.

1-I think “Specificity” is the main word in writing learning objectives. It helps participants to know what the training is all about and what needs to be done at the end of the training. In your last paragraph, I think you use the nursing process, which I think is a good one. At the end of the training, the feedback is what will help the trainer to know if the learning objectives are achieved or not. Any changes that needed to be made will be made and any additional training or explanation might also be applicable.

2-Based on what I’ve gathered from the reading, it’s very important to understand the learning abilities of the participants involved. Clear and measurable behavioral learning objectives are the foundation for planning an educational activity when it comes to engaging both patient and family members. The use an action verb to specify the behavior change you expect to be able to measure as a result of the learning. The verb should correspond with what opportunities are given for the participants to demonstrate the newly learned information. A learning objective is measurable when the participant can perform a task (list) identified in the learning objective (NHNA, 2016).

An example of a clear and measurable learning objective would be if the participants were able to “List three significant risk factors that leads to metabolic syndrome”.

Reference

Guidelines for Writing Learning Objectives. Retrieved from: http://www.nhnurses.org/Especially-for-You/CE-Resources/Writing-Objectives-Guidelines.pdf

3-Your birthing class experience is a perfect example. It shows, as you mentioned, many different levels of education needed. I think the one objective you mentioned that you would add is valid. This would key the class in to observing what type of pain control would really work best for them. Many people may have entered the class not realizing there are different options of pain control, so they may have missed this information. As you mentioned, teaching a group of people can present more challenges with different levels of needs and learning styles.