Discuss each question in 1-2 paragraphs. Answer the questions in answer and question format, that is, when you are posting, include both the questions and your answers. 

1. How does your work history and lived experience relate to the conditions experienced by low wage workers described in the service economy readings?
2. What are some of the challenges workers face in the new economy (the 24-hour service economy)?
3. In the wake of recent welfare reform measures, millions of women entering the workforce can expect to face struggles like the ones Ehrenreich confronted in Nickel and Dimed. Have you ever been homeless, unemployed, without health insurance, or held down two jobs? What is the lowest-paying job you ever held and what kind of helpif anydid you need to improve your situation?
4. How do booming national and international chainsrestaurants, hotels, retail outlets, cleaning services, and elder-care facilitiesaffect the treatment and aspirations of low-wage workers? Consider how market competition and the push for profits drive the nickel-and-diming of America’s lowest-paid.

TEXTBOOK : https://www.humbleisd.net/cms/lib/TX01001414/Centricity/Domain/5915/Nickel-and-Dimed-Barbara-Ehrenreich.pdf

Discussion # 1 Advanced Primary Care of Family

    Shared decision-making leads to better health knowledge among the elderly, children, and veterans. They leave the decision-making to caregivers and practitioners. For children and the elderly, they do not participate in their examination, diagnosis, and treatment options because of their limited literacy. The same impacts how this population responds to the management of chronic illnesses and other aspects of care (Seo et al., 2016). Shared-decision making provides the elderly with an opportunity to ask questions when needed, seek more information about their condition, and communicate their health needs. Through this process, older adults gain an understanding of their health and become experts in the decision-making process.

     Today, best practices of models of care such as patient-centered care enhance communication between practitioners and patients. For instance, allowing a patient to be at the forefront of the medical process is an incentive for self-management (Narva, Norton, & Boulware, 2016). The elderly are particularly vulnerable to illiteracy and will tend to research more when they are perceived as decision-makers. They will be keen on the medical process and gain knowledge as a result. Additionally, motivational interviewing ensures that children and older adults are influential in the decision-making process.

     It breaks the barrier of uncertainty and facilitates curiosity among the elderly, who then learn to decode instructions, and risk asking questions about various aspects of their care (LeDoux & Mann, 2019). It is a strategy that promotes autonomy during the care process, which enhances learning.

References

LeDoux, J., & Mann, C. (2019).Addressing Limitations in Health Literacy: Greater Understanding Promotes Autonomy and Self-Determination. Professional case management, 24(4), 219-221.

Narva, A. S., Norton, J. M., & Boulware, L. E. (2016). Educating patients about CKD: the path to self-management and patient-centered care. Clinical Journal of the American Society of Nephrology, 11(4), 694-703.

Seo, J., Goodman, M. S., Politi, M., Blanchard, M., & Kaphingst, K. A. (2016). Effect of health literacy on decision-making preferences among medically underserved patients. Medical Decision Making, 36(4), 550-556.