Saturday, May 23, 2020

Essay about Electronic Health Records - 2230 Words

Running head: ELECTRONIC HEALTH RECORDS The Advantages and Disadvantages of Electronic Health Records Michelle H Gay Cabarrus College of Health Sciences Abstract There are many advantages to electronic health records but there are as many disadvantages to implementation of this technology. This paper will discuss the advantages and disadvantages that take place during the implementation process of electronic health records. This material was gathered from published materials. The health care industry is an organization that can prosper from electronic health records if the barriers can be overcome. The Advantages and Disadvantages of Electronic Health Records Society today is ever changing as is technology. Technology is†¦show more content†¦Less than a quarter of physicians use EMRs, further investigation into the low rate of adoption needs to occur. Most medical journals indicate that the primary reason for the low adoption rate is the high initial cost and the uncertainty of the financial benefits (Miller, 2004). In recent findings, upfront cost for an EMR system could range anywhere from $15,000 to $38,000 per physician with no guarantee of financial payoff (Crosson, 2005). The price is dependent on the unique structure of the practice, its needs, and its requirements. In a recent cost-benefit analysis presented in the American Journal of Medicine, the estimated net benefit from using EMR for a five year period was $86,400 per provider. These benefits accrued from savings in drug expenditures, improved utilization of radiology tests, better capture of charges , and decreased billing errors. Additional findings included, that EMR in a primary care can result in a positive return on investment for the health care organization (Wang, 2003). This leads to the question as to â€Å"Why have all physicians not incorporated EMR in the clinical settings?† There are several barriers that have left physicians skeptical to implement EMRs, some include the increased time that would be involved into the average workday for implementation (disruption), the challenge of the usability of the technology, inadequate support after implementation, lack of dataShow MoreRelatedElectronic Health Record : Electronic Healthcare Record1257 Words   |  6 PagesElectronic Health Record An Electronic Health Record (also known as EHR) is an official health record for a patient that is stored with multiple facilities and agencies. The main purpose of this electronic system is to improve efficiency, quality of care, and reduce costs. How can one system possibly do all these improvements to health records? Well let’s break it down to simpler terms. It will improve efficiency for individuals seeking healthcare from a different facility in the future. There willRead MoreElectronic Of The Electronic Health Records Essay1456 Words   |  6 PagesOver the past few years, we have notice a significant change in the workflow of a healthcare organization. This change is caused by the technological advancements of Health Information Technology (HIT). One of the many technological advancements of HIT is the Electronic Health Record (EHR). Electronic health records are a patient’s paper chart in a digital format. It always contains real time information and can be easily accessible. With EHR put into act, it has the ability to electronically viewRead MoreThe Electronic Health Record1534 Words   |  7 PagesThe Electronic Health Record Introduction In the modern world technology is everywhere and it affects everyone’s daily life. People are constantly attached to cell phones, laptops, and other electronics, which all have affected how people live their lives. Technology is also a large part of the healthcare system today. There are many electronics and technologies that are used in health care, such as electronic health record, medication bar code scanning, electronic documentation, telenursing, andRead MoreElectronic Health Record1954 Words   |  8 PagesAbstract Electronic health records (EHR) is more and more being utilized in organizations offering healthcare to enhance the quality and safety of care. Understanding the advantages and disadvantaging of EHR is essential in the nursing profession as nurses would learn its strengths and weaknesses. This would help the nursing profession know how to deal with the weak areas of the system. The topic on advantages and disadvantages of EHR has been widely researched on with different researchers comingRead MoreThe Electronic Health Records911 Words   |  4 PagesBeing able to tell about the roots of where the Electronic Health Records come from the paper will now look at the benefits of the system. The Electronic Health Records areis defined as, â€Å"electronic version of a patientspatient’s medical history, that is maintained by the provider over time, and may include all of the key administrative clinical data relevant to that persons care under a particular provider, including demog raphics, progress notes, problems, medications, vital signs, past medicalRead MoreElectronic Health Records3123 Words   |  13 PagesElectronic Health Records: The Role of Electronic Health Records and Health Information Exchange in the Delivery of Quality Healthcare R Arku Community College of Allegheny County Health Information Technology, Cohort 5 Tutor January 14,2011 Contents Abstract 3 Introduction 4 Quality Definition 6 Data Collection Challenges 7 Electronic Records and its influence on quality 9 Data Infrastructure – Performance Measurement Foundation 11 Quality Measurements and Data ExtractionRead MoreThe Electronic Health Records1146 Words   |  5 Pageshealthcare providers with funding for implementing healthcare information technology, electronic health records, protecting patient’s health information, and provides patients with greater access and control over their protected health information. Derived from the Health Insurance Technology for Economic and Clinical Health Act (HITECH) that provides funding and incentives for the implementation of electronic health records. Title IV of division B of the ARRA is considered part of the HITECH Act. ItRead MoreBenefits Of Electronic Health Records1313 Words   |  6 Pagesproviders who reported that the electronic health records are readily available at the point of care is 94% and the percentage of the providers who stated that the electronic health records showed the clinical benefits is 88%. The percentage of the physicians who reported that the electronic health reco rds enable them to provide the enhanced care to the patients is 75% (Jamoom, Patel, King, Furukawa, 2012). According to the authors, the use of electronic health records also aided in enhancing the riskRead MoreElectronic Medical Records And Electronic Health Records935 Words   |  4 Pageslived longer. For example, the use of the computer has evolved in health care. Medical Professionals use the computer for their daily operations. As a result of the use of the computer, the Electronic Medical Records (EMR) and Electronic Health Records (EHR) were created. In 2009, President Obama signed the American Recovery and Reinvestment Act, which included the HITECH (Health Information Technology for Economic and Clinical Health) Act. HITECH instructed the Centers for Medicare Medicaid ServicesRead MoreThe Electronic Health Records ( Ehrs ) Essay1644 Words   |  7 Pagesprovide medical records that will help patients track their conditions. The Electronic Health Records (EHRs) have revolutionized the process of clinical documentation through direct care to the patient. This electronic health record is a new technology that helps maintain patient’s privacy and to direct care of the patient. Both Computer systems and EHRs can facilitate and improve the clinical documentation methods, which is beneficial for all patients, the care teams, and health care organizations

Tuesday, May 12, 2020

The Demons Within Essay - 4158 Words

The Demons Within #9;There are many interesting, well developed, entertaining, colorful, exciting, and provocative characters in Mario Vargas LlosaOtilde;s novel Aunt Julia and the Scriptwriter. Pedro Camacho is quite a character, as well as Aunt Julia herself. I was even greatly intrigued by such small characters as Cousin Nancy and, believe it or not, the cabdriver who helped find a mayor to marry Aunt Julia and Marito. however, nobody in the whole book interested me more than Marito Varguitas himself. He is just such a well developed character, and really seems like a person who would be fun to know. In fact, nothing about Marito interested me more than the demons that he possesses, or should I say seem to posses him and manifest†¦show more content†¦They are not actually blood relatives, but Aunt Julia is MaritoOtilde;s Uncle Luchos sister in law. But that still makes here a relative of sorts and therefore makes their relationship and eventual marriage wrong, especially in the eyes of the family. another interesting thing in the book is that every other one of Aunt JuliaOtilde;s suitors who come to call is also a distant relative of some sort. The last bit of incest comes out at the very end of the story. After and eight year marriage, and a divorce that actually devastates the family, Marito remarries an actual blood relative. He marries his cousin Patricia and turns his aunt and uncle in to his mother and father in law. ItOtilde;s funny that his family didnOtilde;t seem to have too much of a problem accepting this marriage. Perhaps they were numb to it by this time. #9;Another demon expressed in MaritoOtilde;s writing and life is money. There never seems to be enough of it for him to do what he wants. He canOtilde;t take Aunt Julia out as much as he would like because he doesnOtilde;t earn enough money. He canOtilde;t move out of his familyOtilde;s house and solve most of his problems with them because he doesnOtilde;t earn enough money to pay rent at an apartment. He also almost risks not being able to marry Aunt Julia for want of money to pay the mayor. Likewise, money also shows up in his writing. For example, the story about the soccer referee Joaquin Hinostroza Bellmont inShow MoreRelatedAuthority and Conformity: The Demon Hidden Within1651 Words   |  7 Pageswere killed. Their lives held no other meaning besides providing labor and work for their â€Å"masters†. This creates an endless cycle of conformity and authority that is nearly impossible to break. We can see this cycle when we drive around town or even within our group of friends. There will always be one or two people telling the group what they are going to do and the rest of the group goes along with their ideas. We create a group of oppressed people when we do not think through our oppressive and authoritativeRead MoreSummary of the Merchant and the Demon from the Arabian Nights641 Words   |  3 Pagesï » ¿The first nights story in Arabian Nights is that of the Merchant and the Demon. Told by Shahrazad, the story offers a remarkable parallel to her own situation as she faces immanent death. Thus, the story of the Merchant and the Demon is told as a parable within the frame story, presenting a poignant analogy for Shahrazads own situation. The Merchant and the Demon is a short tale but one filled with themes such as power, guilt, justice, and moral responsibility. Through the cl ever analogy withRead MoreFear in the Characters of The Crucible by Arthur Miller Essay1222 Words   |  5 PagesInside us all there is a deep dark fear this is what grabs us by the thresh hold of life. It controls the most important aspects of our lives. This is found within the deepest and darkest chasms of our souls. The very creature that wreaks havoc in our minds we cage and never confront we lock this beast away to afraid to overcome it. If the beast is not confronted it begins to contort and change who we are as a person and how we interact with others. Even the very decisions we make as a person toRead MoreWho Is The Leader Of The Propaganda?1567 Words   |  7 Pagesto be a â€Å"pure Japanese hero†, who faces against â€Å"foreign demons† , which can easily represent foreign nations. His appearance is that of a human, looking completely normal and managing to live amongst the world, only his birth is unnatural. Yet, even his unnatural birth can be seen as d ivine, a holy power that makes him untainted by human nature. He is a holy being that is born to combat darker forces, which happen to be demons. These demons, although they appear human have one physical distinctionRead MoreThe Mind Argument And The Evil Demon Argument1218 Words   |  5 Pagessenses often deceive him and concludes that it is â€Å"prudent never to trust completely those who have deceived us even once†. Descartes shows that we can doubt our own beliefs from perhaps his most famous arguments; the dreaming argument and the evil demon argument. So the question follows, what exactly are these arguments? The dreaming argument follows the idea that all waking life might in fact just be a dream. Descartes discusses how his senses sometimes deceive him into thinking he is awake andRead MoreChristian Supernatural Of The United States1410 Words   |  6 Pagesrequired a ritual type of healing to remove the demons or spirits taking control of that its host. Exorcism was used as this type of healing that occurred all around the world, including the United States. Christianity believed that there were demons that harassed, tormented and possessed humans which came from the New Testament. We learned that Satan was in charge of these acts in which being possessed gave new skills and strength because of the demon inside of them. From the New Testament, JesusRead MoreLiterary Analysis Of The Black Cat803 Words   |  4 Pagesdemonic thoughts and his murderous crimes. Poe did kill his wife intentionally, and there is evidence that h is wicked demons of hatred made him do it, and because of that†¦ Poe has no remorse for murdering the woman that he married. Poe states that he is diseased with alcohol that resulted in the individuals around him experiencing the effects of his ill temper. (Poe 719) The fury of demons from his terrible alcoholic habit possesses him, and the original soul of his body is known no more. (719) DuringRead MoreThe Mathematical Theory Of Communication In Thomas Pynchons The Crying Of Lot 491219 Words   |  5 Pagesâ€Å"entropy† to manifest the innate chaos and disorder in both a closed thermodynamic system and in the life of the protagonist: Oedipa Maas. In the novel, Oedipa Maas explores entropy with respect to the thermodynamic sorting of molecules in Maxwell’s Demon, and the communication information regarding the â€Å"Tristero†. According to Warren Weaver’s, Recent Contributions to The Mathematical Theory of Communication, there are technical, semantic, and effectiveness problems that may distort the accuracy ofRead MoreThe Spiritual Influence Of Angelology And Demonology782 Words   |  4 Pageshealthy understanding of how the various mythologies of different cultures and societies through these many thousands of years have effected our interpretation of both angels and demons. All of the various readings throughout this course have b uilt layer upon layer as to the diverse ideas concerning angels and demons. My personal presuppositions clearly have been influenced while opening my eyes to long held misconceptions as well as solidifying other concepts of interpretation I have long heldRead MoreShort Essay On The Tale Of Dahlia1116 Words   |  5 Pagessee the demon looking at her expectantly before announcing itd completed the task shed requested. Dahlia only nodded and picked up the book, scribbling in the translations as it provided them. Shed have preferred the spell in its original language, as she couldnt help feeling like some of its power was lost, but she didnt have the time to learn the intricacies of proper reading and pronunciation of a new foreign language right now. She did make a mental note, however, to have the demon teach her

Wednesday, May 6, 2020

Embracing Diversity Free Essays

Embracing diversity By:College:Course:Professor:Date:Anthropology is the scientific study of humans as social organisms and how they interact with each other in a social gathering or community set up. It entails the study of human ancient, current and cultural changes, physical stature, language characteristics and archaeology. An anthropologist interest lies in comprehending human diversity and way of life in an explicit manner. We will write a custom essay sample on Embracing Diversity or any similar topic only for you Order Now The four main branches of anthropology which include biological, cultural, archaeology and linguistic clearly elaborate what it entails to be human (Lavenda-2013). Biological anthropology talks of how the evolution of humans is genetically influenced and not enhanced by the surroundings. Cultural anthropology is centered on the study of structural system of individuals sharing a common belief or norm. Linguistic anthropology majorly revolves on the psychology of speech, composure and use in human beings. Moreover, archaeology constitutes of the systematic study of human remains through excavation, dating the human remains to know the period of existence and analysis. Anthropology is all about the acquaintance of the unfamiliar with proven facts and provides knowledge that deciphers facts from rumors.Cultural anthropology is a very enticing part of anthropology because it does not only enable one to acknowledge cultural diversity but also develop globally conscious individuals. As mentioned earlier, this part of anthropology explicitly looks human cultures, belief, daily activities, values, ideas, means of livelihood and parts of social and cognitive organization (Lavenda-2010). There are two means by which an anthropologist can study culture due to its abstract nature; empiricist approach, whereby he mainly relies on observation of the human behavior in a particular community set-up and subjective approach in which the researcher understands the structure of ideas and meanings that exist in a member a certain culture. The primitive perception that I personally had about humanity has been scraped off as a result of the in-depth study of cultural anthropology. Individuals and communities were initially characterized by their social, economical and political factors within their localities. Evolutionism has showed a conceptual comprise due to the easy interaction of individuals as a result of the modern evolution of technology that has made every corner of the world accessible to any person. The level of interactions between individuals from a similar ecology niche has almost become non-existence due to the replacement with television programs, movies and soci al electronic devices. Despite this, the social interaction circle has grown larger as a result of technology which enables an individual interact with more people different from parts of the world over a short period of time. This study has personally helped me get over the notion that Muslims are associated with terrorism. I initially felt fear when I was in an environment filled with Muslims; well, not Muslims alone but any individual wearing a veil. This mostly applied to Muslim women that wear the veils covering up their faces, leaving out the eyes. I can attribute this fear from to the society I grew in; I was used to my Christian community before I came to campus. The laws and beliefs we had were so strict that we feared other dominions, this seclusion was driven into us by the clergy; to make us believe that people that had different beliefs and practices were potential risks and could harm us at any time. The primitive notion that was instilled in me always had a bearing to this question; if they are good people, why do they find it relevant to cover their faces that much? The definite answer was that they had something to hide; not only secrets but sinister motives. Religious profiling and the threats that came to our country and get aired on national television also cultivated the fear in me. It would have never reached this point if my parents would not have been reacting to the issue with so much disgust as they used to do. My elementary and high school environments were more or less the same because all my schooling up to university level were based in the same strictly Christian district. There were some primitive practices we used to do that I now see them to have been very hurting if not shameful to the face of evolution and humanity at large; there was no shaking of hands or exchanging pleasantries with non-Christians, no accepting gifts from them and worst still, avoid all conversations. I can’t imagine that I would literally snob them! I must admit that I had a tough time adjusting to the campus environment. I was always tensed in my first semesters when a non Christian would sit next t me. I remember a particular case when I came to a lecture late and found all seats occupied except one; next to Sikh, I literally missed that 2 hour lecture and had to struggle with my continuous assessment test. It is during that course that I made a turning point and my point was later boosted when I got to learn about anthropology. The struggle I had in my first continuous assessment test was the same one I had in the second. Ironically, the Sikh boy who I was evading was the same one that noticed my problem and came to help. At first I was adamant but with lack of options I thought; why not give it a try. I must admit that that is the sweetest memory I hold dear and use it to enlighten my rural folk later on. With that act of compassion I learnt that religion does or dress code does not define someone’s character. Study of anthropology has helped know the value that I hold about my culture and the justifications I give to the are the same ones that any other person would give in support to their religion and culture. It also taught me that judging or profiling others because f ethnicity and background is a heinous notion; if everyone was to discriminate then the world would be an unbearable place to stay. All we could be witnessing are endless fights and ultimate wars. Cultural anthropology thus, aims at enabling the native of a particular culture objectively and rationally understands their own culture to deduce what makes them stand out from the other cultural groups hence upholding the aspect of self acceptance. Besides, it enables one apply the knowledge gained from familiarizing with different cultures to alleviate human challenges and misconceptions rather than causing ethnic conflicts. The collective study of different cultures enables scholars to identify the similarities and unique aspect of various cultures, hence embracing diversity.References:Robert H LavendaCore concept in cultural anthropologyRobert H LavendaAnthropology: What does it mean to be human? How to cite Embracing Diversity, Papers

Sunday, May 3, 2020

Total Quality Management and Continuous Improvement †Free Samples

Question: Discuss about the Total Quality Management and Continuous Improvement. Answer: Introduction Total quality management is the tool to improve the existing quality of the business by using the new methods and mean to deliver the high quality services and products to clients. In this report, OCBC Bank Singapore has been taken into consideration. It is over sea Chinese Banking Corporation, listed in Singapore which is consistently endeavouring towards providing banking and financial services to clients. The OCBC Bank has been following several total quality management principles to increase its overall outcomes and effectiveness of services. A focus of customers- This TQM principle focuses on increasing the clients satisfaction by offering best quality banking and financial services to clients. The process team of OCBC Bank needs to focuses on identifying the key issues for improving the loan clearance process. The first action plan would be to implement proper cyber computing system which could ease the documentation process and get the learn clearance process within just half an hour. Another action plan would be to arrange proper support chat staff. They will help clients to understand the concern of the business (Valmohammadi, Roshanzamir, 2015). Top management support and direction- This TQM principle focuses on increasing the overall involvement of the management in the work process system of bank (Madanat, Khasawneh, 2017). It is considered that the first action plan would be to conduct the meeting on weakly basis. It is analysed that management team need to analysis all the internal and external factors of business and with the proper meeting program. Top management needs to take into account all the busienss decisions by undertaking the resolution and meeting agenda program. In addition to this, Top management could also direct their employees through the daily agenda program. It could be communicated to all the employees through the intranet program. These both action plans would help OCBC bank to increase the quality of its work program. Employee involvement- The employee involvement focuses on the participation of employees in the business decisions. Employees have the core knowledge of the busienss program. This principle could be implemented in the value process of OCBC by following two action plans. First is related to allowing employees to attend the general meeting of company. It will allow them to put their matters in front of the manager. The second action plan is related to establishment of the grievance portal which will increase the overall outcomes of the business. It will allow organization to mitigate the employees issues and improve the existing performance (Dubey, Gunasekaran, (2015). Reliance on standards and measures- It is the process to make the organizational culture more clients oriented. However, this principle of TQM could be installed in the business of OCBC bank by using the below give action plan (Syduzzaman, et al. 2016). OCBC needs to collect the data from clients in market through the primary sources such as observation, interview and direct contact. After that, all the standards and measures would be customized as per the clients need and demand. The management of OCBC could also ease the process system to put Reliance on standards and measures for clients. It will make easy for the clients to raise funds, deposing money in the bank account of company (Lee, 2017). Managing supplier quality The main objective of TQM is to increasing the quality of the business functions of organization. In first action plan of OCBC, it could hire experts staff in its all front desk who could politely handle the employees and their grievances. These experts staffs should have effective communication intents. Another action plan of OCBC would be to develop online Application system which could be used by clients as their pocket bank. It will allow them to directly manage their accounts on the basis of their own instructions and orders. It will increase the learning and also ease the banking process for clients in market (Gordon Thornton, 2014). Conclusion After assessing all the information on the Total quality management, it could be inferred that each and every company should follow the principles of TQM to increase the existing quality of the services offered to clients. Ideally, quality of the services of organization is highly based on the performance of employees. Therefore, all the employees should be adhered by the principles of TQM. The OCBC Bank could integrate these TQM principles to deliver the better banking services to clients. References Dubey, R., Gunasekaran, A. (2015). Exploring soft TQM dimensions and their impact on firm performance: some exploratory empirical results.International Journal of Production Research,53(2), 371-382. Gordon, T., Thornton, G. (2014). Total Quality Management/Continuous Improvement.BPICS CONTROL,20, 27-27. Lee, C. Y. (2017). An exploratory study of tqm in Vietnam: A case of small manufacturers.ZENITH International Journal of Business Economics Management Research,7(5), 1-16. Madanat, H. G., Khasawneh, A. S. (2017). Impact of Total Quality Management Implementation on Effectiveness of Human Resource Management in the Jordanian Banking Sector from Employees' Perspective.Academy of Strategic Management Journal. Syduzzaman, M., Islam, M. M., Habib, M. A., Yeasmin, D. (2016). Effects of Implementing TQM Principles in the Apparel Manufacturing Industry: Case Study on a Bangladeshi Clothing Factory.Science and Technology,6(3), 68-75. Valmohammadi, C., Roshanzamir, S. (2015). The guidelines of improvement: Relations among organizational culture, TQM and performance.International Journal of Production Economics,164, 167-178.

Thursday, March 26, 2020

Importance of Sports Essay Essay Example

Importance of Sports Essay Essay Sports such as football or baseball involve tonss of physical activities. Sports and exercisings help in beef uping and chanting the musculuss and castanetss in the organic structure. In short. the importance of athleticss for childs is that it keeps them in an first-class form. When kids or grownups plays squad athleticss. be it cricket or hockey. they learn to work in groups. They learn that if the squad wins. they win and if the squad loses. they lose. This manner they learn how to work in groups. Therefore. the importance of athleticss for childs is that they understand what is team spirit and therefore. when they grow and really get down working. it will assist them vastly in constructing relationships with their colleagues. and besides to work in harmoniousness with others. Sports makes people mentally strong. Success and failure are both parts of athleticss every bit good as life. A sportsman knows that there will be times when he will win lucifers. there will besides be times when he will lose them. A sportsperson knows how to manage licking and therefore. dainties success and failure every bit. We will write a custom essay sample on Importance of Sports Essay specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Importance of Sports Essay specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Importance of Sports Essay specifically for you FOR ONLY $16.38 $13.9/page Hire Writer This is an of import life lesson excessively. which athleticss can learn a individual. Besides this. another importance of athleticss for kids or for grownups is that it teaches them how to manage competition. and be unafraid when confronting the antagonists. Children and striplings ooze with physical energy. When they are involved in athleticss. their physical energies are used up in a constructive manner. Teenage is such an waxy age. if striplings are given free clip they might acquire involved in incorrect activities or may fall in bad company or may besides expose anti-social behaviour. Therefore. the importance of athleticss in society is that it keeps striplings from going anti-social elements. who might otherwise upset the delicate cloth of society. Here’s trusting that now you know what is the importance of athleticss. Besides being of import for childs. taking up a athleticss calling in big life. has its ain benefits. A sportsperson frequently travels to other states to play lucifers and in the procedure. learns a great trade about the civilizations of these states. Even the witnesss or Television viewing audiences are exhaustively entertained while watching professional athleticss. doing it an first-class recreational activity.

Wednesday, February 19, 2020

Individual Determinants of Health A 600-word individual writing piece Essay

Individual Determinants of Health A 600-word individual writing piece - Essay Example This stressed behaviour would also prove to be a challenge because it might prompt him to be reckless in his behaviour – wanting to find a shorter and faster way to recover from his injuries so that he can get back to work and take care of his family. Reckless behaviour may include attempting to speed up the rehabilitative process and gaining independence in the conduct of his daily activities – even if he cannot function independently as yet. This would put him at risk for further injuries like falls. I also believe that Tom’s depression would prove to be a great challenge for me as a human services professional. The rehabilitative and recovery process requires a strong will and determination in most patients. Although Tom is obviously worried about his family, he also displays depressed and sad behaviour. His situation and the fact that he is unable to support his family is a source of depression for him. He feels incapacitated by his condition and these conditions will further slow his recovery. His depression would make him feel like he is useless to his family and would drain him of energy and fighting spirit. His lack of social interaction with his friends due to his limited mobility would certainly not give him strength and motivation to help himself recover from his injury. I would prevent Tom’s stressed behaviour from impacting on me working effectively with him by meeting with his family and to let them know about Tom’s worries. I would also coordinate with his work employers and seek some reassurances from them about Tom’s work and how his family can be assisted while Tom is not working. By taking away his worries about his family, he would be able to free his mind and just concentrate on the rehabilitative and recovery process. It would make him less anxious and less stressed about his life and consequently would allow his full concentration and cooperation