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Name: Marco Ramirez - āI Am Not Batmanā TW: language Itās the middle of the night. And the sky is glowing like mad radioactive red. And if you squint, you could maybe see the moon through a thick layer of cigarette smoke and airplane exhaust that covers the entire city like mosquito net that wonāt let the angels in. And if you look up high enough you could see me-standing on the edge of a eighty seven story building. And up there-a place for gargoyles and broken clock towers that have stayed still and dead for maybe like a hundred years-up there is me. And Iām freakin Batman. And I gots Bat-mobiles and Bat-a-rangs and freakin Bat-caves like for real, and all it takes is a broom closet or a back room or a fire escape and Dannyās hand-me-down jeans are gone. And my navy blue polo shirt? ā The one that looks kinda good on me but has a hole on it near the butt from when it got snagged on the chain linked fence behind Arturoās but it isnāt even a big deal cause I tuck that part in and its like all good? āthat blue polo shirt? ā Itās gone too. And I get like, like transformational. And nobody pulls out a belt and whips Batman for talking back ā-Or for not talking back āAnd nobody calls Batman simple ā- Or stupid ā- Or skinny ā- And nobody fires Batmanās brother from the Eastern Taxi Company ācause they was making cutbacks, neither, ācause they got nothing but respect, and not like afraid-respect. Just like respect-respect. āCause nobodyās afraid of you. Cause Batman doesnāt mean nobody harm. Ever. Cause all Batman really wants to do is save people and maybe pay Abuelaās bills one day and die happy and maybe get like mad famous. For real.ā¦And kill the Joker. Tonight, like most nights, Iām all alone. And Iām watchingā¦And Iām waiting⦠Like a eagle. Or like a āno, yea, like a eagle. And my cape is flappinā in the wind (ācause itās freakinā long), and my pointy ears are on, and that mask that covers like half my face is on too, and I got like bulletproof stuff all in my chest so no one could hurt me and nobody ā nobody ā is gonna come between Batman, And Justice. From where I am I could hear everything. Somewhere in the city thereās a old lady picking Styrofoam leftovers up outta a trash can and sheās putting a piece of sesame chicken someone spit out into her own mouth. And somewhere thereās a doctor with a whack haircut in a black lab coat trying to find a cure for the diseases that are gonna make us all extinct for real one day. And somewhere thereās a man, a man in a janitorās uniform, stumbling home drunk and dizzy after spending half his paycheck on forty-ounce bottles of twist-off beer and the other half on a four hour visit to some ladyās house on a street where the lights have all been shot out by people whoād rather do what they do, in this city, in the dark. And half a block away from JanitorMan thereās a group of good-for-nothings who donāt know no better waiting to beat JanitorMan with rusted bicycle chains and imitation Lousiville Sluggers, and if they donāt find a cent on him ā which they wonāt ā theyāll just pound at him till the muscles in their arms start burning, till thereās no more teeth to crack out. But they donāt count on me. They donāt count on no dark night (with a stomach full of grocery store brand macaroni-and-cheese and cut up Vienna sausages), Cause theyād rather believe I donāt exist, And from eighty-seven stories up I could hear one of the good-for-nothings say āGimmethecashā real fast (like that) just āGimmethefuckingcashā and I see JAnitorMan mumble something in drunk language and turn pale and from eighty-seven stories up I could hear his stomach trying to hurl its way out of his Dickies. So I swoop down like and fast and Iām like darkness. Iām like SWOOSH ā- And I throw a Bat-a-rang at the one naked lightbulb ā- And theyāre all like āwhoa-motherfucker-who-just-turned-out-the-lights?ā āāWhatās that over there?ā ā-āWhat?ā ā- āGimme whatchou got old manā ā- āDid anybody hear that?!ā ā- āNo, reallyā ā- āThere aināt. No. Bat.ā ā But then ā- One out of three good-for-nothings gets it to the head! And number Two swings blindly into the dark cape before him but before his fist hits anything I grab a trash can lid and ā-- Right into the gut, and number One comes back with a jump-kick but I know judo-karate too so Iām like ā-- Twice ā-- but before I can do any more damage suddenly we all hear a CLIC ā CLIC āAnd suddenly everything gets quiet And the one good-for-nothing left standing grips a handgun and aims straight up, like heās holding Jesus hostage, like heās threatening maybe to blow a hole in the moon. And the good-for-nothing who got it to the head who tried to jump-kick me and the other good-for-nothing who got it in the gut is both scrambling back away from the dark figure before him. And the drunk man the JanitorMan is huddled in a corner, praying to Saint Anthony ācause thatās the only one he could remember. And thereās me, Eyes glowing white, cape blowing softly in the wind. Bulletporoof chest heaving. My heart beating right through it in a Morse code for āfuck with me, just once, come on, just try.ā And the one good-for-nothing left standing, the one with the handgun, he laughs he lowers his arm, and he points it at me and gives the moon a break, and he aims it right between my pointy ears, like goalposts and heās special teams. And JanitorMan is still calling Saint Anthony but he aināt pickinā up, And for a second it seems likeā¦maybe Iām gonna lose. Naw. SHOO ā SHOO! FUACATA! --āDonāt kill me man!ā āāSNAP! ā Wrist CRACK ā Neck ā SLASH! ā Skin ā meets ā acid ā āAHH!!ā āAnd heās on the floor. And Iām standing over him. And I got the gun in MY hands now. And I hate guns, I hate holding āem cause Iām Batman, and āBatman donāt like guns ācause his parents got iced by guns a long time ago ā but for just a second, my eyes glow white, and I hold this thing, for I could speak to the good-for-nothing in a language he maybe understandsā¦CLIC ā CLICā¦And the good-for-nothings become good-for-disappearing into whatever toxic-waste-chemical-sludge-shit-hole they crawled out of. And itās just me and JanitorMan. And I pick him up. And I wipe sweat and cheap perfume off his forehead. And he begs me not to hurt him and I grab him tight by his JanitorMan shirt collar and I pull him to my face, and heās taller than me, but the cape helps so he listens when I look him straight in the eyes and I say two words to him: āGo home.ā And he does, checking behind his shoulder every ten feet. And I SWOOSH from building to building on his way there, ācause I know where he lives. And I watch his hands where he lives. And I watch his hands tremble as he pulls out his keychain and opens the door to his building. And Iām back in bed before he even walks in through the front door. And I hear him turn on the faucet and pour himself a glass of warm tap water And he puts the glass back in the sink. And I hear his footsteps, And they get slower as they get to my room. And he creaks my door open like mad slow. And he takes a step in, which he never does. And heās staring off into nowhere, his face the color of sidewalks in summer, and I act like Iām just waking up, and I say, āWhatās up, Pop?ā And JanitorMan says nothing to me. But I see, in the dark, I see his arms go limp and his head turns back, like towards me, and he lifts it for I could see his face, For I could see his eyes, And his cheeks is dripping but not with sweat. And he just stands there, breathing, like he remembers my eyes glowing white. Like he remembers my bulletproof chest. Like he remembers heās my pop. And for a long time I donāt say nothing. And he turns around, hand on the doorknob, and he aināt looking up my way but I hear him mumble two words to me. āIām sorry.ā And I lean over and open my window just a crack.⦠If you look up high enough you could see me. And from where I am? I could hear everything.
Camshaft: A rotating shaft in an engine that controls the opening and closing of the intake and exhaust valves. Aftercooler (air to air): A device that cools the compressed air from a turbocharger using outside air. Glow Plugs: Heating elements used to aid in starting diesel engines in cold temperatures. Timing Cover: The cover that protects the timing gears and belt or chain in an engine. Exhaust Manifold: A component that collects exhaust gases from multiple cylinders and directs them to the exhaust pipe. Oil Suction Tube: A tube that draws oil from the oil pan to the oil pump. Air Compressor: A device that increases the pressure of air and is often used to power air brakes or pneumatic tools. Oil Cooler: A device that cools the engine oil, helping prevent it from overheating. Supercharger/Blower: A device that increases the pressure of the air-fuel mixture entering the engine to boost power. Piston Rings: Rings around the piston that seal the combustion chamber, control oil consumption, and conduct heat. Crankshaft: A shaft that converts the linear motion of the pistons into rotational motion to power the vehicle. Oil Pan: A reservoir at the bottom of the engine that collects and holds the engine oil. Connecting Rod: Connects the piston to the crankshaft, converting the piston's motion into rotational motion. Stroke: The distance the piston travels within the cylinder, from top dead center to bottom dead center. 2 Cycle: A type of engine that completes a power cycle in two strokes of the piston. Crankshaft Main Bearing: The bearing that supports the crankshaft in the engine block. Aftercooler (water/coolant): A device that cools the compressed air from a turbocharger using water or coolant. Water Pump: A pump that circulates coolant through the engine and radiator to prevent overheating. Oil Filter: A filter that removes contaminants from the engine oil. Vibration Dampener: A device attached to the crankshaft to reduce engine vibrations. Piston Wrist Pin: The pin that connects the piston to the connecting rod. Valve Cover: The cover that protects the engine's valves and camshaft. Cylinder Block: The main structure of an engine that houses the cylinders and other components. ECM/ECU: Electronic Control Module or Electronic Control Unit, which controls various engine functions. Cylinder Head: The top part of the cylinder that contains the combustion chamber, valves, and spark plugs. Oil Pump: A pump that circulates oil through the engine to lubricate moving parts. Cylinder Liner: A sleeve inside the cylinder that protects it from wear and corrosion. TDC (Top Dead Center): The highest position the piston reaches in its stroke. Bore: The diameter of a cylinder in an engine. Flywheel: A heavy wheel that stores rotational energy to smooth out engine operation. Crankshaft Rod Bearing: The bearing that connects the crankshaft to the connecting rod. Push Tube / Push Rod: Rods that transmit motion from the camshaft to the valves. Piston: A cylindrical component that moves up and down within the cylinder to create power. Flywheel Housing: The casing that surrounds and supports the flywheel. Valve Lifter or Cam Follower: A component that follows the camshaft lobes to open and close the valves. Turbo: A device that increases the engineās power by forcing more air into the combustion chamber. Intake & Exhaust Valves: Valves that control the intake of air and the exhaust of gases in the engine. Intake Manifold: A manifold that distributes the air-fuel mixture or air to the cylinders. Rocker Arm: A lever that transfers camshaft motion to the valves. Wastegate: A valve that controls the exhaust gases flowing to the turbocharger, preventing excessive boost pressure. Fuel Injector: A device that sprays fuel into the combustion chamber. Fuel Pump: A pump that moves fuel from the fuel tank to the engine. BDC (Bottom Dead Center): The lowest position the piston reaches in its stroke. 4 Cycle: A type of engine that completes a power cycle in four strokes (intake, compression, power, exhaust). Articulated Piston: A piston with two pieces (crown and skirt) joined by a pivot, allowing some flexibility in movement.
hysical features of Southeast Asia The physiography of Southeast Asia has been formed to a large extent by the convergence of three of the Earthās major crustal units: the Eurasian, Indian-Australian, and Pacific plates. The land has been subjected to a considerable amount of faulting, folding, uplifting, and volcanic activity over geologic time, and much of the region is mountainous. There are marked structural differences between the mainland and insular portions of the region. Mainland Southeast Asia The mainland is characterized by a series of generally northāsouth-trending mountain ranges separated by a number of major river valleys and their associated deltas. In many ways these ranges resemble ribs in a fan, where the interstices are deep trenches carved by the rivers. Although the mainland as a whole is similar in a structural sense, its various geologic components and the time periods of their orogenic (mountain-building) episodes differ. Much of the region has been affected by the gradual, continuing collision of the Indian subcontinent with the Eurasian Plate over roughly the past 50 million years, an event thatāwith diminishing intensity from west to eastāhas been responsible for deforming the land. Nonetheless, mainland Southeast Asia is relatively stable geologically, with no active or recently active volcanoes and, except in the northwest and north, little seismic activity. The ranges fan out southward from the southeastern corner of the Plateau of Tibet, where they are tightly spaced. A major rib of this system extends through the entire western margin of Myanmar (Burma); describing an elongated letter S, it consists of (from north to south) the PÄtkai Range, NÄga Hills, Chin Hills, and Arakan Mountains. Farther to the south the same rib emerges from beneath the sea to become the Andaman and Nicobar Islands of India. Another major system extends along a straight north-south axis from eastern Myanmar east of the Salween River through northwestern Thailand to south of the Isthmus of Kra on the Malay Peninsula. It consists of a series of elongated blocks rather than one continuous ridge. The core of these blocks is granite, which has intruded into previously folded and faulted limestone and sandstone. The altitudes of the ranges diminish from above 8,000 feet (2,440 meters) on the Chinese border in the north to below 4,000 feet on the Isthmus of Kra, and the ranges are spread farther apart toward the south. The easternmost major mountain feature on the mainland is the Annamese Cordillera (ChaĆ®ne Annamitique) in Laos and Vietnam. In the portion between Laos and Vietnam, the chain forms a nearly straight spine of ranges from northwest to southeast, with a steep face rising from the South China Sea to the east and a more gradual slope to the west. The mountains thin out considerably south of Laos and become asymmetrical in form. The upland zone is characterized by a number of plateau remnants. The rather neat fanlike pattern of the mountain ranges is interrupted occasionally by several old blocks of strata that have been folded, faulted, and deeply dissected. These ancient massifs now form either low platforms or high plateaus. The westernmost of these, the Shan Plateau of eastern Myanmar, measures some 250 miles (400 km) from north to south and 75 miles from east to west and has an average elevation of about 3,000 feet. The largest of these features is the Korat Plateau in eastern Thailand and west-central Laos. This area actually is more of a low platform, which on average is only a few hundred feet above the floodplains of the surrounding rivers. It consists of a string of hills that direct surface drainage eastward to the Mekong River. The hills range in elevation from 500 to 2,000 feet, with the highest altitudes occurring near the southwestern rim. The broad river valleys between the uplands and the even wider deltas at the southernmost points contain most of the mainlandās lowland areas. These regions generally are covered with alluvial sediments that support much of the mainlandās cultivation and, in turn, most of its population centers. The most extensive coastal lowland is the lower Mekong basin, which encompasses most of Cambodia and southern Vietnam. The Cambodian portion is a broad, bowl-shaped area lying just above sea level, with numerous hill outcrops jutting above the landscape; at its center is a large freshwater lake, the Tonle Sap. To the south the riverās vast, flat delta occupies the entire southern tip of Vietnam. Outside the river deltas, the coastal lowlands are little more than narrow strips between the mountains and the sea, except around the southern half of the Malay Peninsula. The Malay Peninsula stretches south for some 900 miles from the head of the Gulf of Thailand (Siam) to Singapore and thus extends the mainland into insular Southeast Asia. The narrowest point, the Isthmus of Kra (about 40 miles wide), also roughly divides the peninsula into two parts: the long linear mountain ranges of the northern part described above give way just south of the isthmus to blocks of short, parallel ranges aligned north-south, so that the southern portion trends to the southeast and becomes much wider. In areas such as the west coast between southern Thailand and northwestern Malaysia, distinctive karst-limestone landscapes have developed. Peaks on the peninsula range from 5,000 to 7,000 feet in elevation.
HEALTH EDUCATION 3. SPECIFIC OBJECTIVES: Students should able to know about_______ 1. definition of health education 2. aims of health education 3. objectives of health education 4. principles of health education 5. scope of health education 6. planning of health education 7. steps in planning health education 8. levels of health education 9. doctors s responsibility 4. INTRODUCTION: Health education is a term frequently used by health care professional. its aims at individual and community health. Health education is the translation of what is known about health into desirable individual and community behaviour pattern by means of an education process. Definition: āA process aimed at encouraging people to want to be healthy , to know how to stay healthy, to do what they can individually and collectively to maintain health And seek help when neededā. OBJECTIVES - To inform people or disseminate scientific knowledge about prevention of disease and promotion of health - To motivate people to change their habits and lifestyle that are harmful to their health also motivate people to adopt habits and ways of living conducive to healthy living. - To guide the people who need help to adapt and maintain healthy practices and lifestyle by showing proper community resources. --- PRINCIPLES OF HEALTH EDUCATION - Credibility Of Message: It is the degree to which the message to be communicated is perceived as trustworthy by the receiver. - Creating interest among participants: It is a psychological principle that people are unlikely to listen to things that are not of their interest. If a health programme is based on the felt needs, people will participate in the programme willingly. - Motivating the participants: Motivation is like a petrol engine that drives the mental engine. It is the fundamental desire in every person to learn. Motivation is contagious; one motivated person may spread motivation throughout the group. 13. - Enhance comprehension of content: It means health education should be based on the level of understanding, education and literacy of people at whom the teaching is directed. Teaching should be within the mental capacity of the audience. - Ensure reinforcement: Repetition at intervals is necessary to promote learning. Without reinforcement and feedback, students can go back to the pre-awareness stage. - Encourage active participation: Health education should aim at encouraging people to work actively with health workers and others in identifying their own health problems and also in developing solutions. 14. - Learning by doing: Teaching is effective when individuals actively participate in health education. Learning becomes active and quicker if the individuals are made active physically as well as psychologically. - Known to unknown: The people in a community know something and the health educator enlarges this knowledge. If the health educator links new knowledge with the old knowledge, it can enhance learning. - Maintaining good human relations: Sharing of information, ideas and feelings happens most easily between people who have a good relationship. 15. - Setting an example: The health educators should set a good example in the topic they are dealing with as it fosters better understanding. - Regular feedback: Feedback is one of the key concepts of the system approach. The health educator can modify the elements of the system in light of the feedback from his audience. For effective communication, feedback is of paramount importance - Efficient leadership: Leaders are agents of change and they can be made use of in health education work. Psychologists have shown and established that we learn best from people we respect and regard. 16. The essential attributes of a leader are as follows - Understands the needs of the community. - Provides proper guidance. - Takes initiative. - Is receptive to the views and suggestions of people. - Identifies himself with the community. Is selfless, honest, impartial, considerate and sincere. - Is easily accessible to people. 17. SCOPE OF HEALTH EDUCATION 1. Nutrition 2. Hygiene 3. Family health 4. Disease prevention and cantrol 5. Psychological health 6. Prevention of accident 7. Use of health services 8. Human biology 19. - Nutrition: The aim of nutrition education is to guide people to choose optimum and balanced diets, remove prejudices and promote good dietary habits. nutrition education is a major intervention for the prevention of malnutrition, promotion of health and improving the quality of life. 20. - Hygiene: This has two aspects: personal and environmental. Personal: The aim of personal hygiene is to promote standards of personal cleanliness . Environmental: Has two aspects: Domestic and community. All environmental sanitation programmes should include health education 21. - Family health: The family is the first defence as well as the chief reliance for the well-being of its members. One of the main tasks of health education is to promote family self-reliance, especially regarding the family's responsibilities in child bearing, child rearing, self-care and in influencing their children to adopt a healthy lifestyle. 22. - Disease prevention and control: Drugs alone will not solve health problems. Without health education, a person may fall sick again and again from the same disease. Educating the people about the prevention and control of locally endemic diseases is the first of the eight essential activities in primary health care. 23. - Psychological health: Psychological health problem can occur everywhere. There is a tendency to an increase in the prevalence of psychological diseases when there is a change in society from agriculture to an industrial economy and when people move from the warm intimacy of a village. 24. - Prevention of accidents: Accidents are a feature of the complexity of modern life. Accidents can occur in home, road and place of work. The predominant factor in accidents is carelessness that can be tackled by health education. 25. - Use of health services: Many people, particularly in rural areas, do not know what health services are available and many more do not know. There is a communication gap between the public and state health administration in the form of feedback for further improvement of health services. One of the declared aims of health education is to inform people about the health services available in their community. 26. PLANNING FOR HEALTH EDUCATION planning: is the process of making thoughtful and systemic decision about what needs to be done , how it has to be done, by whom And with what sources. 27. Principles of planning health education 1) Focus on actual current needs and context of community: It is important that plans are made with the needs and context of the community in mind. Health education should try to understand what is currently happening in the community one works in. 2) Plan for basic needs and interest of the community: Consider the basic needs and interests of the community. If the local needs and interests are not kept under consideration, the plans may not be effective. 28. 3) Planning with actual beneficiaries of health education: Plan with the people involved in the implementation of an activity. If people are included in planning, they will be more likely to participate and the plan will be more likely to succeed. 4) Identify and use all relevant community resources: It is essential that the health educator identify all the relevant resources that are locally available which could be used for benefit of people receiving the health education. 29. 5) Follow principle of flexibility: Planning should be flexible, not rigid. One should be able to modify the plans when necessary. For example, you would have to change your priorities if a new problem needing an urgent response arose. 6) A realistic plan not hypothetical: The planned activity should be achievable and take into consideration the financial, personal resources available and time constraints. Planning must be realistic; do not plan unachievable activities. 30. Steps in planning health education Planning is a continuous process. It does not just happen at the start of project . Health education must be well planned to actually improve and promote individual, family and community health 31. - Needs assessment: Conducting needs assessment is the first and probably the most important step in any successful planning process. assessment is the process of identifying and understanding the health problems of the community and their possible causes. - Identify priorities: After identifying the needs and resources of the community, the next is to identify their priorities because each community may have several problems but the urgent have to be given top priority in health education. For example: goitre 32. - Set the goals and objectives: In planning the process of health education, setting goals and objectives is the third and most essential step because these goals and objectives serve as consciously thought baseline parameters to be achieved during health education. - Develop strategies: Prior to the implementation of the health education intervention one must plan, develop and evaluate the several alternative strategies to achieve the set goals and objectives of health education because each problem and target community is quite unique. 33. - Implementation: This is the core phase of the health education process which includes carrying out the planned strategies so that the set goals and objectives of health education may be achieved. - Monitor and evaluation: This is the final step of the planning process of health education where continuous monitoring as well as end evaluation is carried out to ensure the degree to which stated goals and objectives have been achieved. 34. LEVELS/APPROACH OF HEALTH EDUCATION 35. INDIVIDUAL LEVEL - Individual Approach: The health education must first create an atmosphere of friendship and allow the individual to talk as much as possible. In this individual teaching we can discuss, argue and persuade the individual to change his behaviour. But by this we can reach to a small population and who come in contact with us. Methods of individual health education 1) Home visit 2) Personal contact/ counselling 3) Personnel letters 36. 1) Home visit: A home visit is one of the best approaches for individual health education because it can become one of the best opportunities for health education with individuals and their families. Home visits are important to understand the real background of families, their living conditions and the environment in which they live. 37. 2) Personal contact/counseling : Personal contacts or counselling (one-to-one communication) is a helping process where one person explicitly and purposefully gives his or her time to assist people explore their situations and act on a solution. After this the counsellor needs to work together with the person to find solutions that are appropriate to their situation. 38. 3) personal letters: Personal letters may also be used for individual health education, where health educators may get an opportunity to dispatch letters or printed education material to the people in a target community. 39. GROUP LEVEL Group health education may be useful way to deliver health education massages in efficient manner. A well organized group permits sharing of experiences and skills so that people are able to learn from each other. 40. Methods of group discussion 1)Lecture method: (Chalk & Talk ) A lecture may be defined as carefully prepared oral presentation of facts organized thoughts and ideas by a qualified person. The group should not be more than 30 and talk should not exceed 15-20 minutes. By using suitable audiovisual aids. 2) Group discussion: A group is an aggregation of people interacting in a face to face situation. It is a very effective method of health communication. 41. 3) Demonstration: A demonstration is a carefully prepared presentation to show how to perform a skill. This procedure is carried out step by step before an audience. 4) Panel discussion: In a panel discussion 4-8 qualified persons talk about the topic. Sit and discuss a given topic in front of a large group/audience. The chairman opens the meeting. Panel comprises of a chair person and 4-8 speakers. After the main aspect of the subject are explored, the audience is invited to take part. 42. 5) Symposium: It is a series of speeches on a selected subject. Each expert person present it briefly and at the end of session the chair person make a comprehensive summary. Audience are allowed to raise question. 6) Workshops : It consists of series of meetings usually 4 or more with emphasis on an individual work, within the group and with the help of consultants and response personnel. 7) Role play: This is a brief acting out of an actual situation for the benefit of the audience for better understanding. 43. 8) Conference and seminars: This programmes are usually held on a regional, state/national level. Where several experts from different disciplines meet to deliberate on a particular theme, to appraise others of latest knowledge and research in a particular field. 9) Open forum: It refers to the public meeting which are held for various purposes in the community, for example: gram sabha 44. COMMUNITY LEVEL It is meant for a defined community and is not only to create awareness but also to help people understand their health problems and needs, find alternatives solutions to their problems and needs , implement them, evaluate and get feedback and accordingly do the needful. For health education at the community level, it is better to approach local leaders who are influential and who have the peopleās confidence. These may include local officers such as gramsevak, panchayat sarpanch ,police officer or block development officer etc . 45. HOSPITAL LEVEL 1) Health Education in OPD/Outdoor: The patient and his attendants have to spend a lot of time in the outpatient department for health check-up, treatment, registration, diagnosis, admission procedure etc. This period can be utilised for health education. For this, the following means/devices can be used: - Exhibiting pictures, posters, charts, bulletin board and models in the waiting hall. - Arranging group discussion, slide show, or documentary film in a proper place and on a proper topic. - Giving health education on a personal level in the consulting room. This mainly includes nutrition clinic, family planning clinic, psychiatric clinic etc. 46. - Distributing pamphlets. - Arranging street plays or nukkad naatak in the outpatient department or its neighbourhood. 47. 2) Health Education in wards/ IPD: While taking care of the patients the indoor patients, doctors s have the opportunities to educate them. This period can be fully utilised to give health education to the patients. For this the following methods can be effective: - Conversation with the patient and motivating him for change in his behaviour. - Imparting health education by arranging live demonstration for nutrition, treatment, diagnosis etc. - Providing clinical or bedside teaching. - Providing incidental teaching to patient and his attendants. 48. - Presenting examples. To describe the gains of health education in an individual suffering from the same health education in an individual suffering from the same disease and arranging a meeting between the patient and the cured old patients.
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