Describe a self-care activity for chronic disease management.
PUBLIC HEALTH POLICY ISSUES
Impact of Health Policy due to current issues
Facing the rapid spread of the coronavirus disease 2019 (COVID-19) pandemic, state and local leaders have taken unprecedented measures to protect their communities, such as closing schools and businesses, banning large gatherings, and placing residents under shelter-at-home orders. These interventions are having wide-ranging effects on the health, economy, and social well-being of population (Rand.org 2020).
The impact od COVID-19pandemic has forever changed our health systems and policy.
Reding assignments: Read/review the following articles and websites:
www.psychologytoday.com/us/blog/the-future-braro/…
www2.delotte.com/…/economic-impact- covid-19.html
Discussion Questions
Describe a self-care activity for chronic disease management.
How does a person with multiple chronic disease states impact the health care system?
How does a medication assessment assist with self-management in multiple chronic disease patients?
What affects health care cost in the elderly
Healthcare in the Elderly
The number and proportion of older persons in the United States is rapidly increasing. Significant deficiencies are projected in the country’s capacity to deliver the medical, public health, and support services needed for the future frail and ill older population, and the nation is not investing sufficiently in keeping people healthy late in life. Valuable advances are needed in 4 vital directions central to the health and well-being of older persons, especially those at greatest risk owing to medical conditions or social disadvantage (Rowe, Fulmer, and Fried, 2016).
Decline in physical function is associated with older age. Healthcare utilization and expenditures related to physical functioning declines will likely increase as the proportion of the population of older adults rises.
Older adults are the main users of healthcare services and account for the majority of the healthcare costs. (Rockwood & Hubbard, 2004) As people age, they generally tend to develop more health problems, such as chronic diseases, physical and cognitive functional declines, and disabilities, and therefore, require various healthcare resources. In the US, Medicare spending per capita by age steadily increased from 65 years old (mean 5,562 USD) and almost tripled by the age of 96 (mean 15,732 USD). (The Rising Cost of Living Longer, 2015)
Reading assignments:
Examining Healthcare Utilization Patterns of Elderly Middle-Aged Adults in the United States
Cilia E. Zayas,1 Zhe He,2 Jiawei Yuan,3 Mildred Maldonado-Molina,1 William Hogan,1 François Modave,1 Yi Guo,1 and Jiang Bian1
Increased healthcare costs associated with frailty among community-dwelling older people: A systematic review and meta-analysis.
Discussion Questions:
What effects health care cost in the elderly?
Where do the elderly get their health care?
What is frailty and describe a symptom of frailty.
What is the ABCD rule and how does it relate to the appearance of this mole?
BIOL 203 Case Study
DO NOT INCLUDE THE BELOW CASE STUDY OR QUESTIONS IN YOUR ANSWERS. USE APA STYLE WHEN REFERENCING YOUR ANSWERS. PLEASE SEE BELOW ON HOW TO USE THIS FEATURE IN MS WORD.
A 60 year old Caucasian female presented to your office with a suspicious mole on her left scapular region. She indicated that her daughter had noticed the mole and had commented that she did not remember seeing such a large mole in that location previously. Her daughter strongly urged her to have the mole looked at by a dermatologist.
The patient relayed that she had spent many hours in the sun without the benefit of a sunscreen for most of her teenage and adult life. She was an avid gardener, and spent many summer weekends boating with her family. She also reported having several severe blistering sunburns when she was a teenager.
Upon examination it was noted that the mole was asymmetrical, slightly raised, with irregular boarders. The color varied from light brown to darker black areas. It measured 8 mm x 10 mm. Additional smaller (~ 2-3 mm), uniformly brown, round moles were noted on her back and legs. The remainder of her skin was unremarkable. Family history was positive for melanoma.
The mole was removed by a full-thickness excisional biopsy. Microscopic analysis of the excised tissue showed proliferation of atypical melanocytes in all levels of the epidermis, with involvement of the papillary dermis.
What is your diagnosis? Justify your diagnosis by relating it to specific signs presented for this patient.
What is the ABCD rule and how does it relate to the appearance of this mole?
What is the significance of the size of the mole?
Describe the structure of the skin, including the epidermal layers, and the dermis.
What is a melanocyte? What is its function?
What is the significance of finding atypical melanocytes in all epidermal layers and in the papillary dermis?
What histological finding suggests that this is not a basal cell or squamous cell carcinoma?
Is there any significance to the history of severe sunburns and this disease? Explain.
Is there any significance to the history of melanoma in the family? Explain.
How would you follow this patient over the next several years?
Explain how your company’s industry environment changed because of the coronavirus pandemic.
Case Analysis
MANA 6341 Strategic Management Decisions
Analysis of ______________
Chapter 1: Strategic Management and Strategic Competitiveness
What is the vision and mission of this organization?
Explain the stakeholders.
Chapter 2: The External Environment: Opportunities, Threats, Industry Competition, and Competitor Analysis
Explain how your company aligned itself with three external threats from the general environment during the coronavirus pandemic.
Explain how your company’s industry environment changed because of the coronavirus pandemic.
Chapter 3: The Internal Organization: Resources, Capabilities, Core Competencies, and Competitive Advantages
Which of the value chain elements is the core competency for your company?
Which of the value chain elements should be outsourced?
Chapter 4: Business-Level Strategy (Important!)
Explain your company’s cost leadership.
Explain your company’s differentiation.
Explain your company’s focus.
Chapter 5: Competitive Rivalry and Competitive Dynamics
Do a competitor analysis of your company.
or
Explain the competitive dynamics in your industry.
Chapter 6: Corporate-Level Strategy
Explain your firm’s level of diversification.
Explain one example of your firm’s value-creating diversification.
Or
Explain one example of your firm’s value-reducing diversification.
Chapter 7: Merger and Acquisition Strategies
Explain your firm’s reasons for acquisitions.
Chapter 8: International Strategy
Identify the opportunities your organization sought in international expansion.
Which entry mode does your company typically use?
Chapter 9: Cooperative Strategy
Explain your firm’s business-level cooperative strategy.
or
Explain your firm’s corporate-level cooperative strategy.
Chapter 10: Corporate Governance
Explain agency in your organization.
Who is on the Board of Directors?
Chapter 11: Organizational Structure and Controls
Is your company divisionalized by product, customer, project or geography?
Chapter 12: Strategic Leadership
How have managers determined the strategic direction of your company?
or
How have managers built the strategic culture of your company?
Conclusion
Analyze the current state of strategic management in your organization
What are the principal symptoms contributing to the diagnosis proposed?
Presented below is a case study. For this assignment you will develop and present you analysis. Your analysis will include: early thoughts on diagnosis, an accounting of the key symptoms presented, an acknowledgment of the client’s strengths and areas for growth, and potential treatment goals for the client. You will conclude the intake analysis by discussing areas to explore with the client at the next visit.
Client: Carl
Carl is a 37-year-old male who, during his intake visit, communicates he is experiencing a variety of life stressors. As you take notes, the following list is recorded:
change in weight, an increase of 25 pounds
trouble sleeping, primarily interrupted sleep and occasional sleeplessness
low energy
varied eating – periods of not feeling hungry followed by increased eating
irritability and moodiness
anxiety
decreased sexual desire
self-esteem – decreasing
feelings of guilty – economic challenges have resulted in significant income losses
Carl has been married to his partner for eleven years. The marriage has experienced challenges, but is relatively happy and intact. Carl’s partner is an entrepreneur with many irons in the fire, and whose drive contributes to the business’s success and a healthy income ($185,000). Like Carl, his partner must reinvest the majority of their income back into their business ventures. Recent economic shifts have put pressure on the couple’s shrinking savings and investments, and on the upper-middle income lifestyle the two have become accustomed (buying and engaging in desired activities without much worry).
Carl holds a master’s degree from University of Virginia, Darden School of Business. He pursued and obtained his MBA with the goal of establishing his own business. He has a receptionist who works remotely from home on an hourly basis, and one full-time employee. Carl recently made the move_from the home office, shared with his partner, to a new office space that has room for his employees. The office is well sized, and includes a conference space where clients can meet. His client list has expanded, but Carl is experiencing difficulties getting clients to pay within the 45-day billing period specified when invoiced for services rendered. As a result, Carl is often forced to pay his contracted account a service fee to prompt clients for payment.
Carl pays the accountant’s fee because he requires a steady cash flow to pay his employees, pay bills, and meet family responsibilities. The health insurance premium he pays for his family is high (over $1400 per month) due to a pre-existing health condition (his partner has a chronic condition). Additionally, he pays the health insurance premium for his full-time employee. Carl’s partner willingly, and lovingly, paid the family healthcare premium on their plan for over two years at a monthly cost of $1,700.
Carl took over the healthcare premium four years ago, as he felt that his partner had carried that monthly burden alone while he built up his client base. His partner also covered expenses Carl was not able to pay while he attended graduate school and established his business. During the intake visit, Carl shares that he could not have pursued his business endeavors without his partner’s support (financial and otherwise). He believes that this has created tension in his relationship with his partner, particularly during the current economic downturn.
Carl and his partner have three children, ages 2, 5, and 8. All are healthy, intelligent, fun-loving, and well-mannered, per his reporting. At the time of his visit, Carl has no concerns regarding the little ones. His partner works doggedly to contribute to the finances and to attend to the children. While Carl works most days from 7 a.m. to all hours of the evening, his partner “does it all,” making $185,000 and being a stay-at-home parent.
Carl feels that his partner’s deteriorating physical well-being is the result of this effort to do it all – being there for him and the children. While his partner does not express dissatisfaction, Carl feels (in his words, “understands”) that his partner must feel resentment toward him for the non-stop, around the clock, work he must dedicate to his business. As the funds in their savings has shrunk, Carl feels his personal state has deteriorated, physically, emotionally, professionally, and personally.
Carl concludes his intake visit expressing he needs help. He needs help regaining control in his life. He wants your help to develop a strategy for reversing this downward spiral.
Your Task:
Review Carl’s case and give a preliminary diagnosis using the knowledge gained in this course. Relevant diagnostic criteria can be found in the International Classification of Diseases, Tenth Revision (ICD-10 link), and the Study Guide to DSM-5. You may find useful, as a supplement, the sequential presentation of disorders found in Lumen Learning Abnormal Psychology, https://courses.lumenlearning.com/abnormalpsychology/ . (Caveat – the Lumen Learning resource uses DSM-IV-TR criteria with DSM-V revision summaries. Updates and changes within the DSM-V discussed in this course should be taken into consideration, should they apply.)
Answering the following six items, provide evidence of your logic for each decision. Reinforce responses with scholarly resources and appropriate detailing. Discuss how and why your arrived at conclusions drawn. See rubric for depth and detail expectations.
Develop your analysis in an organized, well-developed 5 to 7-page paper.
Required Items to be Addressed (scored):
Based upon this intake visit, what diagnosis do you think is most appropriate for Carl? Be mindful, this is your first session. Information is limited to the data collected in this first visit.
What are the principal symptoms contributing to the diagnosis proposed? Clearly explain, providing details.
Discuss Carl’s strengths. These will facilitate constructive work with him.
Delineate Carl’s opportunities for growth and/or improvement.
Looking to the next visit and beyond, what is your preliminary sketch of the treatment goals you have for Carl? Why do you identify these goals as appropriate for Carl?
What will you explore with Carl in future visits (e.g., interpersonal, aspirations)? Present rational. Why do you want to this information?
Depending upon their medium, artists begin in different ways. What are they? What are they drawing their inspiration from?
Modernizing Dance
1. Depending upon their medium, artists begin in different ways. What are they? What are they drawing their inspiration from?
2. What is the first habit we acquire?
3. Why did Twyla Tharp begin to choreograph?
4. Who is Twyla Tharp and what is her medium?
5. What is the difference between dance today and 100years ago?
6. Who lead the dance revolution in the 20th Century?
7. According to Garth Fagan, what did 20th Century modern choreographers try to put in dance?
8. According to Sardono Kusumo, what is it to dance?
9. According to Eiko and Koma, how does the contemporary choreographer approach dance?
10. What did Isadora Duncan introduce to the public?
11. How did Duncan see dance?
12. What was Isadora Duncan’s real contribution to the art of dance?
13. What did Anna Pavlova attribute to Isadora Duncan?
14. What happened at the premier of ‘Rite of Spring” and why?
15. How did most modern artists of the 20’s and 30’s feel about their work?
16. What did Martha Graham’s father tell her about movement?
17. What is a contraction in the Graham technique?
18. What is it that, as a Graham dancer, you do not try to deny?
19. What became the imperative for the modern dancer?
20. Who is Katherine Dunham and what was the result of her background?
21. What is significant about the contribution of Katherine Dunham?
22. What does African-based dance do with the body?
23. How does Twyla Tharp view classical ballet?
24. What were Balanchine contributions and deletions to classical ballet?
25. What do we see when we look at Balanchine’s choreography?
26. How does Twyla Tharp characterize Balanchine?
27. What do many choreographers do in the process of creating a work?
28. What did Twyla Tharp’s mother instill in her?
29. What did Tharp’s preparing quality her for?
30. What did Merce Cunningham do to dance?
31. What was Twyla Tharp’s initial credo?
32. What was the message in dance in the 60’s?
33. What did Twyla come out of in the dance world?
34. What were the two opposing camps in the dance world of 60’s?
35. How would Twyla Tharp unify the two camps?
36. What is post-modernism?
37. What is Twyla Tharp’s view on what a contemporary dancer needs to be able to do?
38. What has become the tradition of dance in the 20th Century around the world?
39. What is Garth Fagan’s take on the choreographer solving problems in dance?
40. Sardono Kusumo includes two elements in each of his works, what are they?
Identify several best practices related to User Domain policies
User Domain Policies
ATENET OF TELECOMMUNICATIONS SAYS the more people who access a network, the more valuable the network becomes. This is called Metcalfe’s law. Consider a telephone system as an example. If only two telephones were on the system, the value of the system is limited. Only two people can talk at any given time. But add millions of phones and people, and suddenly the value of the network rapidly increases.
This same principle can also be applied to the introduction of technology. As new technologies introduce new capabilities, the value of the network increases yet again. However, it’s also true that the more users and technology involved in a network, the more complex it becomes, and the more potential security risks are introduced.
To illustrate these points, consider what happens when you bring home a new laptop. Typically, a new computer has a new installation of the operating system, pre-loaded applications, and games. The number of users is one, you. The security risks are low. Then you add technology such as an Internet connection, new social media software, and more users, such as family and friends. The laptop now becomes far more valuable. However, the value comes at a cost of increased security risks.
This increase in the number of people accessing your network, along with the introduction of new and emerging technology (such as mobile devices) has dramatically increased the number of security risks. As the user population and the diversity of technology increase, so does the need to access information. This need translates into complex security controls that must be maintained. Inevitably, this complex jumble of controls leads to gaps in protection and security risks.
This chapter examines different types of users on networks. It reviews individual need for access and how those needs lead to risks that must be controlled. We will also discuss how security policies mitigate risks in the User Domain. The last part of the chapter presents case studies to illustrate the alignment between types of users, risks, and security policies.
Chapter 9 Topics
This chapter covers the following topics and concepts:
• What the weakest link in the information security chain is
• What different types of users there are
• How to govern different types of users with policies
• What acceptable use policies (AUPs) are
• What the significance of a privileged-level access agreement (PAA) is
• What security awareness policies (SAPs) are
• What best practices for User Domain policies are
• What the difference between least access privileges and best fit access privileges is
• What some case studies and examples of User Domain policies are
Chapter 9 Goals
When you complete this chapter, you will be able to:
• Understand why users are considered the weakest link in implementing security policies and controls
• Understand the different users in a typical organization
• Explain how different users have different information needs
• Define an AUP
• Define a PAA
• Explain how a SAP can reduce risks
• Explain the importance of risk acceptance in understanding security risks
• Identify several best practices related to User Domain policies
• Understand through case studies how security policies can reduce risk
Identify and describe a teaching strategy (including a brief description of the curriculum) that you will use in your practicum assignment
Evidence To Support Health Promotion Interventions
1. Conduct a review of literature to find supporting evidence for the effectiveness of an education intervention aimed at the topic of concern. Find evidence of at least FOUR education strategies or trainings that were published in the past 5 years that addressed the topic of concern in a similar
population to the individual interviewed in step 2 (ie. by sex, culture, health condition). Use at least three scholarly sources (that is, peer-reviewed journal articles or websites written by a group that has expertise and strong credentials in the field of interest).
2. Develop an evidence table for the review using the Health Education Needs Evidence Table and the grading rubric as guides to proper construction of the evidence table
3. Identify and describe a teaching strategy (including a brief description of the curriculum) that you will use in your practicum assignment. The strategy should be based on the information discovered in the evidence table
What were the needs and expectations of each stakeholder?
Ranking risks according to severity Discussion
Find an article describing a national project in detail. On the basis of the article and on your
understanding of the project, answer the questions below. State any assumptions that you feel are
necessary to provide answers.
1. Who were the stakeholders?
2. Was it an internal or external project?
3. What were the most important resources used in the project? Explain.
4. What were the needs and expectations of each stakeholder?
5. What are the alternative approaches for this project?
6. Was the approach selected for the project the best, in your opinion? Explain.
7. What were the risks in the project?
8. Rank the risks according to severity.
9. What was done or could have been done to mitigate those risks?
10. Was the project a success? Why?
11. Was there enough outsourcing in the project? Explain.
12. What lessons can be learned from this project?
Discuss who gains and who loses when an economy opens for trade.
Performance against their competitors
One standard that corporations use to evaluate their performance against their competitors is the set of rankings developed by Fortune magazine. These include the Fortune 500, the 100 Best Companies to Work For, and other lists. The public also uses these rankings to decide to what companies they should
give their business.
Respond to the following in a minimum of 300 words:
Discuss who gains and who loses when an economy opens for trade.
Explain what determines exchange rates in the short and long run.
