Practicum Reflection Practicum Reflection Megan Shrum Concordia University, Nebraska 800 N. Columbia Dr. Nolan Harms Practicum Reflection Abstract As a graduate teacher assistant, I practiced the skills required to be an effective health educator, as I developed lessons and plans for my health education courses in order to educate my students about important health issues in the world today. Assessment was utilized when gathering information about each student's health and then designing a plan to address these health concerns and/or behaviors. Apart from teaching health education courses, I was responsible for leading and conducting a health centered student organization on campus, while also meeting with prospective students. Practicum Reflection Introduction Concordia University, Nebraska was founded in 1894 by the LCMS and is a private educational institution of higher learning located in Seward, Nebraska (Concordia University, 2014). Concordia is a Christ-centered academic community whose mission is to prepare students for lives of learning, service and leadership in both the church and world. Their vision is, “By 2015 Concordia University, Nebraska will grow and expand its influence to diverse populations by fostering collaboration and adapting to our changing environment while remaining faithful to our mission of excellent Christian education” (Concordia University, pg.1, 2014). Concordia is a non-profit organization that is funded by the Lutheran Church-Missouri Synod as well as donors. My role at Concordia was to be a graduate teacher assistant which consisted of teaching health education courses such as, lifetime wellness, drug education, and first aid/cpr. Each was an entry level course consisting of around 20-27 students. I also was responsible for leading and conducting the Phi Epsilon Kappa honorary on campus. Some minor responsibilities I took on included, meeting with prospective students, and doing student interviews. Although Concordia is not specifically a public health related organization, their mission and vision can definitely contribute to the public health mission of protecting, promoting and advancing the health and safety of our nation. While working in the health and human performance department, I had the opportunity to educate students about how to live in a way that promotes optimal health and wellness. The public health issue to be addressed centered around educating college aged students on how to obtain and/or maintain a healthy lifestyle both in the present and future. College students are known to practice unsafe and unhealthy behaviors. The CDC reports that college aged students need to be taught healthy practices related to diet, stress, physical activity, and communication. They also state that college aged students are at greater risk for rape, binge drinking, STDs, and suicide (CDC, 2013). Higher educational systems play a large role in addressing each of these issues and trying to prevent Practicum Reflection any negative outcomes. Without the help of educational institutions, public health would have a very hard time communicating pertinent information to school-aged children, adolescents, and young adults. The Health and Human Performance department gives college-aged students the knowledge and tools to live out a healthy lifestyle while also preparing them to promote a healthy lifestyle to others both in school and in the world. Educating students on how to succeed both personally and professionally is a top priority. Being a private school, Concordia has the opportunity to make Christ the basis for all learning. Implementing spiritual well-being into the classroom, is a rare privilege that many do not have. Educational institutions play a large role in public health as they are the core to promoting healthy behaviors and lifestyles. Educational systems teach students how to live out a healthy lifestyle while also providing them with the tools to do so. Upon graduating from Concordia, it is our hope that each student leaves with all of the necessary tools and resources needed to live out a healthy lifestyle, while keeping Christ at the front and center. Practicum Reflection Discussion My role at Concordia was to be a graduate teacher assistant. The graduate teacher assistant position required me to teach 12 credits each school year while maintaining at least a 3.0 GPA average in the Master of Public Health program. My teaching responsibilities were in the Health and Human Performance department and consisted of teaching health education courses such as, lifetime wellness, drug education, and first aid/cpr. Each was an entry level course consisting of around 20-27 students. All three classes played a significant role in helping to achieve the mission of public health. In drug education, students were given the knowledge and tools to address current drug trends in society while also practicing ways to avoid drug related incidences in the future. Students prepared a mock campaign that would help to address select drug trends in adolescent aged children. In Lifetime Wellness, we addressed each of the health related issues shared by the CDC above, that affects college aged students. In this course, plenty of hands on activities were provided in order to get each student familiar with healthy practices. One day a week, students participated in one hour of physical activity in order to encourage students to maintain some level of physical fitness. These hands on opportunities allowed students to get first-hand practice at improving their lifestyle. The CDC reported that in general, college aged students are not getting enough physical activity and are eating poor diets. Obesity is of major concern, especially in this age group, therefore, this class provided ways to encourage physical activity and proper diet. Two of the major components of Lifetime Wellness included evaluating and creating their very own nutrition and fitness program. Both of the projects address each of the issues by giving the students hands on experience and resources to have better success. Students were to create a program that they can foresee themselves using in the future. First Aid/CPR not only certified students to be trained in FA/CPR but also taught them how to respond quickly and appropriately in dangerous situations. Apart from my teaching, I was also responsible for leading and conducting the Phi Epsilon Practicum Reflection Kappa honorary on campus. This consisted of selecting and approving students into the organization who met all of the requirements as well as organizing and conducting an initiation ceremony for each new member. Some minor responsibilities I took on included, meeting with prospective students, and doing student interviews for students seeking to enter the Health and Human Performance program. My objectives were to: 1. demonstrate knowledge and understanding of the multifaceted areas of health and human performance, 2. proficient in written and verbal communication skills, including the appropriate use of technology, and 3. apply critical reading and thinking skills required to be an effective teacher within the field of health education. Each objective was obtained as I prepared and conducted health education courses. Evaluations were completed in order to determine whether or not my teachings were effective in getting across the public health message. Also, students assessed my ability to educate them in a effective, timely, and professional manner. Although, evaluations can be intimidating and hard to read as you will receive some negative feedback, they are crucial to the success of your program and growth. Without assessment it would be very difficult to make positive changes. The results from the student evaluations indicated that they were in fact learning the important health information being taught. However, assessing their The main public health domains that were addressed in this practicum were policy development, as I developed lessons and plans for my health education courses in order to educate my students about important health issues in the world today. Assessment was utilized when gathering information about each student's health and then designing a plan to address these health concerns and/or behaviors. In the Health and Human Performance department it is important to ensure that your students are not only learning but partaking in healthy behaviors. These behaviors can be learned and practiced in the classroom but should later be implemented by students as they partake in their day to day activities. For example, in Lifetime Wellness, students were taught about healthy behaviors such as Practicum Reflection proper nutrition and maintaining daily physical activity. Although I knew that the students were partaking in an hour of physical activity while attending class, it was challenging to determine whether or not they were honestly partaking in healthy diet behaviors and physical activity outside of class. Further, each student completed a nutrition project recording their daily food intake and later analyzing the results. Knowing whether or not they were recording their diets accurately and honestly was very difficult. The most I could do was to encourage them to be honest in their projects but there was no way of ensuring it. The same issue applied for when students were required to record their physical activity. I knew they were getting in that one hour during class, but I did not know if what they recorded with their Apps and fitness logs were accurate. One of the greatest challenges in teaching behavior change, is to motivate the listener to take what they've learned and apply it in their lives consistently. For example, I would have specific students state that they were uninterested in changing their current, unhealthy diet, as they just didn't care about the consequences in this stage of their life. College-aged students generally do not see the consequences of making unwise health decisions until much later in life. Without seeing or experiencing the negative consequences of these actions, it can be hard to recognize why change must happen or to be motivated to make changes. My goal and challenge was to motivate students to make healthy changes right now, despite not seeing the negative health consequences of behaving unhealthily. Having open, student-centered discussions allowed students to not only think critically but to hear from peers who are in a similar situation. These discussions, I believe, were the most effective in encouraging students to make healthy lifestyle changes. However, I would still have students who just didn't care or want to make any changes. These are the students whom I wish I had more time to work individually with. In this practicum experience I was concerned that my age would be a problem. Being so close in age to my students presented different challenges. I had to make sure to have very professional relationships with my students. Being a young, graduate assistant, I figured that it would be challenging Practicum Reflection to gain the respect of my students. I found that providing a very professional, organized and well planned out class, is vital to maintaining a respectful environment. Also, treating each student fairly and respectfully helps to ensure that they too will treat you respectfully. Age did not seem to be a problem throughout the entire experience, which surprised me. I actually found that students seemed to be more attentive to what I was teaching as they could highly relate to my recent experiences. Lastly, another very challenging experience in this practicum was incorporating the interests of each student, specifically in Lifetime Wellness. Every Wednesday we would do some type of physical activity and with 27 students in my class, it was challenging or near impossible to plan activities that every student enjoyed. Some students wanted to do very structured exercises, while others wanted to play more sports related activities. There were many opinions in what activities we would be participating in. In order to address this challenge, I took inventory on the very first day of class of what activities were most highly preferred. I had students list the top five activities they wanted to do in this class and then later made sure to do those activities in class. I also made sure that there was a lot of variety in the activities so that I could reach the interests of each student throughout the course. I found that the reasoning behind not wanting to do certain activities was because students did not feel they were talented or good at that type of activity. In these situations it was really important for me to ensure that I provided a safe and inviting environment that allowed students to feel comfortable participating. Generally, once the student participated in the activity they learned that it wasn't so bad and that they actually enjoyed it. My goal was to make them enjoy physical activity in order to encourage them to be more active outside of school. Considering obesity rates are so high, it is crucial that my health classes not only get in their physical activity but enjoy doing so in order to encourage them to partake in these behaviors outside of class. Practicum Reflection Personal Assessment Public health practice deals with a vast array of populations who have many different experiences, set of skills, knowledge, attitudes, and behaviors. When working with these populations, especially in public health, it's very important to recognize these differences and adjust your work accordingly. Being culturally competent and recognizing the social norms is crucial in working with a diverse population. Through my teaching experiences I have realized how important this truly is. Without respecting the social and cultural norms of my class, I will be unsuccessful in effectively communicating important information as well as encouraging behavior change. In order to gain and maintain the respect of my students, I have to recognize these norms and adjust my teachings and behaviors accordingly. This ensures more effective teaching and encourages students to participate in class discussions. In both public health and higher level learning, it is crucial that you do not neglect to recognize the social as well as cultural-norms of the target population. If you do ignore these norms, you are setting yourself up for failure, or ineffective implementation. For example, in my lifetime wellness class we discussed different health disparities found among certain races. When addressing these issues in my classroom, it was important for me to be sensitive to the different racial groups in my classroom. I had students from a Latino or African-American background, each who explained that celebrating with food particularly for large family gatherings were very common. Both of these ethnicity's suffer from greater health disparities largely related to socioeconomic status and access to healthcare as well as lifestyle behaviors related to diet and physical activity. Instead of targeting these two populations, we looked at each race and took note of specific challenges each face while also discussing what cultural behaviors may contribute to these disparities. We then would have open discussions describing ways to overcome these challenges. I felt that by recognizing each groups challenges we were not singling anybody out or making a certain group feel looked down upon. Hopefully this encouraged a safer, more inviting classroom environment. Practicum Reflection The public health competencies that were applied during this practicum include communication and informatics, diversity and culture, leadership, professionalism, program planning, systems thinking, and public health biology. Communication and informatics were practiced when sharing lectures in class related to health, and performing student interviews. Diversity and culture was utilized when dealing with a diverse classroom, practicing cultural sensitivity, and when speaking about the different health related behaviors and disparities and their correlation with different ethnicity's and races. Also, leadership and professionalism were utilized when leading and conducting health education classes as well as leading and organizing the PEK organization. In my lifetime wellness class I taught about the leading causes of death in America for all populations and later, as a class, we examined what was the cause for each of these disparities, ultimately practicing public health biology. Public health biology was also practiced in my drug education course as we examined the different side effects that drugs had on the body. Program planning, and systems thinking were also utilized when planning and prepping for each health education course. Conclusions and Recommendations Upon completing my two years of graduate teacher assistant responsibilities I have developed a desire to continue teaching. My hope is to someday further my education by achieving a doctorate in education. By furthering my education and experiences in public health, I hope to someday continue teaching at a higher level educational system. Prior to teaching at a university, I hope to further my knowledge and experiences in public health. In order to be an effective educator at the higher level, I personally feel it is necessary for me to gain further experience in the field of public health. Being able to share these first-hand experiences with my students will enhance the learning experiences and hopefully make me a more effective health educator. I have also learned through this experience that college students at Concordia are lacking Practicum Reflection knowledge in health overall, particularly in behaviors related to diet and nutrition. Whenever I would get to my nutrition unit, I was amazed by how little the majority of my class knew. Extra time was needing to be spent on nutrition and diet. I feel this is due to poor health education at the high school level. Many high school's are providing the bare minimum amount of health education for their students and therefore students are lacking knowledge in this area. If schools do not provide adequate education in health, then students are going to be more prone to making unhealthy decisions, greatly impacting public health. Not only are students lacking health education but they are also lacking access to healthy options. In particular, they are lacking healthy school food options at the collegiate level. We have seen revisions made at the lower level education systems but not necessarily at the higher level. College-aged students have a limited budget and generally are limited to eating the foods that are in the cafeteria. During college you develop eating habits that will stick with you after school ends. Not only does there need to be further education in the area of health but also college students should be provided with better and easier access to healthy food options. By providing these things at the higher education systems we can improve the health of the nation as the college students age and later share these healthy practices with future generations. Practicum Reflection References Concordia University. (2014). About Concordia. Retrieved from http://www.cune.edu/about/. CDC. (2013). College Health and Safety in a Nutshell. Retrieved from http://www.cdc.gov/features/collegehealth/. Practicum Reflection Appendices HHP 182 –First Aid and CPR Instructor: Megan Shrum Phone: (402) 643-7323 Office: WALZ #106F E-mail: megan.shrum@cune.edu Office Hours: M,W,F (Schedule appointments in advance) Text: American Red Cross (Revised Printing 2012). Responding to Emergencies: Comprehensive First Aid/CPR/AED. Stay Well: Boston, MA. Course Description: A course designed to provide understanding and knowledge of safety, prevention of injuries, and first aid procedures as described in the American Red Cross Manual. Course Objectives: At the completion of this course, the student will be able to: 1. Explain how EMS system works and the citizen’s role in the EMS system. 2. Identify the signals of cardiac arrest and demonstrate how to provide CPR until advanced emergency medical care arrives. 3. Identify the signals of medical emergencies, including poisoning, heat and cold emergencies, and describe both general and specific care for medical emergencies. 4. Describe when and how to move a victim in an emergency situation. 5. Identify the signals of various soft tissues and muscle/skeletal injuries and demonstrate proper care. 6. Identify the signals of shock and describe how to minimize the effects of shock. 7. Identify life-threatening bleeding and demonstrate how to control it. 8. Identify the major risk factors for cardiovascular disease and describe how to control them. 9. Explain what happens to the body when one or more body systems fail to function properly. 10. Recognize the symptoms and first aid for a heart attack. 11. Identify and care for choking and other breathing emergencies. Class Expectations and Activities: 1. Students are expected to attend all classes and participate in all activities. 2. Students are responsible for keeping up with assigned readings and participating in class discussions. 3. Students are expected to demonstrate CPR and First Aid skills. 4. Students are expected to complete quizzes and written tests on CPR and First Aid knowledge. Attendance Policy: Students are expected to attend all classes. No more than two (2) unexcused absences and a total of five (5) are allowed. If a student exceeds these, his/her grade will be lowered 3 percentage points for every absence thereafter. Excessive tardiness will also affect grade. Grading scale A A- 93-100 90-92 Course Evaluation: Quizzes (3) B+ B B- 87-89 83-86 80-82 C+ C C- 77-79 73-76 70-72 75 points D+ D DF 67-69 63-66 60-62 <60 Practicum Reflection Written Tests (2) Skill Tests (2) Group Presentations Total Points Possible 204 points 200 points 100 points 579 points Miscellaneous Items: Quizzes and tests may NOT be made up due to absences or tardiness unless arrangements have been made prior to that class period. Late work may not be accepted. Course Workload In the face-to-face, online, and hybrid classrooms at Concordia University, Nebraska, credit hours are amassed in a course through student-to-instructor interaction, student-to-student interaction, Blackboard activities, contact with course-specific content, assignments, assigned videos, and other activities. No matter the length of the course meeting time in weeks or the amount of face-to-face instruction in the course, students can expect to devote at least 135 hours for each 3-credit course. Course Participation Federal Financial Aid regulations, which Concordia observes for all students, require that students regularly participate in courses in which they are enrolled. All students must log into the course management system (Blackboard) or participate in a face-to-face session weekly in order to avoid being tagged as a non-participant. Students must use the Concordia Blackboard and e-mail messaging systems to contact instructors and advisors. Students who are unable to participate regularly in their course for any reason should contact their instructor and their advisor. Students who intend to withdraw from a course or a program should notify their instructor and advisor. Academic Integrity At Concordia University Nebraska, we are guided in all of our work by the values of academic integrity: honesty, trust, fairness, responsibility, and respect. As a student, you are required to demonstrate these values in all of the work you do. Participating in a behavior that violates academic integrity (e.g., plagiarism, unauthorized collaboration, multiple submissions, cheating on examinations, or fabricating information) will result in your being sanctioned. Violations may subject you to disciplinary action including the following: receiving a failing grade on an assignment or examination, receiving a failing grade for the course, and/or being suspended from the university. ADA Students with a documented disability, who need reasonable accommodations, should contact ADA & Academic Support located in Link Library to arrange an appointment to discuss their individual needs. Students are also encouraged to notify their instructors immediately about any disability-related academic needs they may have. To contact the ADA and Academic Guidance Coordinator, Angel Hoppe, please call 402.643.7377 or 800.535.5494 ext. 7377 or email Angel.Hoppe@cune.edu. Emergency Information In inclement weather, check your e-mail, Blackboard, and the Concordia website (www.cune.edu) for information. Your instructor may utilize Blackboard to make-up course time, so please check Blackboard if a class is cancelled. In the event of an emergency while you are in a face-to-face class, Practicum Reflection follow the instructions of your instructor, ensure you are in a safe location, and, after you are in a safe location, check in with your instructor before leaving so that he or she can account for all students. Also, if you have not already done so, please update emergency contact information in “Banner SelfService” on the connectCUNE portal (http://connectCUNE.cune.edu). HHP 182: CPR and First Aid Tentative Schedule August 26 Class Orientation August 28 If Not You…Who? Chapter 1 September 2 Responding, Before Giving Care Chapter 2, 3 September 4 The Human Body Chapter 4 September 9 Quiz, Checking an Unconscious Person Chapter 5 September 11 Checking a Conscious Person September 16 Cardiac Emergencies Chapter 6 September 18 Cardiac Emergencies Chapter 6 September 23 AED – Skill Practice September 25 Quiz, Breathing Emergencies Chapter 7 -Conscious Choking September 30 Breathing Emergencies cont’d -Unconscious Choking October 2 Bleeding and Shock October 7 Putting It Together, Review for Test October 9 Red Cross Written Test October 14 Review Skills, Discuss Group Presentations October 16 Skill Testing October 21 Skill Testing Chapter 8, 9 Practicum Reflection October 23 Soft Tissue Injuries Chapter 10 October 28 Musculoskeletal Injuries Chapter 11 October 30 Injuries to Extremities and Splinting Chapter 12 November 4 Injuries to Head, Neck, Spine… Chapter 13, 14 November 6 Quiz, Work on Group Presentations November 11 Group Presentations Chapter 15, 16 Paperwork for Red Cross November 13 Group Presentations Chapter 17, 18 November 18 Group Presentations Chapter 19, 20 November 20 Group Presentations Chapter 21, 23 November 25 Thanksgiving Break November 27 Thanksgiving Break December 2 Review for Test December 4 Red Cross Written Test December 9 Corrections Due -Make up day if needed December 11 Pick-up Certification Cards December 16 Finals Week- No Class HHP 182 PRESENTATION EVALUATION Practicum Reflection Name of Presenters/Group: _______________________________________ Oral Components (50 points) ______ Presentation is paced well (10 points) ______ Presentation is clear (10 points) ______ Presentation stimulates interest (10 points) ______ Provided some type of visual aid during presentation (10 points) ______ Evidence of collaboration (10 points) ______ Total for Oral Content Components (50 points) ______ Showed understanding and adequate detail of material (10 points) ______ Lesson was presented in organized fashion (10 points) ______ Presentation was correct length (15-20 minutes) (10 points) ______ Provided handout to class and references to instructor (10 points) ______ Content was appropriate and demonstration was provided (10 points) ______ Total for Content ______ Total Points *Comments on back* Practicum Reflection Addiction Substance Abuse and Dependence Substance abuse: Use of illicit drugs or the abuse of prescription or OTC drugs for purposes other than what they are indicated for. Leads to recurrent adverse consequences or impairment, when a drug is used improperly. Not the same as addiction. Substance dependence: compulsive need to use drugs in order to function “normally”. is true addiction, the essential feature of which is continued use despite significant substance-related problems known to user. Practicum Reflection Defining Addiction Addiction: a chronic adherence to drugs. Compulsive drug use despite negative consequences Addiction It is often used interchangeably with dependence, either physiological or psychological in nature; other times, it is used synonymously with the term drug abuse. Drug addiction cost the US $90-$185 billion annually. Costs that include criminal justice, health insurance. Addiction: Drug Dependence Practicum Reflection Physical dependence refers to the body’s need to constantly have the drug or drugs. Psychological dependence refers to the mental inability to stop using the drug or drugs . Addiction Features… Tolerance: The need to continually increase the amount of the drug taken or experience diminished effects of the drug Practicum Reflection Withdrawal: Persistent need to avoid withdrawal symptoms Compulsive Behavior: An increasing amount of time spent on obtaining, using, and recovering from the effects of the drug Adaptive Processes Tolerance Reverse tolerance (sensitization): Enhanced response to a given drug dose Cross-tolerance: Development of tolerance to one drug causes tolerance to Practicum Reflection related drugs Addiction and Abuse Factors affecting variability in dependence/addiction: Hereditary factors: responsible for 40–60% vulnerability (inherited traits can predispose like psychiatric disorders, studies have shown that children of alcoholics or drug abusers are more likely to become adicts themselves even if they were adopted and grew up with a non-addict family. Receptors in the brain for dopamine may be altered and increase vulnerability to drug abuse. Reward centers of the brain may be genetically determined to be especially sensitive to addictive drugs, character traits.) Reward centers in some people are more sensitive to drugs, resulting in more pleasure and greater rewarding experiences from the use of drugs Positive versus negative effects of drug (did you have a positive or negative first experience?) Peer pressure Home, school, and work Practicum Reflection environment Mental state (psychiatric disorders, 70% of people with schizophrenia abused drugs, people with mental disorders are much more likely to abuse than those without) Career Pattern of Addiction Initiation Escalation: increasing use Maintenance: belief that the drug fits in well with day-to-day goals and activities Dysfunction: Practicum Reflection problems with use interfering with day-to-day goals Recovery: getting out of drug use/abuse Ex-addict: successfully quitting Major Risk Factors for Addiction Alcohol and/or other drugs used alone Alcohol and/or other drugs used in order to help stress and/or anxiety Availability of drugs Practicum Reflection Dysfunctional family Misperception of peer norms regarding the extent of alcohol and/or drug use (belief that many other people are using drugs) Alienation factors: like isolation and emptiness Major Models of Addiction Moral Model: Poor morals and lifestyle; a choice Disease Model: A belief that addiction is both chronic and progressive, and that the drug user does not have control over the use Practicum Reflection and abuse of the drug Character or Personality Predisposition Model: Personality disorder, problems with the personality of the addicted (needs, motives, and attitudes within the individual) Psychological Explanations Psychological factors of addiction include: Escape from reality Boredom Inability to cope with anxiety Destructive self-indulgence Practicum Reflection (constantly desiring intoxicants) Blind compliance with drug-abusing peers Self-destructiveness Blindly using drugs without wanting to understand the harmful effects of drug use Disease or Choice?? Should addiction be considered: A bad habit? A failure of healthy choices? A failure of morality? Practicum Reflection A symptom of other problems? A chronic disease? http://abcnews.go.com/US/story?id =90688&page=1 Practicum Reflection Recognizing Emergencies Primary role Recognizing that an emergency exists. (BGC 5, 11) Unusual….. o Sights o Sounds o Noises o Odors o Behaviors Deciding to act Call 911 Give care until help arrives Practicum Reflection Overcoming Barriers to Action Reasons for not helping (barriers) Presence of bystanders Uncertainty about the victim Nature of injury/illness Fear of disease transmission Fear of doing something wrong Good Samaritan Laws (BGC 1) Protects lay responders who respond in a reasonable, prudent manner in a situation Use common sense and reasonable skill levels Practicum Reflection not to exceed scope on individual’s training Practicum Reflection Help Can’t Wait Deciding to act is not easy The decision is yours Calling 911 is the most important action you can take Bystanders can help by providing information about the accident Practicum Reflection Emergency Action Steps (BGC 3, 13) Check 1. Scene for safety, Why? So you do not become a victim yourself (BGC 12) 2. Victim: for consciousness (BGC 15) Call 911 Care Care for the conditions you find until EMS arrives Practicum Reflection When to Call When others are around Send someone as soon as you determine there is a need to. When you are alone Call First (likely cardiac emergencies) o Unconscious adult (older than 12) o Anyone known to be at risk for heart problems o Any life threatening injury Care First (likely breathing emergencies) o Unconscious victim younger than 12 years old Practicum Reflection Types of Consent Actual (BGC 18) Tell the victim: Your name Level of training The care you would give If they refuse care (BGC 2) Call 911 Implied Parental Practicum Reflection Preventing Disease Transmission Standard precautions (BGC 6, 17) o Gloves o Masks o Protective eyewear o Breathing barriers All body fluids should be considered infected Personal hygiene (frequent hand washing) Practicum Reflection Emergency Action Steps (BGC 3, 13) Check 3. Scene for safety, Why? So you do not become a victim yourself (BGC 12) 4. Victim: for consciousness (BGC 15) Call 911 Care Care for the conditions you find until EMS arrives Practicum Reflection Life-Threatening Conditions Unconsciousness Breathing Issues: Not breathing, fast, slow, shallow, or noisy (BGC 4) Persistent chest pain Severe bleeding Shock: pale, cool, moist skin (BGC 10) o Have victim lie down o Keep from getting chilled/overheated o Monitor condition o No food or water No signs of life Not breathing Practicum Reflection Not moving Practicum Reflection Checking an Unconscious Adult Tap and Shout (10 seconds) (BGC 8, 14, 16) If no response, call 911 (BGC 9) Open Airway: (BGC 19) o Head-Tilt/Chin-Lift Method o Look, Listen, Feel (10 seconds) If breathing: o maintain head-tilt/chin lift o monitor breathing If not breathing: o check for bleeding then give compressions Practicum Reflection Checking a Victim-Adult Conscious Victim (BGC 7) Get consent Ask questions Check victim in position found o Do not move painful, injured areas o Observe before touching them o Check from head to toe Unconscious Victim Life threatening conditions o Unconsciousness o Not breathing/trouble breathing o Severe bleeding If Alone Call 911 as soon as you determine they are unconscious Practicum Reflection TIME NEEDED: Practicum Reflection 1 class period NATIONAL STANDARDS: ∙ Students will comprehend concepts related to health promotion and disease prevention to enhance health. OBJECTIVES: 1. 2. Students will participate in activities that simulate the short term effects of alcohol. Students will discuss the dangers associated with the short term effects of alcohol. MATERIALS & PREPARATION: 1. Prepare signs that identify each station and the directions for completing the activity. 2. Clear desks and tables and set up stations around the room using the materials around the room. Make sure the materials are evenly spaced around the room to prevent classroom management issues. 3. Bag of marshmallows 4. 3-4 pairs of old sunglasses or reading glasses with Vaseline smeared on the lenses 5. Vaseline 6. 3-4 spools of thread 7. 3-4 sewing needles 8. 2 rulers 9. Cooler of ice 10. Roll of tape to tape a line on the floor 11. Rubber gloves 12. Bag of Hershey's Kisses 13. 30-40 tennis balls with 2 containers large enough to hold them 14. Permanent marker 15. 7 balloons blown up with the following statements written on them - 1 statement per balloon: school, family, friends, sports, extracurricular activities, work and one large balloon with ALCOHOL written on it 16. 1 gallon of water mixed with a container or two of baking soda. Cover up the label on the water with a piece of paper titled "Solution A" 17. 1 gallon of vinegar. Cover up the vinegar label with a piece of paper titled "Solution B" 18. Dollar bill taped to the floor 19. Roll of paper towels - to clean up wet hands or spills! 20. Prepare a signal for students to see/hear prior too switching stations (lights switched off and on, music stopped and started, bell dinged, whistle blown,,) NOTE TO THE TEACHER: This lesson takes extensive preparation, but is an excellent, student-centered way to teach important cognitive information related to alcohol use. It is strongly suggested that the teacher practice the activities at each station. This will make it easier to explain the directions to the students prior to the start of the lesson. Practicum Reflection PROCEDURES: 1. As students enter the room, instruct them to go directly to their seats and tell them to not touch any of the materials in the room. 2. Quickly move from station to station, reviewing the directions and performing a quick demonstration of what is supposed to happen at each station. Check for understanding at each station. Make sure it is clear to students which direction they are supposed to rotate around the room. Make sure students know they are not allowed to rotate until they hear/see the signal from the teacher (lights switched off and on, music stopped and started, bell dinged, whistle blown,,) 3. Distribute a blank worksheet to each student and explain to the class that at each station, students should record what happened at the station, how they think it relates to the short term effects of alcohol and how it might be dangerous to a person when drinking. 4. Break the class up into groups of 2-4 and send each group to a station to begin the activities. 5. After 2-3 minutes make the pre-arranged signal to switch stations. Monitor students to make sure they switch and move in the designated direction. Periodically remind students to complete the boxes on their worksheet. Monitor the class for safety issues. 6. When all students have completed each station, ell students to return to their seats. 7. Review student responses for each of the boxes on their worksheet (use teacher key for suggested answers). 8. Conclude by reviewing the short term effects of alcohol use and some of the dangers associated with it'suse. ASSESSMENT: Completed student worksheet. Marshmallow Station Directions 1. Student A will put a marshmallow in his/her mouth, BUT WILL NOT CHEW IT! 2. Student B will then ask student A what his/her opinion is on the abolishment of a drinking age. In other words, anyone would be able to drink at any age, you wouldn’t have to wait until 21 to be legal anymore… 3. Student A will respond and student B will try Practicum Reflection to decipher what is being said. After 30 seconds, student A will put a second marshmallow in his/her mouth and continue with their opinion. 4. After a minute, partners will switch roles. Foggy Glasses Station Directions 1. Each student will try to thread the needle with the thread. 2. After completing this task, students will put on the glasses and try to thread the needle again. 3. Please carefully put needle and thread down before rotating, so the materials are Practicum Reflection not lost. Dollar Bill Station Directions 1. The student will put their toes at the edge of the dollar bill taped to the floor. 2. The student will grab their toes. 3. The student will attempt to jump over the dollar bill while NOT LETTING GO OF THEIR TOES. Glaciers Station Directions 1. One student will prepare the stopwatch and get ready to turn it on. 2. Simultaneously, all students will take an ice cube and try to get it to melt in their hand. Practicum Reflection 3. The student who is timing the group should be participating, while at the same time, recording how long it takes for each student to melt their cube. 4. Each student should record his/her time on their worksheet. 5. Please wipe up any stray water before rotating to the next station. Walk-the-Line Station Directions 1. Please be conscious of safety during this activity. 2. Student A will walk the line on the floor from beginning to end. Student B will observe. 3. Next, student A will place his/her palms together and raise his/her arms straight above his/her head and look up at his/her hands. 4. Student B will then spin student A around approximately 5 or 6 times. Immediately following this procedure, student B will guide student A to the line, and student A will once again walk the line. Student B will observe. Practicum Reflection 5. Partners will switch roles. Kisses Station Directions 1. Each person in the group will take a Hershey’s Kiss and put it in front of them. 2. At the same time, each person will unwrap the Kiss and eat it. 3. Next, each group member will put on a pair of rubber gloves, and once again, put a Hershey’s Kiss in front of them. 4. At the same time, each person will unwrap the Kiss and eat it. 5. Please throw away any wrappers before rotating to the next station. Twisted Station Directions 1. Partner A should put both his/her arms straight out in front of the body with the palms facing each other. 2. Cross arms over each other with arms still straight out. Now turn the palms to they face each other again, and interlock fingers. 3. Now pull the hands in towards the Practicum Reflection body by going in a downward motion and then bring them up under the chin. 4. At this point, partner B will point (but not touch) a finger, and partner A will try to move that finger. 5. Try this a few times, on a few different fingers and then switch. Tennis Balls Station Directions 1. Partner A will hand a tennis ball to Partner B, approximately 1 ball every 10 seconds. 2. Partner B will squeeze the tennis ball 10 times before putting it back in the basket. 3. After a few balls, partner A will start handing tennis balls to partner B once every 5 seconds, and after a few balls, once every 3 seconds. 4. Partner B must still squeeze each ball 10 times before putting it down. 5. Keep this going as long as possible, and then switch. Please put all the balls back in the basket before rotating. Practicum Reflection One Plus One Station Directions 1. Both partners complete this station together. 2. Pour vinegar in one of the glasses so that it is 1/3 full. 3. Take a second glass and pour the “secret solution” in it, until it is also 1/3 full. 4. Put the third empty cup inside the plastic tub. 5. Take the cup with the vinegar and the cup with the secret solution and pour them simultaneously into the empty cup. 6. Observe the results. Juggling Balloons Station Directions Partner A holds all of the balloons except for the balloon marked “Family”. Partner B holds this balloon. 2. Partner B begins to constantly tap the “family” balloon up into the air. 3. One balloon at a time Partner A tosses a new 1. Practicum Reflection one to Partner B, who must juggle the new balloon as well as the old ones. 4. Partner A should toss the balloon labeled “ALCOHOL” last. 5. No matter what, Partner B is not allowed to let the alcohol balloon hit the floor. 6. Partner A should be observing what is happening to Partner B. 7. After two minutes, the partners should switch roles. 13 Station Marshmallows Foggy Glasses Glaciers Juggling Balloons Walk-The-Line Kisses One Plus One Tennis Balls Twisted What Did You Observe How Does This How Can These Effects Or Experience At This Relate To Alcohol Be Dangerous To A Station Use/Abuse? Drinker? Practicum Reflection Dollar Bill Station What Did You How Does This Observe Or How Can These Effects Be Relate To Alcohol Experience At This Dangerous To A Drinker? Use/Abuse? Station Marshmallows Hard to talk with the marshmallows in your mouth. Can’t communicate, safety issue… Can’t talk properly when can’t ask for medical help, can’t say you drink. no to sex Foggy Glasses Hard to thread the needle with the foggy glasses on. May trip and fall and hurt yourself, Can’t see properly when fall down the stairs, can’t see things you drink. when you are driving Alcohol is metabolized at different rates depending on how much you weigh, if you ate before you drank Glaciers Different people had the ice Different people process cubes melt at different times. alcohol at different rates Juggling Balloons Can’t juggle all the It was hard to keep all the Your family suffers, you may lose your aspects of your life when balloons up when you had to job, your grades drop, you may get you are focused, or keep alcohol up. kicked off an athletic team addicted to drinking. Walk-The-Line It was harder to walk the line Balance is affected by after being spun. drinking. You may hurt yourself by falling and tripping when you are drinking. Hard to do simple tasks like open the door, use first aid supplies… might not Motor coordination is be able to open and use a condom affected by drinking. correctly. Kisses It was harder to open the kisses with the mittens on. One Plus One The combination of the 2 liquids overflowed the cup. Tennis Balls The faster the tennis balls When you drink a lot were passed the harder it You could pass out, overdose, throw your liver becomes became to keep up with the up… overloaded with alcohol. squeezing. Twisted Dollar Bill Mixing 2 drugs does not You could overdose or have other equal the effects of one serious consequences – get really sick drug and the effects of or more high than you wanted. the other. You make stupid decisions… you When you drink you think you are O.K. to drive but you I thought I knew what finger think you are doing aren’t, you think you could dive into to lift but I didn’t lift the one something properly but the pool O.K., but you hit your head… I thought I was. you aren’t. Person trying to jump over a You think some tasks are very easy dollar bill unsuccessful Thought process is including driving, putting a condom because they have to keep distorted by drinking on and opening a door whereas they hands on toes. are much more difficult than thought. Practicum Reflection Set goals (30pts) General & Specific Short & Long term 2. Select at least 2 weeks worth of activities (40pts): - Incorporating all 5 Fitness components Set a target frequency, intensity, time (duration), type for each activity (40pts) Develop different types of goals (at least 3 goals for each, you should have at least 6 goals total) General & Specific (Long and Short term) Ex. of a general goal: Develop a positive attitude about myself Practicum Reflection Ex. of a specific goal: Lose 2lbs by November 1st . Specific goals help you track progress and enjoy the changes that occurred Use physical fitness assessments to determine your goals (timed 1mile run, max out bench press etc.) Use S.M.A.R.T. When Creating Specific Goals: Practicum Reflection Incorporate each health-related fitness component into your program: Cardiorespiratory endurance Muscular strength Muscular endurance Flexibility Body composition Factors to consider: Fun and interest Your current skill and fitness level Time and convenience Cost Special health needs Apply the FITT Principle: determining the frequency, intensity, time, and type for each activity Practicum Reflection Refer to Lab 7.1 as you design your program for these areas: Cardiorespiratory endurance exercise Muscular strength and endurance training Flexibility training To stay on track, it is important to set up a system of goals and rewards Break your specific goals into several steps Set a target date for each step Daily physical activity is an important part of a fit and well lifestyle Find methods to become more physical in Practicum Reflection your daily routines Journal to track your activities for several days Review your records, and identify routine opportunities to become more active Recording your daily progress helps remind you of your commitment to your program and gives you a sense of accomplishment Post your log in a place where you will see it often as a reminder and incentive for improvement Compare your results over time, preferably every 3 months Practicum Reflection The final step in planning your program is to make a commitment Signing a personal contract is a way to accomplish this Find a witness for this contract, preferably one who will be involved in your fitness program Keep your contract in a visible spot as a reminder of your commitment Practicum Reflection Start slowly and increase fitness gradually Find an exercise buddy Ask for support from others Vary your activities (cross-training) Be safe Have several exercise options Keep an exercise journal Reward yourself Choose other healthy lifestyle behaviors Category Needs Exceeds Improvement Expectations Meets Expectations Organization Presentation was very organized and was very easy to follow. Transitions between group members were well planned and executed cleanly. Teamwork/Participation 5 7 25 9 11 13 15 17 19 21 23 The group worked very well with each other and the presentation was shared equally among the group members. Content Group members had a stronghold on the content and content was thoroughly addressed. No mistakes were made with regard to content knowledge. 5 7 25 9 11 13 15 17 19 21 23 5 7 25 9 11 13 15 17 19 21 23 Practicum Reflection Visual Aid(s) Visual aids used were used effectively throughout presentation. Group members used visual aids as a supplement, not as a crutch. Writing Mechanics The text is written with no errors in grammar, capitalization, punctuation, and spelling. Required Elements Each required element was clearly and adequately included in the prezi presentation. Sections were all grouped; a path was used and easily followable 5 25 7 9 11 13 15 17 19 21 23 5 25 5 25 7 9 11 13 15 17 19 21 23 7 9 11 13 15 17 19 21 23 References A minimum of 3 scholarly resources are utilized and formatted in APA. 4 20 8 10 Total – 170 Points Possible 6 12 14 16 18