Preliminary PDHPE Assignment Essay Example for Free

Preliminary PDHPE Assignment Essay 1) Recount the story of the individual in relation to how the adversity they faced as affected their health status. The individual who I decided to research is now well known for her job hosting the Biggest Loser, Hayley Lewis. At 15 years old Hayley Lewis had won 5 Gold medals at the 1990 Commonwealth Games. She weighed 58kg and never thought anything about her weight at the time as she was fit, healthy and muscular. A magazine came out saying that she was â€Å"a fit 15 year old but a bit heavy legged. † From then on she started to get bigger and bigger. A year later her weight had crept up to 65kg and by the 1992 Barcelona Olympics she weighed 73kg. Hayley was told by her coach to lose weight and the more and more she was told, the more she turned to food for comfort. By being told she was â€Å"heavy legged† from the media and being told to lose weight the more this impacted on her physically, mentally, socially and spiritually. By being overweight this cut short Hayley’s swimming career as she was embarrassed, suffered anxiety and hated being publicly scrutinised. Hayley Lewis also hated getting out of bed because she knew she had to put on her â€Å"togs†. She said that she was racing with girls 20kg lighter and you can’t hide anything when you’re in swimmers. She also said that she used to focus on her weight every time she jumped up on to the starting block instead of focusing on her race. By being judged because of her physical appearance made her quit her swimming career because she felt that she didn’t fit in anywhere. This affected both her mental and spiritual health. Because Hayley Lewis had a negative physical health status this impacted on her emotional health as all the dimensions of health are interdependent on one another and when one area of health is going downhill this can impact on all the other aspects of an individuals’ health status. Hayley Lewis had a low self-esteem and didn’t believe in herself. This was because she was bullied about her physical appearance and the media made her feel shameful about her weight. She didn’t enjoy the success of being a swimmer either because of the shame and guilt she felt about herself and her personal body image. Another factor that could have made an impact on Hayley’s health status is the death of her younger sister as this could have made her turn to food for comfort. Hayley Lewis had to face a 20 year weight battle from when she was 15 until she was 35 when she had her second child. During her pregnancy Hayley gained another 25kg. When she got a phone call from Jenny Craig to become an ambassador she finally realised how overweight she was and decided to do something about it. She lost 4kg in the first week and was finally getting back on track and gaining these precious years of her life back. Hayley Lewis is now the current host of the Biggest Loser and says she can relate to the contestants so well as she knows exactly what they have been through and what they are going through. She hopes to inspire them and become as good a role model as she can so they get to love themselves the way she does about herself now. Hayley Lewis has faced major adversity in her life and it has affected her health status physically, mentally, socially and spiritually. She has finally pulled through and is at a great point in her life, has overcome her weight battles and has made herself proud for where her body has gotten her today. a) Evaluate how the dimensions of health have interacted to construct the health status of the individual. Hayley Lewis’ physical, mental, social and spiritual health have interacted to construct Hayley’s current health status as all these dimensions are interdependent upon one another. If one aspect of health is positive then this will most likely have an impact on all the other aspects of an individual’s health. Hayley’s physical health when she was younger was fairly poor. When Jenny Craig came into the picture this made Hayley become aware and realise just how poor her physical health was. Because of this sudden realisation, this has constructed Hayley Lewis’ current health status in many ways because she finally did something about her poor health. She started to lose weight and the motivation of the Jenny Craig program helped her pull through. She was given meal and exercise plans but as a retired swimmer she was used to having the pre-organised eating and training schedule. She had overcome her previous body image demons and she realised that she had a new focus in life because of becoming a parent. She had to step up and become the best role model she could be for her children. She threw out all the old photos she had of herself as an overweight teenager and returned to the pool in 2000 with a renewed confidence. She still has â€Å"good days and bad days, like everyone† but has learnt to love, admire, appreciate and nurture her body with respect as you only get one. Her previous physical health has now constructed Hayley’s current health status as she is now a size 8-10, lost 20kg and has maintained her weight by eating nutritiously, planning her meals and exercising often. Hayley now has a positive physical health status and hopes to inspire others, such as the biggest loser contestants, with her own personal inspiring story. Hayley Lewis’ emotional health has had a major impact on the construction of her current health status. Mentally, Hayley never used to believe in herself and had a very low self-esteem and body image. Now that she has become aware of her poor health status and has lost 20kg she now has a positive headspace and a positive outlook on life. She has a renewed confidence but still has â€Å"bad days† like everyone. By relating to the current biggest loser contestants this has made her feel proud to where her body and mind has gotten her today and wants to help them out so they can feel how she feels about herself now. Hayley’s new and improved positive emotional health has had a major impact on all the other aspects of her health and has created an overall positive health and wellbeing for herself as the dimensions of health are all interdependent upon one another. When Hayley Lewis was younger her social health suffered because she was overweight physically and didn’t look positive on life because of her poor emotional health. She was bullied, compared to others and was always being judged, if not by the media, by her coach and family friends. She now has a very positive social health as she is now married to a very understanding and cooperative husband and has 2 children. Her confidence is now booming compared to when she was fighting her 20 year weight battle. Her confidence has allowed her to improve her relationships with family and friends and now she can also relate to the biggest loser contestants because they have become her friends. She is very inspirational towards these contestants and has also become very close to them and helping them renew their lives and start fresh. Spiritually, Hayley now feels a sense of belonging and worth compared to the adversity she faced because she has fought and finally won her weight battles. She is now fit and healthy, can relate to and feels apart of the biggest loser family and also has a special family of her own. She now has a very positive headspace and this has impacted on and changed her life in many ways. Hayley’s life changing experience of winning her 20 year weight battled has occurred because she finally became aware of how poor her health was. The 4 dimensions of health, physical, mental, social and spiritual, have all worked together with each other and have constructed Hayley Lewis’ current health status in a very positive way. Because she started losing weight she noticed that all her emotional, social and spiritual aspects of health have benefited her overall health. This is because all these dimensions are interdependent upon each other and construct the overall health status of an individual. b) Evaluate how the relative and dynamic nature of health has impacted upon the health status of the individual. Due to her own personal experiences Hayley Lewis would now rate her health as being optimal. She has battled with her weight for 20 years and has finally overcome that. As well as being at her goal weight by eating healthy, exercising and creating meal plans for herself she has to take into account how the relative and dynamic nature of health has impacted upon her own personal health status. Relative and dynamic nature of health refers to how health can vary from time to time and fluctuate all over the place. Illnesses, accidents, personal experiences, environmental factors or an individuals’ socioeconomic status can have an impact on an individual’s level of health at any point during their lives. These continual changes in a person’s health mean that health is dynamic. Judging where a person is along the health continuum at any point of time is highly subjective as people all over the world have different perceptions about what is optimal or â€Å"normal† health. By overcoming her 20 year weight battle, Hayley Lewis now has a better knowledge of what good health is. She perceives herself in a more positive way and the result of this is that the public and people all around her are perceiving her in a more positive way also. By believing in yourself can affect how others see you and believe that you have potential whereas if you don’t believe in yourself then others will think the same. This is one of the reasons that Hayley Lewis’ confidence has risen over time because now that her self-esteem has risen she realised that people were starting to perceive her, and her health, in different and a more positive way. By being the host of the biggest loser and becoming friends with the contestants has affected Hayley Lewis’ health status. She is now socioeconomically advantaged as she has a permanent job with a high income. This will impact her health status because it can affect her choices such as buying more, but nutritious food, and she now has more money to spend on fitness and recreational resources such as gyms and swimming pools. This can impact Hayley’s health physically, mentally, socially and spiritually as she now feels a sense of control and value over her life.

Utopia for the Twentieth Century :: Philosophy Marxism Essays

Utopia for the Twentieth Century There are many utopias. No one has ever seen them except in imagination, and yet they are real enough, for they have influenced our destiny over the centuries. ----- Alain Martineau The socio-political philosophy of Marx and Engels emphasizes both the capacity as well as the inevitability of oppressed peoples to take up arms in a desperate effort to do away with conditions which do not correspond to their true material and psychological needs. This is the process by which the fulfillment of Marx's species-being may eventually become a reality --- a struggle which will annihilate those circumstances which produce a great deal of misery, ending them through conflict. As one of the most successful political theories of the twentieth century in terms of the widespread influence it has had for over a hundred years now, Marxist doctrines translated into political practices have themselves contributed toward a considerable amount of human suffering, as the examples of the Bolshevik and Khmer Rouge revolutions demonstrate. While there is a great deal of justified criticism against labeling these revolutions as being authentically Marxist, the fact remains that to a larg e extent, many of the violent tactical formulas which were considered justifiable by Marx and Engels have been translated and adopted by twentieth century political movements, quite often with the result that an oppressive order is exchanged for another order which in turn becomes equally oppressive. This may be due, in part, to the fact that the tactics which Marx believed were necessary to liberate humanity and usher in utopian conditions were prescribed for the framework and social conditions of the nineteenth century Industrial Revolution in western Europe. Undoubtedly, the transition from the previous century to the present has brought with it unprecedented changes in levels of technology, economic and social conditions, political structures, environmental crises --- as well as a transformation within our individual and social consciousness themselves --- which have never before been witnessed by humanity. If Marxism is to continue to hold promise for our effort to liberate ourselves from undesirable social conditions, there is a need to adapt it so that it may address the peculiarities of the twentieth century, those which Marx himself could not have seen. Additionally, the humanist and utopian ideals of Marx and Engels, such as freedom from bondage as well as social harmon y, ought to be preserved and promoted. The contributions of twentieth-century Marxists are invaluable to us for this reason.

Kitchen Layout

After gaining enough experience and capital from my previous restaurant employment, I have decided to start my own restaurant offering Authentic Italian dishes. Stated below are the highlights of my idyllic Italian restaurant. My restaurant shall have six large tables complete with basic table amenities such as pepper, salt and a variety of well-picked sauces.   Tables will be large due to the prominence of Italian food and culture for entertaining families or large groups. Another four small tables however will be added for small companies or pairs. In compliment to this, the interior shall be well-ventilated and equally lighted for maximum space utilization. For my restaurant’s menu, I shall adapt the menu of the Via Carducci because they give special importance to pasta dishes, which are the marker s of Italian food.   Their menu, including wine choices are offered at very affordable yet reasonable prices, but not sacrificing the quality and the over-all effect of the products. Their specific cuisine is the Rustic Southern Italian which originated from the owner’s home town, Calabria. Their type of cuisine specializes in organic and fresh ingredients perfect for medium to heavy diets. My Kitchen shall adapt the open G-shaped layout. This consists of four walls, two pair of walls opposite each other; the, the sink, the refrigerator and the cooktop are located at one of the pairs such that creating an imaginary work triangle with the three as points.   This layout enhances the use of the three basic elements of the kitchen mentioned above. It also gives ample space for other cooking equipments to be located at the other pair of walls. The cleverness of the layout allows for even-trafficking in the work triangle. The said layout also makes room for one or two additional cooks for more efficient service.   The kitchen shall be open for the customers to view the brilliance of the cook(s). To add, a large over head mirror shall be ingeniously placed also for maximized viewing. I have only three specific kitchen equipments to mention (1) the World Cuisine’sLillo pasta machine: able to produce different kinds of pasta from any type of flour, with or without the use of eggs. The product comes with four durable pasta attachments for Spaghetti, Tagliatelle, Penne, and Macaroni. The item is ideal for fast-paced kitchens with just enough working space. The lillo pasta machine is also recommended for Italian kitchens serving quality pasta. (2) The Silex line of Knives. Qualities include; purity of metal achieved through the secondary melting process it underwent, unique hardness provided by the strength of the material used, the fineness and precision comparable to a surgical scalpel, special resistance to corrosion, easy to sharpen blades given by the hardness and purity, and the extraordinary length of time it remains sharp. Its handle is designed for comfort in working for long periods of time. It also has a polymer-based handle which is anti-bacterial. This line of cutlery provides proficiency in the work place due to its efficiency, durability and cleanliness in the workplace. This is ideal for busy restaurant kitchens which specialize in salads and fresh sauces. The next item (3) would be the World Cuisine’s Large oval cast-iron grill. This product is ideal for indoor-grilling. The heavy ridged cast iron surface preserves heat which equally and quickly grills. The item is suggested for class gourmet meals. Other kitchen equipments which were not mentioned will also be hand-picked with care. Costs shall also be given much attention. The above mentioned factors and elements were cautiously selected taking into consideration the availability, efficiency, monetary cost, and over-all quality. This, for me, is the ideal kitchen layout together with the visualization of the ideal Italian restaurant. References: Atlanta Home improvement, Kitchen Layouts, August 8 2007 From: http://www.homeimprovementmag.com/Articles/2004/04Dec_k&b_layouts.html         

Subordinate Clause Four Types With Examples (ESL)

Four types of subordinate clauses are discussed in this feature: concessive, time, place and reason. A subordinate clause is a clause that supports ideas stated in the main clause. Subordinate clauses are also dependent on main clauses and would be otherwise incomprehensible without them. Examples For example: Because I was leaving. Concessive Clauses Concessive clauses are used to concede a given point in an argument. The principle concessive conjunctions introducing a concessive clause are: Though, although, even though, while, and even if. They can be placed at the beginning, internally or at the of the sentence. When placed at the beginning or internally, they serve to concede a certain part of an argument before proceeding to question the validity of the point in a given discussion. For example: Even though there are many advantages to working the night shift, people who do so generally feel that the disadvantages greatly outweigh any financial advantages that might be gained. By placing the concessive clause at the end of the sentence, the speaker is admitting a weakness or problem in that particular argument. For example: I tried hard to complete the task, though it seemed impossible. Time Clauses Time clauses are used to indicate the time that an event in the main clause takes place. The main time conjunctions are: when, as soon as, before, after, by the time, by. They are placed either at the beginning or the end of a sentence. When placed at the beginning of the sentence, the speaker is generally stressing the importance of the time indicated. For example: As soon as you arrive, give me a call. Most often time clauses are placed at the end of a sentence and indicate the time that the action of the main clause takes place. For example: I had difficulties with English grammar when I was a child. Place Clauses Place clauses define the location of the object of the main clause. Place conjunctions include where and in which. They are generally placed following the main clause in order to define the location of the object of the main clause. For example: I will never forget Seattle where I spent so many wonderful summers. Reason Clauses Reason clauses define the reason behind a statement or action given in the main clause. Reason conjunctions include because, as, due to, and the phrase that the reason why. They can be placed either before or after the main clause. If placed before the main clause, the reason clause usually gives emphasis to that particular reason. For example: Because of the tardiness of my response, I was not allowed to enter the institution. Generally, the reason clause follows the main clauses and explains it. For example: I studied hard because I wanted to pass the test.

Gender Equality - 2201 Words

Gender Equality between Pros and Cons Who has not heard about â€Å"Gender Equality†? Among the mushrooming current issues or topics, there is always demand for open spaces. Actually, it is really a good thing and also a kind of proof that shows a particular result after a period of time, the way of considering something, or opinions of people nowadays become more and more open-minded, willing to consider ideas and opinions that are new or different to be their own. Even, most of the time, you may see that something that is being in discussed, for instance, current affairs, and â€Å"Gender Equality† is one among them, seems forcefully, in a way that shows do not expect to be refused. Gender equality is the main means of sex which communicates an†¦show more content†¦Being an empowered woman will give many contributions, especially to the health and also to improve the productivity of the whole family for the next generation’s prospects. The fact that women occasionally leave the work place to have children always hangs over their heads such a something that is more difficult to develop the gender equality. Nowadays, more and more women are in high jobs and also some of them are over ambitious to raise the highest rank in their jobs. Although it is clearly lies down a rough road. In contrast, gender equality does not imply that women and men are the same, but they have equal value and should be accorded equal treatment. Secondly, women and men are different, that is a simple fact before we go too beyond. We should attempt to make people equal and allow women every opportunity that men have, but women are still different, and men treat woman different as woman treat men differently. It is a kind of existing as a natural or basic part of human nature. However, against this argument, that women have been in charge of taking care of their children, do the chores, and also cooking, but with many women working full-time jobs like their husbands men must know help out too. This is too much for a woman to handle everything of her own life. A denial opportunity is one of unnecessarily for one sex or the other. In addition, a stereotyped characterization of sex is alsoShow MoreRelatedRole Of The National Government And Gender Equality Essay2014 Words   |  9 PagesRole of the National Government †¢ Gender equality should be the prime agenda------ governments do not consider gender equality as a priority, gender equality issues are missing from the budgeting process, and women are not present in the financial, peace, and international negotiations, structures and obligations. Government need to mobilize around gender equality agendas in order to create sufficient political will to support the equal inclusion of women in political decision-making. †¢ Fix someRead MoreEqual Rights and Gender Equality1631 Words   |  6 PagesBetween 1923 and 1972, when the Equal Rights passed you would believe that Gender Equality would end. It was passed in 35 states. General Equality has been going on for years. Everything would make everything so much easier if it was Equal for both a men and a women. Where it’s at home, at work, or even at school. Why does one gender have to be better than another? ‘’Achieving Gender equality in education means that boys and girls will have equal opportunities to realize their full human rights andRead MoreGender Equality And Gender Inequality979 Words   |  4 Pages Throughout the past few decades, the gender inequality discourse have became a dominant feature of international, national and local policy debate on the subject of economic development. This policy concern has emerged as an area of scholarly research which seeks to show that improving gender equity leads to economic growth. Gender Inequality in Australia: According to the data published by Australian Bureau of Statistics in May 2015, the full time average earnings of women is $284.20 or 17.9%Read MoreEgalitarianism Is The Belief Of Equality For All, Irrespective Of Class, Gender Or Race?1010 Words   |  5 PagesEgalitarianism is the belief in equality for all, irrespective of class, gender or race. 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First at all, the â€Å"family†Read MoreGender Equality : A Critical Appraisal2124 Words   |  9 PagesGender Equality in Secondary Physical Education: A Critical Appraisal Introduction This essay will critically analyse gender equality in physical education teaching. There is evidence to support that many girls and some boys are subject to gender inequalities in physical education (Dowling, 2004). Most studies confirm girls are less involved and motivated to participate in sporting and physical education activities (Gutierrez Lopez, 2012). There is also international research that shows how physicalRead MorePromoting Gender Equality1965 Words   |  8 PagesGender equality is the removal of deep-seated barriers to equality of opportunity and outcome, such as discriminatory laws, customs, practices and institutional processes. It also entails concern with the development of the freedoms of all individuals, irrespective of gender; to choose outcomes they have reason to value. 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Often time’s he or she might undergo sex reassignment surgery to physically become his or her desired gender. Like every other citizen in the United States , transgenders are entitled to a series of rights. However, a transgender’s inconsistency in the presentation between biological sex and gender expression is usually not toleratedRead MoreGender Equality And Equality In Gender Men And Women728 Words   |  3 PagesGender Men and women can definitely work together and support each other to make the society better.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  In the days when a woman’s entire obligation was to be a good daughter,a good wife and a good mother,men and women were far from equal.Women suffered sexual discrimination until the so-called feminism came into being.Nowadays,feminism has been running for over a century.Result?It ran into the extreme of equality from my perspective. Most of us agree that men and women should enjoy equality

The Removal Of Music Programs - 920 Words

In the last decade America has had to deal with the difficult economical down turns in order to stay above water in many businesses. The education field has had to make its own internal adjustments to keep afloat economically. â€Å"Funds have been cut in more than 80 percent of U.S. school districts since 2008. The very first programs to get cut are often disciplines such as music.†(Boyd). The removal of music programs can seem to be a reasonable response to the lack of revenue, but what is the real cost? Music is not a peripheral side subject that has so real meaning in the development of a person. Playing music is beneficial to a student in many ways. It develops a student’s emotional health. It develops the self-confidence of a student†¦show more content†¦A few chords, a verse, and a catchy melody can even put little more pep in a person’s step as they go through their day. Receiving approval after playing in front of a live audience can be amazin gly inspirational for our youth. The discipline of music develops the emotional health and confidence of a person therefore creating a positive benefit to our society. Music strengthens a student’s memorization and comprehension skills as much, if not more, than any core subject they participles in at school. Playing an instrument is cognitively taxing. Notes and fret patterns not only requires memorization to be played in a song, but also promote hand eye coordination. Math is analogous to music. In math class a student learns how to problem solve by memorizing a sequential order. Musicians use the same method for learning a new song. According to a study published in the journal Psychology of Music â€Å"Children exposed to a multi-year program of music tuition involving training in increasingly complex rhythmic, tonal, and practical skills display superior cognitive performance in reading skills compared with their non-musically trained peers.† As this research indicates student’s cognitive abilities are positively impacted by their participation in music training. Public schools all around America cut their music programs for three main reasons. One: The academic school administration values a

Simulation Review Paper on Elijah Heart Center Free Essays

Elijah Heart Center (EHC), is a healthcare organization focused on cardiac health. The facility is equipped to handle the full spectrum of cardiovascular services for physicians and patients. The hospital also provides outpatient services for less invasive procedures and clinical care. We will write a custom essay sample on Simulation Review Paper on Elijah Heart Center or any similar topic only for you Order Now Although the organization’s patient volume is stable and increasing in volume rapidly, there is a deficit in regards to profitability. As the senior financial consultant, I will present plans for short term and long term goals if needed. I will also recommend specific measures to modernize the hospital and provide specific plans for hospital expansion. Financial Portfolio Elijah Heart Center has managed to stay in operation due to excellent patient services. In the process of great patient care, poor financial decisions have been made in the past that now hinder the profitable spectrum of the organization. Research data revealed that issues that have affected this organization’s financial budget. The data revealed that (EHC) gave large discounts to manage care companies. The nursing staff was affected because higher wages were paid to outside agencies who supplied contract nurses. Of course when dealing with government health funded insurance carriers such as Medicare, the reimbursement levels are well below budget standards. Insurance rates are not current and based on past medical costs which stunts the financial growth of the hospital. Liabilities have increased and ? of the liabilities are related to accounts payable. The hospital equipment will need replacement soon due to extensive usage. Another issue is the constant placement of unused equipment in patient’s rooms. This causes conflict because if the equipment is placed in the patient’s room, it is considered is supposed to be charged to the patient. Phase 1 Capital Shortage Bridging a working capital shortage is one of the strategies that can help increase the hospital’s revenue if a true concrete plan can be formulated. Once all data was received, suggestion from the Executive Board was taken into consideration before any final decision was to be made. The main focus to be considered while bringing forth a strategic plan, is to understand the healthcare business as a whole. According to Baker and Baker (2009), The health care industry is a service industry. It may have inventories of medical supplies and drugs, but those inventories are necessary to service delivery, not manufacturing functions. With this information in mind, two specific cost cutting options were chosen geared toward staffing and patient care. The first option addressed was to decrease the staff hired from outside sources. Nursing and other employees who were hired via contracts worked for higher rates of pay. This rate is normally double the amount of the staff employee. Depending on the specific position and pay grade, large quantities of contract workers drains the current financial budget and reserves. The goal being strived for is the ability to take money being paid out to contract workers, and use it to hire staff at a reasonable rage of hire. This leads into the second option that was chosen. Changing the skill mix is a great strategy to help retain employees, add to their skills to make them more of an asset, and increase the employee morale. It is known that without contract staff to supplement nursing the strain of patient care would increase. That is why it is necessary to utilize the staff already in house that known the routine to be open to learning more skills. The asset to this strategy is that the nurses who are hired for full time status will enter an organization that promotes advanced clinical learning. The projected outcome of this plan is a net savings of at least 90% the first year, and an increase of financial savings by the second net year. Loan Options A decision in regards to loan options is a strategic method that can be harmful to the company deficit if not chosen correctly. After consulting with the executive team, the decision to select a refurbished loan with a lower interest rate of 9% was better than selecting a new loan with an interest rate of 9. 5%. Having the option to refinance a new loan would not be as lucrative or flexible in the first years of loan repayment. Outcome of Decision The outcome of these two decisions showed major improvements among the internal/external working environment as well as decreased overloaded expenses. The loan (option 2), was the best choice @ $1,500. 000, with a low interest rate of 9. 00%. The interest rate is lower than loan (option 1), at 9. 45% interest. The Monthly payments of $131. 177 versus $131. 490 was also appealing. The cost cutting strategies worked for (EHC) and improvement was immediately seen. Phase 2 Funding Options for Equipment Acquisitions The working capital shortfall is now under control at (EHC). With the increased patient flow, the technological aspects of the hospital must now be addressed. After meeting with the Board of Directors, Gilbert Sanchez stated the desire to purchase medical equipment to continue to provide excellent care to clients. The option was given after consultation to either buy new or refurbished medical equipment by acquiring a loan, or acquiring the equipment on lease (capital or operating). In large healthcare organizations, there is constant competition between departments for funding request for new equipment and supplies. According to Baker and Baker (2009), the reason for new equipment is needed must be clearly stated. The acquisition cost must be a reasonable figure that contains all appropriate specifications. The number of years useful life that can be reasonably extended from the equipment is also an important assumption. Mr. Sanchez provided all the necessary information needed. A different and daring approach was used to purchase the equipment needed for the hospital. The High Speed CT Scanner, X-Ray Machine and Ultrasound were all purchased on a Refurbished Equipment Loan. The optimal choice was to purchase the High Speed CT Scanner on a Refurbished Equipment Loan, the X-Ray Machine on a Capital Lease. The choice made for this issue was concrete. The most cost efficient method was used to revamp the equipment in use at the present time. The refurbished loan amount was purchased at a 9 % interest rate. When checking the balance sheet, the total assets and total liabilities were the same at $230. 621. Phase 3 Options for Capital Expansion Now that the capital shortage and equipment acquisition were addressed and the financial improvement of the hospital is rising, there is now a need for added space. The executive committee have plans to add 100 new private rooms as well as consider the expansion other departments such as surgical suites, endoscopy, surgical suites, and women’s service. Other expansions include 5 operating suites along with seven Cardiac Catheterization Labs. Also, twenty critical care patient rooms were also on the list to be added. The options available for selection included, Tax-Exempt Revenue Bonds, HUD 343 Loan Insurance Program and Private Bank Funding. I chose Private Bank Funding. The interest rate is slightly higher than the other options but the Net Present Value (NPV) was better than the total cost of the project. The total cost was $75,000 and the (NPV) came to $180. 250. According to Baker and Baker (2009), the Net Present Value, is a discounted cash flow method. It is based on cash flows in that it takes all the cash (incoming and outgoing) into account over the life of the equipment over this life of the equipment ( or if applicable, over the life of the relevant project). The strategic collaboration between the Board Executives and myself resulted in a great outcome, bringing overall improvement to the organization. I learned the importance of financial budgeting and streamlining with the focus on staff and patient satisfaction. I honestly would not change my decision on this simulation. I feel confident in my decisions as the consultant. I will take what I have learned from this assignment and apply the methods used to maintain a competent financial budget as well as monitor and maintain adequate employee staffing ratios. How to cite Simulation Review Paper on Elijah Heart Center, Papers