The Impact of the Israel-Hamas Conflict on the World Economy and the US

Questions
Read the following NEWS item and share your perspective on the current war between Israel and  Hamas. Be respectful of each other’s opinions and try not to be political. How will this war affect the world economy and the US? (200+ words)
https://www.cnbc.com/2023/10/10/biden-condemns-terror-and-bloodshed-by-hamas-vows-to-support-israel.html
NO AI, CHEGG, BRAINY, ETC. 

Answer
1. Introduction
The two most prominent groups in this conflict between Israel and Palestine are the Israeli government and the Palestinian Authority (PA). The PA is comprised of two separate political entities, Fatah, which controls the West Bank of Palestine, and Hamas, which controls the Gaza Strip. The Gaza Strip is a narrow piece of land on the coast of the Mediterranean Sea, which is separated from Israel by a wall built by Israelis. It is important to understand that this conflict does not just affect Israel and Palestine, but other nations around the region. According to the Council on Foreign Relations, facilitation of peace between Israel and Palestine would benefit the Middle East and North Africa regional GDP by $2.4 trillion over the next decade. This would potentially increase growth by 3-5% of GDP per annum, or 1.5 to 2.6 million new jobs per year. This would also lead to development of human and physical capital as a result of preparatory investment. High productivity led by peace and stability could possibly raise the level of annual GDP growth by 6-10% per annum in some countries. This is saying that if peace would result in a better quality of life over time for a multitude of countries surrounding Israel and Palestine. The future of the conflict is unclear, so it is important to analyze the most recent conflict and its effect on Israel and Palestine, as well as the rest of the world.
1.1 Background of the Israel-Hamas Conflict
Hamas is an Arabic acronym for the Islamic Resistance Movement and is Palestine’s predominant fundamentalist Islamic organization. It was established in 1987 at the beginning of the first Intifada, an uprising against Israeli occupation of Palestinian territories, which began in December 1987. Sparked by a visit by then Israeli opposition leader Ariel Sharon to the Al-Aqsa Mosque in Jerusalem, it led to increased Israeli security measures and resulted in more violence. In its beginning, Hamas’ main goal was to destroy the state of Israel, a goal they still maintain today. The movement’s founders pulled together various religious, charity, and political organizations, and in 1989 created Dawah, an underground network that provided health, education, and welfare services. These were seen as an alternative to the various Israeli sponsored institutions and sometimes as a means to gain support for Hamas’ activities. Due to the violent nature of the Intifada, Israel detained and deported a large number of Palestinians, mostly activists of the PLO and leftist groups, who were leaders in the first Intifada. With the added effect of the Gulf War and the subsequent peace conferences, this left a huge political void in the Occupied territories and Hamas gained a lot of support and popularity. During its years in operation, Hamas has been involved in countless violent and more recently, political activities.
In the simplest terms, the Israeli-Palestinian conflict is over territory. Israel currently holds a lot of the land that is also claimed by Palestine. This has led to wars and many peace talks. As of recent, the main powers of Palestine, Hamas, and the state of Israel agreed to a ceasefire. This was a later development and escalation in the situation had severe impact on not just the surrounding countries, but much of the world. To gain a full understanding of the context of this ceasefire and the conflict at the present time, a situational analysis of the conflict is necessary. This analysis will be explained using various tools and frameworks learnt throughout the Strategic Management course.
1.2 Purpose of the Analysis
This analysis was initiated with the purpose to provide a detailed informative study on the impact of the Israel-Hamas conflict on the world economy and the US. The great expansions in monetary terms affect the political decisions. The impact can be considered minor, but in the detailed aspects, economy plays a huge role in every decision of the political authority. The impact clarifies the strength of political and economic decisions. War and conflict can shake and be a cause of a broken economy. Every decision of political authority is based on the strength of the nation, and the budget available. The decisions are based to act tough and firm or soft and apologetic? The stance with the world economy decides the decision. If the impact is great, then decisions will be adapted to recover and to regain the status of the nation. If the impact is minor, no relevant steps will be taken to change the decisions.
2. Economic Implications
2.1 Global Trade Disruptions
2.2 Stock Market Volatility
2.3 Impact on Oil Prices
2.4 Tourism and Travel Industry
2.5 Foreign Direct Investment (FDI)
3. Regional and Global Security Concerns
3.1 Escalation of Regional Tensions
3.2 Threats to International Peace
3.3 Implications for Diplomatic Relations
4. Humanitarian Crisis and Aid Efforts
4.1 Displacement of Civilians
4.2 Humanitarian Assistance
4.3 Role of International Organizations
5. US Involvement and Policy Considerations
5.1 Historical US-Israel Relations
5.2 US Diplomatic Efforts
5.3 Military Assistance and Arms Sales
5.4 Impact on US Foreign Policy
6. Long-Term Economic and Political Consequences
6.1 Rebuilding and Reconstruction Costs
6.2 Socioeconomic Impacts on Israel and Gaza
6.3 Political Dynamics in the Middle East
6.4 Potential for Future Conflicts
7. Conclusion

The Influence of Leadership in Developing Quality Capacity

Question
Develop a tri-fold brochure about the influence of leadership in developing quality capacity. The brochure will also focus on what leaders do to enhance the development of quality and sustaining capacity. Search the peer-reviewed databases for current studies of how leadership style relates to growing and sustaining quality capacity. Develop the brochure as a manager of an organization for top executives.
The tri-fold brochure needs to include the following:
· A discussion to illustrate the relationship between the leadership style of a leader, and the growth and sustainability of an organization’s capacity.
· A description that explains how and why leadership style provides influence upon capacity.
· Examples of how leaders can enhance the development of quality and sustaining capacity. 

Answer
1. Introduction
The key to providing tangible results of this research lies in a mixed method approach. In order to effectively evaluate the success of leadership development programs, one must measure the changes in those expected to display the recently acquired skills and competencies. TDR leaders have agreed that the best way to measure effectiveness at the individual and team levels is through studies of those who have taken part in TDR development programs. This will be done by following a cohort of program participants within the Neglected Infectious Diseases research teams. By assessing this group, we can more effectively gather quantitative data on changes in team leadership and use the control teams for comparative studies to assess changes in the quality of health research. A qualitative comparison will be made through interviews of program participants from various research teams in an attempt to better understand how and why changes in leadership occurred at the individual, team, and of course, organizational level. We will also be evaluating the effects of general leadership and research team management on research capacity within the above-mentioned cohort study and through case studies of differing disease research teams. By unearthing the successes of various leaders and how they improve the effectiveness of their differing research teams, we will gain important insight into the complex interactions between leaders, team members, and how various leadership styles can best develop research capacity in a multitude of differing contexts.
Overall, we are interested in researching capacity change at the individual and organizational level. Leadership is the key to most change efforts, and if successful, we can show that TDR has developed the leaders of health research in their respective countries, we will have demonstrated an important pathway to well-articulated change. By assessing the changes in leadership at the individual and team levels, research carried out in this project will greatly increase understanding of the complex relationship between leadership and capacity and provide useful insight to policymakers and research program managers in both TDR and the broader international health field.
Like other organizations, the World Health Organization has a distinct leadership hierarchy with directors, supervisors, and front line managers. In many cases, especially in developing countries, health workers are also looked to as community leaders. Leadership opportunities within their own health organizations and communities are often the driving force behind their professional development. In terms of health, it is fast becoming evident that the quality of health care is highly affected by the quality of leadership at and below the policy-making level. For this reason, the Department of Organization of Health Services has decided to assess the effects of the Tropical Disease Research (TDR) leadership development programs on health research capacity.
1.1. Importance of Leadership in Capacity Development
In the study of capacity development, leadership is identified as one of the key thematic areas influencing the quality of capacity improvement within an organization, and it is stressed that without proper leadership, capacity development initiatives tend to have limited impact. This is due to most leaders circumventing the leadership development process and very often, leapfrog to launching capacity development initiatives. The irony lies in that leaders are drivers of change, and if leadership is not changed with clear direction citing reasons for the change, followers would not be aligned and would likely carry out tasks as how they have perceived to be the old way and leadership to change the new tasks. This uncovers the issue of the quality of capacity development and reiterates that leadership is a key factor influencing it.
Leadership is important when it comes to increasing the quality of an organization’s capacity due to the guidance, assistance, and support of a leader providing direction to an organization’s followers in order to achieve performance beyond expectations. With effective leadership, it will increase the old way of doing things within an organization to do it in a new and better way. The change in working methods will increase the effectiveness and efficiency of the work being done. Effective leaders make a real difference when it comes to increasing the quality of an organization’s capacity by influencing the followers and aligning their goals to work towards an achievable future in improving the organization.
1.2. Purpose of the Brochure
This brochure is a concise and informative guide designed for policy-makers and practitioners, as well as researchers. The primary aim of the package is to provide a knowledge base for leaders and leadership development, which is directly and indirectly linked with the more effective public sector and thus better service to the public. The guide will also help to deliberate various options and learn from the practices in developed and successful nations in terms of their investment in leadership and the benefits they received. This can also help them enable a leadership succession strategy. The analysis of the political economy of reforms will help them understand the constraints and enabling factors to change the quality of public institutions. The brochure is designed keeping in view the paucity of time with the widespread audience it is targeted to. The language of the brochure is simple and avoids using jargon. The numerous case studies have come from a variety of nations to help readers understand by relating to their situations. The easy accessibility of the content will persuade readers to use the guide as a starting point every time they wish to initiate a reform. At many places, links have been provided to the tools to be used, and the reader can visit the site to learn the tool.
2. Relationship between Leadership Style and Capacity Growth
2.1. Impact of Leadership Style on Organizational Capacity
2.2. Case Studies on Leadership Style and Capacity Growth
2.3. Factors Influencing the Relationship
3. Sustainability of Organizational Capacity
3.1. Role of Leadership in Sustaining Capacity
3.2. Strategies for Long-term Capacity Sustainability
4. Influence of Leadership Style on Capacity
4.1. Direct and Indirect Influence of Leadership Style
4.2. Examples of Effective Leadership Styles
4.3. Case Studies on Leadership Style and Capacity Influence
5. Enhancing the Development of Quality and Sustaining Capacity
5.1. Leadership Practices for Quality Capacity Development
5.2. Strategies for Enhancing Sustaining Capacity
5.3. Promoting a Culture of Continuous Improvement
6. Conclusion
6.1. Summary of Key Findings
6.2. Recommendations for Leaders

The Influence of Stress on the Development of Depressive Disorders

1. Introduction
Since the sequence current stress state and past stressful life events have been assessed with life history technique considerations of the large timelines involved in the inducement of depression by stress would be required. Measures of severe and chronic stresses have been taken in various forms including interview and questionnaire on it of recent life events. Measures of life difficulties involve the assessment of the degree of stress in various areas of life, the length of time the problems have lasted, and the impact of events on the individual. The onset and recurrences of depressive episodes are often assessed with follow-up interviews. Measures of depressive symptoms and diagnoses span a wide range and the effects of stress on these may vary.
Furthermore, much of the extremity concerning the type of stress and its duration that lead to depression relates to the exact kind of depressive disorder and the causative background. For example, there is data showing that post-traumatic stress disorder and dysthymic pathology often have childhood adversities as antecedents. This suggests that the effects of stress dependent on its timing in relation to development and other life events or the affect on cognitive patterns and interpersonal functions can vary in leading to different depressive diagnoses. Therefore, in researching stress and depression, the potential focus to specific types of stress and depression should greatly improve the understanding of mechanisms involved.
Depressions are the complex and interactive compounds of genes and life events and do some effects on adapts various behaviors to cope with stress. Facing a prolonged and chronic stress may lead to development of symptoms of depressive episode and thus it becomes depressive disorder. The diathesis-stress model emphasizes that depression results from the interaction of a predispositional vulnerability liability and life events or experiences that the vulnerability more likely will lead to depression. Stressful life events are associated with the onset and the recurrences of depressive episodes life difficulties and low social support predict a more persistent course of major depression. Vulnerability to depression results from complex interplay of genetic biological personality and environmental factors.
1.1. Definition of Stress
According to the Prepared For Future (PFF) theory of depression, stress generally involves an actual or potential loss, challenge to self-worth or safety, or failure to secure an expected gain (Brown, 2002). At this point, stress evokes a response, depending on the severity of the stressor and the individual’s own resources, that may lead to depression (Brown, 1998). High levels of stress are known to reduce serotonin levels in the brain, whilst also increasing the release of corticotrophin releasing hormone (CRH), a hormone that has been found to be at excess levels in patients with major depression and thus constitutes a model for the etiology of stress-induced depression (Holsboer 2000).
The “demand” that causes stress can take many forms i.e. work, major life events, trauma. Edwards, Cooper & Sadhotra (2000) used fine-grained measures of daily stress in a study that focused on the relationship between acute stress and mood. Maintaining a daily diary for five days and nights, participants recorded the frequency of occurrence and the severity of each type of stress that had taken place in the previous 24 hours. The overall severity of stress was scored in the diary twice daily.
The Selye (1956) definition of stress “the non-specific response of the body to any demand” is by far the mostly widely quoted (Gould, Dye & Cale, 2006). Bouteyre, Paquet, Sejourn and Vernet (2007) recommend this definition, a well-documented and widely accepted theory of stress, as the best to use in their empirical research study of stress and its relationship to depression in French medical students. However, what constitutes these demands that lead to the nonspecific response of stress, and how is stress adequately measured in order to understand its relationship with health and illness?
1.2. Definition of Depressive Disorders
Depressive disorders encompass an array of mood disorders that vary in severity, yet they are all linked by the presence of a sad, empty, or irritable mood along with other symptoms that affect a person’s ability to function (Parker et al., 2005). Depressive disorders are most commonly identified by dysphoria, anhedonia, feelings of worthlessness, weight change, and sleep disturbance. The DSM-IV TR emphasizes that in order to be diagnosed with a depressive disorder, one must experience a minimum of a two-week period of either depressed mood or loss of interest or pleasure, and at least four additional symptoms. If one is experiencing depressed mood and loss of interest with less than four other symptoms, they are said to have an “adjustment disorder with depressed mood” (APA, 1994). Adjustment disorders with depressed mood are conceptually viewed as being similar to depressive disorders in that they are both reactions to psychosocial stressors, however for the purpose of this essay, references to depressive disorders are to mood disorders separate from adjustment disorders. The DSM-IV TR has specific categories for depressive disorders in which symptoms need to meet different specifications for a duration of time and order of onset, including Major Depressive Disorder and Dysthymic Disorder. An even more severe form of depressive disorder is the mood disturbance associated with disorders such as schizophrenia and bipolar disorder. Despite the differing severity and duration of symptoms, all depressive disorders are conceptually viewed as responses to stressful life events. This essay focuses on Major Depressive Disorder and the path from stressful life events to its onset and chronicity.
1.3. Importance of Understanding the Relationship between Stress and Depressive Disorders
Understanding the relationship between stress and depressive disorders is of crucial importance, as it has significant bearing on the prevention and treatment of depressive disorders. One of the reasons for this is the high prevalence of stress in the modern world. If a strong link can be established between stress and the development of depressive disorders, it may be possible to reduce the number of people who suffer from depression through reducing the amount of stress that they experience. This will not only result in fewer people suffering from depressive disorders, but also lead to a healthier society and a reduced burden on health services. Another reason that it is important to understand the relationship between stress and depression is that it may give us a better understanding of the etiology of depression. There is still much debate as to what causes depression and a variety of depressive disorders. If it can be established that certain types of stress lead to different depressive disorders, this may lead to a reclassification of depressive disorders based on causes, rather than the current method of classification based on symptoms. This may then lead to more appropriate and individualized treatment of different depressive disorders. A more in-depth understanding of the etiology of depression may also lead to the development of preventative measures for depressive disorders.
2. The Role of Stress in the Development of Depressive Disorders
2.1. Impact of Chronic Stress on Mental Health
2.2. Biological Mechanisms Linking Stress and Depressive Disorders
2.3. Psychological Factors Influencing the Relationship between Stress and Depressive Disorders
3. Types of Stressors and their Effects on Depressive Disorders
3.1. Major Life Events and Depressive Disorders
3.2. Daily Hassles and Depressive Disorders
3.3. Work-related Stress and Depressive Disorders
4. Vulnerability Factors and Stress-Depression Relationship
4.1. Genetic Predisposition to Depressive Disorders
4.2. Childhood Trauma and its Impact on Stress-Depression Link
4.3. Personality Traits and their Influence on Stress-Depression Relationship
5. Coping Mechanisms and Resilience against Stress-Related Depression
5.1. Adaptive Coping Strategies for Managing Stress
5.2. Social Support Systems and their Role in Preventing Depression
5.3. Building Resilience to Protect Against Stress-Related Depression
6. Treatment Approaches for Stress-Related Depressive Disorders
6.1. Psychotherapy as a Primary Treatment Option
6.2. Medications for Stress-Related Depression
6.3. Lifestyle Changes and Self-Care Practices to Manage Stress and Depression
7. Prevention and Early Intervention Strategies
7.1. Stress Reduction Techniques for Preventing Depressive Disorders
7.2. Early Identification of Stress Symptoms and Prompt Intervention
7.3. Promoting Mental Health and Well-being to Counteract Stress-Related Depression
8. Conclusion

The Role of Human Informatics in Chronic Disease Management

question
The Role of Human Informatics in Chronic Disease Management:
Explain how human informatics can be used to improve chronic disease management.
Focus on how data collection, analysis, and visualization can contribute to better care coordination.
Utilizing patient-generated data (PGD) from wearable devices to track health metrics and identify potential issues.
Applying data analytics to personalize treatment plans and predict potential complications.
Using data visualization tools to create comprehensive patient profiles for informed decision-making.
Discuss the ethical considerations involved in using patient data for chronic disease management.

Answer
1. Introduction
Today, chronic diseases represent a major global health burden. The WHO has estimated that 60% of all deaths worldwide will be the result of chronic diseases by 2020. The treatment of such diseases is increasingly dependent upon the active involvement of the patient, with patient-centered healthcare and a focus on prevention being at the core of modern-day healthcare practice. Patient-centered healthcare is an approach to planning and delivering healthcare that is grounded on mutually beneficial relationships among patients, families, and healthcare practitioners. This represents an attempt to shift the general focus of healthcare practice from the traditional approach towards an approach where the patient is an informed and empowered decision-maker in their care. This is particularly relevant to developmental disorders such as Down’s syndrome and cerebral palsy, where medical interventions cannot increase functioning, and preventive management is critical. A great example of the focus on prevention is the American Down’s Syndrome Preventive Healthcare Guidelines. This is an incredibly detailed guideline that is aimed at preventing further decline of function resulting from complications of associated health problems, such as hypothyroidism or leukemia. This guideline assumes that regular monitoring and treatment of associated conditions will prevent decline in function. An informed patient or, in the case of childhood disorders, the informed parents, can regularly monitor these conditions, and so it can be said that current and future methods of chronic disease management will rely on the availability of health information to the informed patient.
1.1. Overview of chronic disease management
Summary Chronic diseases are currently the dominant form of health problem in the world. A non-communicable condition is defined as lasting for 3 months or more and generally cannot be prevented by a vaccine or rapidly cured. Chronic diseases can have a major impact on an individual by not only being a major cause of premature death but by affecting the person’s quality of life as they can be disabling, which can result in an inability to perform an activity, thus affecting the quality of life. Activity limitation can be common for people with chronic diseases and can have potential effects on the participation of work and, in some cases, be a reason for cessation of work. The level of severity of a chronic disease can vary from mild to severe and generally people spend a lot of time attempting to manage the disease. The management of chronic diseases will often involve attempts to prevent the condition from worsening, potentially resulting in complications which can lead to an urgent need for medical care. Symptoms or the condition itself can be the cause of a bio-psychosocial state that can be distressing for affected individuals (Murray and Lopez et al, 1996). This ongoing management of the chronic conditions is what would be classified as a complex continuing care case, where an individual would have a health issue that is non-curable and would require long-term assistance. This can vary from attempting to repair an activity limitation state to preventing major complications of the diseases. Often, the more complex cases will require an interprofessional team and can involve monitoring and changes to a person’s health regimen to determine what is the most effective form of long-term management of the condition, in turn attempting to prevent further progression of the disease. This may involve the person changing various aspects of their life in an attempt to find an approach to improve their health (Adams et al, 963). This approach to the assessment of the effectiveness of self-management of chronic diseases is known as the clinical assessment phase. This process must be done in a safe manner with minimum harm to the patient. All of the phases of continually attempting to improve a person’s health status with chronic disease are what is attempted to change the natural history of a disease into a more favorable outcome. This type of care is what is attempting to perform improvement illness care on the illness level, as opposed to acute care which generally aims to perform a cure or prevention of a disease.
1.2. Importance of human informatics
Another reason human informatics is vital to chronic disease management is because of the patient centered care and disease management philosophy of today’s health care organizations. Patient centered care is care designed to involve the patient in the process of medical treatment. It is a highly individualized care system with the goal of changing the patient’s health behavior. This is consistent with the coping process described earlier and is something that is best guided by information. The sinew of patient centered care is the frequent interaction between provider and patient aimed at making the best health decision for the patient. This is an interaction rich in information and the failure to provide the correct information at the right time can lead to a decrease in functional health for the patient and/or wasted time and money for the health care provider. Disease management is a more recent philosophy within the healthcare system. It is less a scheme or a distinct program and more an approach to how health care should be delivered to persons with chronic health issues. The aim of disease management is to increase the general health of those with chronic disease so as to avoid any decline in health and functional ability. This is to be attained through treatment and various health interventions. The first step is to understand the nature of the specific disease and what are the best interventions to improve health. Disease management is highly dependent on clinical research and it is there where evidence based medicine is often cited as a tool for making the best health decisions. Evidence based medicine is the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients.
The importance of human informatics can be pegged to the basic need of a chronic disease sufferer to cope with their disease. Coping is an interactive process involving the person and their environment. Information helps the person modify their environment and/or their interaction with that environment in a manner that better suits their needs. In the case of the chronic disease sufferer, they are seeking to cope with their disease in a manner that allows them to attain their level of desired function whilst minimizing the effects of the disease. Usually they are needing to adapt to a new set of bodily limitations and/or changes to their social and physical environment. This kind of coping process is highly dependent on information and a lack of appropriate information can lead to self-mismanagement and a decline in health. An acute care patient is seeking a fast and effective cure to their ailment. The treatment decision process for acute care is less dependent on information. Fast forward to today’s world of an exploding chronic disease population where 1 in 3 people in the US are dealing with one or more chronic health issues. The decisions chronic disease sufferers make regarding their health and treatment are more complex and involve weighing the costs and benefits of various outcomes over an extended time period.
There are tremendous human and financial costs that result from the mismanagement of chronic diseases. In the past twenty years, the information age has presented us with a variety of tools that can be employed to better manage chronic disease. These “information age” tools are varied and highly sophisticated ranging from telecommunications and the internet to an array of new diagnostics using DNA/RNA and advanced imaging. The common thread with all of these tools is that they are information based. The rise of these information age tools in many ways mirrors the rise of human informatics. Essentially, human informatics is the science of how best to use information to improve human health.
2. Data Collection in Chronic Disease Management
2.1. Utilizing patient-generated data (PGD)
2.2. Wearable devices for health metric tracking
2.3. Identifying potential issues through data collection
3. Data Analysis in Chronic Disease Management
3.1. Data analytics for personalized treatment plans
3.2. Predicting potential complications through analysis
3.3. Benefits of data-driven decision-making
4. Data Visualization in Chronic Disease Management
4.1. Importance of data visualization tools
4.2. Creating comprehensive patient profiles
4.3. Enhancing care coordination through visualization
5. Ethical Considerations in Chronic Disease Management
5.1. Privacy and security of patient data
5.2. Informed consent for data usage
5.3. Ensuring data confidentiality and integrity
6. Conclusion

The Struggle for Freedom among African Americans Today

Question
 Does the struggle for freedom still exist today for African Americans? If so, how? 
Answer
1. Introduction
Today, African American freedom is a controversial and a very colossal topic. I say controversial because if you ask five different people their views on African American freedom, you’ll most likely get five different answers. Almost every African American will think of the time when his people were released from the bondages of slavery. But that was just the beginning of what Afro Americans today know as freedom. Some will say freedom is when blacks were allowed to vote. Then there were those who said it was when the famous words “separate but equal” were outlawed and school integration began. In today’s society some will argue that they still do not have their freedom because of the way they are viewed in the eyes of our Anglo American society. So now I will take you into the struggle for freedom among African Americans and why it is so controversial. The way in which African Americans struggled to claim their rights is through your typical social movement. This is known as collective action or a battle to gain what is viewed as a valued thing in the eyes of the people who are being denied. This valued thing is what is viewed as a resource towards the end to their given treatment. In other words, these resources can vary from political power to economic security. Normally, a movement takes place when an existing status that provides these resources is terminated. This is what happened when slavery was abolished and equal rights was given for the first time. Something that many do not realize is that a movement can also occur should these people be trading a current status for a new one that is viewed as more beneficial. An example of such would be the great migration when African Americans moved from the south to seek better economic opportunity. However, the movement itself may also lead to a backlash. This was seen after school integration took place and can still be very evident to this date. During these social movements, decisions are typically made by the people in power. These decisions can often have a great effect on how the movement will turn out and sometimes whether or not it will end abruptly dispersed. This was the case when Marcus Garvey’s vision to give African Americans a sense of pride took a blow when he was wrongfully charged with male fraud and imprisoned. Often the movement will cease when the group of people feel that everything has been achieved. An example of such was affirmative action, the method of helping minority groups is the case of economic or educational discrimination.
2. Historical Background
2.1. Slavery and Emancipation
2.2. Civil Rights Movement
2.3. Post-Civil Rights Era
3. Socioeconomic Challenges
3.1. Income Disparity
3.2. Education Gap
3.3. Employment Discrimination
4. Criminal Justice System
4.1. Racial Profiling
4.2. Mass Incarceration
4.3. Police Brutality
5. Voting Rights
5.1. Voter Suppression
5.2. Gerrymandering
5.3. Felony Disenfranchisement
6. Systemic Racism
6.1. Institutional Bias
6.2. Implicit Bias
6.3. White Privilege
7. Social Movements and Activism
7.1. Black Lives Matter
7.2. Grassroots Organizing
7.3. Advocacy and Protests
8. Cultural Representation
8.1. Media Portrayal
8.2. Arts and Entertainment
8.3. Literature and Writing
9. Achievements and Progress
9.1. Political Representation
9.2. Civil Rights Legislation
9.3. Educational Advancements
10. Conclusion

Theories of Motivation and Emotion

Question
Theories of Motivation and Emotion
Instructions:
After reading the required resources, answer the following questions:
1. Compare the six (6) major theories of motivation.
2. Distinguish between the psychological and the biopsychosocial theories of motivation.
3. Differentiate between extrinsic motivation and intrinsic motivation.
4. Contrast the three theories of emotion.
5. What is your point of view about the theories of motivation and emotion? Explain your answer.

Answer
1. Major Theories of Motivation
The instinct theory no longer has a major role in psychology. It is difficult to prove that most humans have inherited certain behaviors that are not due to learning. Another criticism of behavior due to an instinct is that it does not allow for any flexibility in behavior. Due to the responses being genetically programmed, it does not allow for learning. To combat this, another question could be asked: “Is the act of learning due to an instinct?” This would be difficult to prove as learning behaviors might also be due to another instinct. Despite this, the instinct theory remains the best theory of motivation for some particular animal behaviors.
Instinct theory represents the oldest theory of motivation. The instinct theory suggests that all behaviors, such as sleeping and playing, are caused by instincts. The term instinct in psychology is not an inherited behavior; it is a motivation behind an act. Instincts are the species-specific pattern of behavior that is not learned. For example, the pattern of a bird’s nest building is not learned. It will build the nest the same way every time because that is the bird’s instinct. The same goes for the hibernating patterns of bears. Instincts are the motivation behind these acts.
1.1. Instinct Theory
Instinct theory is one of the first theories of motivation and finds its roots in Darwin’s evolutionary theory. Instincts are the natural and inherited tendencies and corresponding behaviors. This theory was prominent in the late 19th and early 20th centuries with William James as one of its key proponents. James’ instincts were unlearned and permanent in that once initiated, the behavior is carried until completion. These instinctual sequences usually result in a fixed action pattern, which is similar to an animal’s response to a releasing stimulus where the behavior is essentially on autopilot until completion. For example, a bird building a nest or the migration of geese are said to be a result of specific patterns of complex behavior. The concept of humans having instincts has diminished largely in part to there being no empirical evidence that it is true and debates as to what is an instinct and what is not. This theory has been replaced by more modern perspectives of ethology and sociobiology which are beyond the subject of this article. Instinct theory was heavily criticized in its own time and much of the evidence used against it has posed problems for modern instinct theories. The primary issue being that instinct is difficult to distinguish from learned behavior. Empirical evidence was scarce in support of instinct theory, much of it was based on anecdotes and circular logic in that a behavior was said to be instinctual if it was universal among a population. With no proper definition of what an instinct is and the fact that it is such a difficult concept to test given that much behavior does have the potential to be instinctual, it is simply not an influential theory in the study of motivation today. That is not to say that instinct is not a valid explanation for a behavior in some instances. A recent example of modern instinct theory is Bowlby’s Attachment Theory which has led to a significant amount of research in developmental psychology.
1.2. Drive Reduction Theory
A further advantage is seen in the development of experimental psychology. Many early studies in motivation, such as the works of Clark Hull, were successful in experimental/data collection. Drive theory provides testable predictions and postulates that behavior is environmentally caused. Therefore, experimental manipulation of the environment should cause changes in behavior. This is contrary to many theories of today, which say that much behavior is autonomous and caused by internal influences.
A strength of drive theory is seen in its comprehensive understanding of motivation. More recent theories, such as expectancy theory, are very narrow in comparison and only explain specific areas of motivation. Drive theory encompasses many aspects of motivation and emotion. It is valuable to have a theory that explains the overall concept of motivation, even if the theory does not explain every aspect imaginable.
A classic example is the body’s temperature. If the body’s temperature decreases from the normal 37 degrees, it induces a deficiency in the system and creates a drive state. In this case, the person will be motivated to reduce this deficiency and alleviate the drive state by putting on warm clothing or seeking a warmer environment. Once a stable temperature is achieved, the drive is reduced and the person stops the behavior.
We maintain homeostasis through drives. A drive is a state of arousal/tension induced by a deficiency. As a result of a drive, an organism is motivated to reduce the deficiency and thus alleviate the tension. Sustaining homeostasis is the primary motivation of all behavior.
1.3. Arousal Theory
Arousal theory focuses on biological and physiological aspects of motivation, particularly the level of activity in the brain and the increased neural activity to produce emotion and motivation. There are two types of arousal: the first being the one that prepares us for a specific activity or to reach a specific goal, and the second being unspecific in its source and is the result of tension or anxiety. Arousal levels are measured in the hypothalamus where specific areas relate to increased or decreased arousal. The reticular formation is another key indicator of increased or decreased arousal since this area houses the neural circuits connecting with the autonomic and somatic systems. The more recent means to measure arousal is on the basis of skin conductance and has been deemed the most efficient and easiest method. Erik Thyselius has proposed a tart model to further show the relation of skin conductance and arousal. Arousal theories have the advantage that there is a clear link between the amount of arousal and motivation to perform a specific task. But it does have its disadvantages such as it does not look at the behavior caused by the arousal and it is more directed at biological manner so cognitive and emotional responses are disregarded. Stevan Reiss has developed his own arousal function that presumably reviews and integrates what we know about arousal effects on specific behaviors. He proclaims that arousal effect is the net effect of the intensity of all emotion on behavior and stated that more specific predictions could be made by sorting emotions into taxonomic groups.
1.4. Expectancy Theory
Expectancy Theory is built on the premise of two factors. The first being the perceived cause-effect relationship, to decide how to act an individual will look at the end result of a behavior and determine what the probable cause of that consequence will be. If they believe that the consequence is highly probable to occur because of their behavior, then the person will likely decide to act. But if the person believes that the consequence isn’t related to the behavior or is due to extraneous factors, they will not attribute a cause and effect relationship and will not be motivated to perform the behavior. This links to the second part of the theory which is the valence of the consequences. This is the perceived value of the consequences associated with a behavior, to determine the value an individual will look at the strength and probability of an outcome and decide how it will affect their sense of self and their life situation. If the consequences will be positive and of a high value then the person will have a strong desire and will be motivated to perform the behavior. If the consequences are negative or of low value, then the person will not be motivated to act.
Individual personal motivation is the key to self-improvement and is defined in various ways. The “Expectancy Theory” is a cognitive approach to understanding motivation, which focuses on how individuals perceive the likelihood of achieving a set goal and their subsequent desire to achieve that goal. Expectancy Theory proposes that individuals will behave based on their conscious expectations; if one believes a particular behavior will lead to their desired outcome they will be more inclined to engage in that behavior. However, if one does not believe that their actions will result in an outcome, or they do not value the outcome even if it is achieved, they are less likely to persist with the behavior; and in the prospect of failure, may abandon the goal altogether. Expectancy Theory is based on the idea of rational choice; people will act in a rational manner to maximize desirable outcomes and minimize undesirable ones. It is assuming that if a person has the freedom to choose they will make decisions aimed at getting what they want and avoiding what they do not want.
1.5. Humanistic Theory
In the 1950s, the U.S. was dominated by a materialistic, anti-intellectual economic boom that was detrimental to the cultivation of genius. Abraham Maslow, just one of the many significant contributors to humanistic psychology, proposed the theory of self-actualization. His approach of human motivation makes a sharper break from traditional psychodynamic perspectives, and even from the empirical Watson, Skinner, and Hull behaviorism, with a homely illustration and understanding of the human being. In developing humanistic psychology, Maslow was impressed by two things. First, he was impressed by the so-called third-force or non-Freudian and non-behavioristic aspects of psychology, that is, the complex and highly intellectual theoretical and experimental endeavors of, for example, Köhler, Lewin or Piaget. The second thing which impressed him was a widespread feeling of dissatisfaction with the dominant US values, a vague malaise that the well off did not know they had, because of their very success, though it was often most dramatically symbolized by the last stages of life such as Goldwater’s presidential campaign. This led him on his voyage of discovery to learn about human beings. He called this new approach, the Third Force in psychology. This contrasts with the determinism of both behaviorists and Freudians. Humanistic psychologists believe that an individual’s behavior is connected to their inner feelings and self-image. E. Rogers (1987) saw an immediate application of this, for helping people to abandon the idealized self and thereby to become more themselves. This epitomizes the process of self-actualization, which is an ongoing process for most people. An artist will be self-actualizing so long as his painting and his self are improving.
1.6. Self-Determination Theory
We possess a variety of sources of motivation. We have inside us all the time, an assortment of wants and needs, and the anticipated pleasure that would come from their gratification. These range from simple desires such as those for food and water, to more complex and sophisticated desires for achievement. A set of self-regulating standards aim orientations set by indirect self-rewarded activities that often entail the development of complex skill congruence between perceived and self-ideal can be similar to internalization of extrinsic motivation. One of the most persistent questions in the field of motivation has been about the underlying nature of these different types of motivation. A focus on the quality of behavior and how self-regulation differentiates from one type of motivation to another is a focus all of the major contemporary motivation theories share. Self-determination theory grew out of research on intrinsic motivation. The interest in it has been largely focused on the different types of intrinsic and extrinsic motivation and the underlying. This theory has led to the specification of six mini-theories, each of which is concerned with a different aspect of motivation. Quest for understanding human motivation at a more specific and useful causal level than what is provided for in other theories.
2. Psychological vs Biopsychosocial Theories of Motivation
2.1. Psychological Theories
2.2. Biopsychosocial Theories
3. Extrinsic Motivation vs Intrinsic Motivation
3.1. Extrinsic Motivation
3.2. Intrinsic Motivation
4. Theories of Emotion
4.1. James-Lange Theory
4.2. Cannon-Bard Theory
4.3. Schachter-Singer Two-Factor Theory
5. Personal Perspective on Theories of Motivation and Emotion

Theory of Chronic Sorrow as a Framework for Planning Care and Identifying Resources for a Family with a Child Diagnosed with Cerebral Palsy

Question
Theory of Chronic Sorrow as a Framework for Planning Care and Identifying Resources for a Family with a Child Diagnosed with Cerebral Palsy

Answer
Theory of Chronic Sorrow as a Framework for Planning Care and Identifying Resources for a Family with a Child Diagnosed with Cerebral Palsy
1. Introduction
It is important to identify the situational and emotional factors that contributed to the sorrow as it greatly affected where they moved into the next phase and how long they stayed in it. In this instance, the person may have just experienced an acute episode of multifactorial sorrow but will be seeking a way to alleviate the feelings.
CSS trajectory states that the person affected will move in and out of the 4 phases: shocked disorganization, searching and acceptance, moving between them with changes in situational and emotional factors. During the shocked disorganization phase, a parent may enter this phase when the child is first diagnosed with CP or ataxia. They may feel stunned, confused, or disheartened. A mother who participated in a longitudinal study on parental mental health when a child is diagnosed with cerebral palsy reported her feelings on receiving the diagnosis, saying “I was terribly, terribly upset because I thought that means the end of the world, of everything.” A predictor of chronic sorrow is a disappointment in the condition of the child compared with what was expected, so a parent who has been given a poor prognosis may feel the sorrow regardless of whether it was a realistic diagnosis. In a study conducted with a representative of children with militantly and severely impaired children with CP and their families in Scotland, feelings about CP and the prognosis of the child were very negative. Going on to the death of the child, this may be an example of an event triggering an episode of sorrow. At this phase, families for whom the prognosis is poor may move in and out of the episode of sorrow and into the searching and acceptance phase.
Eakes et al describe sorrow as an appropriate response to loss; however, sadness is only one emotion experienced during the sorrow response. It is classified as chronic when it recurs intermittently and a predictable time or after an event. CSS occurs in a number of situations in which families of children with cerebral palsy or spinocerebellar ataxia may feel sorrow.
CSS is a middle range nursing theory concerned with the long term effects of chronic sorrow on an individual and family. It was developed by Georgene Gaskill Eakes, Mary Lermnann, and Melba Cicierega in reaction to the overwhelming feelings of sadness they were experiencing in their current nursing practice. CSS is described as episodic. During the acute phase, the individual or family may experience intense feelings of sadness or depression, feelings of guilt or anger at the loss experienced, and difficulty accepting the limitations of the child or family member.
This essay will apply the chronic sorrow theory (CSS) to the case of a family with a child with spinocerebellar ataxia and discuss its relevance in terms of planning care and identifying resources. Spinocerebellar ataxia in children presents very similarly to cerebral palsy in that it is a motor disorder.
Theory of Chronic Sorrow as a Framework for Planning Care and Identifying Resources for a Family with a Child Diagnosed with Cerebral Palsy
2. Understanding the Theory of Chronic Sorrow
2.1. Definition and Background
2.2. Key Concepts and Components
2.3. Application to Families with a Child Diagnosed with Cerebral Palsy
3. Planning Care using the Theory of Chronic Sorrow
3.1. Assessing the Family’s Needs and Resources
3.2. Identifying Supportive Services and Programs
3.3. Developing Individualized Care Plans
4. Identifying Resources using the Theory of Chronic Sorrow
4.1. Medical and Therapeutic Resources
4.2. Educational and Developmental Resources
4.3. Financial and Legal Resources
5. Collaboration and Communication
5.1. Building a Collaborative Care Team
5.2. Effective Communication Strategies
5.3. Advocacy and Empowerment
6. Addressing Emotional and Psychological Needs
6.1. Providing Emotional Support and Counseling
6.2. Coping Strategies and Resilience Building
6.3. Balancing Hope and Realism
7. Enhancing Quality of Life
7.1. Promoting Independence and Functional Abilities
7.2. Accessing Recreational and Social Opportunities
7.3. Ensuring Inclusion and Community Integration
8. Continuity of Care and Long-Term Planning
8.1. Transitioning to Adult Care Services
8.2. Future Planning and Guardianship
8.3. End-of-Life Care Considerations

Threats to the Environment and Concerns

Question
We have discovered that there are numerous threats to the environment such as overpopulation, global warming, disposal of wastes, and even eco-terrorism.   Do you believe that these concerns are real or are they overstated to satisfy industrial and political agendas?  Of these problems, what concerns you the most?
Answer
1. Introduction
We find ourselves increasingly aware of major concerns about issues in the environment; some so widely known that those not “environmentally aware” are aware of only by name. Depletion of the ozone layer, widespread deforestation, air and water pollution, and the extinction of countless species are all leading examples of issues that have far greater effects than most of us realize. It is important to realize that every action has a reaction, even if we do not see the effects firsthand. These problems are all contributed to human interference in the environment, directly or indirectly. With an expanding population comes the need for more land to support the greater numbers of people, and while providing living space may be a direct cause of habitat destruction, the greater indirect cause is the need for more food sources and economic growth. Economic well-being is important to people all over the world, and this has driven the need for resources and energy. Using cleaner, sustainable energy sources and preventing energy waste can reduce harmful effects on the environment. Unfortunately, the trend is that richer countries are able to move in this direction of sustainable energy, while those countries and communities who are poor often rely on cheaper, dirtier energy sources. These contribute to not only pollution, but damage to ecosystems and health problems for the inhabitants. All these issues are deeply interconnected and are all contributors to the overall issue of global change. This report aims to explain the progression and interconnections of these issues in a logical manner, and to come out with a clearer understanding of the bigger issue at hand. The purposes of my work are to explain and demonstrate through various examples and statistics the vast array of environmental issues that are of global concern today. By increasing awareness and understanding of these issues, we can hope to enable a world that will seek to prevent further damage to the environment, and through active participation each make an impact as an individual. This leads to the next purpose of this work, to show that all these issues are of equal importance when considering their effects on the environment. It is quite often the case that people are aware of only the most publicized issues such as pollution and climate change, and while being big issues in themselves, they are all rooted from a wide array of other issues discussed in this report. An awareness of the global effects and solutions of these issues is necessary on all levels from the individual to the political, so in knowing that the big issue is global change, individuals who are better informed can make better choices and influence others to do the same.
1.1. Background
In the 1960s, concern for the environment resulted in an explosion of environmental legislation and the establishment of such agencies as the U.S. Environmental Protection Agency (EPA) and the UK Environment Agency. These agencies were designed to protect the environment and also to regulate the exploitation of the environment—development, industry, and land use. In many ways, given its concern for environmental sustainability—the ability to have our increasing material needs met without jeopardizing the quality of life now and for future generations—environmental economics is part and parcel of ecological economics. This field, which emerged in the late 1980s, is a policy-driven effort to change the way the economy affects the environment in largely the same way environmental economics emerged from the concerns of the 1960s regarding environmental degradation. The primary difference between the two is that while ecological economists are inclined to regulate the economy for the sake of environmental protection, environmental economists are inclined to change environmental policy using market-based tools. Despite the economic and environmental concerns, there are many who criticize the SMS process due to its overemphasis on science and economics and its failure to adequately involve the public in defining what is meant by the “healthy ecosystem” that is to be restored or preserved. This charge is founded on a belief that a healthy ecosystem is one whose preservation allows for human activities and settlement patterns that have already encroached upon the ecosystem. Though the SMS process is still new and its efficacy still unproven, the current trend in environmental management—whether market-based or regulatory—is consistent with the field of environmental economics and its underlying doctrine that the environment is valuable for the sake of human welfare. This holds great promise for graduates of economics programs.
1.2. Purpose of the Work
It is asserted that in order for a student to devise solutions for the future, he or she intending to begin a career in these areas should first have an understanding of the problems and their scope. Therefore, a major area of this work is to address the paradox that we face in 1992: that we know the environment is threatened, but we still do not understand precisely why this is so. It is hoped that these students will find the work directly and thoroughly addressing their needs and, in doing so, develop increased awareness and concern for their own environment.
The primary objective of this work is to bring the subject of environmental threats to the attention of students and, in so doing, foster concern and eventually collective action on the part of such readers. The importance of this issue is, of course, enormous, and it is the intention of the writer that some of this concern is reflected in the work to be found here. As a biology teacher, I have become increasingly aware of the desperation of the environmental problems facing the coming generation of students. Unfortunately, the subject is complex and interdisciplinary on one hand, while on the other, there is a wealth of biased and often contradictory literature available. It is therefore difficult to know where to begin in presenting a clear picture of the threats in 1992, and thus it is with some relief that the work is completed. The target audience, however, are not biologists, but rather students of environmental science, geography, economics, and social/policy studies studying within the tertiary sector.
2. Environmental Threats
2.1. Overpopulation
2.1.1. Impact on Resources
2.1.2. Pressure on Ecosystems
2.2. Global Warming
2.2.1. Rising Temperatures
2.2.2. Melting Ice Caps
2.3. Waste Disposal
2.3.1. Pollution of Land and Water
2.3.2. Health Hazards
2.3.3. Recycling Efforts
2.4. Eco-terrorism
2.4.1. Definition and Examples
2.4.2. Impact on Environmental Security
3. Debate: Real Concerns or Political Agendas?
3.1. Arguments for Real Concerns
3.1.1. Scientific Evidence
3.1.2. Global Consensus
3.2. Arguments for Overstated Concerns
3.2.1. Economic Interests
3.2.2. Political Manipulation
4. Personal Concerns
4.1. Evaluation of Threats
4.2. Identifying the Most Pressing Concern
4.2.1. Impact on Future Generations
4.2.2. Immediate Environmental Consequences
5. Conclusion

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

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

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

Improving Client-Centered Care Initiatives in Advanced Practice Nursing

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

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