Purpose: The purpose of this assignment is to allow you to identify the ethical implications of classifying costs correctly and following the appropriate rules of the accrual process.
Parameters: For this assignment, you will write a 3-4 page paper, not including the Title and Reference pages. The paper must include at least 2 references, including the Bible. Your paper should follow current APA format. You should compose your paper in a professional format, including complete, coherent sentences.
Prompt: After reviewing the Reading & Study materials for the week, identify the ethical implications of classifying costs correctly and following the appropriate rules of the accrual process. The paper must also include a discussion on how your personal faith should guide your ethical behavior in your career.
BIBLICAL META NARRATIVE ESSAY ASSIGNMENT INSTRUCTIONS OVERVIEW (Major movement of the biblical narrative/story, its main character, and its implications for understanding the unity of the biblical books). The purpose of this assignment is to demonstrate your understanding of the unified and coherent nature of the Bible and the theological doctrines. One way to view Scripture is through the four major plot movements of Creation, Fall, Redemption, and Restoration. Considering biblical doctrines through these four plot movements can aid in our understanding of humanity and humanity’s relationship to God.After viewing the presentation, Understanding Biblical Narrative, and completing your textbook readings, you will be equipped to demonstrate the coherence of Scripture and share some of the implications of the unified message of the Bible. INSTRUCTIONS For this assignment, you must write an 800 – 1,000-word essay addressing the following prompt:The unity of the Bible is demonstrated through the Divine inspiration of the Holy Spirit on the human authors of Scripture. The study of theology uncovers and articulates the unity of all the biblical texts when they are taken together. From the list of approved doctrines to address, demonstrate the unified nature of the Bible by tracing that doctrine through the four major plot developments of Scripture. For example, The Bible describes God as love in 1 John 4:8. The way to interpret “God is love” is to look at the biblical story that reveals God’s character through His actions. When looking at the idea of love through the four major plot movements in Scripture we see God’s love demonstrated in His creation of humanity, His patience with humanity after the fall, and His sacrificial death to redeem humanity from the fall, and His restorative work through preparation of the heavenly home . (This example would be substantiated and demonstrated with biblical support, and be elaborated on within the essay.)Assignment Requirements:
1. Discuss the major movement of the biblical narrative/story, its main character, and its implications for understanding the unity of the biblical books.
2. Choose two topics from the topic list at the bottom of this document (Page 2) that are presented in Biblical doctrine with attention on how these theological topics unfold through the through the four major plot movements of Creation, Fall, Redemption, and Restoration.3. Using your theological examples, share the implications that these examples provide humanity’s relationship to God.4. Incorporate at least 2 theological references in your paper using course resources.5. Incorporate at least 2 relevant biblical references.6. Write a clear introductory paragraph including the thesis statement. A summative concluding paragraph must also be included
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Primary Task Response: Within the Discussion Board area, write 300–500 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. Be substantive and clear, and use examples to reinforce your ideas.
Examine the REAL ID 2005 Act. Your discussion should focus on the following:
What are the implications of this Act on privacy and the security of medical information?
As a grade level leader, there will be many times when you wish to share research and trends with your staff and community. Unfortunately, these are all busy people and do not often have the time or motivation to read lengthy articles or books. A “white paper” is one way to share that information in a short, concise, researched paper. By providing this kind of thoughtful work to your staff and community, not only will you increase the likelihood that your audience will read the material, but your staff and community will see you in a more scholarly and trustworthy manner.
Directions:
Teachers, and the school systems that employ them, face many challenges during the school year. COVID-19 has taken educational challenges to a new level regarding continued safety and meeting the requirements set forth by federal, state, and local leaders. Imagine that you are the grade level leader of a school where COVID-19 has impacted your community. You are charged by the school board with providing a safe, healthy, and secure school. You need to make sure teachers are using current technology and teaching methods, and that your school is preparing students to be productive 21st-century citizens. The recent COVID-19 virus has shown that your school lacks the bandwidth, equipment, and technology to transition to a virtual learning environment and this has caused concern in the local community; however, the community also believes that the school is adequate if only teachers would work harder.
You are faced with the task of opening your school during this trying time. You need to make sure the protocols are in place such as the proper social distancing and safety equipment (masks, plexiglass, etc.) for all who enter the school building. The financial implications are a concern for you and the community. Will you need more tables or student desks to adhere to the social distancing requirements? Will you have to lay off any employees (lunchroom workers, bus drivers, janitors) due to a modified school schedule?
Write a white paper that addresses these current and future trends as they relate to financial implications you may face. Explain in the paper whether you will require more or less funds to maintain the educational level your community is accustomed to. Also, include why you may or may not need additional funds to support an overall upgrade for the school that may include more technology and equipment which would create a positive virtual learning environment during this and any future crisis. Be as creative as you can to determine the best source of where the possible funds will come from.
Your white paper should be 4–5 pages and should follow this format:
The Problem Proof the Problem Exists Additional Problems The Basic Solution Your Solution (how much funding you need, and where should it come from) Minimum of three resources
This white paper guide may be helpful:
Mattern, J. (2020, May 1). How to write a white paper [Blog post]. Retrieved from http://www.dirjournal.com/business-journal/how-to-write-a-white-paper/
In 350 words or more please respond to the discussion question: What are the major implications that ethics has on a business? Is there a difference between ethical behaviors and legal implications? What theoretical underpinnings impact ethical behavior? Provide an example from a case study where ethical behavior impacted the organizational culture, either positively or negatively. Can you think of some examples in your own experience where ethical behavior impacted the culture of your organization (be brief).
Content and Structure of your Research Proposal Brief and GuidelinesCover Page 1. Institution and Department 2.Proposed Dissertation Title: For the submission of the proposal you will need a working title which indicates clearly the subject area of the Dissertation. You may adjust the wording of the title up to the point of final submission after discussion with your tutor. – Your topic must be feasible and focused. When you select a topic make sure it satisfies the following conditions: 1. You can access data 2. You have the skills and interest to pursue it to completion 3. The scope is tight enough that it can be achieved within the given time and length constraints. 4.It is related to Business Administration and Management 3. Student’s Name 4.Tutor’s Name Abstract The purpose of this section is to present a short abstract that outlines the essence of the research project. It describes the purpose and motivation for the study and the statement of the problem, the data collection methodology and analysis, and the significant results and implications of the research. Table of Contents Lists the sections of the research proposal (headings and indented sub-headings) and the corresponding page numbers. Introduction This part can begin with two introductory paragraphs and the primary goal is to catch the attention of the reader. These paragraphs set the stage for the research aiming to identify a business problem/topic of interest related to the Business Administration and/or the courses taught or discuss issues/matters concerning an organization or an industry. The introduction provides background information for the research (i.e. the problem being addressed) and is typically structured from general information to narrow or focused ideas; whereupon your research question/s are presented. The Introduction includes a brief review of relevant literature or knowledge in the field, so that you can present the gap in the existing knowledge and, therefore, the significance and originality – the purpose and aim – of your research. The introduction of a research proposal needs to include: 1. Clear Statement of the Problem 2. Purpose of the Study 3. Background of the study: Key terms and Definitions from related theories 4. Significance of the Investigation 5. Research Questions Research QuestionsHypotheses (sub-section in the Introduction): This sub-section in the Introduction, states the purpose of your study and the research questions. In this sub-section, you have to underline the reasons for which your study is significant and how will contribute to the research and add knowledge to the field of study. What is the primary question you are trying to solve? Research Aim and Objectives (sub-section in the Introduction): Aim The aim is a general statement of the intent or direction for the research; what are you trying to achieve? Objectives Objectives are specific and clear statements of the intentions and outcomes of your research. What are you trying to achieve? Objectives should be followed by the justification (justification is the rationale for doing the research; why the research needs to be done). Literature review In this section you summarise the key literature that you have so far read and state how the ideas or findings within them have relevance to your work. The main aim is to demonstrate exactly how your research will contribute to conversations in the field: • Compare and contrast: what are the main theories, methods, debates? • Be critical: what are the strengths and weaknesses of different approaches? • Show how your research fits in: how will you build on, challenge, or synthesize the work of others? Your literature review section must provide support for the research question that you intend to investigate. It is recommended that you provide at least 10 – 15 key academic literature references with your proposal as an indicative reference list. These must be journal papers or books. It is expected that your final Dissertation will cite between 30 to 40 relevant and credible references. You must use the APA-style reference system in both the body of the text and your Reference section. Methodology This section presents your proposed research method. You should state whether you intend to undertake qualitative or quantitative research methods for your secondary data analysis and justify your decision. The method should be clearly explained, giving details of your intended sample, research instrument and data collection method. You should make clear your intended data analysis technique(s) and how you intend to present your findings. Identify any potential practical and ethical implications in relation to your research activity. Expected ResultsPotential Implications This chapter details any expected results that you may have. It is important to relate these results to the critical framework of your intended research. Additionally, the purpose of this section is to argue how you anticipate that your research will refine, revise, or extend existing knowledge in the area of your study. Depending upon the aims and objectives of your study, you should also discuss how your anticipated findings may impact future research. For example, is it possible that your research may lead to a new policy, theoretical understanding, or method for analyzing data? How might your study influence future studies? What might your study mean for future practitioners working in the field? Who or what might benefit from your study? How might your study contribute to social, economic, or environmental issues? Timetable – Research Schedule The timeline will help you to organize and arrange your program in order to complete everything on time. Also, it will be useful for any other stakeholders such as tutors, supervisors, or clients to know what to expect. It lists the stages of the research project in the timeline, spreadsheet, or tabular format, and the deadlines for completion of these stages or tasks. You should include any challenges to completion that you anticipate facing. A basic structure of your timeline could be the following (The activities can change according to your project): Activity Week 1 Week 2 Week 3 Week 4 Week 5 Week 6 Week 7 Week 8 Week 9 Week 10 Week 11 Week 12 Research topic & Draft Introduction Research proposal Literature review Evaluation of Secondary Data Research philosophy and design Research ethics Writing the project report Indicative References sources The reference section is the section of all the documents you have cited in your project and it is found at the end of the body of your work, but before your appendices. In this section, if you refer to work by another author (including theories, models, measurement scales, or diagrams) you must cite the original author and source. References are included within the text to enable any reader who is interested to be able to find the complete details of the work you have drawn upon. The University requires that you use the APA System of referencing, both within the body of your work and also within your reference list at the end of your work. These are listed in alphabetical order. The reference section is useful to those marking your work to see the scope of your reading in the preparation of your project. It is also useful for future readers to access your cited references. Appendices Appendices normally contain secondary, or supporting material, whose inclusion in the main body of the research proposal would either make the project difficult to read, or is not very important. If there is more than one appendix they should all be numbered with capital letters, e.g., Appendix A, Appendix B, etc. Revision and Proofreading As in any other piece of academic writing, it’s essential to redraft, edit and proofread your research proposal before you submit it. Text Layout • Font: Times New Roman • Size: 12 • Line spacing: 1 ½ • Your Research Proposal must have page numbers (bottom center is recommended). Word Limit • The word limit of your research proposal is 1500-2000 (±10%) words (not including tables, diagrams, appendices and references). Submission • The submission of the research proposal is due by the end of Week 2, Sunday 11:59 pm (23:59 hours) VLE (UTC) time on the due date at the latest. • This assignment is formative (not graded); however, you are encouraged to submit your research proposal as you will receive constructive feedback from your tutor that will help you when developing and drafting your Dissertation. • The research proposal will be submitted in PDF format. Further Guidelines • This is an individual assessment, not a group task. • Your assignment should reflect scholarly writing and APA Referencing standard. Be sure to adhere to Academic Integrity Policy by avoiding plagiarism through text-citing and acknowledging other author’s work. • Academic Integrity Policy: Students are expected to demonstrate academic integrity by completing their own work, assignments, and other assessment exercises. Submission of work from another person, whether it is from printed sources or someone other than the student; previously graded papers; papers submitted without proper citations; or submitting the same paper to multiple courses without the knowledge of all instructors involved can result in a failing grade. Incidents involving academic dishonesty will be reported to university officials for appropriate sanctions. Furthermore, students must always submit work that represents their original words or ideas. If any words or ideas used in an assignment or assessment submission do not represent the student’s original words or ideas, all relevant sources must be cited along with the extent to which such sources were used. Words or ideas that require citation include, but are not limited to, all hard copy or electronic publications, whether copyrighted or not and all verbal or visual communication when the content of such communication originates from an identifiable source
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Content and Structure of your Research Proposal Brief and GuidelinesCover Page 1. Institution and Department 2.Proposed Dissertation Title: For the submission of the proposal you will need a working title which indicates clearly the subject area of the Dissertation. You may adjust the wording of the title up to the point of final submission after discussion with your tutor. – Your topic must be feasible and focused. When you select a topic make sure it satisfies the following conditions: 1. You can access data 2. You have the skills and interest to pursue it to completion 3. The scope is tight enough that it can be achieved within the given time and length constraints. 4.It is related to Business Administration and Management 3. Student’s Name 4.Tutor’s Name Abstract The purpose of this section is to present a short abstract that outlines the essence of the research project. It describes the purpose and motivation for the study and the statement of the problem, the data collection methodology and analysis, and the significant results and implications of the research. Table of Contents Lists the sections of the research proposal (headings and indented sub-headings) and the corresponding page numbers. Introduction This part can begin with two introductory paragraphs and the primary goal is to catch the attention of the reader. These paragraphs set the stage for the research aiming to identify a business problem/topic of interest related to the Business Administration and/or the courses taught or discuss issues/matters concerning an organization or an industry. The introduction provides background information for the research (i.e. the problem being addressed) and is typically structured from general information to narrow or focused ideas; whereupon your research question/s are presented. The Introduction includes a brief review of relevant literature or knowledge in the field, so that you can present the gap in the existing knowledge and, therefore, the significance and originality – the purpose and aim – of your research. The introduction of a research proposal needs to include: 1. Clear Statement of the Problem 2. Purpose of the Study 3. Background of the study: Key terms and Definitions from related theories 4. Significance of the Investigation 5. Research Questions Research Questions Hypotheses (sub-section in the Introduction): This sub-section in the Introduction, states the purpose of your study and the research questions. In this sub-section, you have to underline the reasons for which your study is significant and how will contribute to the research and add knowledge to the field of study. What is the primary question you are trying to solve? Research Aim and Objectives (sub-section in the Introduction): Aim The aim is a general statement of the intent or direction for the research; what are you trying to achieve? Objectives Objectives are specific and clear statements of the intentions and outcomes of your research. What are you trying to achieve? Objectives should be followed by the justification (justification is the rationale for doing the research; why the research needs to be done). Literature review In this section you summarise the key literature that you have so far read and state how the ideas or findings within them have relevance to your work. The main aim is to demonstrate exactly how your research will contribute to conversations in the field: • Compare and contrast: what are the main theories, methods, debates? • Be critical: what are the strengths and weaknesses of different approaches? • Show how your research fits in: how will you build on, challenge, or synthesize the work of others? Your literature review section must provide support for the research question that you intend to investigate. It is recommended that you provide at least 10 – 15 key academic literature references with your proposal as an indicative reference list. These must be journal papers or books. It is expected that your final Dissertation will cite between 30 to 40 relevant and credible references. You must use the APA-style reference system in both the body of the text and your Reference section. Methodology This section presents your proposed research method. You should state whether you intend to undertake qualitative or quantitative research methods for your secondary data analysis and justify your decision. The method should be clearly explained, giving details of your intended sample, research instrument and data collection method. You should make clear your intended data analysis technique(s) and how you intend to present your findings. Identify any potential practical and ethical implications in relation to your research activity. Expected ResultsPotential Implications This chapter details any expected results that you may have. It is important to relate these results to the critical framework of your intended research. Additionally, the purpose of this section is to argue how you anticipate that your research will refine, revise, or extend existing knowledge in the area of your study. Depending upon the aims and objectives of your study, you should also discuss how your anticipated findings may impact future research. For example, is it possible that your research may lead to a new policy, theoretical understanding, or method for analyzing data? How might your study influence future studies? What might your study mean for future practitioners working in the field? Who or what might benefit from your study? How might your study contribute to social, economic, or environmental issues? Timetable – Research Schedule The timeline will help you to organize and arrange your program in order to complete everything on time. Also, it will be useful for any other stakeholders such as tutors, supervisors, or clients to know what to expect. It lists the stages of the research project in the timeline, spreadsheet, or tabular format, and the deadlines for completion of these stages or tasks. You should include any challenges to completion that you anticipate facing. A basic structure of your timeline could be the following (The activities can change according to your project): Activity Week 1 Week 2 Week 3 Week 4 Week 5 Week 6 Week 7 Week 8 Week 9 Week 10 Week 11 Week 12 Research topic & Draft Introduction Research proposal Literature review Evaluation of Secondary Data Research philosophy and design Research ethics Writing the project report Indicative References sources The reference section is the section of all the documents you have cited in your project and it is found at the end of the body of your work, but before your appendices. In this section, if you refer to work by another author (including theories, models, measurement scales, or diagrams) you must cite the original author and source. References are included within the text to enable any reader who is interested to be able to find the complete details of the work you have drawn upon. The University requires that you use the APA System of referencing, both within the body of your work and also within your reference list at the end of your work. These are listed in alphabetical order. The reference section is useful to those marking your work to see the scope of your reading in the preparation of your project. It is also useful for future readers to access your cited references. Appendices Appendices normally contain secondary, or supporting material, whose inclusion in the main body of the research proposal would either make the project difficult to read, or is not very important. If there is more than one appendix they should all be numbered with capital letters, e.g., Appendix A, Appendix B, etc. Revision and Proofreading As in any other piece of academic writing, it’s essential to redraft, edit and proofread your research proposal before you submit it. Text Layout • Font: Times New Roman • Size: 12 • Line spacing: 1 ½ • Your Research Proposal must have page numbers (bottom center is recommended). Word Limit • The word limit of your research proposal is 1500-2000 (±10%) words (not including tables, diagrams, appendices and references). Submission • The submission of the research proposal is due by the end of Week 2, Sunday 11:59 pm (23:59 hours) VLE (UTC) time on the due date at the latest. • This assignment is formative (not graded); however, you are encouraged to submit your research proposal as you will receive constructive feedback from your tutor that will help you when developing and drafting your Dissertation. • The research proposal will be submitted in PDF format. Further Guidelines • This is an individual assessment, not a group task. • Your assignment should reflect scholarly writing and APA Referencing standard. Be sure to adhere to Academic Integrity Policy by avoiding plagiarism through text-citing and acknowledging other author’s work. • Academic Integrity Policy: Students are expected to demonstrate academic integrity by completing their own work, assignments, and other assessment exercises. Submission of work from another person, whether it is from printed sources or someone other than the student; previously graded papers; papers submitted without proper citations; or submitting the same paper to multiple courses without the knowledge of all instructors involved can result in a failing grade. Incidents involving academic dishonesty will be reported to university officials for appropriate sanctions. Furthermore, students must always submit work that represents their original words or ideas. If any words or ideas used in an assignment or assessment submission do not represent the student’s original words or ideas, all relevant sources must be cited along with the extent to which such sources were used. Words or ideas that require citation include, but are not limited to, all hard copy or electronic publications, whether copyrighted or not and all verbal or visual communication when the content of such communication originates from an identifiable source
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Enjoy Please Note-You have come to the most reliable academic writing site that will sort all assignments that that you could be having. We write essays, research papers, term papers, research proposals Identify any potential practical and ethical implications in relation to your research activity. Expected ResultsPotential Implications
Please refer to pages 17 and 18 of your course syllabus. Pay attention to APA formatting, spelling, and grammar. Your similarity index/plagiarism score must be below 20%. Higher scores may impact your grade. Please review the PowerPoint prior to submitting your assignment, thank you.Final submission – Phase V The final submission is the combination of the other four phases into one paper. You will combine Phase I, Phase II, Phase III, and Phase IV to make Phase V. You are responsible for editing and formatting your paper so that your paper will flow for the reader. This paper will need to be corrected with all the feedback provided from previous papers. Include conclusion and learning experiences from the essentials and from the class. Do not forget to documentPhase 5 (Final Submission) is due Saturday at 2359. Please refer to pages 17 and 18 of your course syllabus. Pay attention to APA formatting, spelling, and grammar. Your similarity index/plagiarism score must be below 20%. Higher scores may impact your grade. Please review the PowerPoint prior to submitting your assignment, thank you.Final submission – The final submission is the combination of the other four phases into one paper. You will combine Phase I, Phase II, Phase III, and Phase IV to make Phase V. You are responsible for editing and formatting your paper so that your paper will flow for the reader. This paper will need to be corrected with all the feedback provided from previous papers. Include conclusion and learning experiences from the essentials and from the class. Do not forget to document limitations and implications for future limitations and implications for future research.
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To improve health care outcomes within a community, leaders must understand the needs of specific populations. In addition, it is important that leaders are able to gather and present persuasive evidence to decision makers to obtain the necessary funding and establish these needs as priorities for budget and resource planning. Thus, proposed changes should support improved outcomes and align with the current or needed health care policy.
This assessment provides an opportunity to propose a community health care change that is based on the community health assessment you completed in Assessment 2.
Preparation
Your community health assessment was well received by the executives at Vila Health. Consequently, they have asked you to recommend a change in the community that will improve health outcomes. They have also asked you to submit your recommendation in a formal change proposal. You are confident that you can present a strong case for change, including a financial plan, that will ensure the success of this initiative.
In thiu can submit all or a portion of your draft change proposal to Smarthinking Tutoring for feedback before you submit the final version for this assessment. If you plan on using this free ses assessment, you will draft a change proposal to executive leaders to solicit support for a change to the current community health care system. To prepare for the assessment, you are encouraged to begin thinking about your justification for establishing the recommended change as a priority, a strategy for leading change, and how the change will be funded.
The following resource is required to complete the assessment.
Vila Health is a virtual environment that simulates a real-world health care system. In the various Vila Health scenarios, you will apply professional strategies, practice skills, and build competencies that you can apply to your coursework and in your career. The information you gather in this scenario will help you to complete the assessment.
If you have not already done so, complete the Vila Health: Planning for Change simulation.
Draft a change proposal to justify your recommendation for improving the health of the community and establish the change as a priority for the next budget cycle. Consider the feasibility of your proposed change, in terms of overall scope, funding, and timeframe.
The change proposal requirements outlined below, correspond to the grading criteria in the scoring guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed. The Guiding Questions: Planning for Community and Organizational Change document provides additional considerations that may be helpful in completing your assessment. In addition, be sure to note the requirements below for document format and length and for citing supporting evidence.
Identify the benefits of proposed health care system changes and its implications for a community.
Describe potential barriers to change in an organization or community.
Develop strategies for changing barriers into opportunities and resolving conflict.
Develop a strategy for helping organizational stakeholders understand and evaluate the proposed changes to an existing health care system.
Develop a grant proposal and associated budget for a proposed change to an existing health care system.
Write clearly and concisely in a logically coherent and appropriate form and style.
Support assertions, arguments, propositions, and conclusions with relevant and credible evidence.
Document Format and Length
Use the Change Proposal Template. If you would like to use a different template or document format for your change proposal, obtain prior approval from faculty.
Your change proposal should be 3–5 pages in length, not including the title page and references page.
Be sure to apply correct APA formatting to all source citations and references.
Supporting Evidence
Cite 3–5 credible sources from peer-reviewed journals or professional industry publications to support your change proposal.
Additional Requirements
Proofread your change proposal before you submit it, to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your analysis.
Portfolio Prompt: You may choose to save your change proposal to your ePortfolio.
Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
Competency 1: Identify the challenges and opportunities facing health care.
Identify the benefits of proposed health care system changes and its implications for a community.
Competency 2: Compare the effects of different health care finance models and policy frameworks on resources and patient outcomes.
Describe potential barriers to change in an organization or community.
Develop a grant proposal and associated budget for a proposed change to an existing health care system.
Competency 4: Develop proactive strategies to change the culture of the organization by incorporating evidence-based practices.
Develop a strategy for helping organizational stakeholders understand and evaluate the proposed changes to an existing health care system.
Develop strategies for changing barriers into opportunities and resolving conflict.
Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style consistent with applicable organizational, professional, and scholarly standards.
Write clearly and concisely in a logically coherent and appropriate form and style.
Support assertions, arguments, propositions, and conclusions with relevant and credible evidence.
JORDAN
Residential Area
Jordan Parent:
There aren’t words strong enough to express how frightened I am about this whole opioid thing. My kids are still young — 11 and 9 — but when do you start to worry? My sister-in-law has been put through the wringer dealing with her oldest. Rehab — court — jail. The kid’s only 25 and he’s got a record a mile long. He was a nice kid, too. That’s the thing. So, how do we keep our kids safe from this poison?”
Shopping Plaza
Property Manager:
We have a lot of vacant retail and commercial property in this town. It’s a shame, because I think there’s a lot of potential for many of these sites, but it’s hard for small business owners. You used to see, like a women’s clothing store or a little coffee shop, but those businesses have a hard time competing against the bigger chains. So, they go under and there’s a vacant property on either side of one that’s still hanging in there. That hurts the one’s that are still there. It would be great to get something into these properties, even if it isn’t necessarily a store or a restaurant.”
St. Francis Health Services
Urgent Care Nurse:
This isn’t political, but the situation with health insurance is getting worse, not better. I see so many people in the Urgent Care clinic with complaints that should have been addressed by a primary care giver — but the person doesn’t have a primary care giver. We’re seeing complications from undiagnosed or untreated diabetes. Hypertension. I’ve had two people in the last year who came in for general aches and pains and were in stage IV cancer. There’s no need for a lot of these problems to get so bad, but people can’t afford insurance and so they don’t see a doctor unless they’re sick.”
Veteran’s Park
Parks Department Representative:
Funding cuts have taken a toll on a lot of our after-school programs. That’s bad enough, but because there aren’t organized events, the parks are turning into the place where kids hang out after dark. Most mornings, particularly after a weekend, the parks are littered with beer cans and worse. We’ve gotten complaints from parents of young children that they go to the playground and there’s beer cans and booze bottles everywhere.”
Jordan City Hall
County Social Worker:
Something people don’t really ever address is how to deal with the day to day costs of chronic health conditions. I have people who are really living paycheck to paycheck and they don’t know how to pay for their prescriptions. Or there are people who have hypertension and take their meds, but they don’t have a primary care physician. There are so many things I could mention, but the short version is that there are a lot of people who need help in managing chronic conditions.”
Food Shelf
Food Shelf Manager:
The need for our services has been growing steadily ever since we moved into our current space. When we moved in here, we were serving less than 100 families a month. That was three years ago. Now, we’re seeing almost 200 families a month. Donations help, but we have a limited budget and we have to do our best to make sure our shelves stay stocked. So, yes. There is an over emphasis on carbs and processed foods. I wish there was a way to offer better quality protein and fresh fruits and vegetables. We got a donation of apples in one time from one of the orchards — they were seconds that didn’t look so nice, but were still good. You’d have thought they were gold. It broke my heart to see how excited people were over reject apples, but I figure there were a bunch of pies being baked that week.”
Center
City Council Member:
We’re seeing more poverty in Jordan and need to address that. I think as a community, we sometimes live in the past and for good reasons. Traditionally, we’ve been kind of a “Lake Wobegon” kind of place — everything and everyone was above average. When I first was elected to the city council, the population here was 94% white. Our last census put that at 89%. Now, don’t misunderstand me — I think diversity is good for this community. All I’m saying is that we need to be aware of the ways this community is changing and make sure we support the growth and change.”
Jordan City Sign
Bike Club President:
We have a very active membership, but recruitment has been difficult. The problem is that the bike trails we do have aren’t very long and they don’t connect to anything. A lot of our members who are avid bikers will use the roads to get places, but novice bikers want trails and ours are pretty random and short.”
Jordan Middle School
Middle School Teacher:
I worry about a lot of these kids. There’s a serious drive to get more mental health education and awareness into the schools, but it isn’t happening very quickly here. We’ve looked at ways we can bridge the gaps, but I don’t see much more than figurative band-aids. We had a situation in the high-school last year with a very popular student who committed suicide just before his graduation. Because this is a small community, a lot of the middle school kids knew him, so we brought in grief counsellors. I just think kids need to have a place where mental health issues are discussed. They think they’re the only one in the world struggling with certain issues, and it would help to know that’s not true. There’s also so much attention to bullying, but are we doing enough?”
Senior Living Center
Jordan Family Member of Senior Center Client:
I work at a restaurant and really depend on the adult day care here. The trouble is that Mom isn’t always in the frame of mind where she can do the adult day care. Right now, I can get my brother’s wife, Tessa, to stay with her when she’s having a bad day, but Tessa’s pregnant and won’t be able to do that once the baby comes. I don’t want to put Mom in a nursing home, but she can’t be alone, she can’t always come here, and the cost of a home health aide is more than I make some days.”
Jordan Community Education and Recreation Center
Recreation Center Manager:
I’ll be honest — the kids I am seeing are out of shape and often not well prepared for school. I don’t like to sound like an old fogey, but they spend so much time on their phones and other electronics. They aren’t riding their bikes, they aren’t playing baseball, they aren’t reading… It’s all Mariobox and Fortcrafter and it’s taking a toll on the overall health of these kids.”
ARMATAGE
Penn Avenue Family Dental
Dentist:
This is a very diverse community and there’s a wide range of issues when it comes to people’s dental health. This practice tries to do as much education as possible, but there are still a lot of people who don’t understand how dental health affects other aspects of health. I don’t know what we could do differently, but it would be nice to see more outreach into the community, particularly into some of the immigrant communities, such as the East African immigrants. They’ve come from a country going through decades of civil war and strife — dental care is often the last thing on their minds. It would be nice to help them understand how taking care of their teeth will have wide-ranging benefits.”
Residential Housing
Neighborhood Council Member:
This is a pretty working-class neighborhood. I mean, people are doing well, but there’s a mix of everyone here and that’s the way we like it. If you look at the business directory, you can see that we’ve got a good range of services and businesses in what is essentially a residential neighborhood. Admittedly, it would be nice to have some kind of clinic for everyday health concerns, but really, how many neighborhoods have something like that. We do have a local dentist, a chiropractor, and a massage studio. Oh, and a mental health clinic.”
Bus Stop
Urgent Care Nurse:
I live in this neighborhood and one of the things I wish we had was a clinic or urgent care facility. So often I hear about people having to take city busses to get to a health care provider. There’s nothing available for people who have a sick kid or have something going on themselves. We’re an urban neighborhood, so not everyone drives. That’s fine most of the time, but there are two situations where that can be a problem — when someone’s sick and when someone is trying to do grocery shopping for a family. That’s not easy to do when you depend on the busses.”
Pennhurst Cleaners
Developer:
Right now, the whole city is in transition. This neighborhood is a good example of the kinds of issues I’m seeing all over the city. The neighborhood is primarily residential and it’s an old, established neighborhood. You have some people who are trying to address housing affordability and others who are concerned that rental units will bring instability to the neighborhood. What people don’t realize is that change is already happening. They can’t stop change, but they can help direct it.”
ndy’s Barber Shop
Police Representative:
There’s no doubt that violence in this neighborhood has increased in the last several years. I wouldn’t say we have gangs per se, but we’re seeing an uptick in aggravated assaults and other violent crimes. Of course, a lot of that is domestic violence, which is a real shame. Some of these women have gone through so much in their lives — fleeing war and violence in their home country — and they’re still putting up with violence when they get here. Doesn’t seem right, does it?”
Red Wagon Pizza
Restaurant Owner:
You know, people say they want healthy choices, but I’ll tell you what — money talks. I tried to put some healthy options on the menu. What a disaster! The stuff didn’t move, when people ordered it, they complained that the portions were too small — the portions were based on meeting with a nutritionist, for gosh sake! Bottom line… it was a total failure. My customers want burgers, bacon, cheese, and fries. And I’ll tell you — you go to the hipster places in this neighborhood — they might be offering microgreens and Portobello mushroom burgers, but those aren’t the things that are keeping the place in the black — not by a long shot.”
Residential Housing
Resident:
Something that I don’t think anyone knows is that several of the homes in this neighborhood have lead paint and lead in the plumbing. I only learned about this when I was doing some research into the situation in Flint. Apparently, in the Minneapolis, service lines to residential properties installed prior to 1930 were usually made out of lead piping. And, if that isn’t unnerving enough, service lines are the responsibility of the property owners. Service lines that are made of lead can’t be repaired; they can only be replaced — which costs a fortune. But the main issue, in my opinion, is that most people have no idea if their home has these service lines and they have no idea whether or not their home drinking water has any lead in it at all. You’d think after the issues in Flint that we’d be talking about this, but apparently not.”
Armatage Elementary School
School Principal:
I know this is something a lot of communities are dealing with, but the vaccination situation is suddenly an issue. We’ve never had a problem before, but I’ve had several parents inquiring about vaccination exemptions. I share the information I have about vaccination requirements, but I think there’s something going on where anti-vaccination information is circulating in the community.”
Armatage Community Center
Community Garden Organizer:
This garden is doing so well. We had three applicants for every open space. It would be great, though, if we could expand what we’re doing. It isn’t just about the food, though that’s so important. We’re building community here, too. One of the things I love most about the garden is watching kids come to understand food in a more fundamental way. They start with the garden thinking it’s kind of fun, but the first time they have a meal that is made with food they saw growing is like a revelation for them. They suddenly get it. I don’t think we’re going to get more space, so it would be good to come up with some other ideas for how we can expand.”
Conclusion
You have completed the stakeholder interviews. You should now have a better sense of the health and social issues being faced by members of these communities.
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Research paper: Choose a disease process with extensive public health implications (e.g. heart failure, dementia, kidney disease). Research its impact upon both the national and international community, using such resources as the World Health Organization. Review the goals of Healthy People 2020 regarding this disease process. What inequities exist? Give examples of policies that shape the public nursing response to the disease process. Apply one of the theories of health maintenance and promotion to the aggregate. How does systems theory influence policy design?
Studies have showed that cardiovascular disease is the leading cause of mortality in developed countries. Heart failure is one of the chronic diseases that disrupt everyday life of the patient, their families and the wider community. The patients and their families spend enormous resources to attempt to seek out the most effective strategies, support and information to manage the disease and minimize interruptions(Mainar, et al., 2015). The prevalence of heart failure in developed countries especially the United States, Australian and United Kingdom is high. Some of the common symptoms associated with heart failure include fatigue, peripheral oedema and breathlessness, which causes multiple interaction with daily life. Depending with the severity of the attack, the patient may develop multiple chronic co-morbidities which may require complex treatment regime.
World Health Organization has made the education of a patient to monitor their own health and being able to recognize illness severity as well as self-management of multiple chronic diseases as the current health care policy. Research have showed that symptom unpredictability leaves the patients to feel helpless and completely dependent on those around them, hence leading to lack of control on the illness and increasing the burden on the health care system and on the family(Fry, et al., 2016). In most circumstance, the responsibility for care shifts from the patient to the caregivers, spouses or immediate family. Under these conditions, the patient typically adopt to the ‘sick role’ thus depending on their families to provide support with their illness as well as in the previous responsibilities. During this time, a patient with greater levels of family support tend to build strong…..………………………………………………………………………………………………
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