Continuum of Care University of Phoenix Essay Example for Free

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.

Himalayan Herders: The Significance of Latitudinality Essay -- Cultura

Himalayan Herders: The Significance of Latitudinality Melvyn Goldstein and Donald Messerschmidt, the authors of "The Significance of Latitudinality in Himalayan Mountain Ecosystems" argues that the altitude oriented "mixed mountain agriculture" model where mountain people move to higher altitudes in the summer and lower ones in the summer does not accurately reflect many areas of the Himalayans (Goldstein and Messerschmidt, 117). Instead, latitudinality lies at the core of cultural adaptation to the high altitude mountain ecosystem for many native Nepalese (Goldstein and Messerschmidt, 126). Of the three studied Nepalese regions (Limi, Ghaisu and Bhot Khola), latitudinal movement is just as important and common as latitudinal movements for the local inhabitants. The authors’ illustrate the point that in some Himalayan areas, the people do not depend on altitude variation, but use latitudinal (north-south) habitats to create "habitat and production zones" (Goldstein et. al, 120). In the Mountainous areas of Limi, Ghaisu and Bhot Khola, even the sons of snow (Yaks) will not survive the winter snow. To escape the snow, the people and their herds migrate only 50 to 75 miles south to pasture-land not covered by snow. This 50 to 75 mile trek is strictly latitudinal as they do not descend in elevation. These southern wintering grounds provide more grasses for grazing because of a more moderate climate. This latitudinal adjustment is central to the success of pastoralism. Animal husbandry and agriculture are also important activities in the Limi, Ghaisu, and Bhot Khola regions. For example, agriculture is considered to be the foundation of Limis’ economy. However, because of high altitudes, agriculture cannot be expanded ... ...y and its effects on pastoralism and agriculture. For example, Melemchi herders use different vertical zones throughout the year as grazing land for their animals. The book spurred a few questions of uncertainty about the article. Bishop thoroughly described the recent trend in which Nepalese men sell their herds and for many months abandon their family to try and make cash in an unskilled job in India. This insight makes the reader realize that the few isolated regions studied in Goldstein and Messerschmidt’s article are not typical communities even in the mountainous and rural country of Nepal. Works Cited Bishop, Naomi. Himalayan Herders. Texas, Harcourt Brace College Publishers, 1998. Goldstein, Melvyn and Donald Messerschmidt. "The Significance of Latitudinality in Himalayan Mountain Ecosystems." Human Ecology, Vol. 8. No. 2, 1980:117-133.

The Cheesecake Factory

There are a couple Of particular thoughts inside the set Of accepted rules that has some seriousness to the Cheesecake Factory†s business. It is basic that this set of principles is secured in light of the fact that staff parts must comprehend the Cheesecake Factory's morals and conviction framework in correlation to different associations in light of the fact that it may vary as to social substance, values, and requesting of convictions (Machines & Von, 2005). The principal critical thought in the set of accepted rules is clash of investment.The organization particularly expresses that a worker must keep away from circumstances in which a clash of investment would exist or have the presence of a clash of premium. This is greatly critical to the business on the grounds that it will keep workers from having the presence of giving special treatment to relatives, foremen, and business engages. In the event that the organization were to permit such conduct it could open them up to poor business exchanges that may not be beneficial and in addition block the current connections they have shaped with endorsed business associations.A typical case of this is if a general supervisor of an area had a relative who as a cry businessperson it would be disgraceful for that GM to use that relative to plan and offer requests of whimper to the restaurant. Besides, the set of accepted rules has procurements that make preparations for requesting. The non-requesting condition expresses that all workers and visitors should not feel influenced to buy or engage in merchandise and administrations that are non organization related.This is to help maintain a strategic distance from a circumstance where the organization's advantage ND brand is erroneously coincided with an alternate organization's advantage and brand. This can turn into a significant issue with a business in light of the fact that it can unmistakably open a business up to undue legitimate liabilities. Case in point, if a worker is offering corrective items inside the restaurant and the items cause a client to have a hypersensitive response the organization can be held at risk on the grounds that they gave the appearance they were embracing the items to the client.These two particular territories are greatly critical to the practicality of the business on he grounds that they can both open the organization up to undue obligation and are regularly two zones inside a set of accepted rules that can without much of a stretch be misconstrued. The key steps that can be taken by the executive to safeguard that the understood rules are followed by making the staff mindful of the set of principles. This is possible essentially by making it a vital piece of the employing procedure where the representative needs to sign that they read the set of principles and additionally being given a duplicate.This guarantees hat all workers are made mindful of the doe of behavior and having a duplicate promptly access ible when they are confronted with a circumstance they accept may have suggestions inside the set of principles. The Cheesecake Factory should then consider workers responsible to the implicit rules. This is possible through activity notices and verbal censures when there are infringement if the set Of accepted rules. For instance, the set of principles entirely forbids clashes of investment.In the event that the former case we expressed were to happen between the GM and the cry councilperson it would be basic that the representative is composed up expressing the infringement and the conceivable outcomes of their activities. It will be critical to distinguish the infringement on the implicit rules and additionally referencing their marking of the set of principles demonstrating they were mindful of the strategy'. Notwithstanding this It is critical that the Cheesecake Factory makes an environment where morals are esteemed.This is through the consolation of great choices through appl ause and in addition secretly decrying dishonest resistances. This is basic on the grounds that morals give a worker values that will figure out if their activities are correct or wrong and in addition if the result of such choices will be great or awful (Kicking & Grittier, 2004). When you make the best possible environment for morals to flourish you can guarantee that a set of accepted rules is maintained and hotly taken after. Finally, the Cheesecake Factory has a huge number of chances that could permit it to be all the more socially responsive in the groups in which it works.

What Is a Good ISEE or SSAT Stanine Score

The SSAT and ISEE are the most commonly used admission  tests that private schools use to assess a candidates readiness to handle the work at their schools. The scores help schools evaluate candidates from a range of schools to understand how they compare to each other. Testing organizations break down student assessments into stanine scores, which use a scoring system of nine groupings that helps eliminate small differences in scores and better compare results. Testing scores for many students who are accepted to private school average in the 60th percentile, while more competitive schools may favor scores in the 80th percentile or higher.  Keep in mind that the SSAT and ISEE scores needed for admission at different schools will vary. Some schools require higher scores than others, and its hard to know exactly where the cut-off score lies (or even if a school has a specific cut-off score). What If My Child Doesnt Receive a Top Score? Students who take the ISEE or SSAT are usually high-achieving students and are compared to other high-achieving students. This can make it hard to always score in the top percentiles or stanines on these tests. In other words, a student who scores at the 50th percentile on the ISEE or SSAT is about at the middle of students applying to private school, a group of generally high-achieving kids. Such a score doesnt mean that the student is average on a national level. Keeping these facts in mind can help reduce some of students and parents stress around testing. Stanine scores below 5 are below average, and those above 5 are above average. Students receive a stanine score in each of the four sections: Verbal Reasoning, Reading Comprehension, Quantitative Reasoning, and Mathematics. Higher stanine scores in some areas can balance out lower scores in other areas, especially if the students academic transcript shows solid mastery of the material. Many schools acknowledge that some students just dont test well, and they take into account more than just the ISEE score for admission, so dont fret if scores arent perfect.  Ã‚   How Important Is a Standardized Testing Score? Schools consider a wide range of factors in admission, and the importance of standardized test scores can vary. Some schools implement strict cut-off scores while others use scores as a secondary evaluation. The importance of a testing score can increase when two students have similar profiles; if testing scores are drastically different, it can help a school make an admission decision. Schools may also show concern if scores are very low, especially if schools have other reservations or considerations about the student. However, sometimes a student who has low test scores but great grades, strong teacher recommendations, and a mature personality will still be admitted to a competitive school, as some schools recognize that smart kids do not always test well. How Is the SSAT Scored? The SSATs are scored differently by levels. The lower-level SSATs are scored from 1320 to 2130, and the verbal, quantitative, and reading scores are from 440 to 710. The upper-level SSATs are scored from 1500 to 2400 for the total score and from 500 to 800 for the verbal, quantitative, and reading scores. The test also provides percentiles that show how a test takers score compares to other students of the same gender and grade who have taken the SSAT in the past three years. For example, a quantitative percentile of 50 percent means that you scored the same or better than 50 percent of the students in your grade and of your gender who took the test in the last three years. The SSAT also provides an estimated national percentile rank for grades 5 to 9 that show where the students scores stand in reference to the national population, and students in grades 7 to 10 are provided with a predicted 12th grade SAT score. What Does the ISEE Measure and How Is It Scored? The ISEE has a lower-level test for students currently in grades 4 and 5, a middle-level test for students currently in grades 6 and 7, and an upper-level test for students currently in grades 8 to 11. The test consists of a verbal reasoning section with synonyms and sentence completion sections, two math sections (quantitative reasoning and mathematics achievement), and a reading comprehension section. Like the SSAT, the test has an essay that asks students to respond in an organized fashion to a prompt, and while the essay isnt scored, it is sent to schools to which the student is applying. The score report for the ISEE includes a scaled score from 760 to 940 for each level of the test. The score report includes a percentile rank that compares the student to the norm group of all students who took the test over the last three years. For example, a percentile rank of 45 percent would mean that the student scored the same or better than 45 percent of the students in his or her norm group who took the test in the last three years. Its different than scoring 45 on a test, in that a percentile rank compares students to other similar students. In addition, the test provides a stanine, or standard nine score, that breaks all the scores into nine groups.