Technology and Social Interaction Essay Example for Free

Technology and Social Interaction Essay Throughout the years technology has gotten more and more advanced. The better the technology the easier it is for people to stay connected with each other. There are so many ways to contact a person now. You can call/text, email, or even video chat. Social Interaction is getting much better in today’s world of technology. In the past 15 years, the Internet has transitioned from a medium that’s interacted with strictly though desktop computers in homes, offices and computer labs to one that a growing number of people take with them everywhere they go. Whether via laptops, ever-evolving mobile phone devices or through Internet-connected workstations in the office and at home, many are online all the time. (Margolis) The cell phone has really improved over the past few decades. It used to look like a giant brick, but now they seem to be getting smaller and smaller. Cell Phones can basically do anything such as call people, text message them, or even go on the Internet. It is very easy to get into contact with people these days because almost everyone has a cell phone. The Pew Research Center found that half of American teenagers — defined in the study as ages 12 through 17 — send 50 or more text messages a day and that one third send more than 100 a day (STOUT) They even have games on cell phones that people play against other people around the world. Computers have also improved drastically over the decades. Almost everyone has a computer or access to one, which means they most likely have an email account. Emails and instant messages are one of the best ways to stay connected with others. Peer networking sites and instant messaging brings people geographically removed from one another into each other’s lives more casually, making it a daily interactive stream (Margolis). Facebook is one of the most popular social networks on the Internet and keeps everyone in touch with everyone they know who are on that site. Social networking also allows people to share their daily lives and thoughts with one another through outbound messages and walls that signal all of their connections. Although some use social networking sites for limited communication, others spend large periods of their day communicating with contacts through computer and mobile social networking interfaces (Feigenbaum). Technology these days had really helped us have a social life without even being with them in person. Technology has led people to write more and talk less. The ubiquitous and cheap nature of email has made it the backbone of business communication. Emails have the advantage of being able to transmit information instantly to numerous recipients. With the increasing use of email-enabled phones and devices, people no longer have to be at their desks to communicate (Feigenbaum). People no longer have to wait for a letter to come in the mail, email is instantaneously. A great way to connect with people through technology theses days is video chatting, where you can talk to someone face to face over the computer or even cell phone. It is basically a phone call, but you get to actually see the person you are talking to. Video chatting is getting much more popular these days Facebook even added it to their site so everyone can do it. Also there is a website called chatroulette which is a site just for video chatting random people from across the world. With the proliferation of built-in cameras and microphones on computers and mobile devices, broadband connections and program refinements, an average of 300 million minutes of Skype video calls made daily globally, an increase of about 900 percent from 2007, according to data provided by the company. Many more calls are made using other popular software programs, like FaceTime and Google chat. (SCELFO) I believe living in this day and age is very easy to have a social life than it was years back when technology was less advanced. There are so many opportunities now to get into contact with someone. Basically everyone has a cell phone, computer, email account, and a way to video chat. It is so crazy how technology has improved and there will be much more in the future ahead.

Analyse and discuss the marketing strategy used by Starbucks

Analyse and discuss the marketing strategy used by Starbucks Marketing is an essential part of a business strategy that can affect people view about a brand and this essay will duly demonstrate the effectiveness of Starbucks marketing strategy, particularly sensory marketing in attracting new young customers. There are numerous marketing techniques in todays business, different companies use different strategies, in order to sell its products to customers. One of the marketing techniques that became an object of discussion in a few companies is sensory marketing. It is important that companies understand sensory marketing for their business and how it will influence their marketing strategies in attracting new customers. Starbucks is a famous coffee company that has been implementing sensory marketing in their strategies for a few years. This essay will begin by, firstly, describing five senses included in sensory marketing and their relations to customer perception. Secondly, case studies in two Starbucks special outlets in creating comfortab le ambience will be introduced. Thirdly, we will discuss the importance of customer service, which can create customers experience through their senses. Fourthly, Starbucks online marketing strategy that matches with the evolution of todays technology. Lastly, we will analyse Starbucks sensory marketing strategy with its effectiveness to attracting new young customers. At the beginning we have to understand sensory marketing, and why it is necessary and how it influences customer perception of a product. Sensory marketing is a technique using five human senses to promote products, which has to be unique, authentic, and people can easily remember your brand (Bhargava, 2008, 208). Five senses which humans have are sight, sound, taste, smell, and touch; these senses can be used for persuading customers to interest its products. The sense of sight is the most seductive senses that humans have and human logic can be persuaded by this sense, therefore it is most widely used by companies in their marketing strategy. The other senses that not less important are taste and smell. These two senses are closely connected, which are very important in food and beverages business, because these senses enable the brain in creating memorable sensation in human minds. The sense of smell can turn-off other senses if customers have bad experience in smell. The last two senses that companies might consider are sense of sound and touch, which can help companies to give more experiences for customer about a product.Therefore, companies can utilise senses for their strategy to maintain customers as well as attracting new customers. One of the key points of Starbucks sensory marketing strategy is the appearance of their outlets that can maintain their customers to have a good perception about the brand as well as attract new customers. Starbucks marketing strategy, most of the time, concern customer experience, which involves customer senses through personal value and meaningful connection (Michelli, 2007, 11). The sound of the barista, who is a coffee preparer, working with the coffee machine and the smell of brewed coffee aroma are memorable moments related to our senses and naturally stored in customers memory. This ambience setting made their customers always visit the outlet and create Starbucks outlet to be the third place between work and home (Michelli, 2007, 103). The new Starbucks outlet concept in Central London, which opened in November 2009 can be a case study. The new concept is to provide a comfortable place in order to meet customer expectations including a beautiful environment and a new Starbuc ks experience Moreover, until 2006 Starbucks had opened four Starbucks Hear Music Coffeehouse, which are special outlets for its segmented customers (Starbucks, 2006). The main idea is to fulfil customers passion about music, i.e. using the hearing sense to reach customer experience with the Starbucks. Consequently, in every business development, Starbucks always tries to use sensory marketing to be their strategy to attract customers. Furthermore, other important part of the Starbucks sensory marketing strategy is customer services, which led Starbucks to be on the top of customers minds when thinking about places to have coffee, and it is created from customer experience with their senses. When customers enter Starbucks outlets they feel that they have a different experience, everybody feels welcome and regulars are normally recognised by the employees. Moreover, some of Starbucks employees try to remember their names, their jobs, and their favourite drinks (Michelli, 2007, 23). This situation made customers feel that they have a special relationship more than just fulfil their needs to buy a coffee. Starbucks have a service motto named make it on your own. This service allows customers to create their own coffee in order to meet their expectation in taste. In food and beverages business, taste and smell are two important parts to be required because different customers have different expectations in their taste and smell. Starbucks carefully considers, understands and delivers this to its customers with customisation in their drinks and provides various sizes of cups. Starbucks has put these strategies into primary strategy by using human senses to meet their needs and expectations. In recent years, technology has become more necessary and Starbucks follows these needs by providing resources, which can create more experience with their customers through sense of touch, sight, and sound.. Nowadays, we can see people using their smart phones, laptops, iPods, and many other smart devices that connect to the Internet during the day on a regular basis., Since first of July this year, Starbucks in America started to provide free Wi-Fi connection for its customers and launched Starbucks Digital Network content, that give enables its customers to access the premium partners such as iTunes, The New York Times, Patch, USA today, The Wall Street Journal, Yahoo!, and Zagat Meanwhile, the growth of social media such as Facebook, Twitter, and even Foursquare, forced Starbucks to be a part of these communications evolution in using technologies. Moreover, Starbucks has its own website called My Starbucks Idea, which allows their customers to give their idea, opinion about some ones idea, and join the discussion. These online marketing strategies are still related with their sensory marketing strategy that put together the sense of touch, sight, and sound, in order to meet young customers needs, who might only choose Starbucks to browse the internet, listen to music, or to go on facebook and twitter. Starbucks sensory marketing strategy has succeeded in maintaining its customers as well as attracting new ones, particularly young generations, and matched with the spirit of company innovation to inspire and support young people. The Starbucks website (2010) states that their goal is to engage 50,000 young people, who will in turn innovate, take action, and inspire 100,000 individuals in their communities by 2015; this means that Starbucks combines their strategy with social responsibility, which will be considered as a respectable company amongst the young people. On The Next Web website Noff (2010) discovered that Starbucks has over 705,000 followers on twitter and over 5,428,000 fans on Facebook. You could say that they are doing something right on the web, this fact shows that Starbucks has many loyal customers and most of them are the Internet users, especially young people. Starbucks also runs loyalty programs to attract young customers. Therefore, Starbucks sensory marketing strategy is considered as an effective strategy that has strong relationship with senses to attract new customers, particularly young customers with their spirit and innovative characteristics. In conclusion, this essay has demonstrated the effectiveness of Starbucks sensory marketing strategy to attract new young customers by analysing and discussing its relation the five human senses. Starbucks uses the five senses to make memorable experiences for its customers, particularly through their online marketing strategy, which satisfies young customers needs in adapting technology. Todays technology, such as social media and music content which are mainly used by young people, delivers new experience for customers. In fact, we can see this achievement from the number of fans on their Facebook and followers on Twitter. Starbucks has created emotional connection with its customers, uniqueness in make it on your own coffee, and attentive to details in every aspect of the outlet ambience. In comparison to other companies, Starbucks advertising and promotions expense is relatively small, they have always focused their budget on connecting the customers experience with the five huma n senses. The key point of their success in using sensory marketing is applying it consistently for a long period with passion throughout their everyday services. Customer experience is an intangible asset and very valuable, which made the Starbucks brand become a top operator in the coffee business.

Analysis of Blakes London :: Blakes London Essays

Analysis of Blake's London In the formal approach method to critical analysis, it is essential to read William Blake's "London" mechanically. Blake uses his rhetorical skills of alliteration, imagery, and word choice to create his poem, but more importantly to express the emotional significance that is implied. William Blake's poem, "London", is obviously a sorrowful poem. In the first two stanzas, Blake utilizes alliteration and word choice to set the mournful atmosphere. Blake introduces his reader to the narrator as he "wanders" through the "chartered" society. A society in which every person he sees has "marks of weakness, marks of woe." Blake repeatedly uses the word "every" and "cry" in the second stanza to symbolize the depression that hovers over the entire society. The "mind-forged manacles" the narrator hears suggests that he is not mentally stable. In the third stanza, Blake utilizes imagery of destruction and religion. This imagery is a paradox, which implies some religious destruction like the apocalypse. The "chimney-sweeper's cry" symbolizes the society trying to clean the ashes that causes their state of depression. Blake uses the religious imagery of the "black'ning church" to represent the loss of innocence, and the society's abandonment of religion. The use of the soldiers creates an imagery of war. The "hapless soldier's sigh" symbolize how men are drafted into war and have no choice but to serve their country. As these soldiers unwilling march to the beat of the country's forceful drum, they know their lives will be taken, as their "sigh runs in blood down palace walls." Blake uses this sense of destruction to explain how people are forced to repair the "weakness" and "woe" of their society. The fourth stanza of "London" unravels the complex meaning of the poem. The "youthful harlot's curse" symbolizes how the youth's sinful deeds will effect the next generation. Their "curse" causes the "newborn infant's tear" which exemplifies how the new generation will have to correct the mistakes of the previous generation.

Shakespeare :: essays research papers

SCENE II. Paris. The KING's palace. Flourish of cornets. Enter the KING of France, with letters, and divers Attendants KING The Florentines and Senoys are by the ears; Have fought with equal fortune and continue A braving war. First Lord So 'tis reported, sir. KING Nay, 'tis most credible; we here received it A certainty, vouch'd from our cousin Austria, With caution that the Florentine will move us For speedy aid; wherein our dearest friend Prejudicates the business and would seem To have us make denial. First Lord His love and wisdom, Approved so to your majesty, may plead For amplest credence. KING He hath arm'd our answer, And Florence is denied before he comes: Yet, for our gentlemen that mean to see The Tuscan service, freely have they leave To stand on either part. Second Lord It well may serve A nursery to our gentry, who are sick For breathing and exploit. KING What's he comes here? Enter BERTRAM, LAFEU, and PAROLLES First Lord It is the Count Rousillon, my good lord, Young Bertram. KING Youth, thou bear'st thy father's face; Frank nature, rather curious than in haste, Hath well composed thee. Thy father's moral parts Mayst thou inherit too! Welcome to Paris. BERTRAM My thanks and duty are your majesty's. KING I would I had that corporal soundness now, As when thy father and myself in friendship First tried our soldiership! He did look far Into the service of the time and was Discipled of the bravest: he lasted long; But on us both did haggish age steal on And wore us out of act. It much repairs me To talk of your good father. In his youth He had the wit which I can well observe To-day in our young lords; but they may jest Till their own scorn return to them unnoted Ere they can hide their levity in honour; So like a courtier, contempt nor bitterness Were in his pride or sharpness; if they were, His equal had awaked them, and his honour, Clock to itself, knew the true minute when Exception bid him speak, and at this time His tongue obey'd his hand: who were below him He used as creatures of another place And bow'd his eminent top to their low ranks, Making them proud of his humility, In their poor praise he humbled. Such a man Might be a copy to these younger times; Which, follow'd well, would demonstrate them now But goers backward. BERTRAM His good remembrance, sir, Lies richer in your thoughts than on his tomb; So in approof lives not his epitaph As in your royal speech. KING Would I were with him! He would always say-- Methinks I hear him now; his plausive words He scatter'd not in ears, but grafted them,

Essay --

When asked to evaluate the contribution to marketing made by an influential scholar, I decided to choose Phillip Kotler. Phillip Kotler was born on the 27th of May 1931 in Chicago. He was a character who strived during his educational times as he contains a Masters degree from the University of Chicago as well as a PhD from MIT both in the field of Economics. He is known as not just a famous Marketer but a renown author who has published over 55 books such as â€Å"Principles of Marketingâ€Å" â€Å" A Framework for Marketing Managementâ€Å" and â€Å"Marketing 3.0â€Å". The main reason I chose to study Kotler was that over his lifetime he was widely known for his efforts made to the modern marketing era. Of these acknowledgements made I would like to focus in on what I think are his three main contributes to marketing. Firstly, he was given the title as the â€Å"Father of modern marketing† which was seen in the eyes of the nearly all who study marketing. This title was given to him due to his outstanding knowledge and simplest ways to describe and focus in on the future fundamentals of marketing. Secondly, He one of the worlds’s leading authors on marketing placing 4th as an influential character behind the likes of Bill Gates and Peter Drucker. Finally, Kotler is said to be the founders behind the widely known 4 P’s, he is "the world's foremost expert on the strategic practice of marketing" (by Management Centre Europe). Professor Kotler is the expert marketer who discovered the 4 Ps of Marketing. This discovery is one of the most influentia... ...her one of his books â€Å"Marketing Management† is one his widely used graduate level textbook. Many students studying marketing refer to this book, he developed ideas and concepts in marketing including atmospherics (the store's layout, noise level, temperature, lighting), demarketing (reverse marketing in which a company discourages product demand in areas where they cannot realize a desired profit), megamarketing (type of marketing activity required when it is necessary to manage elements of the firm's external environment), and synchromarketing (activity intended to shift the pattern of demand to that it equates more suitably with the ideal pattern of supply). Kotler believes that marketing theory needs to go beyond price theory and incorporate the dynamics of innovation, distribution and promotion systems into analyzing, explaining and predicting economic outcomes.

Netflix Case Study Analysis Essay

â€Å"Creativity is thinking up new things. Innovation is doing new things.† — Theodore Levitt The importance of this quote comes alive after reading the first three sentences within this case study. A statement by Reed Hastings, the founder and CEO of Netflix. â€Å"Well let’s separate the market into two phases. One is the phase of DVD, which peaks in five to 10 years and last for 20 to 30 years. Then there is the phase of Internet delivery, which peaks 20 or 30 years from now and lasts for 100 years† (Cengage). From the time Hastings founded Netflix in 1997, with his initial online DVD rental business idea, there has been many factors altering the business strategy of the company within it’s internal and external environment that has allowed Netflix to grow to where it is today. Netflix took of quickly and had already achieved economies of scale in as early as 2000, which coincidently was the same year they shifted their goal from DVD rentals to streaming video. From then, Hastings knew that within time DVD’s would be a thing of the past, and onl ine instant streaming was a thing of the future. He has been creative enough to be able to gain sustainable competitive advantage with other competitors, but more importantly he has been innovative enough to stay competitive with our society’s rapidly changing expectations for technology, which is a large barrier to this industry. Society’s rising demand for instant Internet streaming is causing their demand for DVD’s to decrease. Therefore, it seems as though DVD rentals are starting to fall from its peak and in return instant Internet streaming is starting to climb to the very beginning of its peak. Throughout this report the focus will stay on Netflix’s external environment, internal environment, current strategy, and future recommendations that keep Netflix â€Å"an e-commerce success story in an ever-changing business landscape† thanks to their early start in the subscription DVD rental industry, strong distribution capabilities, and loyal customers (Cengage). When first examining a companyâ €™s Strategic Management Process it is important to evaluate their mission statement in order to recognize who they believe they are as a company as well as their vision on how they want to continue to go forward in the future. Netflix is unique for they do not have an official published mission statement, but  Hastings expressed a clear vision for the future of Netflix at a conference in 2011. These points include: â€Å"becoming the best global entertainment distribution service, licensing entertainment content around the world, creating markets that are accessible to film makers, and helping content creators around the world to find a global audience†. After establishing a good understanding of the company’s mission statement the PESTEL (political, environment, social, technological, economical, legal) model is a general guideline that helps to analyze the general environment of the industry. Political forces seem to be low except for the most recent issue of higher postage prices, which would drastically decrease the DVD rental revenue. Environmental influences on the industry are always present, but they have very little influence on this industry. Social factors are extremely high and compliment the Technological factors which are also very high in this industry. When Netflix first started, they were more focused on DVD rentals and conquered their strategy of providing convenient DVD shipping with more distribution centers and an efficient supply chain, which in return took over many brick and mortar DVD rental stores. However, with the rise of technology and the social pressures of having the latest forms of electronic devices there is an entirely new landscape of Wi-Fi ready entertainment devices that aids in Netflix’s other market, instant Internet streaming. Economic factors are very high, but this industry seems to tackle them with efficiency and ease. Even during the drastic recession in 2009, Netflix’s revenue increased to $305.7 million because of increased customer awareness and other benefits they provide. Lastly, Legal factors are low, for the biggest legal barrier for Netflix is gaining the rights from movie studios to get the first-run content as soon as possible. Once the external environment is generalized a serie s of opportunities and threats are established. â€Å"The key for any player in this marketplace is to win the digital fight† and the key factors in order to do this consist of: being first to market, having the best content, and scaling benefits (Cengage). However, there are technological threats that come with developing these key factors like illegal downloads and Internet hackers. Therefore, Netflix had to stay cautious by carefully watching for signs of hackers. On the other hand, demographic trends of increasing population and expansion into foreign customers like China and India provoke certain opportunities that give  Netflix the ability to create a competitive advantage. With that being said, there are five forces of competition within any industry that determine both competition and profitability. These forces are intertwined with each other and consist of: Rivalry among Competitors, Power of Buyers, Power of Suppliers, Threat of New Entrants, and Threat of Substitutable Products. The Power of Suppliers contains two different groups. Movie studio suppliers are associated with the DVD rental aspect of Netflix’s services and TV stations are associated with the Internet streaming aspect. The Power of Suppliers is fairly low for the DVD rental side of the industry because the suppliers rely mostly on companies such as Netflix to purchase their DVDs even though soon DVDs will be a thing of the past. However, Netflix is able to create deals with the movie studios to buy the DVDs in bulk and therefore achieving economies of scale. This then sets a high barrier for new entrants into this aspect of the industry. However, the suppliers are still able to maintain some power by setting the 28-day policy prohibiting the release of their titles to the public. The suppliers have the most power on the Internet streaming side, which lead to competitive disadvantages. At the moment Netflix, still considers a large chunk of their revenue from DVD rentals therefore suppliers will continue to be reluctant in allowing instant streaming rights without increasing licensing fees. In this situation, the industry is more dependent on the suppliers because they have to fulfill their customer ’s demands. Along with this comes the power of the buyers, which is the most constant force in the industry. Customers are in high demand for video distribution services. However, they are not loyal to the providers, they are only loyal to the content. Therefore customers tend to have a very high degree of power in this industry that is supported with the price sensitive industry and low (if any) switching costs. According to the case â€Å"Netflix may be hard pressed to convince consumers to view content from its service as opposed to one of the other many new choices available now and expected to appear† (Cengage). As for the Substitutional Products force within the industry, Netflix does not have a substantial threat to other forms of visual entertainment. However, there is a significant lack of brand loyalty and the biggest substitution threat is seen when considering alternate content providers that offer similar services of quality and cost. Therefore, Rivalry is high within the industry and since Netflix is a  middleman distributor they have to stay competitive and innovativ e. In order to maintain their advantage they must ensure high streaming quality and easy accessibility along with a fair price. Cost is typically the number one aspect in which industries compete on. Since Netflix consists of two sides to their services they are able to distribute their revenue and use it to achieve economies of scale making the threat of new entrants on the DVD rental side very small since the barriers are so high. Their efficient multitude of growing distribution centers also provide added barriers as well. However, on the other side the threat of new entrants to Internet streaming is very high with very low barriers considering the widely accepted Wi-Fi capable devices with potential streaming updates. It is stated that with disregard to many opposing factors â€Å"The company is clearly focused on streaming, but executives have long maintained that DVDs, while declining, are going to be a part of its business for years to come† (GIGAOM). Considering all of these forces, the largest problem that Netflix faces today is being a victim of their suppliers while demand for instant streaming is increasing rapidly and demand for DVD rentals is slowly but surel y decreasing. This scenario leads the Power of Suppliers to increase, therefore taking a toll on Netflix’s profit. However, since Netflix was able to develop a stable early advantage with their reputation after dominating the DVD rental side they now must figure out how to keep the sustainable competitive advantage on the instant Internet streaming side as well and make up for their diminishing DVD rental revenues. Next, it is crucial to evaluating the Internal Environment of the Industry while analyzing its resources, capabilities, and distinctive competencies in order to see if the industry creates value. Resources such as Financial, Physical, Human Resources, Innovation, Reputational, and Culture all played a role in Netflix and the Industry in general. Netflix was able to be creative and innovative enough to adapt to the changing market thanks to Hastings managerial capabilities and ideas. Therefore, many of their resources proceeded to capabilities and further to core competencies, the primary resource being innovation. Innovation altered the entire supply chain’s primary activities i n order to stay effectively and efficiently competitive, which eventually demolished blockbuster, gave Netflix an upper hand over Redbox, and more recently and finally surpassed HBO’s number of subscribers.  Netflix’s strong perseverance to innovate grew with the instant Internet streaming demand by making their services applicable with up and coming Wi-Fi devices that could essentially bring the movie theater directly to your house. Their business strategy quickly developed to be a low cost streaming service. However, this strategy is getting harder for them to achieve under the same guidelines since their DVD rental revenues are dwindling. In order to stay innovative Netflix has taken into consideration their heavy reliance on the industry’s suppliers and decided to provide its own original content that they would not have to depend on any for except themselves. Netflix has developed its own original series, House of Cards, which was a risk at the time and turned into a creative competitive advantage. Other recommendations would be to give the customers what they want by providing the customers with even more listings under their subscriptions. Netflix’s VP of innovation, Todd Yelling sated that â€Å"if you’re not testing things that fail, you’re not testing aggressively enough† (Yellin). This shows that Netflix does not always play it safe and has hence provoked more current innovation strategies. Netflix must stay innovative in order to keep their competitive edge because at this rate â€Å"Internet TV with replace Linear TV† (The Verge). Because of Hastings leadership, the company’s creative and innovative capabilities have provided maximum benefit in the industry while creating a key core competency which will remain over the years to come. Works Cited Farfan, Barbra. â€Å"NetFlix Movie Rentals Mission Statement – A Vision, A Promise and Nine Values.† About.com Retail Industry. N.p., 2013. Web. 21 Oct. 2013. . Roettgers, Janko. â€Å"The Slow but Inevitable Decline of Netflix’s DVD Business — Tech News and Analysis.† GigaOM. N.p., 21 Oct. 2013. Web. 21 Oct. 2013. . Toor, Amar. â€Å"Netflix Has Likely Overtaken HBO in Paid US Subscribers, Analysts Say.† The Verge. N.p., 21 Oct. 2013. Web. 21 Oct. 2013. . Welch, Chris. â€Å"Netflix Innovation VP Says Bonus Content and Extras May Come to Original Shows.† The Verge. N.p., 17 Oct. 2013. Web. 21 Oct. 2013. .

Health Promotion

Health Promotion Plan for African American Adults at Risk for Coronary Heart Disease Community Nursing: NUR 3634 Abstract Coronary heart disease affects a disproportionate amount of African Americans (CDC, 2010a), yet there are modifiable risk factors that can reduce the risk of this disease. These modifiable risk factors include high blood pressure and high cholesterol.This health promotion plan involves a community-based strategy that targets African Americans by offering primary and secondary prevention measures directly accessible at local community churches in Titusville, FL to decrease the prevalence and incidence of coronary heart disease in the African American community. Health Promotion Plan for African American Adults at Risk for Coronary Heart Disease Part I: Community DiagnosisRisk of complications, including death, of hypertension and hyperlipidemia among African American adults related to poor eating habits, poor primary prevention measures, and poor medication complia nce as evidenced by data that show prevalence of cardiovascular disease among African Americans to be 44. 6 percent for males and 46. 9 percent for females (FDH, 2008), and Healthy People 2010 National Health Objective 12-9, which is to reduce the proportion of adults with high blood pressure (USDHHS, 2000), and National Health Objective 12-14, which is to reduce the proportion of adults with high total blood cholesterol levels (USDHHS, 2000).Part II: Review of Literature What is Coronary Heart Disease and how does blood pressure and cholesterol affect it? According to the CDC (2010b), cardiovascular disease is the leading cause of death for both men and women (34. 3 percent of all deaths), and is estimated to affect over 81 million people in the United States (AHA, 2010). Cardiovascular disease includes several conditions (AHA, 2010): high blood pressure, coronary heart disease, stroke, and heart failure. Coronary heart disease is the most common type of cardiovascular disease and accounts for the majority of these deaths (AHA, 2010).Coronary heart disease, also known as coronary artery disease, refers to a condition in which atherosclerotic plaque collects in the arteries and obstructs the flow of blood to the myocardium (Lewis, Heitkemper, Dirkson, O’Brien, & Bucher, 2007). The plaques consist of deposits of cholesterol and lipids, which progressively decrease the diameter of the blood vessel though which blood flows. The stress of a constantly elevated blood pressure increases the rate of atherosclerotic development (Lewis, Heitkemper, Dirkson, O’Brien, & Bucher, 2007). Coronary heart disease is associated with multiple risk factors, some of which are modifiable (e. . , high cholesterol, high blood pressure, diabetes, smoking, and dietary factors) and other risk factors that are not modifiable (e. g. , age, sex, heredity) (CDC 2010b; Lewis, Heitkemper, Dirkson, O’Brien, & Bucher, 2007). Why is high cholesterol & high blood pressure a p roblem for African American Adults? Data from the CDC (2010a) suggest that although African Americans are less likely to be diagnosed with coronary heart disease, which is due to disparities in health care access and delivery, they are more likely to die from it. In fact, the prevalence of cardiovascular disease among African Americans is 44. percent for males and 46. 9 percent for females (FDH, 2008). Related to this are estimates that African American males and females over the age of 20 are more likely to have hypertension than non-Hispanic whites (CDC, 2010a). Although percentage of African American adults over the age of 20 with high cholesterol is less than non-Hispanic whites, high cholesterol is still a problem for approximately 10 percent of African American females and 13 percent of males (CDC, 2010a). Current Nursing Interventions Primary prevention measures generally consist of patient education, behavioral counseling, and support.Secondary prevention measures involve bl ood pressure screening, blood lipid screening, prescription and reinforcement of medication regimes (Taylor & Wright, 2005), and referrals. Successful and Unsuccessful Interventions Current interventions combined with programs such as the Racial and Ethnic Approaches to Community Health (REACH) 2010, which addresses underserved communities (CDC, 2010c), the BLESS project (Williamson & Kautz, 2009), which promotes health through faith-based activities, and community health advisor programs are interventions that are working (Cornell et al. 2009; Plescia, Herrick, & Chavis, 2008; McKinley et al. , 2009; Williamson & Kautz, 2009). Studies suggest that some interventions alone don’t always achieve the intended outcomes due to disparities in related to access and delivery of health care (Niska & Han, 2009; Ratanawongsa, Fisher, Couper, Van Hoewyk, & Powe, 2010). Part III: Plan Title: Health Promotion Plan for African American Adults at Risk for Coronary Heart Disease in Titusville , FL.Short term goal: Before and after Sunday church services at five, mainly African American churches, volunteer nurses will educate 10 individuals on three causes of high blood pressure and three causes of high cholesterol, and screen those 10 individuals for high blood pressure. Three Measurable, Time Specific Learner Objectives 1. By the end of one, 20-minute teaching session, participants will list three ways to decrease coronary heart disease. 2. By the end of one, 20-minute teaching session, participants will list three health promoting behaviors to reduce high blood pressure. . By the end of one, 20-minute teaching session, participants will list three health promoting behaviors to decrease elevated cholesterol levels. These goals and objectives specifically target African Americans living in Titusville. Short, concise educational sessions will precede and follow church services at five predominantly African American churches in Titusville the first Sunday of each month for a year. A booth, consisting of information in the form of posters and pamphlets for participants to take home, will be set up.The booth will be staffed by two nurse volunteers, who will provide basic information to participants, as well as assess participant’s blood pressures. The objectives will be measured and evaluated orally through question and answer sessions at the end a 20-minute session. These objectives are reasonable and feasible because the time frame suggested is enough to engage the participant without overwhelming them with too much information, yet nurses will be available for questions once a month (for a year) should the need arise. Health promotion What is health promotion and why is it important in our world today? I am sure it seems the answer is not very complicated: but is it as simple as promoting health? According to the World Health Organization (WHO), â€Å"Health promotion is the process of enabling people to increase control over, and to improve, their health† (World, 2013). This is a change from the past in that healthcare providers are encouraging our patients to take control of their own health while guiding and educating them in he right direction.Health has been shown not to Just be free from disease but also encompasses physical, mental, and social well-being (WHO 2013). The whole purpose of promoting individual health is to give the communities the ability to feel they have control over their health plan and help them to stay out of the hospitals, which is what they prefer. This takes cooperation by the patient and the healthcare provider. It is imperative that a nurse stay up to date with a continuous c hanging healthcare pattern, since they have a big role in health promotion.A big part of health promotion is related to nurses educating the communities, especially since nurses are becoming more and more involved in the communities. As time advances, researchers are predicting nurses will move more out of the hospital and into the communities. Now, more than ever, nurses are challenged to improve patient outcomes by assessing and creating education plans that will increase the patient's awareness and understanding of their disease process and management. After very thorough assessments and the need for education is completed, nurses must create plan for implementing a strategy to reach the audience targeted.It states in the article Public Health Nutrition: Focus on Prevention, the three different levels of implementation methods utilized today. The first method is individually focused and promotes health outcomes through educating, changes to a healthy lifestyle, and individual beh aviors. The types of interventions are carried out through one-on-one educational discussions and telephone conversations. The next implementation tier is more community-focused. These interventions put the spotlight on the needs of modification.The last method to be identified in the article include system-focused interventions. These interventions shift the focus from the individual to the facilities that serve individuals and the laws and policies surrounding the facility. For example, improvements in school lunches to make them healthier (University, 2012). If the healthcare providers can use the combination of the three methods listed above with the nursing process it can to improve outcomes of the patients and community in all areas of nursing. Health promotion is split by healthcare into three levels: primary, secondary, and ertiary.Primary prevention's main concept is to prevent the disease from occurring and keeping the public healthy. A couple of examples of how this is ac complished are through education, regular exams, and immunizations. A few years ago the Journal of the American Academy of Nurse Practitioners published an article, Reducing heart disease through the vegetarian diet using primary prevention, and it discusses how if a patient leads a vegan lifestyle this could cut out a lot of the processed foods and help the patient to improve chronic heart conditions.If one is unsure exactly how to ursue a vegetarian diet having a consultation with a dietitian is an additional option. Next on the pyramid of health is secondary prevention. This layer of prevention focuses on after an injury or illness has been diagnosed. The goal is to prevent progression or slow down the disease. Using the example of heart disease above, if providers are teaching regarding secondary prevention it would include termination of smoking, diet and exercise, and keeping a healthy weight and blood pressure (Mosca, i. e. 2010). These goals are more patient specific than pr imary prevention.The last tier includes tertiary prevention which focuses on helping the public prevent a further decline in health while maximizing their quality of life after being diagnosed with a chronic condition. In a recent article, The Effects of Cardiac Tertiary Prevention Program after Coronary Artery Bypass Graft Surgery on Health and Quality of Life, it discusses cardiac rehabilitation as a possibility to fall into the tertiary level. This falls into the category in that it helps restore patient's well-being while decreasing the suffering and complications.This does take even more participation and cooperation of the patient. In conclusion, there are many things healthcare providers can attempt to do in order to educate the public. However, utilizing the three tiers of health promotion (primary, secondary, tertiary) shows a well-organized technique that can break down different levels of health. Every patient falls into at least one category on the continuum, so this is also making it easier for the provider when educating in that they can customize the patient's care plan in a more organized way.This includes tilizing the nursing process, critical thinking, and therapeutic communication allowing nurses to identify where the patient fits into the wellness continuum and helping them reach their highest level of wellbeing. Health promotion What is health promotion and why is it important in our world today? I am sure it seems the answer is not very complicated: but is it as simple as promoting health? According to the World Health Organization (WHO), â€Å"Health promotion is the process of enabling people to increase control over, and to improve, their health† (World, 2013). This is a change from the past in that healthcare providers are encouraging our patients to take control of their own health while guiding and educating them in he right direction.Health has been shown not to Just be free from disease but also encompasses physical, mental, and social well-being (WHO 2013). The whole purpose of promoting individual health is to give the communities the ability to feel they have control over their health plan and help them to stay out of the hospitals, which is what they prefer. This takes cooperation by the patient and the healthcare provider. It is imperative that a nurse stay up to date with a continuous c hanging healthcare pattern, since they have a big role in health promotion.A big part of health promotion is related to nurses educating the communities, especially since nurses are becoming more and more involved in the communities. As time advances, researchers are predicting nurses will move more out of the hospital and into the communities. Now, more than ever, nurses are challenged to improve patient outcomes by assessing and creating education plans that will increase the patient's awareness and understanding of their disease process and management. After very thorough assessments and the need for education is completed, nurses must create plan for implementing a strategy to reach the audience targeted.It states in the article Public Health Nutrition: Focus on Prevention, the three different levels of implementation methods utilized today. The first method is individually focused and promotes health outcomes through educating, changes to a healthy lifestyle, and individual beh aviors. The types of interventions are carried out through one-on-one educational discussions and telephone conversations. The next implementation tier is more community-focused. These interventions put the spotlight on the needs of modification.The last method to be identified in the article include system-focused interventions. These interventions shift the focus from the individual to the facilities that serve individuals and the laws and policies surrounding the facility. For example, improvements in school lunches to make them healthier (University, 2012). If the healthcare providers can use the combination of the three methods listed above with the nursing process it can to improve outcomes of the patients and community in all areas of nursing. Health promotion is split by healthcare into three levels: primary, secondary, and ertiary.Primary prevention's main concept is to prevent the disease from occurring and keeping the public healthy. A couple of examples of how this is ac complished are through education, regular exams, and immunizations. A few years ago the Journal of the American Academy of Nurse Practitioners published an article, Reducing heart disease through the vegetarian diet using primary prevention, and it discusses how if a patient leads a vegan lifestyle this could cut out a lot of the processed foods and help the patient to improve chronic heart conditions.If one is unsure exactly how to ursue a vegetarian diet having a consultation with a dietitian is an additional option. Next on the pyramid of health is secondary prevention. This layer of prevention focuses on after an injury or illness has been diagnosed. The goal is to prevent progression or slow down the disease. Using the example of heart disease above, if providers are teaching regarding secondary prevention it would include termination of smoking, diet and exercise, and keeping a healthy weight and blood pressure (Mosca, i. e. 2010). These goals are more patient specific than pr imary prevention.The last tier includes tertiary prevention which focuses on helping the public prevent a further decline in health while maximizing their quality of life after being diagnosed with a chronic condition. In a recent article, The Effects of Cardiac Tertiary Prevention Program after Coronary Artery Bypass Graft Surgery on Health and Quality of Life, it discusses cardiac rehabilitation as a possibility to fall into the tertiary level. This falls into the category in that it helps restore patient's well-being while decreasing the suffering and complications.This does take even more participation and cooperation of the patient. In conclusion, there are many things healthcare providers can attempt to do in order to educate the public. However, utilizing the three tiers of health promotion (primary, secondary, tertiary) shows a well-organized technique that can break down different levels of health. Every patient falls into at least one category on the continuum, so this is also making it easier for the provider when educating in that they can customize the patient's care plan in a more organized way.This includes tilizing the nursing process, critical thinking, and therapeutic communication allowing nurses to identify where the patient fits into the wellness continuum and helping them reach their highest level of wellbeing.