Discussion response, please respond to this post 1 page and 2 resferences

 
 

Respond to at least two of your colleagues* on two different days by expanding on their response and providing an example that supports their explanation or respectfully challenging their explanation and providing an example.

*Note: Throughout this program, your fellow students are referred to as colleagues.

Main post

Opioid Epidemic 

The opioid epidemic is something that affects many aspects of life. It affects the personal lives of the people and families involved, the communities they are part of, as well as all the way to the healthcare resources in these communities. There are many reasons that can be blamed for the opioid epidemic we are facing today. One of the big causes is prescription pain medications. In the 90s many pharmaceutical companies were pushing these opioid pain medications as safe and non-habit forming (U.S., n.d.). We all know now that these medications are highly addictive and dangerous for many patients. One big social determinate that helped to push this crisis was education.  Many people did not understand these medications, and they trusted the experts to inform them of the safety of the medications they were prescribed. The U.S. Department of Health and Human Services declared a public health emergency in 2017 (U.S., n.d.). 

Presidents Solutions 

President Bidens solution to the problem was grant given to states and territories to help fight the opioid epidemic. The grant was a $1.5 billion grant that was part of the State Opioid Response and Tribal Opioid Response Grant (WH.Gov, 2022). This grant increased substance abuse treatment and prevention programs, increased access to recovery services, increased access of products like Naloxone, increased funding for law enforcement in high use areas, and sanctions to stop drug trafficking (WH.Gov, 2022).   

President Trumps solution to this problem included education as well as funding for communities to fight the opioid crisis. He passed the Support ACT that included $6 billion in funding along with education plans (The White House, n.d.). The Support Act included reducing over prescribing, education about over prescribing, stopping illicit drug chains, increasing recover programs, and securing borders (The White House, n.d.).  

What more could we do? 

The programs they instated had all the right components. The education aspect I feel is the most important. Many people get angry that their physicians will not prescribe the pain medications they used to prescribe for them. Patients do not always understand the dangers of these medications, they just know they worked for them. I think we should also be looking into alternative pain management treatments for our patients, that do not include pain medication. Many times, patients just feel deserted by their physicians when they are not offered alternative solutions.          

Reference 

The White House. (n.d.). Ending America’s opioid crisis. retrieved from  

U.S. Department of Health and Human Services. (n.d.). What is the U.S. opioid epidemic? retrieved from  

WH.Gov. (2022). Fact sheet: Biden-Harris administration announces new actions and funding to address the overdose epidemic and support recovery. retrieved

responses winter 1

Responsec1

 

My name is Lakelynn Fink and I am currently a dermatology nurse in WV. I am married with a 3-year-old Labradoodle named Kimber. My background as a nurse includes med-surg and cath-lab. My strength when treating pediatric patients is my personality. I love kids even though I do not have my own yet. I feel that I can talk to children and interact with them to make them feel more comfortable in a sometimes-stressful environment. My downfall is that I do not have extensive experience with treating children in a provider role. I see very few children in my job, and they are typically referred out if so. I saw a few children in my primary care rotation, but no infants. I plan to utilize the Tell-show-do method as this is known to be effective for treating pediatric patients (Khandelwal et al., 2018). I am nervous about treating young babies and toddlers, they seem fragile to someone like me who does not have kids. I also plan to use a visual or audio aid to help calm and distract patients (Raseena et al., 2020). This is also an effective tool that is used when treating anxious or nervous children. I am eager to learn from my preceptor to help better understand how to treat children effectively and accurately, even if they are scared or stressed.

                   My career goal is to continue working in the state of WV in my current town with a focus in dermatology. In the period 2010-2017 the number of NPs in the US more than doubled from approximately 91,000 to 190,000 (Auerbach et al., 2020). Even though there has been an influx of NPs, my town is very small and there is limited access to providers. I have had the pleasure of being trained by one of the best dermatology providers that I work for in my area. I hope to continue to serve patients in my community as I take on a new role as an FNP. The work in this course can help me accomplish these goals and objectives by testing my ability to conduct clinical procedures independently. It will also help me by building my confidence in performing clinical procedures and applying the skills I have acquired from the classroom to real life situations. This course will also help me reach these goals by creating learning opportunities to which I can learn from experienced clinicians when conducting clinical skills on patients. I strive to be an experienced Nurse Practitioner student to make the transition from RN to FNP smooth. I hope to gain this confidence through my practicum

Response 2

 Hello peers. My name is Gevork Arutinyan and I have been practicing in the OR setting for 11 years now. My strengths include providing patient and family-centered care and I believe my operating room skills and patient/family interactions have really played a big role in this strength development. Throughout years of practice, I have encountered patients of all ages, cultures, ethnicities, religious backgrounds, etc. I have learned that learning the patient’s background and approaching each patient with individualized preferences and management measures improves overall patient outcomes, safety, and care, especially in pediatrics when guardians are primary decision-makers for their loved ones’ treatment. Other strengths I carry include situational analysis, EKG interpretation and performance, inhalation therapy, wound care, PPD reading and administration, and many other skills and health assessment abilities as a nurse practitioner. These are all skills that one can utilize in the pediatric environment (Schallmo & Godfrey, et.al 2019). My goal for this term is to gain new skills from the vast depth of knowledge that the pediatric population and my preceptor have to offer. My objective is to build upon the skills I already carry and master the skills I learn. I will then utilize these skills in the areas of practice where I can safely, effectively, and efficiently treat underserved and rural communities in acquiring the best care possible pertaining to disease prevention, management, etc (Norful & de Jacq et.al 2018). I will obtain my goals and objectives by actively listening, utilizing scholarly sources, and gaining knowledge during clinical rotations. 

 2APA references for each response

330.pdf

9-11. The Practice of Cash Flow Estimation for CapitalBudgetingThe analysis presented in this chapter and throughout the book suggests that generating unbiased

estimates of the cash flows from investment projects is extremely important to the success of the firm. A

survey supports this conclusion and provides considerable insight regarding the cash flow estimation

procedures used by larger firms (Fortune 500).

Ethical Issues Cash Flow Estimation Biases

The estimation of the cash flows associated with an investment project is the most important step in

the capital expenditure evaluation process. If the cash flow estimates associated with a project are

intentionally or unintentionally biased, a firm’s resources are unlikely to be allocated to the set of

investment projects that will maximize shareholder wealth.

There are several reasons why managers might produce biased cash flow estimates when preparing

capital expenditure project proposals. First, a manager might be tempted to overestimate the

revenues or underestimate the costs associated with a project if the manager is attempting to expand

the resource base over which he or she has control. By biasing the estimates of a project’s cash flows

upward, a manager is likely to receive a larger share of the investment resources of the firm.

Because managerial compensation is sometimes tied to the span of job responsibilities, managers

may be tempted to expand this span of control at the expense of other areas in the firm.

Second, some firms tie employee compensation to performance relative to stated objectives—a

compensation scheme often called management by objective. If a manager is confident that the best

estimate of the cash flows from a proposed project is sufficiently large to guarantee project

acceptance, the manager may be tempted to reduce these cash flow estimates to a level below the

“most likely outcome” level, confident that the project will continue to be viewed as an acceptable

Book Title: eTextbook: Contemporary Financial ManagementChapter 9. Capital Budgeting and Cash Flow Analysis9-11. The Practice of Cash Flow Estimation for Capital Budgeting

investment and that it will be funded. However, once the project is under way, the project manager

will feel less pressure to meet projected performance standards. The downward bias in the cash flow

estimates provides a cushion that permits suboptimal management of the project while achieving the

objectives enunciated when the project was first proposed.

What impact does intentionally biasing cash flow estimates for investment projects have on

achieving the goal of shareholder wealth maximization?

© Cengage Learning

The majority of the firms responding to the survey had annual capital budgets of more than $100 million.

Nearly 67 percent of the firms prepared formal cash flow estimates for over 60 percent of their annual

capital outlays, and a majority produced detailed cash flow projections for capital investments requiring

an initial outlay of $40,000 or more. Firms with high capital intensity and high leverage were more likely

to have one or more persons, such as a financial analyst, treasurer, controller, or department manager,

designated to oversee the process of cash flow estimation. This reflects the larger number of projects

associated with capital-intensive firms and the need to effectively manage the risk associated with high

leverage.

When asked about the type of cash flow estimates that were generated, 56 percent indicated that they

used single-dollar estimates, 8 percent used a range of estimates, and 36 percent used both single-dollar

estimates and a range of estimates. There was a significant positive correlation between firms that use

both types of estimates and measures of operating and financial risk, suggesting that the use of a range of

estimates is one procedure for managing high risk.

Forecasting methods employed by the respondent firms included subjective estimates from management,

sensitivity analysis, consensus analysis of expert opinions, and computer simulation. Many firms used

multiple cash flow forecasting techniques. The longer the forecasting horizon—that is, the longer the

economic life of the project—the more likely a firm is to use multiple methods for forecasting future cash

flows.

Financial factors considered to be important in generating cash flow estimates include working capital

requirements, project risk, tax considerations, the project’s impact on the firm’s liquidity, the anticipated

rate of inflation, and expected salvage value. Important marketing factors considered include sales

forecasts, the competitive advantages and disadvantages of the product, and product life. Important

production factors include operating expenses, material and supply costs, overhead and expenses for

manufacturing, capacity utilization, and start-up costs.

Three-fourths of the companies surveyed make comparisons between actual and projected cash flows,

with nearly all the firms comparing actual versus projected initial outlays and operating cash flows over

the project life; about two-thirds of these firms make comparisons of actual versus projected salvage

values. The most accurate cash flow estimates are reported to be the initial outlay estimates, and the least

accurate element of cash flow estimates is the annual operating cash flows. Cash flow forecasts were

more accurate for equipment replacement investments than for expansion and modernization

investments or for acquisitions of ongoing businesses. Firms with the information system in place to

generate cash flow forecasts tend to produce more accurate forecasts than firms with less sophisticated

capital project evaluation procedures.

ProjectResponseguide.docx

TASK 1 — The Texas Educator Code of Ethics: Read the instructions and both scenarios and write a paragraph of at least 1/2 page for each scenario, responding to the prompts. Answer the three questions at the end of each scenario, in which you* identify the behavior(s), if any, that you believe violate standards in the Educator Code of Ethics. You must cite the standard from the Code of Ethics, using the letter, number and exact language of the standard. * Explain your reasoning in the selection of the standard(s) or your reasoning if you believe no standards were violated. Additionally, *describe an alternate behavior that is detailed and appropriate to take in that situation. Use professional language, spelling and grammar in your response.

1. Scenario 1 Response:

2. Scenario 2 Response:

TASK 2 – Effective Communication with Parents: Read the scenario in part 2 regarding the parent communication. Respond to the parent in a paragraph or two. Your response should reflect effective communication skills such as setting aside judgement and remaining calm. Address the parent’s concerns and assert yourself through your values.

Use professional language, spelling and grammar.

TASK 3 – Effective Relations with Colleagues: Read the scenario provided and in a paragraph or two, describe how Ms. Jeffries should handle the situation. Read the questions following the scenario and incorporate your responses to the questions in the paragraph.

Your response must be in the form of a professionally written paragraph.

Unit4Project-AnimalDiversityTemplate-31.docx

Unit 4 Project: Animal Diversity

Fill in all 4 tables below with information on 4 different animals (each animal you choose should belong in a different phylum). See my example on Canvas for an idea of how to fill out the table. Submit the completed tables as a Microsoft Word file or PDF.

Table 1: Animal 1

Animal 1 Image:

Common name:

Phylum:

Class:

Order:

Family:

Genus species:

Body Symmetry:

Triploblast or Diploblast:

Protostome or Deuterostome:

Coelomate, acoelomate, or pseudocoelomate:

Reproduction:

Habitat:

Interesting/unique adaptation the animal has:

Website URL:

Table 2: Animal 2

Animal 2 Image:

Common name:

Phylum:

Class:

Order:

Family:

Genus species:

Body Symmetry:

Triploblast or Diploblast:

Protostome or Deuterostome:

Coelomate, acoelomate, or pseudocoelomate:

Reproduction:

Habitat:

Interesting/unique adaptation the animal has:

Website URL:

Table 3: Animal 3

Animal 3 Image:

Common name:

Phylum:

Class:

Order:

Family:

Genus species:

Body Symmetry:

Triploblast or Diploblast:

Protostome or Deuterostome:

Coelomate, acoelomate, or pseudocoelomate:

Reproduction:

Habitat:

Interesting/unique adaptation the animal has:

Website URL:

Table 4: Animal 4

Animal 4 Image:

Common name:

Phylum:

Class:

Order:

Family:

Genus species:

Body Symmetry:

Triploblast or Diploblast:

Protostome or Deuterostome:

Coelomate, acoelomate, or pseudocoelomate:

Reproduction:

Habitat:

Interesting/unique adaptation the animal has:

Website URL:

m-7 financial

This discussion has 2 parts:

  1. After reading the Ethical Issues box on page 330 of the required text, devise a plan that will minimize or reduce the impact of these cash flow estimation biases on effective decision-making.
  2. The CFO of a firm you just started working for claims we always have, and always will, use the weighted average cost of capital (WACC) as the rate to discount future expected cash flows from our proposed capital budgeting projects. What do you think of this strategy?
    1. Read section 11-4, pages 399 404 in the required text carefully.

Submission Instructions:

  • Your initial post should be at least 200 words, formatted and cited in current APA style with support from at least 2 academic sources.