If I had to use a method of punishment it would be either grounding or time out. The target behavior in which I would choose to eliminate would be a child having poor behavior in school. I would use this form of punishment so the child can realize what he/she has to lose. Showing the child that the reason they are able to have nice things and or being able to do stuff relies solely on how their behavior Is at home and away from home. The principle’s of learning that I base my opinion on is negative punishment. Punishing behavior’s that are wrong is the main focus. Efforts that I would try first before resulting to punishment is giving a warning. I will warn the child of what he or she will loose if bad behavior continues. It is important to reinforce good behavior so the child does not become discouraged or feel as if they are no good.
* If you HAD to choose a method of punishment to use, which would you choose to use? I think that one that I would use the most would be time out.
*Describe the targeted behavior you would choose to use this method of punishment to eliminate. The targeted behavior that I would choose to use this method of punishment to eliminate would be for one child hitting their sibling.
* Why would you choose to use it? I think that I would use it because it is immediate, takes the children away from each other which would also stop any aggressive behaviors between the siblings.
* On what principles of learning do you base your opinion? I am basing my opinion on the principles that punishing undesirable behaviors will decrease them.
* What efforts would you have tried first prior to resorting to a punishment procedure? Before using time out as a punishment, I would try reprimands and talking to them about bad behaviors. I would try to praise them when they are playing nicely and sharing and not hitting each other. I would give them two warnings that if their behaviors continue (hitting) they will spend time in time out.
* When punishing an inappropriate behavior, why is it also important to reinforce an appropriate behavior? I think it is important to praise appropriate behaviors when punishing a child so that they understand that the undesirable behaviors are not wanted or appreciated and that the desired behaviors are what we want to increase. When using praise, the child should increase that behavior and decrease the behavior in which punishment is used.
A)The health issue that I selected was for patients who were in inpatient rehabilitation facilities for hip or knee replacement and other joint conditions. The quality measure that I reviewed was based on the patient’s ability to care for themselves after they have been released from the hospital. This would include the patient’s ability to perform daily activities of living and ability to move around with little to no assistance. The 3 providers that I chose to compare were Tampa General Hospital, Florida Hospital Tampa, Lakeland Regional Health.
Within the last year, each provider has completed numerous procedures some more than others. Tampa General completed the most surgeries while Lakeland Regional completed the least amount. The provider that I would choose would be to Tampa General Hospital. I chose this provider not only based on the number of procedures completed, but also in relation to the patients after care and ability to move around independently after having the procedure. When comparing the percentages regarding quality, in some cases Tampa General did not have the highest number.
The factors that were considered in choosing the provider that I would select were looking at the result of the care that was provided that showed the ability for the patient to be mobile and the effectiveness of the care. I reviewed the numbers in comparison to the national average numbers and in most cases Tampa General was either right in line with the national average or surpassed the national average. The percentage rate that was listed for the patient’s ability to move around was 29.3 % for Tampa General (Medicare.Gov, 2021). Even where the percentage was below the national average it was greater than the other facilities. This is reflected where the percentage of patients who are exceeding moving expectations at the time that they are released from the hospital is 48.1 % (Medicare.Gov, 2021). Though this number is lower than the national average it is the closest to the national average that the other 2 providers.
Medicare.gov. (2021). Https://Www.Medicare.Gov/Care-Compare/Compare?ProviderType=InpatientRehabilitation&providerIds=10T128,10T173,10T157&city=Riverview&state=FL&zipcode=33578. https://www.medicare.gov/care-compare/compare/?pro…
B)The three doctors that I picked are family medicine practice. A family medicine doctor would be a PCP or in other words, primary care doctor. I am a firm believer in having a primary care doctor because a patient can go to them about any issues that may come up. If your primary care doctor can’t solve it knows a specialist that can treat the problem better, they usually will send you to the right doctor. I would have a lot of questions about diabetes. It is a silent killer and I try to take a yearly physical to make sure I don’t have diabetes. Many people in my family do have diabetes so it’s only right for me to check every year.
The three doctors I choose seem to be good doctors but one of them stood out the most, Dr. Carlos Labrador. His quality score card had rated him as a good doctor when it came to diabetes. The other doctors did not have any quality score. Carlos patient Safety score was a five star which made things easier to choose. He is the doctor that I would pick to help my health if I did become a diabetic. Since the other doctor did not have a quality score, It would make me more nervous about them checking it. Even though they probably would do a good job, the rating just made the information easier to choose. All of his information like where he went to school and what experince he has. I would get great quality care based on all of his experence and how he performance care to his patients. The website is a great tool for Medicare patients to compare doctors, hospitals, ect; for the need of great quality care. Every doctor should have a rating on the care they provide to help everyone pick the bet doctor for their health needs.
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