While designing a monitoring plan for your program or policy, if you discovered that different techniques for monitoring the implementation of the program or policy produced conflicting results, how would you reach an effective monitoring plan?
Consider that the observation data monitoring technique suggests that, on average, staff members spend 1 hour per week on teaching life-skills to clients as the program intended, but the service record data monitoring technique suggests that staff spends 15 minutes on average teaching life-skills to clients, against the program’s intentions. What do you think could account for the discrepancy between different monitoring techniques?
Discussion Part II
Among the different observational data collection techniques—narrative, data, and structured rating scheme, which technique do you consider to be the strongest approach? Which technique do you think is the weakest? Explain your rationale.
Is it advisable to combine two or more observational data collection techniques? Are there any advantages to combining techniques? Are there any disadvantages to combining techniques? Discuss.
methods of treatment and lack of promising results. Then things changed when G. Schwarz in 1910 and Müeller in 1912, tried combining hyperthermia treatment with radiation and received good therapeutic results. Due to funds being diverted to the war effort, interest in hyperthermia therapy was dismissed until 1962 when another American surgeon named George W. Crile Jr. discovered that raising tumors to 42-50 degrees Celsius “selectively destroyed them without damaging the healthy tissue” (Gas 2011). The discovery of microwave heating techniques and the application of it in medicine changed how hyperthermia therapy was implemented and used (Gas 2011). Since then, there have been few trials and not much progress but regardless, hyperthermia therapy is still regarded as a treatment that works. Treatment Hyperthermia therapy has different treatment methods depending on where the tumor is in the body and how big the tumor is. The different treatment types are local, regional, and whole body. Local hyperthermia is where heat is applied directly to a tumor or a small area and can be applied directly on the target area or can be applied through probes placed in the specific area. Regional hyperthermia is where heat is applied to a large tissue area. Whole body hypothermia is when a person’s body temperature is raised almost as if they have a fever. For whole body treatment, “blankets, warm water, or a heated chamber are used to warm the person’s body” (Gersten 2017). In the other cases, heat is created through using either microwaves, radiofrequency, and/or ultrasound. Radiofrequency ablation, RFA, is used for local treatment and is the most common type of thermal energy, using “high energy radio waves for treatment” (Cancer.org). In RFA, a needle-like probe is inserted into the tumor “sends radio wave energy directly into the tumor”. RFA is most commonly used in cancer cases where tumors cannot be taken out with surgery, for example, liver, kidney, and lung tumors (Gersten 2017). The temperature used is around 106-113 degrees Fahrenheit and is administered by a device called the BSD-500 (Excellus BCBS). A surface applicator is applied to the tumor and the area is heated for around an hour. Usually hyperthermia is done within an hour of radiation (UCSF). Side effects sometimes occur and include burns, blisters, discomfort, or pain (Cancer.org). According to Excellus BlueCross BlueShield health insurance, their medical policy states that “based upon our criteria and assessment of peer reviewed literature, superficial hyperthermia has been medically proven to be effective and therefore, medically appropriate when used in combination with radiation therapy for the treatment of patients with the following: Superficially recurrent melanoma; chest wall recurrence of breast cancer; or recurrent cervical lymph nodes from head and neck cancer” (Excellus). Although this insurance approves of certain types of hyperthermia, others are only considered investigational to them. The treatments that are considered investigational are interstitial hyperthermia, regional hyperthermia, regional perfusion hyperthermia, and whole-body hyperthermia. T>GET ANSWER