Saturday, September 7, 2019

Obama Vs. Clinton Essay Example for Free

Obama Vs. Clinton Essay The Affordable Health Care Act is a very in-depth process. The changes to the health care system were attempted to be passed in prior years by Bill Clinton. However, it failed at this time and was implemented in the United States by the current president Barack Obama. The Congress diversity of Democrats vs. Republican’s was very similar in both Clintons and Obamas time in office. There were many steps that were taken in creating this policy, and some of those steps succeeded, and some of those steps failed. Any new process would be expected to have some issues to work through as it was created. The Affordable Health Care Act still has some issues to work on, but many steps succeeded and that is why it has been implemented during Obamas term. Health Care Reform was in some ways similar in both Obama and Clinton’s proposals, but greatly different as well. Clinton’s main focus in the policy was to make health care mandatory for all Americans and have universal coverage. Employers would pay 80 percent of the cost of health insurance premiums, with the employee covering the remaining costs (Khan, 2014). However, both policies have the same goal of providing health insurance to all people. Each policy creates the ways of completing this task differently. Clinton’s health care reform plan was very complex. It involved high levels of government involvement in the health care industry. A federal national health board would have overseen the health system, and would be tasked with regulating premiums and overseeing benefits (Khan, 2014). Health care alliances at the state level would conduct a similar task, and states would have had the authority to regulate plans and have the option to create a single-payer system (Khan, 2014). The policy would be more of a government takeover, than assisting Americans with health  insurance. This was something that was not found to be favorable by many stakeholders. Obama’s reform allows for people with private insurance to keep their insurance. He is creating a government insurance company to compete with the private insurance companies. However, Obama still faces struggles with Republicans being opposed to this idea as well. The concern of finances was also purposed similar in both policy creations. Both presidents plan on the bill not adding to the deficit of the country. Another similarity between the two plans was that insurances companies could no longer deny a client because of their previous medical conditions. This has been another successful step in the process. Health Care Reform was created very similar but still with great differences between each president. The Affordable Health Care Act was successful for Obama mostly because of the way he pushed the bill through congress. Obama used Clinton’s health care reform failures as lessons and a blueprint of what not to do. This made him about to learn from past failure and make changes along the way. Different steps were taken in creating both of the policies. As Clinton moved slowly on this policy, Obama pushed his through quickly (Oberlander, 2014). Moving quickly was a decision that helped the policy succeeding, whereas, moving slowly caused it to fail. However, both presidents did pitch their speech about the Affordable Health Care Act before a joint session of Congress. This was not a successful step for either president. Both Obama and Clinton did not have great support for the policy, and this caused great suffering. Obama allowed for alternative methods in this policy whereas Clinton did not. Although both presidents had a wonderful idea, the steps that they took in implementing the policy are what changed the success of it. Both policies have similar stakeholders. When discussing health care insurance the stakeholders do not often change because the policies were slightly different. Stakeholders consist of business, insurance companies, and the American Medical Association. Other stakeholders consist of the people of the United States of America. There was much skepticism about the policy plans that both presidents were rolling out by the people of America. It is important that the presidents did not only look at stakeholders of large companies, but the everyday people of the community and employees of the health care industry as stakeholders as well. There were also government stakeholders in both  policies. However, the government level of stakeholders was greater in Clinton’s policy because his consist of government takeover. Stakeholders are crucial to the success of any policy. The Affordable Health Care Act has so far been successfully implemented by Obama. However, like any other new policy there are some issues still to be worked on. Obama was a success on passing this policy because he used the mistakes of the past to make his policy succeed. Even though there were struggles and steps that failed in Obama’s plan as well, there were more that succeed. Clinton’s policy was more government based and had many failures. The stakeholders for both presidents’ policies were similar. The Affordable Health Care Act has been in progress by many presidents for many years. However, it has been Obama’s plan that has been the most successful. Reference Oberlander, J. (2014). Long Time Coming: Why Health Reform Finally Passed. Retrieved from http://content.healthaffairs.org/content/29/6/1112.full Khan, H. (2014). Throwback to 1993? Whats New About Democrats Health Care Plans. Retrieved from http://abcnews.go.com/Politics/HealthCare/health-care-reform-president-obama-path-bill-clinton/story?id=8675596

Friday, September 6, 2019

Energy in a falling mass on a Spring Essay Example for Free

Energy in a falling mass on a Spring Essay The aim of the experiment is to design a temperature measuring device, using a Wheatstone Bridge, with two fixed resistors of 47 ohms and then to implement it. The idea is to end up with a comprehensive set of results which allows us to work out an average, and then plot graphs to show the different variables. Preliminary work: Before I started the actual experiment, I did some preliminary work to find out the best set up for the apparatus I was using. It was also to test out the different apparatus that was available to me and to build a circuit which was set up to do the task which was required. Preliminary Diagram: The apparatus was set up as shown below: Preliminary Method: The apparatus was set up as shows above, and then filled the beaker to half full with iced water. I then put the thermometer in the water and added more ice until the water temperature reached zero. Then I put the thermistor in the water and waited until the ammeter reading was constant, and then adjusted the resistance using the variable resistor until the ammeter read nought. Then I recorded the resistance at that point. I did this once for each temperature. I decided that a reading every ten degrees was the optimum range, as this would give me a good set of results, without having too much information which I would not need to use. Diagram of experiment: Method of experiment: I used the same basic method as the preliminary experiment, with the following alterations: I did three repeats to find an accurate average result, which will enable me to plot graphs showing different factors. I used the results from the preliminary experiment to predict the resistance in the actual experiment, and I set the variable resistor to that resistance, then adjusting it slightly until the ammeter reads nought. I heated the water with a Bunsen Burner as this is quicker than leaving it to warm normally. I was able to do this as I knew what I was doing, due to the fact that I had done the experiment before in the preliminary. It also gave me time to do more repeats. Safety: Safety is an important factor to consider while doing this, and any other experiment. As we are using Bunsen Burners, heat proof mats will be used, as will safety goggles. The electrical apparatus will be kept well away from the flame. Gloves much be worn when handling the beaker when it is hot to avoid burns. Also books will not be kept on the benches where apparatus is set up, and loose clothing/hair will be tied back. A sensible approach will be taken and behaviour will be in line with the lab rules laid down by the college. Background Physics/Own knowledge: Wheatstone Bridge: This circuit enables resistance to be measured more accurately than by the digital ammeter. It does not rely on the accuracy of instruments, but resistors of a fixed known resistance have to be used. The four resisters used are called P, Q, R, S. The ratio between these resisters is: P R Q S The resistance to be found is P. Here is a diagram of a Wheatstone bridge: Thermistors: Thermistors are made out of semi-conducing metals because the resistance of these decreases with an increase in temperature. A thermistor is a resistor, and its resistance changes when its temperature changes. When the liquid the thermistor is in increases in temperature, the atoms in the head of the resistor get more energy and as a result they vibrate more, increasing the number of electrons which lowers the resistance. Microsoft Excel: I will use Microsoft Excel to present my data in table and graphical form. I shall also use it to work out the following: Sensitivity, average resistance, resolution and reaction time. Once I have this data, I shall present it graphically using excel, and I shall draw the following graphs using the data I have worked out: Temperature vs. Sensitivity (1). Preliminary resistance vs. temperature (2) Average resistance vs. temperature (3) Analysis: From my results I can see that as temperature increases the average resistance decreases. This can be clearly seen on the graph, which has an exponential shape. I have no anomalies in my average resistance, as the line of best-fit on the graph passes through all the error bars. I think that overall the experiment was conducted and executed well with no apparent disastrous inconveniences. There was however, a very small problem, which I encountered during the course of the experiment. The original thermistor that I began to use for my preliminary experiment decided to cease to function. This resulted in a loss of time, as I had to repeat my preliminary experiment so that any results conducted were not fair. Conclusion: The displacement increases and the velocity increases then decreases. The same happens with time and height. Displacement increases and the total energy decreases minimally as the energy is transferred to heat while the elastic potential energy increases and the gravitational potential energy decreases. Kinetic energy rises and falls as the spring is dropped and gathers speed before the spring takes the tension and slows it down. I conclude that energy cannot be lost, only transferred from one form to another, and this experiment proves it.   Show preview only The above preview is unformatted text This student written piece of work is one of many that can be found in our GCSE Electricity and Magnetism section. Download this essay Print Save Not the one?

Thursday, September 5, 2019

Nursing Crisis Intervention: Stroke

Nursing Crisis Intervention: Stroke Stroke is a global problem of the increasing elderly population. According to the Department of Health (2007a), stroke is the third leading cause of death in the UK, with more than 110,000 individuals falling victim to a stroke each year at a cost to the National Health Services exceeding  £2.8 billion. The Stroke Association (2007) places this number at 130,000 with a mortality rate at 67,000 per year, including indirect costs of  £1.8 billion and costs for informal healthcare following stroke at  £2.4 billion. Incidence of stroke is equally as prevalent elsewhere, such as in the United States where, as the third leading cause of US deaths (Becker Wira 2006; Nolan Naylor 2003) stroke is the leading cause of disability (Becker Wira 2006; Stroke Association as cited by Amber 2003, p. 316; Stroke Association 2007). Becker and Wira (2006) state the incidence of stroke within the United States is 400,000 individuals per year with an anticipated growth to over 1 million yearly st roke victims by 2050. The American Stroke Association (as cited by Amber 2003, p. 316) states â€Å"every 45 seconds, someone in America has a stroke. Every 3.1 minutes, someone dies of one.† Nolan and Naylor (2003) state an average of 35,000 individuals suffer strokes when hospitalized for other unrelated illnesses. Such was the case for Ms. C., who suffered an ischemic stroke while hospitalized for a pacemaker implant. As the unit nurse assigned to care for Ms. C., subtle signs of her stroke were noticed and reported to the Code Gray[1] team for immediate response. The many roles of a unit nurse in the presence of a crisis are vital in providing adequate care to her patient, including the need to maintain a calm demeanour in the face of chaos. A number of rapid physical assessments must be performed including the use of the FAST criteria[2] (Mathiesen et al, 2006), response teams must be alerted and the nurse must keep the patient calm and oriented throughout the flurry of activity that can easily upset an elderly individual. While all emergencies call for rapid response, it is even more critical in the case of stroke when, if the patient is eligible for recombinant tissue plasminogen activator (t-PA)[3] a detailed physical history and examination, a neurological assessment, computed tomography (CT) scan and additional blood work must be performed before irreparable damage from the stroke occurs. With a focus on patient impact and nursing interventions, this paper will present the case study of Ms. C. Case presentation Ms. C., a 78-year-old, ambulatory, Caucasian female was admitted to the hospital for the replacement of a cardiac pacemaker. Ms. C. was widowed 5 years prior to her current hospitalization and lived alone having two married children living in Scotland and Wales. Prior to admission Ms. C. was diagnosed with high blood pressure (HBP), high cholesterol, was diabetic, and was on pharmaceutical medication for all three conditions. In spring 1995, Ms. C. had recurrent bouts of tachycardia alternating with bradycardia. Following an attempt to control the situation through pharmaceutical intervention, her cardiologist recommended she receive a cardiac pacemaker; which was implanted without complication the same year. She reports remaining in good health since that time; although additional medical notes indicate the onset of dementia, as she appears confused at times. Upon admission, vitals were normal, with the exception of her blood pressure (BP) which was 175/95. Her physician ordered Ms. C. be started on Losartan[4]. Subsequent vitals indicated a fluctuation in BP ranging from a low of 170/90 at 1AM to a high of 195/110 at 10AM. As Ms. C. was not responding to medication or fluid balancing recommended by her physician and her BP continued to climb, her cardiologist postponed surgery until her BP was brought under control. At 11:48am, when taking Ms. C.’s vitals, she appeared confused, her speech was slurred, there was slight facial droop and she could not extend her arm for the blood pressure cuff. At 11:50am a Code Gray alert was sounded. Impact on the patient When assessing the impact to the patient when a stroke occurs, the nurse must be aware of the implications on a variety of levels, including biological, psychological and sociological. In the case of Ms. C., there were additional implications for each of these due to the combination of her low-level, yet progressive dementia. Biological changes in an ischemic stroke (confirmed by the CT scan as opposed to hemorrhagic) were the result of a thrombolytic occlusion at the cerebral artery branch point due to atherosclerosis. On the cellular level, neuronal damage occurs when neurons become depolarized and allow for inordinate amounts of calcium to cross the cellular membrane that ultimately leads to a destruction of said cellular membrane and other structures within the neuron (Becker Wira 2006). Becker and Wira (2006) also comment on the neuronal damage caused by free radical, arachidonic acid and nitric acid generation that takes place during the ischemic cascade[5]. Genetic activation also takes place and leads to the production of cytokines in response to and as a cause of inflammation that can â€Å"consume† the ischemic penumbra (Becker Wira 2006). If one can limit the degree of injury to the ischemic penumbra located within the origami, the degree of permanent damage due to the ischemic episode is limited and is the goal of immediate stroke response (Becker Wira 2006). A combination of diagnostic laboratory tests[6] and rapid nursing assessments would be required to assess the level of damage. Although the Code Gray approach is geared towards rapid response to allow for administering t-PA within the three-hour window, Ms. C. was not eligible for t-PA treatment due to her uncontrolled hypertension (Bonnono et al. 2000, p. 300). The psychological impact on Ms. C was the most dramatic as her post-stroke status left her more confused and fearful than one might find in a strike victim due to the comorbid dementia. In addition to being frightened of the unknown and feeling very alone as a widow and without her children present, Ms. C. felt betrayed by her body and didn’t understand what was happening to her or why. Psychologically Ms. C. had to be kept calm and be reminded of what was occurring and why, with such orienting comments as â€Å"You are going to be examined by Dr. X† or â€Å"You are going to have a test done that won’t hurt you. There is no need to be afraid; I’ll be with you to assure you’re safe.† With the unknown of any comprehension deficits caused by the stroke it was also important to remind other team members that Ms. C. had problems with confusion and that it was important â€Å"for patients with dementia in particular to understand what is about to happen to them† (Cunningham McWilliam 2006, p. 14). Cunningham and McWilliam (2006, p. 14) suggest that nursing staff must compensate in their communication with dementia patients and that this often requires nurses to re-prioritize their tasks and sense of immediacy in order to offer the patient the greatest level of psychological and/or emotional support. Lipley (2005) states one of the most important nursing tasks is offering support to a stroke patient. The sociological impact relating to Ms. C.’s crisis was limited for the immediate future while hospitalized, although she indicated that she wanted her children contacted and requested they come to the hospital. The biggest sociological change and challenges facing Ms. C. would be following her discharge from the hospital. Depending on the amount of total damage suffered from her stroke and the subsequent progress with therapy to regain lost functionality, it was probable that Ms. C. would relocate to either live with one of her children and/or settle in a home for the aged. This required the nurse to contact a social worker to help Ms. C. with her adjustment. Implications for the organization One of the six strategic goals established by the Department of Health’s National Stroke Strategy (2007b) is to â€Å"accelerate the emergency response to stroke and improve coordination between different agencies and professionals involved including through improved access to CT scanning.† Fortunately, the hospital where Ms. C. suffered her stroke complied with this goal and had a Code Gray team assembled. National Health Services (2007) approximates 90 percent of hospitals in England as prepared to administer specialized stroke services. The number of stroke victims is increasing every year. The nurses must be aware of required interventions. This paper has highlighted the ischemic stroke and patient impacts, as well as those on the organization and nurse. The charts below presents required nursing interventions in response to an inpatient stroke. Reference Amber, R., Watkins, W., 2003. The community impact of Code Gray. Critical Care Nursing Quarterly, 26 (4), pp. 316-322. Becker, J. U. Wira, C., R. 2006. Stroke, Ischemic [Online]. Available from: http://www.medscape.com/emerg/topic558.htm [cited March 16 2007]. Bonnono, C., Criddle, L. M., Lutsep, H., Stevens, P., Kearns, K., Norton, R., 2000. Emergi-paths and stroke teams: An emergency department approach to acute ischemic stroke. Journal of Neuroscience Nursing, 32 (6), pp. 298-305. Cunningham, C. McWilliam, K., 2006. Caring for people with dementia in AE. Emergency Nurse, 14 (6), pp. 12–16. Department of Health, 2007a. Stroke [Online]. Department of Health. Available from http://www.dh.gov.uk/en/Policyandguidance/Healthandsocialcaretopics/Stroke/index.htm [cited March 16, 2007]. Department of Health, 2007b. Developing a national stroke strategy [Online]. Department of Health. Available from http://www.dh.gov.uk/en/Policyandguidance/Healthandsocialcaretopics/Stroke/DH_4132138 [cited March 16, 2007]. Department of Health, 2007c. Good practice examples and case studies: standard five (strokes) [Online]. Department of Health. Available from http://www.dh.gov.uk/en/Policyandguidance/Healthandsocialcaretopics/Olderpeoplesservices/Olderpeoplepromotionproject/DH_4002291[cited March 16, 2007]. Lipley, N., 2005. Different strokes†¦ Emergency Nurse, 13 (5), p. 5. Mathiesen, C., Tavianini, H. D., Palladino, K., 2006. Best practices in stroke rapid response: A case study. Medsurg Nursing, 15 (6), pp. 364-369. Nolan, S., Naylor, G. Burns, M., 2003. Code Gray: An organized approach to inpatient stroke. Critical Care Nursing Quarterly, 26 (4), pp. 296-302. Spilker, J., Kongable, G., Barch, C., Braimah, J., Bratina, P., Daley, S., Donnarumma, R., Rapp, K. Sailor, S., 1997. Using the NIH stroke scale to assess patients. Journal of Neuroscience Nursing, 29 (6), pp. 384-393. Stroke Association, 2007. Facts and figures about stroke [Online]. The Stroke Association. Available from http://www.stroke.org.uk/media_centre/facts_and_figures/index.html [cited March 16, 2007]. Wojner, A. W., Morgenstern, L., Alexandrov., A. V., Rodriguez, D., Persse, D., Grotta, J., 2003. Paramedic and emergency department care of stroke: Baseline data from a citywide performance improvement study. American Journal of Critical Care, 12 (5), pp. 411-417. 1 Footnotes [1] The term generally accepted in the medical community for multidisciplinary stroke response teams. The typical composition of a Code Gray team includes a primary care RN, charge RN from the Stroke/cardio care unit, an ICU RN, ICU resident, a neurologist, CT technologist and an individual responsible for telecommunications (Nolan Naylor 2003, p. 297). The Department of Health (2007c) reports that other Code Gray teams also include occupational therapists, physiotherapists, speech and language therapists, dieticians, pharmacists, a clinical psychologist and social worker. [2] FAST criteria is the acronym also known as the Cincinnati Pre-hospital Stroke Scale, such that F = Facial Droop, A = Arm drift, S = Speech and T = Time (Mathiesen et al. 2006; Lipley 2005). [3] t-PA must be administered within three hours of the first onset of symptoms (Amber 2003). [4] Losartan is an angiotensin receptor blocker. The choice was made to use this type of intervention based on the muscle relaxing nature of the medication rather than incorporating those that lowered BP through a modification of electrical activity within the nervous or cardiac system due to the reliance on her pacemaker and the potential other such forms of medication might have on recurrent tachycardia or bradycardia. [5] Ischemic cascade is the term referring to the chain of events that takes place following an ischemic stroke. [6] Although a variety of diagnostic blood work was already performed on Ms. C, a CBC, chemistry panel and cardiac biomarkers were ordered following the stroke for comparison against pre-stroke values along with coagulation studies (Becker Wira 2006).

Wednesday, September 4, 2019

Richard the Third as a Hero or a Villain :: Papers Richard III

A hero is a man who is distinguished by exceptional courage, nobility and strength to carry out tasks that are involving great risks. A hero can also be a person who fights for other people to help or save them from their fears. He opposes the villain- a person who does wicked or evil intentionally to harm others in some way, emotionally or physically. A character that is placed to do badly. He is always opposing the hero to overthrow the hero’s qualities to gain power from the other side to help him or his side. Villain: Richard is seen as a villain in some aspects because he kills anyone who stands in his way. Richard talks about a pretext for his villainy by pointing out his physical deformity. â€Å"Why, I in this weak piping time of peace. Have no delight to pass away the time unless to spy my shadow in the sun and descant on mine own deformity. And therefore since I cannot prove a lover to entertain these fair well-spoken days, I am determined to prove a villain and hate the idle pleasures of these days.† He says that since he was not made to be a lover, he has no use for peace, and will willingly destroy peace with his crimes. This contributes to a very villainous role. Richard begins his movement for the throne. He manipulates Lady Anne, into marrying him, even though she knows that he murdered her first husband. He has his own older brother, Clarence, executed, and shifts the burden of guilt onto his sick older brother King Edward. He is eager to get the throne and he kills an enormous amount of people to get there: King Edward. Court noblemen, Lord Hastings, kinsmen of Edward, Queen Elizabeth, the two young princes and Queen Anne. These people were killed because he needed to get the throne for his greed. Only a villain would commit these crimes for his greed. Richard is disloyal by betrayal of close family, friends and relatives.

Tuesday, September 3, 2019

Online Communities or Mental Pictures? :: Internet Communication Chats Essays

Online Communities or Mental Pictures? It was 11:00 p.m. on a Tuesday night. I sat at my computer typing and anxiously waiting for a response. â€Å"Hello how is everyone tonight?† â€Å"I am from Virginia, where are all of you from?† No one responded to anything I said. I tried again, â€Å"Does anyone want to chat?† Again, I was ignored. I felt lonely, confused, and upset. â€Å"What is wrong with me?† I thought to myself. I hated knowing that I was the one being rejected in this so-called â€Å"community.† Are there really such things as â€Å"online communities?† Can you form friendships with the people you come across in an online community? There are many claims that there are such things as online communities. That is true if you classify a community as â€Å"a group of people having common interests† (Dictionary.com) but having a common interest did not play a significant role in the forum I worked with. Online communities can be overrated and not meet the standards for which they are intended if the people participating do not follow the proposed rules and are not there for the correct reasons. In fact, when I was in the Teen Chat room no one talked about fashion, which is the topic of the site. In the discussion forum, some of the posts were off of the subject. Some online communities may appropriately be classified as a â€Å"community†, but the teen forum that I participated in was not a virtual community. Online communities are not physical places , instead they are a state of mind; a place which exists only in the mind of the participant. I participated in an online community in the Student Center which is just a site dedicated to teens. From this site, you can access many other sites such as: â€Å"diaries,† â€Å"teen forums,† â€Å"groups,† â€Å"tests,† etc. I accessed the teen forum section where you can choose many different topics under the four main categories. The categories are Advice and Sexuality, Entertainment, General, and Information. Under each category you can choose a specific subject of your interest such as: dating and relationships, health and fitness, sexuality, fashion, sports, music, movies, religion, and job search, along with others and be involved with it. I chose a teen forum focused on fashion because I really enjoy learning about different styles.

Monday, September 2, 2019

The Blooding :: essays papers

The Blooding As centeral as the environmentalist issue is to the&lsquo blooding&rsquo is more about a boys painful search for identity. Col&rsquos search for his own identity is a bigger issue it the blooding as he is a very confused teenage boy, who is torn between the community of Cornwall and the greenies. Col was brought up being very protected by his mother. As Col was brought up his mother made sure he had the best of everything. She would knit him all his clothes, like the city children wore and this made him an outsider as the other children in Cornwall would tease him for his clothing, his mother, as she is Irish and a Catholic who goes to church. Col came from a family which was normal for the community of Cornwall. His father worked as a tree logger and in the mill, as his father had and his father had and so on. Col had been horn in hope that he would follow his family foot steps and keep the tradition in the family going, by working in the mill. Col lead a double life - with the gang and the forest. Col would go into the forest and would stay in a special which was called The Palace for hours. His grandfather has shown him this special place in the forest. This Palace was the originally place of the settlement, that Col&rsquos great grand father had been at until a land slide had landed on his great grandfather. The settlement people them moved on, to a new place, which is Cornwall. Which he had visited nearly every day. This also made Col an outsider to the rest of the kids in Cornwall. The thing that transformed Col from an outsider was when he had a fight with Scott (who was the best fighter), and he won the fight. A copper called Golden Gloves, who is the best fighter in Cornwall then asked Col if he wanted him to train him. After the fight Col was accepted by the other boys and was no longer an outsider but a friend on the other kids in Cornwall. Then the greenies arrived to Cornwall, challenging the mills and the logging of the forest. Col has mixed emotions towards this issue.&lsquo Anyway I thought the old was right about the greenies, but I secretly agreed with the greenies about the trees&rsquo. (p.7) This quote shows how Col is confused about what he thinks and wants to think what other people do, but he know that he thinks differently. Col does not want to

Sunday, September 1, 2019

My Business

My Fitness Academy will be set up at Copiague, in New York 11726 Great Neck Road in the polish center. It will be called Martas Academy aiming at making people fit by integrating dance and exercises The business is based on two simple facts: Healthy people are more productive than those that are chronically ill. It costs less to prevent injuries or illnesses than to treat them after they occur. At this Fitness Academy, we believe that traditional approaches to the current health care crisis are misdirected. These traditional efforts are what we call reactive, that is, they wait until after a person has been stricken with illness or injury, and then pay for the necessary treatments. Our approach, will emphasize on prevention and good health promotion, is much more proactive. 2.0 The Academy Fitness management is based on the belief that healthy people are more productive and efficient. For this reason, it will provide wellness strategies/programs to club members. This will combine dance and exercise-related activities designed to facilitate positive lifestyle changes in members. 2.1 Academy Ownership and Start up Capital The Academy will be a privately held business with one founder and owner. Start-up capital will require approximately $60,000 which will all be provided by the founder. Approximately $30,000 will be allocated to leasehold improvements and $15,000 to equipment. 3.0 Services In my business, classes will be offered in both English and Polish languages. This will mean that those who do not understand English can attend the lessons offered in Polish. I also intend to offer superior customer services in a clean and enjoyable environment. I will also make the lessons affordable to people by charging a membership fee of $50 since my target group will have a house income of $50,000-$60,000 per year. So a membership of $50 will be quite reasonable and affordable. The level of education will not matter as long as one understands either English or polish. The Academy will offer a number of lessons. They include yoga lessons, Pilates, choreographed dances for children between ages 3- 6 and other kind of dances. For instance, I will be having school children interested in the choreographed dance, couples who want to learn how to dance and keep fit as well and yoga will be ideal for a number of people and especially pregnant women. The lessons will also be spread throughout the day in order to have a good timetable for everyone. This will ensure that the lessons are easily accessible and that no one is left out because of time. The Academy will have a flexible timetable whereby one can have a variety of lessons to choose from in terms of time. One can either attend morning, noon, and evening or late night classes. 4.0 Promotion Strategy Initial promotional activity will be through advertisements. This will be in form of printed posters placed at strategic positions like at the neighboring businesses where many people/ customers visit. I will also place advertisements on the church and school bulletins. Promotional activity will also be utilized through other media outlets like the news papers and Radio, but minimally. Word-of-mouth will also attract potential clients. 5.0 Management Summary The Academy will be a small business headed by one individual. He will be aided by a number of experienced trainers but as the business grows, more staff will be employed to cater for the business’s growing needs. References Rhonda, Abrams. (2003). The Successful Business Plan: Secrets & Strategies. London: The planning Shop Â