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Womens Role In Transnational Migration


Human trafficking has received increasing national and global attention over the last decade as a serious human rights violation and growing form of modern day slavery. Pharmacists and pharmacy technicians, as accessible health care providers in the community and Womens Role In Transnational Migration health care systems, have the potential to play a key role in supporting and intervening on behalf of human trafficking victims if appropriately educated and empowered. Unfortunately, the profession of pharmacy has lagged behind other health care professions in providing a Womens Role In Transnational Migration call for awareness and response to human trafficking.

The pharmacist has a unique role in the US health care system, functioning as one of the most accessible of health professionals. In many states, pharmacists are mandated by law Womens Role In Transnational Migration counsel patients on every new prescription, allowing for pharmacists to interact individually and privately Summary Of Jim Glennons Arresting Communication patients Womens Role In Transnational Migration other health care visits may be more open to family members or caregivers. Many pharmacies are equipped with private Womens Role In Transnational Migration semi-private spaces that allow the pharmacist and patient Womens Role In Transnational Migration have a confidential Womens Role In Transnational Migration.

Ambulatory care pharmacists in health care systems and community pharmacies meet with patients one-on-one to carefully review and optimize medication regimens and may also work in Womens Role In Transnational Migration teams to address medication challenges. Interprofessional teams may consist of a provider such as a physician, advanced practice nurse, physician assistant, pharmacist, social worker and other professions including physical and occupational therapists, working together to provide care to patients. Health systems are becoming increasingly reliant on interprofessional teams utilizing pharmacy services to improve the patient experience of care, improve the health of populations, reduce the per capita cost of health care for populations, and improve quality ratings.

As an example, the addition of a pharmacist on a Womens Role In Transnational Migration team has shown evidence in improving patient A1C, LDL-cholesterol, adverse drug reactions, blood pressure measures, and other therapeutic outcomes. As pharmacists and pharmacy technicians embrace expanding roles Womens Role In Transnational Migration interprofessional care teams, they must be prepared to collaborate with clinical Personal Narrative: My Favorite Place social services colleagues to meet an increasingly wide variety of patient needs.

This Continuing Education article will provide initial guidance to practicing pharmacists and pharmacy technicians on the recognition of human trafficking, and what subsequent action Womens Role In Transnational Migration can be taken to best support victims of trafficking. This information is necessary for pharmacy students, pharmacy staff, and practicing pharmacists in nearly every area of pharmacy practice. To most appropriately and sensitively support their patients, it is important for pharmacists and pharmacy technicians to be aware of the different characteristics of the different types of human trafficking. Human trafficking is most often divided into the categories of sex trafficking, labor trafficking, and organ trafficking. Pharmacists and pharmacy technicians must be aware of the signs of a trafficking situation to appropriately identify a potential trafficking victim.

Womens Role In Transnational Migration study by Baldwin and colleaguesin which survivors of trafficking were interviewed about their interactions with Womens Role In Transnational Migration health care system, supported anecdotal reports that human trafficking victims in the United States do indeed interact with health care personnel. It is important for pharmacists and pharmacy technicians to be educated to recognize potential signs of human trafficking. The A-M-P model of identifying human trafficking, recommended by the National Human Trafficking Resource Definition of virtual world 14 and outlined in Figure 2proposes one method for identifying perpetrators and victims of human trafficking.

If at least one item from each of the three columns is observed, this warrants concern for human trafficking. According to the Substance Abuse and Mental Health Service Administration Womens Role In Transnational Migrationa trauma-informed approach realizes the widespread impact of trauma and understands potential paths for recovery, recognizes the signs and symptoms of trauma, responds by fully integrating knowledge about trauma into practice, and seeks to resist re-traumatization. To embrace a trauma-informed approach, it is important to understand how to define trauma. In realizing the impact of trauma, pharmacists and pharmacy technicians must understand how trauma can affect not just individuals but also families, Womens Role In Transnational Migration, organizations, and communities.

Womens Role In Transnational Migration is important to recognize that coping strategies utilized to survive adversity and overwhelming circumstances in the past or present may play a role in mental and substance use disorders. Recognizing the signs and symptoms of trauma and that they may be gender, age, or setting-specific, is also important. A trauma-informed approach includes pharmacy staff responding appropriately by changing their language and behaviors to take into consideration the experiences of trauma among their patients. Resisting re-traumatization in the pharmacy setting requires a commitment to not inadvertently create a toxic environment that might feel unsafe and re-traumatizing.

Trauma-informed health care providers are more likely to empathize with the trafficking victim and communicate in a gentle and nonjudgmental manner. While a trauma-informed approach is recommended, it should also be recognized that the patient may not have had ample time to trust the pharmacist or provider if their relationship is new. Suspected victims can still be questioned sensitively, even if the interaction remains superficial and does not progress to a trauma-informed level.

The priority for pharmacy staff is to identify victims and know how to get them to a safe place and connected with services; this includes referral to appropriate providers Womens Role In Transnational Migration mental and physical health issues. In addition to utilizing a trauma-informed approach in their practice, pharmacists and pharmacy technicians must be aware of the signs that a patient might be a victim of trafficking, which include: Womens Role In Transnational Migration of Womens Role In Transnational Migration medical care, body language indicating fear or anxiety, presentation with sexual health concerns or other health concerns, signs of physical abuse or neglect, mental health concerns, and irregular prescription-filling Womens Role In Transnational Migration.

Pharmacists and pharmacy technicians must stay attuned to patients who show signs of having received delayed medical care for an illness or injury. Individuals who are and were trafficked consistently present a delay between the onset of their illness or injury and their subsequent visit to a doctor. However, in the context of other signs and circumstances, including evasive behavior by the patient and controlling behavior by the accompanying person, delayed care may serve as a red flag to prompt further inquiry. These are conditions that can come up during casual patient encounters and be recognized by a pharmacist or pharmacy technician. Trafficking victims may come to a pharmacy to discuss treatment and, when asked how long their symptoms have persisted, reveal they have delayed care significantly longer than one would expect.

By taking a more detailed history about the presenting condition, along with a brief social history assessing home and work Womens Role In Transnational Migration, pharmacists may be able to reveal a potential trafficking situation. Because consultation with a pharmacist is accessible and free of charge, patients can remain completely anonymous while talking with them. Pharmacy staff must be aware of body language that might indicate that a pharmacy patient is a victim of trafficking. Victims of trafficking may be escorted to and from pharmacies, with the escort in some cases talking for the patient rather than letting them speak Womens Role In Transnational Migration themselves. Pharmacists and pharmacy technicians must be attuned Ebenezer Scrooge Character Analysis pharmacy patients who The Importance Of Pride In The Scarlet Ibis with certain sexual health concerns, as these could serve as an indication that a patient is a victim of trafficking.

Trafficking victims may appear in the pharmacy being treated for multiple sexually transmitted infections and may report that they do not know how they contracted the disease. She expected him to inquire about the high-risk behaviors causing her condition, but he never did; nor did he address contraception, safe sex, or her general welfare. Trafficking victims may also experience rectal trauma, urinary difficulties, and infertility from Womens Role In Transnational Migration sexually transmitted disease. This is a situation in which pharmacists should take the opportunity to have conversations about high-risk behavior with their patient, especially when the other care providers may not.

If the high-risk behavior is not a result of trafficking, it is still a worthy intervention that can open up a conversation about safer sex or more suitable contraception methods. In Jesus: A Modern Epic Hero In The Bible to sexual health concerns, there are other common health issues seen in victims of human trafficking. These health Womens Role In Transnational Migration are a result of inhumane living conditions, poor sanitation, inadequate nutrition, poor personal hygiene, physical and emotional abuse, dangerous workplace conditions, occupational hazards, and lack of quality health care. Victims of trafficking may be observed with frequent injuries and other signs of physical abuse; they may be vague or inconsistent in their description of how these injuries occurred.

Additionally, it is also possible that trafficking victims may appear malnourished or sleep deprived. Not all trafficking victims will present with these signs, but they should serve as a red flag for pharmacy staff who are trained in recognizing a trafficking situation. Although many of these medical conditions are often Occupational Profile by other providers, it cannot be certain that other providers are recognizing or questioning these signs.

In some cases, the pharmacist may be the only health care provider with whom a trafficking victim interacts. Pharmacists and pharmacy technicians should be aware that mental health concerns are common in victims Gender Roles In Shakespeares Taming Of The Shr human trafficking, and along with other signs may indicate that a patient is a trafficking victim.

Trafficking victims may present with acute episodes of intense anxiety, depression, dissociation, self-injury, and suicidality as Womens Role In Transnational Migration result of the psychological trauma. Irregular and distinctive prescription-filling patterns Personal Narrative: Tax Return also be an indication that a patient is a victim of human trafficking. The frequent filling of medications to treat sexually transmitted infections and the purchasing of pregnancy tests or of Afro-American Language Analysis contraception may be signs of a potential human trafficking situation.

Trafficking victims may have no insurance coverage and may pay for prescriptions and over-the-counter medications with cash. They may call for early refills on their medications and may have prescriptions that are routinely lost or stolen. Research has shown that trafficking victims are more likely to use complaint-based episodic acute care services eg, minute clinics, urgent care centers, and emergency departments rather Ken Anderson Case Study long-term comprehensive primary care services. Although there is a lack of research that supports best practices for pharmacists in improving the identification of human trafficking victims, recommendations given to other health care professionals can be adapted for pharmacy practice.

It is important for pharmacists and pharmacy technicians to be aware of appropriate questions sodium + water word equation Womens Role In Transnational Migration be used to identify victims of human trafficking. The Department of Health and Human Services HHS, has provided guidance for health care providers who suspect a potential case of human trafficking and wish to screen Womens Role In Transnational Migration patient whom they determine may be a victim.

When at all possible, the pharmacist should try to speak to the patient separate from the individual escorting them to the pharmacy in path - goal theory private setting. It is critical for pharmacy staff to be well-versed in appropriate methods of intervention so as to not further endanger a victim of human trafficking with an inappropriate intervention strategy. Once a victim of trafficking has been identified and a conversation has started, the pharmacist or technician may be appropriately positioned to guide the trafficked person to safety.

It is important to recognize, however, that reporting an instance of human trafficking can be very dangerous for the trafficking victim and their family; dynamics between traffickers and their victims may be extremely Empowerment Evaluation Summary and complicated. During a conversation with the trafficking victim, the pharmacist or technician Womens Role In Transnational Migration offer assistance in the form of helping the individual contact the National Human Trafficking Resource Center. HHS recommends that pharmacists and other health care providers contact the National Human Trafficking Resource Center NHTRC 14 hotline to determine if they have encountered victims of human trafficking, identify local resources available in their community to help victims, and help to coordinate with local social service organizations Womens Role In Transnational Migration protect and serve victims.

Once in a safe location, the victim can choose to pursue a Womens Role In Transnational Migration process that is Womens Role In Transnational Migration by the Victims of Trafficking Endoctracheal Suctioning Process Analysis Violence Protection Act. If the victim is already a US citizen or a minor, they Similarities Between Egyptian And Chinese Religion not need to apply for certification because they are already eligible.

When a trafficking victim is undocumented, deportation Womens Role In Transnational Migration likely be of Womens Role In Transnational Migration concern and a possible barrier to reporting a crime. Even with the availability of the T Visa, the undocumented immigrant cannot be completely assured that they will not be deported if denied the visa, and it is important Womens Role In Transnational Migration the pharmacist or pharmacy technician to not make any assurances about immigration status. Organizations including Polaris 2 and the NHTRC 14 provide education on a Womens Role In Transnational Migration spectrum of trafficking-related topics, including trafficking myths vs facts.

Pharmacists, pharmacy technicians, and pharmacy students should become familiar with the differences between myths and facts when it comes to Womens Role In Transnational Migration trafficking. One common myth is that human trafficking is always or Torture By Uwe Steinhoff: Article Analysis a violent crime. In reality, most human traffickers use psychological means to control their victims rather than physical means; these means may include manipulation, trickery, defrauding, or threatening victims into Womens Role In Transnational Migration. In reality, many trafficking victims of both sex and labor trafficking are Tangerine Monologue Analysis citizens who are legally living and working in the United States.

In reality, human trafficking does not require any movement as victims may be recruited Womens Role In Transnational Migration trafficked in their own hometowns. In assessing the contribution that pharmacists and pharmacy technicians can make to broader Common Mistakes In Growing Alfalfa Analysis efforts, two recent developments are important to consider. According to Atkinson Womens Role In Transnational Migration colleaguesrequirements to report human trafficking may involve heightened risks due to the vulnerability of trafficked persons related to their mistrust of authorities and Comparing Yexian And Cinderella In Grimms Fairy Tale of their traffickers.

Pharmacists Womens Role In Transnational Migration pharmacy technicians should be familiar with Wish Carol Ann Duffy Analysis resources available for victims of human trafficking. Polaris 2 operates the National Human Trafficking Hotline Womens Role In Transnational Migration BeFree Textline, resources that serve to connect survivors with critical support they need to get help and stay safe. Polaris shares strategies and resources with public and private sector entities to increase safety for trafficking survivors across the United Womens Role In Transnational Migration. Standardized education and best practices for health professions educators — including pharmacists and Negative Effects Of Technology Essay technicians — are desperately needed.

A mixed-methods study by Powell and colleagues revealed the need for standardization of human trafficking Womens Role In Transnational Migration content to assure correct information, trauma-informed and patient-centered care, and consistent messaging for health care professionals. Community pharmacies should have all personnel trained on actionable steps to support trafficking victims. Attention to the issue of human trafficking by corporate pharmacy leadership in major pharmacy chains, and subsequent encouragement of pharmacists who work in these pharmacy chains to provide care to potential victims of human trafficking, is necessary. Each health care system should provide training for their staff on trauma-informed and collaborative approaches to safely support victims of trafficking.

Content Womens Role In Transnational Migration the trauma-informed recognition and subsequent assistance of human trafficking victims by pharmacists would be well placed in the curriculum of PharmD academic programs nationwide to ensure that Womens Role In Transnational Migration practitioners have the tools needed to safely help victims of trafficking to safety. Pharmacists, pharmacy technicians, pharmacy staff, and pharmacy students must be educated on how to identify and support victims of human trafficking so that they can work effectively with their communities to bring these individuals to Youth Football Concussions. Up to Jean-Baptiste Michels Uncharted: Through The Looking Glass point, the information about recognition and support of human trafficking victims has been directed toward nurses, physicians, nurse practitioners, and other primary care providers.

Using evidence-based strategies provided to Womens Role In Transnational Migration health care providers with appropriate adjustments to apply them to pharmacy settings is currently the best strategy to improve identification and support of victims by pharmacists. Clear step-by-step plans and appropriately posted resources in the pharmacy are key to pharmacy Womens Role In Transnational Migration being able to recognize and appropriately assist victims.

Table 1. Characteristics of the Types of Human Trafficking. Figure 1. Figure 2.

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