Community Healthcare Strategy

Community Healthcare Strategy Crystal Gill Healthy People 2020, Long-Term and Short-Term Goals, and Intervention Identify one health problem you believe to be the most prevalent in your community. You may want to check with your local health department or a community health nurse. Also consider researching the morbidity/mortality rates health problems in your community. School nurses and are an excellent resource person to contact. Analyze the problem using Milios framework for prevention from the module 1 readings (Chapter three in your text, pp 41) Choose one of your nursing diagnoses and describe how your identified community health problem applies. Consult Healthy People 2020 to find the national goals that are closely related to your chosen diagnosis (p.90) One long-term goal, minimum of three short-term goals and Intervention(s) (p.89) Minimum of four (4) total references: two (2) references from required course materials and two (2) peer-reviewed references. All references must be no older than five years (unless making a specific point using a seminal piece of information) The purpose of this paper is to discuss a prevalent health problem in Fairfield County, Ohio and discuss how Nancy Milios framework for prevention addresses the health care problem. The paper will incorporate the Fairfield County health challenge to my week one cardiovascular nursing diagnosis, and will cover long and short term goals and interventions as pertaining to the health care issue and in accordance with Healthy People 2020 guidelines. Fairfield, County Ohio Community Health Problems In week one of this class, I formulated two nursing diagnoses related to disease in Fairfield County, Ohio. One of my diagnoses focused on cardiovascular disease. Cardiovascular disease has a number of attributing factors, including hypertension, obesity, and the use of tobacco. According to a Fairfield County Community Health Assessment, in the year 2010, 23% of Fairfield County adult residents had a cardiovascular disease diagnosis, with heart disease accounting for 28% of resident deaths (Ohio Department of Health, 2016). In the same assessment, 34% of Fairfield County residents had the diagnosis of hypertension, 7% were told they were pre-hypertensive, 33% were obese, and 17% of adults reported they used tobacco (Ohio Department of Health, 2016). Milios Framework of Prevention Problem Analysis Nancy Milio, PhD, RN, was a public health nurse who formulated a framework for prevention, which aimed to explain the connection between the individuals state of health and that of the community (Nies McEwen, 2015). Milio formulated six propositions in an attempt to explain the interrelation of a persons choices as they corresponded to the resources available in the community. In researching the topic of cardiovascular disease, I saw three specific Milio-propositions could be applied to my county. In her first proposition, Milio theorized that a persons state of health is directly influenced by too little or not enough of health-sustaining resources (Milio, 1976). Milio reported that the affluent members of her 1976 society indulged in too much food, soda pop, and alcohol. Similarly, in 2017, people are likely to indulge in the convinces of fast food restaurants, soda machines in every breakroom, and drive through liquor stores. Fast food is not only convenient; thanks to dollar menus, it is affordable even to lower income individuals. Most meals have the option to super-size the French fries and soda. In my city, there are two fast food restaurants directly across the street from the high school. Each restaurant is packed at lunch time with high school students escaping the cafeteria for cheap fried foods and caffeinated drinks. Regular consumption of foods high in carbohydrates, fat, salt, and sugar largely contribute to hypertension and obesity, leading factors of cardiovas cular disease (Pencak Murphy, Coke, Staffileno, Robinson, Tillotson, 2015). Milios second proposition stated that a person forms habits based on their actual or perceived choices. In the example above, the high school students flocked to the fast food restaurants at lunch for a variety of reasons. The restaurants are easily accessible, the food is fast and cheap and the student may perceive no other option for lunch. Going out to lunch with peers is comfortable, routine and habit forming. In my experience, it is easy to form bad habits because many of these habits are comfortable and automatic. In order to make positive changes, the actions need to be conscious. It is difficult for many people who face time-constraints to make advantageous eating habits a priority. Even though most fast-food restaurants now offer healthier food alternatives, such as salads, people do not view that food as convenient. It is much easier to eat salty French fries while committing than to eat a salad. Another Milio proposition discussed that people make choices based on their perceived personal or community resources (Milio, 1976). In my city of Pickerington, the population was recorded as 19,085 residents in 2013 and the city itself is 9.58 square miles (http://www.ci.pickerington.oh.us/Pages/Departments/Economic_Development/Demographics/). Pickerington hosts 19 fast food restaurants, with approximately 60 fast food restaurants in Fairfield County (https://visitfairfieldcountyoh.org/fastfood.php). This is compared to eight work-out facilities in Pickerington, and approximately 13 licensed workout facilities in the county, as per a Google web search. Most individuals crave expediency factors, whether related to food, shopping, commuting, or physical fitness. The Fairfield county statistics on cardiovascular disease and obesity can easily be correlated to the amount of fast food restaurants, deficiency of physical fitness facilities, and very likely, lack of community education on healthy lifestyle choices. References Milio, N. (1976). A framework for prevention: Changing health-damaging to health-generating life patterns. American Journal of Public Health, 66(5), 435-439. http://dx.doi.org/10.2105/AJPH.66.5.435 Nies, M. A., McEwen, M. (2015). Community public health nursing (6th ed.). St. Louis, MO: Elsevier Saunders. Ohio Department of Health. (2016). Fairfield County Community Health Status Assessment: Fairfield county community health status assessment: Examining the health of Fairfield county. Retrieved from http://www.myfdh.org/pdf/2016-Fairfield-County-Community-Health-Assessment.pdf Pencak Murphy, M., Coke, L., Staffileno, B. A., Robinson, J. D., Tillotson, R. (2015). Improving cardiovascular health of underserved populations in the community with lifes simple 7. Journal of the American Association of Nurse Practitioners, 27, 615-623. http://dx.doi.org/10.1002/2327-6924.12231

Impact of social media marketing Essay

Over the years communication has evolved into a revolutionary platform, through the invention and development of Internet. The Internet has evolved from a means to facilitate data, to a platform of public communication through social media. Social media has opened up a plethora of opportunities for businesses to advertise, promote and market themselves to customers. This research paper discusses how social media has changed the scope of the traditional customer relationship marketing in today’s business world. IMPACT OF SOCIAL MEDIA Since the beginning of time, communication has always played a major role in normal day-to-day activity. Communication has evolved and gone through significant changes through out the years and has shifted the way humans interact with each other. Through new technologies and inventions such s the Internet, communication has grown significantly from the traditional face-to-face interaction. The Internet has revolutionized everyday human interaction and communication through incorporating social media. Social media has impacted every aspect of human interaction from personal lives to the business world. The business world however, has especially been impacted by the application of social media. As social media continues to grow as a marketing tool, Many companies have incorporated social media into their daily business activity for brand awareness, target market reach, business expansion and customer interaction. However, since companies have incorporated social media marketing, traditional customer relationship marketing is decreasing because companies are relying heavily on social media marketing. What Social Media Is Social media is a means or forum in which individuals, groups, or organizations interact and share information, thoughts or ideas. Adam J. Mills defines social media as â€Å" Internet and web-based technology platforms designed to encourage social interaction between individuals, groups and organizations.† (Mills, 2012). Social media has become increasingly popular because of its ability to serve as away to connect with others in the world that may or not be in the same region. Mills goes on to say that, â€Å" Social media are IMPACT OF SOCIAL MEDIA part of the phenomenon known as ‘Web.2.0’. Web 2.0 is best understood as the result of the evolution of technology and application form the proverbial early days of the internet where communications were largely one-way and the Internet was used as a source of information retrieval.† (Mills, 2012). Social media consist of many tools and platforms where individuals and organizations interact. These tools play a major role in the existence and stability of the social media network. Social Media Tools and Their Functions Social media tools are those elements that are used by the public, organization or businesses and little or no cost to communicate or network. One of the top social media tools today is Facebook. According to Emily Raush who quoted â€Å"Top 10 Websites† â€Å"Facebook is the number one most visited, taking up 10 percent of all Internet visits. It is also by far the most widely consumer-used social media site.† (Raush, 2011). Facebook is a social media tool that everybody in all age groups and in all backgrounds are familiar with. Facebook has created ways in which users can create profiles and interest groups that cater to an individual or organizations needs and motives. Facebook users can exchange messages, receive notifications, add friends and subscribe to areas of interest. Another social media tool is Twitter, which is a micro blogging site that â€Å"allows users to send out real-time updates to followers for a quick and easy read.† (Raush, 2011). Twitter consists largely of opinion sharing and short messages. Twitter is a forum where individuals follow people or companies of interest to send or read what others are IMPACT OF SOCIAL MEDIA saying about any given subject. This forum can be used through a desktop or mobile device. YouTube is another social media marketing tool that has become very popular over the years. â€Å" YouTube is currently one of the biggest search engines being used today. YouTube is a video-sharing website that is primarily updated by subscribed users who upload videos. Individuals, subscribed or unsubscribed, have the ability to watch videos, like them and comment on their thoughts of the videos. Social Media in the Business World Since the development of these various social media tools, companies have used they’re development and growth to gain competitive advantage in the markets. Companies use social media tools to market their brand and interact with their target market. One of the primary reasons businesses utilize social media to market is because social media marketing reduces the cost of advertising. With forums such as Facebook, companies have the opportunity to create a profile for their product or service and inform their target market about what they are all about and the benefits of their product with out having to spend a dime. Social media marketing is one of the most cost effective ways for a company to gain exposure and advertise a company. Social media also creates spreadability or exposure for a company among consumers. Mills states â€Å"spreadability refers to the ease with which a campaign flows across social networks.† (Mills, 2012). The ability for a brand or company to spread through social media tools such as Twitter and YouTube, give the company leverage and helps the business get their name out without much effort. The ability for the companies IMPACT OF SOCIAL MEDIA name to get out can be through word of mouth on these social media tools, where customers share videos or share their opinions of how the product or service worked for them. â€Å" Since people are most interested in what their friends have to say about something, a friend’s review of a company can go along way in helping generate exposure for that business† (Raush, 2011). Social media marketing can also promotes brand engagement. Companies can engage their target market by creating interest groups for their product or service. By utilizing social media tools like Facebook, business can set up an interest group specifically catered to their brand and consumers can interact by liking the group, commenting on the company profile and making suggestions and sharing the content with others to expand the companies reach. Donna Hoffman and Marek Fodor of the MIT Sloan Management Review state that â€Å" highly engaged social media campaigns involve user-generated content on the part of the consumer, reinforcing loyalty to the brand and making the customer more likely to commit additional effort to support the brand in the future.† (Hoffman and Fodor, 2010). Brand engagement also creates a way for companies to know what is that a consumer wants and needs. Interest groups can contribute to the marketing research efforts of the business. As stated by Hoffman and Fodor â€Å"social media can improve the efficiency of market research efforts when, for example, marketers set up online prediction markets to crowd source new ideas or mine online forums that allow customers to comment on product concepts and offer improvements for existing products.† (Hoffman and Fodor, 2010). Social media marketing has revolutionized the way that businesses utilize social media tools to expand and grow their business. However social media has affected and negatively impacted customer relationship marketing. Social Media Marketing vs. Customer Relationship Marketing Over the years customer relationship marketing has played a major part in the growth of any business. Customer relationship marketing is what most business are all about. Customer relationship marketing is where businesses learn their customer’s needs, build customer loyalty and trust. Companies now rely so heavily on social media marketing that, they have neglected and forgotten the importance of customer relationship marketing. The problem with social media marketing is that the public primarily controls the content. Companies might find themselves trying to defend their brand based on what individuals have said to discredit that business. Customer relationship marketing is important in this aspect because business can have that one-on–one interaction with their, customers to ensure that the customer has the experience for themselves, and is not going based on the opinions of others. The businesses have the opportunity to build trust between themselves and the customer if customer relationship marketing is retained. Trust is an important part of a relationship between customers and businesses. Sometimes social media marketing can impede that trust because the opinion of others can impact and or form the mind of potential customers and could in turn shorten the intended reach of a customer. Social media marketing can also become over bearing and create a situation with customer where the customer feels like the company is being intrusive or annoying. Social media marketing also strikes concern because as Jack Yan discussed in IMPACT OF SOCIAL MEDIA his article, sometimes, social media tools can bee unreliable. Yan stated that Twitter, which is much harder to patrol and easier to manipulate, has its share of fake accounts with programs adding followers and tweeting fake messages.† (Yan, 2011). Conclusion Social media marketing is a great way for businesses to market their brand and get awareness out there about their product or service. Social media tools such as Facebook, Twitter and YouTube have hand a tremendous impact on the advertising and growth of companies. Social media tools have allowed consumers to engage in the advancement of brands in that customers can suggest improvement or give their opinion on a brand.   However, because social media has evolved, customer relationship marketing has been impacted. Businesses rely heavily on social media marketing and in turn are leaving their brands and reputations in the hands of those who can alter their customer brand and market strategy. Social media is constantly growing and in turn social media marketing will continue to grow and revolutionize. Social media, if used correctly, can create the tools necessary for a company or business to have a competitive advantage and create stronger brand equity. IMPACT OF SOCIAL MEDIA Reference Hoffman, D. L., & Fodor, M. (2010). Can you measure the roi of your social media marketing? MIT Sloan Management Review, 52(1), 41-49. Mills, A. J. (2012). Virality in social media: The spin framework. Journal of Public Affairs, doi: 10.1002/pa.1418 Raush, E. R. (2011). Social media: Revolutionizing the business world. (Unpublished master’s thesis, Liberty University), Available from Berkeley Electronic Press. Retrieved from http://digitalcommons.liberty.edu/cgi/viewcontent.cgi?article=1267&context=honors Yan, J. (2011). Social media in branding: Fulfilling a need. Journal of Brand Management, 18(9), 688-696. doi: 10.1057

Atrocities on Women Essay

Everyday early in the morning after getting up from bed, as a matter of habit, I look for the local newspaper which the hawker uses to insert it in the door belt of my house. When I go through the paper, invariably I find one or more news on atrocities on women or outraging the modesty of women appearing either on the front page or on the following pages depending on seriousness of the happenings. Sometimes I tremble to think, how could these heinous incidents take place everyday when stringent laws are there to deal with these cases rigorously, National Commission for Women and Child Welfare and separate women police stations have been set up by the Govt. to provide protection to women in danger or distress? Unlike the past when women were confined to four walls and treated as slaves in the male dominant society, there has been radical change in the social order and the women have been given equal status in all walks of life over the passage of time. Today the women are more or less conscious of their rights and position in the society and most women are educated too. In spite of all this, the women, as it were, are subjected to undergo humiliations and torture of different dimensions at various stages of their lives. Then what is going wrong? Are the flaws lying with the society or the system or the women themselves? In fact, women are very often made the targets of attack for pleasure or fun or comfort or making of money or avoiding unnecessary burden right from the stage of embryo before birth till their old age. Before going to discuss on what could be the reasons and who are responsible for inflicting torture on women, it may not be out of place to take an account of different nature of atrocities and humiliations being done to women at various stages of their lives as the reports, very often, come to our notice through media. v Pregnant women are either persuaded or forced to undergo abortion if the babies in the womb are detected to be females through sonography, only to avoid bringing up of girl children and bear huge expenses for their arriage. v New born female children are brutally killed by parents or other members of the family and thrown as wastes if they could not be aborted before birth not only for rearing burdensome creatures but also for satisfying their caustic desire for having only the male children who will be the future bread earners and shall be the heirs to advance their family for future generations,. v Girl children in several parts of the country are not allowed to g o to school for study and they are engaged in household or field work. In many cases they are engaged as maid servants for earning money for the family or sold out as bonded labour to rich people. v Girl children are abducted and sold to the brokers for trading in the whore market. v School and college going girls are very often subjected to eave teasing, kidnapping, rape, rape and murder. v In many families daughters are not given equal treatment in upbringing as given to their sons. v Forceful child marriage of girl child and forgetting about her fate in father-in-law’s house is still existent in some parts of our country. If the marriage of a girl after attaining right age is arranged one, her misery follows when her parents fail to satisfy the demands of groom and his parents. All her visionary projects for building a lovely home get crushed and mingled with the dust as soon as she steps into her father-in-law’s house. She is treated like a foot ball and is subjected to painful humiliations and inhuman torture for dowry day in and day out. How helpless and destitute she feels in her father-in-law’s house where everybody including her husband go on torturing her mentally as well as physically until their dowry demands are not fulfilled? In many cases, the helpless poor girl either commits suicide or she is most cruelly murdered. v If a woman is divorced or estranged by the husband for any reason after marriage, her misery crosses all limits by making her life extremely unbearable. Not only her neighbourers, friends, relatives but also her parents in many cases never hesitate to cast slur on her and treat her as if an unwanted entity in the family/society. v If a woman is raped or kidnapped and then released, her living in the society becomes awful and everyone looks down upon her as if she has committed a grievous sin willfully. Working women, in most cases are subjected to sexual harassment at their respective working places and outside. v In nucleus families (Families comprising husband, wife and children only which are commonly seen these days) mostly the dominance of husbands is supreme where wives are not earning members and poor wives have no freedom to act according to their wishes. In cases, even if the wive s are earning members, the husbands hardly share the responsibility of managing the family and rearing of children. The wives are compelled to manage all household works including cooking of food even if their earning is equal to or more than their husbands. In most of the cases wives have to compromise for a peaceful family life and their dedication for the family is considered as an obligation to making an ideal family either as wives or as mothers. v Most widows in old age are an abandoned lot in spite of having their well placed sons simply because their daughters-in-law can’t bear their presence at home. Although the nature of atrocities on females as listed above is not conclusive, it is enough to indicate clearly the motive behind all these infamous deeds. Those may be (1) Fanatical belief of man of having a male child in stead of a girl child. (2) Insatiable greed for dowry and passion for leading a comfortable or luxurious life by utilizing women as the key gadgets to extract easy money from their parents. (3) Jealousy and hatred (4) Satisfaction of one’s sexual appetite growing out of passion for having illegal sex and infatuation. (5) Utilising women as precious commodity to breed money. 6) The last but not the least is the upholding the false vanity of male dominance by males on the strength of their masculine power. Now, if we go deep into the matter to discover who are the persons responsible for initiation of all these ghastly deeds, we may find, barring the cases of rape, sexual harassment and exercising superiority of men vainly upholding the male dominance, in oth er cases there must be either direct or indirect involvement of one or more women. This kind of abrupt landing on an observation may appear absurd, controversial and illogical but it is not far from reality. I think it is needless to elaborate on this question as the news come in daily that how women for their own advantage frame clandestine designs to inflict torture on other women who are not of their liking by craftily utilizing the masculine power of men and for that matter they never hesitate to instigate, persuade, entrap, coax, seduce or apply undue influence on men. Of the many news items coming out in the news papers everyday, one incident shocked me most and that was the dealings of a woman constable in a police station manned by women only. When a rape victim coming from a poor family approached the nearest women police station for help and wanted to lodge an FIR the woman constable of the police station in stead of extending help persuaded her to return home without creating a scene by lodging an FIR which would in no way go to help her on the contrary, it might make her life more miserable owing to spread of slander. This is only one of the live examples of lapses of the system in providing security to women in distress. One can imagine how many such cases might be happening everyday? Recently somewhere I read a news item that about 10-15% of the incidents of torture on women, injustice, humiliations done to women and outraging the modesty of women come to light whereas the rest happenings, however grievous they may be, are suppressed by the victims themselves out of fear or under pressure from other women of their relations who might be trying to cover up the incidents. For this matter I do not blame women in general but nobody comes forward to raise a voice against such injustice. In a complex society of ours where problems of leading a happy and peaceful life are multitude and highly sensitive being aggravated by poverty, unemployment and inadequate education, the atrocities on women can only be eradicated through mass awareness of women themselves. If all women develop a spirit of fellow feeling by placing themselves in the shoes of victims or aggrieved women and unite to protest or counter or fight or raise strong voice against all types of oppression, I think they can catalyze a novel metamorphosis in the society and curb atrocities on women to a great extent. If some progressive women come forward to form â€Å"Mahila Jagaran Manch† (MJM) and spread it through out the length and breadth of the country with a view to provide protection and help to women in distress I think the problem might subside. Unlike the National Commission for Women the MJM should grow voluntarily in every village and in every residential blocks in towns and cities through awareness campaign being conducted and monitored by some progressive benevolent ladies so that the women folk at large can master courage to come out to join MJM and face any turbulent situation confronting them boldly.

Essay about Use of Satire in Voltaires Candide - 1568 Words

Successful Use of Satire in Voltaires Candide Voltaires Candide is the story of how one mans adventures affect his philosophy on life. Candide begins his journey full of optimism that he lives in the best of all possible worlds, but he learns that it is naà ¯ve to say that good will eventually come of any evil. Voltaire successfully uses satire as a means of conveying his opinions about many aspects of European society in the eighteenth century. He criticizes religion, the evils found in every level of society, and a philosophy of optimism when faced with an intolerable world. Candide portrays religious persecution as one of the most worst aspects of society. Voltaire rejects the superstitious beliefs that the church†¦show more content†¦Christianity teaches that we are all Gods children, but the Negro is a slave to a cruel master that has cut off his arm and leg. The old woman tells Candide a story of a supposed holy man that convinces the Janizaries not to kill the women for food, but only to slice off one of their buttocks to eat. This pious and compassionate Moslem priest convinced them that heaven will be pleased by such a charitable action (Voltaire 48). Voltaire attacks the corruption within the church and its officials as well. The Grand Inquisitor, a significant clergyman, makes Cunegonde his mistress at a Mass service. Even more ironic is that he shares her with a Jew. It was a Franciscan priest that robbed Lady Cunegonde of her money and jewels. The old woman identifies herself as the bastard daughter of a pope, and the papacy is also identified as keeping soldiers for private use. When Candide is ill in France, a clergyman is one of the many that harasses him in attempt on his wealth. Ironically, the disease that Pangloss catches from Paquette, originated from a Franciscan priest. Voltaire portrays the church as violent and corrupt and the clergy as parsimonious fortune hunters. Candide also discovers evils in every level of society. Voltaire criticizes the inordinate pride ofShow MoreRelatedThe Use of Satire in Voltaire’s Candide by Gottfried Wilhelm Leibniz773 Words   |  4 Pages The Use of Satire in Voltaire’s Candide Satire. According to dictionary.com it is â€Å"the use of humor, irony, exaggeration, or ridicule to expose and criticize peoples stupidity or vices, particularly in the context of contemporary politics and other topical issues†. 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