solved Develop a hypothetical health promotion plan, 3-4 pages in length,

Develop a hypothetical health promotion plan, 3-4 pages in length, addressing a specific health concern for an individual or a group living in the community that you identified from the topic list provided. 

Bullying.
Teen Pregnancy.
LGBTQIA + Health.
Sudden Infant Death (SID).
Immunization.
Tobacco use (include all: vaping, e-cigarettes, hookah, chewing tobacco, and smoking) cessation.
Historically, nurses have made significant contributions to community and public health with regard to health promotion, disease prevention, and environmental and public safety. They have also been instrumental in shaping public health policy. Today, community and public health nurses have a key role in identifying and developing plans of care to address local, national, and international health issues. The goal of community and public health nursing is to optimize the health of individuals and families, taking into consideration cultural, racial, ethnic groups, communities, and populations. Caring for a population involves identifying the factors that place the population’s health at risk and developing specific interventions to address those factors. The community/public health nurse uses epidemiology as a tool to customize disease prevention and health promotion strategies disseminated to a specific population. Epidemiology is the branch of medicine that investigates causes of various diseases in a specific population (CDC, 2012; Healthy People 2030, n.d.).As an advocate and educator, the community/public health nurse is instrumental in providing individuals, groups, and aggregates with the tools that are essential for health promotion and disease prevention. There is a connection between one’s quality of life and their health literacy. Health literacy is related to the knowledge, comprehension, and understanding of one’s condition along with the ability to find resources that will treat, prevent, maintain, or cure their condition. Health literacy is impacted by the individual’s learning style, reading level, and the ability understand and retain the information being provided. The individual’s technology aptitude and proficiency in navigating available resources is an essential component to making informed decisions and to the teaching learning process (CDC, 2012; Healthy People 2030, n.d.).It is essential to develop trust and rapport with community members to accurately identify health needs and help them adopt health promotion, health maintenance, and disease prevention strategies. Cultural, socio-economical, and educational biases need to be taken into consideration when communicating and developing an individualized treatment and educational plan. Social, economic, cultural, and lifestyle behaviors can have an impact on an individual’s health and the health of a community. These behaviors may pose health risks, which may be mitigated through lifestyle/behaviorally-based education. The environment, housing conditions, employment factors, diet, cultural beliefs, and family/support system structure play a role in a person’s levels of risk and resulting health. Assessment, evaluation, and inclusion of these factors provide a basis for the development of an individualized plan. The health professional may use a genogram or sociogram in this process.What is a genogram? A genogram, similar to a family tree, is used to gather detailed information about the quality of relationships and interactions between family members over generations as opposed to lineage. Gender, family relationships, emotional relationships, lifespan, and genetic predisposition to certain health conditions are components of a genogram. A genogram, for instance, may identify a pattern of martial issues perhaps rooted in anger or explain why a person has green eyes.What is a sociogram? A sociogram helps the health professional to develop a greater understanding of these factors by seeing inter-relationships, social links between people or other entities, as well as patterns to identify vulnerable populations and the flow of information within the community.References
Centers for Disease Control and Prevention. (2012). Lesson 1: Introduction to epidemiology. In Principles of Epidemiology in Public Health Practice (3rd ed.). https://www.cdc.gov/csels/dsepd/ss1978/lesson1/section1.htmlU.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion. (n.d.). Healthy People 2030. https://health.gov/healthypeopleDemonstration of Proficiency
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
Competency 1: Analyze health risks and health care needs among distinct populations. 

Analyze a community health concern that is the focus of a health promotion plan.

Competency 2: Propose health promotion strategies to improve the health of populations. 

Explain why a health concern is important for health promotion within a specific population.
Establish agreed-upon health goals in collaboration with participants.

Competency 5: Apply professional, scholarly communication strategies to lead health promotion and improve population health. 

Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.
Apply APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format.

Your Online ePortfolio
Creating an ePortfolio is not required in the BSN program, but you may find it helpful to create one to attach to your professional resume while job hunting. Online ePortfolios serve two key purposes: 1) to support learning and reflection, and 2) to be used as a showcase tool. Your learning journey can be documented, and ePortfolios contribute to lifelong learning and growth through reflection and sharing. Online ePortfolios can also be shared with employers and peers to present artifacts that demonstrate your accomplishments at Capella.Using ePortfolio to Build Your Career
As you are preparing to tell your story in the professional world, leverage your ePortfolio artifacts to demonstrate the knowledge and competencies you have gained through your program in professional conversations, performance reviews, and interviews. To do that, reflect on the knowledge and skills you have gained from your courses and the elements you have put in your portfolio, along with how you have already applied these things to your professional life or how you might apply them in the future. Next, create your story or talking points to tell your professional story.Privacy Statement
Capella complies with privacy laws designed to protect the privacy of personal information. While you may voluntarily share your own information publicly, you are obligated to protect the personal information of others that may be associated with your academic or professional development. Before sharing information and material in any ePortfolio that is set up to be shared externally to your program at Capella, please consider privacy obligations in relation to protected populations who may be included or referenced in your academic or clinical work. Refer to the Family Educational Rights and Privacy Act (FERPA) and/or the Health Insurance Portability and Accountability Act (HIPAA) if you have specific questions or concerns about your choices.Note: Assessment 1 must be completed first before you are able to submit Assessment 4.Preparation
The first step in any effective project or clinical patient encounter is planning. This assessment provides an opportunity for you to plan a hypothetical clinical learning experience focused on health promotion associated with a specific community health concern. Such a plan defines the critical elements of who, what, when, where, and why that establish the foundation for an effective clinical learning experience for the participants. Completing this assessment will strengthen your understanding of how to plan and negotiate individual or group participation. This assessment is the foundation for the implementation of your health promotion educational plan (Assessment 4).You will need to satisfactorily pass Assessment 1 (Health Promotion Plan) before working on your last assessment (Assessment 4).To prepare for the assessment, consider various health concerns that you would like to be the focus of your plan from the topic list provided, the populations potentially affected by that concern, and hypothetical individuals or groups living in the community. Then, investigate your chosen concern and best practices for health improvement, based on supporting evidence.As you begin to prepare this assessment, you are encouraged to complete the Vila Health: Effective Interpersonal Communications activity. The information gained from completing this activity will help you succeed with the assessment. Completing activities is also a way to demonstrate engagement.For this assessment, you will propose a hypothetical health promotion plan addressing a particular health concern affecting a fictitious individual or group living in the community. The hypothetical individual or group of your choice must be living in the community; not in a hospital, assistant living, nursing home, or other facility. You may choose any health issues from the list provided in the instructions.In the Assessment 4, you will simulate a face-to-face presentation of this plan to the individual or group that you have identified.Please choose one of the topics below:
Bullying.
Teen Pregnancy.
LGBTQIA + Health.
Sudden Infant Death (SID).
Immunizations.
Tobacco use (include all: vaping e-cigarettes, hookah, chewing tobacco, and smoking) cessation. (MUST address all tobacco products).
In addition, you are encouraged to:
Complete the Vila Health: Effective Interpersonal Communications simulation.
Review the health promotion plan assessment and scoring guide to ensure that you understand the work you will be asked to complete.
Review the MacLeod article, “Making SMART Goals Smarter.”
Note: Remember that you can submit all, or a portion of, your draft assessment to Smarthinking Tutoring for feedback before you submit the final version for this assessment. If you plan on using this free service, be mindful of the turnaround time of 24-48 hours for receiving feedback.Instructions
Health Promotion Plan

Choose a specific health concern as the focus of your hypothetical health promotion plan. Then, investigate your chosen concern and best practices for health improvement, based on supporting evidence. 

Bullying.
Teen Pregnancy.
LGBTQIA + Health.
Sudden Infant Death (SID).
Immunizations.
Tobacco use (include all: vaping e-cigarettes, hookah, chewing tobacco, and smoking) cessation. (MUST address all tobacco products).

Describe in detail the characteristics of your chosen hypothetical individual or group for this activity.
Discuss why your chosen population is predisposed to this health concern and why they can benefit from a health promotion educational plan.
Based on the health concern for your hypothetical individual or group, discuss what you would include in the development of a sociogram. Take into consideration possible social, economic, cultural, genetic, and/or lifestyle behaviors that may have an impact on health as you develop your educational plan in your first assessment. You will take this information into consideration when you develop your educational plan in your fourth assessment.
Identify their potential learning needs.
Identify expectations for this educational session and offer suggestions for how the individual or group needs can be met.
Health promotion goals need to be clear, measurable, and appropriate for this activity.
Document Format and Length
Your health promotion plan should be 3-4 pages in length.Supporting Evidence
Support your health promotion plan with peer-reviewed articles, course study resources, and Healthy People 2030 resources. Cite at least three credible sources published within the past five years, using APA format.Graded Requirements
The requirements outlined below correspond to the grading criteria in the scoring guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed.
Analyze the health concern that is the focus of your health promotion plan. 

Consider underlying assumptions and points of uncertainty in your analysis.

Explain why a health concern is important for health promotion within a specific population. 

Examine current population health data.
Consider the factors that contribute to health, health disparities, and access to services.

solved Financial Statement Overview Activity Instructions This assignment provides you the

Financial Statement Overview
Activity Instructions
This assignment provides you the opportunity to prepare basic financial statements and apply the knowledge learned in Unit 1 to locate financial information in a set of financial statements. Complete P1-1 (page 33) and CP1-2 (page 37) from Chapter 1 of your Financial Accounting textbook.
The Effects of Transactions in T-Accounts
Activity Instructions
The ability to determine the financial impact of transactions is an important skill that all business professionals should possess. T-accounts provide a valuable tool for analyzing the effects of transactions. This assignment provides you the opportunity to analyze various transactions using T-accounts and utilize the information to prepare a classified balance sheet. In addition, you will utilize the new concepts learned in this chapter to further analyze the financial statements of Urban Outfitters.
Complete P2-3 (pages 88–89) and CP2-2 (page 93) from Chapter 2 of your Financial Accounting textbook.
The Balance Sheet
Place yourself in the role of one of the following stakeholders in a company: an investor, a creditor, or a manager. Summarize the information you would look for on each of the four basic financial statements, and explain why that information is pertinent to you. Include answers to two of the four questions below in your summary:

Why is the balance sheet important in order to understand the financial condition of the organization?
What types of accounts are found in the balance sheet, and how are the accounts arranged and grouped?
What types of business transactions add to the balances in each grouping of accounts on the balance sheet?
What types of information may users of the balance sheet discern by properly analyzing it?

Post your answers in this discussion, then proceed to the response guidelines.

Two Templates for how the first task should be setup.
P1-1 Preparing an Income Statement, Statement of Stockholders Equity, and Balance Sheet LO1-1Assume that you are the president of Highlight Construction Company. At the end of the first year (December 31, 2014) of operations, the following financial data for the company are available:Cash$25,600Receivables from customers (all considered collectible)10,800Inventory of merchandise (based on physical count and priced at cost)81,000Equipment owned, at cost less used portion42,000Accounts payable owed to suppliers46,140Salary payable for 2014 (on December 31, 2014, this was owed to an employee2,520who was away because of an emergency; will return around January 10, 2015,at which time the payment will be made)Total sales revenue128,400Expenses, including the cost of the merchandise sold (excluding income taxes)80,200Income taxes expense at 30% × pretax income; all paid during 2014?Common stock (December 31, 2014)87,000Dividends declared and paid during 201410,000(Note: The beginning balances in Common stock and Retained earnings are zero because it is the first year of operations.)Required:1. Prepare a summarized income statement for the year 2014.HIGHLIGHT CONSTRUCTION COMPANYIncome StatementFor the Year Ended December 31, 2014Net income$33,7402. Prepare a statement of stockholders’ equity for the year 2014HIGHLIGHT CONSTRUCTION COMPANYStatement of Stockholders’ EquityFor the Year Ended December 31, 2014Common StockRetained EarningsBalance December 31, 2013Balance December 31, 20143. Prepare a balance sheet at December 31, 2014.HIGHLIGHT CONSTRUCTION COMPANYBalance SheetAt December 31, 2014AssetsTotal assets$ 159,400LiabilitiesTotal liabilities$ -Stockholders’ EquityTotal stockholders’ equity$ -Total liabilities and stockholders’ equity$ –

CP1-2 Finding Financial Information LO 1-1Refer to the financial statements of Urban Outfitters in Appendix C at the end of this book.Required:1. What is the amount of net income for the most recent year?Net incomeThis information can be found on the2. What amount of revenue was earned in the most recent year?Net salesThis information can be found on the3. How much inventory (in dollars) does the company have as of January 31, 2012?InventoryThis information can be found on the4. By what amount did cash and cash equivalents * change during the most recent year?Cash and Cash EquivalentsbyThis information can be found on the5. Who is the auditor for the company?* Cash equivalents are short-term investments readily convertible to cash whose value is unlikely to change.

These excel templates and scoring guide are for the second task:

CP2-2Finding Financial InformationLO2-1, 2-2, 2-5, 2-6Refer to the financial statements of Urban Outfitters in Appendix C at the end of this book.Required:1. Use the company’s balance sheet to determine the amounts in the accounting equation (A = L + SE) as of January 31, 2012.Assets=Liabilities+Shareholders’ Equity=+2. If the company were liquidated at the end of the current year (January 31, 2012), are the shareholdersguaranteed to receive $1,066,268,000?Why or why not?3. What are the company’s noncurrent liabilities?4. What is the company’s current ratio?Current ===Ratio5. Did the company have a cash inflow or outflow from investing activities?Of how much?

P2-3 Recording Transactions in T-Accounts, Preparing the Balance Sheet from a Trial Balance, and Evaluating the Current Ratio LO2-2, 2-4, 2-5Cougar Plastics Company has been operating for three years. At December 31, 2014, the accounting records reflected the following:Cash$22,000Accounts payable$15,000Investments (short-term)3,000Accrued liabilities payable4,000Accounts receivable3,000Notes payable (short-term)7,000Inventory20,000Long-term notes payable47,000Notes receivable (long-term)1,000Common stock10,000Equipment50,000Additional paid-in capital80,000Factory building90,000Retained earnings31,000Intangibles5,000During the year 2015, the company had the following summarized activities:a.Purchased short-term investments for $10,000 cash.b.Lent $5,000 to a supplier who signed a two-year note.c.Purchased equipment that cost $18,000; paid $5,000 cash and signed a one-year note for the balance.d.Hired a new president at the end of the year. The contract was for $85,000 per year plus options to purchase company stock at a set price based on company performance.e.Issued an additional 2,000 shares of $0.50 par value common stock for $11,000 cash.f.Borrowed $9,000 cash from a local bank, payable in three months.g.Purchased a patent (an intangible asset) for $3,000 cash.h.Built an addition to the factory for $24,000; paid $8,000 in cash and signed a three-year note for the balance.i.Returned defective equipment to the manufacturer, receiving a cash refund of $1,000.Required:1. & 2.Record each necessary entry for the events in 2015 in T-accounts (including referencing) and determine the ending balances. The balances at the end of2014 have been entered as beginning balances for 2015.(Transaction (a) has been completed in the T-accounts as an example.)CashInvestments (short-term)Beg. Bal.22,000Beg. Bal.3,00010,000(a)(a)10,0003,000(g)End. Bal.End. Bal.Accounts ReceivableInventoryBeg. Bal.3,000Beg. Bal.20,000End. Bal.End. Bal.Notes Receivable (long-term)EquipmentBeg. Bal.1,000Beg. Bal.50,000End. Bal.End. Bal.Factory BuildingIntangiblesBeg. Bal.90,000Beg. Bal.5,000(g)3,000End. Bal.End. Bal.Accounts PayableAccrued Liabilities PayableBeg. Bal.15,000Beg. Bal.4,000End. Bal.End. Bal.Notes Payable (short-term)Long-Term Notes PayableBeg. Bal.7,000Beg. Bal.47,000End. Bal.End. Bal.Common StockAdditional Paid-in CapitalBeg. Bal.10,000Beg. Bal.80,000End. Bal.End. Bal.Retained EarningsBeg. Bal.31,000End. Bal.Required:4Prepare a trial balance at December 31, 2015.COUGAR PLASTICS COMPANYTrial BalanceAt December 31, 2015Account TitlesDebitCreditCashInvestments (short-term)Accounts receivableInventoryNotes receivable (long-term)EquipmentFactory buildingIntangiblesAccounts payableAccrued liabilities payableNotes payable (short-term)Notes payable (long-term)Common stockAdditional paid-in capitalRetained earningsTotals$243,000$0Required:5Prepare a classified balance sheet at December 31, 2015.COUGAR PLASTICS COMPANYBalance SheetAt December 31, 2015AssetsLiabilitiesCurrent assets:Current liabilities:Total current liabilities-Total current assets-Non-current assets:Total liabilities0Stockholders’ EquityTotal non-current assets-Total stockholders’ equity-Total assets$ -Total liabilities and stockholders’ equity$ -Required:6Compute the current ratio for 2015. (Round your answer to 2 decimal places.)Current ratioThese excel templates and scoring guide are for the second task:

CP2-2Finding Financial InformationLO2-1, 2-2, 2-5, 2-6Refer to the financial statements of Urban Outfitters in Appendix C at the end of this book.Required:1. Use the company’s balance sheet to determine the amounts in the accounting equation (A = L + SE) as of January 31, 2012.Assets=Liabilities+Shareholders’ Equity=+2. If the company were liquidated at the end of the current year (January 31, 2012), are the shareholdersguaranteed to receive $1,066,268,000?Why or why not?3. What are the company’s noncurrent liabilities?4. What is the company’s current ratio?Current ===Ratio5. Did the company have a cash inflow or outflow from investing activities?Of how much?

P2-3 Recording Transactions in T-Accounts, Preparing the Balance Sheet from a Trial Balance, and Evaluating the Current Ratio LO2-2, 2-4, 2-5Cougar Plastics Company has been operating for three years. At December 31, 2014, the accounting records reflected the following:Cash$22,000Accounts payable$15,000Investments (short-term)3,000Accrued liabilities payable4,000Accounts receivable3,000Notes payable (short-term)7,000Inventory20,000Long-term notes payable47,000Notes receivable (long-term)1,000Common stock10,000Equipment50,000Additional paid-in capital80,000Factory building90,000Retained earnings31,000Intangibles5,000During the year 2015, the company had the following summarized activities:a.Purchased short-term investments for $10,000 cash.b.Lent $5,000 to a supplier who signed a two-year note.c.Purchased equipment that cost $18,000; paid $5,000 cash and signed a one-year note for the balance.d.Hired a new president at the end of the year. The contract was for $85,000 per year plus options to purchase company stock at a set price based on company performance.e.Issued an additional 2,000 shares of $0.50 par value common stock for $11,000 cash.f.Borrowed $9,000 cash from a local bank, payable in three months.g.Purchased a patent (an intangible asset) for $3,000 cash.h.Built an addition to the factory for $24,000; paid $8,000 in cash and signed a three-year note for the balance.i.Returned defective equipment to the manufacturer, receiving a cash refund of $1,000.Required:1. & 2.Record each necessary entry for the events in 2015 in T-accounts (including referencing) and determine the ending balances. The balances at the end of2014 have been entered as beginning balances for 2015.(Transaction (a) has been completed in the T-accounts as an example.)CashInvestments (short-term)Beg. Bal.22,000Beg. Bal.3,00010,000(a)(a)10,0003,000(g)End. Bal.End. Bal.Accounts ReceivableInventoryBeg. Bal.3,000Beg. Bal.20,000End. Bal.End. Bal.Notes Receivable (long-term)EquipmentBeg. Bal.1,000Beg. Bal.50,000End. Bal.End. Bal.Factory BuildingIntangiblesBeg. Bal.90,000Beg. Bal.5,000(g)3,000End. Bal.End. Bal.Accounts PayableAccrued Liabilities PayableBeg. Bal.15,000Beg. Bal.4,000End. Bal.End. Bal.Notes Payable (short-term)Long-Term Notes PayableBeg. Bal.7,000Beg. Bal.47,000End. Bal.End. Bal.Common StockAdditional Paid-in CapitalBeg. Bal.10,000Beg. Bal.80,000End. Bal.End. Bal.Retained EarningsBeg. Bal.31,000End. Bal.Required:4Prepare a trial balance at December 31, 2015.COUGAR PLASTICS COMPANYTrial BalanceAt December 31, 2015Account TitlesDebitCreditCashInvestments (short-term)Accounts receivableInventoryNotes receivable (long-term)EquipmentFactory buildingIntangiblesAccounts payableAccrued liabilities payableNotes payable (short-term)Notes payable (long-term)Common stockAdditional paid-in capitalRetained earningsTotals$243,000$0Required:5Prepare a classified balance sheet at December 31, 2015.COUGAR PLASTICS COMPANYBalance SheetAt December 31, 2015AssetsLiabilitiesCurrent assets:Current liabilities:Total current liabilities-Total current assets-Non-current assets:Total liabilities0Stockholders’ EquityTotal non-current assets-Total stockholders’ equity-Total assets$ -Total liabilities and stockholders’ equity$ -Required:6Compute the current ratio for 2015. (Round your answer to 2 decimal places.)Current ratio

solved Discussion RequirementsA substantive comment should be approximately 300 words or

Discussion RequirementsA substantive comment should be approximately 300 words or more for each of the responses (2 responses TOTAL).Read the initial comments posted by your classmates and reflect upon them.Before writing your comments:Review the Discussion grading rubric to see what is expected for an excellent discussion, in order to earn full credit.Review some resources to help you synthesize, such as the following:Sullivan, J. (2011). Strategies for Synthesis Writing. Retrieved from http://www.findingdulcinea.com/features/edu/Strategies-for-Synthesis-Writing.htmlNOTE: You are required to cite sources and include a reference list for the second post if it is simply your opinion. However, if your opinion is based on facts (as it should be), it is good practice to strengthen your position by citing sources.Be sure to meet all of the criteria in the rubric, as noted in the instructions above.Third post for each module discussion:Read the initial and secondary comments posted by your classmates and reflect upon them.Directly respond to at least one classmate in a way that extends meaningful discussions, adds new information, and/or offers alternative perspectives.MY DISCUSSION (DO NOT RESPOND TO THIS POST PLEASE)(DO NOT RESPOND TO THIS POST PLEASE)(DO NOT RESPOND TO THIS POST PLEASE)(DO NOT RESPOND TO THIS POST PLEASE)Classmates and Professor,My biggest fear in cyberspace is the hacking of personal financial details by criminals. I imagine cyber criminals hacking into financial institutions and gaining access to the data on personal financial status and gaining access to that person’s finances. Banks and financial institutions should have strict ways of safeguarding the customer’s details and maintaining strong passwords that cannot be broken into. They should come up with ways of protecting personal data and make sure the data is not breached and that it is kept safe (Hartwig & Wilkinson, 2014). They should also introduce antivirus to their computers so that they are not easily broken into.The governments should think about cybercrime and try to come up with policies that can guard against cyber-crime. They should also consider coming up with a force that will prevent this serious crime and even establish a law-enforcing department where cyber-crime can be dealt with. Cybercrime is becoming the greatest threat to national security, and this should be addressed by all governments. There should be a global concern about cybercrime, and it is high time professionals are sought to deal with these cybercrimes (Causey, 2013). It should be a concern of all parliaments to come up with laws that deal with cybercrime and establish a force to deal with these crimes.I would rate cybercrime in the United States as the greatest threat to national security. Placing it at number one is because the threats are increasing daily in number and magnitude, and they have become a threat to national security and economic growth. Cyber-criminals are going to the extent of hacking the federal government’s information, leading to a severe breakdown of the national security system (Boot, Max, 2015). The United States has many threats to its security, such as terrorist attacks and nuclear weapons like those mounted by Russia, but cyber threats remain a threat to national security. Governments should train professionals who can fight this cybercrime and develop policies that deter this crime from happening. Individuals and companies should also look for ways of ensuring their computers are safe such as coming up with strong passwords for their computers.PedroReferencesBoot, M. (2015, July 12). What Is the Greatest Threat to U.S. National Security? Retrieved from Commentary: https://www.commentarymagazine.com/max-boot/greate…Causey, B. (2013 , January). How to Conduct an Effective IT Security Risk Assessment. Retrieved from Informative Week Reports: https://security.vt.edu/content/dam/security_vt_ed…Hartwig, R. P., & Wilkinson, C. (2014, June). Cyber Risks: The Growing Threat. Retrieved from Insurance Information Institute: https://www.iii.org/sites/default/files/docs/pdf/p…RESPONSE 1Classmates,There are several concerns about cyberspace. The first being that cybersecurity may fall out of step with cyber-attacks and cybercrimes; especially within the confines of business and government organizations. Mr. Singer highlights an interesting fact that MBA programs aren’t unanimously incorporating courses that cover cybersecurity as an integral part of management (Singer, 2014). Although the article is dated, I found that a mainstay is information technology MBAs that offer courses in cybersecurity and cybersecurity management practices. I’m not suggesting that if cybersecurity is a core course throughout all MBAs, regardless of concentration, that it will diminish the cybersecurity concern. Albeit, it will help guide smart and sound cybersecurity-related decisions for managers throughout businesses and government organizations. It will most likely also help account for proactive funding allotments instead of ‘after-the-fact’ adjustments and funding appropriations.Separately, the concern that as the cyber realm continues to expand and grow; both in size and complexity, as do the risks and vulnerabilities. For example, the U.S. critical infrastructure is highly interconnected and dependent on other critical infrastructures. Nearly all 17 different critical infrastructure sectors have some reliance on the energy infrastructure sector. If the power grid is hacked, disabled or otherwise incapacitated: agriculture, transportation, communication, energy, information technology, and other sectors will be undermined as well. This heavy reliance should be considered intimately when developing national security strategies and national cybersecurity programs.Cyber threats rank amongst the top 5 greatest threats to the U.S. Although, I don’t feel it’s that simple of an answer because national security threat categories (e.g. nuclear, cyber, terrorism, etc) and the actors behind those threats are intertwined. As ex-Chairman, Joint Chiefs of Staff, Joe Dunford mentioned that Russia, China, North Korea, and the Islamic State are amongst the top existential threats (Boot, 2015). The means of how those nations pose threats to our national security changes as time progresses. Cyber being the latest and most potent in decades since the Cold War and the nuclear escalation between the U.S. and U.S.S.R. The, then Director of National Intelligence, Daniel Coats, mentioned that the tactics of our well-known adversaries continue to change and diversify, but the actors perpetrating the attacks are more consistent (Fredericks, 2019). I agree; I think that the greatest threat is a two-part answer, in which Russia or China would top the greatest sponsor of attacks against the United States. Secondly, the great threat by means of the type they utilize to attack with would be cyber-based.BishopReferences:Boot, M. (2015, July 12). What Is the Greatest Threat to U.S. National Security? Retrieved from: https://www.commentarymagazine.com/max-boot/greatest-threat-to-national-security/Fredericks, B. (2019, January 29). Intel officials reveal the greatest threats to US national security. Retrieved from: https://nypost.com/2019/01/29/intel-officials-reveal-the-greatest-threats-to-us-national-security/Singer, P.W. (2014, January 12). What Americans should fear in cyberspace. Retrieved from: http://www.latimes.com/opinion/op-ed/la-oe-singer-cyber-security-20140122-story.html#ixzz2rB3lXtNMRESPONSE 2Classmate and Professor,What is your biggest fear in cyberspace?Cyberspace threats are and will still be a problem for many people (Singer, 2014). The reason is that almost all aspects of life are becoming technologically driven. Thus, as long as we use the Internet, there will be cyber risks. Conversely, my biggest fear in cyberspace is a phishing attack. The type of attack is becoming rampant and increasing at an alarming rate. There is also a lot of security gaps within the new technology. Therefore, cybercriminals are going to take this advantage and attack people from different angles. With phishing, cybercriminals can easily attempt to obtain sensitive information such as usernames and passwords by posing as a trustworthy entity in the electronic communication medium. Phishing is the biggest fear in cyberspace because it quickly lures users by communication purporting to be from trusted sources such as banks and social media sites. Equally, phishing cybercriminals use technology and human knowledge to manipulate people into actions that serve the purposes of the attackers.Where do you think cyber threats rate compared to all threats to U.S. national security? Justify your answer.Compared to the weapon of mass destruction and other attacks, a cyber attack is the number one risk to U.S national security. The argument is based on the recent pool that concluded that “Americans are more afraid of a cyber attack than they are of Iranian nuclear weapons, the rise of China or climate change (Boot, 2015)”. Cyber attacks are a big deal. Once launched, they can cause electrical blackouts and breaches to national security secrets. They can also lead to the failure of military equipment. Equally, cyber threats to U.S national security are increasing in terms of severity of impact, scale, and frequency. The range and method s of cyber attacks are also expanding by targeting different systems in the U.S national security. Certainly, there are increasing threats in the cyber world, which puts the U.S national security at more risks.ThomasReferencesBoot, M. (2015). What Is the Greatest Threat to U.S. National Security? Commentary Magazine. Retrieved from https://www.commentarymagazine.com/max-boot/greate…Singer, P. (2014). What Americans should fear in cyberspace. Los Angeles Times. Retrieved from https://www.latimes.com/opinion/op-ed/la-oe-singer…_________________________________________________________________________________________________Module 4 – BackgroundPOINTS OF DISTRIBUTION (PODS) AND THE STRATEGIC NATIONAL STOCKPILERequired ReadingAlameda County. (2012). Points of dispensing: Just in time training videos 1-10. Retrieved from http://www.acphd.org/phep/podtraining.aspxCarbon County Public Health (2014) Point of dispensing operations. Retrieved from DHHS (n.d). BARDA strategic plan: 2011-1016. Retrieved from https://www.phe.gov/about/barda/Documents/barda-st…FEMA (2016) Emergency Support Function (ESF) #8, National Response Framework. (read Coordination for obtaining, assembling, and delivering medical equipment and supplies to the incident area.) Retrieved from https://www.fema.gov/media-library-data/1470149644…Hernandez, I., Ramirez-Marquez, J.E., Starr, D., McKay, R., Guthartz, S., . . . Barcellona, J. (2015). Optimal staffing strategies for points of dispensing. Computers and Industrial Engineering, 83, 172-183. Available at Trident Online Library.Khan, S. & Richter, A. (2012). Dispensing mass prophylaxis — The search for the perfect solution. Homeland Security Affairs 8(3). Retrieved from https://www.hsaj.org/articles/206Oregon Public Health Division (2012) Mass prophylaxis point of dispensing (POD) field operation guide. Retrieved from https://www.oregon.gov/oha/PH/PREPAREDNESS/PARTNER…Paul, J. A., & Hariharan, G. (2012). Location-allocation planning of stockpiles for effective disaster mitigation. Annals of Operations Research, 196(1) 469-490. Available at Trident Online Library.Potter, M.A., Brown, S.T., Lee, B.Y., Grefenstette, J., Keane, C.R., Lin, C.J., . . .Burke, D.S. (2012). Preparedness for pandemics: Does variation among states affect the nation as a whole? Journal of Public Health Management Practice, 18(3), 233-240. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC37582… . Read “Discussions and Limitations” and “Conclusions.”Rebman, T., Loux, T.M., Zink, T.K., Swick, Z., & Wakefield, M.(2015). Infection prevention and mass vaccination training for U.S. point of dispensing staff and volunteers: A national study. American Journal of Infection Control, 43, 222-227. Available at Trident Online Library.Required WebsitesCDC 12 Hour Push Package. https://www.cdc.gov/phpr/stockpile/pushpackage.htmCDC Strategic National Stockpile. https://www.cdc.gov/phpr/stockpile/index.htmGovernment Response to Coronavirus, COVID-19. https://www.usa.gov/coronavirus

solved WORD: Â /content/enforced/33366-KIN-2305-050-U2020W/Topic in Health – review paper example a

WORD:  /content/enforced/33366-KIN-2305-050-U2020W/Topic in Health – review paper example and instructions.docx
PDF: /content/enforced/33366-KIN-2305-050-U2020W/Topic in Health – review paper example and instructions.pdf
1) What is a scoping review?
The aim of this module is to provide some perspective on different types of review papers and to introduce scoping reviews. Read the text below and then watch the accompanying video.
What is a review paper?
When someone asks us to write ‘a paper’, often they are asking us to summarize or explain what is known about a particular topic (or occasionally, supporting a particular point of view). Doing so usually involves reading a number of journal articles (hopefully) or other sources of information. That process – of drawing from a variety of sources and then summarizing them – describes writing a ‘review article’. That is in comparison to writing an article that describes the findings of a single study or experiment. 
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What are different types of review papers?
If we performed the process described above – selected papers to read based upon our own choice and then summarized them – we would be writing a narrative review. One drawback of this process is that the answers (or summary) we provide can depend heavily on which papers we choose to include….that is, our summary may be ‘biased’. This is usually not a desirable quality in science.  
One way to mitigate that source of bias is to use repeatable methods. Much like doing an experiment we can apply a standardized methodology to the process of writing review papers. That methodology would allow other people to reproduce (and verify) our results. These specific review methods chosen will differ depending on why someone is writing a review paper.
Many scientists and clinicians like ‘systematic reviews’. These reviews often try to answer a clinical question: how well a treatment works (or not), or whether a certain factor/exposure causes disease. That usually means having a fairly narrow clinical question (such as: ‘Is therapeutic ultrasound an effective treatment for lateral epicondylitis’), and then locating all the randomized controlled trials testing that treatment against placebo &/or other interventions. Sometimes advanced statistics are used to report the findings. Systematic reviews can be complex and are almost always written by experts in the field.
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What is a scoping review?
Scoping reviews are a newer type of review, which Arksey and O’Malley (2005) describe as studies that aim to: map the available literature in an area, along with the main sources and types of information available.
So, if you were new to an area, or weren’t sure how much had already been published, a scoping review might be a good place to start. Some researchers will use scoping reviews to determine whether they should even bother with a systematic review, or to help identify gaps or areas that haven’t been studied. 
One advantage of scoping reviews is that they do not require (quite) as much prior knowledge as a systematic review. Another advantage is that they (still) use a repeatable methodology. And finally, the results of scoping reviews are often ‘descriptive’, rather than replying on complicated statistical models. However, scoping reviews are still valuable contributions to literature (as even systematic reviews have limitations).
So, for this assignment we’re going to use some of the ideas from scoping reviews about methodology and reporting results to help us learn more about our topic. Instead of performing an entire scoping review – which can take many months – we’re going to include two main features: 1) our search strategy (in a methods section); 2) how much and what type of information exists (in a results section). 
How to do each of those is shown in the next modules.
References
Arksey, H., & O’Malley, L. (2005). Scoping studies: Towards a methodological framework. Journal of Social Research Methodology, 8(1), 19-32.
Watch the video below for more information and an example of a scoping review
2) Determining your topic and writing a purpose statement?
The aim of this module is to help us refine the topic or issue we’ll write about. You will also learn what a purpose and thesis statement are in the context of a scoping review.
Choosing the topic or issue to write about is likely the first step in writing our paper. There are many different ways to go about determining the topic or issue you will write about. For example, it might be something you experienced personally, learned about in another course, heard in the media, or perhaps even read about in this course. 
Regardless, once you have a general idea of your topic, it’s time to refine that topic into a purpose and/or thesis statement. As an example, you might be interested in marginalized or under-represented communities and health outcomes….however ‘marginalized communities’ is not a topic by itself – it describes (vaguely) a population or cohort of individuals (and a high priority one at that), but requires more information to form a purpose or thesis statement for a paper.
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Purpose Statements 
Your purpose statement will tell the reader about the scope, direction and specific focus of your paper. It won’t make any specific claim about the findings or how you’ll interpret the results (that’s what a thesis statement does). Although there is some variation in terminology, a purpose statement is very similar to an ‘aim’ or even ‘objective’ of a study. 
Your purpose statement should:
1) Tell the reader what you’re going to do. In this case it’s quite easy: we’re all going to write a paper that describes a topic in health in the context of the 6 (or 7) dimensions of wellness. Instead of using words like ‘describe’ you might also choose phrases such as ‘identify contributing factors’, ‘provide background’, ‘demonstrate the importance of…’ and so on.
2) Identify the population of interest. In the example above, ‘marginalized individuals’ is not specific enough. This should be refined to focus on a specific cohort, population or other characteristics. For example, ‘individuals experiencing homelessness’ is a specific marginalized or under-represented community. 
3) Be specific to an outcome, intervention, exposure, factor, circumstance, or other facet of health. Instead of using health or wellness in general, try to refine your area of interest: this could be by focusing on any of the specific items in the previous sentence. For example, we may be interested in factors such as food insecurities, the effects of adverse weather conditions, or access to specific health supports for individuals experiencing homelessness (e.g. oral, psychological, reproductive, substance use/addiction, etc). 
Your purpose statement should be the last line in your introduction. More importantly, your reader should be able to guess what your purpose statement is by the time they got there (but before they’ve read it).
Example purpose statement: The purpose of this paper is to describe food insecurities faced by individuals experiencing homelessness and the relationship to physical, emotional and interpersonal wellness.
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Thesis Statements – an alternative to purpose statements
Although most papers in health sciences will use only a purpose statement, in some cases (or areas) this will be replaced with a thesis statement. A primary difference between a purpose and thesis statement is that a thesis statement takes a particular stance or position on an area. Thesis statements give the reader an indication of the rationale and conclusions about the topic. 
If you’d prefer, you can write a thesis statement instead of a purpose statement. However, you’ll likely be better able to write your thesis statement after you’ve finished writing your paper (i.e. once you’ve learned about the particular topic).
Example thesis statement: Food insecurities contribute numerous deleterious, but preventable, effects to the physical and emotional wellness of individuals experiencing homelessness. Improving access to basic food sources should be high priority for public and policy makers. 
3) Writing the introduction?
The aim of this short module is to help write the introduction to your paper, using a style consistent with health research. 
Read the information under ‘Introduction’ in the paper outline and watch the video below for more detail.
NOTE: you will (very likely) write your introduction after you’ve gathered some sources (articles) on your topic and performed some of the searches described in the methods and results section. 
https://uwinnipeg.ca.panopto.com/Panopto/Pages/Emb…

4) How to search PubMed and what to report in methods?
For those of you new or still ‘warming up’ to finding/reading research articles, this module will likely contain most of the ‘how to’ for the assignment.
Specifically, it will demonstrate: 1) how to search for articles on PubMed; 2) what types of articles you might want to read; 3) how to find the full text of an article; 4) what information to write in the methods section of your paper.
This information is provided in a few short videos.
1. How to search on PubMed: general searches, Booleans, filters
https://uwinnipeg.ca.panopto.com/Panopto/Pages/Emb…

2. What types of articles to read: it’s unreasonable to expect us to read all of the articles on a topic, so how can we choose articles that provide the best ‘bang for the buck’? What is the evidence hierarchy? What are predatory journals?

https://uwinnipeg.ca.panopto.com/Panopto/Pages/Emb…

3. Finding the full text of an article: open source, institutional access

https://uwinnipeg.ca.panopto.com/Panopto/Pages/Emb…

4. What goes in the methods section? 
In the methods section of your paper you should include enough information so that another person could do the same search as you (i.e. that your search will be reproducible).
In the case of our paper we will make it fairly straightforward and you should report: the date of the search, the search terms (as entered in pubmed), any other filters (e.g. date ranges), the number of articles returned, the name of the database (presumably PubMed). You may also want to provide the original Arksey and O’Malley reference for scoping reviews and state that you are using a framework provided by them. 
The majority of this information should be provided in paragraph form and as usual, separated by topic. As an example, you may choose to have one paragraph describing the search details and a second indicating any framework, approach or other information relevant to your discussion (rather than all in one paragraph and/or ‘randomly’ scattered about). I’d recommend staying away from bulleted lists, although you might choose to report your search terms/info in a table (e.g. similar to how some systematic reviews go about it – but only if there’s enough information for a table…I wouldn’t create a table that contains just a single search term – that’d be best reported as text). 
5) Results: summarizing data, making tables and figures?
This video covers the essential components of the table/figure and text for your results section.

https://uwinnipeg.ca.panopto.com/Panopto/Pages/Emb…

This video demonstrates how to make/format a table (Word) and figure (Excel).

https://uwinnipeg.ca.panopto.com/Panopto/Pages/Emb…

6) Ideas for the discussion?
The intention of the discussion section of your paper is to address your purpose statement – that is to provide more information on a specific topic or issue in health.
There are many different ways you could go about this and/or aspects you could include (e.g. summary of information, common themes, gaps in the literature, limitations, etc) – which one(s) you include will depend on the topic or issue (that is, not all aspects listed above or in the outline will be applicable to all topics).
Lastly, you can draw information from different sources for this section. For example, some of this might come from a paper you found in your literature search, but it could also include texts, news articles, or peer-reviewed literature found from other searches. As an example, most of the ‘topics’ or ‘issues’ lectures I put together for this course get their information from 1-2 review papers, occasionally supplemented by other sources. 
https://uwinnipeg.ca.panopto.com/Panopto/Pages/Emb…

solved This assignment is due at the end of Week 3,

This assignment is due at the end of Week 3, Sunday at 11:59 p.m. MT. The guidelines and rubric for this assignment are located and listed below.Week 3: Quality Improvement Model Application (Links to an external site.)PurposeThe purpose of this assignment is to (a) provide examples of a quality improvement initiative or patient safety issue in any healthcare delivery setting, (b) explore the contributing factors for this adverse medical outcome, (c) apply quality improvement theories and philosophies to a healthcare management project, (d) demonstrate an understanding of quality improvement tools by correctly choosing and using them in specific cases, and (e) recognize the extent of problems of patient safety in medical care.Course OutcomesThrough this assignment, the student will demonstrate the ability to do the following.Apply frameworks and theories for improving quality of care in various healthcare systems. (CO 1)Use critical inquiry to evaluate the design, implementation, and outcomes of quality and safety improvement strategies. (CO 3)Advance knowledge, skills, and attitudes necessary for the continuous improvement of quality and safety in healthcare. (CO 5)Due Date: Submit by Sunday 11:59 p.m. MT at the end of Week 3.Students are given the opportunity to request an extension on assignments for emergent situations. Supporting documentation must be submitted to the assigned faculty. If the student’s request is not approved, the assignment is graded and a late penalty is applied as follows:Monday = 10% of total possible point reductionTuesday = 20% of total possible point reductionWednesday = 30% of total possible point reductionIf the student’s request is approved, the student will be informed of the revised due date. Should the student fail to meet the revised due date, the assignment is graded and a late penalty is applied as follows:Monday = 10% of total possible point reductionTuesday = 20% of total possible point reductionWednesday = 30% of total possible point reductionTotal Points Possible: 230RequirementsAssignment Criteria for the Paper1. Identify any existing quality concern or an existing patient safety issue and provide the rationale for choosing this issue.2. Explain the background and scope of the problem.3. Analyze the issue based on the appropriate quality philosophy.4. Identify the regulatory guidelines, internal and/or external benchmarks, or evidence-based practice standards surrounding the issue—explain what that expectation is and why. 5. Use the appropriate quality improvement tools to improve the quality outcome.6. Describe how you could or will get involved in this initiative to make a difference and move it forward to enactment.7. Summarize the content in concluding statements.8. The body of the scholarly paper is to be 3–5 pages in length, excluding title and reference pages.9. Grammar, spelling, punctuation, references, and citations are consistent with formal academic writing and APA format as expressed in the current edition.10. Include a minimum of four references published within the past 5 years, not including your textbook. References may include scholarly websites of organizations or government agencies and must be presented using APA current edition format for electronic media.Preparing the PaperCategoryPoints%DescriptionIntroduction and quality concern2511%Identify a quality issue/patient safety issue and provide a rationale.Background and scope of the problem209%Analyze the problem from a literature review and a practical point of view.Goals of improvement209%Identify three goals to improve the problem.Quality philosophy application3515%Using a quality model, analyze the patient safety concern and the intervention to bridge the gaps.Identification of the regulatory guidelines and internal/external benchmarks or EBP standards for this issue4017%Discuss all related factors to this problem and explain what the expectation is and why.Quality process tool and improvement recommendation4017%Apply appropriate quality improvement tools to improve the quality outcome; provide illustrations for all tools used (flowchart, gap analysis, root cause analysis, etc.). Choose at least two tools for implementation.Conclusion157%Provide summary and concluding statements.APA style104%Text, title page, and reference page(s) are completely consistent with APA current edition format.Scholarly references157%Paper is 3–5 pages in length, excluding the cover and reference pages. References include a minimum of 4 scholarly references, excluding the course text.Grammar and spelling104%Rules of grammar, spelling, word usage, and punctuation are consistent with formal written work.Total230100%A quality assignment will meet or exceed all of the above requirements.RubricQuality Improvement Model Application Guidelines With Scoring RubricQuality Improvement Model Application Guidelines With Scoring RubricCriteriaRatingsPtsThis criterion is linked to a Learning OutcomeIntroduction and quality concern25 ptsExceptional (100%) Outstanding or highest level of performanceIntroduction offers broad overview of topic narrowing to key concepts to be presented. Purpose statement is clear. All elements provided.20 ptsExceeds (88%) Very good or high level of performanceIntroduction includes issue and purpose. Statement present but may lack a key component.16 ptsMeets (80%) Competent or satisfactory level of performanceIntroduction of topic issue lacks occasional important element or specificity. One element provided.10 ptsNeeds Improvement (38%) Poor or failing level of performanceIntroduction of topic issue has multiple instances of inaccuracies. None of the required elements present or no introduction.0 ptsDeveloping (0) Unsatisfactory level of performanceIntroduction is not present.25 ptsThis criterion is linked to a Learning OutcomeBackground and scope of the problem20 ptsExceptional (100%) Outstanding or highest level of performanceSuccinctly defines problem and population with significant demographics; describes depth of the problem and numbers affected.18 ptsExceeds (88%) Very good or high level of performanceDefines problem, some elements may not be fully developed; rare inaccuracy.16 ptsMeets (80%) Competent or satisfactory level of performanceIdentifies problem with lack of depth and occasional important elements or specificity.8 ptsNeeds Improvement (38%) Poor or failing level of performanceIdentifies problem with multiple instances of inaccuracies or one or more elements missing.0 ptsDeveloping (0) Unsatisfactory level of performanceOverview of health problem is not present.20 ptsThis criterion is linked to a Learning OutcomeGoals of improvement20 ptsExceptional (100%) Outstanding or highest level of performanceComprehensive and realistic benefits to nursing profession presented.18 ptsExceeds (88%) Very good or high level of performanceBenefits to nursing profession stated with adequate clarity or realism.16 ptsMeets (80%) Competent or satisfactory level of performanceBenefits to nursing profession stated but lack clarity or realism.8 ptsNeeds Improvement (38%) Poor or failing level of performanceBenefits to nursing profession stated but unrealistic.0 ptsDeveloping (0) Unsatisfactory level of performanceBenefits to nursing profession absent.20 ptsThis criterion is linked to a Learning OutcomeQuality philosophy application35 ptsExceptional (100%) Outstanding or highest level of performanceApplication to problem/concern is fully developed and comprehensive.25 ptsExceeds (88%) Very good or high level of performanceApplication to problem/concern is adequately present or model mostly linked to project.20 ptsMeets (80%) Competent or satisfactory level of performanceApplication to problem/concern is minimally present or model not always linked to project.15 ptsNeeds Improvement (38%) Poor or failing level of performanceModel is not linked to project.0 ptsDeveloping (0) Unsatisfactory level of performanceApplication to problem/concern is absent.35 ptsThis criterion is linked to a Learning OutcomeIdentify regulatory guidelines, internal/external benchmarks and EBP standards40 pts(100%) Outstanding or highest level of performanceAble to discuss all related factors.32 ptsExceeds (88%) Very good or high level of performanceAble to discuss all related factors but there are some missing details.25 ptsMeets (80%) Competent or satisfactory level of performanceDiscussed some related factors but there are some that are missing.15 ptsNeeds Improvement (38%) Poor or failing level of performanceDiscussion is minimal and most of the factors are missing.0 ptsDeveloping (0) Unsatisfactory level of performanceNo discussion of related factors.40 ptsThis criterion is linked to a Learning OutcomeImprovement process and recommendations40 ptsExceptional (100%) Outstanding or highest level of performanceDecision recommendation thoroughly discussed. Discusses at least two tools.32 ptsExceeds (88%) Very good or high level of performanceDecision recommendation developed with rare inaccuracies; Discusses at least one tool.25 ptsMeets (80%) Competent or satisfactory level of performanceDiscussion of the decision recommendation lacks occasional important elements or specificity but one tool is discussed.15 ptsNeeds Improvement (38%) Poor or failing level of performanceDiscussion of the decision recommendation has multiple instances of inaccuracies and/or is vague. One tool discussed.0 ptsDeveloping (0) Unsatisfactory level of performanceDiscussion of the decision recommendation is absent. No tools discussed.40 ptsThis criterion is linked to a Learning OutcomeConclusion15 ptsExceptional (100%) Outstanding or highest level of performanceProvides distinct summary with concluding statements regarding the future direction and focus of the project; reflects key elements of the paper.12 ptsExceeds (88%) Very good or high level of performanceProvides distinct summary with concluding statements regarding the future direction and focus of the project; does not summarize key elements of the paper.8 ptsMeets (80%) Competent or satisfactory level of performanceProvides distinct summary with no concluding statements; no summarization of key elements of the paper.4 ptsNeeds Improvement (38%) Poor or failing level of performanceNo distinct summary; concluding statements found at the end in the general body of the paper.0 ptsDeveloping (0) Unsatisfactory level of performanceNo distinct summary or conclusion provided.15 ptsThis criterion is linked to a Learning OutcomeAPA10 ptsThere are no APA format errors in the text, title page, and/or reference page(s).8 ptsThere are 1–2 APA format errors in the text, title page, and/or reference page(s).6 ptsThere are 3–4 APA format errors in the text, title page, and/or reference page(s).4 ptsThere are 5 APA format errors in the text, title page, and/or reference page(s).0 ptsThere are 6 or more APA format errors in the text, title page, and/or reference page(s).10 ptsThis criterion is linked to a Learning OutcomeScholary15 ptsThe table provided is utilized. References include 2 or more scholarly resources, excluding the course text, and may include scholarly websites.12 ptsThe table provided is utilized. References include a minimum of 2 scholarly resources, excluding course text. One of the references utilized was not scholarly.8 ptsThe table provided is not utilized and/or references contain a minimum of 2 resources, excluding course text. One or more references utilized is not a scholarly resource.4 ptsThe table provided is not utilized and/or references utilized are not scholarly and/or fewer than 2 resources were utilized.0 ptsOnly one resource was utilized.15 ptsThis criterion is linked to a Learning OutcomeRules of grammar, spelling, word usage, and punctuation are consistent with formal written work.10 ptsRules of grammar, spelling, word usage, and punctuation are consistent with formal written work with no exceptions.8 ptsRules of grammar, spelling, word usage, and punctuation are consistent with formal written work with 1–2 exceptions.6 ptsRules of grammar, spelling, word usage, and punctuation are consistent with formal written work with 3–4 exceptions.4 ptsgrammar, spelling, word usage, and punctuation are not followed with errors.0 ptsRules of grammar, spelling, word usage, and punctuation are not followed with 6 or more errors.10 pts

solved Peer responses. 60 words each. APA format Peer #1 Laura

Peer responses. 60 words each. APA format Peer #1 Laura Individuals who experience successful aging have a greater preservation of health and functionality. Those that are considered successfully aging engage in three compensatory behaviors. These behaviors include an active participation in life, avoiding risk factors that lead to disease, and engaging in independent, physical functioning (Juntunen & Schwartz, 2016). In order to promote successful aging, there are several prevention strategies that can be employed. One prevention approach maximizes brain processes in order to avoid age-related, episodic memory deterioration. Some of the prevention efforts to stimulate active cognitive processes include providing the individual with reading materials, puzzles, word problems, and numeric exercises (Juntunen & Schwartz, 2016). Another preventive strategy emphasizes constructive coping processes when adjusting to age-related decline and functionality. One adaptation model implements a three-tier model that includes selection, optimization, and compensation (SOC). This prevention strategy addresses how to optimize the health care needs, social interactions, physical engagement, and behavioral adaptations in aging individuals (Juntunen & Schwartz, 2016). Another prevention strategy is improving access and use of clinical preventive services. Increasing early identification and diagnosis of disease can promote quality care in older adults. Community health clinics can check the individual’s blood pressure, provide cancer screening, test blood sugar levels and vitals, and incorporate community health systems for multidisciplinary, team-based care (Centers for Disease Control and Prevention [CDC], 2020). There are several effective strategies for facilitating positive adjustment in retirement. One of the best approaches includes creating an adjustable retirement plan. These plans include a pre-retirement preparation, the transitional bridge between work and full retirement, and post retirement plans. These are successful when they can be changed and managed according to life circumstances. First, when individuals are mentally and physically healthy, they are able to adjust better to retirement. As such, incorporating health-promoting measures like physical exercise, limiting alcohol consumption, active participation in cognitive-based activities, and integration into community events help facilitate a healthy adjustment into retirement (Golinowska et al., 2016). Next, financial preparation can positively impact retirement adjustment. Active participation in retirement planning seminars, long-term financial plans, cost-saving strategies, economic financial planning, and developmental activities for self-efficacy help in the preparation and successful transition into retirement. Additionally, making preventive decisions regarding estate planning end-of-life planning can be a beneficial retirement strategy. Finally, developing realistic life goals, preparing mentally, physically and financially, and active participation is retirement planning and preparation can help successfully bridge the transition from full employment status to retirement transitions. (Juntunen & Schwartz, 2016). References: Center for Disease Control and Prevention. (2020, September 21). Promoting health for older adults. https://www.cdc.gov/chronicdisease/resources/publications/factsheets/promoting-health-for-older-adults.htm Golinowska, S., Groot, W., Baji, P., & Pavlova, M. (2016). Health promotion targeting older people. BMC health services research, 16 Suppl 5(Suppl 5), 345. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5016724/ Juntunen, C.L. & Schwartz, J.P. (Eds). (2016). Counseling across the lifespan (2nd ed.). SAGE Publications, Inc. https://viewer.gcu.edu/V6W8wF Peer # 2 Clea When it comes to successful aging there are many factors that need to be taken into consideration. However the most important is the “environmental chatter,” (Gasiorek et al., 2016). Environmental chatter is broken down into four different categories: “ (1) internalizing and recalling memorable messages about aging, (2) observing how role models communicate about aging, (3) receiving accommodation or non accommodation from relational partners, and (4) internalizing portrayals of aging from the media.” (Gasiorek et al., 2016). What a person sees and hears in the world around them has a huge impact on how they view themselves. If an individual is able to see elderly people aging successfully and they appear healthy and active; it makes that process seem not so daunting. However, if an aging adult only sees people aging in negative ways such as depression, alzhemiers, inability to do things that will take a massive toll on their wellbeing. How the media portrays aging, be it positive or negative, can have an effect on how a person views themselves, the aging process and how society views them. Throughout our lifetime the people we interact with changes based on our family, the age of our children, work schedule, etc. When an individual no longer has children in the home, because they are all grown and may have families of their own, a person transitions into a grandparent, in the past that was seen as an old, crotchy person with gray hair that taught you how to fish, cook and sew. Whereas learning these skills can be very beneficial, that is really the media portraying aging in a very negative light. If a person becomes a grandparent in their 50’s or 60’s they haven’t even retired yet, and most people in that age bracket are still very active and full of life. If the media showed a lively, active, not completely gray grandparent doing physical activities with their grandchildren it would really paint them in a much more accurate way. The media really does dictate how an entire generation views themselves and how society views them as well. In order to have a positive retirement it is important to look at a person’s social circle. “Older persons may choose to engage in fewer but more strategic social interactions to preserve their functional resources in the presence of advancing age.” (Charles & Carstensen, 2010). By interacting with a more intentional group of individuals, it makes those relationships more meaningful and more impactful on your life. If you interact with those that view aging in the same light as you, you are able to age in a more graceful and positive manner. It is also important to find a purpose in your retirement life. If you just sit around all day watching tv and not interacting with others your mental stability is going to deteriorate; whereas if you are active, find a purpose and see joy in the aging process you will have value in yourself which greatly helps you as you age. References Bernhold, Q. S. (2021). The Role of Media in Predicting Older Adults’ Own Age-Related Communication and Successful Aging. Mass Communication & Society, 24(1), 1–30. https://doi-org.lopes.idm.oclc.org/10.1080/1520543… Juntunen, C.L. & Schwartz, J.P. (Eds). (2016). Counseling across the lifespan (2nd ed.). SAGE Publications, Inc. https://viewer.gcu.edu/V6W8wF Peer #3 Cassandra The term “successful aging” describes how individuals can alter their aging life course by engaging in compensatory behaviors. Along with changes such as diet, exercise, and nutrition there are three main components that are identified, these being “Active engagement with lifeAbsence or avoidance of disease risk factorsMaintenance of high levels of physical and cognitive functioning” (Juntunen, & Schwartz, 2016., p. 378). For successful aging interventions, the main goal is to utilize all available personal resources to enhance physical and cognitive function for as long as possible. For example, age-related deterioration of cognitive function can be enhanced by incorporating activities such as word or numeric activities, puzzles or reading. For those with physical limitations, exercise can be modified to seated chair exercises to maintain cardiovascular function and avoid muscle atrophy. For less resilient individuals, due to a history of poor lifestyle, habits, living conditions or at an advanced age, the goal becomes not just medicating age-related decline but also to find well-being, purpose in living and happiness when physical deterioration is present, the emphasis being on coping, adjustment, and acceptance of one’s limitations in the presence of declining functionality” (Juntunen, & Schwartz, 2016., p. 380). This can be accomplished through the process of reframing. Strategies are used that sustain continuity of life routines, for example, if a person can no longer do everyday activities such as grocery shopping, it may still be possible to preserved views of self-independence by employing one’s social network (friends, family members or professional caregivers) to help with this task. This way, they can still feel independent by maintain personal choices. Another strategy involves cognitive flexibility. This is defined as “an approach to cognitive problem solving that involves the manipulation of multiple solution sets to yield the best outcome in the shortest amount of time” (Juntunen, & Schwartz, 2016., p. 381). This involves actively adjusting goals or priorities as circumstances change, setting limits regarding abilities, employing social support, and seeking advice or counseling if needed. Decision making that anticipates the realities of age-related decline, is another important skill. older individuals who are skilled in this area experience more satisfying life satisfaction and feelings of well-being. Lastly, it is important to maintain an optimistic view of life. Experiencing feelings of emptiness, loss or stagnation in relation to sustain well-being is common. Some suggestions are adapting a model that works to alter the mind-sets by employing things like religious ideology or positive affirmations. Individuals who are “moving in a positive direction toward health will likely be engaged in coping or activating a positive mind-set to enhance well-being than will adults who are trying to escape or alleviate symptoms or are choosing to avoid pain that is associated with the irreversible processes of aging” (Juntunen, & Schwartz, 2016., p. 382). Counsellors can help retirees both before and after retirement. Most individuals begin thinking about this life stage in their 50’s. Counsellors can play an important role by identifying aspects of preretirement that can make a positive contribution to their transitional experience. This concept of continuity, as discussed earlier is crucial in establishing activities, interests, and recreations that can help replace the void resulting from job loss. These can become a valuable source of meaningful engagement in retirement. Prior to retirement, the importance of family values, worldviews, and relationships can be recognized and strengthened because this will also transfer to retirement. Coping strategies can be taught to make the transition easier. Retirement should be explained as a major transition involving several stages over time and that most retirees eventually manage the transition even though there may be continuing psychological issues. Once retirement starts coping mechanisms can be taught to help deal with the psychological effects caused by things such as the loss of a work/life structure and a job that may have defined much of their identity. In addition, counsellors can also inquire into possible issues in home management, family relationships, caregiving needs, and building a secure retirement/life structure. Lastly, enquiries should also be made about old or new friendships and the possibility of social isolation that may point to social support needs. This progress may also reveal signs of depression or identity or self confidence issues that need attention (Osborne, 2012). Blessings Casandra References Juntunen, C. L., & Schwartz, J. P. (2016). Counseling across the lifespan: Prevention and treatment (2nd ed.) Los Angeles, CA: SAGE Osborne, M. (2012). Psychological Effects of the Transition to Retirement. Canadian Journal of Counselling and Psychotherapy, Vol. 46 (1), 45–58. https://doi.org/https://files.eric.ed.gov/fulltext…

solved Architectural Studies  – Modern Architecture History Assignment 1: Â

Architectural Studies  – Modern Architecture History 
Assignment 1:  Early Developments to Avant Gardes     ?
Chapters: 
1. Early Developments of Modernity: Formant Forces, Factors, and Structures 
2. The Avant Garde Period: Revolutions in Society and Form: Futurism and Soviet Avant Garde 
3. The Avant Garde Period: Craft, Industry and Abstraction for the reconstruction of Europe: Neoplasticism and The Bauhaus 
Instructions: 
1. Awnser 4 out of 5 Questions: Research the web, as well printed material, including the Provided Textbook. 
2. TEXTBOOK: Modern Architecture since 1900
3. Single-paragraph response for every question, augmented by Image Reference illustrations. 
4. All citations and bibliographical references in all assignments should be included, per standard format, which is APA APA system of referencing is available from various sources, example: http://ww.citationmachine.net/apa/cite-a-book
Questions: 
1.  Describe three forces in the development of modernity. These could be scientific, ideological, or technological. 
-Reference: Themes:
Possible answers:
-Humanism – Challenging of religious dogma, and placement of the human at the center of knowledge, and social aspirations.
-Emergence of the Bourgeoisie; a secular, independent class of intellectuals, tradesmen and craftsmen (in the Bourg, or city)
-Industrial Revolution – increased production and normalization of goods
-The move from feudalism to capitalism (abstraction of wealth)
-Enlightenment – Development of science as main source of knowledge; prevalence of reason over belief.  ?
2.  Describe three forces in the development of modern architecture. Briefly explain those relationships. (Use WJR Curtis.)    ?
-Reference: Themes:
Possible answers: 
-Change of Program: From royalty and religion to secular programs, first ‘public buildings’
-Abandonment of the classical styles; search for expressions that emerge from new materials/methods.
-New materials: Iron (first, then steel) concrete, sheet glass, etc. —> factory-produced and normalized
-Elimination of ornament, which responded to new manufacturing processes.  ?
3.  The Futurist Movement, politics and morals aside, produced extraordinary and transformative insight on the nature of form and space. ??
– Describe two main themes, constant in their work. Relate them to their cultural context.   ??
Cite specific examples of works.   ???
-Reference: Themes:
-In painting: The study of LIGHT as a phenomenon and effects ,The representation of SPEED (of movement) as the new force, and source of beauty,. Cars, locomotives, airplanes…  Dynamism OK too.
-SOCIAL UPHEAVAL and revolts
-In architecture: Verticality.  Expression of new materials Glass and Steel. Expression of systems of mechanical conveyance: Railways, elevators, escalators, etc.
-Context: A discontent with the old regime, manifested in the stasis of the architectures of the past (The weight of Rome.) A desire to tear down the existing and begin anew.
4.  Examine how the language of De Stijl developed. Use Curtis to provide at least: ??
– one technique or principle that was abandoned or rejected ??
– one agent of change (or one influence) ??
– one seminal project that illustrates that transition   
-Reference: Themes:
Perspective was abandoned for the use of the axonometric. Symmetry was also abandoned.
Cubism, FLW’s Robie House,
Rietveld-Schroeder House, Red-Blue chair  ?
5.  What does it mean that constructivists rejected “art for art’s sake”? What is the implication in their work, whether it was art, design, or architecture? Mention / use two drivers of form.   
-Art had to be useful; at the service of the new society and the “new man” (modern, productive, dynamic…)
-Rejection of historicism or representational characteristics -architecture should be functional, its agenda is change; therefore it is abstract in its emphasis, or its metaphors are abstract.
-Abstraction also as product of the application and expression of industrial languages and processes. 
-Absence of ornament, or reduction of ornament to the strictly constructive -joinery, fasteners, material combinations, etc
-Angular or curved geometries that aim at defying gravity, and produce a sense of dynamic equilibrium. An emphasis on irregular, diagonal, oblong formsRejection of the stasis and weight of stability and symmetry (they were sick of it!), for the pursuit of dynamic, energetic form; one that projects into the future.
-Tectonic expression and clarity in the application of materials; intersection and assembly.
-Perspectival spatial design; transparency and exaggerated perspectives.Repetition, iteration, rhythm, arrays…Emphasis on three-dimensional design -as opposed to extruded 2D
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2__2
Architectural Studies  – Modern Architecture History 
Assignment 2:  Le Corbusier 
Chapters: 
1. Le Corbusier: The Consolidation of the Language of Modern Architecture
Instructions: 
1. Awnser 4 out of 5 Questions: Research the web, as well printed material, including the Provided Textbook. 
2. TEXTBOOK: Modern Architecture since 1900
3. Single-paragraph response for every question, augmented by Image Reference illustrations. 
4. All citations and bibliographical references in all assignments should be included, per standard format, which is APA APA system of referencing is available from various sources, example: http://ww.citationmachine.net/apa/cite-a-book
Questions:
1.  Why do we say that the Dom-i-No system and the 5 Points for a New Architecture are game changers? How are both related, and what is new in the resulting architecture?    -?
-Reference: Themes:
-Domi-i-No because it separated the structure from the enclosures of a building… -?
-5-Points because it enabled unprecedented flexibility in design, and allowed more light and air into space   
-The Dom-i-No is the framework around which the 5 points are built. The resulting architecture is economical, flexible and open, transparent and spatial.  
2.   Explain what the Architectural Promenade is, in one paragraph. Illustrate with one example.   ?
-Reference: Themes:
-The walk through an architecture; a designed path and set of sequential experiences, woven with the placement, and form of architectural elements in space. Some form of this explanation.   ?
3.  Provide three defining (new) characteristics of the design of the Unité d’Habitation de Marseille   
-Reference: Themes:
-Units: All face two views (mountains and sea), have double heights, light and spatiality in a narrow space
-All-in-one program, contains basic services: Living, groceries, laundry, day-care, gymnasium
-Roof terrace as main open space with relation to the sky and the viewsIdeas of the Ville Radieuse applied to one building
-First brutalist building ever (we didn’t talk about this yet)  ?
4.  Three Differences between the first period of Le Corbusier (Purism, “the machine to live in”) and his later work (Post-WWII) Give one reason for this transformation. (use and reference W.J.R. Curtis)    
-Reference: Themes:
-Move towards raw expression of form and material – BrutalismEmphasis on mass and walls, departing from Dom-i-No, pilotis, etc
-The “building within a building”
-The development of the Brise-Soleil
-Reasons:  India (poverty and exuberance) and the horrors of WWII. “Loss of faith in the machine”  ?
5.  Some people speak of a 6th point of architecture, what would that be? Explain why it is so important, and what other principle it supports.   
-Reference: Themes:
-The use of ramps. Ramps free the sight of the viewer from looking down, and allow the enjoyment of the spatial experience.
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3—3
Architectural Studies  – Modern Architecture History 
Assignment 3:  
Chapters: 
1. Post WWII Internationalization of Modernism, the Atomic Era 
Instructions: 
1. Awnser 4 out of 5 Questions: Research the web, as well printed material, including the Provided Textbook. 
2. TEXTBOOK: Modern Architecture since 1900
3. Single-paragraph response for every question, augmented by Image Reference illustrations. 
4. All citations and bibliographical references in all assignments should be included, per standard format, which is APA APA system of referencing is available from various sources, example: http://ww.citationmachine.net/apa/cite-a-book
Questions: 
1.  Name three characteristics of Scandinavian architecture/ design which differ from their contemporary European counterparts (Constructivism, Bauhaus, Le Corbusier…). Name two important designers and ?their works. (Use W.J.R. Curtis)   
-Reference: Themes:
Characteristics:   ?  
a. Softer, curved forms influenced by nature, or responding to site’s natural configuration , etc       
b. Use of handmade or traditional materials (wood, brick…) in modern adaptation       
c. Connection of architecture to the ground, and the landscape  (as opposed to “levitating” on columns)  
Designers/Works:?  
a. Alvar Aalto – Paimio Sanatorium, Villa Mairea, bentwood furniture 
b. Eric Gunnar Asplund – Woodland Cemetery Crematorium, Stockholm Exhibition Bldg       
c. Arne Jacobsen – Bellavista housing   
2.  Briefly describe two characteristics or constructive elements of Ludwig Mies Van Der Rohe’s architecture.    
-Provide one building example.
-What was a “side-effect” of this, in relation to technology and architectural spatiality?  
-Reference: Themes:
–  Limitless, unobstructed horizontal transparent space -The “air sandwich”  
– Constructive minimalism; precision and proportion. -LESS IS MORE
– Expression of materials; constructive detail  
– The cross-shaped chromed pillars at Barcelona and Tugendhat   
3.  How was the response of modernism to health crises reflected in the architecture of the time?  Provide one building example.  What was a “side-effect” of this, in relation to technology and architectural spatiality?   
-Reference: Themes:
-Emphasis on daylight penetration, and ventilation, access to exterior. (Essentially, an application of LC’s Sun, fresh air and Greenery)
-Building examples:   Paimio Sanatorium -Alvar Aalto, Lovell Health House -Richard Neutra 
-Side effect: Transparent and translucent architecture. (GLASS) See thru, like radiographs.
4. Name three architects of the Case Study program, and one important built work by each one of them.   
-Reference: Themes:
-Eames                     Eames House     ?-CSH #8                         ????  
-Entenza House      -CSH #9 
-Pierre Koenig          W. Bailey House    -CSH #21B                   ??????
-Stahl House      ? -CSH #22 
-Craig Elwood          Fields House    ?  -CSH #18
-BRichard Neutra       S. Bailey House     -CSH #20A  
5.  Contrast LC’s Villa Savoye and AA’s Villa Mairea, in terms of : 
-their approach to siting
-their approach to material expression
-Reference: Themes:
-Siting: Savoye “floats,” it separates itself, differentiates itself from nature. It asserts its artificial nature, its abstraction.   Mairea embraces the site’s topography, it is firmly grounded. Mairea blends with the natural landscape.
-Material Expression: Savoye is white and abstract, in smooth concrete and glass; artificial.  Mairea incorporates stone, wood siding, and other materials that relate to the site.
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solved Assessment 2: TOWS Matrix Analysis and Strategic Plan Prepare a

Assessment 2: TOWS Matrix Analysis and Strategic Plan
Prepare a TOWS matrix (1-2 page grid) that summarizes a health care organization’s threats, opportunities, weaknesses, and strengths. Write an analysis paper (4-5 pages) highlighting key findings from the TOWS matrix. Create a draft strategic plan (1-2) pages that describes four strategies for the organization to pursue based on findings from the first two course assessments.
Note: Each assessment in this course builds upon the work you have completed in previous assessments. Therefore, you must complete the assessments in the order in which they are presented.
An essential element in evaluating a health care organization’s overall strategy entails examining the company’s resources and competitive capabilities. Are they sufficient to allow the organization to pursue the best market opportunities, while minimizing external threats?
The most widely used tool in conducting this evaluation is a TOWS matrix. A well-executed TOWS analysis provides the basis for crafting the organization’s strategic plan. A key difference needs to be addressed here. SWOT (strengths, weaknesses, opportunities, and threats) analysis has been a popular way to display pertinent external issues and internal strengths and weaknesses. This type of analysis involves listing the organization’s strengths and weaknesses and perceived external opportunities and threats. SWOT, however, does not provide much insight into what strategy decisions might result from the list of strengths and weaknesses and opportunities and threats. As a result, the TOWS matrix (threats, opportunities, weaknesses, and strengths) was developed to provide a better way to develop and evaluate specific adaptive strategic alternatives.
This assessment provides an opportunity for you to complete a TOWS matrix and corresponding analysis, as well as draft a high-level strategic plan based on your TOWS matrix.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
Competency 1: Analyze organizational structure, design, culture, and climate in relation to environmental forces.
Incorporate methodologies from the knowledge-economy management approach appropriate for the organization.

Integrate recent strategy management research findings into a strategic management plan.

Competency 2: Develop a strategic organizational plan that provides human and financial resources to support targeted organizational outcomes.

Synthesize operational and financial components into a strategic planning process.
Competency 3: Recommend an organizational structure and design to optimize a strategic plan.
Determine the organizational structure that best facilitates the strategy.

Competency 4: Communicate in a manner that is scholarly, professional, and consistent with expectations for professionals in health care administration.

Create a clear, concise, well-organized, professional TOWS matrix analysis and strategic plan draft.
Apply proper APA formatting and style guidelines to citations and references.

Note: Complete the assessments in this course in the order in which they are presented. For this assessment, you will continue to work with the organization you selected in Assessment 1.

Preparation
Use the following to complete the assessment.

TOWS Analysis Worksheet [DOCX].

Common Strategies and Goals Health Care Organizations Develop and Monitor [DOCX].
To prepare for the assessment, you are encouraged to create a practice TOWS matrix, using the TOWS Analysis Worksheet. The practice matrix enables you to jot down your initial thoughts and then come back to it later to see whether anything could be expanded on in the matrix that you submit as part of your next assessment.

Consider your selected organization’s threats, opportunities, strengths, and weaknesses. In addition, keep the following key points in mind:
Assumptions: What assumptions do people in the organization’s internal and external environment have? What alternative assumptions might be useful in these situations?
Information: What information do your organization’s internal and external stakeholders have? What information are they missing?
Evaluation Criteria: What criteria would you use to evaluate the quality of the information and the effectiveness of existing or suggested strategies?
In addition, you may wish to review the assessment instructions and scoring guide to ensure that you understand the work you will be asked to complete.

Note: Remember that you can submit all, or a portion, of your draft analysis and strategic plan to Smarthinking Tutoring for feedback before you submit the final version for this assessment. If you plan to use this free service, be mindful that the turnaround time to receive feedback is 24–48 hours.

Scenario

Your manager congratulates you on a fantastic job on the environmental analysis. She now needs your help with the next step in developing a strategic plan for the CEO—completing a TOWS matrix and accompanying analysis. After completing the TOWS matrix and analysis, your manager also wants you to prepare a high-level, draft strategic plan for the organization.

You know that a TOWS matrix is a decision-making tool for developing strategic alternatives. You also know that you will be better able to develop a more effective strategic plan based on an in-depth analysis and understanding of the current environment.
Requirements
Complete this assessment in two parts:
Part 1: TOWS Matrix and Analysis

Complete a TOWS matrix and accompanying analysis. Download the TOWS Analysis Worksheet and complete it for your selected health care organization. Incorporate your findings from the current environmental analysis you completed in Assessment 1. Be sure to include a minimum of 3–5 items in each quadrant of your matrix, which will give you a total of 12–20 identified and categorized items.
After completing your matrix, summarize the findings from your analysis of each of the four quadrants and develop a high-level, draft strategic plan containing alternative strategies.
Part 2: Draft Strategic Plan

Prepare a high-level, draft strategic plan for your selected organization.
The focus of this assessment is to apply the insights you have gained from your TOWS matrix and the environmental analysis you completed in Assessment 1 to the strategic plan. The information from the matrix quadrants will serve as the foundational criteria for developing your draft plan.
You must be able to look at your TOWS matrix results and then formulate four overarching strategies with at least one operational goal to support each strategy. Whether your strategies are to enhance the strengths you have identified or to improve weaknesses, your draft strategic plan must align with your organization’s mission, vision, and values.
As you prepare your plan, it may be helpful to review common strategies and goals that many health care organizations develop and monitor. Use the following document to guide your analysis of the TOWS results for your selected health care organization: Common Strategies and Goals Health Care Organizations Develop and Monitor.
Include with each of your strategies the core assumptions regarding environmental opportunities and threats, organizational strengths and weaknesses, and organizational behavioral dynamics that are foundational to the strategy. For example, consider:
Service/product life cycle.
Product development.
Organizational culture.
Available funding to execute strategies.
Strategic Plan Requirements
The requirements, outlined below, correspond to the grading criteria in the TOWS Matrix Analysis and Strategic Plan Scoring Guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed.
Incorporate methodologies from the knowledge-economy management approach in a strategic plan appropriate for your organization.
Integrate recent strategy management research findings into your strategic plan.
Synthesize operational and financial components into your strategic planning process.
Include your determination of the organizational structure (functional, divisional, or matrix) that best facilitates your strategies.
Create a clear, concise, well-organized, and professional TOWS matrix analysis and strategic plan draft.
Apply proper APA formatting and style guidelines to citations and references.
Additional Requirements

Formatting: Prepare your TOWS matrix analysis and draft strategic plan using a familiar and appropriate document format used by health care organizations, such as a memo, business report, or white paper.
Length: 1–2 pages for TOWS matrix.
4–5 pages for TOWS matrix analysis (roughly one page per quadrant).
1–2 pages for the draft strategic plan.

Submit all three documents for this assessment: 1) TOWS matrix, 2) TOWS matrix analysis, and 3) Draft strategic plan. Remember, you do not need to submit your practice matrix.Proofread each document to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your work.Portfolio Prompt: You may choose to save your TOWS matrix analysis to your ePortfolio.Supporting Evidence
Health care is an evidence-based field. Consequently, readers of these documents will want to know the sources of your information, so be sure to include applicable APA-formatted source citations and references.
Resources: Knowledge-Economy Management Methodologies
Knowledge-Economy Management Methodologies

The following resources will help you apply value-adding strategies to the strategic planning process.
Ginter, P. M., Duncan, W. J., & Swayne, L. E. (2018). Strategic management of health care organizations (8th ed.). Hoboken, NJ: Wiley. 
Chapter 7, “Evaluation of Alternatives and Strategic Choice,” pages 259–312.
Chapter 8, “Value-Adding Service Delivery Strategies,” pages 313–358.
Landwehr, C., & Klinnert, D. (2015). Value congruence in health care priority setting: Social values, institutions and decisions in three countries. Health Economics, Policy and Law, 10(2), 113–132.
Ojala, M. (2017). Locating and creating SWOT analyses. Online Searcher, 41(1), 59–62.

Shahmoradi, L., Darrudi, A., Arji, G., & Nejad, A. F. (2017). Electronic health record implementation: A SWOT analysis. Acta Medica Iranica, 55(10), 642–649.
Although this article focuses on a SWOT analysis, rather than on a TOWS matrix, it provides valuable insight into how health care organizations can consider EHR improvement as one of their strategies. This is a growing reality for health care facilities.

Activity: TOWS Matrix Analysis
TOWS MATRIX ANALYSIS
Click the linked TOWS Matrix Analysis title above to examine a list of common findings that appear on the TOWS Matrix Analysis of a variety of health care organizations. Your task will be to place each of these findings into the appropriate TOWS matrix quadrant (threats, opportunities, weaknesses, and strengths). This practice will serve you well as you complete this assessment.

PREPARATION
Use the following to complete the assessment.

TOWS Analysis Worksheet [DOCX].
Common Strategies and Goals Health Care Organizations Develop and Monitor [DOCX].

To prepare for the assessment, you are encouraged to create a practice TOWS matrix, using the TOWS Analysis Worksheet. The practice matrix enables you to jot down your initial thoughts and then come back to it later to see whether anything could be expanded on in the matrix that you submit as part of your next assessment.
Consider your selected organization’s threats, opportunities, strengths, and weaknesses. In addition, keep the following key points in mind:

Assumptions: What assumptions do people in the organization’s internal and external environment have? What alternative assumptions might be useful in these situations?
Information: What information do your organization’s internal and external stakeholders have? What information are they missing?
Evaluation Criteria: What criteria would you use to evaluate the quality of the information and the effectiveness of existing or suggested strategies? 

solved IntroductionThis assessment is dedicated to emotional intelligence (EQ). Emotional intelligen

IntroductionThis assessment is dedicated to emotional intelligence (EQ). Emotional intelligence was pioneered by Daniel Goleman and has four main components: self-awareness, social awareness, self-management, and relationship management (Daft, 2015). Emotional intelligence is loosely defined as an individual’s ability to “perceive, identify, understand and manage emotions in self and others” (Daft, 2015, p. 146). Experts argue that emotional intelligence is a better predictor of successful decision making and interpersonal relationships than cognitive intelligence, or IQ (Daft, 2015).Additionally, emotional intelligence is now recognized as a critical factor in leadership development. Your work on this assessment will build on the completion of a personal leadership assessment that examines five critical domains from a high level that you have already completed in the first assessment. You will look specifically at emotional intelligence. By completing this assessment, you will evaluate your EQ and explore the role that EQ plays in successful leadership.ReferenceDaft, R. L. (2015). The leadership experience (6th ed.). Stamford, CT: Cengage.Demonstration of ProficiencyBy successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:Competency 1: Assess one’s leadership style in a professional setting.Discuss the different elements of emotional intelligence.Analyze the reason for health care leaders to develop their emotional intelligence skills.Competency 2: Explain cultural competence and its relevance to health care management.Establish the impact of emotional intelligence on cultural competence in health care organizations.Evaluate personal competence with regards to emotional intelligence.Discuss how emotional intelligence promotes teamwork and collaboration in culturally diverse organizations.Competency 3: Analyze communication styles and its impact on teamwork and collaboration.Explain the impact of emotional intelligence on relationships and communication effectiveness in health care organizations.Competency 4: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others and is consistent with health care professionals.Demonstrate effective communication through writing and proper use of APA style.Communicate in a professional and effective manner, writing content clearly and logically, with the correct use of grammar, punctuation, and spelling.PreparationThis assessment is based on the media piece in the Vila Health: Emotional Intelligence activity. Be sure you have worked through the scenario before you start this assessment.InstructionsThis assessment has three main parts, a discussion of the different elements of emotional intelligence as it relates to the scenario from the Vila Health media piece, a self-evaluation of your current state of emotional intelligence, and an analysis of the impact and benefits of health care leaders being competent with regards to emotional intelligence.Part 1: Elements of Emotional IntelligenceRelevant Scoring Guide Criteria:Discuss the different elements of emotional intelligence.Demonstrate effective communication through writing and proper use of APA style.Communicate in a professional and effective manner, writing content clearly and logically, with the correct use of grammar, punctuation, and spelling.For this first part of your assessment, discuss the scene and what happened between Christina Robledo and the two nurses. You can draw upon your answers to the question from the media piece, as well as consider the following:Do you feel the nurses demonstrated strong emotional intelligence in their communications with Christina? Why or why not?What are the key elements of emotional intelligence that were demonstrated in this scenario?Which key elements of emotional intelligence were lacking from the scenario?How might the scenario have turned out differently if these elements had been demonstrated?Part 2: Emotional Intelligence Self-EvaluationRelevant Scoring Guide Criteria:Evaluate personal competence with regards to emotional intelligence.Demonstrate effective communication through writing and proper use of APA style.Communicate in a professional and effective manner, writing content clearly and logically, with the correct use of grammar, punctuation, and spelling.The second part of the assessment will focus on a brief self-evaluation of your current state with regards to emotional intelligence. Consider the following after using the elements of emotional intelligence from the resources in this course, your personal research, and the ones you applied to your discussion of the Vila Health media piece:Reflect on your interaction with othersDo you feel you are able to identify and understand others’ emotions?Are you able to control your emotions when dealing with others?Which specific elements of emotional intelligence do you feel are the strongest in you?Which elements of emotional intelligence would you like to improve?Part 3: Impact of Emotional Intelligence for Health Care LeadersRelevant Scoring Guide Criteria:Analyze the reason for health care leaders to develop their emotional intelligence skills.Explain the impact of emotional intelligence on relationships and communication effectiveness in health care organizations.Establish the impact of emotional intelligence on cultural competence in health care organizations.Discuss how emotional intelligence promotes teamwork and collaboration in culturally diverse organizations.Demonstrate effective communication through writing and proper use of APA style.Communicate in a professional and effective manner, writing content clearly and logically, with the correct use of grammar, punctuation, and spelling.This third and final part of the assessment requires you to analyze the need, impact, and benefits of health care leaders being competent with regards to emotional intelligence. As you work to address the scoring guide criteria relevant to this section consider the following:Describe the elements of emotional intelligence and explain why it is important for health care leaders to develop their skills in each area.Thinking back to the Vila Health media piece, if you were one of the nurses, how could you have communicated differently with Christinato to acknowledge her concerns and her emotions?Are there any specific examples from your professional or personal life where you have utilized your emotional intelligence to improve communication with others?Either in relation to the Vila Health media piece or your professional practice and career, how does an organization’s culture impact visibility or need of emotionally intelligent leaders and individuals.How does an emotionally intelligent environment impact professional practice and personal interactions within an organization?With regards to either the Vila Health media piece or your professional practice and career, how can emotional intelligence be used to improve teamwork and collaboration?How might one be able to tell if teamwork and collaboration are valued at an organization? Additional RequirementsStructure: Include a title page and a reference page.Length: 6–9 pages, not including the title and reference page.References: Cite at least three current scholarly or professional resources.Format: Use APA style for references and citations.You may wish to refer to the following APA resources to help with your structure, formatting, and style:APA Style and Format.APA Paper Tutorial.APA Paper Template.You may use the first person for the portions of your reflection where it is appropriate to do so.Font: Times New Roman font, 12 point, double-spaced for narrative portions only.SCORING GUIDEUse the scoring guide to understand how your assessment will be evaluated.VIEW SCORING GUIDECRITERIANON-PERFORMANCEBASICPROFICIENTDISTINGUISHEDDiscuss the different elements of emotional intelligence.Does not list the different elements of emotional intelligence.Lists the different elements of emotional intelligence.Discusses the different elements of emotional intelligence.Discusses the different elements of emotional intelligence providing examples.Evaluate personal competence with regards to emotional intelligence.Does not identify personal competence with regards to emotional intelligence.Identifies personal competence with regards to emotional intelligence, but does not provide a thorough evaluation.Evaluates personal competence with regards to emotional intelligence.Evaluates personal competence with regards to emotional intelligence with specific reference to best practices and the elements of emotional intelligence.Analyze the reason for health care leaders to develop their emotional intelligence skills.Does not describe the reason for health care leaders to develop their emotional intelligence skills.Describes the reason for health care leaders to develop their emotional intelligence skills.Analyzes the reason for health care leaders to develop their emotional intelligence skills.Analyzes the reason for health care leaders to develop their skills in all areas of emotional intelligence.Explain the impact of emotional intelligence on relationships and communication effectiveness in health care organizations.Does not identify the impact of emotional intelligence on relationships and communication effectiveness in health care organizations.Identifies the impact of emotional intelligence on relationships and communication effectiveness in health care organizations.Explains the impact of emotional intelligence on relationships and communication effectiveness in health care organizations.Specifies the impact of emotional intelligence on relationships and communication effectiveness in health care organizations.Establish the impact of emotional intelligence on cultural competence in health care organizations.Does not describe the impact of emotional intelligence on cultural competence in health care organizations.Describes the impact of emotional intelligence on cultural competence in health care organizations.Establishes the impact of emotional intelligence on cultural competence in health care organizations.Analyzes the impact of emotional intelligence on cultural competence in health care organizations.Discuss how emotional intelligence promotes teamwork and collaboration in culturally diverse organizations.Does not discuss how emotional intelligence promotes teamwork and collaboration in culturally diverse organizations.Identifies how emotional intelligence promotes teamwork and collaboration in culturally diverse organizations.Discusses how emotional intelligence promotes teamwork and collaboration in culturally diverse organizations.Discusses how emotional intelligence promotes teamwork and collaboration in culturally diverse organizations, providing examples.Demonstrate effective communication through writing and proper use of APA style.Does not demonstrate effective communication through writing and proper use of APA style.Demonstrates communication through writing and use of APA style with a few errors.Demonstrates effective communication through writing and proper use of APA style.Demonstrates effective communication through writing and proper use of APA style with no significant errors, and supports analysis.Communicate in a professional and effective manner, writing content clearly and logically, with the correct use of grammar, punctuation, and spelling.Does not communicate in a professional and effective manner. Written content is unclear or unorganized, and there are many errors in the use of grammar, punctuation, and spelling.Communication is not consistently professional, clear, and logical; there are errors in the use of grammar, punctuation, or spelling distract from the message.Communicates in a professional and effective manner; writes content clearly and logically with the correct use of grammar, punctuation, and spelling.Communication is professional, effective, and insightful; content is clear, logical, and persuasive; grammar, punctuation, and spelling are without errors.

solved View the videos of Ali and Cynthia. In 4-5 paragraphs,

View the videos of Ali and Cynthia. In 4-5 paragraphs, using professional terminology, reflect upon the symptoms that present in both cases. Do they meet the criteria of Alcohol Use Disorder and Multi Substance Use Disorder? If not, what differential diagnosis seems more appropriate? Please use diagnosis from readings. Transcripts for videos are below. Readings: DSM-5 Transcripts:Ali OFF CAMERA: [00:00:30] I want to come back to a couple of things you said earlier about just kind of stress a job at your work and then your life like I mean with hard work.ALI: [00:00:40] I mean there’s just you know a lot of times where the students would act unruly they won’t follow instructions or things will just get out of hand and it’s my job to you know simmer them down. But it’s hard. There are kids there have a lot of energy just want to run around and it’s normal but it’s just you just as a teacher wanted to try to find moments of just not thinking about that and just getting through the day.OFF CAMERA: [00:01:12] So so is going to reining them in. That’s the hardest part of the day is that piece.ALI: [00:01:21] That’s part of it that’s part of it and bringing certain issues up to. I guess my direct supervisor or the principal it’s kind of hard to have a clear I don’t know dialogue to make sure things are being addressed and the parents are aware about what’s going on in the classroom. It may not just be something that’s our fault as educators. It could be maybe your child might be acting out for some reason that we don’t we’re not aware about could be starting low. So all of those things out layers you know at stress levels could be could be high for a lot of us. But you what do you do. No job is without stress I guess.OFF CAMERA: [00:02:10] You know you feel like the stress is pretty constant like it’s always been. I feel like it’s gotten better in the beginning of the year or is it worse.OFF CAMERA: [00:02:18] Or is it just it’s just there all the time.ALI: [00:02:23] Well right now we’re in the period where students are getting ready for their standardized testing and all their admissions to like the magnet school so yeah stress levels can be pretty high for a lot of us and I guess more so for maybe perhaps a teacher is because more meetings are involved more PTA meetings and you just you know you just try to assure the parents that.ALI: [00:02:51] Their kids are doing well and we’re doing the best that we can. More time spent at school. If my students need tutoring sessions so it can be draining at the end of the day.[00:03:08] Now with I guess recent breakup I’m sure that doesn’t help.ALI: [00:03:15] Yeah. I mean certainly took a toll.ALI: [00:03:18] And I’m sure my colleagues will tell you to be on is that it was hard for me to really hide my how I felt.ALI: [00:03:27] You know it was a it was a tough period.ALI: [00:03:30] Recently a month ago or so but I just had to put a smile on my face and just managed to get through the day do my job and be committed to doing a good job. Despite all the stress and at work in my personal life.OFF CAMERA: [00:03:50] Feel like I did a lot just kind of put a smile on your face and just get stuff done.ALI: [00:03:57] Yeah it’s all I want to do especially like just hurtling through the next coming towards end of the school year. I just want to just I just look forward to the end of the day.OFF CAMERA: [00:04:15] How are you sleeping.ALI: [00:04:16] No sleep.ALI: [00:04:18] No not really. I’m a pretty pretty good sleeper. I don’t say I wouldn’t say I get the normal eight hours night but it’s been hard.ALI: [00:04:30] Falling asleep because again what’s been going on but it wouldn’t.ALI: [00:04:38] I don’t know. I don’t know.ALI: [00:04:39] I don’t know if I can say I’m well rested every day. I just like as I try to get through the day.ALI: [00:04:48] Coffee helps me talking to my colleagues just like you know venting out about the classes what’s happened during that day helps. But it’s it’s hard to fall asleep so easily at night.OFF CAMERA: [00:05:07] Has it always been like that or is that something that’s more recent.ALI: [00:05:11] And I would say it’s something more recent for me.OFF CAMERA: [00:05:13] OK. When do you think it started.ALI: [00:05:18] Definitely with like with what’s been going on with the school year again students are prepping for the standardized test and with my breakup it’s just another thing about it so much you know can’t really let it affect me.ALI: [00:05:42] I have to carry on with my life to do my job.OFF CAMERA: [00:05:50] The difficulty falling asleep but once you’re asleep you’re asleep you don’t wake up in the middle of the night.ALI: [00:05:55] Oh well I mean I have. I have.ALI: [00:05:58] So it’s not like a peaceful night’s rest or something like that. Many times when I will wake up in the middle of night just because I’m thinking about the next day the agenda is making sure that I’ve checked everything off my list graded the papers and answered you know answer all the e-mails that I get from the parents.ALI: [00:06:18] So it keeps me up at night sometimes a little wake me up go.OFF CAMERA: [00:06:25] You seem pretty relaxed, you seem like you’re pretty like OK right now do you feel like you’re that way most of the time.ALI: [00:06:36] I would like to think so. I mean it’s hard to I guess I have to put myself in that state of mind especially when I’m in a classroom full of like 30 kids.ALI: [00:06:47] Running interference beats.OFF CAMERA: [00:06:50] Is there any that helps to kind of put you in that calmer spot.ALI: [00:06:56] Well yeah I mean you know we have social hours at work. A lot of teachers like to get together and just have a little bench session after work and we’ll have like you know a glass of wine or two yeah.ALI: [00:07:09] So it’s I feel like it’s just a little time off to not think about work and then obviously vent about it but it’s nice to relax it’s me you know ease off and like look forward to going home and just shutting that off no stress management I guess.OFF CAMERA: [00:07:32] is there anything you’d feel like if you don’t do it or you don’t finish it. That it does stress you out.OFF CAMERA: [00:07:39] It’s concerning or.ALI: [00:07:42] If i don’t finish something.ALI: [00:07:45] I well when I first got hired as a teachers very obviously very excited you know my first teaching job at a public school. And I don’t know. I was very very committed. I mean not to say that I’m not now but it’s definitely changed over the years. The structure of the classroom the number of students the volume.ALI: [00:08:09] So I think a lot of us were log different hats making sure that things are running smoothly. And of course because of that stress levels are multiplied what happens. Cynthia OFF CAMERA: [00:00:30] How’s your mood been lately. CYNTHIA: [00:00:34] You know normal I guess I’m I guess have been down. OFF CAMERA: [00:00:43] And how are things at home. CYNTHIA: [00:00:50] Stressful I guess. CYNTHIA: [00:00:54] You know I’m trying and trying to get the place ready for camper. CYNTHIA: [00:01:00] And you know Zane says he’s all for that but I don’t know I guess things have been a little weird between us. The last month or so. CYNTHIA: [00:01:17] Yeah. OFF CAMERA: [00:01:22] Have you stopped doing things or activities that you used to enjoy doing or not getting the same amount of pleasure out of doing things that you used to. CYNTHIA: [00:01:32] Yeah that’s like a really good way to describe it. I’m kind of I’m not I’m you know I’m doing the same things that I’ve been doing but they don’t. Yeah I don’t feel the same pleasure about them. That’s that’s yeah that’s a really good way to. I’ve been trying to figure out how to say how that feels like out. Yes so I guess lately I’ve been feeling like what’s the point of doing it. You know especially since you know it’s just a lot easier if I just stay home with. Like that’s what he likes so if nothing else is fun. Like why would I you. CYNTHIA: [00:02:11] Why would I go out. OFF CAMERA: [00:02:14] How have you been sleeping. CYNTHIA: [00:02:16] Yeah. CYNTHIA: [00:02:17] Normal good. I got I’ve got stuff to help me with that so that’s still working. OFF CAMERA: [00:02:22] How about your appetite how’s your appetite. CYNTHIA: [00:02:26] Yeah normal. I guess I’ve never really had that big of an appetite. So I don’t think I’ve noticed any any difference with that. OFF CAMERA: [00:02:37] How’s your energy. You mentioned feeling a little down. CYNTHIA: [00:02:44] Yeah yeah I mean I have been yeah I’ve been I’ve been a little heavier on the Adderall lately and then I guess I normally am just because I feel like yeah I feel like I need something to like get me get me up. OFF CAMERA: [00:03:06] How is your concentration. CYNTHIA: [00:03:11] I mean great. And if I’m on adderall like you see me up I guess I do feel distracted a lot. CYNTHIA: [00:03:21] I got a lot of thoughts going through my head sometimes it’s kind of hard to get out of that. Like you know you kind of get into that thought loop thing I guess is the best way to describe it. CYNTHIA: [00:03:36] Yeah I find that that’s happening a lot more lately I’ve been feeling down on yourself. I mean yeah. CYNTHIA: [00:03:44] That’s like oh it’s not anything new. OFF CAMERA: [00:03:48] Do you ever feel like life is not worth living. CYNTHIA: [00:03:56] I mean is it. CYNTHIA: [00:04:02] I don’t know. I do sometimes. CYNTHIA: [00:04:08] You know sometimes you’ll be like scrolling through Facebook and you see that someone’s someone’s died. And I know I feel like my first feeling is like I’m a little jealous of them I guess. OFF CAMERA: [00:04:30] Why do you feel that life is not worth living. CYNTHIA: [00:04:35] I don’t know I guess just like I don’t really see any. CYNTHIA: [00:04:45] Like if this is what it is you know I don’t I you know I don’t I don’t know if I’m going to. CYNTHIA: [00:04:59] I don’t know if I’m going to get cancer back. I don’t know if I do. CYNTHIA: [00:05:02] If that’s even good for him I don’t see any change or sort of a way out from where I am. I mean I guess I should just I don’t know. CYNTHIA: [00:05:24] I don’t know why I can’t feel happy where I am. CYNTHIA: [00:05:26] You know like I should probably just like accept it for what it is you know and try and find joy wherever it is. CYNTHIA: [00:05:35] You know that’s what you’re supposed to do but I can’t find my path there I guess. OFF CAMERA: [00:05:42] Do you have any plans to hurt yourself. CYNTHIA: [00:05:46] No no. Nothing like that. CYNTHIA: [00:05:49] Made any plans. OFF CAMERA: [00:05:51] Have you ever thought of hurting yourself. CYNTHIA: [00:05:57] Not like on purpose. CYNTHIA: [00:06:02] But I definitely have had the thought that like if I did die I wouldn’t be so you sometimes engage in activities that may place yourself in harm or place you at risk of getting hurt. CYNTHIA: [00:06:23] I mean yeah I guess I do. I don’t know. CYNTHIA: [00:06:29] I mean I I you know I drive when I’ve been drinking I guess that’s not the smartest thing in the world. You know I probably should have known better than to drink wine. Take oxys. I have a play don’t hang out with the best people I don’t know. I guess they don’t make the best decisions all the time. OFF CAMERA: [00:07:02] How does your future look to you. CYNTHIA: [00:07:11] I don’t know I don’t really like thinking about that. CYNTHIA: [00:07:13] I just kind of makes me feel bad. I think I’d rather just nothing about anything. OFF CAMERA: [00:07:26] You did mention wanting a future where you could be happy. CYNTHIA: [00:07:32] Yeah. OFF CAMERA: [00:07:35] Are you able to envision a future where you’re happy. CYNTHIA: [00:07:44] I don’t know. CYNTHIA: [00:07:44] Maybe if I was a different person I don’t know. I just don’t think I’m think I made that I don’t think that’s possible for somebody like me.