America´S Health Insurance Plans Essay

AmericaВґs Health Insurance Plans Essay
America's Health Insurance Plans (AHIP). (2011, September 9). Rising Health Care Costs. Ahip.org. Retrieved October 22, 2013, from http:/
/www.ahip.org/Issues/Rising–Health–Care–Costs.aspx The America's Health Insurance Plans is identified as the national trade association and
represents the health insurance industry. They advocate for a variety of public policies and seek to promote prevention and wellness, they partner with
providers, and help patients become more informed about their health and manage chronic conditions. They address the causes of such high health care
costs and spending because greater than one–sixth of the US spending is in health care. We found this to be beneficial in understanding the significance
of eliminating... Show more content on Helpwriting.net ...
Baker, C., Fortney, C.A., Wewers, M. E., and Ahijevych, K. L. (2011). The cultural context of smoking among immigrants from the former Soviet
Union. Journal of Transcultural Nursing, 22: 166–175. This article presents a study between cultural perspectives in smoking amongst the immigrants
from the former Soviet Union. The immigrants studied were recruited from the Midwest United States, and the factors of smoking were determined.
They found that this cultural group is strongly closed to pharmacologic approaches and emphasized the importance of stress management and social
connectedness. Interestingly, intervention needs went beyond language use and illustrated the importance of bringing cultural considerations into
interventions. With a growing number of minorities residing in the Midwest region, this study shows factors that can be used to tailor preventive care
in former Soviet Union immigrants. Acknowledging the responsiveness of smoking cessation this population can help us understand how to approach
this population in a broader sense. Berry, L.L. and Mirabito, A.M. (2011). Partnering for prevention with workplace health promotion programs. Mayo
Clinic Proceedings, 86(4): 335–337. This article analyzes how workplace health promotion programs aids in prevention strategies. Berry and Mirabito
share how critical it is to emphasize whole–person wellness rather than focusing solely on physical health. Including
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Tertiary Prevention Of Poor Transitional Care
Tertiary Prevention
Tertiary prevention of poor transitional care focus on remediating problems associated with CSHCN who have poor health outcomes or are
noncompliant due to lack of transitional care. Although no one strategy can be deployed to increase patient compliance and outcomes several can be
utilized on the various levels focusing on the self–management, clinical and population levels of care.
From a self–management level, patients who are not meeting goals and health outcomes have to reevaluate their personal and health–related goals. If
patients are not meeting health outcomes due to non–compliance or motivational issues, it is appropriate for patients to set individual goals and action
plans (Bodenheimer, Davis, & Holman, 2007). Individually, or with provider assistance, goals should be set by the patient that are specific,
measurable, attainable, realistic, and time oriented (Bodenheimer et al., 2007). Once goals have been set, follow up from providers or caregivers are
helpful in keeping patients accountable (Bodenheimer et al., 2007).
Clinically, tertiary prevention can occur if young adults who are still attending office visits yet are experiencing poor outcomes due to compliance,
self–care or disease education issues. When this occurs, it is appropriate to move from transitional care management techniques to standard chronic
disease management techniques. In the more modern models of chronic disease management, it is suggested the primary care

Preventing The Health Care System
In fear of financial devastation, my aunt struggled with accruing medical debt because she could not afford health insurance for her two young boys.
Although a working single mother, she fell above the federal poverty line for the state of Florida inhibiting health care access for her two sons. My
aunt was faced with the choice of paying her household bills and ensuring there was food on the table or spending her money on health insurance.
Unfortunately, hospital visits are inevitable with two active boys. One cousin actually fractured his skull requiring an emergency room visit and CT
scans, which took two years for my aunt to fully pay for. These experiences, which many Americans will encounter, cause the majority of the population
to avoid the health care system unless confronted with dire circumstances. Our health care system deters undeserved populations and uninsured
individuals from participating in routine check–ups or visiting primary care physicians, contributing decreasing practice of preventative care. As human
beings, it is our civil duty to ensure the well being of the community and not just that of the individual. By implementing health care as a basic right, we
will expand preventative care practice in the United States ultimately leading to improved health outcomes and cost containment of health expenditures.
Currently, our nation is experiencing a vast socioeconomic disparity in access to primary and preventative care. Studies have shown, "the

Essay On Apn Law
APRN Legislation in Illinois
Drashti Jani
Olivet Nazarene University
Women's Health Therapeutics and Management Across the Lifespan
NRSG–665B–114
Professor Ashley Darin–Messmer
October 16, 2017
Certification of Authorship: I certify that I am the author of this paper and that any assistance I received in its preparation is fully acknowledged
and disclosed in the paper. I have also cited any sources from which I used data, ideas, or words, either quoted directly or paraphrased. I also certify that
this paper was prepared by me specifically for the purpose of this assignment.
Your Signature: _Drashti Jani_ Introduction
With the baby boomers aging, the need for primary care providers has been in high demand now more than ever. ... Show more content on
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Martinez, Heather A. Steans, Kyle McCarter, Pat McGuire, Omar Aquino, David Koehler, Patricia Van Pelt, Donne E. Trotter, Mattie Hunter and
Jacqueline Y. Collins. The title of this bill is called Nurses–APRN scope of practice. The bill was officially signed into law by Governor Bruce Rauner
on September 20, 2017. According to the newly passed bill, APRN's area allowed to practice independently provided certain requirements are met.
First off, APN's will now be called APRN which stands for Advanced Practice Registered Nurse which goes into effect immediately. Newly graduated
APRN's will still need collaborative physicians or APRN's until they complete 4000 hours of clinical experience as well as 250 hours of continuing
education credit. It is only then that APRN's are given authority to practice independently. Also, newly graduated APRN will have limitations on
prescriptive authority until they fulfill the requirements (Illinois General Assembly, 2017).
Potential Effects for APRN Practice With the new bill going into effect next year, the effects on APRN practice are beneficial to both the patient and
the provider. Patients living in underserved areas have a better chance of seeing a provider rather than one physician that may be booked months in
advance. APRN's now have the ability to own their own practice and utilize their knowledge and skills without needing a collaborating physician
(National Academies of Sciences, Engineering, and Medicine, 2016). The

The Plan For Eden Bay
When I was first approached to research possible systems for the fleet, I knew it was going to be a massive under taking. I had no guide, just a few
questions from Dawn about how the recommended system would address certain issues. There were countless hours of research looking at each
possible program, weighting the pros and cons of each, and then final reaching a conclusion to which system to recommend for Eden Bay. Each of
the fleet repair systems are good, solid programs, however there is only one which I believe would suit the needs of Eden Bay. I found a few
different options at beginning of my research and I slowly began to review each product. Several of the systems were thrown out early on, some
because the cost was of the program was running too high, or I thought the system was not user friendly, or even because I thought product just would
not benefit Eden Bay in the long term. While I liked many of the systems, it ultimately came down to three programs: The Fleet Maintenance Pro by
Innovative Maintenance Systems, the Desktop Enterprise Edition by Manager Plus or Merchants Fleet Program. When it came time to make my
decision, the Fleet Maintience Pro stood out above the rest.
My first step was to do a general search online of fleet software to see what I could discover. After the search, I narrowed it down to six systems to
investigate. Using the main search results, I then did a cusitorty look around the websites for each of the six main software programs.

Managing Director ( Sse Hydro ) Essay
To: Managing Director (SSE Hydro)
From: Joseph Sookermany (Property Manager)
Date: 14th August 2014
Subject: SSE Hydro, Glasgow–Asset Maintenance Policy
Issues: 01
INTRODUCTION
As the Facilities Manager of Scottish Exhibition & Conference Centre Ltd, based in Glasgow. This document will provide a management framework to
ensure that these assets are maintained effectively to support the Exhibition & Conference Centre. This document also presents a consistent approach
to the maintenance of all the assets and defines the roles and responsibilities of the Property & Facilities Division.
ASSET MAINTENANCE POLICY
Background
The SSE Hydro– SECC (Scottish Exhibition and Conference Centre) complex is a property which is clearly undertaken to provide a highly sustainable
entertainment and sporting venue as to be number one in the world.
Purpose
This document outlines the roles and responsibilities of Facilities maintenance department and define allocation responsibilities to achieve effective
maintenance of SSE Hydro Glasgow assets as to:–
Maximizes the life cycle for each corporate asset thereby obtaining maximum return on the capital investment
Facilitates cost effective procedures for both labour, materials, and energy
Optimizes assets operating at peak efficiency
Improved asset utilization throughout the organization
Reduces the likelihood of service interruptions to the building 's occupants
Increases the probability of providing a safe and healthy work

Essay On Secondary Health Promotion
As nurses working in the healthcare profession we have the responsibility to protect every individual and the population as a whole as a whole
susceptible to certain diseases. Preventing and reducing illness is as important as dealing with the effect. Nurses work with other healthcare
professionals to address the factors that cause people to become susceptible to certain diseases and help them through a combination of educational and
environmental supports for actions and conditions of living conducive to wellness. Nurses are part of the answer because they are well equipped to
interact with our community in ways that encourages choices and openness to decisions that have a more positive impact on lifestyles and health
outcomes`According... Show more content on Helpwriting.net ...
The first level of health promotion prevention is aimed at keeping disease from ever beginning or a trauma from ever occurring example including
immunization, reducing household hazards, motivating abstinence from smoking, reducing risk from heart disease. The primary prevention program
aspire to reach the largest residents in a given community or group of people who might become at risk for a given health problem such as occupational
asthma which became one of the most common occupational lung disease in industrialized country.
The secondary health promotion prevention involves the early detection and early intervention against disease before it is fully developed screening
program are prime examples of secondary prevention efforts.
Tertiary health promotion prevention takes place after disease or injury has occurred and seek not only to prevent deterioration and complication from
a disease or injury but also to rehabilitate and return the patient to as full physical, mental, social function as possible.
The Affordable care act of 2010 was the first ever to establish National prevention, Health promotion andPublic Health Council when recognizing the
need for new key national focus on disease prevention. This plan can only

Sample Management Plan For Medical Equipment
2.5Maintenance Management Plan
Dyro (2004) indicates that periodic medical device management is a fundamental element of equipment management. Arno, Dowling and Schuerger
(2016) report that high reliability and low maintenance costs are common targets for all maintenance programs. A carefully designed preventative
maintenance can reduce maintenance costs through the prevention of degradation failure through preemptive intervention. Corrective maintenance is
required when a failure occurs and it is often more expensive than a preventative maintenance. Preventative maintenance is implemented to decrease the
probability of some particular expected failures and therefore decrease the overall maintenance cost.
2.5.1 Preventive Maintenance
Medical equipment is usually expensive and require high mechanical precision, especially for the equipment that produce devices that install in
patients' body. Fennigkoh and Smith (1989) indicate that medical equipment needs constant maintenance to make sure that it can perform required
high–requirements, which makes preventive maintenance very important in medical industry. Another benefit of implementing preventive maintenance
is that it also decreases expensive corrective maintenance costs.
2.5.2 Preventive Maintenance Regulations for Medical Equipment
According to Centers for Medicare & medicaid Services (CMS) Preventive Maintenance Regulations (2011) Medical Equipment (e.g., laboratory
equipment, IV infusion equipment, biomedical

Donti As A Teacher, Parent, Advocate, And Students
As a teacher, parent, advocate, and student it is important to have access to valuable informational websites. Not only for assistance but to keep
yourself informed on current resources or program, as well as future information that can assist you in the understanding of student's abilities. The two
websites that I have chosen to review are Center on Response to Intervention and Response to Intervention – RTI Resources. When working with
children/students with learning disabilities it can be overwhelming if you don't have resources or understand their abilities. So, it is important to look
for assistance which I did reviewing these websites. "RTI is a prevention oriented approach to linking assessment and instruction that can inform ...
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"Tertiary prevention: individualized intervention(s) of increased intensity for students who show minimal response to secondary prevention"
(American Institutes for Research, n.d., p.4). Finally, should the student not progress with the first or secondary action of prevention, or becomes a
challenge among peers, they will turn to individualized intervention. This possibly look as if the student receives one on one instruction with the
teacher or co–teacher. In hopes that this intervention may strive, so that the next step for the student would be in group intervention. "A goal of RTI is
to minimize the risk for long–term negative learning outcomes by responding quickly and efficiently to documented learning or behavioral problems
and ensuring appropriate identification of students with disabilities" (American Institutes for Research, n.d., p.4). Very true though we understand that
some students require a more structured form of intervention in their studies, we still want to try and create though in some cases minimum, yet some
forms of peer's interaction. Really as a student continue to the higher level of education, we would continue to encourage peer interaction, in hopes to
create socialization skills they need to become stable individuals in society. Just because a student has a learning disability doesn't mean we need to
prevent them from being part of society. Rather we as the models an educator need to strive for that

Current Interventions And Impact Of Lymphatic Filariasis
Current Interventions and Impact One of the most influential and impactful interventions for lymphatic filariasis is the Global Programme to Eliminate
Lymphatic Filariasis (GPELF). The program was started in 2000 by WHO, and the planned elimination date was 2020 (WHO, 2014). This program
mirrors the prophylactic prevention and treatment methods detailed previously, with the two main strategies being:
"– stopping transmission through large–scale annual treatment of all eligible people in an area or region where infection is present;
– alleviating the suffering caused by lymphatic filariasis through increased morbidity management and disability prevention activities" (WHO, 2014, no
page)
WHO is training workers to address both goals; ... Show more content on Helpwriting.net ...
c). As of 2013, 45 countries had complete surveillance systems in place and another 12 countries were in the process of completing coverage (WHO,
2013a).
The maintenance of complete coverage is unclear, though, as different WHO websites report different levels of completion. For example, the
WHO progress site claims that "17 countries out of the 53 countries have already completed five or more rounds with 100% of geographical
coverage" (WHO, n.d. c, no page), but the data on the project suggests only 14 had complete geographical coverage in 2013 (WHO, 2013a). The
former information is not cited by year, and it is possible that some people were lost to follow up or the treatment plans have ceased due to perceived
completion, given that five treatments would be sufficient to interrupt microfilariae transmission. Regardless, it is estimated that there has been more
than a 40% decrease in the number of infected since 2000, and the economic benefit has been placed in the billions of United States dollars (WHO,
2014).
The second goal, mitigating the economic and socio–emotional impact of the disability caused by lymphedema, elephantiasis, acute
dermatolymphangioadenitis, and hydrocele, is less obvious and more difficult for GPELF to target (WHO, 2013b). One approach is to reduce the
symptoms themselves. Internal program goals include increasing access to surgery for severe cases, improving education on how to treat and/or prevent

The Removal Of A System
Uninstall
It includes the removal of a system that is no longer in use. It also involves the reconfiguration of other systems that had dependencies with the
uninstalled system.
Retire
This is where a system is considered obsolete, and any support from the developer gets terminated. It marks the end of the lifecycle of a system.
System Maintenance
This includes the modification done on a system after it has been deployed to correct any system fault or make improvements on the system
performance. This process involves a variety of activities such as the deletion of obsolete activities, error correction, and optimization among others.
System maintenance process includes:
System preparation and transition of activities including the creation of a maintenance plan, training on how to handle problems established during the
development phase and a follow–up on product configuration management.
Problem modification and analysis process. This is typically done after the developed system has become the responsibility of the maintenance group
headed by the maintenance programmer.
The next step includes the consideration of implementing the modification itself.
Once the change has been done, the next process is the acceptance of the change where the modified work is checked by the individual that submitted
the modification request
Next, is the migration process which is usually exceptional and does not count as part of the daily maintenance task. It is initiated where the

The Meaning And Role Of Health Promotion
Candle Lighters Garden Party Report
Within this report a health promotion activity will be evaluated. The meaning and role of health promotion will also be explored along with an
evaluation of health education, and exploring the nature of the preventive approach and the behaviour change approach and the role of empowerment
in health promotion. Additionally, in this report it will contain two aspects of epidemiology and their effects on health promotion.
6.1 Plan a health promotion activity, 6,3 undertake a health promotion activity.
On Tuesday the 4th of April 2017, a health promotion activity took place at Calderdale College to promote a Leeds based children's cancer charity
Candle lighters UK please see appendix 1 of presentation of Candle ... Show more content on Helpwriting.net ...
The premature approach is broken down into three type of prevention the first is primary prevention. Primary prevention is to lower the risk of onset
of disease for examples through the use of immunisation and also encouraging non smoking to stop. The second type is secondary prevention, within
this stage the aim is preventing progression of disease for example smear screening. The final stage is tertiary prevention, the aim is to reduce further
disability and suffering in those individuals already ill for example rehabilitation, patient education and palliative care. However requirements are
needed for the preventive approach one of these are that preventive procedures have to be based on a rationale derived from epidemiological
evidence. A positive aspect of this approach is the prevention and early detection of disease is more cost efficient than the money used for the treatment
(Snyderman and Yoediono, 2006). Candle lighters can not be linked to the preventive approach as they is no known prevention, cause or 100%
effective treatment for childhood cancers (Cancer.Net,

Nebosh IGC 1
NEBOSH(IGC–1) TOPIC FOCUS ELE–1 TO ELE–5
1. DEFINATIONS
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Health the absence of disease.
Safety the absence of hazards, risks & serious injury at workplace.
Environmental Protection the prevention of damage to air, land, water and living creatures.
Accident an unplanned, unwanted which lead to injuries, loss and damage.
Near Miss an unplanned, unwanted which has potential to injuries, loss and damage.
Dangerous Occurrence a specified event which must be reported to organization and state.
Hazard Something with potential to cause harm to people and property.
Risk the likelihood of an hazard triggered to an accident by human or machine failure.
2. Barriers to Health & Safety
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Budget: ... Show more content on Helpwriting.net ...
Increase in Insurance premiums.
1 Page of IGC–1 Arshad Qazi
NEBOSH(IGC–1) TOPIC FOCUS ELE–1 TO ELE–5
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Loss of workers Moral.
Financial Losses.
Loss of organization reputation and image.
Loss of industrial relations.
9. Elements of HSMS: POPEAAC
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POLICY: A clear statement which describes employer vision and commitment towards safety compliances at allmanagement levels of organization but
especially at CEO/GM levels. Policy has three parts statement of intent– signed by CEO/GM,HSE
Organization with roles, Arrangements as general and specific arrangements.
ORGANIZING: A detailed framework of HSE roles and responsibilities with accountabilities from CEO level to downwards general worker level
including appointment of HSE management and competent specialists of safety.
PLANNING AND IMPLEMENTING: A detailed Arrangement must be made by employer as GENERAL– how organization will manage safety like
R/A, Inspections, Audits, Control Measures with review of process after accident/audits and SPECIFIC– how employees will comply safety at
organization like specific type of procedures, lone working, emergency, safe systems.
EVALUATION: The methods that monitor and review effectiveness of placed arrangements through Proactive and Reactive
Methods like before and after an accident or audit.

ACTIONS FOR IMPROVEMENT: During evaluation process of proactive and reactive monitoring, if any short

Preventive Care
Running head: FUNDING PREVENTIVE CARE IN AMERICA
Funding Preventive Care in America
Webster University
December 7, 2011
Funding Preventive Care in America
Preventive care is an element that is becoming important to not only those in the healthcare field but America as a whole. Preventive care helps to not
only prevent but in some cases stop from increasing illness such as obesity, hypertension, and heart disease. Many healthcare officials feel that
preventative care is important to the health care field while the government does not share their sentiments and thus funds are not distributed equally to
areas which assist with preventative care. Many critics feel that if the government would work with funding preventive care ... Show more content on
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Wellness Services Physicians are not the only one that is not relying on government funds to help with preventive measures. Large corporations are
equally involved in wellness (Aldana, 2005). Many corporations are offering incentives to their employees. For example, Blue Cross Blue Shield
offers wellness benefits to their employees that maintain a healthy lifestyle to include not smoking, weight management, hypertension and high
cholesterol management. This company has even gone as far as to offer financial incentives offset the costs for health insurance. The employees have
access to a gym that resembles at a rate of approximately $10 per month. The employees have access to a personal trainer to help them with their
weight management. BCBS have a health care team which visits the site and gives blood tests to determine their cholesterol level, hypertension, and
smoking. This incentive allows employees to be seen for free and receive the proper treatment for free. To add more to this plan, the company gives
the employee that meet the requirements for "a healthy lifestyle", the gives the employee money titled "Wellness" each pay period. This is incentive
enough to some people to continue to live a healthy lifestyle.
Government interaction Great Britain's Health Committee believes that the government should fund preventive care yet incorporate clear

Health Promotion Interventions Essay
Understanding Health Promotion Interventions in Nursing Practice
Nancy S. Hammack
Grand Canyon University: Family Centered Health Promotion NRS 429V Professor Barb McGraw
March 24, 2013
Understanding Health Promotion Interventions in Nursing Practice
The nursing profession is one of the largest health care professions, providing important opportunities for health promotion with potential to reform
health at the legislative level. Health promotion is defined by Kreuter and Devore (1980) as, "the process of advocating health in order to enhance the
probability that person (individual, family, and community), private (professional and business), and public (federal, state, and local government)
support of positive ... Show more content on Helpwriting.net ...
Therefore, evidence–based guidelines for youth smokers are lacking, other than counseling. Tingen summarizes (2009),
"With focused and sustained endeavors of rigorous research, policy initiatives, and diligent practice, nursing can help achieve smoke–free
environments, decrease risk factors and enhance protective factors in youth, develop and implement effective interventions that prevent initiation and
foster successful cessation, and prevent numerous adverse health outcomes in this vulnerable population and the future of America: the youth" (p.
188).
The second illustration focused on primary, secondary and tertiary interventions using occupational health activities at a Japanese company for
metabolic syndrome to determine changes in lifestyle. Their purpose was to devise the annual health promotion plan. Primary prevention included
individual interview, occupational health education for groups of employees several times annually, and health consultations. Secondary prevention
included post–screening referrals for those employees with abnormal findings, and tertiary prevention included visits to hospitalized employees and
support for their returning to work. Ariyoshi et al. (2010) concluded, "Occupational health activities based on a health promotion philosophy and aimed
at primary and secondary prevention are

Improper Building Maintenance Essay
In Malaysia, the idea of a specific and systematic facility audit for effectiveness, efficiency and performance is in early stages (Musa, 2012). The
awareness level from the society is very low. The costly repairs and maintenance may be done as a routine practices, but when the economy is booming
only emergency maintenance and repair is attempted (Musa, 2012). (Zunguzane, Smallwood, & Emuze, 2012) added that, the damages and costly
repair works are the causes from the improper building maintenance. This has shown us that the main concern was not executed for the maintenance
works for the available facilities in Malaysia.
The purpose of building maintenance is essentially to retain its values for investment, aesthetic, safety, durability, with a view to ensuring that the
property is fit for its purposes and to the satisfaction of the owner(s)/users (Brennan, 2010). Furthermore, effective, efficient and quality are essential
aspects in the building maintenance. The non–perform of the significant aspects caused the failure of a building maintenance. Zunguzane et al., (2012)
describe the non–perform of significant aspects caused the dissatisfaction of client and/or building occupants.
Moreover, the non–perform of essential aspects can result in delays in building maintenance projects and the need for rework, which can result in a
significant financial loss. Effective, efficient and quality focuses on eliminating defects and variations and seeks to avoid waste of time,

Family Centered Health Promotion Essay examples
Family Centered Health Promotion
Grand Canyon University: NRS–429V
05/12/2013
Definition of Health Promotion is increasing awareness, indentifying alternatives and influencing attitudes of the people, so that they can make an
informed decision and change their behaviors to achieve an optimal level of mental, physical and social health. Health promotion is also defined as the
process of empowering people to improve and take control of their health to optimize the quality of their lives. Ennis et al (2006) has explained health
promotion as emotional, cognitive and behavioral endeavor to promote well being and health of the people. Davis (1995) expresses a deeper
perspective in which preventive health science, social environment, ... Show more content on Helpwriting.net ...
These topics may include way to avoid preventable diseases like proper nutrition and exercise to prevent heart disease and regular and consistent
health checkup for early detection of life threatening diseases. Nurses not only responsible for hands on care but also serving as a resource person for
the people. Many times people need constant reinforcement and encouragement in following a healthy lifestyle and being compliant with their diet or
medications. This is where nurses play a crucial role as a role model and guidance counselor for the patient and community.
There are various methods used in the implementation of health promotion that encompasses entire areas of nursing. Providing education, providing
information and increasing the knowledge to the patient and the community. In this nursing process a complete assessment, planning, nursing
diagnosis; creating plan of care, rendering care and outcome evaluation is done. This nursing process is used during the entire nursing practice in very
particular stages and in the progression of the quality care.
Efforts towards health promotion can be ineffective at times therefore interception level of preventive health promotion is

Essay On Safety Health And Environment
2.8 PILLAR 8 – SAFETY, HEALTH AND ENVIRONMENT
In this area focus is on to create a safe workplace and a surrounding area that is not damaged by our process or procedures. This pillar will play an
active role in each of the other pillars on a regular basis.
A committee is constituted for this pillar which comprises representative of officers as well as workers. The committee is headed by Senior vice
President (Technical). Utmost importance to Safety is given in the plant. Manager (Safety) is looking after functions related to safety. To create
awareness among employees various competitions like safety slogans, Quiz, Drama, Posters, etc. related to safety can be organized at regular intervals.
3. OVERALL EQUIPMENT EFFECTIVINESS
TPM ... Show more content on Helpwriting.net ...
3.1 OEE CALCULATION
OEE=Availability x Performance x quality
Availability= (shift time–losses)/shift time
Performance= (Cycle time x No of product processed)/Availability Time
Quality = (No of parts production–Rejection x 100)/No of parts production
OEE measurement is made up of three underlying elements, each one expressed as a percentage and accounting for a different kind of waste in the
manufacturing process.
4. PROBLEM DEFINITION
a)Due to improper arrangements there is high fatigue to operator to operate the machines.
b)Due to insufficient training materials rejection is high.
c)Manual inspection takes more time to check the quality of component.
d)Early equipment management is very low.
e)Tool setting time is comparatively high.
f)Safety precautions to the workers need to improve.
5. OBJECTIVE OF THE RESEARCH

a)To reduce the operator fatigue.
b)To increase the productivity.
c)To minimize the rejection of materials.
d)To decrease the setting time.
e)To maximizes quality of inspection.
f)To give sufficient training to workers.
g)To ensure safety and health of workers.
h)To increase overall equipment effectiveness (OEE).
6. SUMMARY OF LITERATURE REVIEW
a)TPM implementation methodologies to be discussed step by step and systematic approach to understand the equipment's function, the equipment's
relationship to the product quality and the likely cause of failure of the critical equipment conditions is investigated.

A Literature Review of Health Promotion Essay
Literature Review of Health Promotions Grand Canyon University NRS 429 September 12, 2010 Literature Review Traditionally the United States
health care system has been sickness–oriented. However, in the last two decades, a new paradigm has emerged. This new paradigm emphasizes
wellness rather than sickness. As a result in this change in focus, health promotion is now an integral part of the nursing profession. This research
paper will review current literature from three professional sources relative to the nursing profession and health promotion. This paper will analyze: 1.
How is health promotion defined? 2. What is the purpose of health promotion? 3. How has the role of a nurse changed as the result of... Show more
content on Helpwriting.net ...
Historically, nurses focused on the diagnosis and treatment of a disease, sickness or condition and emphasis on health promotion was nonexistent.
However, today that has all changed. Nurses are now expected to expand their primary care services to include psychosocial nursing, advocacy,
behavioral science, counseling and advocacy in addition to patient assessment, clinical diagnosis and patient–case management. In the article "Defining
Nurse Practitioner Scope of Practice: Expanding Primary Care Services," Sherwood, Brown, and Wardell (1997) state "the role of the nurse practitioner
continues to evolve in response to changing societal and health care needs as consumers in all settings seek increasing services". (Sherwood, Brown
and Wardell, 1997).Nurses implement health promotion strategies in a variety of ways. Due to the high level of credibility nurse's have with their
patients, they greatly influence their patients with their passion. By emphasizing health promotion strategies such as self–responsibility, proper
nutrition, exercise and stress management, nurses plant the seeds of wellness in the minds of their patients. While ultimately, it is up to the individual
to make healthy changes in their lives, the role of the nurse practitioner plays a huge role in motivating individuals to adopt healthy habits. There are
three levels of health promotion prevention. They are the primary prevention, secondary

Health And Life Style Of Graduate Students At Central...
Health and Life Style of Graduate students at Central Michigan University
MSA 699 Project Report
Submitted in Partial Fulfillment of Requirements for the Degree of
Master of Science in Administration
(Concentration in Health Services Administration)
By
Abhinay Sunkara
Student ID# 613594
Project Instructor
Dr. David Freed
July, 2015
CHAPTER ONE
DEFINITION OF THE PROBLEM
Background
In the modern day period, the amount of the money spent by Americans on health care costs escalating rapidly, the citizens and government officials is
trying to find out various ... Show more content on Helpwriting.net ...
The main differences between U.S and other ten industrialize countries was that those countries practices mainly preventive medicine where emphasis
was laid on healthy lifestyle habits whereas U.S practiced curative medicine. Secondly, there is Universal Coverage of health care services in those
countries whereas U.S had no universal coverage for its citizens. According to Shi, Singh& D.A (2012) the main reason for high health care costs in
United States are:
1.Emphasis on treatment based system rather than on disease management system.
2.Preference to interventional methods rather than preventive medicine.
3.Disorganized health care system.

4.Practice of defensive medicine, like unwanted tests and diagnosis to avoid liability and lawsuit issues.
5.Lack of primary care physicians at the entry level.
6.High cost of drugs.
7.Health care system in the hands of insurance companies who paid physicians on the quantity of patients treated rather than on the quality of care
provided.
Research Problem

What Are The Key Factors To Understand About Prevention
What are the key factors to understand about prevention?
A few of the chronic diseases that crippling the country are heart disease, cancer, obesity, diabetes, arthritis, respiratory diseases, oral conditions and
strokes. Chronic diseases are among the most common and pricey out of all the health care illnesses, they are also among the preventable with the right
diet. Chronic disease prevention, to be most effective, must occur in multiple sectors and across individuals' entire life spans. Prevention circles health
promotion activities that encourage healthy living and fights against chronic diseases. Prevention also embraces early detection efforts, as well as
strategies for appropriate management of existing diseases and related complications. The health benefits of not smoking are increasing rapidly
(Whitehead & Dahlgren, 2006).
To reduce chronic disease across the nation, we must rethink our health care system. It is essential to have a coordinated, strategic prevention approach
that ... Show more content on Helpwriting.net ...
The health care system is not designed to prevent chronic illnesses. Our system is the traditional provider patient interaction. As effective as these
interactions are, they hardly take place and when they do they are very brief (Whitehead & Dahlgren, 2006).
Chronic diseases are among the most common and costly of all health problems, they are also among the most preventable. Chronic disease prevention,
to be most effective, must occur in multiple sectors and across individuals' entire life spans. Prevention circles around health promotion activities that
encourage healthy living and limit the initial onset of chronic diseases. Prevention also embraces early detection efforts, such as screening, as well as
strategies for appropriate management of existing diseases and related complications (Whitehead & Dahlgren,

Planning and allocating work
Planning and allocating work
1.1
I am employed as a Maintenance Manager at the Strand Palace Hotel in London. I am responsible for the day to day maintenance of the whole
building, also refurbishments of guest rooms and corridors, public areas and back of house areas. I am working with a team of 15 technicians and 4
shift engineers, all with different skills. Every first and last hour of my day will involve planning tasks to be completed, ranging from fixing any
breakdowns of machinery to hanging a mirror in the admin office. As we are in the hospitality and leisure industry guest/customer satisfaction is key.
We have set organisational targets where our aim to achieve 100%.
Company vision "making a stay in central London assessable ... Show more content on Helpwriting.net ...
Using this schedule I allocated tasks to the appropriate technician on each day and always have at least one technician on PPM. We also have
service contractors for the up keeping of catering equipment. As mentioned before on the first and last hour of the day is when the planning and
allocating takes place. On the last hour, I will walk around public areas, back of house and note anything specific that requires our attention. Then
from the schedule for areas, I will start allocating technicians there tasks in line with their capabilities, skill set, experience and the next day's
staffing levels. Then using the hotels booking system I will check for occupancy levels and room availabilities to compile a list of rooms for PPM. I
will then compile lists for each technician. The next morning, in the first hour of my day the lists together with copies of check sheets, I will pass them
on the relevant technicians. If there is anything out of norm I will take extra time with a technician to go the task to see its successful completion. Then
when appropriate I will go round and visit technicians and monitor their progress. In most cases the technicians has completed the giving task and will
visit the maintenance office to leave the complete check sheet in my in tray.
2.1
Having a plan is only good on paper if we don't have the resources to accomplish it and with this set in mind we have recruited skilled technicians
where necessary and got others on training and

Lowering Health Care Costs Essay
Health care expenditures is an increasing proportion of gross domestic product (GDP) in Organization for Economic Cooperation and
Development countries as its share in GDP increased by an average of nearly 2 percent annually in last 40 years. Health care expenditures in the
US increased 6.2 on average annually between 1991 and 2011. Health care spending consisted 17.9 percent of GDP in the US in 2011. There are
many elements affecting increases in health care costs. The proportion of old people in the US population increases and aging population can raise
health care expenditures. Because, compared to younger people, older people use more health care services as they are more likely to have
non–communicable diseases. Non–communicable... Show more content on Helpwriting.net ...
It takes a long time to increase the supply of health care professionals. Health care costs were soon rising rapidly. As a result, health care
expenditures as a percent of GDP increased from 5 percent to 16 percent (Finkelstein, 2005) There are many policies discussed in the literature for
reducing health care costs. I argue that preventive health care is the most efficient way to decrease health care costs. Preventive health care can be
defined as services to prevent people from diseases, or before they become more expensive to treat or cure. Health promotion efforts and personal
self–care constitutes primary level of preventive health care. Treatment services are curative and rehabilitative care services for curing or slowing
down a health problem which has already started. Preventive health care is an effective way of lowering health care costs. Health promotion and
disease prevention provides a healthy population with reduced health risks, and helps businesses to save money by participating in these programs
(Goetzel, 2009). Preventive health care involves a wide range of interventions which help for maintaining good health habits, reducing the incidence of
disease and disability, and slowing the progress of illnesses. These interventions can include providing childhood immunizations, raising taxes on
cigarettes,

OHSAS 18001 self assessment
OHSAS 18001:2007
Self Assessment Checklist
S003, Issue 2, November 2007
This document restates the requirements of OHSAS18001:2007 for Occupational Health and
Safety Management Systems (OHSMS) and has been developed to assist NCSI and its clients in the assessment of for Occupational Health and Safety
Management Systems for compliance with
OHSAS18001:2007.
This checklist presents the requirements of OHSAS18001:2007 as questions and can be used as an effective tool for implementing the Occupational
Health and Safety Management System and for self–assessment of the system.
NCSI Publication
OHSAS – S003
Issue No. 2
Issue Date: November 2007
Print Date: 13–Dec–07
ISO 18001:2007 SELF ASSESSMENT CHECKLIST
TABLE OF ... Show more content on Helpwriting.net ...
Does it include those hazards and risks which you can control or over which you could be expected to have an influence upon?
Is the scope of the OHS management system defined and formally documented within your organisation's OHS management system (OHSMS)
documentation? Are there activities that are excluded from the scope of the OHS management system and are the reasons for exclusion acceptable?

An NCSI Publication
S003/Issue 2/November 2007
Print Date: 13 December 2007
Page 1
NCSI Publication
OHSAS – S003
Issue No. 2
Issue Date: November 2007
Print Date: 13–Dec–07
OHSAS18001:2007 SELF ASSESSMENT CHECKLIST
OHSAS 18001 REQUIREMENTS
COMMENTS ON SYSTEM STATUS
4.2 OCCUPATIONAL HEALTH AND SAFETY
POLICY
Has top management defined your organisation's
OH&S policy?
I. Is the policy consistent with the scope of the OH&S management system?
II. Is the policy appropriate to the nature, scale and
OH&S risks in your activities, products or services?
III. What commitment does your policy make to continual improvement?
IV. What commitment does your policy make to the prevention of injury and ill heath in the workplace?
V. Does the OH&S policy include a commitment to comply with applicable OH&S legislation and regulations, and with other requirements to which
you subscribe that relate to your OH&S hazards
(e.g. Industry sector guidelines)?
VI. Does the policy provide the framework for

Affordable Care Act Brief : Placing Emphasis On Prevention...
Affordable Care Act Brief:
Placing Emphasis on Prevention and Wellness
U.S. Health Care System & Health Policy (PBHL–H 501)
Summer 2016
Executive Summary
Before the Affordable Care Act (ACA) got enacted, many Americans did not receive the preventative care that they needed to stay healthy, prevent or
delay the commencement of disease, and reduce health care cost. Generally because of the cost, Americans used preventative health care services at
about half the recommended rate.
In order to improve healthcare nationally and cut cost spending, preventative care and wellness should be at the fore front of every healthcare
organization. Recommendations to emphasize preventative and wellness services include building a workplace that support healthy lifestyles, expand
the roles of advanced providers, and expand preventative services at no cost.
This brief will be reviewed and addressed by the United States Secretary of Labor, Thomas E. Perez J.D. and the United States Secretary of Human
and Health Services, Sylvia Mary Mathews Burwell, J.D.
Statement of the problem
What roles can the United States Department of Labor (USDL) and the United States Department of Human and Health Services (HHS) play in
emphasizing the importance of preventative health services and establishment of workplace wellness programs to allow for a healthier nation as
proposed by the Patient Protection and Affordable Care Act (PPACA)?
Background
According to an article published by the Center

My First Year As A Biomedical Engineering Technician
Autobiographical Paper My essay will be about my first year as a biomedical engineering technician (BMET) in the United States Navy. Within
my first few months, my knowledge, character and leadership were tested and pushed to their fullest extent possible. This paper will be based on
the ethical decisions I was forced to make to ensure patient safety. Those decisions would change the way my leadership, tactfulness and work
relations would be throughout my work center for the entirety of my remaining time onboard. Upon graduating from BMET school located in Ft.
Sam Houston, I was able to select orders to Naval Health Clinic Corpus Christi (NHCCC) in Corpus Christi Texas. I reported onboard and it was a
shocker as my work center was in ruins. Chipped tile with asbestos glue was everywhere, tools sitting in random spots and papers everywhere.
There wasn't any organization whatsoever to the BMET work center. My two comrades were of no help either. My supervisor was nothing like
the leader I expected him to be, nor as I myself strive to be for my subordinates. He was in his 40s getting ready to retire after doing his 20 years in
the Navy. I respected that and thought to get some kind of insight about being a BMET from him. Prior to becoming a BMET, I only had about 90
days of "on the job training (OJT)" and in school you didn't learn anything about managing a work center. After about two weeks of struggling due to
the lack of direction from my superiors I was able

The Pros And Cons Of Internship
RELATED CURRENT RESEARCH
1 KNOWLEDGE: Knowledge can refer to a theoretical or practical understanding of a subject. It can be implicit (as with practical skill or expertise)
or explicit (as with the theoretical understanding of a subject); it can be more or less formal or systematic (oxforddictionaries.com)
Knowledge acquisition involves complex cognitive processes: perception, communication, and reasoning; while knowledge is also said to be related to
the capacity of acknowledgment in human beings (Stanley Cavell)
2 EXPERIENCE: Familiarity with a skill or field of knowledge acquired over months or years of actual practice and which, presumably, has resulted in
superior understanding or mastery. (businessdictionary.com).
Experience is the knowledge or mastery of an event or ... Show more content on Helpwriting.net ...
Since many employers list previous internships as a requirement for their new hires, many applicants are already behind the eight ball if they have not
done some type of internship experience during their time in college (Penny Loretto)
An internship is a temporary position with an emphasis on on–the–job training rather than merely employment, and it can be paid or unpaid. If you
want to go into publishing, you might have to take an internship before you are qualified for an actual job. (www.vocabulary.com)
5 ATTITUDE: Attitudes can also be explicit and implicit. Explicit attitudes are those that we are consciously aware of and that clearly influence our
behaviors and beliefs. Implicit attitudes are unconscious, but still have an effect on our beliefs and behaviors. (Kendra Cherry)
An attitude is "a relatively enduring organization of beliefs, feelings, and behavioral tendencies towards socially significant objects, groups, events or
symbols" (Hogg, & Vaughan 2005.)
A psychological tendency that is expressed by evaluating a particular entity with some degree of favor or disfavor" (Eagly, &

Disease Prevention Framework Essay
In understanding the disease prevention framework, it is important to consider certain factors utilized in the formulation of prevention strategies and
decision making. The levels of prevention, personal factors, and environmental factors are the critical aspects needed in place for proper prevention
methods and evaluation.
Comprehending the roles of the public health practitioners would be cumbersome without understanding the levels of prevention point out that the
levels occur into three stages, namely primary, secondary and tertiary levels (Williams & Torrens 2008, p. 143). Primary prevention refers to thwarting
all the occurrences of the disease. The process of accomplishing the task involves the application of the necessary measures ... Show more content on
Helpwriting.net ...
Since the methods applied in treating a disease focus on short term goals, public health practitioners should encourage the preventive measures in a
society.
References
Williams, S. J., & Torrens, P. R. (2008). Introduction to Health Services (Seventh ed.). Chpt. 6, pp. 144– 54.
Woolf, S., & Atkins, D. (2015). "The Evolving Role of Prevention in Health Care." U.S Department of Health and Human Science. Retrieved 29 Mar
2017, from https://archive.ahrq.gov/clinic/ajpmsuppl/woolf1.htm
Faust, H., & Menzel, T. (2012). "Prevention vs. Treatment: What's the Right Balance?" Philosophical Reviews. University of Notre Dame, Retrieved 29
Mar 2017, from http://ndpr.nd.edu/news/prevention–vs–treatment–what–s–the–right–balance/
Nagy J., & Fawcett, S. (2016). "Section 2. Understanding Risk and Protective Factors: Their Use in Selecting Potential Targets and Promising Strategies
for Intervention." Retrieved 29 Mar 2017, from http://ctb.ku.edu/en/table–of–contents/analyze/choose–and–adapt– community–interventions
/risk–and–protective–factors/main

Concepts of Health Promotion
Health is defined as a state in which human needs are met in an autonomic way, and is not limited to the absence of disease or disablement (V.
Henderson). Optimal health is a lively, self–motivated equilibrium of physical, intellectual, spiritual, emotional, and social well–being. The concept of
health promotion delineates the method of empowering people to increase control over, and to advance their own overall health. The main purpose of
health promotion is to heighten people's motivation to strive for optimal health, while assisting them in making lifestyle modifications that will help
them advance their wellbeing to an ideal state. Modifications of the unfavorable way of living can be enabled through a... Show more content on
Helpwriting.net ...
Implementation is the "acting" towards behavior change. The nurse gives emphasis to self–responsibility for implementing the plan. Depending on the
client's needs, nursing interventions may consist of supporting, counseling, teaching, consulting, modeling, and enhancing the behavior change. The
nurse has to offer ongoing and non–judgmental support that focuses on the desired behavior change. Moreover, the nurse will help the client identify
his social support system, which is vital in the goal attainment process. Evaluation of the outcomes should not be sporadic, but rather done on a
continual basis in shared collaboration of nurse and client. Evaluation is the time of celebrating successes, or a time when the client may choose to
rearrange priorities, or adjust strategies. Health promotion aims a wide range of targets at different levels in the community. The huge benefits resulted
from health promotion and disease prevention efforts make many realize that this domain of health care is worth to be invested in. The focus is shifted
evermore from the medical to the preventative approach, from treating the disease to avoiding the onset of it.
Nurses have a fundamental role in health promotion by their position and

Key Factors Of JIT Strategy
3.0 Key factors of JIT Strategy
In order to implement a good strategy for the company, the company should concentrate on the key factors that can affect the result of the strategy that
implemented. Thus, the most important factors for successful implementation of the JIT strategy are top management commitment, reduction of setup
time and preventive maintenance scheduling of the company.
3.1 Top management commitment
In order to implement a better strategy in a company, one of the important factors that need to be a concern is the commitment of top management. It is
significant to cognize that the top management is seriously dedicated. Top management must create and hold a series of principles and regulations,
statements must state its commitment to JIT procurement, production, distribution strategy which product lines are affected. Besides that, the function
of the machinery, the duty of every worker, the resources that available forimplementation, the timetable for implementation are involved in the
execution of the JIT strategy.
3.2 Reduction of Setup time ... Show more content on Helpwriting.net ...
According to Ritzman et, under a company that under JIT atmosphere, the key elements and functions required for changeover are kept in the proper
position to allow for quick changeover. Schonberger and Knod provide guidelines for quick error–free set up which ranges from standardizing
machines and components to allowing for more set–up people for expensive equipment. This myriad of literature, suggested that the exploring of the
possibility of a standard technique of operations and the location of the key factors which can pave the way for a flexible implementation of JIT

Research Is The Topic Of Environmental Health
A.
The topic I have decided to research is the topic of Environmental Health. The goal of this topic is to promote health for all though a healthy
environment. I picked this topic because many health related problems today revolve around environmental factors, like lung disease, asthma, skin
cancer, and chemical exposures. Since, everyday people come in contact with their surroundings it is important to make the air we breathe, the water
we drink, the homes and the security of a community are safe and do not affect the public in a negative matter. Another important factor in
environmental health is to make sure the communities are not in contact with hazardous wastes or toxic substances. Both of these can severely affect a
person's health and can lead to major health problems in the future. "The World Health Organization(WHO) defines environment, as it relates to health,
as all the physical, chemical, and biological factors external to a person, and all the related behaviors"(2006).
B.
Creating a healthy environment is important for all people since we spent our entire lives interacting with the world around us. According to Healthy
People 2020, "poor environmental quality has its greatest impact on people whose health status is already at risk" (2010). This includes people who
already have a sickness, disability, or disease that lowers their immune system, which allows environmental hazards to penetrate and make the
individual even sicker. In order to prevent more

Weaknesses Of Maintenance Administration System
where the maintenance administration systems in this industry can be progressed. The principle weaknesses are found in the bolster given to center
levels of administration in making an interpretation of wellbeing strategy into a powerful maintenance idea and that into arranging, systems and asset
administration which give proper thoughtfulness regarding security. Suggestions are made about reinforcing these ranges with a solid maintenance
building capacity in charge of organizing the fuse of security into outline, into the maintenance idea and arranging and for the taking in of lessons from
episode and breakdown investigation, a capacity which can likewise contribute emphatically to a monetary operation of the office. Some broad
suggestions are made about the administrative ramifications of these conclusions
According to Lawrence Mann Jr. in 1998:
Performance markers of operational maintenance can help maintenance staff enhance its operations, so that the immediate and ... Show more content on
Helpwriting.net ...
The reasons why maintenance is such a "Cinderella capacity" are generally verifiable and can for the most part be overcome by new data innovation
(IT) and its falling expense. Advancement is currently being held up by obsolete ideas of what is financially conceivable in information obtaining and
examination, and inability to change essential maintenance and unwavering quality ideas, some of which are presently 30 years outdated. Incorporated
IT grants scientific improvement of supra–departmental administration choices, e.g. co–arranging of generation with maintenance, upgrade/restoration
of apparatus and change of item performance/quality. Life–cycle benefit (LCP) is a reasonable measure of general adequacy that underlines the worth
as opposed to the expense of terotechnological

The Effects Of Dietary Supplement Use On Heat Injuries...
My practical experience was done at Fort Bragg in North Carolina. I worked with LTC Sheryl Bedno, who is the Chief of Preventive Medicine here
at Ft. Bragg. My role was as an observer on an ongoing study titled, "Dietary Supplement use on Heat Injuries among Military Personnel". The study
was conducted by administering surveys to soldiers that were being seen by medical staff at the Department of Preventive Medicine.
The goals were to be able to understand what the possible effects of dietary supplement use are on the body, especially during extreme heat, to find
out why soldiers decided on using supplements. To achieve these goals, I observed each survey that was administered and took mental note of their
responses (as I was prohibited from writing in the participant 's presence). I did additional research and a literature review on methods of use, reasons
for use, dangers of use and alternatives to using. The intention of the study was to find a more effective way for physicians to treat heat injuries.
The popular supplement ingredient, 1,3 dimethylamine (DMAA) was linked to several fatalities and as a result was put on a medical hold in 2012 by
the Food and Drug Administration. The ingredient was later banned for use in any supplement. In March of 2012, two Army soldiers died during a
workout in which both had reportedly taken supplements that had DMAA in it.1
Events like that cannot be allowed to occur on a continual basis. Unregulated dietary supplement use is an

Preventing The Onset Of Disease
Primary prevention is concerned with preventing the onset of disease; it aims to reduce the incidence of disease. It involves "... health promotion, such
as health education and a good standard of nutrition adjusted to developmental phases of life, and specific protection, such as the use of specific
immunizations and use of specific nutrients" (Edelman et al., 2014 pg. 12). According to the case study, Richard Renehart is a 62– year–old Caucasian
male who weighs 252 pounds. He is overweight and has type 2 diabetes. On the other hand, Theresa Jenkins is a 78–year old female who is of African
American and Hispanic descent. She has hypertension and may also be suffering from depression and diabetes. First of all, since type 2 diabetes is
strongly associated with obesity, Richard and Theresa both need to start making healthy choices regarding their diets. Theresa should stop skipping
meals and join her family for meals as this can also help improve her loneliness. She ought to eat more than just soups. Both have to start eating
healthy, and what this means is eating in smaller portions and choosing healthy foods like whole grain foods such as whole wheat bread, brown rice,
crackers, oatmeal, cereals, and barley. Fewer high–fat foods and more fruits and vegetables should be incorporated into their diet. Meat can also be
substituted with fish, turkey, or chicken without the skin. Yogurt and cheese or low
–fat or skim milk should also be added. Additionally, they must avoid

The Disasters And What Community Resources Were Used?
1.What were the characteristics the disasters and what community resources were used?
On April 15, 2011 severe weather and tornados hit Mobile, Alabama, with wind speed at 80 miles per hour (Press Release: Alabama Red Cross
Responds to Tornadoes and Severe Weather, 2011). The tornado touched at least 6 counties so Alabama Governor Robert Bentley had to declare a
state of emergency. Seven people lost their lives and after preliminary damage assessment were performed indicating that in the Alabama a total of 128
homes were destroyed, 70 homes had major damage, and at least 50 homes had minor damage. From the preliminary assessments the South Alabama
showed that 21 homes were destroyed, 32 of the homes had sustained major damage, and 11 ... Show more content on Helpwriting.net ...
2.How did the American Red Cross help?
In the United States, Red Cross provides assistance with 70,000 disasters a year, from fires, to hurricanes, to earthquakes. Red Cross is not a
government agency however provides resources such as shelters, food, and mental health and works with other governmental or nongovernmental
organizations to help provide relief after disasters occurs (What We Do | Red Cross | Disaster Relief,Emergency Management, n.d.). The Red Cross
stepped in shortly to provide disaster relief services such as emergency services, food, shelter, and ongoing emotional support to the families and
individuals in need (Press Release: Alabama Red Cross Responds to Tornadoes and Severe Weather, 2011).
.Red Cross exists because of the generosity of the public and volunteers. They also help military families each year. According to the Red Cross
article from April 18, 2011, the Red Cross Emergency Response Vehicle (ERV) was scheduled to go through the regions affected by thetornado and

A Report On The Communication Phase Essay
During the communication phase, we gathered the following requirements from the clients. The KPSmart program had to be a program that allowed
the clerks to handle daily business in a straightforward manner. This was to be done by containing business events in a log file that only the manager
could view, and included processing business events and displaying key business figures. Using these requirements, we modeled our proposed system,
and validated it with the clients. With the requirements validated, we could move onto implementing the system and be guaranteed that our
implementation would meet the requirements as long as we followed our design documents and the requirements stayed consistent with our original
brief. As we had determined at the early stages of the project, it was unlikely that the requirements would be volatile. Because of this we felt confident
that our design document would assure we followed the requirements during implementation. To certify this, continuous testing was done throughout
implementation, as well as peer reviews of each others code. This was done through Travis CI integration with GitHub, which assured that our master
branch was always stable, all new features added to the system conformed.To make sure the requirements were met once the system was implemented,
thorough testing was applied at the end of the implementation phase. At the end of testing, and the subsequent amendments to the program, we were
confident that we had met the

Primary Prevention Essay
Limited Primary and Secondary Prevention Strategies
Although there are valuable programs implemented to help manage and support mothers with PPD (tertiary prevention), it's important to recognize that
secondary prevention strategies currently in place are flawed and that there is no emphasis on primary prevention. VCH has implemented a PPD
algorithm, where best practice is to screen for PPD using the Edinburgh Postnatal Depression scale at 28–32 weeks of pregnancy and at 6–8 weeks
postnatally (VCH, 2017). It also recommends targeted screening for any moms with risk factors (VCH, 2017). However, instead of following this
algorithm, PHN's screen for PPD during a home visit, at the CHC at the 4–month infant visit, and at parent–infant groups ... Show more content on
Helpwriting.net ...
Because of this barrier, it is even more critical that we go to them, as suggested by reinstating home visits, and upstream prevention strategies are
implemented. There are no prenatal groups in CHA4, yet literature suggests prenatal classes based on psychoeducation, stress management and coping
mechanisms lead to decreased rates of PPD (Werner, Osborne, Kuzava & Monk, 2015). Furthermore, it is evident that PHNs do not play much of a
role in prenatal care nationally. According to the Canadian Maternity Experiences Survey, 0.6% of women received prenatal care from nurses (Public
Health Agency of Canada, 2009). PHN's are to protect, promote and prevent, and with such a prominent health issue that affects the community at large,
it is daunting that PHN's do not offer more anticipatory guidance to expecting mothers. It would be beneficial to incorporate prenatal classes that focus
on psychoeducation and perhaps recognize that these classes should be offered in the evenings when mothers, particularly the working–class older
mothers are available. Kozinszky (2012) found that four brief prenatal classes focusing on PPD prevention was all that was needed to reduce PPD
symptomology.
CHA4 Is Moving in the Right Direction Recently, a health education opportunity was proposed at the service level. All CHA4 PHN's were advised to
participate in a teleconference about PPD put on by

A Brief Note On Guinea Worm Eradication ( Group 7 )
Postal 2: Guinea Worm Eradication (Group 7):
The condition for the commissioning setting was a supposed guinea worm outbreak that has been reported in three Local Government Areas of Akoko
town in Ondo State Nigeria by the State's Ministry of Health among people aged 6–46 years. Their rationale was based on high density of cases in Ise,
Auga–Okemole and Iboropa areas of Akoko local government areas, after WHO had declared Nigeria free of the infection. Based on continuous
surveillance and disease notification, it seems guinea worm is a WHO's notifiable infectious disease, and Nigeria is a party to it. According to WHO
2000), there is a need for immediate action whenever any WHO notifiable diseases is spotted. Hence a stakeholders meeting was held with the locals,
government officials and community health workers for immediate Health Needs Assessment. The population profiling data was from national surveys
and hospital records.
Analysis of data was done, the case was prioritized, procurement done, and prompt intervention followed with full participation of all necessary
stakeholders. Effective Monitoring and Evaluation would be carried out quarterly after implementation: this monitoring and evaluation will be done by
the commissioners themselves.
Strong Points:
Looking at the given scenario, a notifiable disease requires an immediate emergency response, since there was a good rationale backing their action.
The evidence was also strong as the report was from a trusted

managerial issues
Managerial Issues
Ryan Shelton
CMGT/445
August 27, 2014
Gloria De Leon
Managing Information Systems Information systems provide the infrastructure and enable communication for every kind of business in today's global
economy. The responsible managers in charge of these vital systems face several key issues in their efforts to effectively manage corporateinformation
systems. Information systems, particularly hardware and software components, become obsolete very quickly. Another important issue is data storage
and availability. The need for expanding data storage and processing capacity brings management concerns about space, facility requirements, and
energy ... Show more content on Helpwriting.net ...
Training employees to perform adaptive maintenance requires constant technical training. It also requires managers to build employee confidence in
nontechnical disciplines such as team building, online collaboration, and ways to build meaningful relationships with end–users. Communicating
effectively with users will provide managers and technical staff with valuable data about the systems they are administering and the kinds of features
that their customers want to see added to new software builds. Another aspect of training employees for adaptive maintenance is educating them on the
expense of making deep changes to an information system. The responsibility for keeping maintenance costs reasonable should stay with the manager;
however, educating employees on the financial side of their information system will aid them in determining if a change is worth making or if they
should wait for a major change or upgrade opportunity. Adaptive maintenance is an effective tool for information systems managers, but the costs of
making changes should always be weighed against the benefits to the organization.
New Frontiers: Managing Information Systems in a Global Economy Perhaps the greatest challenge to managing information systems today is
globalization. The lack of international borders to business has created many new opportunities but also many new challenges for managers. Untapped
technology markets exist in many developing

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