Case Study: Multiple Sclerosis

Case Study: Multiple Sclerosis Kaitlyn Elliot Values and Principles Case Study Bob is 65 and has had multiple sclerosis for 15 years. He has a wheelchair and drives a specially adapted car. He lives with his wife, Jean, in a cottage in the country and they have always been involved in several community and church activates. Jean is Bobs main carer and although Bob is quite independent, Jean tends to do everything for him. Last month Jean had a slight stroke which left her with a right sided weakness and some speech difficulties that she finds frustrating. She cannot walk without a walking frame and still needs help with most personal care tasks. While Jeans been in hospital Bob has been supported by daily visits from home carers, however he is missing his outings as Jeans not been there to help him. Jean will be discharged from hospital next week and is worried about how they will manage. Suri is the hospital social worker and is going to meet jean later today to plan her discharge from hospital next week and her future care. Describe at least one individual using car services and explain at least two needs of this individual. Jean used to be an independent woman but after she had her stroke she has become more vulnerable and cant do all the daily tasks that she used to do like looking after Bob. Jeans basic essential physical needs are not being met completely. The stroke has caused her right-hand side of the body to become weaker and she also struggles to walk unsupported. Jean may have to be referred to a physiotherapist who would assess her abilities and draw up a treatment plan that will help Jean improve her muscle strength and help her to walk without the frame. An occupational therapist might also have to be introduced to assess her ability to carry out everyday tasks and may have to adapt her home to suit Jeans ability. Jean might struggle to keep a balanced diet up as she might find it hard to swallow some foods and may not be able to get access to pureed or easy to swallow food. The stroke could also be causing Jean to be extremely tired. She also might struggle to clean and dress herself and le t her good hygiene go down. Cognitive needs refer to the things that helps us to develop and maintain an active mind. Jeans stroke has cause her to have speech problems and will find it hard to communicate. She could be referred to a speech and language therapist who could do some exercises to improve the control over Jeans speech muscles. They could introduce her to some letter charts and using gestures and writing to communicate with others. Jeans memory will deteriorate as the stroke will have affected her brain. A care worker could introduce a diary or even just routines and involve her in the planning of this to help her out with daily tasks when she is discharged from hospital. Jean may also end up with dementia and if she does you could show her some family pictures or even find out what activities she used to do and encourage her to try some of them again or take her to some of her favourite places her and Bob used to go to. Without cognitive spurring, mental abilities will not develop or will deteriora te. Most of these functions will return after time and rehabilitation, but she will notice they do not return to what they used to be. Explain how two methods of assessment are used to identify needs of individuals. Needs are essential things in our lifes that we cannot live without. Needs can often be confused with wants. One way of assessing an individuals needs is using the SPECCS model. This is your social, physical, emotional, cognitive and cultural. All individuals have these types of needs. Social needs ae the need to have conversations and experience a variety of social relationships and how we interact with others. However, people who use care services may not be able to make these needs by their selfs. if they dont get any help they might not achieve a sense of acceptance and belonging and this may cause isolation and low self esteem. Physical needs refer to fresh air, food, water, warmth, shelter, hygiene, sleep and exercise. These are the basic physical needs that we need in our lives to promote wellbeing. Emotional needs are our feelings. We all experience different emotions including happiness, excitement, sadness and anxiety. Emotional needs include the need for love, security an d confidence. If we have these needs, we can express our feelings and people can also recognise them. Cognitive needs refer to our thought processes and how we make sense of the world. Cognitive abilities include the use of memory, thinking, understanding, communicating and making choices and decisions. Without these our mental abilities, will deteriorate. Care workers can play an important part in meeting an individuals cognitive needs by just even talking to them and giving opinions. The last one is cultural needs. This refers to values, beliefs language, gender, sexuality, clothing worn, and food eaten. It is important for the care worker to find out about the care users cultural needs and not make any assumptions about their culture. Another way of assessing an individuals needs is using Maslows Hierarchy of Needs. This theory is split into 5 sections. The stages in this theory are Biological and physiological needs, safety needs, belongings and love needs, esteem needs and self-actualisation.ÂÂ   Maslow believes that all humans are motivated towards achieving their full potential. He stated, People are motivated to achieve certain needs and that some needs take precedence over others. Our most basic need is for physical survival, and this will be the first thing that motivates our behaviour. Frustrated and unmet needs can lead to dysfunctional behaviour. Describe three features of positive care practice. At least one of these ways must include reference to values and principles. There are six principles to the National Care Standards, dignity, privacy, choice, safety, realising, potential and equality and diversity. Carers should value the service users and respect their space and own way of life. The service user also has the right to stop other people from seeing or knowing about their personal information. Choices help staff understand what range of options can be put in place for the user. Carers should be encouraging and help care service users to make the most of their life and achieving as much as they can with the resources available to them. In a positive care practice empowerment, should be used. All carers should help the service users to make their own choices and have some sort of control over their own lives. The carers could provide them with opportunities, information and support to help them do this. The SSSC have a code of practice to help gain a positive care practice. The code is set out in two parts. The first part if for the employers o f social service workers. Employer must make sure the social service workers are suitable for the job and help them understand their responsibilities and roles they will have. They also must have written policies in place to protect those who use the services and the carers. The employer must also promote the use of the code of practice to the social service workers. The second part is for the social service worker. They must protect and promote the rights and interests of the service users and treat them all as an individual. The worker must create trust and build confidence with the service users to allow them and you to be open and honest with each other. Promote the service users independence and help them understand their rights. The Nursing and Midwifery Council (NMC) have created a code of conduct to create a positive care practice. The nurse or midwife should be kind and respectful and putting the care and the safety of the patients first. They should also listen and take an y notes that may concern them and also respect their right to their dignity, privacy and choice and will share any information about the patients treatment or health in a way that they should be able to understand. They should always be paying attention to the patients wellbeing as well as their treatment and care. Describe how one care service creates a positive care environment. Give at least one example to explain how they meet the needs of individuals. Speirs Care Home, Beith creates a positive care environment by allowing the care service users to socialise in their lounge areas and provide spacious gardens for the users to relax in beautiful surroundings. They provide regular music entertainment for the users to allow them to have some sort of social life. They have a positive atmosphere in the care home and allow the community to be involved in their fair. They allow different types of care such as palliative care, respite care and convalescent care. The home also provide any transport the users need for going out and doctor appointments or even going out on day trips. They encourage the relatives to visit regularly to allow the users with alzheimers to familiarise their memory and hopefully try and help them not forget. Describe one way in which legislation helps promote a positive care environment. Care workers must comply with the legislation when they are carrying out work in a care environment to create a positive care environment. The legislation becomes a policy in the work place so, if the care workers fail to do this it could jeopardise their carer as legal action will be taken. The legislation is in place for the health and safety and their right to confidentiality as a care service user. Is also promotes health and wellbeing and equality of opportunity to promote a positive care practice. References http://www.carehome.co.uk/carehome.cfm/searchazref/20006048SPIA http://hub.careinspectorate.com/knowledge/national-care-standards/ https://www.nmc.org.uk/standards/code/ http://www.sssc.uk.com/about-the-sssc/codes-of-practice/what-are-the-codes-of-practice www.simplypyschology.org

Albert Einstein :: biographies bio

Albert was born in 1879 on March 14 to Hermann and Pauline Einstein. Hermann ran an electrical technology business which was often on the verge of bankruptcy. Hermann's parents were Abraham and Hindel. Albert's parents moved around Europe several times while Albert was still living at home. He was born in Ulm, Germany. Two years Albert became a big brother when his sister Maja (Maria) was born, at this time his family was living at Munich. At the age of nine Albert entered a school in Munich called Luitpold. In school Albert got fairly good grades in his subject while he excelled in mathematics. However, he hated the school because success was based on memorization and obedience rather than how much a child knew. Then when Albert went home he studied mathematics, physics, and philosophy all on his own. Then later his teacher asked him to leave because Albert was causing the other students to loose respect for the teacher. At fifteen Albert took the teacher's advice and left mid term to be with his parents and sister in Italy. He renounced his German citizenship after enrolling in a cantonal school in Aarau, Switzerland. After he graduated from Aarau he entered the Federal Institute of Technology in Zurich, received his diploma and became a Swiss citizen. However, Albert had a difficult time holding down a full time job; he held many different part time jobs and it wasn't until he was offered a job with the Swiss Patent Office in Bern did he finally receive a regular salary. During one of his part time teaching positions his eye was caught by a young Serbian woman, Meleva Maric. She was the only woman in his physics class; yet Albert would not talk of marriage, even after she bore his daughter and gave it up for adoption. Once Albert was hired full time with the Swiss Patent Office in Bern he had enough money to begin thinking about marriage and he and Meleva were married in 1903. With this new job Albert had the time to write his thoughts down and to. Meleva gave birth to two sons Hans Albert in 1904 and Eduard in 1910. Hans would grow up and become a successful hydraulic engineer, while Eduard grew up being sick most of his life. In 1914 the German government offered Albert a position at the University of Berlin as well as a membership to the Prussian Academy of Sciences.

Betrayal in Antony and Cleopatra Essay

Betrayal in the play ultimately leads to the downfall of many main characters; weather it be betrayal of companions or of their original ideals and morals. If we take the example of Enobarbus’ case, his decline from the strict Roman ethics into the looser morals that symbolise more Egyptian ideals, leads him to betray his general and friend, Antony. Enobarbus then goes onto to die of the guilt and broken heartedness he experiences as a result of his treachery towards Antony and his own moral compass. It is however arguable that Enobarbus traitorous nature is only an outcome and reflection of Antony’s own crumbling roman beliefs. If we take the exchange between Cleopatra and Enobarbus in Act 3, scene 12 lines 2- 12 we can see that Enobarbus lays absolutely none of the blame on Cleopatra’s shoulders but instead tears the Antony to shreds, at one point saying â€Å" The itch of his affection should not then have nicked his captainship, at such a point when half to half the world opposed, he being the mered question†. In these lines Enobarbus says that Antony should not have let his lust (an Egyptian quality) destroy his ability as a general and his duty to his men, at such an incredibly crucial juncture in the battle, especially when the stakes were so high and he was such a key component in the outcome. Shakespeare uses the word affection, which can be read to mean lust. Lust is a trait that Shakespeare lists as an Egyptian quality, and it is vital to note his choice in diction; to stress that the action was not disciplined and Roman but a betrayal of Antony’s Roman nature. There is no mention of the love Antony has for Cleopatra. He also allows us to see Enobarbus’s view that nothing about this was justifiable or right, and that there were no higher motives moving Antony, rather he was pushed into actions by his baser and more primitive emotions such as cowardice and lust saying Antony’s reasons, whatever they may have been, were trivial and unacceptable. The hyperbole in line 9 ‘†¦when half to half the world opposed†¦Ã¢â‚¬â„¢ also stresses this point because it creates a sense of how indubitably important this battle was. This fight was a touchstone of legend; one obviously still remembered in Shakespeare’s time, and still in ours; a war between two of the greatest empires the world has seen to date, the stakes of which were incredible amounts of power, influence, land, and money – more than enough motive to kill for. And yet the ‘†¦mered question†¦Ã¢â‚¬â„¢ the person who this whole war was based on; who these men were fighting this battle for – men without experience or training, against the greatest militant empire of the ancient world – this man they were fighting for ran away. Enobarbus’ dialogue describes how utterly base and treacherous Antony’s actions have been in terms of the values of the Roman Empire. This supports the argument that Antony’s betrayal of his Roman ideals lead to Enobarbus also betraying his Roman nature by defecting to Caesar. These betrayals lead to both their deaths, though if they had stuck to the Roman tenets of societal structure they would not have gone against their own nature; actions such as retreating from the sea battle (Antony) or defecting (Enobarbus), and the play could have had a very different ending. It is these faults of betrayal that set the characters up for their downfalls, echoing Antony’s belief in the doctrine of Ate, which he expresses by saying, ‘when we in our viciousness grow hard†¦ the wise gods seel our eyes’ (Act 3, Scene 13, 114-18).

Digital Audio

Digital Audio refers to the reproduction and the transmissions of a stored sound in a digital format. This includes things like CDs or mp3s and other forms of sound that can be stored on a computer. In contrast for instance say the telephone system, which is stored in a completely different format which is called the analogue system. In sound recording and reproduction systems, digital audio refers to a digital representation of the audio waveform for processing.Digital Audio came about due to its usefulness when recording and distribution in sound. The modern day usage of this system is through the internet to post put songs on web pages and videos on YouTube depends on digital recording and digital HYPERLINK â€Å"http://en. wikipedia. org/wiki/Audio_compression_(data)† o â€Å"Audio compression (data)† compression algorithms. One of the good things about using this system is that it reduces the cost of the distribution because it is not a physical object.Also it is v ery easy to access because nowadays if people want something or need something they go on the internet. In an analog system sounds are usually made physically and are recorded into a mic which is transformed into a electrical representation of a waveform, which is stored or transmitted. Analog audio signals are susceptible to noise and distortion, unavoidable due to the innate characteristics of electronic circuits and associated devices.In the case of purely analog recording and reproduction, numerous opportunities for the introduction of noise and distortion exist throughout the entire process. When audio is digitized, distortion and noise are introduced only by the stages that precede conversion to digital format, and by the stages that follow conversion back to analog. Digital Audio Workstation or DAW is one of the commonly used terms in home music production environment.Yet some are still confused especially the beginners in music production with no electrical/sound engineering background as to what is really the meaning of Digital Audio Workstation? The fact is that, it’s so hard to understand what is digital audio workstation without giving the beginner; a complete information of how everything starts and end in music production. It’s why this lengthy post is perfect for those completely new in digital-based home recording or recording music using computers!I should have written this a long time ago, anyway its good that I put some importance of posting this one. Let’s get started.. First, you need to understand how the music goes into your computer. Your music is a sound wave which is an analog signal, a continuous form of signal(e. g. a sine wave). A musical instrument or a disturbance (e. g a water droplet falling into a pail of water) and can cause vibrations in the air that causes it propagate in the form of a sound wave.When these air pressure vibrations reaches your ear, you will perceived it as a sound if the pressure is str ong enough to cause vibrations in your ear drum and if the frequency is audible (20Hz to 20,000Hz). The music you hear are actually composed of musical notes which are sinusoidal in nature and has two properties which are: a. ) Amplitude (how strong are the pressure vibrations, which is usually measured by SPL or sound pressure level using decibels). b. ) Frequency( how high or low is the pitch of the sound wave, measured in Hertz)

HCA Final Paper Essay Example

HCA Final Paper Essay Example HCA Final Paper Essay HCA Final Paper Essay Many people tend to be blind when It comes down to the Issues at hand. I fall Into the statistic when It comes to being uninsured r not having enough coverage, it discourages people to seek the treatment that they need because they are scared of what is going to happen or if they are going to receive proper care like every other individual or treated differently because they dont have insurance or money to pay it can be as simple as not being able to afford the treatment itself. I chose this particular topic to write my final assignment because I can honestly say that I can relate to this issue and it is a serious problem that has been facing Americans for a while now. In this essay I plan on talking about everything there is to know about this issue hat has been facing the US today. We all know that people being uninsured or even undesired has been a serious issue for many years now, we will discuss the major problems that are related to this issue, I will give a full detailed history of this Issue we will start from the beginning I believe that It Is Important that people know where the issue started and see how far we have come, I will discuss this problem and I will also talk about this issue in another country other than the US, we need to find out if the problem is worse in the US or outside of the US. We will discuss the stakeholders hat are involved and what they have done to address the issue so far. I will be talking about the Patient Protection and Affordable care act of 2010 because I feel that it is an important topic with the subject that I have chosen. I will also provide my own personal recommendations on what I feel should be done in the future as well as what the stakeholders should do to make these recommendations successful. I know that this is very Important and is a subject that I can relate to because I myself have been uninsured for a long time. I would Like to share my own personal experience on the Issue at hand, I think that It Is Important to have a view from both sides. According too trans-union healthcare survey 97 percent of healthcare administrators, from 22 different hospitals in 15 different states stated that they have in an increase of bad debt and has caused straining on charity programs. It has become apparent that hospitals are working to ensure that they can balance a fine line between providing quality care while also being fiscally responsible. Rod Bazaar, Cot 20, 2008 P: 2836) We are finding that more and more hospitals are cooking to healthcare revenue cycles and financial products to decrease bad debt and match more uninsured patients with financial assistance (Rod Bazaar, Cot 20, 2008 P: 2836) I believe that this is not right because people cant afford health care but still need treatment so with the system they are being put further into debt than they were initially. We know that the history when it c omes to people being uninsured and undesired has been around for decades I want to show you the history behind trying to get healthcare passed. It was in the earlier 20th century during the regressive era President Theodore Roosevelt was the very first American president to stand up against the cause of health insurance his proposal was that every American would have health insurance this was opposed and defeated by the American Medical Association (AMA), It was then during the Great Depression and after world war II when President Franklin Roosevelt and Harry Truman again took on the task of universal health insurance, it was defeated again by the AMA a result of this was tax favored private insurance. In the civil rights era of the sasss President Lyndon Johnson secured passage of Medicare and Medicaid which would offer coverage to all senior citizens as well as some poor over the opposition of the AMA, the Federal government would administer Medicare for seniors and states would administer Medicaid for some of the poor. During the sasss, the national debates focused on the different visions to cover all Americans, offered by President Richard Nixon and Senator Ted Kennedy. President Onions efforts were built on the model of competitive private insurance relying on mandates on employers and individuals. It was supported by insurers and the AMA. His efforts were supported by organized labor. No compromise emerged, and both efforts failed. In the asss, President Bill Clinton developed a proposal to cover all Americans built on the managed competition approach, building coverage through a mandate on private employers and requirements that health insurers offer to all Americans regardless of their pre- existing conditions. These efforts failed. Again in 2006, Democrats in the Massachusetts legislature and then Governor Mitt Rooney agreed on a bi-partisan compromise combining employer, employee, government and individual responsibility. This was the blueprint for the Affordable Care Act that Congress considered, debated and ultimately approved. Lastly it was in March of 2010, President Barack Obama signed the Affordable Care Act. It offers coverage for every American through employers, through the Exchanges and through Medicaid. It was supported by many unions, employers, insurers, doctors, hospitals, and drug manufacturers. It was opposed by some on the left because it was not single payer and did not contain the public option (Medicare) in the Exchange. It was opposed by some on the right because it was considered socialized medicine. Lucien Willis, 2012) I would have to say that we can see with the text above that many different Presidents on many different occasions have tried to stand up for the cause of health insurance for every American and they failed it wasnt until Just recently when the or the Obama Care was passed which allows people to get insurance not based on their pre-existing conditions. The P. P. A. C. A is considered to be a historic achievement given its history of trying to be passed on several different occasions by other presidents. (Cults, H. A. Young, K. M. (2012) but in my own personal opinion I loud have to say that from where we started and where we have come is a long way I believe that the passing of the Patient Protection and Affordable care act of 2010 will prove to be successful and provide people with the insurance as well as the care that they need and deserve. I would like to now discuss how another countrys health care system is compared to that of the U. S we are going to talk about Canada, I have done a search and found that Canadas healthcare system is made up of groups of socialized health insurance plans that provides coverage to all Canadian citizens. Under the healthcare system citizens are provided preventive care, medical treatments from a primary care physician, as well as access to hospitals. All Canadian citizens qualify for health insurance coverage regardless of their prior medical history, income, or even their way of living. With this amazing medical coverage it is shown that Canada has one of the highest life expectancies and one of the lowest infant death rates. Although everyone is covered through the Canadian system by no means does it mean that it is free we know that in this world nothing is free because he funds would have to come from somewhere because in order to be a successful business or a professional provider hospitals and doctors need to paid from somewhere. We know that is funded by both the provincial and federal levels, the financing of healthcare is provided via taxation from both corporate and personal income taxes. (Canadian-healthcare. Org 2004-2007) Even though the U. S healthcare system has come a long way I can say that it will never rank with the Canadian healthcare system because in Canada people are covered no matter what from birth until death it is said that under Obama care 31 Million Americans will still be uninsured, I believe that in my own personal opinion that the US healthcare system will not be fixed overnight this type of problem which is one of the biggest that America has ever seen has been around for decades and in order for these issues and problems to be solved the US will need time to go through everything and get people the help that they need, Some people say that the US will not provide people with insurance because they cannot afford it and I have to say that this is false because the government helps people out with Medicare and Medicaid for elderly people who no longer can work and people who are poor. Although they cannot help every poor person they are trying their best to make it better, I know a girl who got fired f rom her Job and signed up for Obama care she pays very little for coverage for her 3 person household I know that they are willing to help in any way that they can and they also help people find coverage without breaking their bank accounts. We will talk about the major stakeholders that are involved in the healthcare industry although the list goes on and on we will talk about the more important ones in this assay. We know that first and foremost among the stakeholders are the patients we the patients are the backbone to the industry because we are the ones who consume the services, with that being said many patients are concerned by issues of costs and quality of the services being provided and the patients who are uninsured and influential role and are one of the Major stakeholders in the healthcare industry not only because they are paying for a high proportion of the costs but because they are taking on more proactive roles in determining what those costs should be. The latherer providers which could range from doctors, surgeons, to dentists are the core of the industry and have the most to do with the actual process and the outcomes with the service that they are providing the service that they provider are done at hospitals and other healthcare facilities. Federal and state governments are also considered to be major stakeholders in healthcare they have been dominant authorities the government not only serves as payers but they also serve as regulators and providers through public hospitals, local health departments, and other facilities. The final stakeholder that I will be discussing is the insurance companies as they have been a major stakeholder for a long time even though we see the traditional plans are rapidly being replaced by managed care plans they still have much to do with the healthcare industry. Cults, H. A. Young, K. M. 2012) While we are on the insurance discussion we have read about how before people were denied coverage bec ause of their preexisting conditions and with the new Obama care in effect insurance companies are no longer allowed to deny a person coverage because of that reason and in my own personal opinion I feel that it should eave always been that way, no person on the planet is perfect we all have issues and health problems at one point in each and every one of our lives we end up sitting in an emergency room so why should we all be treated different. There are so many other stakeholders involved that we didnt discuss and they include: Long term care, mental health, volunteer agencies and facilities, health professional education and training, health industry organizations, research facilities and alternative therapies. Cults, H. A. Young, K. M. (2012) The Patient protection and affordable care act was signed by President Bark Obama in March, 2010 the law puts in place comprehensive health insurance reforms that rolled out over the past four years. As of 2014 all Americans have access to affordable health insurance people who are considered to middle or low income families will receive tax credits that cover a significant portion of their cost of coverage. The Affordable care Act will allow millions of Americans to gain coverage. The law implements strong reforms that prohibit insurance companies from refusing to sell coverage or renew policies based on an individuals pre-existing condition. The law also prohibits new plans and existing group plans from imposing annual dollar limits on the coverage they receive. Insurers will also be prohibited from dropping or limiting coverage if the individual participated in clinical trials. Starting in 2014 Americans will be able to purchase their insurance through the marketplace. Americans who earn less than 133% of the poverty level which individuals would be around 14,000 and 29,000 for a family of four will be eligible to enroll in Medicaid states will receive 100% federal funding for the first three years and 90 percent in the years that follow. (has. Gob, 2014) I know that we are all hoping for the best when it comes to the future of healthcare myself being a person who went uninsured for years and years because I feared that I couldnt afford coverage, and every Job I had lead me to a dead end, I feared going to hospitals or even dentists and ended up letting my health deteriorate. I am hoping long and happy life. I Just know that with the P. P. A. C. A it will bring a lot of people relief knowing that there is some light at the end of the tunnel because I know that I am not alone when it comes to denying myself healthcare because of the cost. When I was 18 1 was kicked off my mothers health insurance it made it hard for me because I needed to see a doctor, since being kicked off I have put my own medical issues to the side I have been diagnosed with a heart condition known as MAP or Material Valve Prolapsed I went to the ERE thinking I was having a heart attack I was only 23 years old, I was notified with what I had and have never had a follow up because I know I simply just cannot afford it. I know how to treat the pain myself but I know that I need to go see a professional. For being only 27 years old I have many health issues that I wouldnt have at my age but I know that whatever life throws at me I will be able to handle it. I am very grateful for the new Obama Care act because I am finally able to get coverage that I need to get my health on the right track. I would have to say that with everything that I have learned over the last five weeks in this course my recommendations for patients would be to go and get coverage, there is coverage available and I wouldnt recommend waiting any longer it is not worth your health to sit around and do nothing because it might be too late. My recommendations to capitals would be to make your patients feel more welcomed even if they are uninsured and undesired they are people and deserve the same care and attention as any other person we all get sick we all need treatment. To the providers I have to recommend that you provide the same treatment to each and every person who walks through the door Just because they cannot necessarily afford it doesnt mean they dont deserve it. To the government I would recommend that you make sure you help the people who truly need it help people who are not able to help themselves, I know that the government is trying to get people the help that the need UT in my own personal opinion I believe that something should have been done a long time ago. I hope that they dont stop here they need to keep going and never give up we need to have a strong support system and we need something to believe in. We have covered everything there is to know in this essay we have talked about the history of the problem with healthcare in the U. S and how it dated back to the great depression era, We have discussed the issue surrounding the uninsured and undesired population, we have talked about how healthcare differs in Canada compared to the healthcare in the US, we have went over what stakeholders are involved as well as the roles each stakeholder plays in the healthcare system, we have discussed the Patient Protection and Affordable Care Act and what it entails, as well as providing my own personal recommendations. I know that healthcare is changing and believe that it is for the better good of everyone. I would like to say that I have enjoyed this course and have enjoyed getting to know about the Healthcare system.

The Essay Experts 2015 Media Year in Review

The Essay Experts 2015 Media Year in Review 2015 was a full year of speaking engagements where I put out some of my best information about LinkedIn, resume writing, and college essays. In case you missed the live events, I thought I’d highlight some of the appearances that you can still watch! LinkedIn Tips Most recently, I was one of 30+ expert presenters at the LinkedIn Success Summit, a 5-day information-packed event on how to generate leads, sales and profit from LinkedIn. Although you can no longer access my talk for free, if you want to get lifetime access to all the interviews of all the Summit speakers, you can purchase a pass for $147 now through December 31. For  a different type of presentation with more nuts and bolts about LinkedIn profiles, you can view this webinar which I delivered for Beyond B-School’s Get Hired Boot camp on February 18: LinkedIn: The Enhancements That Open Doors. To see me in action, critiquing the LinkedIn profile of Rob Hart, plus giving some other tips on cat photos, check out this  October 28 appearance on Chicagos WGN Radio. Listen here (at about 14:45)! Finally in the LinkedIn Tips  category, the year started off with a January 26 podcast with Angela Copeland of Copeland Coaching: â€Å"Mastering LinkedIn: Secrets from Brenda Bernstein’s Book, How to Write a KILLER LinkedIn Profile† (Podcast #36). LinkedIn was definitely the most popular topic of the year! But there was more! Resume Writing Tips I have only one recorded opportunity from 2015 on the topic of resumes, from a December 9 TV appearance on Fox 6’s Studio A. Preview: I sing New York, New York in this one! If you want more on resumes, please watch my signature webinar, How to Make Resume Writing FUN! (Yes, it can be done!) College Essay Tips If you’re interested in college essays tips for yourself or an upcoming college student, here’s a quick interview for Channel 3 TV on that topic from July 31: View the interview here! To view all of my past TV and radio appearances, visit my TV Radio page. And to catch future events, keep posted with The Essay Experts Calendar of Events and my email/social media announcements. Enjoy the â€Å"TV Watching† over the holidays – I hope the items in this post will balance out other favorites like A Charlie Brown Christmas and It’s a Wonderful Life. If there’s a topic you’d like to see me speak about for any group to get my 2016 media year in full swing, please let me know. I’ll be happy to consider opportunities!

The Levels of Measurement in Statistics

The Levels of Measurement in Statistics Not all data is created equally. It is helpful to classify data sets by different criteria. Some is quantitative, and some are qualitative. Some data sets are continuous and some are discrete. Another way to separate data is to classify it into four levels of measurement: nominal, ordinal, interval and ratio. Different levels of measurement call for different statistical techniques. We will look at each of these levels of measurement.​ Nominal Level of Measurement The nominal level of measurement is the lowest of the four ways to characterize data. Nominal means in name only and that should help to remember what this level is all about. Nominal data deals with names, categories, or labels. Data at the nominal level is qualitative. Colors of eyes, yes or no responses to a survey, and favorite breakfast cereal all deal with the nominal level of measurement. Even some things with numbers associated with them, such as a number on the back of a football jersey, are nominal since it is used to name an individual player on the field. Data at this level cant be ordered in a meaningful way, and it makes no sense to calculate things such as means and standard deviations. Ordinal Level of Measurement The next level is called the ordinal level of measurement. Data at this level can be ordered, but no differences between the data can be taken that are meaningful. Here you should think of things like a list of the top ten cities to live. The data, here ten cities, are ranked from one to ten, but differences between the cities dont make much sense. Theres no way from looking at just the rankings to know how much better life is in city number 1 than city number 2. Another example of this are letter grades. You can order things so that A is higher than a B, but without any other information, there is no way of knowing how much better an A is from a B. As with the nominal level, data at the ordinal level should not be used in calculations. Interval Level of Measurement The interval level of measurement deals with data that can be ordered, and in which differences between the data does make sense. Data at this level does not have a starting point. The Fahrenheit and Celsius scales of temperatures are both examples of data at the interval level of measurement. You can talk about 30 degrees being 60 degrees less than 90 degrees, so differences do make sense. However, 0 degrees (in both scales) cold as it may be does not represent the total absence of temperature. Data at the interval level can be used in calculations. However, data at this level does lack one type of comparison. Even though 3 x 30 90, it is not correct to say that 90 degrees Celsius is three times as hot as 30 degrees Celsius. Ratio Level of Measurement The fourth and highest level of measurement is the ratio level. Data at the ratio level possess all of the features of the interval level, in addition to a zero value. Due to the presence of a zero, it now makes sense to compare the ratios of measurements. Phrases such as four times and twice are meaningful at the ratio level. Distances, in any system of measurement, give us data at the ratio level. A measurement such as 0 feet does make sense, as it represents no length. Furthermore, 2 feet is twice as long as 1 foot. So ratios can be formed between the data. At the ratio level of measurement, not only can sums and differences be calculated, but also ratios. One measurement can be divided by any nonzero measurement, and a meaningful number will result. Think Before You Calculate Given a list of Social Security numbers, its possible to do all sorts of calculations with them, but none of these calculations give anything meaningful. Whats one Social Security number divided by another one? A complete waste of your time, since Social Security numbers are at the nominal level of measurement. When you are given some data, think before you calculate. The level of measurement youre working with will determine what it makes sense to do.