Physiology Final project

First document( require) is project require, and project need to “relate the Letter of inquiry” ( second document) that I wrote before. Our professor give us two samples that you can see. total need over 3000 words, 10 full pages, double space. Due US Pacific time 12/3. This is my Final project, so please work hard because this project has really high grade in my total grade.


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The Final Paper/Grant Application is due December 5, 2017, at 12:00 PM:
The final paper will be in the form of a grant application. You may select the grant topic that
was related to your Letter of Inquiry. The grant application can also be related to the
current or future job interests of the student. Here are a few examples of previous final
exam papers: a grant for a new Adult Day Health program, funding for a feasibility study to
develop a PACE program, support for a grandparent mentoring program, and a grant to
expand the County Ombudsman program. Several of these grant proposals have been
funded for as much as $100,000.00!
**NOTE: Papers turned in by November 28, 2017, at 12:00 PM will receive extra
The Final Paper/Grant Application should include:
A brief introduction of the topic with 3 or more relevant references from peer
reviewed journals (not websites or lay magazine articles). This introduction
should be approximately 350 to 700 words long. Do not use material from
An explanation of how the proposed project will add something beneficial to the
community. This should be approximately 400 to 500 words long.
3. A discussion of how your program is different from existing programs in the
community. This should be approximately 300 words long.
4. An outline of your proposed project with the timetable for completion of the
project. This should be approximately 800 to 1200 words long.
5. A description of how you plan to evaluate the success of your program. This should
be approximately 150 to 250 words long.
A detailed budget for your proposal with an explanation of each item.
The Final Paper/Grant Application format should be: 2000 to 3000 words in
Please proofread your paper before sending it out!
Use APA style with references as appropriate.
Size 12 font in Arial, Cambria, or Times New Roman.
Failure to follow these directions will result in a decreased grade.
Examples of excellent final papers will be posted for your guidance.
Shengqi Wang
Gero 589
Letter of Inquiry
October 13, 2017
Ms. X
Executive director
Unihealth Foundation
Dear Ms. X,
This is Shengqi Wang and I am the manager of McKinley’s M-Certified Training Center. It is
my pleasure to share the following letter of interest describing the project I believe will
improve the skill level of caregivers in California. Thank you for spending your precious
time on reading this letter.
Description of the Organization
The McKinley Elderly’s Center has been a leader in providing top quality services to the
elderly and families of our community since it opened over 100 years ago. Over the years,
the Center has been blessed by the generous donations of the community, so that we
enjoy a debt-free, good financial status. McKinley’s M-Certified Training Center provides
high-quality online training and on-the-job training to the community in all areas. We are
approved to provide continuing education to professional families, adult residential
facilities, administrators and caregivers of elderly care facilities, and professionals
registered with the Behavioral Science Committee. We also provide management training
and national certification management courses for elderly group residential and residential
care facilities.
Description of the Project
In the United States, more than 23 million caregivers provide care for patients with
Alzheimer’s disease or other dementia. Most of these older adults are living alone or can
not take care themselves, their daily life entirely rely on these care workers, so if the
caregivers are not skilled, it will bring great trouble to the lives of the elderly. Therefore, we
want to initially establish a comprehensive training for new hand caregivers and those who
have skill problems in nursing care. This FREE training will take the form of online course
and face to face lectures.
Because this project is divided into two parts, the online education section we intend to
invite some nursing specialists and professional actors to record teaching videos according
to some common questions. These videos will be categorized for different types of
caregivers. Such as how to care for the elderly with vision and hearing impairment, the
matters need the attention of care for elderly people with physical disability. We will also
build a Whatsapp chat group, caregivers who need help will be invited into the group, we
will hire customer service staff 24 hours online to answer questions at any time. As for the
lecture, we will count the number of participants in different communities, based on needs
of each week to different communities for public lectures. We are prepared to share the
experience and answer questions face-to-face with caregivers. Considering that some care
workers are always accompanied by the elderly so that we will set the venue in a pleasant
environment suitable for the elderly travel places. Welcome the elderly and nursing
workers to participate in our lectures at the same time, we also provide food and drinks.
The form of the lecture is more like a picnic. The valuable questions collected in the lecture
will also be organized in group chat or recorded as teaching videos.
In order to ensure the cost-effectiveness of the project, we will conduct follow-up research
and professional analysis of the efficiency of this project through follow-up visits,
questionnaires. If the project has achieved positive results for two consecutive years, we
plan to extend this project to other branches.
Geographic Area/ Population Served
We mainly want to run this program in Los Angeles. However, people can join us in online
discussions and video chat. Since the age of the caregiver can vary, we have no age limit.
All caregivers for Alzheimer’s disease and other dementia or those who only want to share
experiences can join us for free.
Amount Requested
The $ 100,000 per year allocation is sufficient for on-site and set-up costs, establishing a
service fee that allows remote chat and professional trainer training.
Please feel free to call me by phone at 213xxx8888. by e-mail at with any
questions. I look forward to hearing from you soon.
Shengqi Wang
2017 Alzheimer’s disease facts and figures. (2017). In Alzheimer’s association. Retrieved
October 13, 2017, from
Running Head: Linked
Grant Proposal to the California Wellness Foundation
Cash Amount: $8,650
Program Proposal: Linked
A Socialization Program Powered by Neighbors
GERO 589
University of Southern California
Chasm Between Housing and Services and Social Isolation
Menorah Housing Foundation is a non-profit corporation established in 1969 to develop
affordable housing for seniors in the Los Angeles region. Over the past forty years Menorah
Housing has developed, and currently manages, fifteen buildings for a total of 1,027
independent-living units. Menorah Housing develops affordable senior housing under Section
202 of the Housing Act of 1959. Section 202 is a federal program run by the U.S. Department of
Housing and Urban Development (HUD) that provides direct loans or capital advances to
housing sponsors who develop units for adults 62 years and older earning 50% of the area
median income. These multi-unit buildings are unlicensed (for health services) and offer
subsidized housing with an onsite manager and limited service coordination. Considered within
the continuum of long-term care, Section 202 housing offers a community-based option for lowincome older adults who can live independently (Housing Plus Service NLIHC, 2005).
Housing in late life serves as a stable site, an anchor, from which individuals can control
how they receive services, sustain functional independence and stay connected to their
community. Public housing, specifically Section 202, offers an opportunity to capitalize on
economies of scale and deliver services to a large number of recipients in one location. An
effective strategy would link frail tenants in need of basic assistance or companionship with less
frail, willing tenants, thereby mobilizing neighbors as a valuable resource and forging a sense of
community within the building.
Residents of Section 202 housing have been aging in place over the last decade. In 1988
the average age of a Section 202 resident was 73.6, in 1999 it rose to 75 and by 2004 the average
age had risen to 79 (Bright, 2006; Redfoot & Kochera, 2004). The majority of 202 residents are
low-income elderly females who live alone on an annual income of $5,000 to $15,000 (Haley &
Gray, 2008). The average resident has low to moderate service needs that can be satisfied
through scheduled visits (Mollica, 2003). The greatest need is not necessarily for medical
support, but for social support. One study of older adults revealed that older adults felt
companionship was important to them but lacking in their life (Kretzman & McKnight, 1993).
Section 202 housing does not offer social activities like a traditional retirement
community. The only difference between Section 202 and a typical apartment complex is
resident composition. Section 202 buildings are unique in that they are inhabited by older, often
frailer tenants who, depending on their health status, have limited opportunity for socialization.
Isolation is a serious concern among seniors living alone because it can lead to loneliness
and depression. The strong relationship between social support and depression in older adults is
a widely accepted concept (Allen, 2002; Viragh, 2005). Service coordinators face particular
challenges working with low-income tenants who aren’t poor enough to meet eligibility
requirements but have difficulty paying out of pocket (Gina Sbardetalli, December 9, 2008).
Program evaluations have shown that informal, volunteer support can help fill the gaps created
by formal care eligibility requirements (Rabiner et al., 2003). For these individuals, a friendly
visitor service comprised of senior volunteers may be appropriate. Friendly visits can offer
companionship, social stimulation, distraction, and provide a source of help when it is needed
(Flynn, 1992).
Today there are over 2,600 Section 202 buildings serving 278,000 elderly households but
only 40% (or less) of properties have service coordinators (Heumann et al., 2001; Harahan et al.,
2006). HUD suggests refinancing as a method for housing sponsors to uncover funds and
develop service-related programs (Personal Communication, Steve Wagner, Director of
Operations at Menorah Housing, November 31, 2008). Unfortunately, that money is usually
spent on necessary maintenance and building repair. Due to inadequate grants from HUD,
managers have only enough funds to pay a service coordinator for a few days a week. In some
facilities this is sufficient but in others, with frailer tenants, more days are needed (Steve
Wagner, November 31, 2008). Service coordinators are busy linking clients to supportive
services and lack the time to visit residents in a purely social manner on a regular basis. It has
been Menorah’s experience that lonely residents will attempt to prolong conversation in order to
extend their time with the coordinator. Socialization could be better reciprocated by a volunteer
For the 2009 fiscal year, funding remains flat. The Service Coordinator program will be
funded at $90 million and Section 202 capital advances at $675 million (Libson & Waldrum,
2008). The majority of the $90 million will go to already established Service Coordinator
positions in existing buildings to work within the predetermined, limited scope of duties. For
this reason, Menorah Housing Foundation (MHF) is seeking outside support to supplement
limited federal dollars in an effort to expand the duties of our service coordinator and develop a
new in-house program called Linked©.
Community Benefits: Long Beach Redevelopment
In September 2007, MHF began construction of Long Beach Senior Housing near
Atlantic and Willow Streets, in the Central Long Beach Redevelopment Project Area. The
project includes 66 apartments, community rooms, outdoor decks, and offers convenient access
to many nearby services. The building is adjacent to public transit, shopping areas, and St. Mary
and Long Beach Memorial Medical Centers. Residents moved into their units during November
of this year.
By leasing units to low-income elderly residents of Long Beach, Menorah has already
contributed significantly to the community. Many low-income elders live in substandard
housing and pay too much (>30%) of their income on rent (Golant, 2003). Menorah’s Long
Beach Senior Housing facility offers a high quality physical environment with the assurance that
tenants will never pay more than 30% of their income toward rent. This arrangement provides
stabilization and a peace of mind that many would not otherwise have.
The Section 202 population is older, poorer and more disabled than homeowners or
renters of fair market units (Redfoot & Kochera, 2004). This is true for our Long Beach
Building which houses residents with an average age of seventy three. As housing managers we
have witnessed an increasing number of tenants forced to relocate to more intense settings
because basic supports were unavailable; a phenomenon that matches the literature (Kochera,
2002). From years of serving this population, MHF recognizes that seniors need more than a
physical structure to remain healthy and independent. As the California Wellness Foundation
understands, healthy aging is much more than avoidance of disease and disability. Healthy aging
is a multifaceted construct including the maintenance of physical, mental and social well-being.
It is well established that supportive ties enhance physical and mental health among older adults
(Lubben & Gironda, 2003).
Our proposed program would bring to the community a greater sense of purpose for those
who volunteer and a safety net via strong social relationships for those who receive assistance.
Individuals are constantly confronted with a variety of options in terms of volunteering their time
and making a difference. However, contrary to common practice one does not have to travel to
Africa or a disaster relief area in New Orleans or spend a sweltering summer weekend building a
house for Habitat to affect change and improvement. In fact, our program would create a low-
intensity opportunity for older adults to have a positive influence in literally their own front yard.
We believe the low physical nature, convenience and on-going flexibility of our volunteer
program will appeal to older adults who want to make a difference in their local community.
Independent versus Interdependent: Volunteers
Social and environmental support may be the solution to helping vulnerable older adults
cope with the many circumstances of living independently in old age. Companionship provides
a different type of support, independent of familial obligation, which has been shown to
contribute to a strong sense of self worth (Krause, 2006). Currently, a friendly visitor, neighbors
helping neighbors program is not available to Long Beach residents in the Senior Housing
building. Long Beach has senior centers and service sites but homebound residents in our Long
Beach facility have difficulty traveling around town; some do not drive, others can only manage
such arrangements on a limited basis. The proposed program would satisfy a need for a program
that targets those who don’t qualify for free services or are unable to reach formal service sites.
Existing programs in Long Beach utilize professional service providers rather than
trained volunteers. The services provided by these agencies offer high quality provisions but
reciprocity is not an important element. MHF’s proposed program would leverage community
members of the housing complex to participate and become engaged with other residents; an
arrangement that dually serves twice as many individuals for each interaction. Those who are in
need receive a tangible benefit and those who can contribute renew their purpose and fulfillment
in their own community.
Trickey et al. (2008) evaluated the effectiveness of a Neighbors Helping Neighbors
(NHN) program in Salt Lake City, Utah. Ninety percent of the participants reported a significant
improvement in quality of life. Studies have shown that volunteering not only benefits the
community and the individuals on the receiving end of the volunteerism, but affects the
volunteer as well (Marek, 2004). The majority (70%) of the Salt Lake City NHN volunteers felt
that being involved with the program gave them the satisfaction of making a difference in their
community (Trickey et al., 2008). The most striking finding from the NHN program was the
direct connection between instrumental social support and participants’ quality of life.
Professionals in the field use the term “independent living” to classify living
arrangements outside of assisted living, group homes, or institutional facilities. However, older
adults living on their own rely on an interdependent system of caregiving. Unfortunately the
long-term care system in this country has numerous cracks through which many will slip and
fall. Senior companion programs realize that formal services are not enough and supplemental
assistance is a low cost solution requiring the investment of time and the willingness to help
others. We, at MHF believe that seniors are a vital component of every community and as the
Baby Boomers continue to age and communities equip themselves to serve residents’ changing
needs, the power of volunteers should not be ignored. We believe that this program is well
aligned with the California Wellness Foundation’s core mission and goals of promoting healthy
aging among underserved, low-income seniors.
Linked: Residents ?? Neighbors
Program Description and Objectives
Linked will be an open program, open to community members of Long Beach 55 years or
older. Preference will go to resident volunteers and if volunteers exceed the number of requests
for companions then a waiting list will be formed. Preference for resident volunteers is to help
strengthen the community within the Long Beach Senior Housing community and utilize
residents as the valuable resource they are. The age criterion for volunteers is to maintain the
program as a seniors helping seniors arrangement. Although intergenerational programs have
substantial value, our program would like to impact seniors looking for an opportunity to become
more involved and assume a meaningful role. Additionally, age differences, different outlook,
and many other factors can negatively influence the duration and outcome of friendly visits
(Flynn, 1992). The primary objective of Linked will be to match residents in need of
socialization and support to other residents who are willing and able to volunteer their time for
activities such as friendly visits, rides to appointments or the grocery store and other services as
Who Does Linked Serve?
The program will serve any resident who requests a companion. However, the service
coordinator will work to target high-risk vulnerable individuals. Service providers working with
residents in Section 202 housing are challenged when they make referrals for residents who fall
in the dark abyss between eligibility and affordability. The most challenging subset to serve are
those residents who aren’t poor enough to qualify for a community service but do not have the
resources to afford private pay. These residents will be informed of the Linked program and
asked if they think they could benefit from weekly assista …
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