Continuum of Care University of Phoenix Essay

Long-term Care is only one piece of continuum care. Most Americans try to stay home as long as they can. People love to try and keep their independence as long as they can. Many elderly Americans are able to stay home as long as they can due to family members help and home health care aide. Most elderly people can no longer take care of themselves mentally and physically. This is when Long-term care continuum benefits the patient. The long-term care continuum consists of nursing home care and assisted living care. The first step in the continuum of care is Independent living. Elderly patients are placed in supportive housing or home based healthcare. If the patient is unsuccessful with supportive housing, we must move to the next step. The next step is providing in home care. In home care is less expensive than long term care. The cost of care for this service depends on the level of care and the hours of service the patient needs. The patient’s last choice should be long term care. Most elderly patients use Medicare or Medicaid for long term care payment. Medicare only applies to the patient’s long-term care if the patient is immediately following a hospital stay. Medicare only cover short term provider prescribed home health care for speech therapy, skilled nursing, occupational and medical social services. Medicare also covers up to 100 days of nursing home care. We are fighting today for a longer duration for long term care. The federal government should allow elderly patients more time in long term care facilities. I believe this would cut the cost of emergency room visits and hospital admittance in seniors.

Essay on how man is destroying the Environment Essay

Man is an integral part of the environment, yet he is the arch-enemy of it. For centuries man has been thriving on its generosity. But in his quest to make life very simpler and more luxurious,, he has turned a blind eye to the damage caused to the environment. Our greed to get the most out of everything has made us contemptuously neglect the environment, although we all know that our very existence depends on it. A careful analysis of why there are imbalances in the environment will highlight numerous mistakes and aberrations on our parts. After doing so, I reason that there are certain traits in us that have led to the present situation. The first is the innate tendency to discriminate. After divining the world into geographical entities by drawing imaginary lines called ‘borders’, man has divided societies on the basic of color, creed, religion etc. The immediate effect of such division is bias. Primarily our world has been divided into major categories based on the qualities of life- developed and developing. Although the word ‘developed’ seems to have comforting implications, the problematic aspect is that these countries have not attained this status without damaging the environment. In fact, they have tampered with it to a great extent. Every element of the environment, be it land or water, has been exploited. The other category, the developing nations, is like a teenager who has just turned adult. He wants to enjoy every bit of comfort and freedom that was till now the prerogative of the developed nations. Lately both the developed and the developing nations woken up to the ramifications of damaging the environment. Various conference and summits have been held to find solutions to the problem. But the outcome of all these has been the same; no consensus has been reached on how to preserve the environment. The prime reason of the discord is the question of responsibility. Both the parties present their own set of arguments to evade the issue. The developing nations allege that it is the developed which have misused natural resources and hence, the onus is on them to preserve the environment and undo their actions that have led  to the present scenario. At the end of the day, the victim of this blame game is the environment, which is languishing due to mankind’s apathetic nature. In order to progress, every country needs to set up industries for manufacturing essential commodities. Both the developed and the developing nations have extensive set-up of such industries that cause more pollution than any other thing on the planet. The amount carbon dioxide (CO2) emitted by these has already reached dangerous levels. Carbon dioxide, which is a greenhouse gas, is the main cause of global warning. It has been reported that the average global surface temperature has risen by 0.56 degree C. One of the effects of this surge is that the Antarctic ice caps have stared melting thereby making the sea level rise. Based on their respective findings, concerted scientists fraternity has been trying to draw the attention of the policymakers to the grave situation that we have put ourselves in. Some lo-lying areas are already facing the threat of being submerged by rising sea levels. The increase in average temperature has also caused warming of sea waters. We all are well aware of EI Nino that occurs dues to warming of the Pacific. Countries, particularly those encircling the Pacific, are the worst affected by the weather disturbance that it brings along. Heat waves, one of such weather problems, kill a large number of people very year. The above paragraph present a global picture of discrimination and divided politics. Even within a country we find it very common. We do not have to rack our brains to find a suitable example. Our very own India has deeply entrenched caste lines. People of superior castes believe that certain activities should be carried out only by those from the lower strata of the society. Cleaning drains and toilets and picking rags from the streets are expected to be carried out by these people. If these workers go on leave, no individual from the upper echelons of the society would engage himself in such work. Young individuals from lower castes ni longer wants to continue with this petty work and want to pursue something that is socially more acceptable. It has widened the demand-and-supply gap resulting in squalid surroundings. If people understand their duties and change their outlook a  bit, the problem can be readily solved. As has been practiced in the developed countries for years now, home owners should themselves collect and dump the garbage at the local collection point. They should not look down upon this because keeping’s one’s surroundings clean is not dis-respectable. They should also not expect someone else to do this on their behalf just because that person stands lower on the social ladder. The second trait that has led to the damage of the environment is self-centeredness. The motto of people goes like â€Å"If it suits you, carry on and forget about everything else†. Unfortunately, the word â€Å"everything† is that seems to refer o the environment because it is that one thing which everyone tends to forget about. Again, no better example comes to mind other than India to substantiate this. Right from the festivals, to holiday trips to part celebrations, our actions disrupt the balance in nature. Starting with the festival many of them involve submerging sacred status in rivers or seas causing water pollution. Water bodies have self-cleaning ability, but if polluted beyond the saturation point they disturb the aquatic life . Many varieties of fish are known to have become endangered due to our negligence. Some festivals involve blasting crackers which causes air pollution. Not only this, stray animals suffer severe trauma because of the unbearable noise of crackers. Moving on to our overzealous vacation trips, we somehow damage the environment there also. Some of our hill stations have started getting warmer. The rise in temperature is partly due to the vehicles coming to these areas packed with visitors and emitting CO2 copiously. Such scenes have especially become common in places like Mussoorie, Shimla, Khandala, etc, which are close to major cities like Delhi, Mumbai, etc. People do not mind taking their high emission vehicles to these serene places, thus disturbing their ecology. And all this is due to inadequate government policies and the indifferent attitude of the people. It should not be surprising that after enduring so much, the environment also runs out of patience sometimes. And then its fury is unleashed. This is quite evident from the fact that the rise of sea level due to global warming is giving nightmares to scientists across the world. It is posing a serious hazard to the existence of a number of islands by threatening to wipe many  of them off the world map. Nature is hitting mankind back in some other spheres as well. In parts of Indian, climate changes due to heat wave render the crops useless and on occasions this happens right before the harvest. Being primarily an agrarian economy, it becomes very difficult for India to cope with such a challenge. This makes evident that the environment retorts whenever it is tampered. Another very compelling example is that of yaks, Yaks, that are suited to very cold climate and are confined only to upper regions of the mountains, are brought down to lowers areas where tourists throng because they are a major tourist attraction. Lately it has been found that these Yaks meet untimely death because their bodies are not able to adapt to the warmer conditions downhill. In turn there owners suffer heavy loss. Another area where meddling with environment can have dire consequences is land pollution. Whenever waste is not disposed of properly, the dump becomes the perfect breeding ground of pathogens resulting in epidermis such as plague and dengue. Other diseases such as asthma are one the rise in large cities where air pollution is more acute. The groundwater level has been plummeting in more of the cities due to improper use of the precious water resources. Whenever there us scarcity of water, people fight it out to get their share when the local water tankers arrives in their locality. These examples clearly, indicate that whenever man disturbs the environment balance, he is in fact digging his own grave. It is the time man undid the damage done to his surroundings. Both the developed and the developing nations should come together to protect the environment. Instead of questioning each other’s duties, they should collectively strive for a solution and step up their efforts to save the enviroement. In fact, every county should do its bit. Likewise we, in India, should cooperate with the government on its politics and also help formulate new ones to protect the environment. Closing the tap properly and switching off appliances when not in use are some of the basic appliances when not in use are some of the basic measures that require almost no effort on one’s part but still can make a huge difference. Other measures like using public transport, ensuring that surroundings are not polluted during festival celebrations can go al long way towards protecting environment. Effective advertising campaigns proper education imparted to poor people, involving  business hoses, etc, will also pave the way for a better environment. At the end of the day, we must understand that maintaining the balance would not only help us but more importantly, would ensure the very existence of life on Earth.

The processes that occur in the Network when you Essay

The processes that occur in the Network when you - Essay Example There are several processes that are running concurrently, both at server and client ends, to make this communication a success. A thorough knowledge of these devices and their roles, protocols and associated technologies, at various levels of the network, is required for understanding the process that take place in a network for communication to occur successfully. Analyzing the process at various layers of a network demands a methodical comprehension of a ‘broad brush’ picture of the communication channel and protocol stack that might be at work behind the scene. More often than not, access to private networks, like the X-Stream server from our home or some other remote location is materialized through Virtual Private Network (VPN) technology. VPN is used to access a private network, like a university Learning Management System (LMS), over a public network like the Internet. When a student access X-Stream Server over a public network, this implementation of VPN is know n to be an ‘Access VPN’. VPN ensures a secure access to the private resource through implementation of security at various layers of the communication channel. ... rs used to define communication spectrum over the TCP/IP suit of protocols includes; Application Layer, Host to Host Layer , Internet Layer and Network Access Layer. The process that occurs on the network is mainly the study of data as it travels through the TCP/IP stack because WAN is only used as a vehicle to carry data and no significant processing is done as far the data is concerned. There are several important protocols that forms a part of the TCP/IP protocol suite which includes FTP, TFTP, VoIP, HTTP, ICMP, UDP, ARP and RARP etc. Moreover the RIP and OSPF are also the part of TCP/IP protocol suite which ensures the routing of the information over a network. From a user’s perspective the process that occur on a network starts with the use of application software that can talk to a underlying network e.g. a web browser that uses HTTP to make things happen for a user. Comer refers this as the application level internet service and states, â€Å"From a user’s point view, the internet appears to consist of a set of application programs that use the underlying network to carry out useful communication tasks†(3). Moreover the session of communication instance is maintained at the Application Layer, however these session are not logged by HTTP. â€Å"Each HTTP request is self-contained; the server does not keep a history of previous request or previous sessions† (Comer, 490). At next level the processes to ensure and enforce the data integrity, correctness and reliable packet delivery are guarded by the Host to Host layer. This layer also segments and sequences the continuous stream of data that leaves a user end and reassembles it at server end while acknowledging the receipt of each segment. â€Å"As each segment of data is received at the destination, an

Summary on Creep Behavior of Discontinuous SiC-Al composites Essay

Summary on Creep Behavior of Discontinuous SiC-Al composites - Essay Example The first experiment tested compressed creep on SiC with 3-5 wt. percentages of Li at a temperature of 505-866k. The results showed that Li increases the strengthening power of SiC and its wetting behavior. The second experiment tested the creep behavior of SiCw and SiCp covered with aluminum alloy at a temperature of 505-644k. The results showed that both composites were steady but SiCW was more resistant to creep compared to SiCp. The results were because of the variations in the components load bearing abilities, their strengths and the applied temperatures. The conducted experiments revealed that the quality of creep rates depend on the applied temperatures and stress (Mohamed, Park & Lavernia 22). The article also used the shear lag method to test the creep rate of discontinuous composites by applying stress and geographic parameters. In this method, the composite has short fibers inserted in the creeping matrix; the shear transports the load from the matrix to fiber and this ap proach applies creep power law. This method is efficient in transferring the load from matrix to fiber and handling stress level within the fiber. ... In the experiment, the composite phase acted as a regular aligns and there was periodic array of fibers. The experiment applied the creep power law by ensuring that reinforcement phase remains elastic (Mohamed, Park & Lavernia 26). The results indicated that matrix develops higher stress, which reduces composites creep rates. It also showed that geometry arrangements affect the quality of the creep rate. Indeed, the results note that creep law favors the Ag-40wt. percentage composites only but not the composites of SiC-Al (Mohamed, Park & Lavernia 27). Considering the obtained results, the article explains the deformation models using dislocation motion. It analyses whether similar dislocation processes can be applicable for both DS alloy creep and the SiC-Al composites creep. In addition, the article also evaluates successfully the characteristics of deformation process on DS alloys and SiC-Al composites. The article highlights the strain exponent of creep and identifies the followi ng assumptions. Firstly, the high stress exponent and variations results from threshold stress. Additionally, the threshold stress and strength applied on the creep depends on applied stress and lastly, the activation energy for SiC-Al composites and DS alloys are similar (Mohamed, Park & Lavernia 30). The article concludes that SiC-Al composites and DS alloys have similar creep behaviors regardless of their stress exponent and activation energies. Importantly, the article identifies that shear log assumptions on the creep behavior of SiC-al are inconsistence. Indeed, the study offers the similarities in the creep behavior among composites, the evidential calculations and dissimilarities among activation

Shimomura Crossing the Delaware Essay Example | Topics and Well Written Essays - 1500 words

Shimomura Crossing the Delaware - Essay Example In fact, the painting is a daring parody of the picture of Emanuel Leutze celebrating the historically significant event of the American Revolution. The original painting depicts crossing the Delaware on the Christmas night of 1776 led by George Washington. Conducting a little research on the background of the current painting, one is able to single out the key strategy deployed in it. The principal strategy the author uses is appropriation. Appropriation is understood as taking (involving) an already preexisting symbol, object or an artwork into the new one applying no or little transformation. Appropriation uses the images that already exist and considered in isolation from them in order to create a new concept behind them. â€Å"Shimomura Crossing the Delaware† complies with this definition as it is an ironical reconsideration of the already existing object (the work of art). The concept of the painting is altered by the author in order to create the strong allusion to racial and ethnic issues in a form of a parody or joke. The principal difference lies in the fact that Shimomura made Asians – namely, samurai - the main characters of the painting. In other words, this is an American historical painting vested in Japanese guise. This solution was dictated be the idea of illustrating the race issue and the problem of Japanese Americans’ place in American society. The picture created by Shimomura preserves the idea and composition, yet is a parody bearing a peculiar style of the painter.

Quantitative Methods Coursework Essay Example | Topics and Well Written Essays - 1000 words

Quantitative Methods Coursework - Essay Example 1. Production and Transportation cost = (80000 units)(97 pence/unit) = 7,760,000 pence 2. The rest of the capacity of factory '1' (90,000 - 80,000 = 10,000) can be used for producing and transporting to manufacturer 'B' Production and Transportation cost = (10000 units)(98 pence/unit) = 980,000 pence Hence the total cost of production and transportation for factory '1' is 7,760,000 + 980,000 = 8,740,000 pence = 87,400/- 3. The rest of the demand of manufacturer 'B' (72,000 - 10,000 = 62,000) should be produced by factory '3' having lesser costs than factory '2'. Production and Transportation cost = (62000)(109) = 6,758,000 pence 4. The rest of the capacity of factory '3' (80,000 - 62,000 = 18,000) can be used to produce and transport for manufacturer 'A'. Production and Transportation cost = (18000)(107) = 1,926,000 pence Hence the total cost of production and transportation for factory '3' is 6,758,000 + 1,926,000 = 8,684,000 pence = 86,840/- 5. The rest of the demand of manufacturer 'A' (51,000 - 18,000 = 33,000) is produced by factory '2' Production and Transportation cost = (33000)(113) = 3,729,000 pence Hence the total cost of production and transportation for manufacturer 'A' order is 1,926,000 + 3,729,000 = 5,655,000 pence = 56,550/- 6. The total demand of manufacturer 'D' can be supplied by factory '2' Production and Transportation cost = (58000)(114) = 6,612,000 pence Hence the total cost of production and transportation for manufacturer 'D' order is 6,612,000 pence = 66,120/- Conclusion Total Cost of production for factories and manufacturers Factory Computer... As shown by the graph, the relationship is somewhat linear at values 13 onwards (lower part of the graph) and these are non-linear at higher part of the graph. The values for Wells Fargo Home Mortgage are non-linear with huge differences as shown by the graph.

Mexican culture Essay Example | Topics and Well Written Essays - 250 words

Mexican culture - Essay Example Scholars mention that â€Å"gender roles of men and women are reflected in spatial distinctions of la calle (the street) and la casa (the home)† (Knapp, Muller and Quiros, 2009). This differentiation reflects on Mexican people since their childhood. Boys are in need to leave home for the sake of earning money and maintaining a family in future (Vlassoff, 2007). As for the girls they are responsible to stay at home and to take care about its comfort and coziness (Vlassoff, 2007). Such tradition has been strictly laid into the minds of Mexican people. Concerning the present day situation and modern social norms it should be admitted that male and female roles undergo changes. With the tendency of globalization and increase of migration gender roles transform (Knapp, Muller and Quiros, 2009). Women started to get more freedom and ability to make an independent choice in accordance to their life values and personal desires (Mount-Cors, 2014). Such process in considered to be natural and logical for the system of modern society. It is worse to mention that American culture provide a significant influence to this process (Knapp, Muller and Quiros,