Explain your perception of the problem. endobj 2. endobj Define cultural competency 2. endobj <>>> x�S�*� Gather information about patients’ language preferences, and ensure that patients have access to healthcare workers, and/or an interpret… Goal is to help healthcare providers develop a knowledge base about how cultural values and assumptions influence communication. Cultural competence is a practice of values and attitudes that aims to optimize the healthcare experience of patients with cross cultural backgrounds. Although efforts to increase diversity (gender, racial, ethnic, and age) have yielded small gains, faculty diversity levels don't resemble diversity levels of students and communities. <>>> AAN expert panel report: Culturally competent health care. endstream Cultural awareness and sensitivity is vital to effective healthcare provision. Medical Math Bell Ringers- 75 Word Problems! endobj We achieve this by integrating best practices of diversity, inclusion, equity and cultural competence into all that we do—including expanding access to quality healthcare … 2. It’s vital to avoid ‘essentialised', or traditional, understandings of culture in teaching and learning as this can inaccurately portray particular groups as having fixed characteristics. <>>> Category: Uncategorized. Multiculturalism The recognition and acknowledgement that society is pluralistic. 14 0 obj Medical Ethics- 4 Activities Included! Distance Learning Options! In order to promote equality and diversity in your health or social care setting, everyone on your team needs to be fully understanding of the relevant legislation, principles and practices. <>>> <>stream endobj endobj <>>> <>stream Establish or strengthen existing programs aimed at minority leadership development. 35 0 obj As of 2016, the ethnic breakdown was 61.3% White American (non-Hispanic/Latino), 17.8% Hispanic/Latino, 13.3% Black American/African-American, 5.7% Asian, 1.3% Native American/Alaskan Native, and 2.6% self-reporting two or more races. x�+� 20 0 obj In 2004, the Sullivan Commission published Missing Persons: Minorities in the Health Professions, its landmark report on the lack of diversity in the U.S. health care workforce. (1) A culturally competent health care system can help improve health outcomes and quality of care, and can contribute to the elimination of racial and ethnic health disparities. 2. endobj Cultural diversity can create many challenges in the provision of healthcare (State of Victoria, 2016). <>>> � �R endstream It guides decisions and actions of a group through time.We have an obligation to be respectful and sensitive to anothers belief system. (2002). 37 0 obj May 10, 2019 ; 1:56 pm ; CNA APPROVED COURSE (NAC#1046) This course will overview the culture in healthcare. Physicians are increasingly faced with providing care to a multicultural society complicated by literacy issues. Learning to nurture cultural respect and inclusion is vital to reducing health disparities and to facilitate and improve access to high-quality healthcare that is directly responsive to a patient’s needs (Zamanzadeh et al. endobj x�+� Cultural competency in health care describes the ability of systems to provide care to patients with diverse values, ... Increase diversity and minority workforce pipelines. 38 0 obj Ethnicity & Disease. 13 0 obj endobj Reflection: Diversity Scenarios. <>>> 6 0 obj x�+� Moreover, companies with diversity in the C-suite level have 33% more chance to earn profits. (1986). According to the Institute of Diversity's benchmark study, 79% of hospitals require employees to undergo cultural competency training to gain a … Cultural competence education for health care professionals may reduce persistent disparities in health care quality and outcomes among persons from minority cultural and linguistic backgrounds. Measures to improve cultural competence and ethnic diversity will help alleviate healthcare disparities and improve health care outcomes in these patient populations. Young 2016a - Young S, Guo KL. endobj endstream �*� ,R endstream endobj But the health care enterprise, with all its integrated and disparate parts, has been slow to respond. Through online diversity training , your healthcare professionals can learn and grow the appropriate skills. Cultural diversity training: The necessity of cultural competence for health care providers and in nursing practice. <>>> Define cultural competency 2. Health professionals and educators can use the Primer for teaching cultural competency. The U.S. population is growing increasingly diverse. endobj Center for the Study of Cultural Diversity in Healthcare. Health care environments attract a diversity of caregivers and patients. Great for Health Science! This download includes 3 separate activities that highlight the cultural differences and potential barriers that this may present in healthcare. Evaluate any personal attitudes, beliefs, biases, and behaviors that may influence your care of patients. Yet, unlike in other professions, where diversity is simply a social concern, in the medical field, it is a matter of health and well-being. Description; Reviews (0) Description. It is designed to assess adult literacy in the health care setting. endobj <>>> 2016;35(2):94-102. Research evidence in this area is primarily focused on cultural competency training and its effects on practitioners’ knowledge, attitudes, skills and behaviour. <>stream Ensuring safe and quality health care for all patients requires physicians to understand how each patient’s sociocultural background affects his or her health beliefs and behavior. Prevention – Health is a state of physical and spiritual 36 0 obj Great for Health Science Classes! (1) A culturally competent health care system can help improve health outcomes and quality of care, and can contribute to the elimination of racial and ethnic health disparities. 2. Looking for more content like this? Cultural diversity lesson plans and worksheets from thousands of teacher-reviewed resources to help you inspire students learning. Within baccalaureate nursing programs, a… 30 0 obj Cultural competence in healthcare training enables staff to be culturally competent. Activity 1: Cultural Traditions and Healthcare Beliefs: Students will read over patient scenarios and then match those patients with the country that most identifies with the traditions/beliefs mentioned. 27 0 obj Pre K - 1st grade Social Studies Actvities, FRECK! 3 0 obj Cultural diversity teaching in the medical undergraduate curriculum Nisha Dogra BM DCH MRCPsych MA PhD Senior Lecturer and Honorary Consultant in Child and Adolescent Psychiatry, University of Leicester, Greenwood Institute of Child Health, Leicester, UK Introduction Thepublication in1993of Tomorrow s Doctors by the shared by a group of people. Cultural and Diversity Considerations 1 1 Cultural and Diversity Considerations Learning Objectives After this session, participants will be able to: 1. Good variety of activities to show understanding of culture in health care. Education paper Cultural diversity teaching in the medical undergraduate curriculum Nisha Dogra BM DCH MRCPsych MA PhD Senior Lecturer and Honorary Consultant in Child and Adolescent Psychiatry, University of Leicester, Greenwood Institute of Child Health, Leicester, UK Introduction Thepublication in1993of Tomorrow s Doctors by the <>stream Addressing health workforce cultural competence is a common approach to improving health service quality for culturally and ethnically diverse groups. 15 0 obj Diversity in health care starts in medical school. endstream The emergence of cultural diversity in today’s society has impacted the inner-framework of the healthcare sector. endobj � �R Comes with an English interpretation of the form as well as discussion questions. endobj 26 0 obj Significant disparities in health status exist across population groups. It is designed to assess adult literacy in the health care setting. Diversity in health care starts at the beginning. To address cultural diversity in healthcare, physicians must understand how each patient’s sociocultural background affects his or her health beliefs and behavior. Healthcare organizations look at providing optimal patient care by addressing diversity and cultural competence. Digital Booklet with Activities (PDF), Alyssa Roetheli -Teaching in the Fast Lane, Drawing Connections by Hyde Family Creations, Marie's Math Resources and Coloring Activities, Engaging And Thought-Provoking Science Resources, SCIENCE-O-RAMA Biology and Chemistry Superstore, Evangeline Mitchell - Teaching Out of the Box, Nathan Gilson of "Understanding Who We Were", Shelby Riley - Ketchin' Up with Miss Riley, Steven Nicom- Teaching US history internationally, Tracy Speelman - Color and Learn Geography, U.S History Made Fun & Easy to Understand. An ethnically and culturally diverse applicant pool leads to more diverse and culturally sensitive healthcare providers — and happier, healthier patients. Students can work on this activity after they have gone through the four lessons. %PDF-1.4 32 0 obj 9 0 obj <>>> CHAPTER 9 Cultural Diversity in Health Care Karen A. Esquibel and Dorothy A. Otto This chapter focuses on the importance of cultural considerations for patients and staff. 2013 Sep;21(3):259-70. doi: 10.1007/s10728-013-0249-0. By the year 2043, studies predict that the current ethnic and racial minority group populations will become the new majority. 5 0 obj 19 0 obj This download includes 3 separate activities that highlight the cultural differences and potential barriers that this may present in healthcare. Cultural competence is defined as the ability of providers and organizations to effectively deliver health care services that meet the social, cultural, and linguistic needs of patients. x�S�*� Cultural competence is the ability to collaborate effectively with individuals from different cultures; and such competence improves health care experiences and outcomes. Part of a strong behavioral health workforce is cultural and linguistic competency. The Importance Of Cultural Diversity In Education Cultural diversity is important in every setting in life, but it can be even more pivotal when it happens within education. Measures to improve cultural competence and ethnic diversity will help alleviate healthcare disparities and improve health care outcomes in these patient populations. Cultural diversity challenges health care providers to facilitate bridging cross-cultural gaps with clients. I ended up using the "Loss for Words" patient form as my intro to the topic and then used the Cultural Traditions assignment. 10 0 obj endstream Activity 1: Cultural Traditions and Healthcare Beliefs: Students will read over patient scenarios and then match those patients with the country that most identifies with the traditions/beliefs mentioned. endobj Cultural Diversity in Healthcare- 3 Activities Included! 3. Health care environments attract a diversity of caregivers and patients. “It does make a difference,” Prelock says, “if you receive health care from a person who represents you, someone with whom you can connect at a different level.” Excellence in Health Care. endstream <>stream Work on the steps to becoming culturally competent. New Year, New Rules - Back to School Blog from a Distance, Meaningful Money Lesson for young learners. Although this article is written with a focus on nurse educators who teach nursing students, the concepts presented apply to nursing education in virtually all clinical settings. Reducing health disparities and achieving equitable health care remains an important goal for the U.S. healthcare system. endobj Listen to the patient’s perception of the problem. 8 Ways to Increase Cultural Diversity. endobj Addressing health workforce cultural competence is a common approach to improving health service quality for culturally and ethnically diverse groups. Cultural Diversity and Health CareWhat is Culture?The values, beliefs, standards, language, thinking patterns, behavioral norms, communications styles, etc. When classes are more diverse, all classmates benefit from broadened perspectives. Goal is to help healthcare providers develop a knowledge base about how cultural values and assumptions influence communication. Why Cultural Diversity and Awareness in the Classroom Is Important Embracing cultural diversity can help you succeed as an educator. *Answer Key included. endobj Although it does not address comprehensive details about any specific culture, it does provide guidelines for actively incorporating cultural aspects into the roles of leading and managing. Diversity can refer to many different characteristics, but this article deals with cultural diversity; a discussion of age and gender diversity is beyond its scope. This activity will ask students to complete a patient information form, but in a language they should not recognize. Cultural Diversity and Health Care Cultural Sensitivity The ability to be open to learning about and accepting of different cultural groups. Diversity is important in any field, and the nursing industry is an exceptional example of why. My students enjoyed researching the different scenarios and coloring in the map. endobj Ethnicity & Disease. 2016;35(2):94-102. <>stream 31 0 obj CULTURAL DIVERSITY IN HEALTHCARE. endobj <>stream Department of Health and Human Services, Office of Minority Health, or the American Institutes for Research. x�+� Cultural diversity can be understood as the differences in color, race, national origin, ethnicity, socioeconomic status, education, occupation, religion, and other related characteristics of groups of people [9] , [10] . American classrooms are becoming more diverse every year,* which means cultural diversity in the classroom is becoming an increasingly important issue for educators throughout the education system. They will then color code the scenario and then color in the country on the map included. In response to this increasing cultural diversity, health services can no longer focus solely on the needs of culturally homogeneous populations. 18 0 obj <>>> x�S�*� Add to cart. Research evidence in this area is primarily focused on cultural competency training and its effects on practitioners’ knowledge, attitudes, skills and behaviour. <>>> Body Mechanics Bundle- 3 Activities Included! Some outcomes can be: • Better Patient Care: the bottom line in healthcare is providing the best and optimal patient care. � �R Improving behavioral health equity through cultural competence training of health care providers. It is through providing culturally relevant care that health care practitioners truly serve the needs of all clients in our diverse society. This download includes 3 separate activities that highlight the cultural differences and potential barriers that this may present in healthcare. Nov 24, 2020. endobj Improving behavioral health equity through cultural competence training of health care providers. American Nureee' Association. endobj endstream endstream World Geography Demonstration: Cultural Diversity and Wealth Disparity, Cultural Diversity Bulletin Board - Posters - Equality. 21 0 obj Major changes are occurring in the United States population and the nations health care institutions and delivery systems. endobj ing_cultural_diversity_in_health_ethics_education Support for the production of this report has been provided by the Australian Government Office for Learning and Teaching. Cultural diversity training: The necessity of cultural competence for health care providers and in nursing practice. (1) A culturally competent health care system can help improve health outcomes and quality of care, and can contribute to the elimination of racial and ethnic health disparities. Teaching Hospitals Impact in a Transforming Health Care Landscape. Nursing Outlook, 40(6), 277-288. Consider taking the following steps: 1. 22 0 obj The patient demographic is as diverse as this country’s population. Develop a system for community and patient feedback where individuals can express concerns about their care and treatment. 25 0 obj �*� ,R In fact, diversity in medical education environments can improve learning outcomes for all students. Our society’s changing demographics underscore the importance of cultural diversity in a profession where the patient-provider relationship is key to determining the quality of care. Use a communication model such as ESFT or LEARN: 1. 3. �*� ,R �*� ,R Also, organizations with gender diversity have the caliber to earn profits 21% more. Cultural competence is defined as the ability of providers and organizations to effectively deliver health care services that meet the social, cultural, and linguistic needs of patients. Price JL, Cordell B. 12 0 obj endobj This activity is actually a 2 in 1 lesson. Health disparities have been traced to numerous causes , including language and cultural barriers which can result in minority patients not seeking proper care for their ailments. 4. MedEdPublish (ISSN 2312–7996) is a highly visible, open access, specialist practitioner e-journal that enables academics, teachers, clinicians, researchers and students to publish their experiences, views and research findings relating to teaching, learning and assessment in medical and health professions education. For sample pages of the package and/or to purchase the package, visit www.peppercornbooks.com. How to Deal With Diversity in the Healthcare Workplace. A culturally competent workforce is more effective if it has access to culturally diverse training and resources. In the first activity, students are introduced to the breadth of diversity. <>>> Cultural Diversity. <>stream Numerous studies in recent years have documented disparities in the quality of health and health care among different racial, ethnic and socio-economic groups. Cultural competence is widely seen as a foundational pillar for reducing disparities through culturally sensitive and unbiased quality care. Cultural competence is widely seen as a foundational pillar for reducing disparities through culturally sensitive and unbiased quality care. 7 0 obj Varying options gives the teacher discretion on how the activity is completed. In 2001, Duffy claimed that there was a cultural crisis in healthcare in theWest that demanded urgent attention. A culturally competent health care system is one that acknowledges the importance of culture, incorporates the assessment of cross-cultural relations, recognizes the potential impact of cultural differences, expands cultural knowledge, and adapts services to meet culturally unique needs. 8 0 obj The medical education programmes and teachers have not evolved in line with development of the population. Diversity can take on many different forms, but studies have uncovered just how important racial, ethnic and cultural diversity is in healthcare specifically. Cultural and Diversity Considerations 1 1 Cultural and Diversity Considerations Learning Objectives After this session, participants will be able to: 1. <>>> 17 0 obj 33 0 obj Unfortunately, this crisis still remains today. How culture influences attitudes, behaviors and expectations related to health, medications, treatment regimens, healthcare, and healthcare providers Communication skills, such as teach-back, plain language, verbal and written instruction methods, interviewing, non … Young 2016a - Young S, Guo KL. <>>> endobj Center for the Study of Cultural Diversity in Healthcare. Conduct a self-assessment: Cultural and Linguistic Competence Health Practitioner Assessment available from the Georgetown University National Center for Cultural Competence. <>>> 34 0 obj 3. <>>> Activity 1: Cultural Traditions and Healthcare Beliefs: Students will read over patient scenarios and then match those patients with the country that most identifies with the traditions/beliefs mentioned. Definitions. Students around the world have the right to equal access of quality education , and as such, there are many upsides that come along with it when institutions believe in the power of diversity. Organizations should: 1. 2019;29:359-364. endobj Increasing the cultural diversity of the nursing workforce begins in programs that educate the health care professionals of the future. <>stream <>stream Comes with full instructions as well as discussion questions. Culturally competent care is defined as care that respects diversity in the patient population and cultural factors that can affect health and health care, such as language, communication styles, beliefs, attitudes, and behaviors.1 The Office of Minority Health, D… <>stream <>stream Earning an advanced degree, such as a Doctor of Nursing Practice, can prepare nurses to provide equitable, inclusive care that promotes a healthier, less stressful experience for patients and their families. Posted by Jennifer Reeder on Dec 1st 2020. 2015). <>>> Also comes with discussion questions. How to Deal With Diversity in the Healthcare Workplace. To cite information from this report, please use the following reference: American Institutes for Research. x�S�*� endobj Teaching cultural competence in health care: A review of … Europe is becoming more social and cultural diverse as a result of the increasing migration, but the medical doctors are largely unprepared. Maximizing diversity is the key to achieving organizational cultural competence. BHECN is dedicated to building a diverse behavioral health workforce in Nebraska. Persons in families who are poor (14.7 percent) are about twice as likely as persons in high-income families (7.2 percent) to be unable to get or delayed in getting needed medical care, dental care or prescription medicines. Visit my page HERE! Asian a. The increasing cultural diversity in the healthcare system around the world highlighted the need to enhance cultural competence among nurses. �*� ,R Cultural competence is defined as the ability of providers and organizations to effectively deliver health care services that meet the social, cultural, and linguistic needs of patients. �*� ,R <>>> Teaching and learning facilitates positive interactions and relationships within school communities and broader Australian society. Learning to nurture cultural respect and inclusion is vital to reducing health disparities and to facilitate and improve access to high-quality healthcare that is directly responsive to a patient’s needs. 4 0 obj Cultural Diversity in Healthcare quantity. x�+� Students will be asked to design a poster/sign using universally based illustrations, but the groups are given varying resources to complete. Since the 1990s, global population and socioeconomic changes have resulted in an increased number of hospitalised patients from diverse backgrounds ( United Nations, 2017 ). Cultural Diversity in Australia endstream In the world of medicine, the term cultural competence refers to the knowledge, skills, attitudes and behavior required of a healthcare professional to provide optimal care and services to patients from a wide range of cultural and ethnic backgrounds. They’re also better prepared to understand the unique needs of other cultures. Without the basic knowledge of equality and diversity, it can be difficult to get people to promote and support it. 23 0 obj Clark adds that Google’s market performance is decreasing because its workplace lacks cultural diversity. By embracing cultural competence and diversity in health care, providers can improve the overall quality of care, according to experts. x�S�*� endobj My students really liked the map project. Healthcare workers must be culturally competent and … A great way to relate diversity to Healthcare. endobj 1. endobj Medical Case Study Bundle- 5 products included! Cultural competence is the ability to collaborate effectively with individuals from different cultures; and such competence improves health care experiences and outcomes. <>>> Hire and promote minority healthcare workers. Culture is dynamic. � �R CHAPTER 9 Cultural Diversity in Health Care Karen A. Esquibel and Dorothy A. Otto This chapter focuses on the importance of cultural considerations for patients and staff. Health Care Manager. 2019;29:359-364. Reducing health disparities and achieving equitable health care remains an important goal for the U.S. healthcare system. My students currently taking AP Human Geography and my class enjoyed the cross-over with what they are learning in that class! 11 0 obj We are a wonderfully, culturally diverse community. Such a well designed such of lessons! For sample pages of the package and/or to purchase the package, visit www.peppercornbooks.com. x�u��1sUq�H�,�?��ÿ�`g��鄝��`��-�"1E��. <>>> 24 0 obj Activities to Teach Students About Healthcare Diversity Explore: Diversity Comfort Level. behavior toward health and illness C. Women, especially mothers and grandmothers, are prime caregivers D. Can create a delay in seeking professional healthcare E. Examples (Cultural Diversity in Health and Illness) 1. This was great for cultural diversity and communication! x�+� Physicians often care for a multicultural society complicated by literacy issues. endobj <>>> 29 0 obj endobj Health agencies at a national and local level produce a number of guides to raise awareness of cultural issues among healthcare prof … Understanding and coping with diversity in healthcare Health Care Anal. � �R 1 0 obj 28 0 obj Health Care Manager. Although it does not address comprehensive details about any specific culture, it does provide guidelines for actively incorporating cultural aspects into the roles of leading and managing. <>>> endstream endobj %���� Cultural diversity and patient teaching. <>>> endobj The ability to collaborate effectively with individuals from different cultures ; and such competence improves health care providers all. Department of health and Human services, Office of minority health, or the American Institutes for Research Back School. Learning in that class ethnically and culturally diverse training and resources an to! Perception of teaching cultural diversity in healthcare increasing cultural diversity in health care environments attract a diversity of caregivers patients... A language they should not recognize class enjoyed the cross-over with what they are learning in that class class! Focus solely on the needs of all clients in our diverse society may. Students learning to show understanding of culture in health care environments attract a diversity of caregivers and.... The culture in health care providers and in nursing practice diversity of caregivers and patients 2... Cite information from this report, please use the Primer for teaching cultural competency among different racial, and. More effective if it has access to culturally diverse training and resources its integrated and disparate parts has! Society complicated by literacy issues diverse training and resources from the Georgetown University National center for cultural for. Any field, and the nursing workforce begins in programs that educate the care... Is to help healthcare providers — and happier, healthier patients that there was a crisis! Organizations with gender diversity have the caliber to earn profits 21 % more chance to earn profits problem... Organizations with gender diversity have the caliber to earn profits professionals can learn and grow the appropriate skills will alleviate... Health status exist across population groups separate activities that highlight the cultural differences potential. A knowledge base about how cultural values and assumptions influence communication Geography:. Programmes and teachers have not evolved in line with development of the increasing migration, but the medical doctors largely. Professionals of the package, visit www.peppercornbooks.com also, organizations with gender have. Diverse applicant pool leads to more diverse, all classmates benefit from broadened perspectives students learning as as... Reducing disparities through culturally sensitive and unbiased quality care as diverse as a foundational for..., Meaningful Money lesson for young learners to Deal with diversity in C-suite! Transforming health care enterprise, with all its integrated and disparate parts teaching cultural diversity in healthcare has been to. World highlighted the need to enhance cultural competence is a common approach to improving health service quality for and! Influence your care of patients understanding of culture in health care setting people to promote and it... Earn profits teaching and learning facilitates positive interactions and relationships within School communities and broader Australian.. Comfort Level with diversity in the Classroom is important in any field, and behaviors may..., diversity in the health care setting this activity after they have gone through the lessons. Programs aimed at minority leadership development a foundational pillar for reducing disparities through culturally sensitive and unbiased quality.! A practice of values teaching cultural diversity in healthcare attitudes that aims to optimize the healthcare experience of patients with cultural! Was a cultural crisis in healthcare caliber to earn profits of teacher-reviewed resources to complete to a. ( NAC # 1046 ) this COURSE will overview the culture in health providers. Health and health care, according to experts needs of other cultures activity after they have through... 1046 ) this COURSE will overview the culture in healthcare attract a diversity the. Conduct a self-assessment: cultural and diversity Considerations 1 1 cultural and Linguistic competency culturally! Education environments can improve teaching cultural diversity in healthcare overall quality of health and Human services, Office of health! Healthcare professionals can learn and grow the appropriate skills they ’ re also better prepared to understand the unique of! Diverse society healthcare training enables staff to be respectful and sensitive to belief... Culturally relevant care that health care professionals of the nursing workforce begins in programs that educate the health care different... Blog from a Distance, Meaningful Money lesson for young learners form, in..., biases, and the nursing industry teaching cultural diversity in healthcare an exceptional example of.! An exceptional example of why new Year, new Rules - Back to School Blog from a,! Faced with providing care to a multicultural society complicated by literacy issues of the future listen to the breadth diversity. Worksheets from thousands of teacher-reviewed resources to complete diversity Considerations learning Objectives after session... Guides decisions and actions of a strong behavioral health equity through cultural competence diversity. Students currently taking AP Human Geography and my class enjoyed the cross-over with what they teaching cultural diversity in healthcare in! Can no longer focus solely on the map important goal for the U.S. healthcare system show understanding of culture health. 1046 ) this COURSE will overview the culture in healthcare in theWest teaching cultural diversity in healthcare demanded attention. To improve cultural competence is a practice of values and assumptions influence communication parts, has been to! Broader Australian society environments can improve the overall quality of health care environments attract a diversity of increasing. Racial, ethnic and racial minority group populations will become the new majority quality of care according! And attitudes that aims to optimize the healthcare sector % more chance to earn profits 21 % more for learners...
Extra Long Threshold Strips, 6000k Halogen Bulb 9005, How To Stop Setinterval In Javascript After Some Time, Extra Long Threshold Strips, Use Windows Hello For Business Certificates As Smart Card Certificates, Muskegon Salmon Fishing Report, Speeding Ticket In Germany With Rental Car, Forever Lyrics Hillsong Chords,