Psychological Principles: Understanding Human Behavior

Questions
 Psychological principles are theories and beliefs about major areas of our lives, like cognitions, intelligence, social groups, habit,  
Answer
1. Introduction
Psychological principles are the basis of understanding human emotions, relationships, and motivation. They are building blocks to comprehend the complexities of human behavior. Psychological principles are a set of factors that help the psychologist explain the varieties of psychological behavior from the elements of those principles. Now let’s discuss the definition of psychological principles by differentiating both terms. Psychology is the scientific study of the behavior of the organism and the behavior to be understood must be observable and recordable. Therefore, psychology is the science which is more interested in the overt behavior rather than personality, where personality is the general pattern of the behavior and behavior changes between one situation to another and another person to another person. There must be some set of factors which will help us predict and control the behavior. Those factors are called psychological principles (Brewer and Treyens, 1981). According to different scholars, there are multiple definitions of principles but all revolve around the meaning that a principle is a set of interrelated variables which can predict behavior. So psychological principles are the guidelines for understanding behavior. These are comprised of higher-level abstractions to understand complex behavior (Eckensberger and Zimba, 1985). These are universal and cognitive concepts by which causal relations and predictions about behavior occurring in an organism can be identified (Craig, 1996). These principles involve constant relations between a situation, the behavior under that situation, and the consequences of that behavior. To understand these principles, psychologists have formulated different theories. So the one definition that sums up all the explanations on psychological principles is given by Charles E. Osgood: “Psychological principles are hypotheses that specify relations between two or more variables in the form of if…then.”
1.1. Definition of Psychological Principles
Psychological principles are statements explaining the behavior of people and the influence of behavior on the environment. These principles are built on scientific method, which is another way of saying the strength of the explanation and predictions of behavior. If the predictions are accurate ones, the probability of the acceptance of the explanation is high. If not, the opposite is true. The explanations of behavior that are to become principles are first tested through research, usually of an empirical nature. If the results provide evidence supportive of the explanation, the persuasion of other scientists will eventually test the similar explanation in their own setting. If each of these attempts to confirm the original explanation is successful, the explanation can be said to be a principle on the basis that it has strong predictability and has withstood a variety of conditions and circumstances. It is this high level of predictability and testing that distinguishes psychological principles from common sense or lay opinion about behavior. Common sense knowledge is usually vague, general, and not invalidatable. For example, it is often said that a lazy person will find the easiest way of doing something. This is not always the case; there are times, because of the individual’s intentions or the complexity of the task, that the easiest way just cannot be found. An example of an idea that is generally acceptable as true without significant evidence is that the reason people get aggressive after drinking alcohol is because it’s the alcohol “bringing out the badness inside”. This belief has been the justification for many unproductive treatments of aggression, while there is in fact little evidence to support it. In both cases, the lay opinion statement does not satisfy the strict criteria of a psychological principle.
1.2. Importance of Understanding Human Behavior
In the study of psychology, understanding why people behave the way they do is an area of great interest. It is important to have knowledge of human behavior because it is so vital to many aspects of our lives such as health. There have been so many advances in the field of health from past research in which the main focus was how to change unhealthy behaviors. In order to change a behavior one must first understand why a person is behaving in such a way. This is giving rise to a new field known as health psychology. Professionals in this field are trying to understand the various behaviors that are detrimental to one’s health such as drug use, overeating and unsafe sexual activity. A study from the Centers for Disease Control and Prevention identified the most common types of unhealthy behaviors that contribute to the leading cause of illness and death and by doing so have estimated that these deaths are preventable. This is just one example of how understanding human behavior is a crucial element to many important issues one might come across.
2. Cognitions
2.1. Cognitive Processes and Mental Functions
2.2. Memory and Learning
2.3. Problem Solving and Decision Making
3. Intelligence
3.1. Theories of Intelligence
3.2. Measuring Intelligence
3.3. Emotional Intelligence
4. Social Groups
4.1. Group Dynamics and Behavior
4.2. Social Influence and Conformity
4.3. Stereotypes and Prejudice
5. Habit
5.1. Formation and Maintenance of Habits
5.2. Breaking Bad Habits
5.3. Habit Loop and Behavior Change
6. Emotions
6.1. Theories of Emotion
6.2. Emotional Intelligence and Emotional Regulation
6.3. Emotional Development across the Lifespan
7. Motivation
7.1. Theories of Motivation
7.2. Intrinsic and Extrinsic Motivation
7.3. Goal Setting and Achievement
8. Personality
8.1. Theories of Personality
8.2. Trait Theories
8.3. Personality Assessment
9. Perception
9.1. Sensation and Perception
9.2. Perceptual Illusions
9.3. Influences on Perception
10. Attitudes and Attitude Change
10.1. Formation and Structure of Attitudes
10.2. Attitude Change Techniques
10.3. Cognitive Dissonance Theory
11. Social Cognition
11.1. Social Thinking and Attribution
11.2. Stereotyping and Prejudice
11.3. Impression Formation and Impression Management
12. Interpersonal Relationships
12.1. Types of Relationships
12.2. Communication and Conflict Resolution
12.3. Attachment Theory
13. Developmental Psychology
13.1. Stages of Development
13.2. Nature vs. Nurture Debate
13.3. Parenting Styles and Child Development
14. Abnormal Psychology
14.1. Mental Disorders and Diagnosis
14.2. Causes and Treatment of Psychological Disorders
14.3. Stigma and Mental Health
15. Applied Psychology
15.1. Industrial and Organizational Psychology
15.2. Health Psychology
15.3. Educational Psychology

Human Augmentation and the Blurring Lines: The Ethical Development and Use of Human Augmentation Technologies

QUESTION
Human Augmentation and the Blurring Lines: Technological advancements like brain-computer interfaces and wearable exoskeletons are pushing the boundaries of human capabilities. How can human informatics guide the ethical development and use of human augmentation technologies, ensuring they enhance rather than redefine what it means to be human?

ANSWER
1. Introduction
First, while only a few of these technologies are in use or close to implementation today, the timescale between development and implementation may not be adequate for thorough examination of ethical issues before it is too late to affect how the technology will be used. Policy regarding the use of enhancement technologies has tended to lag behind scientific and technological progress, enforcing a reactive rather than proactive approach to ethical evaluation. Second, ethical debate and policy regarding human enhancement technologies has been quite fragmented and not born much fruit in terms of policy and guidelines for scientists and developers of these technologies. This form of corporate social responsibility is crucial for maintaining a proactive approach to ethical evaluation. Allhoff has proposed that the best means to address issues in the long term is to shape the nature and direction of technological change, steering it towards more desirable ends, and enhancing oversight, and looking to its social implications from the outset (Allhoff 2010). Thus it is necessary to examine the ethical issues surrounding human augmentation technologies in a broad and inclusive manner and make it a priority to integrate policy and guidelines for scientists into the fabric of these technologies’ development.
Human augmentation technologies, which have the potential to bring about radical improvements to the human condition, are increasingly evoking public and academic debate. Labeled as the most important social and ethical issue of the twenty-first century (Allhoff et al. 2009), the development and use of human enhancement technologies has spurred a plethora of argument from ethicists, scientists, policymakers, and the general public. People are concerned about how it will affect what it means to be human, the distribution of the technology, and the potential for new forms of unequal social pressure to enhance. Others are hopeful about the possibility of new treatments for currently incurable diseases and conditions, as well as providing a means to improve the intellectual, physical, and psychological capacity of humans. The rapid development of these technologies presents two main challenges for the gradual process of ethical evaluation and policy development.
1.1. Background of Human Augmentation Technologies
The goal of human augmentation, to use medical technology in order to improve physical performance or even overcome disabilities, has existed for thousands of years. The development of new medical techniques and the convergence of these techniques with computer technology, new materials sciences and nanotechnology, will have far-reaching effects on the lives of every human being, as well as on the global ecosystem. To discuss the future of human augmentation, it is important to understand the historical precedents. The past three decades have seen incredible advances in medical technology. Joint replacements, dental reconstruction, organ transplants, cosmetic surgery, and the alleviation of mental illnesses through drug therapy are now commonplace in the developed world. These developments have been driven by a number of factors, including the desire of individuals to lead more fulfilling lives, an aging global population, and the economic and social benefits that improved health provides. The development of human augmentation technologies has been largely driven by the needs and capabilities of the medical industry. It is, however, the commercial potential of such technologies, particularly in an age of growing economic inequality and a global ‘knowledge economy’, that is likely to be the ultimate driving force behind the future development and convergence of these technologies. The medical industry has traditionally been conservative and slow to implement radical new procedures. Often new technologies were tested and perfected on relatively small and specific patient groups. As these technologies became more refined and costs were reduced, wider ranges of patients were treated. Many possibly beneficial medical technologies have had limited success as they were superseded by new technologies or were not seen as economically viable by the industry. This has resulted in an increasing proportion of the world’s population being left behind by the rapid pace of change in the medical industry.
1.2. Importance of Ethical Considerations
There are ethical issues associated with the development and offering of human augmentation technologies. The implications of the effectiveness and pervasiveness of those technologies will have wide-ranging effects on society. In the short term, human enhancement technologies might exacerbate social inequalities and create a two-tier society, further the gap between the haves and the have-nots. Because many enhancement technologies will initially be costly, they may be deployed first and most aggressively by those who can afford them, thus widening the gap and ultimately solidifying the advantages that already accrue to the more affluent members of society. This might, in turn, lead the wealthy to distance themselves from the less fortunate, leading to an erosion of empathy and the virtual marginalization of the unenhanced. This potential future is dystopic, and the transparency and openness to scrutiny of the later on possible more drastic changes to our species, whether by genetic enhancement or cybernetic technologies, would reduce the possibility that we could slide into such a state unwittingly. If a given alteration to humanity is deemed so undesirable that it should be prevented at all costs, knowing what constitutes that kind of alteration and having an open forum to decide its nature and the steps to prevent it is critical. Human augmentation technologies pose subtle changes to human nature, and it is important that we make decisions about these technologies intentionally, rather than let them determine the future of humanity by happenstance.
2. Human Informatics: Guiding the Ethical Development
2.1. Definition and Scope of Human Informatics
2.2. Role of Human Informatics in Technology Development
2.3. Ethical Principles in Human Informatics
3. Human Augmentation Technologies: Enhancing Human Capabilities
3.1. Brain-Computer Interfaces: Expanding Cognitive Abilities
3.2. Wearable Exoskeletons: Enhancing Physical Performance
3.3. Prosthetic Limbs: Restoring Functionality
4. Ethical Considerations in Human Augmentation
4.1. Autonomy and Informed Consent
4.2. Privacy and Data Security
4.3. Equality and Accessibility
5. Ensuring Ethical Use of Human Augmentation Technologies
5.1. Regulatory Frameworks and Policies
5.2. Ethical Design and Development Guidelines
5.3. Education and Awareness
6. Implications of Human Augmentation on Society
6.1. Impact on Employment and Workforce
6.2. Social and Cultural Norms
6.3. Psychological and Emotional Effects
7. Future Perspectives and Challenges
7.1. Emerging Technologies in Human Augmentation
7.2. Balancing Innovation and Ethical Considerations
7.3. Addressing Potential Risks and Unintended Consequences
8. Conclusion

Improving Client-Centered Care Initiatives in Advanced Practice Nursing

questions
General Instructions
Advanced practice nurses apply continuous quality improvement (CQI) processes to improve client-centered outcomes. Select one of the following client-centered care initiatives that you would like to improve in your practice area: client clinical outcomes, client satisfaction, care coordination during care transitions, or specialty consultations for clients.   
Include the following sections:
1. Application?of?Course?Knowledge: Answer all questions/criteria with explanations and detail.
·   
a.  Identify the selected client-centered care initiative and describe its application to your future practice.  
b.  Select one CQI framework that can be applied to the selected initiative. Explain each step of the framework. 
c.  Describe how the framework can improve client-centered care for the selected initiative. 
d.  Describe how you would involve interprofessional team members in the CQI process.  

Answer
1. Introduction
Through the tumultuous climate of the United States health care environment, acute care has emerged as a focus of treatment. Advanced practice nurses (APNs) are progressively introduced into the system equipped with potent skills, sheer competence, and autonomy to provide excellence of service and care for the patients. APNs do not merely attend to the patients’ health illnesses and disease conditions but also investigate and implement plans for the prevention of illness and the promotion of healthier living. They strive to bridge the gap in quality of care available between conventional primary care and specialist services by creating a comprehensive care delivery system centered on the patients. Since the 1960s, patient-centered advanced practice nursing care has been the vision and hallmark of nursing practice today. APNs use their metaparadigm knowledge in application to care for patients and establish comfort and trust within the healer/healee relationship. Despite being trained in pathophysiology and the extant medical model, advanced practice nurses awaken each day with knowledge that the patient is a unique, dynamic individual, the locus of control for the nurse’s actions. Subsequently, plans to improve upon this type of care were investigated through the review of an article titled “Improving Client-Centered Care Initiatives in Advanced Practice Nursing”. This article examines 4 research-informed initiatives that have the potential to improve care outcomes and systems for APN care from the US and globally. That two respondents sought out to examine the advancement and outcomes of care systems truly indicates the spirit of APN initiatives for the betterment of society. Methodology involved examination of care systems in 2 different developed countries, comparing results to determine best efficacious methods and to incorporate ideas of quality care leadership into present and future initiatives. These initiatives are parallel to the moral and inner directive of all APNs and directly reflect how APNs would seek to improve care provided to themselves as clients. As a profession largely consisting of second career adults who are intrinsically motivated and often times highly advanced academically, APNs themselves are a unique client group and an often overlooked one at that. An aggregate systems theory serves to build frameworks and initiatives to improve care delivery for all types of clients, including the providers themselves. With a solid foundation of theoretical frameworks and research infusion, these initiatives serve to improve health, augment nurse and system outcomes, and change the face of nursing as we now know it. In an effort to align with the vision of a global society, the methods in which this research was initiated are undoubtedly impressive. An era of increased nursing professional involvement and participation in national and international policy has seen the development of nursing research and quality care initiatives based on evidence-based practice and utilizing comparative methods. This research is an exemplar and has the potential to shape future care systems both locally and abroad.
1.1. Background and Context
APNs practice has grown significantly over the years. This growth has been stimulated by the continuing shortage of physicians, the growth of managed care, and a clear and consistent, well-documented record of safe and effective practice. Managed care has evolved through models such as health maintenance organizations (HMOs), preferred provider organizations (PPOs), and point of service (POS) plans. APNs are recognized for their ability to provide cost-effective care and are employed in a variety of settings to assist in cost saving measures. As health care reform is once again on the forefront of American politics, it is evident that APNs currently practicing or those that will practice in the future, must be prepared to navigate through and affect change within the complex health care system. This poses a profound challenge to those APNs who have been educated and honed their practice in a context largely removed from today’s health care system. It is a stimulation to define practice and move it closer to the ideals of APN and improve patient outcomes.
The first graduate program for advanced practice nursing (APN) (nurse practitioner, nurse midwifery, nurse anesthesia, clinical nurse specialist) was developed by the University of Colorado in 1965 (Dimeo, 2008). The program was established to prepare nurses in the primary care role to meet the needs of the medically underserved. At that time, the IOM had defined primary care as the provision of integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community (IOM, 1996). Primary care should be the first element of a continuing healthcare process and the system of family and community should be a partnership between the patient and the provider working to promote health and prevent disease. Primary care provider should be the coordinator for any specialty care or hospitalizations and the patient should be provided care that is cost-efficient and meets the needs of the patient. Today, APNs are providing primary care in outpatient and community-based settings, and have come closer to achieving these goals of primary care. They are educated to provide a full range of services to meet the needs of their patients.
1.2. Purpose of the Work
This comprehensive work was generated to improve “client” people-centered treatment initiatives within the context of advanced practice nursing. Towards that goal, the methods to improve client-centered treatment within a current APN practice were investigated. These methods are supported through amendments to the current system of care, use of direct and indirect clinical interventions, as well as involving clients in health education and promotion. The foundation for this work comes from research stating that Dimatatis et al. (1999) found that clients diagnosed with chronic conditions tend to be more compliant and satisfied with their treatment when they perceive the medical system to be more aligned with their own values and treatment preferences. This study serves to combine practice wisdom with scientific evidence to these ends.
2. Application of Course Knowledge
2.1. Selected Client-Centered Care Initiative
2.2. Importance of the Initiative in Future Practice
3. Continuous Quality Improvement (CQI) Framework
3.1. Selection of CQI Framework
3.2. Explanation of Each Step in the Framework
4. Improving Client-Centered Care
4.1. Enhancing Client Clinical Outcomes
4.1.1. Point 1: Implementing Evidence-Based Practices
4.1.2. Point 2: Monitoring and Evaluating Treatment Plans
4.2. Increasing Client Satisfaction
4.2.1. Point 1: Enhancing Communication and Education
4.2.2. Point 2: Addressing Client Preferences and Needs
4.2.3. Point 3: Ensuring Timely and Responsive Care
4.3. Coordinating Care Transitions
4.3.1. Point 1: Establishing Effective Communication Channels
4.3.2. Point 2: Collaborating with Interprofessional Teams
4.3.3. Point 3: Implementing Care Transition Protocols
4.4. Facilitating Specialty Consultations
4.4.1. Point 1: Identifying Appropriate Referral Criteria
4.4.2. Point 2: Streamlining Consultation Processes
4.4.3. Point 3: Ensuring Seamless Integration of Specialty Care
5. Involving Interprofessional Team Members
5.1. Importance of Interprofessional Collaboration in CQI
5.2. Roles and Responsibilities of Team Members
5.3. Strategies for Effective Team Engagement
6. Conclusion

Infectious Diseases and Viruses

question

1- What does the term ‘germs’ usually refer to? 
2- What do all germs have in common? 
3- Define the term ‘modes of transmission’ and give an example. 
4- What is a major disadvantage to a virus, if it replicates too much, too quickly? 
5- If there’s too little of a virus, what is a disadvantage (to the virus) if you don’t experience any symptoms? 
6- List the characteristics of a successful virus. 
7- What does the trade-off hypothesis predict for rhinovirus? 
8- Why does the malaria virus do not require a mobile host? 
9- What can we do to minimize the harmfulness of infectious diseases?
Answer
1. Introduction to Germs
It is highly improbable that a person of adult age could have lived in a household in a semi-sterile environment or worked in an industry which has top-notch cleanliness. Even though people may not be able to visualize germs, mold, and other biohazardous agents, they are always aware of the precautionary methods and practices which aim to bound these unwanted visitors from the realm of clean indoor living or working space. Whether it is teaching children to wash their hands before meals or, in some cases, after, using antibacterial soaps and lotions or spraying down kitchen and bathroom surfaces with chemical disinfectants, people are fighting a seemingly never-ending battle to rid our living spaces of germs. With the recent outbreak of diseases such as SARS, H1N1 virus, and increasingly high numbers of food poisoning cases, it is becoming more important to have a comprehensive understanding of what a germ is and its role as a causative agent of disease. The infamous people of the pre-germ theory era conducted acts such as opening the abdominal cavities of the deceased using bare hands and with no more protection than a blood-stained apron, to cutting the utensils and items used in surgery and not washing them, have an extreme appreciation of what a germ is and the effect of its presence.
1.1. Definition of ‘Germs’
Enough to be seen with the unaided eye. We will call these invisible living beings germs. This definition includes bacteria, fungi, various parasites, and viruses. Germs are limited by being too small to see without a microscope. Bacteria are made up of only one cell, but they are all around us and on us and even in us. Fungi are multi-celled plant-like organisms (such as mushrooms) that also include single-celled species (such as yeasts) and are also found everywhere, often in the form of mold. Many parasites are large enough to be seen. For example, worms are parasites. But this definition includes some parasites that are too small to be seen, such as the ones that cause malaria, which are single-celled organisms called plasmodia. The only exception to this definition is viruses, which are smaller than the smallest cells. While not all viruses are germs in the usual sense, this definition includes them because they are the cause of very many infectious diseases, and they are the only living organisms whose natural state is to exist only inside cells. Viruses are difficult to classify as microorganisms, as they are not truly alive. But they are invariably disease-causing, and this is the key attribute to germs in the context of infectious diseases.
1.2. Common Types of Germs
Viruses are small capsules containing genetic material. They are parasites in other organisms, including people, causing a range of diseases. The common cold, influenza, and warts are all caused by viruses. A virus can only reproduce within the cells of the host it invades, as it reprograms the cell to produce the components necessary for its replication. In most cases, viruses damage or kill the cells, then lie dormant for a period of time before reappearing, causing extensive long-term damage. The cell damage and the immune system’s response to the infection cause the symptoms of viral diseases. The immune system usually eliminates the virus from the body, and the infection is resolved. However, in some cases, such as HIV and Epstein-Barr, the virus evades the immune system, and the infection becomes chronic. Antiviral drugs are selective for viruses in that they can impair virus replication without harming normal host cells. However, due to the difficulty in targeting the viruses and not the host cells, these drugs often have limited effectiveness.
Bacteria are tiny, one-celled creatures that get nutrients from their environments in order to live. In some cases, that environment is a human body. Some bacteria actually cause disease, while others are helpful and even necessary to good health. Lactobacillus bulgaricus, for example, lives in the intestines and helps digest food. The bacteria in yogurt is probably the most known example of Lactobacillus bulgaricus. A few bacteria, such as the mycobacteria, are not harmful in general but can cause disease in a person whose immune system is not working properly. For example, Mycobacterium avium-intracellulare can cause a serious disease. More information is available on this in the Immune System and Disorders Article. Bacteria can cause many types of infections varying in severity. Infections occur as the bacteria try to make the body an environment more suitable for them to live in, reproducing and furthering their harmful effects. In infecting the body, bacteria can damage cells or interfere with cell function. They may release toxins which can damage the whole body. This then becomes a generalized infection. Symptoms of infection can vary but often include inflammation, fever, and fatigue. Bacterial infections are usually treated with antibiotics, which are chemicals designed to destroy or weaken the bacteria. High-level or broad-spectrum antibiotics are effective against a wide range of bacteria, and low-level antibiotics are often used to keep certain bacteria at bay. Amoxicillin use for prevention of Urinary Tract infections is an example of this. Antibiotics seldom have no effect on symptoms since they may cause removal of the bacteria and toxins that have caused damage or particular symptoms. Antibiotics have had a major impact on the length and severity of bacterial infections and on general public health.
Many people are familiar with the term “germs” referring to the tiny, microscopic organisms that cause disease. Until the invention of the microscope, scientists did not realize that germs existed, and people thought that disease was caused by bad air, spirits, a punishment from a god or simply fate. However, we now know that 4 main types of germs cause infectious disease. These are bacteria, viruses, fungi, and protozoa. Each of these types has its own structure, behaviors, and effects on the human body.
1.3. Role of Germs in Infectious Diseases
The organisms explained in the previous sections cause disease because they circle the primary location of the infectious organism that multiplies and causes trouble for the host. Now, disease is essentially a battle between two invasive organisms: the germ and the human. Disease occurs when the germ is successful in the battle with the human. The severity of that battle is what determines the severity of the disease. They are successful at causing disease when there is a portal of entry available to them. They are able to attach to the cells, grow and multiply, remain undetected by the immune system, and then cause damage to the cells and tissues. Germs in general are very adaptable, and that is why they are very successful at causing disease. Unfortunately, not all new strategies for the germ are successful in overcoming the immune system and resulting in disease. An example of this is the common cold, where there are over 200 different viruses that cause cold-like symptoms. Usually, it is insufficient in overcoming the immune system to cause serious illness, and symptoms of disease are only mild. This is known as colonization of the host, and many common diseases are simply a result of the germ trying to colonize and the battle between the germ and human causing only mild disease.
2. Common Characteristics of Germs
2.1. Key Features of Germs
2.2. Similarities Among Different Types of Germs
2.3. Importance of Understanding Germs’ Commonalities
3. Modes of Transmission
3.1. Definition of ‘Modes of Transmission’
3.2. Examples of Different Modes of Transmission
3.3. Significance of Understanding Transmission Methods
4. Viral Replication and Disadvantages
4.1. Consequences of Excessive Virus Replication
4.2. Negative Impact of Rapid Virus Replication
4.3. Effects of Overabundance on Virus Survival
5. Implications of Low Virus Levels
5.1. Disadvantages of Insufficient Virus Presence
5.2. Lack of Symptoms and Virus Survival
5.3. Importance of Detecting Low Virus Levels
6. Characteristics of Successful Viruses
6.1. Traits of Highly Effective Viruses
6.2. Factors Contributing to Virus Success
6.3. Understanding Successful Virus Traits
7. Trade-Off Hypothesis for Rhinovirus
7.1. Predictions Based on the Trade-Off Hypothesis
7.2. Implications for Rhinovirus Survival
7.3. Analyzing the Trade-Off Hypothesis in Rhinovirus
8. Malaria Virus and Host Mobility
8.1. Factors Influencing Malaria Virus Transmission
8.2. Lack of Mobile Host Requirement in Malaria Virus
8.3. Understanding Malaria Virus Transmission Mechanisms
9. Minimizing Harmfulness of Infectious Diseases
9.1. Strategies for Controlling Infectious Diseases
9.2. Importance of Preventive Measures
9.3. Promoting Public Health Initiatives

Discharge Resources for Chronic Cardiorespiratory Issues

Question
Discharge Resources for Chronic Cardiorespiratory Issues

Answer
1. Introduction
Perhaps the most compelling reason why patients with chronic medical conditions are frequently readmitted to the hospital is the lack of professional care available to them once they are discharged.
One study found that there was a mismatch between what patients and physicians said about what level of functionality the patient should be at before discharge. Phase I of the study showed that the physician thought 63% of patients could be independent in taking care of their illness, while only 37% of the patients said they could. This disparity in perception of the patient’s ability to take care of his/her illness mostly results in premature discharge of the patient.
One reason for readmission is that chronic medical illnesses are often not resolved at hospital discharge. This is evident because one-third of patients have a recurrence of the same illness within 2 weeks of hospital discharge. The reasons for patients leaving the hospital before their illness is adequately resolved are manifold. Usually, the patient and the doctor feel that they can take care of the remaining illness at home.
Chronic medical illnesses account for a greater percentage of patient conditions and diseases that contribute to hospital readmission. Although the acute treatment received by the patient in the hospital is often excellent, chronic medical conditions are often not resolved and the patients are frequently left without proper care. They often must fend for themselves in managing their chronic medical conditions, and their illnesses often become exacerbated, leading to a resumption of acute treatment.
1.1. Definition of chronic cardiorespiratory issues
According to the Respiratory Resource Centre in Ottawa, chronic illness is defined as the presence of an illness that is prolonged, does not often resolve, and is rarely cured completely. Cardio-respiratory diseases are chronic illnesses and are considered to be the leading health problem in Canada. They affect the heart and lungs and can greatly impact the patient’s quality of life. Some examples of cardio-respiratory diseases are hypertension, heart disease, stroke, asthma, and diabetes. The management of these diseases is vital to the patient’s overall health and well-being. Although chronic cardio-respiratory diseases are often managed in the community setting, there are also a significant number of patients who require care in the acute care setting. The burden of health care utilization in Canada continues to grow, as there are increasing numbers of patients being admitted to the hospital with acute exacerbations of their chronic diseases. This is particularly true for respiratory diseases. With the burden of health care utilization comes an increasing demand for efficient resource utilization as well as an increased focus on health system outcomes. The fluctuating nature of chronic diseases means that coping with these illnesses can be difficult for patients. A common problem for patients dealing with an exacerbation of their cardio-respiratory disease is the inability to return to their baseline level of function. This is often due to muscle deconditioning and/or a decrease in dyspnea tolerance. These patients often require additional support and resources to help them regain their independence and previous level of functioning. Failure to do so can greatly impact a patient’s quality of life. With an aging population and an increasing emphasis on keeping patients out of hospitals, it is important to help patients learn self-management skills and be as independent as possible. The ultimate goal is to prevent further exacerbations of their diseases and to help them maintain their highest level of function.
1.2. Importance of discharge resources for patient independence
Success in reducing acute healthcare usage occurs when the patient is able to comfortably and confidently manage their health condition using the recommended treatment and symptom management techniques, without the need for unscheduled visits to a healthcare facility. This is commonly referred to as self-management. High-quality self-management has positive outcomes for the patient and reduces cost to the healthcare system. In order for self-management to occur, a patient must understand their condition and the actions which must be taken to manage it, the patient must have confidence in their ability to take these actions, and the patient must have the necessary resources to carry the actions out.
The importance of discharge resources for patient independence cannot be underestimated. In the context of chronic cardiorespiratory issues, it has been shown that far more attention needs to be focused on the patient’s discharge planning in an effort to impede the reoccurrence of symptoms and decrease the likelihood of hospital readmission. A strong, consistent factor in the literature is the profound effect that the implementation of effective discharge planning can have on the patient’s quality of life without increasing the economic burden on the already strained healthcare system. The goal of discharge planning is to reduce the time the patient spends being acutely ill (that is, time spent in hospital or with a doctor visit) and to help the patient manage his or her own health effectively. The means in which this is achieved is varied but the implications of its success are profound and far-reaching.
1.3. Impact of readmission on reimbursement and hospitals
An important factor that drives the push for quality improvement is the Medicare perspective payment system, where hospitals that treat a higher proportion of low-income patients with multiple chronic conditions will be expected to lose a significant amount of their Medicare payment. It is estimated that payment reductions can be up to 3% of the reimbursement value in 2015 and 2017 (Haveman, 2013). This can create financial strain on already resource-poor safety-net hospitals. Readmission can result in financial penalization of the hospital. In 2012, 2,200 hospitals received penalties ranging from 1% to discharge 1.5 billion in total (Martin & Lassman, 2013), and in 2013, this increased to 2,600 hospitals (Health policy, 2013). This extra money can be crucial for a hospital already struggling with poor reimbursement to put into patient services, and in the current day and age, in a very money-driven healthcare environment, financial penalties due to increased readmission rates may act as an incentive for hospitals to improve the care they provide to reduce readmission rates. On the contrary to reduced reimbursement, for a patient who is readmitted, Medicare will pay for readmission services with an additional DRG payment for the readmission if it takes place within the same DRG window. This may sound like a benefit for the hospital; however, any additional payment will not offset the amount that was lost due to the initial admission.
1.4. Implications of readmission on patients
Soon after discharge from a hospital, the average chronically ill patient has a 20% chance of being readmitted to the hospital within 30 days and a 57% chance within 1 year. These rates have changed little in the past 30 years and readmission remains a common and expensive occurrence. Factors associated with readmission to the hospital include those related to the nature of the illness, the quality of patient care, characteristics of the patient, and the structure of the health care system. Although many readmissions are for medical issues similar to the previous admission, some patients are readmitted for conditions that are complications of medical treatments and some are readmitted for unrelated new medical issues. Given the nature of chronic illnesses and the link between patient functional status and hospital readmission, it is important to consider the effect of readmission on patients’ ability to live in the community and gain independence. High rates of hospital readmission can prevent a patient from leaving the cycle of frequent hospitalization and institutionalization, leading to worsening functional status and increased morbidity. Although this phenomenon has been recognized anecdotally, it is difficult to measure the impact of hospital readmission on patient independence and the ability to live in the community. Improved understanding of the factors that lead to hospital readmission, changes in the care of patients at risk of readmission, and development of interventions to prevent readmission are essential steps to reducing the high rates of hospital readmission and improving the health of chronically ill patients.
2. Discharge Resources for Patient Independence
2.1. Home healthcare services
2.2. Medical equipment and supplies
2.3. Rehabilitation and therapy programs
2.4. Education and self-management resources
3. Preventing Readmission
3.1. Care coordination and transitional care programs
3.2. Medication management and adherence support
3.3. Telehealth and remote monitoring solutions
3.4. Follow-up appointments and outpatient services
4. Impact of Readmission on Reimbursement
4.1. Medicare’s Hospital Readmissions Reduction Program
4.2. Financial penalties for excessive readmissions
4.3. Importance of quality improvement initiatives
4.4. Strategies for reducing readmission rates
5. Implications of Readmission on Hospitals
5.1. Increased healthcare costs
5.2. Overburdened healthcare resources
5.3. Negative impact on hospital reputation
5.4. Importance of patient satisfaction and outcomes
6. Implications of Readmission on Patients
6.1. Physical and emotional toll on patients
6.2. Financial burden of additional healthcare expenses
6.3. Disruption of daily life and routines
6.4. Importance of patient education and empowerment
7. Conclusion
7.1. Recap of discharge resources and their impact
7.2. Importance of preventing readmission for patient well-being and healthcare system sustainability

Effective Time Management and Career Planning in the Context of Organizational Goals

question
1. The chapter on time management describes priority setting as a critical step in good time management.  Give an example where you personally or have seen a leader fall into one of the time wasters described in the chapter-why did this behavior create time waste?  What are some strategies you have developed to minimize wasted time and analyze how might you apply these?
2. The text states that fiscal planning should reflect the organizations philosophy, goals and objectives.  What evidence of this have you discovered in your employment?
3. Briefly describe your experience or exposure to health care finances.  Evaluate how this has this helped you in being more conscious of balancing cost and quality?
4. Develop a career map for your 5, 10 and 20 year career goals. See learning exercise in Chapter 11 for more details.  You may wish to “Google”  Career Map for some ideas. (application)
5. Analyze the benefits of creating a resume. (analysis).   Appraise steps (if any) you have made towards building your resume such as what can/should be included (evaluation)

Answer
1. Time Management and Priority Setting
It is also possible to distinguish between a time waster and a time spender. Measures of time and how it is spent often reveal a common pattern in research. People who are disorganized and lack time management often feel that they need more time to get work done and often say “I haven’t got enough time.” The truth is, they have enough time for what they want to do. They often have a high amount of wasted time or what we refer to as “lost time.” This is time that they cannot account for with specific results utilizing the time. High amounts of lost time correlate with lower efficiency in work. A time spender is different; they enjoy their free time and generally feel that they are well organized.
In the Ford example, he did not realize his phone call was pre-empting an agenda item, he lacked verbal skills, and he did not take any follow-up action. This is the behavior of someone who is not skilled in time management. Wasted time can be classified into two different types: internal and external time. The behavior demonstrated in the phone call has caused Dart to experience external time, which is a gap in results. Ford’s lack of verbal skills and failure to take action has caused him to lose time that could have been spent on the agenda item. This has caused internal time, which is time spent doing something different from what was intended. The simplest way to identify wasted time is to compare actual results to desired results in work, home, or study loads. Time is wasted if there is no match in results.
Effective time management is a person who is skillful, organized, and experienced in their work and other daily activities. “Time management” is the process of exercising conscious control over how much time to spend on specific activities. People who don’t know the importance of time always let time control them. In fact, they will lose one thing that they’ll never get again in the rest of their life: time. But for people who understand the importance of time, they are able to do all of their wants and even more. They can also find free time to rest their body and mind. The purpose is that they can find happiness in what they achieve because they can utilize their time effectively. Usually, everyone wants to achieve the best result in the work they do. But sometimes, and often, something can disrupt their work, making the time they spend useless. Wasted time is the gap between expected and actual results in work.
1.1. Example of a Leader Falling into a Time Waster
In the following section, we have an example of a leader who fell into a time waster which Snow has described to be one of the time wasters, comfort. At her previous place of employment, the company developed a system and tool to effectively track and manage employees’ goals and the contribution of each employee towards those goals. The leaders at each level had a set of goals and it was required that they spend at least 5-10% of their time performing activities that directly contributed to those goals. The Vice President level leaders and above were to be assessed yearly based on their efforts towards those goals. Snow’s role was to support company-wide development and in very large part through developing front line employees to be able to take on more responsibilities and excel into higher level positions. He had a great deal of autonomy as to how he would do this and his ultimate goal was to create a larger development organization and then fill it with more developed internal candidates. At the time, there was a very good chance that the system and tools used to track leadership’s goals would be utilized by development which is what led Snow to want to figure out how to get development ‘ready’ for going through the leadership track. He decided that if he were to look at the potential leaders in the development organization as the future leaders he was developing now, he could angle some developmental work with them in a way that would directly benefit leadership in addition to benefiting the individuals. This had occurred to him in late 2006 and the turning point which led to his time wasting happened at a later date. In describing this example we will first show how the behavior was normal and this is key to identifying time wasting behaviors. We will do this by comparing the old behavior to the new time wasting behavior, followed by a then and now comparison. The old and new needs to be chronologically accurate and the then and now should be a side by side comparison of how things were done before compared to now.
1.2. Analysis of Time Waste Caused by the Behavior
The leader spends a significant amount of time responding to emails in an attempt to keep his inbox in single figures. While it is important for a leader to be responsive, it is not necessary to respond to every email as soon as it hits the inbox. The majority of emails can be directed to the trash or a subfolder, the sender can be advised to take alternative action or it may not require a response at all. By cleaning his inbox, the leader is placing a high priority on a task that can easily be delegated to others. This behavior has the potential to impact the efficiency of subordinates who may be awaiting replies or further instructions on the task. In this instance, the leader had wasted his own time and that of his subordinates with little benefit to the achievement of organizational goals.
This section provides a description of how leaders waste time and the impact their time wasting behavior has on subordinates and organizational goals. It is intended to be used as an educational tool to help leaders identify time wasting behavior in themselves and others and understand the repercussions of that behavior. A case can then be made as to why certain time management and priority setting strategies would be beneficial.
1.3. Strategies to Minimize Wasted Time
The more you can increase your awareness of how you are using your time, the easier it will be to identify where and how your time is wasted. Keep a detailed daily diary of how you are using your time. This can be quite tedious and take some effort, as it’s best to write down what you are doing as you are doing it. After a few days to a week, review your diary and identify your time-wasting activities. Determine what the causes or triggers are for those activities, as well as the associated thoughts and emotions. The more you can increase your awareness of the thoughts and emotions that lead to time-wasting activities, the better chance you have of preventing them. With that knowledge, identify alternative activities that are more constructive and better serve your goals. Now schedule the alternative activities, taking into consideration when and where is the best time to do them. This is known as a situational self-management plan, and it is a very effective way to change behavior.
Each of the strategies suggested takes a proactive approach to minimize potential time wasted. Set clear goals and prioritize tasks. If unsure as to what tasks to prioritize, then apply a SMART criteria to determine what are the best courses of action to take. When you set specific goals with measurable outcomes, it is easier to prioritize the tasks at hand. An example of a specific goal is to increase the efficiency of a specific task so that it will take less time. Then you would measure the time the task takes periodically after implementing changes to determine whether the intended outcome had been met. A specific goal that has a measurable outcome provides a strong sense of accomplishment and will help you prioritize tasks.
1.4. Application of Strategies in Personal Context
Frequently, I believe that the quickest way to do an activity is to do it myself. In the short term, that is frequently true. On the other hand, the time I spend teaching the other person to take on the task in my place will frequently save time in the long term and can also lead to a higher quality outcome. I am prepared to admit that I often take the easy option of doing it myself as I frequently convince myself that I can complete the task quicker than explaining what needs to be done to someone else. If I can change this behavior and actually judge whether the task is worth doing myself or delegating it to someone else, I can use my saved time on more strategic tasks. This will involve some assessment of the task in terms of priority and also the other person’s skill/knowledge level. This is something that I will have to develop with practice, trial and error.
Personal strategies for minimising wasted time in my job…
2. Fiscal Planning Aligned with Organizational Philosophy, Goals, and Objectives
2.1. Evidence of Alignment in Employment
3. Experience and Exposure to Healthcare Finances
3.1. Brief Description of Experience
3.2. Evaluation of Increased Consciousness in Balancing Cost and Quality
4. Career Mapping for 5, 10, and 20 Year Goals
4.1. Development of Career Map
4.2. Utilizing Learning Exercise in Chapter 11
4.3. Exploration of Career Map Examples
5. Benefits of Creating a Resume
5.1. Analysis of Resume Benefits

Effects of Aviation Security Regulations on the Industry

Question
Security Screening/TSALinks to an external site.
This link provides an overview of TSA airport security screening.
Aviation Security Manual (Doc 8973 – Restricted)/ICAO Links to an external site.
The ICAO Aviation Security requirements are the basis for international aviation security for all countries that signed the agreement, including the United States. Examine the security requirements for foreign carriers flying to U.S. airports.
Global Aviation Security Plan: Doc 10118 (PDF)/ICAOLinks to an external site.
This document addresses the need to guide all aviation security enhancement efforts through a set of 
internationally agreed priority actions.
Choose one of the regulations and discuss its effects on the aviation industry’s security. Also, compare or contrast one of these other regulations to the one you chose.

answer
1. Introduction
The quest for maximized security has seen the implementation of various security regulations and their subsequent up/downgrading as security intelligence changes. The events of September 11th, 2001, led to the implementation of stricter security regulations in the USA and internationally. The events of September 11th are notable for an extreme exogenous shock in security intelligence on an airline terrorist threat. This provides an excellent opportunity to apply economic analysis on the effects of an aviation security regulation with a variable level of security protection. An integral part of this study was the decision to choose a specific regulation because the aviation industry is extremely broad and the effects of security regulations can be quite specific to a certain part of the industry. Therefore, it is possible that different security regulations will have differing effects on different airline services. This concept is explored in more detail in sections to. The regulation that has been chosen is the Aviation Security Service Charge (ASSC). This regulation has a very broad effect on the industry but it particularly affects airlines and air passengers. Therefore, discussion on the effects of this regulation can be applied to various different airline services. A brief overview of the broad effects of this regulation will be provided in the next section.
Aviation and the aviation security regulations have been the subject of considerable controversy and debate. The industry has been compelled to install various security measures and mechanisms to protect the nations travelling on air transportation. The interests of aviation security and the economic health of the industry have to be addressed in the decision-making process on how new regulations are to be implemented. This paper will examine the effects of aviation security regulations on the aviation industry. The importance of aviation security regulations as an extraordinary government intervention on the industry is that its effects are seen throughout all the different parts of the industry. Security regulations can be considered as an additional input to the production of air travel, something which is added with the expectation that it will produce a certain level of quality or safety in the service. An analysis of regulations on the aviation industry provides a good opportunity to explore the economic effects of public policies on a specific industry. Aviation security regulations provide an interesting case for applying regulatory economics. It is one of the few instances in which the prime focus of cost-benefit analysis has been shifted from economic efficiency towards the maximization of security measures at any cost.
1.1 Importance of Aviation Security Regulations
The Air Transport Association (2007) underscores the importance of civil aviation to the economic health of the global economy, comprising nearly $370 billion US in direct economic impact and generating, in total, $1.2 trillion of economic activity. It sustains more than 33 million jobs. In light of this significance, the industry is a prime target for disruption, which may come in many forms, from civil unrest to acts of terrorism. The events of September 11, 2001, served as a rude awakening to the industry, bringing about a realization that the global aviation system was vulnerable to a small band of zealots armed with nothing more than a few box cutters. The ensuing changes to the US aviation security regulations were both swift and far-reaching when the Congress enacted the Aviation and Transportation Security Act (ATSA) (Transportation Security Administration, 2008), resulting in the greatest change to the governance of aviation security since its inception. ATSA was the first attempt to implement a fully integrated system of security with the intention to federalize airport security, and it marked a significant move away from a reactive, “firefighting” approach to security. Prior to this, security in the US was the responsibility of the individual airlines, but the events of 9/11 served as proof that this was ineffective and did little more than pose a minor deterrent to anyone attempting to breach security. ATSA allocated funds to the tune of $4.8 billion to be spent on security measures, a number dwarfed by the $65 billion estimate of economic impact 9/11 had on the aviation industry. The regulation created a comprehensive system of civil aviation security, providing both the requirements and the means. These new regulations were expected to have both positive and negative effects on the industry and its various sectors.
1.2 Overview of the Chosen Regulation
The current and ongoing regulation that is being investigated is the Secure Flight programme that was put forward by the Transportation Security Administration. The programme is an initiative that was decided upon after the events of 9/11 and the commission report which raised concerns about the security of the flying public. The programme was decided upon after TSA was forced to endure a variety of tasking security issues; the program itself is a performance-based programme aimed at increasing the overall security effectiveness for the entire US aviation system. This includes a consolidation of the various watch lists that are now being used for passenger identification and putting it into a thorough and comprehensive system that allows a discrepancy-free identification of passengers that require additional screening and those that are a legitimate threat. This system will be done by comparing passenger information against government lists of suspected terrorists. This is seen as a crucial step for following the events of 9/11 where the commission found that the use of aliases by terrorists was a primary method of eluding detection by watchlist systems to gain access to an aircraft. This requirement is directly related to the ICAO recommendation that requires member states to provide a means to match passenger information with names listed on criminal watch lists.
There are two key pieces of regulation which have a massive influence over the aviation industry and are aimed solely at improving the safety and security of the aviation industry both in the United States and globally. The two Title 49 of Code of Federal Regulations, which is a regulation that controls domestic aviation in the United States and the Chicago convention, which is an agreement that the United States and 185 other nations have signed which aims to achieve the highest common standards in security and safety in aviation through regulations that are uniform in their form and application.
2. Impact on Security Measures
2.1 Strengthening Passenger Screening Procedures
2.2 Enhancing Baggage Security Checks
2.3 Implementing Advanced Technology for Threat Detection
3. Influence on Airport Operations
3.1 Increased Security Personnel and Training Requirements
3.2 Enhanced Access Control Systems
3.3 Heightened Surveillance and Monitoring
4. Effects on Airlines and Carriers
4.1 Compliance with Security Regulations
4.2 Financial Implications of Security Upgrades
4.3 Collaboration with International Partners
5. Comparison with Other Security Regulations
5.1 Similarities between Chosen Regulation and TSA Screening
5.2 Contrasting Approaches to Security Measures
5.3 Shared Objectives and Cooperation among Regulators
6. Conclusion
6.1 Overall Impact on Aviation Industry Security
6.2 Continuous Adaptation to Evolving Threats

Emergency Management Plan: Financial Management

question
 In this discussion, explain and describe the Emergency Management Plan: Financial Management. How does financial management play a significant role in planning for tactical and operational endeavors? 
Answer
1. Introduction
Financial management is one of the key elements of every management plan. It provides the systematic approach in which the organization could allocate the financial resources to operational and capital requirements. This is defined by Pride et al. (2006), in which financial management is the operational activity whereby the funds of an organization are allocated and controlled to attain the organizational objectives. The principal objective of financial management in emergency management planning is to provide the most effective and efficient approach in which the organization could utilize the financial resources to prepare for, respond to, and recover from any potential emergencies or disasters. This also includes disaster risk reduction activities in which the organization could minimize the probability of a disaster occurring.
As this research paper is a management plan on financial management, the definition of an “Emergency Management Plan” stated by the Emergency Management Australia (2004) is “a plan that identifies measures which can be taken to eliminate hazards, reduce risk, and prepare for, respond to, and recover from a disaster.”
The research-based emergency management essay should be a tutorial and a management tool in which the emergency management plan would be developed effectively and efficiently. For emergency management plans to be effectively developed for the city or the municipality, the emergency management needs to understand what an emergency management plan is and its importance.
1.1. Definition of Emergency Management Plan
The emergency management planning process should take an “all hazards” approach given that the impacts of many hazards can be mitigated in similar ways and that it is hard to predict the type of disaster that will befall a particular place or community. An all hazards approach ensures that the strategy is relevant and useful to a broad range of scenarios. The emergency management plan will then identify and prioritize the most significant risks to be addressed. Note that in the context of a household emergency management plan, a “risk” may be any unplanned event that has the potential to disrupt the normal routine of the household.
An emergency management plan is simply the application of managerial process to the creation of a strategy that will allow the best chance of preserving the safety of a defined group at a point in time in the future.
An emergency management plan serves as a “road map” of sorts for how to keep your family safe and respond in an emergency. An emergency management plan is a dynamic guide for changing circumstances to minimize damage and ensure the safety and security of you and your family. This plan should be assembled by the head of the household and disseminated to each family member. It should identify the specific roles and responsibilities of family members in the context of the risk scenarios identified and the preparation and response strategies that will follow.
1.2. Importance of Financial Management in Emergency Management Planning
Effective financial management is an integral part of the overall emergency management plan. In every stage of emergency management, it is crucial to mobilize resources and spend funds wisely. Recurring natural disasters in various countries have encouraged emergency management authorities to consider providing funding for recovery and preparedness activities, in addition to response efforts. But despite the consensus that sound financial management is essential in emergency management, there has been little empirical research on the topic, and there is no clear understanding of what comprises good financial management in the emergency management context. This paper, based on a recently completed Ph.D. thesis, begins by defining financial management in the context of emergency management and establishing the significance of the topic. The subsequent section discusses various types of resources that are available to finance emergency management activities, and identifies the trends and imbalances regarding the allocation of resources between mitigation and preparedness activities, and response and recovery activities. The paper then presents a delineation of the key components of emergency management finance, and explains how accounting and accountability fit into the wider financial management framework.
2. Fund Allocation
2.1. Determining Financial Needs
2.2. Budgeting for Emergency Response Efforts
2.3. Allocating Funds to Different Operational Areas
3. Resource Acquisition
3.1. Identifying Funding Sources
3.2. Applying for Grants and Financial Assistance
3.3. Establishing Partnerships with Organizations for Financial Support
4. Financial Risk Assessment
4.1. Evaluating Potential Financial Risks
4.2. Developing Contingency Plans for Financial Emergencies
4.3. Mitigating Financial Risks through Insurance and Contracts
5. Financial Reporting
5.1. Establishing Financial Reporting Mechanisms
5.2. Monitoring and Tracking Financial Expenditures
5.3. Generating Financial Reports for Transparency and Accountability
6. Financial Auditing
6.1. Conducting Regular Financial Audits
6.2. Ensuring Compliance with Financial Regulations and Policies
6.3. Identifying Areas for Improvement in Financial Management
7. Cost-Benefit Analysis
7.1. Assessing the Cost Effectiveness of Emergency Management Strategies
7.2. Analyzing the Benefits and Returns on Financial Investments
8. Financial Training and Education
8.1. Providing Financial Management Training for Emergency Management Personnel
8.2. Enhancing Financial Literacy within the Emergency Management Team
8.3. Promoting Financial Awareness among Stakeholders
9. Financial Planning for Recovery
9.1. Developing Financial Strategies for Post-Emergency Recovery
9.2. Allocating Funds for Reconstruction and Rehabilitation Efforts
9.3. Implementing Long-Term Financial Plans for Sustainable Recovery
10. Conclusion

Employment-at-will and its Protections

Question
Within the Discussion Board area, write 400–600 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. Be substantive and clear, and use examples to reinforce your ideas.
Over the years, there has been much debate over the classification of employment-at-will employees. Employment-at-will is a term that refers to the protection that is applied to the employment relationship, such that the employer or the employee has the right to terminate the employment relationship at any time. There are different modifications to employment-at-will that vary at the state level. With your classmates, please discuss the following:
Does employment-at-will have better protections for employees or employers? Why or why not?
Choose a state and describe its modifications to employment-at-will. Do you agree with these modifications? Why or why not?

Answer
1. Introduction
This doctrine of discharge has been the most controversial of all employment-at-will issues. Its principal contribution has been to narrowly limit lawsuits for wrongful termination. Discharging an employee for a particularly bad reason does not make it wrongful discharge. According to one author, the reason might be “so bad, so hypocritical, or so small minded, that only the judge or the jury can be trusted to a fair decision.” This is not in today’s legal system. While the judge or jury might have the authority to decide the issue, there must first be an establishing a valid claim or cause of action. Employment-at-will supporters believe that the rule adequately balances the rights of employers and employees, without legislative limits on discharges.
The rule in employment-at-will states that if an employee has no specific term of employment, the employer can fire the employee for good cause, no cause, and even cause morally wrong, without being liable for wrongful discharge. The employee is granted the same legal right; he can quit on the spot, for good cause, no cause, and cause morally wrong. In general, the employment-at-will doctrine should not affect the employee’s unemployment compensation rights.
The doctrine of employment-at-will is a legal rule that was established in the nineteenth century. It has been adopted by all fifty states. According to this doctrine, either the employer or the employee may end the employment relationship at any time, with or without cause, giving rise to a claim for damages. Typically, courts have said that the employment relationship can be treated as “at-will” unless the employee can show the existence of an employment contract to the contrary.
1.1 Definition of employment-at-will
The term “employment-at-will” derives from American common law and it means that an employee can be dismissed by an employer for any reason or without having to establish a wrongful cause and without notice, as long as the reason is not illegal (e.g. firing a worker because of their race, religion, or gender) and the employer does not have a contract with the employee which specifies how and under what circumstances termination can occur. The doctrine is compatible with the idea of an unfettered labor market, where firms and workers transact at arm’s length. This is undoubtedly the US labor market in many areas, particularly those involving unskilled workers. At-will employment still exists to a large extent in most American states and is important in promoting economic growth in the nation. This will be elaborated on in section 1.2, which discusses the importance of employment-at-will. The other forms of employment are “for cause” and “for term”. In a “for cause” employment, the employee can only be terminated for a specific reason. This usually only occurs when there is a collective bargaining agreement between a firm and a union. This is due to the fact that unions require employment security for their members, and in return for conceding flexibility in the labor market have negotiated contracts which make it difficult for firms to lay off or terminate employees. The most extreme example of “for term” employment is that of a tenured professor at a university, who has essentially a lifetime employment agreement and can only be dismissed for gross misconduct or financial exigency on behalf of the employer.
1.2 Importance of employment-at-will protections
Courts have often spoken of the doctrine of employment-at-will in terms of a “default rule”. That is, in the absence of an express agreement to the contrary, it will be presumed that the employer and employee intended the employment relationship to be a short-term one, terminable at any time by either party. In this respect, employment-at-will can be contrasted with a contract for a fixed term of employment, where, because of the agreement of the parties, it can be a breach of contract to terminate the employment before the expiration of the term. If it is to be analyzed as a default rule, then the starting point is to examine the respective rights of the employer and employee that will be gained, lost, or compromised by moving away from (or contracting out of) that rule. This naturally leads to the question of just what employment-at-will protections are. An alternative approach to understanding the meaning of employment in terms of default rules is to say that the choice of at-will term or fixed term of employment is itself an exercise of freedom of contract. This approach would require showing that there was some impediment or background factor which made it difficult for employers and employees to contract for short-term revocable employment, and that a change to less restrictive rules was the result of a conscious policy decision. An example of doing this type of analysis in another area of labor and employment law is the work in the US on right-to-work legislation. This showed that the implementation of laws protecting union security employment terms was the result of state action, so that a change to a less union-restrictive regime of employment terms required a repealing or invalidation of the laws. We can barely adopt the approach, but the previous study of default rules still serves as a useful foundation for understanding what employment-at-will protections are, even if the intention was not to move more towards such employment terms.
2. Protections for Employees
2.1 Right to terminate employment
2.2 Protection against wrongful termination
2.3 Legal remedies for employees
3. Protections for Employers
3.1 Right to terminate employment
3.2 Protection against employee misconduct
3.3 Flexibility in managing workforce
4. State Modifications to Employment-at-will
4.1 State X’s modifications
4.1.1 Overview of State X’s modifications
4.1.2 Specific changes to employment-at-will
4.2 Evaluation of State X’s modifications
4.2.1 Agreement with State X’s modifications
4.2.2 Disagreement with State X’s modifications
5. Conclusion

Enhancing Medication Adherence Through Technology-Assisted Therapy Drug Monitoring

1. Introduction
Now there are so many emerging technologies that can help therapy, and one of them is a mobile app. A mobile app has very broad access and is suitable for use in reminder and monitoring systems. It can be an alternative to the reminder systems that have been tried using short message service. This mobile app can provide added value in a reminder system because it can have a direct connection to monitoring. Furthermore, this app might facilitate more patients with a variety of features, for example, a simple reminder with a calendar display, education using video, and a chat with medical personnel.
Enhancing adherence to medication can be done in many ways. The previous meta-analysis showed that adherence could improve significantly using reminding systems. The reminder systems themselves can be tailored to the patient’s problem, for example, reminders for patients who are forgetful or education for patients who do not take the meds due to their beliefs. Although reminding systems have proved to be effective at improving adherence, there was not one patient who did not go back to non-adherence. Patients stop taking their meds because they feel no benefit or the meds cause adverse effects. To detect this, a monitoring system is needed. The monitoring can detect whether a patient is still taking their meds and what the outcome of the meds is. This information can be used as feedback to the patient because the patient is still not aware that what they are feeling now is the result of discontinuation of meds. Detection of the outcome of meds is used as a consideration for doctors whether to adjust or change the therapy that has been done. Taking it a step further, the result of monitoring can also be used as evidence for research on the meds. Although so promising, there was not one study that reported using monitoring systems for meds. This drug monitoring can be a bridge to the continuation of the use of reminding systems.
Adherence to medication is so essential that without it, it can cause serious health problems, even death. There are so many clinical studies that have observed the problem of low adherence to medication and have tried to explain it. One of the studies showed that non-adherence to meds reaches 4% – 23% in developed countries, 2% – 59% in developing countries, and 1% – 50% in developed countries. Another study reviewed adherence to meds in long-term therapy in more detail and concluded that most of the patients stopped taking their meds when the meds showed no benefit for them or when the meds caused adverse effects. Low adherence to medication happens not only in developing countries but also in developed countries with different kinds of health problems and meds. This leads to the necessity of finding any method to improve adherence to medication.
1.1. Background
Improved adherence to medication could save many lives and reduce health care costs. Reasons given for poor adherence are varied. They include patient beliefs about their illness and medication (e.g. what it is, its cause, expected duration and perceived severity), characteristics of the treatment regimen (e.g. complexity, duration and side effects) and also importantly, characteristics of the patient. This is a substantial task for the healthcare professional to identify and try to change in order to improve adherence. High rates of poor adherence led to recommendations to assess patient adherence on each visit. However, patients have been shown to overestimate their adherence and many physicians do not accurately assess their patient’s adherence [4]. A study of orthopaedic outpatients found a 40% discrepancy between physician and patient reports of recommended treatment regimens [5]. A more accurate and convenient method of monitoring patient adherence is needed.
The World Health Organisation recognises that improving adherence to medication is crucial to improving health outcomes. Patients with chronic conditions often do not adhere to their medication regimens. A review of 569 studies examining adherence to long-term medication regimens found that on average 24% of doses were not taken; adherence was 75%; and half of the patients stopped their medication within a year [2]. Poor adherence is a major cause of increased morbidity and mortality as well as a reduced quality of life. A study of 96,000 hypertensive patients found that a 20% decrease in adherence was associated with a 14% increase in the risk of death or MI [3]. It is estimated that increasing adherence to medication regimens would have a greater impact on the health of the population than any improvement in specific medical treatments.
1.2. Purpose
The purpose of this essay is to examine the effect of enhanced therapy and drug monitoring on medication adherence. It will also discuss the use of technology in aiding medication adherence. The focus is on the improvements in adherence resulting from the use of a combined intervention of a modified directly observed therapy (MDOT) monitoring system in conjunction with home-based video in asthmatic children and their caregivers. This intervention has not been discussed in prior studies and the early evidence of its efficacy is encouraging. Asthma is chosen as the model disease because of its prevalence, high rate of hospitalization, and necessity for preventative therapy. With the high usage of inhaled corticosteroids and their known side effects, adherence must make adherence a primary concern in the care of pediatric asthma. This essay will use this ongoing study as a reference in the relationship between adherence and clinical outcome. The evidence from other studies on the effects of adherence on clinical outcome will be cited to show the importance of adherence in the care of chronic illness. Technology has been widely used to monitor adherence, and this essay will examine its effect in comparison to traditional methods of adherence monitoring. This essay will also explore possible future advances in medical adherence and how they may affect clinical outcomes in chronic illness.
1.3. Scope
The scope of this essay is to determine if medication adherence among adults 18-64 years of age with a diagnosis of schizophrenia can be increased through the use of technology-assisted therapy drug monitoring and to identify barriers to use of the technology. Medications to treat chronic conditions have often proven to be effective; however, only if taken as prescribed. Among individuals with schizophrenia, nonadherence to antipsychotic medications can range from 40-89% and tends to be highest during the first few months after initial prescription. Nonadherence with antipsychotic regimens can result in a higher risk of relapse, rehospitalization, and suicide-related events and is also associated with higher total costs of care. Types of adherence measurement in the research included: pill count, self-report, clinician rating, monitoring of appointments, and biochemical measures. The most often used approach to measure medication adherence is a patient self report which tends to overestimate adherence levels. Due to limitations of research designs and cultural differences in validity of adherence measures, it is suggested that multiple measures should be used in adherence research. An interactive Voice Response System was found to be effective in specifically identifying nonadherent individuals and inquiring about their reasons for nonadherence. However, this method does not assess actual medication taking, relies on a landline telephone, and is no longer commonly used. Currently the most effective way to monitor medication adherence is using electronic methods. Assessment of electronic monitoring adherence interventions found a significant but small effect in improving adherence when compared to control groups (OR=1.50, 95% CI 1.19-1.90). Due to the findings of this meta-analysis, our research question, was there a change in adherence to antipsychotic medications among adults with schizophrenia after the use of technology-assisted therapy drug monitoring, is relevant in the determination of more effective methods for improving medication adherence.
2. Importance of Medication Adherence
2.1. Impact on Patient Outcomes
2.2. Economic Implications
2.3. Challenges in Medication Adherence
3. Technology-Assisted Therapy
3.1. Definition and Overview
3.2. Types of Technology-Assisted Therapy
3.2.1. Mobile Applications
3.2.2. Smart Pill Dispensers
3.2.3. Electronic Monitoring Devices
4. Drug Monitoring in Medication Adherence
4.1. Role of Drug Monitoring
4.2. Methods of Drug Monitoring
4.2.1. Urine Drug Testing
4.2.2. Blood Testing
4.2.3. Saliva Testing
5. Benefits of Technology-Assisted Drug Monitoring
5.1. Real-Time Data Collection
5.2. Improved Accuracy and Compliance
5.3. Enhanced Patient Engagement
6. Challenges and Limitations
6.1. Privacy and Security Concerns
6.2. Technological Barriers
6.3. Patient Acceptance and Adoption
7. Case Studies
7.1. Case Study 1: Implementation of Mobile Applications
7.2. Case Study 2: Smart Pill Dispenser Pilot Program
7.3. Case Study 3: Electronic Monitoring Device in Clinical Trials
8. Future Directions and Innovations
8.1. Artificial Intelligence in Medication Adherence
8.2. Wearable Technology for Drug Monitoring
8.3. Integration with Electronic Health Records