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  • Utilizing Medicaid Demonstration Waivers to Help Address Soc…

    In December of 2021, the California Department of Health Care Services (DHCS) received CMS approval for the CalAIM Section 1115 demonstration and CalAIM Section 1915(b) managed care waivers. This approval authorized $1.44 billion in one-time funding to aid in transitioning Whole Person Care and Health Homes Program pilots, which leverage care coordination and offer non-medical interventions from Medi-Cal 2020 to CalAIM. This approval also makes way for DHCS to address the needs of Californias most vulnerable residents, provide more equitable programs, and increase access across the state. Key provisions of CalAIM include community supports delivered through community providers; enhanced care management; delivery system transition and alignment; access to and transforming health supports; substance use disorder services and initiatives; supporting coordination and integration for dual eligibles; dental benefits; chiropractic services for Indian Health Service and Tribal facilities; and a global payment program. On any given night over 161,000 people are experiencing homelessness in California and there are stark racial disparities within Californias homeless population; Black people make up 39 percent of Californias homeless population while only making up 13 percent of the states general population. These racial disparities are connected to racist policies like redlining, which resulted in housing, economic, educational, and health inequities. Experiencing homelessness also puts Black people at an increased risk of being justice-involved due to the increased likelihood of interacting with law enforcement. A key aim of CalAIM is to address the needs of individuals experiencing chronic homelessness by providing them with enhanced care management and community supports that offer coordinated and community-based whole person care. Housing related community support includes assisting enrollees with finding and securing housing, assistance with Page 5 securing housing deposits and support maintaining stable tenancy once housing has been secured. In paying special attention to those who face the biggest barriers to accessing stable housing (i.e., those re-entering the community after incarceration) DHCS is better able to reach those most impacted to better ensure successful transition into safe and stable housing. CalAIMs goals to improve access to coordinated health and social services have the potential to positively impact the lives of Black people and promote their health and wellbeing, especially in relation to addressing homelessness and housing instability. Since launching in 2022, initial observations from the roll out of community supports and enhanced care management recognized the importance of outreach and engagement activities and the crucial role that community health workers, peer support providers and those with lived experiences play in engaging those who need these services most.51 Other states may adopt this type of strategy as a means to address social determinants of health in their communities.

    Reference

    Mosalewa Ani, Program Coordinator, The Network for Public Health Law National Office & M.P.H. Candidate George Washington UniversityMilken Institute School of Public Health (2023); **********************

    Instructions

    After you have identified a federal, state, or local social policy that impacted clients served by your internship agency, write a policy analysis and advocacy paper that includes the following:

    1. Describe a policy that impacts clients.
    • Present specific examples to support the description of the policy and its impact on clients.
    1. Evaluate the pros and cons of a policy that impacts clients.
    • Support the evaluation with specific examples.
    1. Describe efforts to advocate for clients by influencing policy.
    • Present specific examples to support the description of advocacy efforts.
    1. Describe the outcome(s) of advocacy efforts.
    • Present specific examples to support the description of advocacy outcomes.
  • Debriefing: Anthony James i-Human virtual

    Debriefing

    Purpose

    The purpose of this debriefing is to discover information and deepen knowledge based on the Week 7 Lesson and Anthony James i-Human Virtual Patient Encounter to improve skills and clinical reasoning.

    Course Outcomes

    This debriefing enables the student to meet the following course outcomes:

    • CO 1: Demonstrate a head-to-toe physical assessment. (PO 1)
    • CO 2: Differentiate between normal and abnormal health assessment findings. (PO 4)
    • CO 4: Demonstrate effective communication skills during health assessment and documentation. (PO 3)
    • CO 6: Demonstrate caring and professional behavior during patient interactions. (POs 6, 7)

    Due Date

    Graded debriefings are due Sunday at 11:59 p.m. MT.

    Total Points Possible

    This debriefing is worth a total of 50 points.

    Preparing the Debriefing

    Directions

    Debriefing: Discover and Deepen

    1. You are encouraged, but not required, to complete at least one i-Human Virtual Patient Encounter attempt before participating in the debriefing.
    2. Include a citation from the weekly lesson (Explore pages) in your response and reference list.
    • Here is an example of how to cite the lesson:
    • Chamberlain University College of Nursing. (2024). NR-305 Week 2: Conducting a Holistic Assessment [Online lesson]. https://chamberlain.instructure.com/login/canvas
    1. Answer all questions below with explanations and details.

    Paragraph one: How does providing nursing care at the end of life impact the emotional well-being and resilience of nurses, and what strategies can be used to support their mental and emotional health?

    Paragraph two: Answer the questions based on the first letter of your last name below.

    Last NameQuestion to Answer

    A – G How would you approach an assessment differently if you were providing end-of-life care to a client who expresses fear and anxiety about death and has no family present?

    H – Q How would you approach an assessment differently if you were providing end-of-life care to a client and family who have unresolved family conflict and tension?

    R – Z How would you approach an assessment differently if you were providing end-of-life care to a client who has a large and involved family support system present at the bedside?

    Paragraph three: Reflect on the care needs of clients and families at the end of life in your practice setting. How can you integrate the principles of client-centered care and end-of-life nursing assessment introduced in the week 7 lessons into your nursing practice? You may respond using a former work setting or clinical experience if you are not currently practicing at the bedside.

    Posts should meet the following criteria:

    1. Integrate Evidence: Cite evidence from the weekly lesson at least once in weekly posts.
    2. Integrate evidence from the weekly lesson.
    3. Cite and provide a complete reference for the evidence from the weekly lesson.
    4. Engage in Meaningful Dialogue: Engage with peers and/or faculty by asking questions, and offering new insights, applications, perspectives, information, or implications for practice.
    5. Respond to a peer and/or faculty post.
    6. Provide additional information or clarification in the reply post.
    7. Add depth to the debriefing.
    8. Communicate Professionally: Communicates professionally on all posts.
    9. Communicate clearly and concisely.
    10. Communicate respectfully, civilly, and caringly.
    11. Communicate with minimal English grammar, spelling, syntax, and punctuation errors.
    12. Participate: Participates during the assigned week. You are expected to meet the minimum participation requirement described below. You will receive a 10% point deduction in a graded discussion if you do not post at least two (2) times on at least two (2) different days during the assigned week.
    13. Post in the debriefing at least two times.
    14. Post in the debriefing on two different days.

    Grading

    To view the grading criteria/rubric, please click on the three (3) dots in the box at the end of the solid gray bar above the debriefing title and then Show Rubric.

  • Movie Review: The Color Purple

    Movie Review Assignment Instructions

    Overview

    Students are expected to complete ONE movie reviews focused on childhood/adolescent crises/trauma. You are to choose ONE movie to critique that have a strong trauma theme and then complete a critique of each movie as it relates to the topic of trauma. Give particular attention to how you might use the ideas presented in each movie to counsel children/adolescents who are facing a crisis or dealing with trauma. This assignment should have a title page which will have your name, the course, the instructor, the assignment # (Movie review #1), and the date. (Relates to learning outcomes A, B, C, D).

    Instructions

    The Movie Review Assignment requires you to interact with the content of the movies in a way that allows for an understanding of the impact that movies can have on the therapeutic process. Please start with a title page that has the title of the paper, student name, Liberty University, and our course, TRMA 800. You should adhere to the following format in completing your movie reviews:

    1) The Review:

    Give your impression of the movie with only the briefest description of the plot. Resist the urge to retell the whole plot of the movie, instead sharing the scenes that had the greatest impact on your thinking or the most potential for use within the therapeutic process. What aspects of the movie should the viewer look for if they have not seen the movie and what aspects/scenes do you feel warrant further reflection and why? This section should be at least 600 words in length.

    2) Therapeutic Implications:

    Having noted the scenes that have value for use in the therapeutic process, what is the specific value that you see for use in the counseling process? For example, if you observe emotional outbursts, angry tirades, attempts at connection, empathic listening, etc… point out the scene and the way in which it could be used to enhance your clients understanding of the skill/technique you are attempting to teach. How would you use this scene to make an emotional, cognitive, or spiritual connection? What is your rationale for choosing this scene? This section should be at least 600 words in length.

    3) Personal Implications:

    How did you connect with the movie on a personal level? How did it confirm or challenge some of your perceptions of Child/Adolescent Trauma and its treatment? How will you utilize this information personally? This section should be at least 600 words in length.

    4)Professional Implications:

    How did this movie impact your thinking professionally? How will it inform and impact your delivery of therapeutic interventions/services. Were there any scenes that you strongly agreed/disagreed with on a professional level and why? What did you learn from this movie that will make you a more competent therapist? This section should be at least 600 words in length.

    Please note: Your grade on the Movie Review Assignments will depend on the manner in which you address each of these four dimensions of response to your chosen movies. The material should be engaged and responded to at a doctoral level.

    Note: Your assignment will be checked for originality via the Turnitin plagiarism tool.

    Attached Files (PDF/DOCX): Movie Review Grading Rubric.pdf

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  • 498 – w5

    The goal of this paper is for you to write your opinion on Global Terrorism without using first or second person (narrative will be in THIRD PERSON!). In this paper, you get the opportunity to write your point of view on the material reviewed during the week and the best part is that there is no wrong answer! This paper is your opinion, and as such, it is your job to express your thoughts in a manner that is comprehensible and clear for any and all readers. Feel free to write your thoughts freely, without any constraints. After you finished the readings you selected for the week, it is time to brainstorm. Some simple brainstorm techniques for writing reflection papers can involve you answering some of the basic questions below: How did the material on Global Terrorism affect you? Did your learning about the material on Global Terrorism change your mind about something? If so, how. Has the material on Global Terrorism left you with any questions? If so, what are they? Were there any unaddressed critical issues not covered by the material on Global Terrorism? How will the material on Global Terrorism impact your future? Components of the Reflection Paper Introduction – specifies what you are reflecting upon. Body Paragraphs examines the ideas and experiences you have had in context to your topic. Be sure that each new body paragraph starts with a topic sentence. Remember that your paper must be at least 212 pages long and no more than 3 pages so clear and concise writing is critical. Conclusion summarize what you have learned from the material. Tell the reader how this knowledge affected your overall understanding of the subject. Describe the feeling and overall lesson that you had from the material on Global Terrorism. Technical Requirements: Your paper must be at a minimum of 212 pages and a maximum of 3 full pages. It is important that you do not fall under or exceed the required page length since, in the world of Security Management, your readers, Security Management professionals, and decision-makers have limited time to spend on a paper and learning to write concisely and present your paper in a manner that matches there reading style are critical. Type in Times New Roman, 12 point and double space. One-inch margins left, right, top, and bottom. No direct quotations. All paraphrases require a reference. All references require a paraphrase. Paper will be formatted in APA Style (example attached – follow it to a T). All submissions will be graded using the assignment rubric. Check the required course rubric since if you do not have citations in the paper you may lose points.

    Attached Files (PDF/DOCX): Reading Material Week 5.docx, APA 7 Student Sample Paper (1).pdf

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  • Strategic Management

    Professor instructions and requirements are below in the (Final integrated paper brief) below.

    Word count 1000 words for my part of the assignment.

    This is a group project, and our company name is (Caterpillar Inc) and I am responsible for Question 3: A-C.

    3. Critically analyze:

    a. Strategic Initiatives – Long term strategy(s) of the company (refer to chapters 2-4 concepts)

    b. Company strategies as they relate to technology. How does the company plan to move forward in the 21st century? Discuss impact of technologies on achieving results e.g. growth, market share, customer satisfaction.

    c. Types of data, information, business intelligence, knowledge the company gathers and uses (Chapter 1 Fig 1.1).

    Read e-text to answer the questions above.

    Business Driven Technology By: Paige Baltzan Chapters 1-4.

    Attached Files (PDF/DOCX): Final Integrated Paper brief.docx

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  • Chapter 3 Review Questions

    Read the assigned reading from the chapter. Then, choose TWO of the questions from below to answer. Answers from each section you chose should be a minimum of 1 paragraph.

    Be sure to explain your answers fully and give reasons for your views. If needed, you should cite the textbook and use brief quotations and summaries from the textbook in your response. Do NOT use any other sources besides the textbook; DO NOT restate the question in your response (just the question # is sufficient).

    1. What is the chief difference between utilitarianism and Kant’s ethics? Do you think one of these theories is clearly inferior to the other? Do they each represent part of the truth about morality? Explain.
    2. How does cultural relativism imply infallibility, the unlikelihood of disagreement, and the impossibility of moral progress?
    3. Do you believe utilitarianism conflicts with our considered judgments about rights? Why or why not?
    4. What is the divine command theory? Is it a good moral theory? Why or why not?
    5. What is the empirical theory known as psychological egoism? Explain why you think it is or is not a good explanation of human behavior.
    6. Why might someone think that principlism is excessively subjective? Would you agree? Why or why not?

    Attached Files (PDF/DOCX): PHILOSOPHY HERE AND NOW _ powerful ideas in everyday life — Lewis Vaughn — 4 2021 — Oxford University Press Incorporated Oxford University.pdf

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  • .

    Many sudden illnesses share similar signs and symptoms (confusion, sweating, dizziness, altered mental status). Using your notes, how would you differentiate between a diabetic emergency, stroke, poisoning, and fainting at the sceneand how would those differences change your decision to CALL 9-1-1 or provide care first?

    In your answer, be sure to address:

    • Which specific signs/symptoms point toward one condition over another?
    • Which conditions require immediate 9-1-1 even if the person is responsive?
    • When is giving sugar appropriateand when is it dangerous?
    • What information do you gather during CHECK that prevents a wrong decision?
  • Health Policy Analysis

    Health Policy Analysis Paper Objectives of the Health Policy Analysis Paper: Using a current national bill: Determine the components of the legislative process at the national level and its relationship to health care policy. Analyze current health care policy at the national level using evidence appraisal. Health Policy Analysis Paper Instruction: The Health Policy Paper prepares the Advance Practice Nurse to represent the importance of a current national bill, and how it relates to your current student advance practice. Please use each part for a header in the paper. Part 1: Introduction: 5% (Header) The introduction will include the purpose of the paper and an explanation of what the reader will learn throughout the paper. Part 2: Choose a National Bill currently in Congress and describe the background of the bill: 20% (Header) Choose a National bill currently in Congress (either in the House or the Senate), Not a bill already enacted into law. A state bill in not acceptable. Please review the chapters in your textbook about the Legislative and Regulatory processes. Include the title and bill number. Describe the background of the bill. Explain what health care issues may have prompted the selected bill to be introduced. You may want to search for a current bill that relates to your current/future advance practice. Describe why this bill is essential to your current/future advance practice. Convince the reader of the importance of the bill and how as an advance practice nurse, it will impact your patient population. Part 3: Analysis of the bill: 20% (Header) Explain what the bill is about, its components, and where the bill is in the legislative process. Describe who are the sponsors/co-sponsors of the bill you selected. If the bill has several co-sponsors, list some of them and then mention a total number of co-sponsors. Identify the major stakeholders and their influence. List stakeholders who support and do not support the bill (pro and con) and explain why they support or do not support the bill. Do a little research on a definition of stakeholders. Once you understand the meaning of it, you will be able to figure out who stakeholders on your bill (pro/con) are as well as interest groups. An example may be that the bill you selected is about Medicare coverage for antirejection medications for kidney transplant patients. Describe who would be interested (pro) in passing this bill? Kidney transplant patients, their families, nephrology physicians, advanced practice nurses, registered nurses, social workers who take care of those patients. Describe who would be against (con) of passing this bill? Medicare, because they have to pay for it cost of the kidney transplant. Remember that patients would be the primary stakeholders on most healthcare bills because those bills are designed to improve patient care. Part 4: Identify and describe two (2) special interest groups that would make up an effective coalition to advance this legislation. 20% (Header) Describe why the 2 special interest groups are important. Please review in the textbook(s) what special interest groups are. Regarding interest groups, you need to look into organizations that may potentially lead this legislation. For example, any nephrology/kidney associations/organizations would be considered interest groups that can potentially lead the above example legislation. You have to list the organizations and show their influence towards a bill for a complete answer to this question. Part 5: Select a communication strategy to target your stakeholders/special interest groups. 20% Describe the method and/or the choice of a platform or print media to communicate to the general population about the critical essence of the bill. Include why it is important to the population specific and at large (make it understandable to all levels of the population), and why the bill should be supported by representatives in the House or Senate. Please only include the FACTS. The evidence. No opinions! Some examples are social media, billboards, newspapers, and blogs. Tell us what your communication strategy would look like. Part 6. Conclusion: 10% (Header) The conclusion should include a brief summary of the problem and the selected policy. Part 7: References: 5% (Header) Prepares a scholarly paper conforming to 7th edition APA format of approximately 6 pages in length (The 6 pages do not include Title Page as per APA format, references and or tables. Please provide a minimum of 4 references, in APA format. If you use The Generative Artificial Intelligence (GAI) for thispaper please review the TJU policy: https://www.jefferson.edu/life-at-jefferson/handbooks/policies/graduate-policies/artificial-intelligence.htmlLinks to an external site. In instances where the use of GAI is permitted, the student will: a.) accept responsibility as owner of their work submitted and therefore accept responsibility for the validity of the content. b.) appropriately acknowledge the use of GAI that contributed to their work even if that information is not in their final submission: https://www.jefferson.edu/life-at-jefferson/handbooks/policies/graduate-policies/artificial-intelligence.htmlLinks to an external site.. Title Page Introduction Body of the paper. (Use headings for each section). Name of bill and background Analysis of the bill Two special interest groups Communication strategy Conclusion References GUIDELINES FOR WRITTEN COURSE ASSIGNMENTS: (as per Jefferson College of Nursing Student Handbook & Course CatalogLinks to an external site.. page 49). Students are required to use the APA Manual, 7th All written work, unless otherwise specified, must be submitted in a Word document format, using the most recent APA style manual as a guide. Non-typed work (unless otherwise specified) will NOT be accepted. Papers not in current APA format will NOT be accepted. Papers with incorrect APA formatting will lose 1 point for each occurrence up to 5 points maximum. All work must be grammatically correct, properly referenced, and reflective of current nursing and other healthcare professional references. Unless otherwise specified in the course syllabus papers with grammatical and spelling errors will lose 1 point for each incorrect occurrence up to 10 points maximum. Textbooks are not considered appropriate sole references for written work for Graduate (MSN, DNP, and PhD) level students. Electronic submission for written course assignments must be submitted in Word document format. No photographs, PDFs, or JPEGs will be accepted unless otherwise specified within the course syllabus or assignment directions. Students may also access the Academic Commons and/or the Jefferson Student Writing Center for questions pertaining to the use of APA format. Any assignment not submitted by the specified due date and time will lose 5 points for the day it was submitted late and 5 points for each subsequent day that it is late. All required assignments MUST be submitted even if they are submitted too late to receive any points. Exceptions will be reviewed on an individual basis in advance of assignment due dates by course faculty.

    Attached Files (PDF/DOCX): NU 71702 Health Policy Analysis Paper052525FINAL.pdf

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  • Media studies

    Everything is down below, Option B is the choice.
  • Argumentative Essay

    ASSIGNMENT: Write a 4-6 page (approximately 1000-1500 words) argumentative essay arguing one side or stance of an academically appropriate debate using the classical model supported by evidence and research. If the writing exceeds the 1500 word maximum, it will be returned back for revision.

    A. Directions

    Step 1. Choose a Topic

    Today, there are many different debates being had all around the world about topics that affect our personal, professional, civic, and/or academic lives. Some of these debates have been such hot topics for so long that it has become very difficult to add to the conversation with new and original ideas or stances to take. To move beyond this trend, we have created a list of topics that may not be written about for this Touchstone. This includes example topics that are used in Unit 4. Feel free to access a tutor if you would like support choosing a topic for this essay.

    Please AVOID choosing any of the following topics:

    • Abortion Rights
    • Animal Testing (Unit 4 example)
    • Artificial Intelligence
    • Climate Change (Unit 4 example)
    • Belief in God(s) or Afterlife(s)
    • Death Penalty / Capital Punishment
    • Euthanasia / Assisted Suicide
    • Fad Diets (e.g., Keto, etc.)
    • Funding/Defunding Law Enforcement
    • Greatest of All Time Topics
    • Immigration
    • Legal Alcohol/Tobacco Age
    • Legalization of Marijuana
    • Legalization of Sex Work
    • Paying Student Athletes
    • Second Amendment Rights (i.e., Gun Control)
    • Social Medias Impact on Mental Health
    • Universal Healthcare
    • Vaccines

    Choosing to write about any of the above topics will result in returned Touchstone for a single chance to resubmit.

    Step 2. Write an Argumentative Essay

    Remember the word argument does not mean a fight in a writing context. An academic argument is more like a thoughtful conversation between two people with differing viewpoints on a debatable issue. However, you are required to take a position on one side of a debatable issue that is informed by academically appropriate evidence.

    For the purposes of this assignment, expressing or relying on your personal opinion of a debate is discouraged. Rather, the essay must argue one side or stance of the debate using the rhetorical appeals (logos, ethos, and pathos) and be supported by academic or scholarly sources. These include physical sources in public libraries, digital sources in academic libraries, online sources (excludes unreliable sources like procon.org and wikipedia.org, which are discouraged), and published expert reports, preferably peer-reviewed by experts in the field to maintain utmost credibility. Consider revisiting the tutorial for more information on appropriate sources for argumentative writing.

    Your submission must include an APA style in-text citations and a reference page following the essay. In your research, you will need at least 2 and no more than 4 credible primary or secondary sources to use as support in your essay.

    • All sources cited in the writing submitted must be locatable by a grader; include hyperlinks to the sources in the reference page.
    • The use of any source that requires payment for access is strictly prohibited for this assignment.
    • Avoid using sources that exceed 20 pages in length, as they may be overly extensive for the purposes of this assignment.
    • Including more than four sources may cause delays, and you might be asked to provide additional evidence of the credibility for each source.

    Thia will be helpful to you as you work on this assignment.

    Step 3. Think About Your Writing

    On a separate page, below your reference page, include thoughtful answers to the Think About Your Writing questions. References and Think About Your Writing questions are NOT included in the word count for this essay.

    Below your reference page, include answers to all of the following reflection questions.

    1. What have you learned about how to present a strong argument? How could/will you apply this knowledge in your professional or everyday life (3-4 sentences)? Sophia says: Think about the specific skills and techniques that you used while developing and writing your essay. What tools will you take with you from this experience?
    2. Consider the English Composition I course as a whole. What have you learned about yourself as a writer (5-6 sentences)? Sophia says: What did you learn that surprised you? Is there anything that you have struggled with in the past that you now feel more confident about?

    Step 4. Review Rubric and Checklist

    Your composition and reflection will be scored according to the Touchstone 4 Rubric, which evaluates the argumentative topic and thesis statement, argument development and support, organization, flow, research, style, use of conventions (grammar, punctuation, etc.), and your answers to the Think About your Writing questions above.