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21.

Are We Misunderstanding Advance Directives in End-of-Life Care?

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Leslie J. Blackhall, M.D., M.T.S. (Associate Professor of Internal Medicine and Medical Education, Division of General Medicine, Geriatrics and Palliative Care, University of Virginia School of Medicine) outlined a brief history of advance care directives and how CPR practice and code teams evolved in United States hospitals. Dr. Blackhall also addressed legal and ethical questions concerning extraordinary treatment, patient autonomy rights, patient capacity, and ongoing legal controversies. Lois L. Shepherd, J.D. (Associate Professor of Public Health Sciences, Center for Biomedical Ethics and Humanities, and Professor of Law, University of Virginia) addressed the trends and trajectories she has observed regarding advance care planning which includes: patient autonomy, understanding [...]
DVDOnline
2009
Health Sciences (Rare Shelves)
22.

Overcoming Literacy-Related Barriers to Health

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Michael P. Pignone, M.D., M.P.H. (Associate Professor of Medicine; Chief, Division of General Internal Medicine; and Director, UNC Center for Excellence in Chronic Illness Care, University of North Carolina, Chapel Hill, North Carolina) discussed the problems with and persons most at risk for low health information literacy. Dr. Pignone described several ways to address this problem from developing effective patient friendly materials to utilizing generalized literacy training tools and the "teach back" method. Susan J. Erno, M.S. (Adult Education Coordinator, Adult Learning Center, Charlottesville City Schools, Charlottesville, Virginia) described the local Charlottesville demographics and the programs offered at the Adult Learning Center in Charlottesville, Virginia.
DVDOnline
2008
Health Sciences (Rare Shelves)
23.

The Health of Charlottesville: Diagnosing and Caring for Our Community

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Arthur Garson, Jr., M.D., M.P.H. (Robert C. Taylor Professor of Health Sciences and Public Policy and Executive Vice President and Provost, University of Virginia) gave a general introduction of the presentation topic and speakers. Lilian Peake, M.D., M.P.H. (District Health Director, Thomas Jefferson Health District, Charlottesville, Virginia) described the health status of Charlottesville, Virginia via findings obtained from the Mobilizing for Action through Planning and Partnerships (MAPP) community assessment tool. Dr. Peake covered health findings, community themes and strengths, areas to improve, goals, and next steps. Dave Norris (Mayor, City of Charlottesville) addressed the concerns of sustaining positive health trends and reversing negative health trends in Charlottesvi [...]
DVDOnline
2008
Health Sciences (Rare Shelves)
24.

Community Coalitions for Promoting Health: The Role of the Medical Center

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Panelists review the effectiveness of community intervention programs in general and describe the positive and negative features encountered in the implementation of the programs in Louisa and Buckingham Counties (Va.).
DVD
1992
Health Sciences (Rare Shelves)
25.

Racism and Academic Freedom: Excavating the Foster's Family Site

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In May 1993, during the building of a parking lot on UVa grounds, workers discovered the burial sites of 12 people believed to be the Fosters, a family of free blacks. Armstead Robinson, professor of history and director of the Woodson Institute at UVa and Drake Patten, anthropology graduate student discuss the issue of lack of sufficient black archaeological involvement in the excavation team in light of UVa's evolving relationship with the local black community. They review the differences of opinion, approaches to resolution and the broad implications of the Foster family controversy.
DVD
1994
Health Sciences (Rare Shelves)
26.

Healing by Design: The Emily Couric Clinical Cancer Center

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Peyton T. Taylor, M.D. (Richard N. and Louise Crockett Professor of Gynecologic Oncology and Medical Director, UVA Cancer Center) outlined the need and challenges for a constructing a cancer center and introduced the two main speakers. Richard Clarke, AIA, (LEED AP, Design Principal, Zimmer Bunsul Frasca Architects, LLP, New York, NY) described the overall process and key components (such as context, identity, connectivity, sustainability, patient experience, etc.) for designing the Emily Couric Clinical Cancer Center. Roger Courtenay, FASLA (LEED AP, Vice President and Principal Senior Landscape Architect, AECOM, Alexandria, Virginia) discussed the elements involved in designing the physical landscape, creating a "theater for healing" that included a meditation chapel, viewing gard [...]
DVDOnline
2011
Health Sciences (Ivy)
27.

A Century of Cancer Care at UVA, 1901-2011

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Morton C. (MC) Wilhelm, M.D. (Joseph Helms Farrow Professor Emeritus in Surgical Oncology, University of Virginia) presented a complete history of the diagnosis and treatment of cancer patients at the University of Virginia Hospital, including the predecessor facilities, the McIntire Tumor Clinic (1934) and the Bessie Dunn Miller Cancer Clinic (an early detection clinic in 1940), of the University of Virginia Cancer Center. Michael J. Weber, Ph.D. (Marion McNulty and Malvin C. Weaver Professor of Oncology and Director, University of Virginia Cancer Center, University of Virginia) discussed the need for a cancer center and the specific priorities and mission of the new and expanded University of Virginia Cancer Center which will be opening under the name of the "University of Virginia [...]
DVDOnline
2011
Health Sciences (Ivy)
28.

The Virginia Natural Death Act: Has It Had an Impact on Physicians' Attitudes and Practices?

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The Virginia Natural Death Act was signed into law in 1983. The panelists look at the results of a survey recently conducted among 600 physicians to determine their attitudes and responses to this act. The panelists then attempt to evaluate how much this act has helped dying patients, if at all.
DVD
1989
Health Sciences (Rare Shelves)
29.

UVA's Generalist Initiative: Factors Influencing Career Choices of Physicians

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Four physicians discuss the results of 4th year medical student, Jeffrey Feit's survey of factors influencing the career choices of UVa medical students. Based on their key roles in the School of Medicine, they comment on the role of the admissions process, the curriculum, and the influence envisioned for the Center for the Advancement of Generalist Medicine.
DVD
1994
Health Sciences (Rare Shelves)
30.

Elder Abuse: Abuse, Neglect, and Exploitation in an Aging America

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Gordon Walker (CEO, Jefferson Area Board on Aging, Charlottesville, Virginia) delivered a summary on abuse and neglect of the elderly in America and in Virginia, outlining the causes, profile of the victim, profile of the perpetrators, and actions to correct the problem. Jonathan Evans, M.D. (Associate Professor of Medicine (Geriatrics), University of Virginia) posed several questions regarding the challenges of elder abuse and neglect; What are the working definitions?, Do we approach this problem like we approach a disease?, What elements do changes of over time and different cultures add to this problem?, etc. Evans ended with the comment that there is a crisis of care and a crisis of caring. Richard Bonnie, L.L.B. (Director, Institute of Law, Psychiatry, and Public Policy; John S [...]
DVD
2003
Health Sciences (Rare Shelves)
31.

In Our Own Backyard-Poverty, Disease, and Cultural Difference in Central Virginia

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Narinder S. Arora, M.D. (Pulmonary Allergy Clinic, Charlottesville, Virginia; founding director, Healing Eagle Health Clinic, Mattaponi Indian Reservation, King William County, Virginia) described how he became involved with the Mattaponi. Dr. Arora presents (via slides) the people and types of illnesses encountered. Fern R. Hauck, M.D. (Associate Professor and Director of Research, Department of Family Medicine, University of Virginia) described the "Refugee and Immigrant Health Center" at the University of Virginia and their implementation of "cultural competence in healthcare."
DVD
2002
Health Sciences (Rare Shelves)
32.

Evidence-Based Gun Policy

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Philip J. Cook, Ph.D. (ITT/Stanford Professor of Public Policy, Duke University, Durham, North Carolina) discussed: (1) the present state of gun violence; (2) the common questions about guns; (3) the evidence-based generalizations that can be determined; (4) the examples of Project Exile in Richmond, The Brady Act, and Operation Cease Fire; and (4) final conclusions. Kathy Butler, R.N. (Manager, Trauma Center, University of Virginia) described the state (Virginia) and local (Region 10) information on firearm use from the "Injury in Virginia 2000 report."
DVD
2003
Health Sciences (Rare Shelves)
33.

Visions and Versions of Informatics for the University of Virginia

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The University of Virginia Health Sciences Center has several initiatives underway to apply the power of technology to the health sciences enterprise, to begin to study the impact technology has, and to explore how technology can lead to work redesign to achieve greater productivity. Three clinical projects supported by the University's Information Sciences Council Health Informatics Enhancement Program are discussed.
DVD
1993
Health Sciences (Rare Shelves)
34.

Access to Health Care by Lesbians and Gay Men

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Panelists discuss the perceptions and attitudes of lesbians and gay men about health care in general and at the University of Virginia. Physicians' initiatives to provide student health services for these groups at UVa are also presented.
DVD
1992
Health Sciences (Rare Shelves)
35.

Without Borders: Health Care Service Learning Beyond the Professional School

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Five speakers described their experience with health education and health care outreach services. Bridget J. Kuczkowski (University of Virginia School of Nursing, Class of 2001) described the background of Nursing School Without Borders; Rosalind deLisser, R.N. (University of Virginia School of Nursing (Psychiatric Family Nurse Practitioner Program), Class of 2002, and Nurse, Neurology Services, University of Virginia Health System) spoke of her experience with the community in San Sebastian, El Salvador and the research component of Nursing Students Without Borders; Teri J. Woodward, R.N. (Public Health Nurse, Thomas Jefferson Health District, Charlottesville, Virginia) described the Migrant Health Initiative in Charlottesville; Lisa York (University of Virginia School of Medicine, [...]
DVD
2001
Health Sciences (Rare Shelves)
36.

Managed Rural Mental Health Care: Consumers, Providers and New Methods of Service Delivery

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Jeanne Fox, Ph. D., R.N. (Director, Southeastern Rural Mental Health Research Center) opens the discussion on managed care and rural mental health care with a description of the general problem from terminology to actual practice. Michael Blank, Ph. D. (Director, Consumer and Computer Assisted Care Core, Southeastern Rural Mental Health Research Center) discusses the results of a Virginia study on poor, rural, minority populations in Virginia in respect to the demand for mental health services, and Beth Merwin, Ph. D., R.N. (Associate Director, Southeastern Rural Mental Health Research Center) discusses the supply for mental health services in poor rural areas.
DVD
1998
Health Sciences (Rare Shelves)
37.

Access to Health Care: Issues in the African-American Community

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David E. Simmons, R.N. (President, Black Nurses' Association) described the background of health care access and general health status of African-Americans. The Rev. Dr. Nan Brown (Way of the Cross Church, Kents Store, Virginia) discussed the issues surrounding belief (i.g. that God will heal) and the need for outreach and education. Rev. Brown also discussed the need for support systems and utilization of effective communication strategies. Hugh Martin, M.S. (Health Education Coordinator, Monticello Area Community Action Agency) visually and orally presented the current needs in Fluvanna and Nelson counties (two counties outside Charlottesville, Virginia) and the grant that he is working on to use local churches as a vehicle to identify and reach out to African-American communities [...]
DVD
1998
Health Sciences (Rare Shelves)