Patients Need of Healthcare by Strategic Management

The deliberative model in healthcare is expected to meet quite a few of the needs of the American public regarding the general area of healthcare. Of the many areas that may decide to look at this problem, an attempt is made here to look at two specific problems. One is the need of patients taking medicine properly and the other is the needs of patient care among all Americans. The problems in taking medication have been taken up on the issue of individual needs of patients for education on medicine taking. The education needs of patients in this area are not being met by healthcare providers. It may be worthwhile to take up a study to develop medication taking instructions for patients which can be used by health care providers in the long run. The aim should be to reach an approach which will be based on the view of patients regarding their needs of taking medicine and at the same time, also taking into account the concerned theories for health and education. The problem has been accentuated by the development of new medicines for the treatment of problems in diseases. This is clear when one notices that in Canada it self, 167 new drugs were introduced in the period from 1997 to 2001. This has led to the total number of drugs in the market reaching a figure of over 3,000. This shows that there is no shortage of drugs, yet a large number of patients are not being able to get the benefits that the medicines are expected to give. In one study it was seen that about 12% of the cases of hospitalization that are taking place now could be avoided if the condition of the patient was properly managed when the patient was undergoing treatment at home. They could have been cared for by family physicians, nurses and pharmacists. This is further accentuated with the knowledge given by another study that 43% of these avoidable admissions were in the area of some chronic diseases like asthma, diabetes or heart failure. These diseases require patients to use medicines over a long term. This shows clearly that patients with chronic diseases are being hospitalized regularly when they could have been cared for in the home by doctors working outside the hospitals. (Bajcar, 2003) When the patients are put on medicines, they should receive the maximum benefits from their medicines. For this purpose, the first point is the correct procedure of prescribing the medicine for the patient along with the dosing requirements. The second part is that these medicines have to be taken and this has to be done properly. This is generally decided by the patient. It has been seen in many instances that the process of preparing the prescriptions is not linked correctly to the process of taking the medicines. This often leads to the future hospitalization of the patient. During an analysis that was done recently it was seen that pf the total number of admissions to hospitals in recent times, 7. % were directly caused by the medicines that were taken by the patient or the failure of the medicines to act or the medicines were not taken properly by the patients. Further it was seen that 59% of these admissions could have been avoided as the causes were due to inappropriate care or errors in medication. In medical terms, the adverse effects on patients are called drug related morbidity and mortality. The cost of drug related morbidity and mortality in United States during 1995 to the healthcare system was $76. 6 billion. These costs have been rising at a very fast rate and the costs in 2000 went to a figure above the $177 billion mark. This also showed that hospital admissions related to drug related morbidity and mortality was now above 70% of the total costs. (Bajcar, 2003) The major cause behind this problem is the shortcoming in patient education as felt by the patients, though the groups of healthcare professionals at different levels are trying to give a lot of importance to it. The patients say that they are not given enough information about the side effects of medication, risks of medication, the choices that they have about medication and the period for which the medication should be taken. This problem has been realized and the differences which are being caused by the differences in the approach of the health care professional and patient requirements are being sorted out. The problem is the greatest for patients who are on long term medication. (Bajcar, 2003) The shortage of information to patients is because of not getting enough information, or not receiving the information they want, or not receiving the information in a manner that gives the patients a chance to ask questions or seek involvement from the patients, or providing them information that is suitable for their special needs. The difference is in what information the patients want and what information the health care professionals feel they should be given. There is a clear change among patients that they are informed about their healthcare, and this is line with the present day thinking that healthcare is centered on the patient, increase the participation of the patient, and give the patients greater powers. This will enable the patients to take better decisions. The problem is compounded by the fact that there is no proper literature regarding the education needs of patients, who are on long term medication. This does not permit an analysis of the education needs of these patients. At present the emphasis regarding education on medication taking by the patients has the greatest focus on the information to be provided by the healthcare professional and does not consider the educational aspect. The teachings to the professionals consist of sets of guidelines given to professional or a set of questions to be asked of the patient. These are not related to the understanding of how the patient is taking the medicine. This is leading to a situation where the medication taking practices of patients on long term medication is remaining underdeveloped, and this is also keeping in dark the relationship between the actual medication consumption and the final effects that the medication is providing. There are definite needs for the development of a model for education of patients regarding their taking of medicine, and for the present levels of knowledge are not adequate. (Bajcar, 2003) A similar area where there is a lack of communication between the doctors and the patients is in the area of health insurance. This is reflected from the continuous rise in numbers of Americans without insurance and these are causing poor access to health care systems in the country. It is seen that about 20% of the people in the country are not able to pay healthcare bills, and an even higher proportion of 25% forgo medication based on cost. This ultimately results in deaths of the order of 18,000 a year as was seen in 2000. There are certainly troubles that are being caused to individuals, but even the society is suffering. The costs of care for the patient keep increasing, and the final cost has to be met by the government which is reflected on the average citizen. (Will Insured Citizens Give Up Benefit Coverage to Include the Uninsured? ) Patients Need of Healthcare by Strategic Management The deliberative model in healthcare is expected to meet quite a few of the needs of the American public regarding the general area of healthcare. Of the many areas that may decide to look at this problem, an attempt is made here to look at two specific problems. One is the need of patients taking medicine properly and the other is the needs of patient care among all Americans. The problems in taking medication have been taken up on the issue of individual needs of patients for education on medicine taking. The education needs of patients in this area are not being met by healthcare providers. It may be worthwhile to take up a study to develop medication taking instructions for patients which can be used by health care providers in the long run. The aim should be to reach an approach which will be based on the view of patients regarding their needs of taking medicine and at the same time, also taking into account the concerned theories for health and education. The problem has been accentuated by the development of new medicines for the treatment of problems in diseases. This is clear when one notices that in Canada it self, 167 new drugs were introduced in the period from 1997 to 2001. This has led to the total number of drugs in the market reaching a figure of over 3,000. This shows that there is no shortage of drugs, yet a large number of patients are not being able to get the benefits that the medicines are expected to give. In one study it was seen that about 12% of the cases of hospitalization that are taking place now could be avoided if the condition of the patient was properly managed when the patient was undergoing treatment at home. They could have been cared for by family physicians, nurses and pharmacists. This is further accentuated with the knowledge given by another study that 43% of these avoidable admissions were in the area of some chronic diseases like asthma, diabetes or heart failure. These diseases require patients to use medicines over a long term. This shows clearly that patients with chronic diseases are being hospitalized regularly when they could have been cared for in the home by doctors working outside the hospitals. (Bajcar, 2003) When the patients are put on medicines, they should receive the maximum benefits from their medicines. For this purpose, the first point is the correct procedure of prescribing the medicine for the patient along with the dosing requirements. The second part is that these medicines have to be taken and this has to be done properly. This is generally decided by the patient. It has been seen in many instances that the process of preparing the prescriptions is not linked correctly to the process of taking the medicines. This often leads to the future hospitalization of the patient. During an analysis that was done recently it was seen that pf the total number of admissions to hospitals in recent times, 7. % were directly caused by the medicines that were taken by the patient or the failure of the medicines to act or the medicines were not taken properly by the patients. Further it was seen that 59% of these admissions could have been avoided as the causes were due to inappropriate care or errors in medication. In medical terms, the adverse effects on patients are called drug related morbidity and mortality. The cost of drug related morbidity and mortality in United States during 1995 to the healthcare system was $76. 6 billion. These costs have been rising at a very fast rate and the costs in 2000 went to a figure above the $177 billion mark. This also showed that hospital admissions related to drug related morbidity and mortality was now above 70% of the total costs. (Bajcar, 2003) The major cause behind this problem is the shortcoming in patient education as felt by the patients, though the groups of healthcare professionals at different levels are trying to give a lot of importance to it. The patients say that they are not given enough information about the side effects of medication, risks of medication, the choices that they have about medication and the period for which the medication should be taken. This problem has been realized and the differences which are being caused by the differences in the approach of the health care professional and patient requirements are being sorted out. The problem is the greatest for patients who are on long term medication. (Bajcar, 2003) The shortage of information to patients is because of not getting enough information, or not receiving the information they want, or not receiving the information in a manner that gives the patients a chance to ask questions or seek involvement from the patients, or providing them information that is suitable for their special needs. The difference is in what information the patients want and what information the health care professionals feel they should be given. There is a clear change among patients that they are informed about their healthcare, and this is line with the present day thinking that healthcare is centered on the patient, increase the participation of the patient, and give the patients greater powers. This will enable the patients to take better decisions. The problem is compounded by the fact that there is no proper literature regarding the education needs of patients, who are on long term medication. This does not permit an analysis of the education needs of these patients. At present the emphasis regarding education on medication taking by the patients has the greatest focus on the information to be provided by the healthcare professional and does not consider the educational aspect. The teachings to the professionals consist of sets of guidelines given to professional or a set of questions to be asked of the patient. These are not related to the understanding of how the patient is taking the medicine. This is leading to a situation where the medication taking practices of patients on long term medication is remaining underdeveloped, and this is also keeping in dark the relationship between the actual medication consumption and the final effects that the medication is providing. There are definite needs for the development of a model for education of patients regarding their taking of medicine, and for the present levels of knowledge are not adequate. (Bajcar, 2003) A similar area where there is a lack of communication between the doctors and the patients is in the area of health insurance. This is reflected from the continuous rise in numbers of Americans without insurance and these are causing poor access to health care systems in the country. It is seen that about 20% of the people in the country are not able to pay healthcare bills, and an even higher proportion of 25% forgo medication based on cost. This ultimately results in deaths of the order of 18,000 a year as was seen in 2000. There are certainly troubles that are being caused to individuals, but even the society is suffering. The costs of care for the patient keep increasing, and the final cost has to be met by the government which is reflected on the average citizen. (Will Insured Citizens Give Up Benefit Coverage to Include the Uninsured? )

Mo Yan’s the Garlic Ballads: Saga of Suffering and Solitude Essay

They are, instead, people with their own shortcomings and prejudices, and by understanding that, Mo Yan shows the true power of an artist–rather than stoop for the easy message, he dives into the actuality of his characters to make them empathic and flawed, and allow us to root for them and cringe when we realize that they simply don’t have the wisdom to always act correctly. When it comes to the plight of the farmer and the destitute, Mo Yan has experience in spades. The Garlic Ballads tells the tale of a group of Chinese peasants whose lives are dependent upon selling their garlic crop; when harvests exceed governmental estimates, officials curb the amount of garlic that can be brought to market, setting off a violent chain of events. Against this backdrop, Mo weaves presents three stories: that of two lovers, which dominates the novel, as well as a familial conflict and the relationship between two friends. Howard Goldblatt’s translation is so good as to make the reader mistake this for an English novel; the prose is nearly flawless. Set in rural China, The Garlic Ballads explores the misfortune of ordinary Chinese farmers during the post revolutionary period. The very title which focuses on the word ‘Ballads’ reveals that it is a love story in particular spiced by magic realism. The harrowing experiences make the stuff of the novel. The small dramas of the Gao and Yang families, set against a slightly larger but nonetheless miniscule backdrop of rural corruption gets steadily deeper as it progresses, illuminating the paradoxes of modern China and the unchanging demands of love, family, and duty. There are also other heterogeneous elements – an arranged marriage, a botched directive from central agricultural planners, a drunk driver with government connections. All are woven into a coherent whole through the poetic vision of Mo Yan who easily peddles in realism. This novel which focuses on the aftermath of an uprising a tragic story which depicts both a very specific time and place and sheds light onto basic human truths. The people of Paradise County have been encouraged, if not ordered, to grow garlic, and so garlic has infused itself into every aspect of the people’s lives–their breath reeks of it, their celebrations tainted with it. But the governing officials of Paradise County are out to grab up every copper they can, and so out come the taxes for traveling the roads to the co-op warehouses, the penalties, the closures, and one day the garlic farmers have had enough and act out against the officials making their lives so full of hardship. The government retaliates, and Mo focuses on some of the victims. First, there is Gao Yang, who suffers enough with a blind daughter and a new son soon to be born, but he is beaten and brought to jail. One who escapes at first is Gao Ma, a former soldier who longs to marry Jinjun, whose family have agreed to marry her to someone else, but Gao Ma and Jinjun do not take the alternate marriage lightly, and trouble ensues from there. Jinjun’s mother, Fourth Aunt of the Fang family, is also sought after in the police hunt since she won’t stay quiet about her husband being run over by a government official, and the lives of these peasants intertwine through the courses of love and justice. The Fang family is cruel to both Jinjun and Gao Ma as they try to reject the lovers’ vow to be married, and Gao Yang suffers humiliation and torment from his cellmates. Fourthly we have the character of the Aunt who appears to be tyrannical at home, but in jail she becomes a different creature altogether. At times, she is bawdy and scatological, at other times heart-breaking and lyrical. Thus through the characters, Mo Yan gives us the entirety of the human spectrum in his novel. The main story in The Garlic Ballads details the tragic love story of Gao Ma and Fang Jinju. This story is told in parallel with the life of Gao Yang and some other stories. All are inter-related. The background is a Chinese village in the mid 1980s. The details make it frightfully real. The central focus in the book is however on an invasion and trashing by an angry mob of the local governmental offices. We do not see this event occur until the end of the book, yet it colors every moment in the lives of the Fang and Gao families of Paradise County. It is understandable that the Beijing government would suppress a novel that shows most of its local officials to be bloated satraps and its policement to be little better than thugs, applying cattle prods to their prisoners and beating them mercilessly. Equally villainous, however, are the Fang family, who force their daughter to marry an old man in a three-in-one arranged marriage that guarantees that their crippled eldest son also gets a bride. In a grisly scene, the marriage deal finally goes through after both the daughter and her fiance commit suicide: Their bodies are dug up, their remains are mixed together, and they are re-interred in a single coffin. The full picture of alternating hopelessness and rebellion emerges slowly and tragically, and the disparate elements weave together into an elegant and moving whole. The Swedish Academy which selects Mo as the recipient of the Nobel Prize praised his ‘hallucinatory realism’ saying that along with his other writings, Sorghum, The Big Breasts and Wide Hips, The Garlic Ballads ‘merges folk tales, history and the contemporary’. Mo in his writings mingled fantasy and reality, historical and social perspectives and thus created a world reminiscent in its complexity of those in the writings of William Faulkner and Gabriel Garcia Marquez. Although Mo is the writer of eleven novels and a hundred of short stories, The Garlic Ballads seems to be his masterpiece. Born in 1955 to parents who were farmers, Mo Yan – a pseudonym for Guan Moye; the pen name means â€Å"don’t speak† – grew up in Gaomi in Shandong province in north-eastern China. The cultural revolution forced him to leave school at 12, and he went to work in the fields, completing his education in the army. He writes about the peasantry, about life in the countryside, about people struggling to survive, struggling for their dignity, sometimes winning but most of the time losing . Arundhati Roy’s A God of small Things is graphic and captivating, but seen from that perspective, The Garlic Ballads is ten imes more so. The novel depicts simple people living in hard times, in very helpless circumstances. Basically there was no way out, and people could only console themselves that their lives were `fated’. â€Å"I think writers write for their consciences, they write for their own true audiences, for their souls,† Mo said in an interview with  China Daily. â€Å"No person writes to win awards. † Today the best reward in literature comes to him. In fact he is the first Chinese writer to win this reward in Literature. The Garlic Ballads seems to have gained prominence no less than Marquez’s 100 years of Solitude.

Phone Hacking Scandal

COMM101 Campbell Burke Student No. 4491002 1) * After the 2005 Royal phone hacking scandal another investigation was launched into phone hacking called operation Weeting. It was announced in January 2011 by the police that a new investigation would be conducted as a result new information. * In April 2011 News International stated that they would pay out compensation and give an official apology to eight cases that involved phone hacking and the breach of privacy, however they would contest all other petitions. After an uproar over the revealed hacking of Milly Dowler’s phone on July 4th 2011 a campaign was launched on social media sites to get advertises to drop the newspaper. During the following days News of the World would decide to stop being printed after the July 10th issue. 2) One party affected were the number of victims of the illegal phone hacking including celebrities, politicians, law enforcement officials, solicitors, and the general public. Victims ranged from B ritish soldiers' relatives who were killed in Iraq and Afghanistan and London terrorist attack victims.Also a number of employees from the News of the World have been arrested, totaling nine at the present, it had also caused several resignations not just from the newspaper but also from the police. Because of the eventual closure of News of the World 200 employees have been laid off. The general public have also been impacted as they have lost the trust of media corporations due to the substantial unethical behaviour of members of a large media corporation. Also another party impacted are business who are involved in media who have gained a bad reputation from just being involved in the same industry as News of the World. 3)I believe the most difficult sentence to write in the ‘Sorry’ advertisement is the line, â€Å"I realise that simply apologising is not enough. † He realises that a simple apology will not solve the problem that drastic measures will have to be taken to resolve the problem and start to mend the ethical reputation of his businesses. That it will take not only time but will cost a lot to repair the damage like the closure of News of the World and the amounts paid for compensation to the victims and the legal costs. By adding that line he is announcing that he is willing to spend the money to repair the damage caused by the phone hacking scandal. ) When unethical behaviour is discovered in a business it is important that it is dealt with as quick as possible not only to minimise the damage it will cause to the reputation of the business but also to stakeholders. For example once the Enron scandal was revealed action should have been taken to protect investors, employees and all stakeholders involved in the business who would suffer from the unethical behaviour of a few people. The quicker you deal with unethical behaviour it demonstrates to the public that you are committed to ethical business, thus gaining the trust of th e public.

What Were Several Staple Crops in the Carolinas

What were several staple crops in the Carolinas, grown by the slaves? How did this crop affect their cuisine? When the slaves were being transported to the new world they brought with them native African foods to eat along the journey. They also brought with them many customs and cooking techniques that were not yet used in the Americas. The introduction of these crops proved to be a major influence in what we now called Southern cuisine or soul food. Rice is the major staple of slave cuisine. It is said that the rice originally came from seeds directly imported from Madagascar in 1685.Africans were familiar with the growing and cultivating of rice and taught their â€Å"owners† how to grow it as well. The rice fields were cultivated on tidal swamp lands along coastal rivers. Slaves cleared these low-lying land and build canals, dikes and small floodgates that allowed the flooding and drainage of the fields. Peanuts were originally from South America, but made their way to Afr ica via trade then eventually made their way to America on the slave ships. Slaves used peanuts in several different ways including making peanut pie and peanut soup.They also used to boil the peanuts in salt and spices and eaten soggy, this was a great source of nutrition. This dish is still widely consumed today. The use of the peanut was not limited to just the slaves; in fact George Washington Carver researched this product in depth. He discovered over 300 possible uses for the peanut including Jersey Milk, instant coffee, flour, synthetic rubber and linoleum. It was also discovered that rubbing peanut oil on aching muscles will help them rejuvenate more quickly.Okra was another staple crop grown and consumed mostly by slaves at first but then made it’s way, as many other foods, into the white man’s diet. Okra or gumbo as it’s called in Africa made its way to America via the transatlantic slave trade in the 1600s. The most popular dish that is made from Okra is Gumbo, a stew in which okra is the main ingredient and is thickened with powder from sassafras leaves. The seeds were also used to make a coffee substitute and for some medicinal purposes including softening ointments.African food traditions contributed greatly to the culinary cuisine of America. Southern cooking and soul food became a cultural and culinary experience in which both black and white Americans contributed to. Works Cited Opala, Joseph. â€Å"South Carolina Rice Plantations. † South Carolina Rice Plantations. N. p. , n. d. Web. 26 Oct. 2012. <http://www. yale. edu/glc/gullah/02. htm>. â€Å"- SlaveRebellion. org. † – SlaveRebellion. org. N. p. , n. d. Web. 27 Oct. 2012. <http://slaverebellion. org/index. php? page=african-contribution-to-american-culture>.

Structure of organization Case Study Example | Topics and Well Written Essays - 2000 words

Structure of organization - Case Study Example Under such desperate circumstances, the company executives should move from the vertical organizational structure to the flat organizational structure. Under this system, the coordination between the employees will increase, the functional processes will get integrated and the organizational goals will get aligned with the individual goals. Hence, this will result in Aquarius agency turning into a learning organization that will foster increased employee empowerment and increased customer satisfaction. Analysis of the Current Structure of the Organization Presently, the company is running under the tall structure of organizational hierarchy. According to this structure, there are three comprehensive departments such as marketing, Operations and Accounts. These major departments are supported by 2 one men departments that are, Human Resource and Finance. This structure was a best fit for the organization previously since it created provision for specialized tasks, well defined guideli nes for the employees, proper job description for each employee and a high power distance. Due to the present tall organizational structure, there are few teams in the company and functions are characterized by centralized decision making procedures. These features of the organizational structure enable the higher management to wield power and take decisions in the most professional and judicious way (Daft, 1991). However, the present system is also creating a big cloud of problems as the clientele gets involved and communication gaps begin to widen up. The miscommunication between the cross functional supervisors due to mismanaged communication networks has led to employees being constantly disgruntled by the current functioning of the organization. It is quite evident that the account executive is fed up of the constant direct communications between the clients and the specialists like those of marketing and operations. These direct meetings between the clients and the organizatio nal specialists led these employees to trespass their domains of authority and make decisions without consulting their executives. Since this phenomenon is not considered appropriate under the implemented organizational structure, this created serious problems in the value chain of the company and in the coordination in the business functions. This not only perturbs the organizational setting but also hurts the company reputation as the customers are unable to receive their desired value on time (Daft, 2003). The high power distance also led to delayed decisions and lack of coordination between the various organizational entities. These problems ultimately led to extreme job dissatisfaction for the employees like the accounts executives. The limited domain of authority of individual employees resulting from high power distance also made functional problems for the company. The plethora of problems experienced by the organization ultimately led to disgruntled customer base which subs equently led to fewer sales. Under the vertical structure employed by

Money Management Essay Example | Topics and Well Written Essays - 3000 words

Money Management - Essay Example Investing with exchange traded funds ETFs is an easy way to ensure diversification in any portfolio involving stock, bonds and commodities without having to invest in the individual shares, bonds and commodities themselves. They enable investors to access sectors that would not be available to individual investors (Morningstar 2014b). This takes some of the hassle out of investing. I am very adventurous and I tend to have a liking for the sea. Therefore, my aim is to own a yacht within the next seven (7) years. In order to achieve this specific goal I will be making some medium to long term investments so that I can make a substantial deposit on a new yacht in five (5) to seven (7) years time. The yacht is expected to cost in the range of  £300,000 to  £500,000 by the time I get to the point where I am able to make a substantial down payment. My risk tolerance is medium and so I am willing to take a moderate level of risk in order to achieve a favourable return on my investment. Costa (2011) indicates that the returns that I would achieve are proportional to the risk taken and so I expect moderate returns. My risk profile is consistent with a balanced profile. A balanced allocation has between 0% and 25% cash; 40% to 70% bonds; and 30% to 60% stocks (Costa 2011). This portfolio is characterised by limited risk; however, it can still obtain good returns because of the proportion of stocks that it contains. It is also consistent with the time horizon that I have in mind, which is five to seven years. I have a total of  £50,000 to invest and this will be invested in accordance with the guidelines provided in relation to a balanced risk profile (See Costa 2011). However, I would also like to include a commodity related ETF involving physical gold which is one of the best ways of maintaining asset value. The majority of my investment will take place through the use of exchange traded funds (ETFs). An ETF is an investment

Should We Do More To Deal With The Problem Of Domestic Violence, Or Is Research Paper

Should We Do More To Deal With The Problem Of Domestic Violence, Or Is The Problem Exsggerated - Research Paper Example Before going into the discussion regarding whether problem of domestic violence exists or not, let us get a better understanding of what domestic violence actually is. Domestic violence is a type of violence that occurs in a family. Some close family relationships such as husband, wife, children, or people having blood relationships with each other are generally involved in the domestic violence. One of the biggest dilemmas regarding domestic violence is that women generally are not aware of their basic rights which are given to them by the governments and that is the reason why they do not speak a word in front of anyone as the result of which they are constantly tortured and violated by their husbands. Although a lot of research on the issue of domestic violence has been done in the past, but we hardly find any research typically based on the issue of domestic violence as a real or exaggerated problem. However, there is some helpful research, which is done on different topics related to domestic violence. I will also make use of previous research in order to get a suitable answer to my question. Berrios and Grady assert, â€Å"Domestic violence is a pervasive and frequently unrecognized cause of injury among women†. Domestic violence can also be defined as those violent behaviors that are shown by one person to the other person in order to gain or maintain a psychological or physical edge over the other person. Stets, in his research, found that repeated violent acts usually occur due to the desire of men to take control of the behavior of women living around them. Richarson and Feder found that a large number of women having relationships with their boyfriends and husbands undergo physical injuries, mental cruelty, and forced sexual relationships. In the past, the issue of domestic violence was not considered an important issue. That is the reason why it has come out as one of the major problems for the today’s world. People also did not use to think much