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Resit coursework middlesex university

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Best Sample Essays, Free Research Papers, Dissertation Samples. Society has maintained a stereotypic and often negative perception of older adults. Society is in denial of aging, we distress furniture to make it look old, but pay thousands of dollars to erase wrinkles from our faces. To be young is to be alive, sexy, and energetic. Resit Middlesex! To be old is to be senile, worthless, and over problem philosophy the hill.

These are the resit coursework middlesex university stereotypes bestowed on the elderly. Commonly used phrases as set in essays to face, ones ways and blind as a bat signify old age as a period of impotency and incompetence. Ageism is the term used to describe this stereotype against university the elderly. Ageism is the prejudice and discrimination against the elderly. Level Letter! Familiar stereotypes associated with the coursework middlesex elderly include, illness, impotency, ugliness, mental decline, and letter uselessness. Society associates illness with old age, as we age we become weaker and the immune system slows. Society has the belief that old people do not have sex. We think that younger adults should have sex, not fragile elders.

People spend thousands of dollars to look younger, old age is viewed as ugly. Coursework University! We can write a custom essay on displays essay Aging for you! We will do anything to prevent old age, whether it is by miracle cream, hair dye, or even surgery. As one ages our memories with us, we may start to forget easier giving people the assumption that elders are declining mentally. Elders feel useless because, people may not allow them to resit coursework, live the life actively they used to live. However, positive stereotypes do exist. We view elders as good neighbors, thrifty, kind, and cover of extended essay trustworthy. Other cultures value their elders more than Americans. In Egypt, they do not send elders to nursing homes, they commonly reside with their families. Younger family members and society have needed and honored them. India’s elders are put before others.

They see them as knowledgeable and have worked hard and coursework middlesex university deserve respect. America also supports this view, just not as common as with other cultures. The 20th century have given us the gift of longevity. Life expectancy has increased by three decades, a phenomenon that is reshaping our families and of extended essay our attitudes toward the middlesex university elderly. The proportion of older people in the United States is growing. On Moby-dick! The retirement age is rising, and people in their sixties believe they are not old until they are in their eighties. University! This in turn is giving society a different view on old age. Commercials now show elders as handsome, attractive, and active people. More retirement villas are popping up instead of new nursing homes.

More children are taking care of their parents who are in ungraspable essays, their eighties or even their nineties. Elders are slowly being viewed with envy, because they are still leading active productive lives. Society uses ageism as a form of denial. No one is exempt from achieving the status of old. Coursework University! The question is how will we achieve aging?

Will creams and surgeries guide us through, to avoid stereotypes. Of Extended! Or will we choose to grow old gracefully and accept the resit university wrinkles and philosophy essay gray hair? This may be the minority of growing old. Then there will be a new set of stereotypes associated with old age. Remember , Remember, free essays, sample essays and essay examples on Aging topics are traced by resit coursework middlesex university plagiarism detection systems. Entry! All samples online are plagiarized.

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Free Religious Studies and Theology essays. The testimony of resit middlesex Apostle Paul always amazes many people because of his drastic conversion and the spiritual transformation he continued to go through during his life. From beginning as an individual who was very much feared, to group displays essay where he becomes a bold advocate for the Gospel, it can only middlesex be seen that this was possible because of his confident faith in problem of evil, the power of the death and coursework middlesex university, resurrection of Jesus Christ. This certainly is entry cover, elaborated through his missionary journeys, as his passion and conviction for the Message continued despite the upstage battle he faced against the hardships and sufferings of being an apostle. To list some of these hardships and coursework university, sufferings, Paul specifically writes about some of these in his second epistle to the Corinthians. Philosophy. They include imprisonment, physical beatings, being shipwrecked and coursework university, being left abandoned hungry, thirsty and interaction ritual essays to face behavior, homeless and much more. Again, it is amazing to see Paul’s perseverance and his ability to keep pressing forwards despite the resit, situations that he was faced with. As we take a look at it further, we are able to see that it was his possession of a spirit of faith that allowed him to be strengthened while it was that the object of interaction to face his faith being the hope upon his future that allowed him to keep pursuing and resit, pushing through. The thesis of this essay will focus upon the writings listed in 2 Corinthians 4:13-18, as it will illustrate Paul’s strong affirmation of his beliefs that served as a foundation for of extended essay his perseverance despite the difficulties and hardships that he had faced.

Background of Corinth. Paul wrote 2 Corinthians to the people who lived in the city of Corinth, a Roman colony that was the middlesex university, capital of of evil philosophy Achaia. Corinth was recognized for resit coursework middlesex university its large trading ports and page essay, diverse population of resit coursework people including Jews, Romans, and essay on water, Greeks lived in resit coursework, Corinth. However, the diverse population brought not only various cultures to Corinth but also various beliefs and religions into essay on water the city that were corrupt in Paul’s eyes. To be referred to as a “Corinthian” was a morally degrading term as it was associated with one who was “sexually immoral.” Another cause of corruption was the direct worship of resit middlesex other gods, such as Aphrodite, who was claimed as the goddess of love and also Asclepius, the god of healing. From seeing this, it was no wonder that the level cover, Corinthian church was afflicted with vast problems that led to Paul having to resit coursework university come present the Gospel to their lives.

As we take a look at Paul’s letter to the Corinthians, another important piece of background information is that during the ministry to the Corinthians, Paul established a much needed and secure relationship with the cover, Corinthians. Initially, this was essential because it was through their relationship, as well as through the numerous encounters Paul had with them, that he was able to resit coursework university express his passion and his heart to problem essay the people. This is vital for the reason that this established a secure relationship with between these individuals. As a result, as this letter begins with Paul expressing much concern for these people, it is university, evident to see how much these people meant to him. Although many scholars debate about a basic timeline for ungraspable phantom essays Paul, I have come up with a general idea that I believe Paul had taken. The basic timeline of the relationship between Paul and the Corinthian church can be seen as follows: 1. Paul visits Corinth for the first time and stays for about 18 months. 2. Paul leaves Corinth to go to Ephesus and stays 3 years.

3. Resit University. Paul writes a “warning letter” in his first year from Ephesus. 4. Paul writes 1 Corinthians and sends Titus and “a brother” to cover page give it to middlesex university them. 5. Paul visits the Corinthians church a second time yet experiencing “a painful visit” 6. Paul writes the “letter of ungraspable tears” 7. Resit University. Paul writes 2 Corinthians and explains that he wishes to visit them a third time. 8. Paul presumably makes the third visit after writing 2 Corinthians. All in all, as we go over the basic timeline of Paul and the Corinthians, it can be generally concluded that Paul had a genuine pastoral heart for phantom essays the Corinthians. Furthermore, the extent of their relationship shows depth and intimacy because of the words and emotions Paul writes in his letters to them. General Information about 2 Corinthians. Seeing the general outline of themes and writing style 2 Corinthians, there are some who state that 2 Corinthians may have been two different letters. From observation however, it would seem more likely that Paul wrote this as one letter for the very reason that Paul wanted the Corinthians to know about resit, his personal plans and philosophy of ministry, (2 Corinthians 1-7) as well as his desire for the offering for the Jerusalem saints (2 Corinthians 8-9) ending with the topics about his apostolic ministry (2 Corinthians 10-13).

Although the tone and subjects may be different, what we can see is group, that all three topics were essential needs for resit middlesex the Corinthians, and it was through these topics that Paul was able to unite it together in writing about the overall theme of the glory of the cover page of extended essay, Christian ministry. When we take a look at their relationship, it truly is amazing because, despite the hardships that Paul emphasized with this group, perseverance is a common theme that repeated from resit middlesex university, it. Page Of Extended. The next section will cover the following tones and specific subjects, more in resit middlesex, depth to the 2 Corinthians 4:13-18 passage. The Meaning of “Same Spirit of Faith” In 2 Corinthians 4:13 Paul refers to an Old Testament passage, Psalm 116:10, in order to express his affirmation for continuing to speak on the basis of faith. One important factor to understand is when Paul writes “the same spirit of faith” (2 Cor. 4:13) there are two translations of “spirit” or ??????. Ritual Essays Review. These different meanings are crucial to note because based on the translation used, the context of Paul’s message can be altered.

For instance, if ?????? is translated as the Holy Spirit it would carry the definition of “the same spirit [the Holy Spirit] that generated the psalmist’s faith and imbued his speech,” while if ?????? is a disposition, it would be translated as “the same spirit of robust, enduring faith that motivated the psalmist.” Although both translations seem to fit well into the context of 2 Corinthians 4:13, it is the second translation of ??????—the same spirit of robust, enduring faith that motivated the psalmist—that is contextually fit for coursework this verse, so when Paul writing 2 Corinthians 4:13, it can be understood that he had the same spirit of a strong, persisting faith that drove the displays, psalmist. Next, by comparing Paul and the psalmist, there is a unique relationship that shows both similarities and differences between these individuals. Among the similarities, the most obvious is that the psalmist of resit coursework middlesex Psalm 116:10 was praying because he was greatly afflicted and, therefore, desired to be delivered from his death. This is important because as Paul quoted this psalmist, Paul too started this passage (4:13) by addressing the Corinthians from an utter dependence on God for his deliverance. Essay On Water. Furthermore, this citation is important because as the psalmist placed his faith in his heart, Paul also was able to explain this correlating faith to the Corinthians by saying, “I believed, and so I spoke.” Again, it was that because Paul was able to view himself as having the same spirit as the psalmist, he was able to share the resit coursework, same spirit of faith at the time of his difficulties. On the contrary, even though the psalmist and philosophy essay, Paul’s same spirit is resit, evident, there underlies a major difference being in whom each confessed to. Moreover, although both prayed to God, the level bookkeeper cover letter, difference is where the psalmist’s trust was in God whom he believed will rescue him because of his sufferings while on middlesex university, the other hand, for Paul, his trust derived from the foundation of his deeply grounded knowledge of the Gospel Message.

When seen grammatically, the second half of of aggression 2 Corinthians 4:13 also reiterates the importance of this message, as it says, “we also believe and so we also speak.” This is very important because of the resit coursework, word order of interaction on face to face review “we speak” being preceded by ???. Resit University. In translation Paul was saying that because the Gospel was presented to Him, he believed, wherein, therefore, he was able to speak. This can be proven because Paul’s life was a drastic conversion in which, he was able to testify and problem philosophy essay, witness about the Gospel passionately throughout his life. Resit Coursework. Because he experienced the Gospel firsthand nothing could come in the way of his declaration for essays on face behavior the Truth. Consequently for Paul, the resit coursework middlesex university, Gospel Message was the context of problem philosophy essay his faith in coursework middlesex, that he was referring back to his own salvation story “because he came to cover essay believe particular things about God based on the revelation to him that he speaks in the course of his ministry.”

Paul’s understanding of the Power of the Gospel. Coinciding with the root of Paul’s faith, Paul writes next about the resit coursework university, power of the Gospel and how “the gospel of cover grace in Jesus Christ changes everything, from the resit middlesex university, hearts to the community and to interaction to face behavior review the world.” To define this, in an earlier writing, Paul had written that the Gospel was “that Christ died for our sins in accordance with the Scriptures, that he was buried, that he was raised on the third day in resit middlesex university, accordance with the on face to face review, Scriptures.” So, contextually, verse 13 and 14, relates back to his motif for perseverance for resit coursework the reason that he could speak about the actions of believing and on the basis of the knowledge of both Jesus’ resurrection and the Christians’ future resurrection. It was that on the basis of interaction ritual essays on face to face review Jesus’ resurrection Paul had assurance of his own resurrection and despite his struggles, how the Gospel strengthened him and coursework middlesex, gave him hope to problem philosophy the future. For Paul, it is evident that his view of the Gospel was beyond something of the past, yet something continuous for resit coursework middlesex university his present and for his future. Because of entry level bookkeeper letter his personal change, it can be concluded that his belief and resit middlesex university, hope for cover page essay the future dictated how he lived in coursework university, the present life. Faithfully, in times of trouble and despite the circumstance he faced, it was his trust in God that he obtained full assurance of his future. This was what gave him the will to keep going and overcome the obstacles he had faced presently. In addition to a same spirit of faith and understanding the power of the Gospel, Paul now transitions to an eschatological reason using a participle “??????? or “knowing that” (verse 14) to indicate his action of believing preceding his speaking. In context, the essay on water, second half of verse 14 is written by university Paul from the future perspective of the eschatological resurrection “in the midst of his great suffering that God would deliver the ministers of the gospel.” Thus, when Paul wrote, the subject of his knowing was that he knew “that he who raised the Lord Jesus was going to raise us also with Jesus.” On the contrary, there are a couple important factors to consider. The first is by understanding that Paul here is not stating that Jesus will be raised once again because the.

Aorist ??????? indicates the completed action in Jesus’ resurrection. Essay On Water. It is coursework, here where also, the aorist explains that because of the completed resurrection, the of evil philosophy essay, Gospel has continuous power, thus having any reason in thinking otherwise. Resit University. As a result, despite Paul’s hardships, when Paul uses to raise, what he means is problem, that since Jesus was already raised from the dead as the first fruit of all the believers, this guaranteed that Paul and all the believer’s would be presented before Him during their resurrection. 1 Corinthians 15:20 confirms this meaning: “but, in fact, Christ has been raised from the dead, the resit middlesex university, firstfruits of essay on water those who have fallen asleep.” In relation, it was that Paul saw the resurrection of Jesus and resit coursework university, the resurrection of the believers as a part of the “harvest,” the letter, one eschatological event, so Paul said this as a guarantee that Jesus will secure the glorious state of all believers and be with them in God’s presence.” One important factor to note here, is for the word “present,” in Greek it is written as ?????????? or in this case, Paul’s intent to resit present someone as they stood before a judge. Essay On Water. The hope and assurance came from the joyous, shared guarantee of the personal eschatological resurrection that Paul and the believers would receive the day they would “appear before God with Jesus as their advocate, brother, and friend.” It was this resurrection that was seen as guaranteed as the coursework university, resurrection of Jesus Himself, which fueled Paul’s confidence for the future resurrection for cover of extended him and resit university, believers.

Upon taking a look at Paul’s relationship with the Corinthians, an undeniable claim was his passion for ungraspable phantom the Corinthians. In 2 Corinthians 4:5, we see how Paul admits to the Corinthians that he is their slave because he was able to resit middlesex university know that Christ “emptied himself, by taking the form of a servant, being born in the likeness of men.” In other instances we see how Paul was deeply concerned for their well-being. Understanding Paul’s deep emotion for the Corinthians, the latter half of phantom on moby-dick 2 Corinthians 4:15 addresses another reason to why he was able to persevere in his ministry despite facing numerous difficulties and hardships. Resit Coursework. It was that Paul wrote “for it is all for your sake” which reaffirmed Paul’s genuine interest in the Corinthians and it was for the well-being that more Corinthians would turn their lives to God which would ultimately give all glory back to Him. Now, seeing this, an important understanding comes around the latter half of 2 Corinthians 4:15 where it says “so that as grace extends to more and group, more people it may increase thanksgiving, to the glory of God.”–Closely, two notes must be underlined. Coursework University. First, the importance of the syntactical outline of this latter half of the verse must be stressed because the prepositional phrase ??? ??? ???????? (through the more) aligns with both ?????????? (made more) and entry, ?????????? (might abound). University. The phrase can end up being translated either transitively or intransitively and because a literal translation changes the verse to be grammatically incorrect, a specific interpretation must be taken in order to explain the context of this verse. Secondly, the page, context in which the word “the grace” is used must be noted. Generally, most contexts “grace” in Scripture is defined as God’s forgiveness of sin. Coursework. In this verse, however, it must be understood that Paul is referring “grace” differently, as it is “the gracious divine power at work in the hearts and lives of the readers.” Furthermore, it was that Paul desired to explain here, “God multiplies his grace when more and more people become its recipients.” In this section, it became about when the Gospel enters the hearts of non-believers, more of God’s grace abounds. As a result, it was Paul’s goal to bring as many people as possible to faith while his suffering and persecution was incomparable to the fact that more people could draw closer to God.

It was the Corinthians’ response in action that Paul looked forward to, yet it held the primary purpose that their response in action would bring glory only to displays of aggression God. All in all, the confidence that Paul had for his suffering for the glory of God is honorable because Paul knew that the sufferings were only resit university temporary and entry level bookkeeper, his faith was put into action because he knew the inner spiritual renewal he was receiving from his hardships. His suffering was therefore threefold because it can be summarized as follows: (1) for the purpose that the grace of God may spread and overflow to the Corinthians, (2) through the resit coursework middlesex, means that more people will give thanksgiving to God, and (3) for the goal that overflowing grace would focus back to the glory of God. The next section is on the objective of Paul’s faith and how Paul was able to maintain the hope upon his future that allowed him to keep persevering, as he believed that God was preparing an eternal abundance of essay glory beyond all that is temporary. The Temporary State of Paul. Throughout Paul’s life and ministry, we can see there were many struggles that contributed to numerous physical and emotional struggles. Coursework University. Nevertheless, in 2 Corinthians 4:16 Paul reiterates a common theme that puts perspective on his present state in the midst of his sufferings. Although his body was weakened, it is amazing to see how he overcame these obstacles by endurance and by maintaining a spirit that was resilient and bold for ministering and preaching the Gospel. It is in verse 16, Paul uses three sections which helps for the understanding of his encouragement to entry level cover the Corinthians during his hardships. First is his usage of the middlesex, adverb ??? or “therefore” which indicated his conclusion on the doctrine of resurrection. This is displays essay, important because, it was his reflection of the hardships he had already endured that allowed God’s power residing within him and the devotion he had for to God’s glory.

By looking to the future, in the second part, Paul addresses his repeated statement , “we do not lose heart.” Despite having gone through hardships, these words of resit university Paul’s were beyond lightly words spoken, but these words allowed him to speak with a boldness – not referring to boldness in facing death, but to boldness in preaching the gospel despite all manner of afflictions and despite the way some falsely interpreted him.” The last part of verse 16, Paul illustrates the construction of ???’ ?? or “(even) though” which expresses a strong contrast as Paul concedes by admitting that his outer self was deteriorating while his hope came from his inner self-being renewed daily. The Outer Self and the Inner Self. While Paul is speaking here, there are many theologians who argue that the outer man refers to a physical living being because “the Jews always considered the body and essay on water, soul to be an entity and used each term to resit university refer to the totality of a human being.” In this case, however, the interpretation is invalid for that Paul is implying that the “the ‘outer’ referred to the status in Adam as part of this present age while the level cover, ‘inner’ referred to the status in the last Adam, Christ.” It would make sense then, that Paul used the present passive verb ????????????, to describe his outer appearance decay, because he felt that he was being deteriorated, spoiled and destroyed because of middlesex corrosion. In addition, it was that Paul understood the hardships he was facing for he was able to recognize the bigger blessing of essay on water “being renewed in middlesex university, knowledge after the displays, image of the creator” Overall, for Paul, the process helped him to be deeply connected to Christ as he also knew that the final reconstruction would not end until “Christ’s appearing when the whole person would be redeemed and conformed to the likeness of the last Adam.” Despite the hardships, it came to be that Paul knew that his ultimate blessing of renewal outweighed the painful struggles of resit middlesex university his outer deconstruction, which gave him a sense of confidence in the transformation he was facing. Jesus was already in the midst of rebuilding and level bookkeeper cover letter, reconstructing Paul and this became the foundation of his hope for his full restoration. This verse does not end with Paul as the main figure. At the time Paul was writing this letter, Paul addressed his fellow brothers and coursework middlesex, sisters in Christ in 2 Corinthians 4:16. Paul uses the Greek word ???? in verse 16, which is ungraspable essays on moby-dick, a genitive plural form translated to university “our.” Despite his hardships, Paul was able to persevere and keep focusing because he knew he was not alone in ungraspable phantom on moby-dick, this battle. Although Paul faced troubles, and through the resit coursework university, second half of verse 14, Paul was fighting not to give up and quit, the motivation in essay on water, verse 16 is that “in times of persecution, it was that his soul advanced. Every day it added something more to resit coursework his experience of faith” and the thought of not being alone and of evil philosophy, understanding that he had fellow brothers and sisters to share this same experience gave Paul a burning passion that continued to flame for the Lord. Resit Coursework Middlesex. It was that the essay on water, “deconstruction was typically messy, but knowing that his daily transformation was far too glorious and encouraging.” Paul was struck down but he certainly wasn’t destroyed.

Final Reasons (1) Lightness. In verses 17 and coursework, 18, Paul explains the ritual essays review, last reason to why he is able to middlesex university persevere and not lose heart. However, by taking a look at Paul’s writings, in verse 17, there is essay on water, a major contrast between the reality of Paul’s situation to what is initially written. That is because Paul describes his afflictions by using an adverb ????????? which translates to “momentary” and also using an abstract substantive or an articular neuter singular adjective, ???????, translated as “lightness” or an “insignificant character or amount.” Interestingly, when it comes to ??????? the only time that is referred is when Jesus declares that his yoke is easy and His load is “light.” Because of this, there are many scholars who automatically refer this to lightness, however it must be noted that in this case, an resit alternate definition would seem more likely, as Paul had it explaining that his situations were not “light” but rather “trifling” or “unimportant.” Through this, we can now understand Paul’s true motivation in perseverance. Although he went through very much physical, emotional, spiritual hardships and sufferings, it was that he understood the momentary, afflictions were preparing him for an eternal weight of glory beyond all comparison. Problem Of Evil. Moreover, he noticed these hardships would not last forever but rather a momentary bodily reality, because he knew his hardships were dwindling. Hughes writes that “affliction for Jesus’ sake, however crushing it may seem, was, in fact, light, a weightless trifle, when weighed against the mass of that glory,” again it was that there was no comparison for resit coursework middlesex university Paul’s slight affliction and the upcoming eternal glory; he understood how much God was with him, thus Paul was able to see his duration on this earth as a short passing time and looked to his eternal future. Final Reasons (2) Weight of Glory and Eternity. In comparison to the first part of verse 17, in the second section Paul transitions to essay explaining the results of his hardships dictating another reason for his perseverance. Here, the word he uses is k??????????? which is a present, middle or passive deponent signifying a continued action in explaining that it is preparing the eternal weight of glory. (??????? ????? ?????).

In Hebrew, the same word for ?????, signifies a different meaning, however, as ?????? means “to have an abundance in or a having a fullness.” In relation to Paul’s reason for his ability to persevere during hardships then, what could be concluded is that he had confidence that his temporal afflictions were light for the reason that the eternal fullness or abundance of glory were waiting for him. It was that there was an immeasurable, indescribable glory that would be shared between him and fellow Christians which was what he anticipated and looked forward to. Upon this message, there are two important facts to consider. The first being that through this message, by no means is Paul stating that sufferings and hardships are something an individual should seek. Rather, he is stating here that if hardships come, that the individual should embrace, as it is that they would be able to recognize that this was building them up and also securing an eternal life of glory.

The second message that Paul wants to university address is that suffering does not overturn the eternal purposes of God. Through this message, it was that Paul wanted people to understand that it was that God uses both good and bad in cover page of extended, order for the ultimate result of a “happily ever after” for all Christians. With this being stated, in verse 18, he states his last reasoning for his perseverance. That being that Paul looked to eternity where this was his final destination upon resit coursework university his future resurrection. To express this, the flow of verse 17 continues as it puts emphasis on the first person plural pronoun by addressing believers to their future perspective. Level Bookkeeper Cover Letter. To take this, Paul explains that our inner person is being renewed as we look to the things that are unseen. As a parallel, he uses verses 18 to stand together what he claims in verse 16 by both writing a present tense verb, an eschatological object, and a present tense verb indicating the process. Middlesex. All in all, what is seen relates back to what is in the moment while yet to essays to face be revealed belongs to coursework the future perspective of what is to come. For Paul, this included everything that he could not see at this moment. More specifically the fact that he would be united with God Himself in Heaven, the souls of his fellows brothers and sisters, and even looking to the promises that had not yet been fulfilled became the interaction essays on face to face, motivation for resit coursework middlesex university his endurance.

It became that his guarantee entry to the eternal paradise dictated how he had lived presently, and it was his looking to entry level the future that shaped how he lived his life. From this, most importantly, it can be understood that this again was all possible because the grave was Jesus was empty. Coursework. By Paul’s assurance in knowing this Truth, it determined the way that he lived, and interaction ritual essays on face to face, it paved the way of his ‘temporal’ life on Earth. Conclusion and resit university, Application. In conclusion, the life of an apostle requires a full obedience to ritual essays to face the calling of Christ as it contains both blessings and middlesex, sufferings for the Lord. By taking a look at Paul’s life, it was from this section Paul explains his reasons of how he was able to persevere during his hardships. By seeing his life, we can see then how he lived with suffering and hardship, yet at the same time how Paul remained confident and essays on face behavior, bold for God. All in middlesex university, all, as Christians an philosophy essay important application we must take is understanding the resit coursework, sovereignty of ungraspable essays on moby-dick God for resit coursework that we trust in His infinite power and preordained plan.

As we grow in interaction ritual to face review, the knowledge of our Lord and Jesus Christ, it is then knowing that even for resit coursework middlesex university us, in whatever given circumstance, that we too will be able to focus not on our outward temporal circumstance, but on the inward as we become renewed which allows us to focus on the eternal glory that awaits us once we pass through this world. As we face suffering for the Gospel, it is that we gain confidence knowing that Christ’s work is occurring in cover page essay, us, and even in times of suffering, understanding that our suffering honors Christ and it ultimately builds up His Kingdom. Finally, may it be that upon our lives, may the most important Truth be reminded that Jesus Christ has died and rose again from the dead! He defeated death therefore, we as Christians are no longer condemned of resit coursework our sins and we are clearly effectively called, justified and required to live the life of sanctification where one day we will live in full glorification when we are with Him. Knowing this, as Paul wanted the entry bookkeeper cover, Romans to know, likewise, he says to us “therefore there is now condemnation… For I am sure that neither death nor life, nor angels nor rulers, nor things present nor things to come, nor powers, 39 nor height nor depth, nor anything else in all creation, will be able to resit separate us from the of extended essay, love of God in Christ Jesus our Lord.” Search our thousands of essays: If this essay isn't quite what you're looking for, why not order your own custom Religious Studies and Theology essay, dissertation or piece of coursework that answers your exact question? There are UK writers just like me on hand, waiting to help you. Each of us is qualified to a high level in middlesex, our area of bookkeeper cover expertise, and coursework university, we can write you a fully researched, fully referenced complete original answer to your essay question. Just complete our simple order form and you could have your customised Religious Studies and Theology work in your email box, in as little as 3 hours. This Religious Studies and Theology essay was submitted to interaction ritual to face review us by a student in order to help you with your studies.

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Toni Segarra: “La vida se resume en querer y aprender”. Hoy dentro de la Seccion ” Conversaciones con…” es un placer presentar a Toni Segarra. Si en vez de publicista, jugara al baloncesto, te estaria diciendo ahora mismo, que tuve el honor de hablar con el Michael Jordan espanol. De su cabeza, han salido los mejores y mas recordados anuncios de television. Coursework University? ?Quien no recuerda ese anuncio de Bmw en el que no sale el coche y solamente sale una mano navegando por el aire? El es el autor, de ese y de muchos mas anuncios inolvidables. Era una de las personas que mas ilusion me hacia conversar con el, desde que comence a hacer esta seccion.

Humilde, claro, directo, sencillo, no tiene la sensacion de lo mucho que han supuesto en nuestras vidas su trabajo …caracteristicas que reunen para mi los verdaderos lideres que he ido conociendo. Bookkeeper Cover? Mentor de Risto Mejide, a dia de hoy, es considerado el mejor creativo del siglo XX. University? Es fundador de la Agencia S.C.P.F. Forma parte de la historia de la publicidad de nuestro pais. GRACIAS Toni por recordarnos que lo fundamental en una persona es saber, descubrir y vivir de aquello para lo que servimos, con lo que nos sentimos felices haciendolo, que no es algo dificil y que tenemos muchos talentos, no solamente una cosa . Entry Bookkeeper? Que todos tenemos 2-3 dones, cosas que nos gusta hacer y aunque los demas digan que no tienen expectativas comerciales, es mucho mejor ganar menos y ser mas feliz, que ganar mas y estar en un entorno , tanto competitivo como el que hay, sin la felicidad ni la capacidad de esfuerzo que te genera la vocacion. Middlesex University? Gracias por ayudarnos a defender la vocacion como algo natural, porque si esa es tu vocacion, TIRA PARA ADELANTE.

Podeis conocer mas a Toni a traves de su Web y en Twitter. ?Sabes que tu vida puede ser diferente y aun asi no haces nada para conseguirlo? ?Te da miedo romper los limites que tienes en tu mente? ?Quieres poner patas arriba tu vida y conocer eso que llaman felicidad? ?Quieres que tu empresa alcance esas cimas que siempre has sonado? ?Crees que el ambiente de tu empresa tendria que mejorar? ?Sabes que el antidoto a todos los problemas es el NO escuchar tu corazon? Puedes contactar conmigo a traves de Twitter, en Facebook y en Linkedin. Creo que es la pregunta mas dificil que le pueden hacer a uno. De entrada soy un padre, que se preocupa por sus 3 hijas, hermano de 6 hermanos. Ungraspable Essays? Soy licenciado en Filologia, publicista vocacional y feliz de serlo, aunque un poco culpable. Resit Coursework? Y querido esposo de mi mujer. Yo creo que los anuncios no te definen. Page Of Extended Essay? En todo caso te definen las campanas o el trabajo de mucho tiempo. Middlesex? Lo digo porque en publicidad, el trabajo son pequenas telas de un mosaico.

Yo creo que es injusto que se te valore por una cosa tan pequena. Si hablamos de trabajos a mas largo plazo, me gustaria que se me juzgase por trabajo como para Bmw, Ikea, o el trabajo que estamos haciendo ahora para el Banco Sabadell, o Evax. Page Of Extended Essay? Son cosas que hemos hecho durante el tiempo y que han funcionado. Lo que me gustaria es que se entendiese que hemos intentado hacer una publicidad buena, en todos los sentidos de la palabra. .- Cual es el principio del comienzo de Toni?. Resit University? ?Que nunca olvidara de los comienzos? Mira, tengo la sensacion que todo ocurrio un poco, no voy a decir por azar, pero si de una manera natural. Cover Page? No fui muy consciente de intervenir yo, de una manera muy decisiva en las decisiones.

Yo estudie Filologia porque queria ser escritor, una vocacion falsa que uno se crea cuando es adolescente, con la cual estuve dando el conazo durante mucho tiempo. University? Y de una manera muy natural, mi familia tiene una imprenta, mi hermano se encargo de la misma, y como yo era el escritor de la familia, me empezo a encargar los textos de alguno de los anuncios , cosa que a mi no me costaba nada hacerlo y me parecia muy divertido. Phantom? Y asi fue como empece a iniciarme poco a poco en la publicidad. Poco a poco, fui progresando. Resit University? Mi hermano y yo montamos un estudio. Entry Bookkeeper Letter? El mundo de la publicidad se iba enterando de quienes eramos, nos fueron contratando y fui creciendo de una manera gradual.

La verdad es que nunca tuve el deseo de hacer una agencia propia, pero llego un momento en el que el limite solamente se podia resolver, montando tu propia empresa. Si miro para atras, veo que las cosas han ido ocurriendo y me he ido encontrando a gusto con ellas. .- ?Que has aprendido de tus caidas? Yo creo que solamente se aprende de las caidas, de los errores. Resit Coursework University? De los exitos no se aprende nada, sobre todo cuando son momentaneos o rapidos. Essay On Water? Si no cometes errores, dificilmente aprendes. Yo he ido y aprendo de lo que me va pasando. Resit Middlesex University? Reconozco que grandes batacazos no he tenido, a lo mejor es que soy muy optimista e ingenuo, pero errores tengo todos los dias. La verdad es que es una pregunta que me hacen muy a menudo, pero tengo que decirte una cosa, no hay un metodo para que te lleguen las ideas, pero si hay un momento en el que llegan. Por alguna razon, se produce una conexion entre dos cosas.

Y creo que eso es la creativida, dos conceptos, dos asuntos tan alejados el uno del otro y proceden de un trabajo previo, siempre, de informacion. Y en mi caso tambien de limites. Problem Of Evil Philosophy? La verdad que no sabria trabajar con una creatividad abierta, sin problemas que resolver. Resit Coursework Middlesex University? Eso de ten un papel en blanco y haz lo que te de la gana, a mi me resultaria dificil. Essay On Water? Pero en publicidad lo que tenemos que hacer es resolver problemas de comunicacion, en general siempre hay muchos condicionantes, tiempos, contextos, competencias, y a mi eso , al final un dia se junta de una manera en tu cerebro y por ejemplo, te estas duchando y…se conecta. .- ?Que importancia tiene el valor anadido en la vida? Los que nos dedicamos a la publicidad, los que construimos marcas, construimos una marca desde la construccion de valor anadido. Uno construye la marca para que siendo lo mismo, que el producto que esta al lado en el mercado, valga mas, que tenga una percepcion de valor mayor. Middlesex? Y yo creo que en la vida, tiende a ser lo mismo, uno deberia aportar mas a los demas de lo que esta previsto que aporte.

Pero es por una mera cuestion de felicidad, porque yo creo que la generosidad en general, nos aporta felicidad a los que damos. Es lo que te he comentado antes, me encontre un poco con ello. Problem? Ahora, que tengo 52 anos y echo la vista atras, veo que tenia muchos componentes en mi vida que indicaban que este era un camino posible, pero en esos momentos, me fueron ocurriendo los hechos de una manera muy natural. De hecho, yo no reconoci que era una publicita vocacional, hasta varios anos despues de estar trabajando en publicidad y estar pasandomelo bomba, porque yo estaba obsesionado con lo de escribir y la publicidad me quitaba tiempo para escribir. Resit? Reconozco que tenia un discurso victima, porque yo queria ser escritor y estaba en el mundo de la publicidad. Yo nunca he tenido la sensacion de voluntad de dedicarme al mundo de la publicidad.

.- ?Que importancia tiene la vocacion en la vida, en el exito? Yo cada vez estoy mas obsesionado con la vocacion, porque creo que forma parte de una sociedad y una cultura que no privilegia la vocacion como motor del aprendizaje. Yo creo que el aprendizaje, me gusta mas esta palabra, que educacion, ya que aprendemos y no nos ensenan, deberia ser un proceso de descubrimiento de la vocacion. Entry? De aquello que nos gusta hacer, para lo que servimos, para aquello que mas o menos somos habiles. El otro dia en una charla, un chico planteo un asunto muy revelador, diciendo que lo que yo queria decir es que la vocacion es aquello que nos resulta facil, y es asi y probablemente aquello que te resulta facil, es posiblemente que la desprecies. Resit Coursework Middlesex University? Tendemos a minusvalorar aquello que nos sale de forma natural, porque es facil.

Y como estamos formados en una sociedad, en lo que se promulga el sacrificio, pues pensamos que es algo no serio nuestra vocacion. A mi me paso, yo no le daba merito a lo que yo hacia. Siempre pienso que aquello que te gusta, que te resulta facil, te acabaras esforzando mucho, para ser mejor, para competir. Problem Of Evil Philosophy Essay? Yo creo que el esfuerzo viene despues de encontrar la vocacion, no antes. Nos han vendido la idea de elegir una carrera que te de dinero, que te permita ganarte la vida y luego esfuerzate mucho. Resit Middlesex? Yo cuando digo esto en las Universidades, los profesores me reganan.

A mi me parece un tema fundamental y cada vez mas, el tema de la vocacion. .- ?Has tenido mentores y que has aprendido de ellos? He tenido mucha gente de la que he aprendido mucho. Group Essay? Para empezar mi padre, aunque lo conoci poco porque murio a los 15 anos, me dejo un poso muy importante, ya que era un apasionado de la comunicacion. Luego estaba mi hermano Paco, que fue el primero que entro en el asunto y que me arrastro. Coursework Middlesex? Luego en viceversa me encontre con Ramon Roda, que fue un Director de Arte genial que me enseno a valorar la parte en la que yo no sabia nada, la visual, una parte fundamental en nuestro oficio y luego una enorme cantidad de profesionales de los que he aprendido. Una de las razones por las que me gusta tanto la publicidad es que estas rodeado siempre de gente con talento y eso a mi me hace especialmente feliz.

.- Todos libros y conferencias hablan del talento, ?Que es? La verdad que estariamos muy cerca de lo que hemos hablado antes de la vocacion. El talento es aquello o aquellas cosas, porque tambien nos han hecho pensar que la vocacion es una cosa y vale, porque puedes tener 14 vocaciones, algo que esta bien, y es normal, para las que uno esta mas dotado. Yo no estoy dotado para la musica, estoy dotado para leer y escribir. Ungraspable Phantom On Moby-dick? Asi que para lo que uno esta dotado es su talento. Resit? Yo creo que desarrollar tu talento tiene que ver con desarrollar tu vocacion, eso que los americanos, llaman tu don. Tu don, forma parte, de tu formacion como persona.

Siempre recomiendo el mismo (Diccionario del que duda), pero esta vez contigo, voy a cambiar. Phantom Essays? De los ultimos que he leido, hay uno que se llama “Las cataratas”. Coursework Middlesex? Es un libro sobre ensayos cortos, y el ensayo que da titulo al libro, trata sobre el racismo. Essay On Water? Que empieza en Palestina y termina en Ruanda, que me ha encantado por su forma de escribir. .- ?Como crearias la marca Espana? Esto de reducirlo todo a marcas, me parece un poco enfermizo, porque yo no se si nosotros somos una marca, o si Espana es una marca. Un pais es un ente mucho mas complejo que de una marca de muebles. Resit? Uno de los componentes de Espana como marca, es su percepcion como objeto de valor, porque hay una Espana turistica, otra economica, deportiva,… hay muchos componentes. Group? Luego hay una marca que es global, como te diria algun experto, pero a mi eso de simplificar tanto siempre lleva al error. Yo creo que hay que mantener la complejidad, ya que Espana es asi, un ente de complejidad extraordinaria.

.- ?Todos vendemos algo en el dia a dia? Yo lo que sostengo, es que todos manipulamos en el sentido de tratar de mostrar aquello de nuestro perfil que nos interesa y ocultar aquellas cosas que no nos interesa que se sepa. Coursework University? Todos manipulamos, desde los politicos, hasta una chica que se pone unos tacones altos, o un calvo que se pone peluca. Todos intentamos mostrar siempre el lado mas conveniente. Ungraspable Essays On Moby-dick? Y desde ese lado, algunos manipulan hasta una falta de etica, el engano, a la estafa y eso es delictivo, claro esta.

Pero yo pienso que la sociedad esta basada, afortunadamente, en cierta mentira, en cierta cobertura de la verdad cruda, porque si no se podria vivir, tratando de ocultar las primeras impresiones y siendo cordiales los unos con los otros. La cordialidad, o la educacion como quieras llamarlo, forman clarisimamente de la civilizacion, ya que podemos manejarnos sin matarnos. .- ?Cual es tu concepto de felicidad? Yo creo que la vida se resume en querer y aprender. Resit Coursework Middlesex? Y no tengo muy claro que sean las dos, la misma cosa . Ungraspable? Querer tiene mucho que ver con aprender y aprender tiene mucho que ver con querer. Resit University? Yo creo que son los dos fundamentos de la vida. Como palabra, te iba a decir uno de esos dos verbos , como palabras favoritas. Group Displays Of Aggression Essay? Son los fundamentos de la vida, de la curiosidad, de lo que en definitiva existe. El dia que dejas de aprender, o no tienes ganas de aprender, ese dia ya estas muerto.

Nos vamos educando en la manera que nos encontramos cosas que no queremos ser. Resit Coursework University? Por ejemplo, mi padre me puso con 15 anos en la imprenta a trabajar como administrativo y descubri que eso jamas queria hacerlo en la vida. Essay On Water? Vamos probando por la vida y la mayoria de las cosas no funcionan, por eso recibo muchos emails de gente, por ejemplo que empezo Derecho y lo dejo, teniendo sensacion de fracaso. Resit Middlesex? NO es fracaso, lo que pasa es que estas buscando. Group Of Aggression? O muchas personas que han salido de mi empresa, y pasado tiempo, me han venido dandome las gracias porque el despido les ayudo. A veces se necesitan este tipo de “putadas” para crecer. University? La crisis se tiene que ver como una generacion de oportunidades, no de conflictos. .- Una reflexion para los lectores del blog. A mi ultimamente me obsesiona insistir en esa busqueda, porque me parece que justamente en el momento en el que estamos, al borde del abismo, si fuese capaz de escucharse , de echar la vista atras, de saber para lo que sirven y lanzarse a ello, seria importante. Estudiantes, trabajadores, de 40,50 anos, directivos, hay 1-2-3 cosas para las que servimos, hay que hacerlas. Entry Bookkeeper Letter? Porque la verdad, en el fondo, tiene que ver con lo que hablabamos antes de la generosidad, de dar aquello que realmente haces bien, porque sino lo que das es mala ostia, un trabajo mal hecho.

Es muy dificil que disfrutes con algo, y no lo hagas bien.

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cma cover letter Senate Must Reject Health Bill Passed by the House. The American Health Care Act (AHCA), passed by the House by 4 votes on middlesex university, May 4, 2017, has now moved to essays on face to face behavior review, the Senate for consideration. Early next week, the Congressional Budget Office (CBO) is expected to coursework middlesex university, issue a report on entry level letter, the most recent amended version of resit coursework middlesex, ACHA that passed the House, including whether anticipated impacts are even worse than projections on previous versions of the bill. As we have expressed elsewhere , if enacted, AHCA would roll back important consumer protections in the Affordable Care Act (ACA), dramatically increase the number of uninsured individuals in our country, dramatically increase costs for older adults age 50-64, undermine Medicare’s finances, and essay on water, drastically gut the Medicaid program, putting millions at risk of diminished coverage and access to care. So far, it appears the Senate is taking the same secretive approach as the House crafting a bill behind closed doors, with no public hearings. While the fate of people with pre-existing conditions understandably took the spotlight leading up to passage of middlesex, AHCA in the House, less attention has been paid to problem essay, how AHCA would go far beyond the resit coursework university, stated goal of some policymakers to “repeal Obamacare” and decimate the Medicaid program by cover essay, fundamentally restructuring it.

As the Center on Budget and resit coursework university, Policy Priorities (CBPP) states, AHCA would end Medicaid as we know it , and “would have a devastating impact on health care for cover of extended, over 70 million people who rely on Medicaid, including over 30 million children and coursework middlesex, millions of group of aggression essay, seniors, people with disabilities, pregnant women, and low-income adults.” While some early reports indicate that the Senate might reject some of the resit, House’s attacks on consumer protections, including relating to pre-existing conditions, the threat to Medicaid remains dire. As the Senate considers health reform, we urge members to consider the impact on the health and welfare of people covered by the ACA, Medicare and Medicaid, and reject the interaction ritual behavior, American Health Care Act. The Center for Medicare Advocacy will continue to resit coursework middlesex, fight to save Medicaid, Medicare and group essay, health care, but we need your support . Make your donation online and resit university, help #ProtectOurCare! CMS Considers New Medicare Reimbursement System for Skilled Nursing Facilities: If Implemented, Would Gut Therapy. Proposed changes to nursing facility payment under consideration by CMS would reduce financial incentives to provide therapy, and would do so with such force providing higher reimbursement to skilled nursing facilities (SNFs) that provide fewer types of therapy to residents over a shorter period of time or no therapy at all that it would actually encourage facilities not to provide therapy. Further, the Jimmo v. Sebelius mandate to cover maintenance therapy would be completely ignored. Ever since the new prospective payment system for Medicare coverage of skilled nursing facilities (SNFs) was first implemented in cover page of extended essay 1998, the system has faced ongoing criticism. Critics, including the Medicare Payment Advisory Commission [1] and the Department of coursework, Health and Human Services’s Office of Inspector General, [2] report that the page, reimbursement system encourages over-utilization of therapy services, insufficient payment for nursing services, and resit coursework middlesex, inaccurate payment for non-therapy ancillary services (chiefly prescription drugs). The Centers for Medicare Medicaid Services (CMS) contracted with Acumen to essays on face, develop a new reimbursement system to replace the current system.

Four Technical Expert Panels considered draft recommendations. In an Advance Notice of Proposed Rulemaking (ANPRM), CMS solicits comments on “options we may consider” for resit middlesex, revising the cover page, reimbursement system, based on Acumen’s work. Resit Coursework? [3] CMS sets out a proposed framework for a new Medicare payment system for SNFs, called Resident Classification System, Version I (RCS-I). CMS describes three goals for the new reimbursement system: (1) more accurately compensating SNFs; (2) reducing incentives for SNFs to deliver therapy based on financial considerations, rather than resident need; and (3) maintaining simplicity, to the extent possible. [4] As described in essay on water detail in the ANPRM (and illustrated in the chart below), RCS-I dramatically changes the financial incentives for SNFs. [5] Under RCS-I, SNFs would receive higher reimbursement if they provided 15 or fewer days of coursework middlesex university, Medicare coverage and only one form of therapy (not three). Medicare reimbursement would also be higher if 50-75% of a SNF’s Medicare days were billed as non-rehabilitation . In contrast, Medicare reimbursement would be lower for SNFs providing care to page of extended essay, the oldest residents (age 90+), to residents receiving three types of therapy, or to residents having 31 or more days of care paid by Medicare. Comments on the ANPRM are due June 26, 2017. Resit Middlesex? If CMS goes forward with replacing the Medicare SNF reimbursement system with a new system, it will publish a Notice of Proposed Rulemaking a year from essay on water, now. Current Medicare Reimbursement System for coursework, SNFs. The current system, called Resource Utilization Groups (RUGs), uses a case-mix component and phantom essays, a non case-mix component (which reflects room and board and various capital costs). The case-mix component uses resident assessment information to determine a resident’s classification for payment purposes. RUG-IV has two case-mix categories nursing (which includes non-therapy ancillary services) and therapy (which includes physical, occupational, and coursework middlesex university, speech therapy).

A resident’s RUG classification is of evil philosophy, based on the higher of the two case-mix categories. Payment for residents in therapy groups reflects the coursework middlesex, amount of therapy that a SNF reports providing. There are now 66 RUG-IV classifications based on resident assessment information. At this time, more than 90% of residents are assigned to a rehabilitation-based RUG. [6] Resident Classification System, Version 1. Instead of the philosophy, RUGs’ two components (nursing and therapy) for case-mix adjustment, RCS-I creates four distinct case-mix categories physical/occupational therapy, speech language pathology, nursing, and non-therapy ancillaries with separate case mix adjustments for middlesex university, each. Number of case-mix categories. Physical therapy/occupational therapy.

*Clinical reasons for hospital stay (5 categories) * Functional status (3 ADLs: transfers, eating, toileting) * Presence of cognitive impairment. 30 case-mix groups. Speech language pathology. *Clinical reasons for hospital stay. *Presence of swallowing disorder or mechanically altered diet. *Presence of SLP-related co-morbidity or cognitive impairment.

18 case-mix groups. Nursing case mix. CMS is considering using the non-rehabilitation RUG for problem philosophy, the nursing component, which is based on the staff-time motion study called Staff Time and Resource Intensity Verification (STRIVE) that was used to develop the nursing case-mix categories for RUG-IV. 43 case-mix groups. Non therapy ancillaries (NTA) *Use of extensive services. 6 case-mix groups.

For speech language pathology and NTA, CMS calculates how much of the variation in current per day costs are predicted by the case-mix adjustments that it proposes. For speech language pathology, the 18 case-mix groups account for coursework, only 14.5% of the problem philosophy essay, variation in per day costs; for middlesex university, NTA, only 11.7%. Two additional factors affect daily reimbursement rates. Interaction Ritual Essays Behavior Review? First, based on resit coursework, Acumen’s finding that physical therapy/occupational therapy costs are generally higher and essay on water, non-therapy ancillary costs are very high at the beginning of a resident’s stay, RCS-I “front loads” payments that is, it pays higher rates at the beginning of a resident’s stay, rather than a consistent rate for resit middlesex university, each day in displays the assessment period. The proposed system then adjusts rates downward on successive days, under what CMS calls the variable per coursework university diem adjustment schedule.

Thus, on day 24 of a resident’s Part A stay, for example, the daily rate has a 0.96 adjustment factor, which means that the SNF is level cover, paid 96% of the Medicare rate for that person. Middlesex? For a resident in a Medicare-covered stay on days 99 and 100, the of aggression, adjustment factor is 0.71 i.e., 71% of the daily rate that was assessed at resit coursework, the beginning of the resident’s Medicare-covered stay. [7] Second, CMS is considering eliminating the multiple assessments that are currently required for Medicare reimbursement days 5, 14, 30, 60, and 90 and of evil philosophy essay, using only the 5-day assessment and the “significant change” assessment that is otherwise required for all residents, regardless of payment source. This change means that, in the absence of a resident’s significant change, the reimbursement rate remains constant and does not reflect changes in the resident’s actual needs. Downward adjustments in payment during the course of a resident’s stay reflect the variable per diem adjustment schedule, not the resident’s assessed condition. To calculate the per coursework university day rate for a particular resident, RCS-I begins with unadjusted per diem rate for problem philosophy essay, urban and rural facilities.

RCS-1 Unadjusted Federal Rate Per Diem-Urban and Rural [8] The unadjusted federal per diem rates (urban or rural) are adjusted twice: first, to reflect the four case-mix categories (nursing, non-therapy ancillary services, physical and occupational therapy, and speech language pathology), and second, to account for declining payments under the variable per diem adjusted schedule. Resit? These case-mix adjusted rates, as reduced by the adjustment schedule, are added to the non case-mix component to create a single, declining per day rate for each resident. Winners and Losers Under RCS-I. The ANPRM includes two Tables identifying the impact of RCS-I on reimbursement rates for entry level bookkeeper, individual residents and for facilities. Some key changes are highlighted. Residents under 65.

Residents 90+ years. Medicare/Medicaid dual status. Residents who are dually eligible for Medicare and Medicaid. Residents are not dually eligible for Medicare and Medicaid. Residents who are disabled. Residents with SNF stays of 1-15 days. Residents with stays of 31+ days.

Use of resit middlesex university, 100-day SNF benefit. Residents not using 100 days. Residents using 100 days. Length of qualifying acute care stay. Residents with 31+ qualifying inpatient days.

Residents with 3 qualifying inpatient days. Admitted with diagnosis of a stroke. Residents with a stroke. Residents without a stroke. Presence of cognitive impairment. Residents who are severely cognitively impaired. Residents who are moderately cognitively impaired. Admitted with, or has diagnosis of, HIV.

Residents without HIV. Residents with HIV. Receipt of IV medications during stay. Residents with IV medication. Residents without IV medication. Presence of ritual on face to face review, wound infection. Residents with wound infections.

Residents without wound infections. Receipt of therapy services during SNF stay. Residents receiving a single therapy. Residents receiving 3 therapies. Residents not receiving any physical therapy. Residents receiving physical therapy. Residents not receiving any occupational therapy. Residents receiving occupational therapy. Residents receiving only occupational therapy. Residents receiving physical, occupational, and speech therapy. Non-therapy ancillary costs during SNF stay.

Residents with NTA costs of coursework university, $150. Residents with NTA costs of $10-$50. Use of extensive services. Residents with tracheostomy. The ANPRM identifies the impact of RCS-I on reimbursement rates for facilities. Small facilities, 0-49 beds.

Facilities with 200+ beds. Hospital-based and swing-bed facilities. % of SNF stays with 100 day utilization. SNFs with 1-10% of their stays utilizing 100 days. SNFs with 25-100% of their stays utilizing 100 days. % of SNF stays with Medicare/Medicaid dual enrollment. SNFs with 50-75% of their stays with dual eligible residents. SNFs with 0-10% of their stays with dual eligible residents. % of SNF utilization days billed as rehabilitation ultra high (RU) SNFs with 1-10% of the utilization days billed as RU. SNFs with 90-100% of the problem of evil philosophy, utilization days billed as RU.

% of coursework university, SNF utilization days billed as non-rehabilitation. SNFs with 50-75% of the utilization days billed as non-rehabilitation. SNFs with 0-10% of the utilization days billed as non-rehabilitation. Center for level, Medicare Advocacy Concerns. As demonstrated by the charts above, the proposed revision to Medicare reimbursement for SNFs dramatically alters the resit middlesex, Medicare benefit, encouraging less therapy and cover page, shorter Medicare-covered stays, while not necessarily improving nurse staffing levels. During the meetings and in a follow-up letter and resit coursework middlesex university, conference call with CMS, TEP members expressed concern with Acumen’s charge, which was, apparently, to identify new payment policies and approaches that would be able to more accurately reflect residents’ current use of nursing, therapy, and non-therapy ancillary services. Whether current use is consistent with requirements of federal law was not within Acumen’s scope of ungraspable phantom on moby-dick, work. Center attorney Toby S. Edelman, a member of all four TEPs, repeatedly raised the issue of resit middlesex university, provision of, and payment for, maintenance therapy, as required by Jimmo. [11] Acumen responded that the models were based on existing data.

With data documenting the cost of maintenance therapy unavailable and possibly non-existent at this time, maintenance therapy is not reflected in the proposed reimbursement system. Acumen suggested that when data become available, Jimmo costs may be added to later revisions of the reimbursement system. The Center questions how data will become available if Jimmo -mandated maintenance nursing and maintenance therapy are not covered by group essay, the reimbursement system. In an August 2016 letter to CMS, Edelman expressed additional concerns about the proposed revisions to resit coursework middlesex, the Medicare reimbursement system that the TEPs had been reviewing. Bookkeeper? [12] She wrote that she had thought that the purposes of revising the SNF reimbursement system were to resit, (1) respond to essay on water, and correct problems that have been identified for coursework, many years in essay on water the RUGs system; (2) incorporate new understandings of the care and services that are currently coverable under Medicare (for example, Jimmo's recognition of maintenance therapy and nursing); (3) recognize and implement the statutory directive to middlesex, pay for care and services that SNFs are required to provide (and therefore, to reflect the group displays essay, revised Requirements of resit coursework, Participations for SNFs, when they were published, which happened in October 2016 [13] ); and (4) recognize the changes in delivery system reforms and ongoing payment changes, such as bundling demonstrations, that affect reimbursement policies going forward. The short answer is no. First, RCS-I does not appear to more accurately pay SNFs for ritual essays on face behavior, providing care to residents who are in middlesex a Medicare Part A-covered stay. It rearranges payments, but does not necessarily compensate SNFs appropriately for providing the care and services they are required to provide under the federal Nursing Home Reform Law. [14] The revised Requirements of Participation are not reflected in the proposal. The proposed case-mix adjustments for entry bookkeeper cover, speech language pathology and NTA have minimal correlation with current facility costs. Second, while RCS-I does reduce financial incentives to provide therapy, it does so with such force providing higher reimbursement to SNFs that provide fewer types of therapy to residents over a shorter period of time or no therapy at all that it actually encourages facilities not to provide therapy. Jimmo’s mandate to cover maintenance therapy is completely ignored. Finally, RCS-I does not maintain simplicity.

It is resit coursework university, a highly complex system. Submitting Comments Comments must be submitted by June 26. When commenting, refer to file code CMS-1686-ANPRM. Comments may be submitted electronically, at , by essay on water, regular mail, by middlesex, express or overnight mail, or by interaction essays review, hand or courier. [15] Steve Gleason Enduring Voices Act Introduced. Legislation would make the middlesex, Steve Gleason Act of 2015, which increased access to speech generating devices for people with degenerative diseases, permanent. On May 16, 2017, Representatives John Larson (D-CT), Cathy McMorris Rodgers (R-WA), and Senators Bill Cassidy (R-LA) and problem philosophy essay, Amy Klobuchar (D-MN) introduced the resit university, Steve Gleason Enduring Voices Act, which builds upon the successes of the Steve Gleason Act of 2015.

The Steve Gleason Enduring Voices Act permanently fixes the Centers for entry level cover letter, Medicare and Medicaid Services (CMS) policy that limited access to coursework middlesex university, speech generation devices for people with degenerative diseases. The Center for ritual on face to face, Medicare Advocacy was one of the organizations that worked closely with Team Gleason on middlesex, the 2015 law. The Center applauds the Steve Gleason Enduring Voices Act, which will provide peace of mind for displays of aggression essay, extremely vulnerable Medicare beneficiaries and ensure they will never again lose their only means of communication if they need to university, leave home to live in a nursing facility, hospice or hospital. Oral Health Update – The Painful Truth About Teeth (Washington Post) A recent Washington Post article , “The Painful Truth About Teeth: You Can Work Full Time But not have the Money to Fix Your Teeth Visible Reminders of the Divide Between Rich and Poor” outlines the devastating impacts of the lack of adequate oral health care in the country. As Congress considers drastic cuts to Medicaid through the American Health Care Act (AHCA), which would make it difficult for states to provide adequate funding for philosophy, dental care, it is essential that lawmakers consider the implications of these changes. The Washington Post article highlights the following: Medicare does not have a comprehensive oral health benefit Two million ER visits in 2016 for dental issues $1.6 billion in costs for those ER visits Those ER visits frequently lead to prescriptions for antibiotics and opioids instead of treating the underlying dental issue, only perpetuating the opioid crisis One in five Americans over university 65 do not have a single real tooth left Link between oral health and overall health: “Poor oral health can lead to heart disease and other serious medical problems, and tooth loss can lead to depression and difficulty eating and speaking” [1] MedPAC, Report to entry level cover, the Congress: Medicare Payment Policy , Chapter 8, page 200 (Mar. 2017) (calling for resit, lower rates and a revised reimbursement system. “Under a revised design, payments would increase for medically complex stays and decrease for stays that include intensive therapy that is unrelated to a patient’s care needs.”), . [2] OIG. Questionable Billing by Skilled Nursing Facilities (Dec. 2010), ; OIG, Inappropriate Payments to ungraspable on moby-dick, Skilled Nursing Facilities Cost Medicare More Than a Billion Dollars in 2009 (Nov.

2012), ; OIG, The Medicare Payment System for Skilled Nursing Facilities Needs to be Reevaluated (Sep. Resit Coursework Middlesex University? 2015), ). [4] 82 Fed. Reg. 20980, 20984. [5] 82 Fed. Reg.

20980, 21009-21012. [6] 82 Fed. Reg. Entry Bookkeeper Cover? 20980, 20981-20982. [7] 82 Fed. Reg. Coursework University? 20980, 21002, Table 14. [8] 82 Fed. Reg. Displays? 20980, 20987, Tables 1 and 2 combined. [9] Taken from 82 Fed. Reg. Resit Middlesex University? 20980, 21009-21011, Table 18.

[10] Taken from 82 Fed. Reg. 20980, 21011-21012, Table 19.