Creating An Inclusive Environment Grad School Essay Help

In the workplace, we may hear a statement, joke, or remark that is unkind or inappropriate. Often the speaker might appear to do so in a way that is not intended to offend, but comes from other experiences or lack of awareness as to how they may be received.

It is up to you as a manager to set the tone for how these comments are countered in order to create an inclusive environment.

Choose one of the statements below (clearly identify in your work which statement you chose).

“We don’t serve those people here.” (Reference to lesbian, gay, bisexual, and transgender clients)

“He should go back to his own country.” (Reference to someone of a different race)

“She just slows us down.” (Reference to a disabled worker)

“Why doesn’t he retire already!” (Reference to an older employer)

In a 2-3 page paper, suggest some ways in which you would professionally respond if you heard the comment by your subordinate in the employee lounge. Include how you might approach the employee (immediately, privately etc.). Provide specific comments that you might use in your discussion and consider how the individual might defend their actions. What further conversation might this lead to?

Explain the ethical and legal (if any) implications if statements such as the one you chose would continue. What might be lost in your workplace if the statements are allowed?

Include at least one resource you could use to help your conversation. Identify whether there is a legal guideline to share with your employee.

Importance of implementing a performance management system free essay help

Due Week 8 and worth 300 points

You are the HR manager for an upscale retail store which sells clothing, shoes, handbags, and other accessories. Due to the economic downturn, the company has experienced a significant reduction in earnings, resulting in the layoff of a number of retail sales associates. Business seems to be rebounding, but you are concerned about the performance of the retail sales staff. The CEO has requested that you recommend ways to increase sales and customer service. You believe that implementing a performance management system may help modify employee behavior and improve results.

Write a six to eight (6-8) page paper in which you:

Create a job description for a retail sales associate, which includes the most significant components necessary to describe the job both internally and externally.
Create an organizational behavior modification (OBM) plan to define four (4) key behaviors that are required for successful job performance as a retail sales associate. Suggest the significant ways that your plan will benefit the organization.
Specify two (2) ways that you would measure whether current employees exhibit the key job performance behaviors. Propose two (2) methods that you could use to inform employees of the new performance standards.
Outline a plan with two (2) methods of providing feedback to employees. Include the frequency with which the feedback will be provided. Propose two (2) actions company leaders should take to reinforce positive employee behaviors.
Examine at least three (3) key legal and ethical issues that could potentially impact the performance management system. Support your response with specific examples of the identified issues’ possible effects on the performance management system.
Use at least four (4) quality academic (peer-reviewed) resources in this assignment. Note: Wikipedia and other Websites do not qualify as academic resources.

Your assignment must follow these formatting requirements:

Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

The specific course learning outcomes associated with this assignment are:

Examine performance management issues and processes.
Examine the influences on and various approaches to compensation.
Use technology and information resources to research issues in human resource management foundations.
Write clearly and concisely about human resource management foundations using proper writing mechanics.

Grading for this assignment will be based on answer quality, logic / organization of the paper, and language and writing skills. Click here to access the rubric for this assignment.

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Assessment of community-level barriers college essay help los angeles: college essay help los angeles

For the second written assignment of the course, you will continue in the design of your proposed model program by demonstrating your understanding of your selected population’s challenges, which negatively impact this group’s health and well-being. Based on this week’s research, conduct an assessment of the barriers, limitations, and other distinguishing features, as they exist within your community.

Prepare a recap of the model program for your community that you originally shared in the week 2 written assignment. As stated in the Week Two directions, changes to the potential program can be made as you research and develop the focus of the program.
Analyze and discuss at least three critical barriers that impact the health and well-being of your chosen group; one must be a micro-level (individual) barrier that is financial, one must be a macro-level (community/state) barrier that relates to access and funding for care, and the third barrier may be one of your choosing.
Discuss at least one proposed solution for each barrier. Your solution for the micro barrier must include an analysis of various potential funding options (both independent and integrated). Your solution for the macro barrier must include an analysis of financing resources for health care.
Research and analyze the regulatory, legal, ethical, and accreditation requirements and issues for the service(s) offered in your proposed program. Discuss how each will impact the management of the program.

Your assignment should be a minimum of three pages in length (excluding title and reference pages) and should include a minimum of three scholarly sources cited according to APA guidelines as outlined in the Ashford Writing Center. Please note: All assignments in this course are progressive; therefore you should use the same population selected in your Week Two assignment. The Week Two assignment’s contents do not need to be re-submitted with this assignment.

Carefully review the Grading Rubric for the criteria that will be used to evaluate your assignment.

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How to address performance issues essay help app

ue Week 9 and worth 125 points

Imagine you work at a company and it is time for an employee named Jim’s annual review. While he was a model employee the first nine (9) months of the year, recently Jim has been coming in late. It has not been just a few minutes each day, either. It is starting to cause problems in the production line. In this assignment, write a one (1) page summary of your conversation with Jim. How will you address his recent performance issues while still praising him for his previous nine (9) months of good work? Your goal is to balance the negative and positive feedback so that Jim will leave motivated to do his best.

Write a one (1) page paper in which you:

Explain how you will address Jim’s recent performance issues.
Suggest both constructive and positive feedback designed so that Jim will leave motivated to do his best.
Format your assignment according to the following formatting requirements:

Typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides.
Include a cover page containing the title of the assignment, your name, your professor’s name, the course title, and the date. The cover page is no

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t included in the required page l

Better meal options to improve patient satisfaction common app essay help: common app essay help

Introduction

According to studies done, meals served in hospitals play a major role on the satisfaction of patients in their hospital stay. Additionally, hospital nutrition and food services influence patient’s well-being and recovery process. It is the hospital’s foodservice team responsible in ensuring that the food served to patients meets their nutritional needs.

According to Nor (as cited in MCKinnon, 2007, p.1), patients suppose that they lack control over virtually everything during their stay in hospital. Choosing their food is one of the vital areas where they wish to have control. Studies also show that, the period a patients spends in a hospital determines their satisfaction or dissatisfaction with the meals offered; the longer the stay, the greater the dissatisfaction. Furthermore, patients who spend longer periods in hospitals are likely to suffer from severe conditions; which makes them lose appetite, thus, eating less food. Recently, there is a rise in competition within the health care industry. As a result, hospitals are improving food services in order to improve their patients’ satisfaction.

Purpose of Study

The reason for carrying out this study is to determine whether better meals option will help in improving patient satisfaction.

Subjects for study

Thorough awareness of the diverse hospital foodservice satisfaction dimensions is required in order to understand the expectations of patients, as well as, promote patients’ nutritional and health status. These diverse dimensions are the subjects for study.

Quality of food: it is important to understand the quality of foods served to patients. Food quality may refer to flavor, taste of meal, variety, vegetable and meat texture and the perception of opting for a healthy meal. Implementations on menu changes to improve the quality of food, will address a variety of influences. Interventions will be customized on the perceptions and needs of the number of patients present. In order to better understand the needs of improving the quality of food, inpatients expected to stay longer due to their conditions will be questioned using questionnaires on how they feel regarding the meals served for a period of one week. In a week’s time a patient ought to have eaten all foods served in the hospital, thus, he or she is in a position to tell the quality offered (Theurer, 2011).

Patient Surveys: patients are vital data source regarding the function of service. To help in improving quality of food offered, a patients’ satisfaction survey will be carried out; where patients will be questioned about food service. This will be done through quality-control programs for about two weeks on both inpatients and outpatients.

Carrying out meal Rounds: meal rounds are an evaluation tool for intake of foods by inpatients and foodservices satisfaction. This will be done by a staff member in the foodservice team by visiting inpatients during meal periods and question them on satisfaction, as well as, food intake. In addition, the staff member observes the set-up of the tray and the food appearance, and the necessities for feeding improvements. This should be a continuous activity to help in improving quality over time.

Impacts of introducing snack room: a hospital’s intake gets affected by factors such as, taste alterations, early satiety, fatigue, gastrointestinal intolerance, poor appetite and disease status. According to dieticians, taking snacks or regular intake of small amounts of foods can help malnourished patients in meeting their nutritional needs. This encourages optimal nutrition intake, which help in fast recovery and also reduces medical cost (Mahoney, 2009). To measure this, patients will be introduced to snack services for a period of one month, where their recovery progress will get checked regularly.

Considering the most cost effective changes; this is a subject on study that depends on the survey done. In the quest to improve meals offered in the hospital to help improve patient satisfaction, it is also important to consider the most cost effective solutions. It is important that the cost likely to be incurred during the process of improving meals options is reasonable, and friendly to the hospitals finances. This will get determined by the financial status of the hospital.

Monitoring the scores of Foodservice Satisfaction

Having curried out the study, the scores will get monitored for evaluations. Evaluations will involve analyzing the patient’s satisfactions and dissatisfactions and determine the changes that should take place, where and when and what amount of money will be required to complete the task. In order to monitor the scores, regular similar studies will be carried out. The regular studies will determine whether the patients’ satisfaction is improving or not. If there is no improvement more research will be done n order to determine the root for the problem and what could be done to change the situation.

Design elements not readily obvious in the study for mammographic screening

The design elements in this study and were absent in the study done on attitudes towards mammographic screening include, investigating on the attitudes of patients towards the quality of food offered, patients surveys, where patients are questioned on the quality of food and carrying out of meal rounds to determine perception and need for change.

References

Mahoney, S. (2009). Patient satisfaction and energy intakes are enhanced by point of service meal provision [PDF Document]. Retrieved from http://ro.uow.edu.au/cgi/viewcontent.cgi?article=1280&context=hbspapers

Nor, M.Z. (2010). Hospital foodservice directors identify the important aspects when implementing room service in hospital foodservices [PDF Document]. Retrieved from http://lib.dr.iastate.edu/cgi/viewcontent.cgi?article=2669&context=etd

Theurer, A.V. (2011). Improving patient satisfaction in a Hospital Foodservice System Using Low-Cost Interventions: Determining Whether a Room Service System is the Next Step [PDF Document]. Retrieved from http://digitalcommons.usu.edu/cgi/viewcontent.cgi?article=1029&context=gradreports

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How an employer can reduce the risk of discrimination best essay help: best essay help

1. Describe the Ward Cove v. Atonio law, focusing on the protections for the employee, as well as how the employer can reduce the risk of discrimination.

2. Most behaviors are likely both ethical and legal. Provide examples of behaviors that would fall under one of the following lists:

§ unethical but legal

§ ethical but illegal

§ both unethical and illegal.

3. Is affirmative action still relevant? Do we need to encourage companies to accept it, or not?

4. How would you explain race discrimination in hiring practices to a new HR employee using one of the topics below? Provide an example to help illustrate these hiring practices. What points would you emphasize?

§ Civil Rights Act of 1964

§ Disparate Treatment

§ Disparate Impact

§ Civil Rights Act of 1991, (including recovery of compensatory and punitive damages)

§ BFOQ

5. How has legislation involving sex discrimination evolved? Cite specific examples of what is addressed under federal and/or state laws.

6. What is a significant misconception you believe most people have about the law that relates to sexual harassment? What would be the best course of action for a manager to take in the workplace to prevent that misconception from causing a problem?

7. Does expression of spirituality have a place in the workplace, and how can an HR manager protect the company against a claim of religious discrimination?

8. In many cultures, age is celebrated and older individuals are sought out for their wisdom. In contrast, in the United States, many feel age discrimination is rampant. Do you agree or disagree? If so, why do you think age discrimination is so commonplace?

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Paying benefits and terms and conditions of employment get essay help

It is your responsibility as the HR Director of the same organization from Assignment 2 to a) create policies regarding pay and benefits for the selected job opportunity, and b) develop methods for both addressing unionization and implementing OSHA regulations. You will present your findings to the Vice President of Human Resources for approval.

In preparation for this assignment, review the following articles on contractors vs. employees and temp workers:

“Distinguishing Independent Contractors and Employees”
“The Expendables: How the Temps Who Power Corporate Giants Are Getting Crushed”

Create a PowerPoint presentation with fifteen to twenty (15-20) slides in which you:

Create a Wage and Hour standard for the job opportunity that you had selected in Assignment 2, and support your standard by using the Fair Labor Standards Act (FLSA) and Equal Pay Act to prevent any potential discriminatory impact.
Decide on three (3) benefits required for the job opportunity using ERISA. Propose two (2) methods that the employer can use in order to manage the fiduciary duties wisely and with the employees’ best interests in mind. Provide a rationale for your response.
Elaborate on two (2) rights regarding unionization that Section 7 of the NLRA guarantees. Next, examine two (2) unfair labor practices, and argue the importance of your organization refraining from using such practices during any self-organization and collective bargaining activities. Explore two (2) potential repercussions of an organization’s interference with self-organization and collective bargaining practices.
Propose three (3) ways to discourage employees from considering unionization. Then, compose one (1) strategy for championing a supportive and satisfying work environment within the organization.
Select one (1) OSHA violation case, and determine whether the resulting penalties were sufficient to deter the organization in question from repeating the same violative action. Justify your response.
Outline a plan for investigating workplace injuries, and formulate a policy that explains the process for filing a worker’s compensation claim within the selected organization.
Narrate each slide, using a microphone, and indicate what you would say if you were actually presenting in front of an audience.
Use at least three (3) quality academic resources in this assignment. Note: Wikipedia and other Websites do not qualify as academic resources.

Your assignment must follow these formatting requirements:

Format the PowerPoint presentation with headings on each slide and relevant graphics (photographs, graphs, clip art, etc.), ensuring that the presentation is visually appealing and readable from eighteen (18) feet away. Check with your professor for any additional instructions.
Include a title slide containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The title slide is not included in the required slide length.

The specific course learning outcomes associated with this assignment are:

Develop policies that are compliant with employment laws.
Evaluate an organization’s physical environment and determine criteria that ensure occupational safety.
Use technology and information resources to research issues in employment law.
Write clearly and concisely about employment law using proper writing mechanic.

Grading for this assignment will be based on answer quality, logic / organization of the paper, and language and writing skills, using the following rubric found here.

By submitting this paper, you agree: (1) that you are submitting your paper to be used and stored as part of the SafeAssign™ services in accordance with the Blackboard Privacy Policy; (2) that your institution may use your paper in accordance with your institution’s policies; and (3) that your use of SafeAssign will be without recourse against Blackboard Inc. and its affiliates.

ASSIGNMENT SUBMISSION

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Importance of a good leadership strategy english essay help online: english essay help online

Prepare a 1,400-word analysis in which you address the following:

Identify one theory that appeals to you the most from the leadership theories discussed.
Research two local companies: One in which the leadership seems to exemplify this leadership theory and one that seems to be in direct contrast.
Analyze how each leadership style might affect the respective company’s performance and alignment to values.
Discuss which leadership style you are most aligned to.
Discuss how you would practice this leadership style in your current work environment. If you are not currently employed, discuss how you would practice this style of leadership in a future job you might like to hold.
Include a title page, introduction, headings to address each new idea, summary of key points and a reference page to match all in text citations all formatted in APA.

Format the assignment consistent with APA guidelines.

leadership_and_strategy.docx

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Esentials in business communication grad school essay help

Scenario: In Week 3, you selected a product or service that you believe your organization should invest capital resources to develop the product or service for sale. To speed up the new product investment, you decide to write a memo proposing and advocating for the launch of a new product or service to the company president.

Create a memo proposal using the AIDA model in a Microsoft® Word in a minimum of 1,400 words. You will add an introduction and conclusion, and your paper will include the following components:

Convince your audience to invest capital resources to develop the product or service you intend to sell and explain your rationale. See Figure 9.5 – Persuasive Message Using AIDA model.
Gain credibility (for yourself and your request) and (2) to make your readers believe that helping your product/service will indeed benefit the company. Close with a request for some specific action, and make that course of action as easy to follow as possible to maximize the chances of a positive response.
Include secondary research to support your argument, related to your product and/or service.

Explain what you will do in case the selected product or service does not initially sell as much as expected.
Indicate potential digital channels for marketing your product or service.
Consider cross-cultural and multinational implications.

Note: Main points from this memo will be included in the Week 5 Persuasive Presentation.

The following guidelines will help you effectively format specific memo elements, Business Communication Essentials, 7/e (Pg. 410):

Addressees. When sending a memo to a long list of people, include the notation See distribution list or See below in the position at the top; then list the names at the end of the memo. Arrange this list alphabetically, except when high-ranking officials deserve more prominent placement. You can also address memos to groups of people–All Sales Representatives, Production Group, New Product Team.
Courtesy titles. You need not use courtesy titles anywhere in a memo; first initials and last names, first names, or even initials alone are often sufficient. However, use a courtesy title if you would use one in a face-to-face encounter with the person.
Subject line. The subject line of a memo helps busy colleagues quickly find out what your memo is about, so take care to make it concise and compelling.
Body. Start the body of the memo on the second or third line below the heading. Like the body of a letter, it’s usually single-spaced with blank lines between paragraphs. Indenting paragraphs is optional. Handle lists, important passages, and subheadings as you do in letters.
Writer’s initials. Unlike a letter, a memo doesn’t require a complimentary close or a signature, because your name is already prominent at the top. However, you may initial the memo–either beside the name appearing at the top of the memo or at the bottom of the memo.

Format consistent with APA guidelines.

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Conflict management plan essay help 123

The exercise for week five will involve additional research into drafting a conflict management plan. The conflict management will be a process enacted when conflict is recognized and perceived to be a detriment to operations. You will draft a series of steps that will best enable you to resolve the conflict for the most benefit. Apply your plan to an organizational conflict you experienced or to a case study researched in the library or on the Internet and analyze the possible results of enacting the plan.

As a part of your analysis:

Identify symptoms and indicators
Identify emotional aspects [if left unresolved] and effects on workplace performance
Identify possible alternative outcomes
Identify roles
Identify resolution strategies

The scenario should be related to your field of interest, such as a restaurant scenario for food service concentration.

Written communication: Written communication is free of errors that detract from the overall message.
APA formatting: Resources and citations are formatted according to APA (6th edition) style and formatting.
Font and font size: Times New Roman, 12 point.
Length: 700 to 1100 words demonstrating learning, research, and analysis.

Password: apusstudent

leadership_management.pdf

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Balancing work and personal responsibilities can be a challenge my assignment essay help: my assignment essay help

In preparation for this discussion, read the following articles:

Work, Family, and Stress (Clark, 1992)
Flexible Work Arrangements (Koch, 1998)
Top 25 Companies for Work-Life Balance
Everybody Wins With a Healthy Work-Life Balance
10 Ways to Establish a Better Work/Life Balance

Balancing work and personal responsibilities can be a challenge. Employers are increasingly acknowledging these struggles and are instituting policies to help address them. Please address the following:

Suggest two policies that you think employers could institute that would best promote work-life balance among their employees. Be sure to explain why you think these policies would help.
Would all employees benefit from these policies or just certain types of employees?
Once these policies are instituted in the workplace, what role does workplace culture play in whether or not employees take advantage of them?
What effect would these policies promoting work-life balance have on workplace productivity?

Your initial post should be at least 250 words in length.

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Crafting a compensation and benefits plan essay help writer

Now that you have considered how to recruit and retain the employees you want in your organization, create a compensation and benefits package using this business proposal format. The package must be consistent with the objectives of job satisfaction for the valuable employees in an organization of your design.

The compensation package must include the following:

Compare and contrast salary and benefit packages of at least three comparable organizations in the same industry.
Examine what 21st-century employees consider to be benefits (see this week’s recommended readings for a start).
Consider what helps to keep employees engaged in their work (see State of the American workplace: Employee engagement for U.S. business leaders andSurprising, Disturbing Facts From the Mother of All Employee Engagement Surveys for some ideas).

Your business proposal must be formatted according to APA style. The proposal must be between three to five pages in length (not including the title and references pages) and must include citations and references for at least five sources.

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Thermal Energy Exposure Injuries admission college essay help: admission college essay help

Running head: Thermal Energy Exposure Injuries: Burden of Injury in South Asia 1

Thermal Energy Exposure Injuries: Burden of Injury in South Asia 8

Thermal Energy Exposure Injuries: Burden of Injury in South Asia

Florida State College at Jacksonville

Thermal Energy Exposure Injuries: Burden of Injury in South Asia

An inevitable part of living our day-to-day lives are injuries, whether intentional or unintentional. Injury resulting from thermal energy exposure will be analyzed in the South Asia World Bank region. Exploration of this low- to lower-middle-income region sheds insight on the burden of thermal injury, its financial impact, and how the injury varies across age and sex. The impact of South Asia’s cultural and social factors on society’s vulnerability to morbidity and mortality from thermal energy exposure concludes.

Mortality

Spencer et al. (2019) estimated, “Globally, there were 8,991,468 (7,481,218 to 10,740,897) new fire, heat, and hot substance injuries in 2017”. Of the reported 1.836 billion South Asian population how many deaths are attributed to thermal energy exposure (World Bank, 2020)? Emaduddin et al. (2015) estimated, “Mortality rates from fire-related burns are the highest in the South-East Asia region (11.6 per 100,000 population) and when compared to the 1 death per 100,000 population found in high-income countries” (p. 3). The data equated to over 200,000 deaths per year in the region attributed to fire, heat, and hot substance injuries.

Morbidity and Disability

The World Health Organization (WHO) (2020) concluded, “Non-fatal burns are a leading cause of morbidity, including prolonged hospitalization, disfigurement and disability, often with resulting stigma and rejection”. Skin burns, amputations, open wounds, and cognitive and motor skills loss are examples of morbidities associated with heat. In addition, per Spencer et al. (2019), “The average disability weight globally after comorbidity adjustment was 0.032, meaning that the average person suffering from a fire, heat and hot substance injury lost 3.2% of their full health status”. Max Roser and Hannah Ritchie (2017) recorded Disability Adjusted Life Years’ (DALYs) for fire, heat, and hot substance injuries in the regions of South Asia are recorded as Afghanistan 53,339, India 1.99 million, Pakistan 281,610, Bangladesh 155,126, Maldives 202, Sri Lanka 16,798, Bhutan 971, and Nepal 33,068”.

Economic Impact

The burden of injury caused by thermal energy exposure economically impacts the individual, country, region, and overall globe. WHO (2020) described hospital burn management as direct costs and indirect costs as lost wages, prolonged care for deformities and emotional trauma, and commitment of family resources. For example, “In Sri Lanka, 10,000 injuries and 100 deaths are burn related, costing US $1 million annually” per Ashkan Golshan, Cyra Patel, and Adnan A. Hyder (2013, p. 384).

Variation Across Age and Sex

Research shows that 5 million deaths occur each year, accounting for 9 percent of the total world death. In the south Asia region, burn injuries are significant causes of mortality in children over one year. Injuries vary differently in terms of, age and especially children living in low socioeconomic status. Injuries in the south Asia region that occur due to burns account for 6.1 per 100 000 deaths. Male children account for 3.3, while their female counterparts were accounting for 9.1 of the total number. Few countries in this region have data on these childhood injuries; Bangladesh has the highest number accounting for thirty-eight percent. Examples of countries in this region are; Pakistan, Nepal, Bangladesh, and Afghanistan.

Fires

The majority of fire-related deaths in the south Asia region occur due to flames in the kitchen while preparing foods. Children of 1-4 years of age are likely to sustain these injuries since they are more aggressive and practical. More than 50 percent of fire burns in the south Asia region occur in adults aged between 25 and 64 years. Research shows that flames cause sixty-five percent of hospitalized children in Bangladesh due to burns. 5oo deaths occur each year due to fires among children aged 14 years and below.in this region, high numbers of burns are recorded due to low social, economic status, low educational level or illiteracy, little housing spaces, and also some cultures. Others include textiles clothing, decreased parental care to children, and female activities in the kitchen also account for a higher number of female morbidity than their male counterparts (Sengoelge, 2017).

Heat

In the south Asia region, injuries from heat arise from scalds. Which account for 64.3 percent of heat burns. The male gender is more affected by these injuries, with 67.2 percent, while females have 32.8 percent of the total burn injuries. People between the ages of 20-29 years are mostly affected and account for 32.5 percent, followed by people between the age of 10-19 with a percentage of 16.9. Children under five years have the lowest percentage of 5.5, and this is because most of these burns are associated with occupation (Sengoelge, 2017).

Hot Substances

In south Asia, chemical burns are associated with gender-based violence, where acid has been used as a weapon against women. The mostly used acids include; hydrochloric acid, sulphuric acid, and nitric acid, which are easily available in this region (Makwana, 2019).

Factors of Cultural and Social Impact

Due to the high level of poverty in the region, the countries of South Asia bear a significant burden of injury due to injuries such as burns from fires, heat, and hot substances. Female mortality outnumbers male mortality, though it is to be noted that females are typically 14 years old and older, with the male mortality at younger ages of 0 to 12. It can be inferred that the stated age ranges of those with an increased risk are the women who are responsible for the household cooking, with their children, per the statistics mainly males, who stay home with the women. The majority of burns occur from within the home, particularly in the kitchen. The use of kerosene (paraffin) as a cooking fuel, which is highly explosive, causes a quarter of the burns in children as reported by Golshan et al. (2013).

In countries such as India, where traditionally loose clothing, such as a sari, is worn, it is noted by Golshan et al. that women are noted to have more flame type burns. The donning of synthetic clothing increased the likelihood of accelerating the fire, causing burns to cover more than fifty percent of the body; synthetic clothing also increases the chances of death from burns. There is an increased prevalence of injuries from fire, heat, and hot substances in rural areas compared to urban areas as well as in households that are overcrowded, such as multiple families living together. Another source of burns and fire-related injuries occur in the industrial and work-related events, though this mainly applies to males. (Golshan et al., 2013) Lack of proper safety measures in the utilization of either household or industrial settings is a risk factor for this population (WHO, 2018).

In low- and middle-income countries, many people do not seek medical attention, which makes the estimation of 11 million people worldwide seeking medical attention due to burns most likely an underestimation. (Zia et al., 1970) The reliance of traditional cooking fuels, such as coal, charcoal, biomass, firewood, crops, straw, and animal dung contributes to this population’s vulnerability to injuries from fires, heat, and hot substances. Households with female breadwinners are an important socioeconomic determinant and are more vulnerable. Female workers are affected by gender disparities and further increase the poverty gap. Families that are larger and have to rent versus own their homes increase the susceptibility to be affected by having to use cheaper and more dangerous forms of cooking and heating fuels due to the lower cost. (Abbas et al., 2020) All of the factors of poverty, rural areas, and larger families/households increase the vulnerability of young and older women and younger males to suffer and possibly have a fatality from fires, heat, or hot substances.

Conclusion

References

Golshan, A., Patel, C., Hyder, A.A. (2013). A systematic review of the epidemiology of

unintentional burn injuries in South Asia. Journal of Public Health (Oxford, England),35(3). 384-396

James, S., Hay, S.I., Mokdad, A., Lucchesi, L., Castle, C., Dingels, Z., Fox, J., Hamilton, E.,

Henry, N., McCracken, D., Roberts, N., Sylte, D., Haagsma, J., Lopez, A., & Nixon, M. (2019). Epidemiology of injuries from fire, heat and hot substances: global, regional and national morbidity and mortality estimates from the Global Burden of Disease 2017 study. http://www.healthdata.org/research-article/epidemiology-injuries-fire-heat-and-hot-substances-global-regional-and-national

Roser, M., Ritchie, H. (2017). Burden of Disease. https://ourworldindata.org/burden-of-disease

Siddiqui, E., Zia, N., Feroze, A., Awan, S., Ali, A.L., Razzak, J.A., Hyder, A.A., & Latif, A.

(2015). Burn injury characteristics: findings from Pakistan National Emergency Department Surveillance Study. BMC Emergency Medicine,15(2). 3

Skolnik, R. (2020). Global Health 101. Jones and Bartlett Learning.

World Bank. (2020). South Asia. https://data.worldbank.org/country/8S

World Health Organization. (2020). Burns.

https://www.who.int/news-room/fact-sheets/detail/burns

World Health Organization. (2020). Burns.

https://www.who.int/violence_injury_prevention/child/injury/world_report/Burns.pdf?ua=1

Sengoelge, M., El-Khatib, Z., & Laflamme, L. (2017). The global burden of child burn injuries

in light of country-level economic development and income inequality. Preventive medicine reports, 6, 115-120.

Makwana, T., Gupta, N., & Vashist, P. (2019). Ocular emergencies in the South Asia region.

Community Eye Health, 31(104), S1.

Abbas, K., Li, S., Xu, D., Baz, K., & Rakhmetova, A. (2020). Do socioeconomic factors

determine household multidimensional energy poverty? Empirical evidence from South Asia. Energy Policy, 146. https://doi.org/10.1016/j.enpol.2020.111754

WHO. (2018, March). Burns. Retrieved September 19, 2020, from

https://www.who.int/news-room/fact-sheets/detail/burns

Zia, N., Latif, A., Rahman Mashreky, S., Al-Ibran, E., Hashmi, M., Fazlur Rahman, A. K., . . .

Hyder, A. A. (1970, January 01). Applying quality improvement methods to neglected conditions: Development of the South Asia Burn Registry (SABR). Retrieved September 19, 2020, from https://doi.org/10.1186/s13104-019-4063-0

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Creating the Logical Model from an Event-Driven IT Application essay help websites: essay help websites

ACCT-361: Assignment #2 Business Process Modeling:

Fall 2020

Creating the Logical Model from an Event-Driven IT Application Required:

From the solution provided for Assignment 1 (REA Model), create the Logical Model. Be sure to show all tables required by the conceptual model – complete with key attributes of primary keys, foreign keys, and non-key attributes as appropriate. Use proper notation as described in class. Must be typewritten.
Submit with a Cover page including full name, class and Assignment title; a page with your Logical Model – not handwritten. Professional presentation counts.
Give yourself enough time to complete this assignment. In order to do well on the midterm, you must think this through on your own.

ACC361Assignment1Solutionto.pdf

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Birth in the United States Research Paper writing an essay help

Birth in the United States Research Paper (90 points)

Learning Objective:

Explain the ethical, cultural, economic, and social issues impacting the care women receive before, during, and after pregnancy. Understand how these issues can affect the health of women of childbearing age and their fetus in the United States.

Overview of Assignment:

Write a paper exploring the ethical, economic, cultural, and social issues that women of childbearing age face today in the United States. You can pick a topic that affects women in the childbearing stage of their lives and how it impacts the care received, their lives, their health, or the health of their fetus. Or you can explain each topic individually based on different topics. Overall, research how the ethical, economic, cultural, and social issues can impact women living in the United States.

You may use your text and the scholarly, however, you MUST USE at least 4 scholarly sources to support your ideas, at least one for each consideration you are discussing.

Paper Requirements:

Length and Elements: The length of this essay should only be 3-4 written pages and should include:

1) Introduction with specific thesis statement (i.e. The purpose of this paper is to…Make sure to introduce the four issues you will be discussing in your paper)

2) Body of Paper: discuss each of the following considerations in separate sections with the following headings:

a. Ethical Issues—explore the ethical issues that surround and confront the childbearing women in the United States (DO NOT discuss informed consent as this is not the type of ethical issue I am looking for, look for issues related to abortion, IVF, genetic testing, ect.)

b. Economic Issues—consider the economic (money related) barriers women face, including such topics as: insurance coverage or lack thereof, WIC, money for food, Medicaid, rural access to childbearing services, etc.

c. Cultural Issues—discuss the various cultural norms that can be found among the different cultures of people in Minnesota and how these different cultural norms can impact the care received during pregnancy

d. Social Issues—consider health disparities a person experiences due to their social environment such as women of poverty, women of color, Amish women, being an immigrant (legal or illegal), being rich, teenagers experiencing pregnancy, ect in the United States. Relate these specific social considerations to childbearing women and how it affects maternal morbidity and mortality.

3) Conclusion: Summarize your findings; re-emphasize the thesis of the paper without simply repeating it; and do not introduce new ideas here

4) Use proper grammar, spelling, and APA 6th edition formatting including a title and reference page (the title and reference pages do not count toward the page total).

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Environmental Health and Health Effects of Environmental Change essay help websites: essay help websites

Environmental Health and Health Effects of Environmental Change
Lesson 2 – Assignment

Instructions:

Write a 2-3 page paper on environmental health, the environmental factors that impact health, and your role with improving/ eliminating environmental barriers to health. Use the following organization:

Title page: Environmental Health and Health Effects on Environmental Change
Introduction: One paragraph (minimum of 4 to 5 sentences).
Synopsis: (include all pertinent information obtained in this lesson (Lesson 2).
Sub-Titles:

Environmental Factors that Impact Health
My role in Improving/ Eliminating Environmental Barriers to Health (give specific examples of how you can make a difference).

Summary and Conclusion: (minimum of one paragraph of 4 to 5 sentences).
References: Must use a minimum of 3 reference besides the textbook that is 5 years or newer (2013-2018).

Your paper should:

be typed in a WORD document.
be 2-3 or more pages (excluding the title page and reference page). In other words, the body of your paper should be 2 to 3 pages long.
include a Title page and a Reference page.
Must use a minimum of 3 reference besides the textbook that is 5 years or newer (2013-2018).

Use APA style: Running head, title page, citations, reference page
Follow APA format according to the APA Style Guide
See NUR4667 – Library APA Citation Style web page for additional information.

use factual information from the textbook and/or appropriate articles and websites.
be original work, and will be checked for plagiarism.

Upload your file by clicking “Browse My Computer” for Attach File.

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Gastrointestinal Case Study get essay help

Gastrointestinal Case Study

CF is a 48-year-old man who presents for evaluation of heartburn. He denies current tobacco use but has a history of one ppd for 15 years. He consumes a glass of wine nightly, more on the weekends. He has a sedentary job.

He reports a burning feeling in his chest after eating. It is worse when he eats spicy foods or tomato sauce. He is sometimes awakened at night with these symptoms. He has tried over-the-counter antacids and histamine H2 receptor antagonists (H2RAs) with partial relief. He is on no regular medications. His examination today is normal. An upper gastrointestinal (GI) X-ray series reveals gastroesophageal reflux.

1. What lifestyle modifications do you recommend for CF?

2. Describe a rational drug choice for this patient. Be specific regarding what factors you would consider. Include pharmacokinetic and dynamic considerations for the pharmacological choices made. Also consider interactions and side effects.

3. What counseling points about this medication do you give CF?

POST # 1 AYME

The case of CF (48 y/o man) represents a positive diagnosis of Gastroesophageal Reflux Disease (GERD). In his case, it seems that the GERD has been persistent and there are various aggravators of the condition that feature. For instance, his history of smoking might be blamed for the aggravation of the condition in its early stages. Nevertheless, various factors within his current lifestyle have been associated with the exacerbation of the GERD. These include the use of alcohol, eating spicy foods, and having a sedentary lifestyle (Sethi & Richter, 2017). The management of GERD requires the use of both lifestyle modifications and medications. In this regard, this paper delves deeper into CF’s treatment in light of this diagnosis.

1. What lifestyle modifications do you recommend for CF?

Lifestyle aspects such as a sedentary lifestyle increase the risk of overweight and obesity which are among the risk factors of GERD. Besides, eating spicy foods as well as alcohol use is part of lifestyle factors that exacerbate acid reflux. Therefore, the lifestyle recommendations for this patient include alcohol cessation, avoiding spicy foods, and increased uptake of physical activities, weight management as well as avoiding other foods or drinks that trigger the acid reflux. Acidic beverages and drinks such as coffee worsen the GERD, therefore, accentuating the need to advise the patient on the right beverages or drinks that do not worsen the reflux. These lifestyle modifications have been associated with the suppression of the acid reflux as well as subduing some of the pathophysiological mechanisms linked to the progression or exacerbation of the condition (Sethi & Richter, 2017). Even though the patient denies any current smoking, it is important to emphasize the necessity of desisting from tobacco smoking. Finally, lifestyle recommendations should insist on the need to take small amounts of foods as well as enhancing self-stress-management and coping skills since stress can worsen the condition.

This case represents a scenario of persistent GERD that has resisted the common OTC medications. In this regard, it is important to up-scale his treatment to include the use of proton-pump-inhibitors and Baclofen. Proton pump inhibitors suppress the parietal production of acids that worsen acid reflux. Baclofen, on the other hand, helps in reducing the frequency of the gastroesophageal sphincter. These medications are largely tolerated and do not cause serious side-effects and if at all, the side-effects are always mild and tolerable. Nevertheless, as a major consideration, it is important to acknowledge that prolonged or long-term use of proton pump inhibitors has been associated with kidney problems (Sethi & Richter, 2017). In this regard, it is important to monitor the patient’s progress throughout the treatment to offer interventional measures in the event of these adverse effects.

3. What counseling points about this medication do you give CF?

The use of proton pump inhibitors together with other medications can lead to undesired drug interactions. Notably, this effect of proton pump inhibitors of the gut’s acidity levels can affect the efficacy of medications such as protease inhibitors, isoniazids, and ketoconazole (Nehra, Alexander, Loftus & Nehra, 2018). Therefore, medical counseling for this patient should include the need to only use these medications following medical advice or only take them at the end of the proton pump inhibitors dosage interval. Other counseling should focus on the importance of medication adherence as well as reporting any abnormal effects.

References

Nehra, A. K., Alexander, J. A., Loftus, C. G., & Nehra, V. (2018, February). Proton pump inhibitors: review of emerging concerns. In Mayo Clinic Proceedings (Vol. 93, No. 2, pp. 240-246). Elsevier.

Sethi, S., & Richter, J. E. (2017). Diet and gastroesophageal reflux disease: role in pathogenesis and management. Current opinion in gastroenterology, 33(2), 107-111.

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Lack of Affordable Housing a Public Health homework essay help

Lack of Affordable Housing a Public Health

Would a preventable approach to Affordable Housing Reduce Chronic illness in child development in the Bay Area?

· What is the history and cause

· What are some specific questions you have concerning the final argument paper?

· What is your time–management plan for compiling and editing your final paper?

· What parts of your final paper do you anticipate will take the most time and attention? For example:

. Incorporating instructor feedback in your perspective papers

. Reworking the perspective papers into one cohesive paper

. Writing the introduction, conclusion, or abstract

. APA formatting

. Revising for grammar, spelling, and punctuation

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Application of Concepts from Caring Science easy essay help: easy essay help

summary: A theory can be used to guide practice. This assignment is an exercise in supporting a clinical practice with theory and evidence.Directions: Identify an outcome of nursing practice in your area of practice that can be improved. For example, if you work in home health, you may identify that throw rug use by fall risk patients is too prevalent. You may be able to use the problem that inspired the theory concepts that you developed in week two. Identify the concept in Watson’s Theory of Caring that could represent or include the outcome. In our example, the outcome would be the changes in self through the change in the patient’s floor covering practice. Identify a practice that can be changed or implemented that may influence the outcome. Identify the concept in Watson’s Theory of Caring that includes the practice. In our example, the practice could be to improve the understanding of fall hazards through the engagement in a teaching-learning experience, one of Watson’s Caritas Processes. Identify exactly how these two concepts will be measured with their operational definitions. Develop a proposition between the two. Present your outcome in an APA formatted paper meeting the University’s standards for a written assignment.Expectations

Length: 5 to 7 pages including title and reference pages
References: 3 to 10. There should be enough to support the links between the concepts of the problem and the concepts of Watson’s Theory of Caring.

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Physical assessments among school-aged children mba essay help

In a 500-750-word paper, examine the needs of a school-aged child between the ages of 5 and 12 years old and discuss the following:

Compare the physical assessments among school-aged children. Describe how you would modify assessment techniques to match the age and developmental stage of the child.

Choose a child between the ages of 5 and 12 years old. Identify the age of the child and describe the typical developmental stages of children that age.

Applying developmental theory based on Erickson, Piaget, or Kohlberg, explain how you would developmentally assess the child. Include how you would offer explanations during the assessment, strategies you would use to gain cooperation, and potential findings from the assessment.

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Health screening interventions nursing essay help: nursing essay help

Complete your Week 3 replies 4

APA and References need it.

Discussion Prompt #1

How should you use Gordon’s Functional Health Patterns to assess individual health? What health screening interventions do you regularly participate in?

Reply 1 Ingrid

Gordon’s functional health patterns provides the groundwork for the development of the NANDA-I nursing diagnosis nomenclature. The Functional Health Patterns should be utilized in a manner that through the assessment and collection of data will lead to identifying the problem or diagnostic statement (Mandle, 2013). To have an effective health assessment, physiological parameters must be considered along with how the patient interacts with their surroundings and environment. The Functional Health Patterns is utilized by obtaining the following data:

· Objective data: observations of nurse, physical examination findings, information from health record, results of clinical testing.

· Function data: description of person’s health status.

· Structure data: Organization of interdependent parts describing health, function, patterns of behavior that reflect whole individual and environment.

· Process: Interview, observation, and examination

· Format: Systematic but flexible, individualized to each person, nurse, and situation.

· Goal: Nursing diagnosis or problem identification (Mandle, 2013).

Health screening interventions I participate in is when a patient is a patient is seeking treatment regarding drug addiction. At my place of employment, patients who seek drug addiction treatment are provided with the medication Suboxone which is a combination medication of buprenorphine and naloxone. The medication has the potential to slow or stop breathing and has the tendency to cause addiction, overdose, and death (n.d.). Patients interested in participating in this treatment program are often screened for last alcohol use, last smoking, and last drug use. They are also questioned regarding preferred drug of choice and are subjected to a urine toxicology screening every 3 weeks.

Reply 2 Kristine

Gorden’s functional health pattern was deployed by Marjorie Gordon. This functional health framework provides a sequence of repeated behavior from different patterns that consists of health perception and management, elimination, nutritional-metabolic pattern, activity-exercise, sleep-rest, cognitive perceptual and role-relationship and stress tolerance patterns. Gordon’s health pattern is considered ideal to evaluate an individual’s health because it includes all those factors that put influence on the person’s health such as biological, development, cultural, social and spiritual factors. By considering all these factors in Gordon’s health patterns, healthcare professionals do a complete evaluation of an individual’s health. In this evaluation, some interventions are confronted by practitioners like other health pattern frameworks. Basically, in this framework, data is collected in subjective form and it is possible that some data can be manipulated by an individual about his or her health. This depicts an inaccurate assessment of his or her health. Hence, it is suggesting to use objective information about a person during this health’s assessment to obtain an accurate health assessment (NursingAnswers.net, 2020).

Discussion Prompt #2

What family characteristics may contribute to potential or actual dysfunctional health patterns?

Reply 1 Valery

Culture and environment can contribute greatly to health patterns. Family is the main component of many patients environment especially when socio economics is considered. In my position one of the assessments we complete is home environment and family history. Just by questioning patients regarding their family and living situation we gain lots of insight. For example, I had a patient that always complained of cough and chest pain but reported no smoking or tobacco use. When I asked about her family history she mentioned that her mom recently was diagnosed with lung cancer due to smoking. I remembered that she told me they lived together so I investigated further asking if the mother smoked in the house. She said yes and I was able to let the physician know all of the details. Orders for pulmonary function tests and chest xrays were processed with a diagnosis code of family history of lung cancer, and contact with and (suspected) exposure to environmental tobacco smoke (acute) (chronic). This helps insurance understand the reasoning for request for the further diagnostic tests.

Reply 2 Kristopher

Family history, roles-relationship patterns, and lifestyle can influence some probable dysfunctional health patterns. Family history encompasses health-related patterns of values, goals, or beliefs through which people make choices or decisions. In essence, this takes into account quality of life, expectations, what is perceived to be important, and any perceived conflicts in the values and beliefs a person holds.

Family structure and functions occur at different stages and pose varied risk factors that contribute to health complications. Socioeconomic status, whether measured by income, education or occupational status, and lack of safety can lead to illness, child abuse, injuries, accidents, and sudden infant death syndrome. Also literacy, educational level, cultural beliefs and habits may contribute to dysfunctional health pattersn such as noncompliance with medical treatment.

Families with school-aged children may also influence health patterns due to poverty, abuse or neglect, poor nutrition, and repeated infections, accidents, or hospitalization (Mandle, 2013).

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The best tools that nurses can use to advancing the nursing field ccusa autobiographical essay help: ccusa autobiographical essay help

Advocacy is one of the best tools that nurses can use to advancing the nursing field. Improve the nursing field means better patient outcomes. therefore, nurses must advocate in their workplaces and particularly in actively participating in government actions that change the health platform. Those actions include healthcare reforms that look for a better quality of care, access the healthcare, and healthcare cost-effective. The American Nurse Association provide tools to nurses that allow them to integrate advocacy committee to be able to work with the legislative branch of federal level as well as the state level (ANA, n.d.). in taking advantage of the advocacy committees, nurses can take many actions to improve healthcare trough legislation at both states and federal level.

Through the political action committee provided by the American Nurse Association, nurses can present themselves as candidates to represent the healthcare professional in capitol hill and other legislative activities at the state level. In doing so, nurse leaders will have the opportunity to raise their voices in policymaking, particularly within the legislative and regulatory arenas. They will bring their concerns about the nursing workforce and health disparities, which are examples of policies established in law. Their interventions are very important because health care policy is constantly changing; and nurses must always be part of the change analyst team to advocate not only their scope of practice but also the patient right to have access to health care and to receive excellent quality of care (Schaeffer & Haebler, 2019).

Nurses may use their researches and communicate with their concerns to their local government. As an example, a bill was taken in the state of Florida that authorizes qualified providers to collect medicine that was available in hospitals and other healthcare facilities. Still, those who had the prescription could not use it. Those medicines were ordered to serve homeless and other uninsured patients who cannot afford their medicine cost. Even though the senate’s health committee introduced the bill, nurses had to analyze the proposition and look if the patient’s right was considered and the consequences on patient outcomes.

In summary, there are many ways a nurse can intervene to advocate for better quality and access to healthcare. The patient center care should be the primary concern of the health care professional. Nurses may use the Association of American Nurses’ possibilities to get to federal and state legislators to bring their voices to health committees. Their concern must be affordable health care, improve healthcare access, improve quality of care, and improve the regulation of their scope of practice. When nurses are working closer to the governments, they can advocate for patient care and establish better means for improving the health care system. Nurse leaders should always think of how to make s difference in the quality of care that all patients deserve. That is why I plan to advocate not only in searching for issues that are raised in workplaces but also those that are in the laws to make a difference in patient care outcomes.

References

American Nurses Association. (n.d.). Advocacy, retrieved from https://www.nursingworld.org/practice-policy/advocacy/

Schaeffer, R., Haebler, J. (2019) Nurse Leaders: extending your policy influence. Retrieved from https://www.sciencedirect.com/science/article/abs/pii/S1541461219301491

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The healthcare industry melbourne essay help

Module 5 Discussion

Healthcare has been one of the most complicated and political issues in the United States of America. Nurses continue to play important roles in the healthcare system. Nurses were among healthcare providers that supported the affordable care act because it is very beneficial for the healthcare systems and patients who did not have health insurance. The United States is one of the greatest countries in the world and there are many opportunities in this country. Healthcare should not be an issue for the citizens of this country, but sadly people continue to suffer and die because of lack of health insurance. I believe that many advocacy actions need to be taken to improve healthcare through the state and federal level, but I will talk about one of the most important actions. The advocacy action I might take to improve health care through legislation at the federal level is to decrease the cost of prescription drugs. The reason I chose that action is because private prescription drug companies continue to increase drugs prices on patients who needs the prescription drugs but not able to afford them due to low incomes.

The healthcare industry is a money machine industry. It costs lots of money to cure diseases and to buy prescription drugs. Most prescription drugs companies care more about making money and competition than their patients. I believe that congress and the senate must pass a legislation or a law that prevents prescription drugs company from increasing drugs prices on consumers. Recently, President Donald Trump took an historic action to deliver lower prescription drug prices to American patients. The president signed four Executive Orders on drug pricing directing the Secretary of Health and Huma Services to take several steps to deliver for American patients lower costs on prescription drugs, including insulin and epinephrine, and ensure Americans are getting the lowest price possible for their drugs. As a registered independent leaning more toward Democrats, I think the Trump administration is on the right path to help decrease prescription drugs prices in this country. According to Socal and Anderson (2019), as congress considers various approaches to address rising costs, one of the options is to allow Medicare to negotiate prices directly with drug manufactures on behalf of Part D beneficiaries, the challenges of this policy is the potential need for Medicare to impose a restrictive formulary to negotiate effectively with drug companies. This showed that the Trump administration and congress are trying to come up with a solution to decrease prescription drugs prices, but the private drug companies will continue to fight because it will not be beneficial for them if their drug prices lowered.

According to Fein (2019), some prescription drugs company offer multiple discounts to patients, which gives them the opportunity to purchase their medications. The article also stated that the companies provided those discounts because they want their products or invention to get on the market for advertisement purposes. Prescription drug companies have lots of powers in the political system, which makes it difficult for congress and senate to pass laws that are beneficial to the patients or consumers rather than the big prescription drug companies.

References

Socal, M. P., & Anderson, G. F. (2020). Older Americans’ Preferences Between Lower Drug Prices and Prescription Drug Plan Choice, 2019. American Journal of Public Health, 110(3), 354-356. https://doi.org/10.2105/AJPH.2019.305483 (Links to an external site.)

Fein, A. J. (2019). Don’t Blame Drug Prices on Big Pharma. Journal of Oncology Navigation & Survivorship, 10(4), 161-162.

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Breastfeeding process discussion essay help online: essay help online

Module 5 Case Study 3

Breastfeeding is a process in which the mother feeds the baby milk directly from the breast. Some factors need to be considered when breastfeeding and this includes the nutritional value of breast milk to the infant, the HIV status of the mother, history of certain medications among other things. When explaining this to the young mothers, the health promoter should educate them on the importance of breastmilk to the baby which includes the nutrients and the immune factors. When educating them, the nurse should also inform them of the importance of exclusive breastfeeding especially for those mothers who are HIV positive and are breastfeeding (Rouw, von Gartzen & Weissenborn, 2018). They also need to be informed of the effects of some drugs when breastfeeding and whether or not it should be stopped. To increase the duration and active participation of these clients the health promoter should consider a better teaching strategy since the clients may not be comfortable with the current learning style. A better learning style for this group could be a multimodal strategy (Yang et al., 2020). By having a combination of all these styles the students will have more information with an enjoyable session especially with the inclusion of videos showing how to breastfeed and to take care of the baby.

There is a relationship between culture and growth and development. Culture is simply the peoples’ way of life which may include what the consume and what they don’t. Therefore in a culture where there’s prohibited consumption of certain nutrients will cause a delayed milestone. It is important to assess children’s milestones irrespective of their culture (Clerk, 2020). This is because there is no difference in growth, all milestones are the same and this will help in the identification of any alterations in case there are any.

The teaching objective is to educate parents on how to prevent injury during infancy. These parents will learn through an interactive session of asking and answering questions and also by a demonstration of how this prevention will be done. The sessions will be three in a day each lasting for 2hours and a break of 1hour in between each session (Fujii, 2019). After each session, learners are supposed to answer some questions to gauge their understanding. After the program, the parents will be provided with guidelines on further care of infants.

References

Clark, R. (2020). Assessing Relative Importance of Clinical Milestones on Adherence to Recovery Pathway and Discharge Readiness in Patients Undergoing Pulmonary Lobectomy. In A70. ADVANCES IN LUNG CANCER THERAPEUTICS (pp. A2468-A2468). American Thoracic Society. Retrieved fromhttps://www.atsjournals.org/doi/pdf/10.1164/ajrccm-conference.2020.201.1_MeetingAbstracts.A2468 (Links to an external site.)

Fujii, T. (2019). Designing and adapting tasks in lesson planning: A critical process of lesson study. In Theory and Practice of Lesson Study in Mathematics (pp. 681-704). Springer, Cham. Retrieved fromhttps://link.springer.com/chapter/10.1007/978-3-030-04031-4_33 (Links to an external site.)

Rouw, E., von Gartzen, A., & Weissenborn, A. (2018). The importance of breastfeeding for the infant. Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz, 61(8), 945-951. Retrieved fromhttps://europepmc.org/article/med/29943259 (Links to an external site.)

Yang, X., Zhao, X., Tian, X., & Xing, B. (2020). Effects of environment and posture on the concentration and achievement of students in mobile learning. Interactive Learning Environments, 1-14. Retrieved fromhttps://www.tandfonline.com/doi/abs/10.1080/10494820.2019.1707692

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Critical thinking activities essay help websites

Mrs. Smith was a 73-year-old widow who lived alone with no significant social support. She had been suffering from emphysema for several years and had had frequent hospitalizations for respiratory problems. On the last hospital admission, her pneumonia quickly progressed to organ failure. Death appeared to be imminent, and she went in and out of consciousness, alone in her hospital room. The medical-surgical nursing staff and the nurse manager focused on making Mrs. Smith’s end-of-life period as comfortable as possible. Upon consultation with the vice president for nursing, the nurse manager and the unit staff nurses decided against moving Mrs. Smith to the palliative care unit, although considered more economical, because of the need to protect and nurture her because she was already experiencing signs and symptoms of the dying process. Nurses were prompted by an article they read on human caring as the “language of nursing practice” (Turkel, Ray, & Kornblatt, 2012) in their weekly caring practice meetings.

The nurse manager reorganized patient assignments. She felt that the newly assigned clinical nurse leader who was working between both the medical and surgical units could provide direct nurse caring and coordination at the point of care (Sherman, 2012). Over the next few hours, the clinical nurse leader and a staff member who had volunteered her assistance provided personal care for Mrs. Smith. The clinical nurse leader asked the nurse manager whether there was a possibility that Mrs. Smith had any close friends who could “be there” for her in her final moments. One friend was discovered and came to say goodbye to Mrs. Smith. With help from her team, the clinical nurse leader turned, bathed, and suctioned Mrs. Smith. She spoke quietly, prayed, and sang hymns softly in Mrs. Smith’s room, creating a peaceful environment that expressed compassion and a deep sense of caring for her. The nurse manager and nursing unit staff were calmed and their “hearts awakened” by the personal caring that the clinical nurse leader and the volunteer nurse provided. Mrs. Smith died with caring persons at her bedside, and all members of the unit staff felt comforted that she had not died alone.

Davidson, Ray, and Turkel (2011) note that caring is complex, and caring science includes the art of practice, “an aesthetic which illuminates the beauty of the dynamic nurse-patient relationship, that makes possible authentic spiritual-ethical choices for transformation—healing, health, well-being, and a peaceful death” (p. xxiv). As the clinical nurse leader and the nursing staff in this situation engaged in caring practice that focused on the well-being of the patient, they simultaneously created a caring-healing environment that contributed to the well-being of the whole—the emotional atmosphere of the unit, the ability of the clinical nurse leader and staff nurses to practice caringly and competently, and the quality of care the staff were able to provide to other patients. The bureaucratic nature of the hospital included leadership and management systems that conferred power, authority, and control to the nurse manager, the clinical nurse leader, and the nursing staff in partnership with the vice president for nursing. The actions of the nursing administration, clinical nurse leader, and staff reflected values and beliefs, attitudes, and behaviors about the nursing care they would provide, how they would use technology, and how they would deal with human relationships. The ethical and spiritual choice making of the whole staff and the way they communicated their values both reflected and created a caring community in the workplace culture of the hospital unit.

Critical thinking activities

Based on this case study, consider the following questions.

1. What caring behaviors prompted the nurse manager to assign the clinical nurse leader to engage in direct caring for Mrs. Smith? Describe the clinical nurse leader role established by the American Association of Colleges of Nursing in 2004.

2. What issues (ethical, spiritual, legal, social-cultural, economic, and physical) from the structure of the theory of bureaucratic caring influenced this situation? Discuss end-of-life issues in relation to the theory.

3. How did the nurse manager balance these issues? What considerations went into her decision making? Discuss the role and the value of the clinical nurse leader on nursing units. What is the difference between the nurse manager and the clinical nurse leader in terms of caring practice in complex hospital care settings? How does a clinical nurse leader fit into the theory of bureaucratic caring for implementation of a caring practice?

4. What interrelationships are evident between persons in this environment—that is, how were the vice president for nursing, nurse manager, clinical nurse leader, staff, and patient connected in this situation? Compare and contrast the traditional nursing process with Turkel, Ray, and Kornblatt’s (2012) language of caring practice within the theory of bureaucratic caring

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