The purpose of this assignment is to analyze and select an appropriate method of alternative dispute resolution (ADR) for a business dispute, to examine unethical business behavior, and to develop risk management procedures to avoid or reduce claims and litigation.
Read the following scenario:
Dazzling Dough Co. sells pizza dough to local pizza restaurants. Most of the restaurants buy at least 150 pounds of pizza dough from Dazzling Dough Co. in each order. Jerry’s Pizza contacted Dazzling Dough Co. to purchase 200 pounds of pizza dough, along with some other items. Dazzling Dough Co. sent Jerry’s Pizza a written contract, prepared by Dazzling Dough Co.’s lawyer, stating that “Jerry’s Pizza agrees to purchase 200 pounds of pizza dough, pizza toppings, desserts and soft drinks for $30,000.” Jerry’s Pizza signed and returned the contract.
A few days later, Dazzling Dough Co. sent Jerry’s Pizza 125 pounds of pizza dough and 75 pounds of pizza toppings, desserts, and soft drinks. Jerry’s Pizza contacted Dazzling Dough Co. about the error in the contract and demanded an extra 75 pounds of pizza dough. Dazzling Dough Co. said there was no error, that Jerry’s Pizza signed the contract so they agreed to the terms, and it was not sending the extra pizza dough.
After several attempts to resolve the dispute and a pressing need for dough, Jerry’s Pizza terminated the contract and sent Dazzling Dough Co. a check for $15,000 for the 125 pounds of pizza dough, pizza toppings, desserts and soft drinks. Jerry’s Pizza immediately purchased 75 pounds of pizza dough from another company for $12,000. Both parties are threatening to sue each other for breach of contract. They prefer to resolve the dispute out of court because the contract contains a clause that awards reimbursement of attorney’s fees to the winning party.
The board of directors of Jerry’s Pizza scheduled a meeting with you and other senior management at the company to discuss the dispute. You’ll need to prepare a strategic plan overview (an abbreviated strategic plan, not a full plan) for the board that explains why there is a dispute, suggests various settlement proposals, and provides recommendations on how Jerry’s Pizza can avoid this kind of dispute in the future.
Prepare a 525- to 875-word strategic plan overview to resolve the legal dispute for the board (use the bullet point headings provided below to format your overview) addressing the following:
Summary of Dispute
Identify the source of the dispute.
Identify each party’s interpretation of the contract language.
Identify whether each party’s interpretation is reasonable.
Identify any missing facts that would be helpful to know in order to resolve the dispute.
Proposed Revisions to Contract Language
Recommend specific revisions to the contract’s language so that it is clear what Jerry’s Pizza expected to buy and what Dazzling Dough Co. is required to deliver.
Ethical Considerations
Explain the ethical considerations for a company to enforce specific terms of a contract against another company if the other company is mistaken about what was agreed to. Discuss the factors that should be considered.
Recommendations
Two to three possible settlement options (e.g., pay for the disputed dough, reduce the amount of dough to be purchased, split the difference, refuse to pay, etc.)
Two to three methods of dispute resolution (e.g., negotiation, mediation, arbitration, litigation, etc.) that Jerry’s Pizza can propose to Dazzling Dough Co.
Create a one-page visualization to represent the information you provide in this assignment.
Use the Table, SmartArt, or Chart visual representation options available in Microsoft® Word by clicking on the Insert tab located on the ribbon at the top of the window. Locate the Word Help function in the version of Microsoft® Word that is installed on your computer for assistance.
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Write a paper per current APA and 2400 words in length.CASE ANALYSIS OUTLINE
Situational Analysis
External Environmental Analysis (Outside of the organization)
Economic, Social, Political, Technological, Natural
Internal Environmental Analysis (Specific to the organization)
Market Analysis- Description of the market, Primary customers
Evaluation of Marketing Strategies
Product, Price, Distribution, Promotion
Evaluation of the other Functional Areas-
Finance, Production, Human Resources, Technology
Strengths, Weaknesses, Opportunities, and Threats (SWOT) Analysis
State the Main Problems facing the business/organization
Development of Strategic Alternatives (2)
Evaluation of Strategic Alternatives (2)
Recommendation of the better Alternative
Implementation Techniques for Recommended Alternative (How, when,
where, why).
Control Procedures to keep Recommended Alternative on course.
Case Study: “Stirring Things Up” [Chapter 15, Case Application 3, p. 474]
Read the assigned case analysis.
Discuss how operations, production, and technology affect the way goods and services are produced at Starbucks.
Go to the Company’s website at www.starbucks.com , locate the “For Business” section, and access the “Suppliers” link. Evaluate how the requirements and standards to become a Starbucks’ supplier align with the concept of value chain.
Describe the role of monitoring and control in cases like those described in the case study.
Recommend changes to the organizational design.
Research in the electronic library a minimum of two additional references from journals, and use them in your case study analysis.
Include a cover and reference pages in APA format, and also number your answers such that readers will know where to find what type of information.
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The purpose of this assignment is to analyze and select an appropriate method of alternative dispute resolution (ADR) for a business dispute, to examine unethical business behavior, and to develop risk management procedures to avoid or reduce claims and litigation.
Read the following scenario:
Dazzling Dough Co. sells pizza dough to local pizza restaurants. Most of the restaurants buy at least 150 pounds of pizza dough from Dazzling Dough Co. in each order.
Jerry’s Pizza contacted Dazzling Dough Co. to purchase 200 pounds of pizza dough, along with some other items. Dazzling Dough Co. sent Jerry’s Pizza a written contract, prepared by Dazzling Dough Co.’s lawyer, stating that “Jerry’s Pizza agrees to purchase 200 pounds of pizza dough, pizza toppings, desserts and soft drinks for $30,000.” Jerry’s Pizza signed and returned the contract.
A few days later, Dazzling Dough Co. sent Jerry’s Pizza 125 pounds of pizza dough and 75 pounds of pizza toppings, desserts, and soft drinks. Jerry’s Pizza contacted Dazzling Dough Co. about the error in the contract and demanded an extra 75 pounds of pizza dough. Dazzling Dough Co. said there was no error, that Jerry’s Pizza signed the contract so they agreed to the terms, and it was not sending the extra pizza dough.
After several attempts to resolve the dispute and a pressing need for dough, Jerry’s Pizza terminated the contract and sent Dazzling Dough Co. a check for $15,000 for the 125 pounds of pizza dough, pizza toppings, desserts and soft drinks. Jerry’s Pizza immediately purchased 75 pounds of pizza dough from another company for $12,000. Both parties are threatening to sue each other for breach of contract.
They prefer to resolve the dispute out of court because the contract contains a clause that awards reimbursement of attorney’s fees to the winning party.
The board of directors of Jerry’s Pizza scheduled a meeting with you and other senior management at the company to discuss the dispute.
You’ll need to prepare a strategic plan overview (an abbreviated strategic plan, not a full plan) for the board that explains why there is a dispute, suggests various settlement proposals, and provides recommendations on how Jerry’s Pizza can avoid this kind of dispute in the future.
Prepare a 525- to 875-word strategic plan overview to resolve the legal dispute for the board (use the bullet point headings provided below to format your overview) addressing the following:
Summary of Dispute
Identify the source of the dispute.
Identify each party’s interpretation of the contract language.
Identify whether each party’s interpretation is reasonable.
Identify any missing facts that would be helpful to know in order to resolve the dispute.
Proposed Revisions to Contract Language
Recommend specific revisions to the contract’s language so that it is clear what Jerry’s Pizza expected to buy and what Dazzling Dough Co. is required to deliver.
Ethical Considerations
Explain the ethical considerations for a company to enforce specific terms of a contract against another company if the other company is mistaken about what was agreed to. Discuss the factors that should be considered.
Recommendations
Two to three possible settlement options (e.g., pay for the disputed dough, reduce the amount of dough to be purchased, split the difference, refuse to pay, etc.)
Two to three methods of dispute resolution (e.g., negotiation, mediation, arbitration, litigation, etc.) that Jerry’s Pizza can propose to Dazzling Dough Co.
Create a one-page visualization to represent the information you provide in this assignment.
Use the Table, SmartArt, or Chart visual representation options available in Microsoft® Word by clicking on the Insert tab located on the ribbon at the top of the window. Locate the Word Help function in the version of Microsoft® Word that is installed on your computer for assistance.
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Choose a title job from an existing company, using their recruiting policies write the following, but please no plagiarism and when u take a policy or anything from the website of the company chosen put the source of the website. Here are the requirements for the report :
1.0 Job Description
Prepare a job description document for the chosen title.
1.1 Summary of the job
1.2 Key Tasks: Choose the most important 7-10 tasks max (120 word- +/- 10%)
1.3 Key Knowledge:4-7 points max (120 words- +/- 10%)
1.4 Key Skills: 6-8 max (120 words- +/- 10%)
1.5 Key Abilities: 6-8 max (120 words- +/- 10%)
1.6 Key Attitudes: 4-7 points max (120- +/- 10%) words)
2.0 Recruitment
The process of matching sources and methods of recruitment was discussed in lecture 5. For the chosen title, match sources and methods of recruitment
2.1 Sources of Recruitment (80- 200 words)
2.2 Methods of Recruitment (80- 200 words)
Assume that in all cases you must use external recruitment to fill the position. Justify your choices.
3.0 Selection
What do you believe would be the most suited……………
3.1 type of employment test (80- 200 words)
3.2 Content of Interview (80-200 words)
3.3 Type of Interview (80-200 words)
3.4 Method of Interview (80-200 words)
for the chosen job title? Justify your choices.
4.0 Performance Criteria and Measurement System
4.1 Key performance criteria/standards: (120 words- +/- 10%) Set 7 key performance standards/criteria for the chosen job title
4.2 Performance Measurement System: (80-200 words) choose the most relevant measurement system. Justify your choice; you can choose more than one.
5.0 Training Methods and Delivery System
5.1 Training Methods (80-200 words): What do you believe would be the best methods of training for the chosen title? Justify your choice
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Henry Jackson Case Study
Using the information from the following case study, answer the questions in an APA formatted paper. APA includes in text citations for any information that is not common knowledge. Included should be a cover page, headings, full English paragraphs, and a correctly formatted APA reference page. The information should be summarized from the resources and not directly quoted. Font, font size, and margin information can be found in the nursing handbook.
Henry Jackson is a 46-year-old man diagnosed with non-Hodgkin lymphoma (NHL) 4 months ago. He finished receiving his third of six chemotherapy courses 5 days ago. Yesterday morning, he was seen at the oncology office for malaise, muscle weakness, and palpitations. He had splenomegaly on examination. A computed tomography (CT) scan of the abdomen showed metastatic disease in the liver and spleen. He is admitted to the hospital with progressive disease. He is accompanied by his husband and their 2 sons age 13 and 15.
Lab work is as follows:
Na 136 mEq/L
K 6.1 mEq/L
Cl 97 mEq/L
CO2 28 mEq/L
Glucose 98 mg/dL
Blood urea nitrogen (BUN) 54 mg/dL
Creatinine 2.7 mg/dL
Ca 6.3 units/L
Total protein 5.4 g/dL
Albumin ) 2.8 g/dL
Phosphorus 4.8 mg/dL
Uric acid 20.7 mg/dL
Total bilirubin 0.8 mg/dL
Alkaline phosphatase 172 units/L
Aspartate transaminase (AST) 254 units/L
Alanine transaminase (ALT) 74 units/L
Lactate dehydrogenase (LDH) 214 IU/L
1. Interpret Mr. Jackson’s admitting BMP panel and fully discuss. Your interpretation should convey a good understanding of the material.
2. Based on these values, which common oncologic emergency is Mr. Jackson experiencing?
3. Describe the pathophysiology of this condition.
4. What assessment other findings would you expect in Mr. Jackson?
5. Your institution uses electronic charting. Based on the assessment described, document your findings by providing a narrative note organized into the following areas: ? Neurologic ? Respiratory ? Cardiovascular ? Gastrointestinal ? Psychosocial
The Complete Blood Count (CBC) is now available:
White blood cells (WBCs) 1500/mm3
Neutrophils 66%
Lymphocytes 16%
Monocytes 15%
Eosinophils 5%
Hemoglobin (Hgb) 8.3 g/dL
Hematocrit (Hct) 23%
Platelets 21,000/mm3 (21 x 109 /L)
6. Based on his lab values, identify and discuss at least three additional problems for which Mr. Jackson is at risk. Provide sourced and referenced rationale
7. Discuss your nursing priorities? Provide sourced and referenced rationale
8. Discuss what would indicate that Mr. Jackson is improving. Provide sourced and referenced rationale to support the discussion.
9. Discuss and provide sourced and referenced rationale on the deeds of the family and how to support the family members.
10. Develop a complete nursing care plan for his discharge needs. You do not have to include the evaluation phase.
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DISCUSS whether you think itís possible to commit horrible crimes while asleep.
A SLEEPWALKING DEFENSE?
On January 16, 1997, Scott Falater sat down to dinner with his wife and children and told them about difficulties he was experiencing on a project at work.
After dinner, he prepared some materials to use in leading a church youth group the following morning, and then he attempted to repair the family swimming pool pump before retiring to bed.
The following morning, he awoke to bark dogs and unfamiliar voices from downstairs.
As he went to investigate what was going on, he was met by a group of police officers who arrested him for the murder of his wife (Cartwright, 2004; CNN, 1999).
A Sleepwalking Defense Brief Case Study
Yarmila Falaterís body was found in the family’s pool with 44 stab wounds. A neighbor called the police after witnessing Falater standing over his wifeís body before dragging her into the pool.
Upon a search of the premises, police found blood-stained clothes and a bloody knife in the trunk of Falaterís car, and he had blood stains on his neck.
Remarkably, Falater insisted that he had no recollection of hurting his wife in any way. His children and his wife’s parents all agreed that Falater had an excellent relationship with his wife and they couldnít think of a reason that would provide any sort of motive to murder her (Cartwright, 2004).
A Sleepwalking Defense Brief Case Study
Scott Falater had a history of regular episodes of sleepwalking as a child, and he had even behaved violently toward his sister once when she tried to prevent him from leaving their home in his pajamas during a sleepwalking episode.
He suffered from no apparent anatomical brain anomalies or psychological disorders. It appeared that Scott Falater had killed his wife in his sleep, or at least, that is the defense he used when he was tried for his wifeís murder (Cartwright, 2004; CNN, 1999).
In Falaterís case, a jury found him guilty of first-degree murder in June of 1999 (CNN, 1999); however, there are other murder cases where the sleepwalking defense has been used successfully.
As scary as it sounds, many sleep researchers believe that homicidal sleepwalking is possible in individuals suffering from the types of sleep disorders described below (Broughton et al., 1994; Cartwright, 2004; Mahowald, Schenck, & Cramer Bornemann, 2005; Pressman, 2007).
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Emphysema Problems Charlene Case Study Charlene is a 55-year-old female who has had emphysema problems for many years. She has a 20-year history of tobacco use.
Emphysema Problems Charlene Case Study
Today, Charlene was seen in the clinic due today increased shortness of breath and non-productive cough over the past three days.
She has an SaO2 of 90% with most recent pulmonary function test findings indicating the following: FVC- 70% FEV1-69% FEV1/FVC ratio-69%.
Emphysema Problems Charlene Case Study Discussion Questions
What physical findings might be indicative of a patient with emphysema?
What is the purpose and interpretations of the pulmonary function test?
What are the pathophysiological findings specifying emphysema?
What are the three functions of the respiratory center located in the brain stem?
Please provide a description of the oxyhemoglobin dissociation curve?
Sarah is in today with a chief complaint of feelings of fatigue, pallor, dyspnea on exertion, and palpitations. Her laboratory report indicates that her hematocrit, hemoglobin, and reticulocyte counts are low; that her MCV is high; and that her MCH and MCHC are normal. Her diagnosis is pernicious anemia.
Answer the following questions regarding Sarahís anemia and provide the pathophysiology associated with the bodyís response to this disease process.
What are the laboratory tests to be ordered in patients suspected of anemia?
What are the clinical manifestations noted in a patient with pernicious anemia?
What nonpharmacological therapies are associated with the treatment of pernicious anemia?
What the lab findings indicative iron deficiency anemia?
ï Describe the meaning of healing as it applies to chronic conditions
ï List potential reactions to being diagnosed with a chronic condition
ï List actions that can empower people to live fully with chronic conditions
Suppose you plan to meet friends for dinner and an unbearable headache sends you to bed instead. A case of the flu cancels plans for a long weekend getaway. An important meeting is missed because you’re unable to leave your home due to pulled back muscles. The effects from the medications taken to control cold symptoms cause you to feel like doing nothing but crashing in bed. These types of situations can detour plans and make us feel miserable. Fortunately, they usually are short-term and we recover, returning to life as usual. However, there are conditions that cause discomfort and disruption to life that are not temporary chronic conditions (Exhibit 16-1). Once they develop, these conditions remain for life. Their impact can range from the inconvenience of having to take daily medication or having to use a cane to a major impairment in function, such as being blind or unable to walk.
EXHIBIT 16-1 MAJOR CHRONIC CONDITIONS
ï Arthritis
ï Autoimmune diseases, such as ulcerative colitis, lupus erythematosus, Crohnís disease
ï Blindness
ï Cancer
ï Cardiovascular diseases such as coronary artery disease, congestive heart failure
ï Cholesterol disorders
ï Chronic fatigue syndrome
ï Chronic hepatitis
ï Chronic pain syndromes
ï Chronic renal failure
ï Deafness and hearing impairment
ï Diabetes mellitus
ï Epilepsy
ï Hypertension
ï Multiple sclerosis
ï Osteoporosis
ï Parkinson’s disease
ï Respiratory diseases including asthma and chronic obstructive pulmonary disease (COPD)
ï Schizophrenia
ï Sickle-cell anemia and other hemoglobin disorders
ï Stroke
Google Case Living Fully with Chronic Conditions
Approximately half of all Americans have at least one chronic disease and more than one-fourth have two or more. The likelihood of developing a chronic condition increases with age resulting in 80% of persons over age 65 being affected; with the rise in the aging population, the number is growing. Women are more likely than men to have more than one chronic condition. Hypertension is the leading chronic condition among adults. Arthritis is the leading cause of disability among chronic conditions. According to the Centers for Disease Control and Prevention (2016), seven of the ten leading causes of death are chronic diseases with half of the deaths attributed to two chronic diseases: heart disease and cancer.
Google Case Living Fully with Chronic Conditions Prevention
The risk of developing a chronic condition can be reduced by healthy behaviors such as:
ï engaging in regular physical activity
ï not smoking
ï eating a nutritious diet
ï avoiding excess alcohol consumption
ï controlling high blood pressure
People of all ages need to be advised of the relationship between their lifestyle practices and their risk of developing chronic conditions. Considerable disability, dysfunction, expense, and diminished quality and length of life can be spared by adhering to healthy behaviors throughout the life span.
Google Case Living Fully with Chronic Conditions and A Healing Approach
Once developed, chronic conditions will be companions for life, therefore, it is important that people affected by them understand the conditions and their related care so that they can achieve the highest possible quality of life.
Much of the U.S. health-care system is based on the medical model in which the emphasis is on diagnosing, treating, and curing a health problem. Success often is based on the patient having the problem treated and eliminated and on returning to normal. Although appropriate diagnosis and treatment are important components of the care of someone with a chronic condition, the focus will differ from that of acute care as cure is not a realistic goal. Instead, the emphasis is on healing.
Google Case Living Fully with Chronic Conditions Key Point
Growing numbers of people are living with one or more chronic conditions.
Many people consider healing as being the same as a cure, and in some situations it is. However, in the realm of chronic conditions, healing implies living in harmony with the condition, achieved by:
ï Mobilizing the body, mind, and spirit to control symptoms.
ï Maintaining or improving self-care efforts.
ï Managing the disease effectively (i.e., taking medications and doing treatments as recommended).
ï Preventing complications.
ï Delaying decline in status and function.
ï Using the disease to learn about other aspects of self and life.
ï Achieving the highest possible quality of life.
Although there may be imperfections in the body’s structure or function, healing implies that a good quality of life can be achieved. Rather than being the victim of a disease and defining oneself by it (e.g., I’m a diabetic, I or I can’t do that because I’ve got a heart condition), the person who adopts a healing approach incorporates the condition into life without being defined by it. For example, a person with diabetes establishes the desired lifestyle and then adjusts diet and medication administration to accommodate that lifestyle rather than significantly changing his or her lifestyle to follow a strict plan. Likewise, the person with a newly diagnosed heart condition who enjoys eating at fine restaurants will learn how to make wise selections from any menu rather than forfeit dining out.
Google Case Living Fully with Chronic Conditions Tip for Practitioners
A holistic approach to caring for a chronic condition requires an assessment of all factors physical, emotional, mental, social, spiritual that contribute to and are affected by the condition. For example, an increase in arthritis pain may be related to failure to perform exercises as recommended by the physical therapist or consuming foods that increase inflammation. Rather than a stronger analgesic, the client may benefit more from exploring reasons for noncompliance with the exercise plan (e.g., lack of knowledge, low motivation) and the consumption of foods that should be avoided (inability to shop for or prepare recommended diet, dependence on family member who ignores dietary recommendations), and planning strategies to correct them. A holistic approach to caring for a chronic condition requires an assessment of all factors physical, emotional, mental, social, spiritual that contribute to and are affected by the condition. For example, an increase in arthritis pain may be related to failure to perform exercises as recommended by the physical therapist or consuming foods that increase inflammation. Rather than a ?stronger analgesic, the client may benefit more from exploring reasons for noncompliance with the exercise plan (e.g., lack of knowledge, low motivation) and the consumption of foods that should be avoided (inability to shop for or prepare recommended diet, dependence on family member who ignores dietary recommendations), and planning strategies to correct them.
Most people affected by chronic conditions have the ability to choose if they will adopt a healing approach or become a victim to their condition. A healing approach is fostered by becoming an informed consumer. This entails obtaining thorough explanations from health-care providers, asking questions for clarity, and independent learning as much about the condition as possible. A wealth of information can be found through Internet searches of the condition. Local support groups also can be great sources of information. Honest discussions with family and friends are useful in erasing any misconceptions they may have, obtaining support, and establishing ground rules as to minimize the impact of the condition on relationships.
Google Case Living Fully with Chronic Conditions Reflection
What factors do you think influence how you would react to being diagnosed with a chronic disease?
Reactions to a Chronic Condition
Learning that one has the diagnosis of hypertension, diabetes, osteoporosis, or another condition can be difficult. A chronic condition can affect every aspect of life (Figure 16-1). In addition to physical symptoms, psychological state, finances, and socialization can be impacted. Roles and responsibilities may need to be changed or forfeited to accommodate the effects and demands of the disease. One is vulnerability and mortality may be seriously considered for the first time. Meeting the demands of taking care of a family, supporting oneself, and maintaining relationships can become challenging. The knowledge of the negative impact a similar diagnosis has had on someone else can trigger anxiety. Even in the absence of symptoms that limit function, an individual may find that others view him or her differently based on stereotypes or misinformation. Understandably, defense mechanisms may kick in when the situation is too much to cope with, which can include:
Figure 16-1 Chronic Conditions Potentially Affect Every Aspect of a Personís Life
ï Denial. Actions that are inconsistent with the realities of the condition may be taken. For example, the person with diabetes may claim that he doesnít need to use insulin as he doesnít believe his body really needs it; a mountain climbing vacation may be planned by someone with dthe egenerative joint disease.
ï Anger. The person may resent that there are demands or restrictions imposed by the disease and displace feelings on family and friends.
ï Guilt. A person may perceive that the disease resulted from years of not following good health practices or as punishment. For example, a man who has become visually impaired may associate this with viewing pornography.
ï Depression. When the potential impact of a chronic disease is considered, a person can become overwhelmed and depressed. Plans may have to be altered. The realization that one is not in complete control will be faced.
In addition to the individuals with chronic conditions, the significant others in their lives may experience reactions as well. Shocked at his spouseís new diagnosis and at a loss of what to do to help, a husband may tell his wife, ìDonít worry, these doctors donít always know what theyíre talking about.î An adult child who has to care for a parent impaired with a heart condition may be angry that the parent didnít listen to advice to stop smoking and now not only the parent, but also the caregiver child, must suffer the consequences. A man who has a child with a disability may feel that this is his punishment for having been unfaithful to his wife. Dashed hopes for the vision they had of a dynamic life may lead to depression in family members who now have to make adjustments to accommodate the needs of a member with a chronic disease.
Google Case Living Fully with Chronic Conditions
In time and with support people should work through their reactions and reach a place in which they view the condition realistically, engage in appropriate care measures, and make necessary adjustments to their lifestyle. It is important that necessary, but not unnecessary adjustments be made. For example, a person with diabetes may need to incorporate blood testing and insulin administration into his lifestyle as necessary adjustments; however, it is unnecessary for him to decline social invitations because he can only eat certain foods or give up his interest in sailing because he may get hypoglycemic while on the water. Accepting oneís chronic condition doesnít mean being defined by it.
Google Case Living Fully with Chronic Conditions Goals
As mentioned earlier, chronic conditions differ from acute ones; therefore, goals of care will be different and include effectively managing the condition; stimulating the bodyís healing abilities; preventing complications; maximizing quality of life; dying with peace, comfort, and dignity; and empowering one to live effectively with the condition.
KEY POINT
It is important for people with chronic conditions to avoid labeling themselves with the disease (e.g., a diabetic, a heart patient, an arthritis victim) and instead, consider themselves people who happen to have the condition (e.g., a person with diabetes/heart condition/arthritis). This mind-set can be empowering in that people are controlling their conditions rather than being controlled by them.
Effectively Managing the Condition
Learning to live with a chronic condition often requires that new knowledge and skills be gained. This includes a review of the disease, conventional as well as complementary and alternative therapies that are used, medications and their effects, procedures for performing treatments (e.g., dressings, irrigations), care of equipment and special devices, and any necessary diet or lifestyle modifications.
Stimulating the Bodyís Healing Abilities
The body has tremendous abilities to fight disease, control symptoms, and prevent complications. Learning to stimulate these activities can assist in avoiding complications and reducing the need for medications and other treatments that carry risks. In some circumstances, complementary and alternative approaches (e.g., biofeedback, acupuncture, herbal medicine) can substitute for conventional treatments, as when relaxation exercises are used instead of a tranquilizer.
Preventing Complications
Chronic diseases and many of the conventional treatments used to manage them can increase the risk for infections, injuries, and other complications. For example, a person with emphysema can easily develop pneumonia from the secretions that pool in the lungs; medications used to treat hypertension can cause the person to have dizziness leading to falls; and poor vision can cause a person to misread instructions on a medication label and administer the drug incorrectly. Risks that a person may have based on his or her unique status and function need to be considered, and actions must be taken to minimize them.
Google Case Living Fully with Chronic Conditions Maximizing Quality of Life
Adhering to the ideal diet, taking medications exactly at the prescribed time, and avoiding experiences that could pose risk may keep the disease under control but at the expense of a decent quality of life. Although lifestyle modifications may be required to keep a chronic condition under control, it is important that the person control the condition rather than being controlled by the condition. Quality of life is an extremely important consideration.
Dying with Peace, Comfort, and Dignity
Despite the best care, decline and death will accompany some conditions, such as late-stage renal failure and cancer. For some persons, the time between diagnosis and death will be brief; for others there could be years of steady decline. Pain control, preservation of energy, comfort, and assistance in meeting basic needs become crucial. Emotional and spiritual support becomes important, also. Describing oneís wishes during the last stage of life in an advance directive helps to assure preferences and wishes are understood.
REFLECTION
How much sacrifice of normality and quality of life in the present would you be willing to make to add several years to your life?
Empowering One to Live Effectively with a Chronic Condition
Being proactive can assist individuals with chronic conditions to live in harmony with their conditions and enjoy high-quality lives. There are several actions that can empower people to achieve this positive state, such as selecting the right provider, becoming informed, getting support, and developing a positive mind-set.
Select the right provider.
Chronic conditions require regular, and sometimes frequent, contact with a health-care provider; therefore, it is crucial that the right provider(s) be chosen. In addition to having expertise in the area, the provider should:
ï Allocate adequate time for office visits and telephone consultation.
ï Communicate in a style and language that are appropriate for the patient.
ï Thoroughly explain and educate the patient about the condition and its management.
ï Welcome and encourage the patientís active participation in his or her care.
ï Be sensitive to the needs of the entire family unit.
ï Be open to using complementary and alternative therapies.
ï Demonstrate hope and optimism.
Become informed
Although a good health-care provider will explain and educate, each person needs to take responsibility for equipping himself or herself with knowledge. Investing time reading about the condition, prescribed treatments, treatment options, medications used, and resources is essential. If a person is unable to conduct this research independently, a family member or friend should be recruited to assist. Maintaining a file that contains information obtained, summaries of office visits with the health-care provider, drug fact sheets, resources, and other information can prove to be highly beneficial.
Google Case Living Fully with Chronic Conditions Get support
Living with a chronic condition is hardly a smooth journey. There are bumps in the road and detours from anticipated plans. Understandably, this can be a challenging experience that depletes physical, emotional, social, and economic resources. Eliciting support can help a person to carry the burdens faced. Support can be recruited from family, friends, faith communities, and support groups. Each person should identify the specific needs for which support and assistance are needed, such as accompaniment to doctorsí visits, doing Internet searches for treatment options, or visiting weekly to check in and offer encouragement.
Develop a positive mind-set
Rather than drowning in the demands imposed by a chronic condition and becoming overwhelmed and discouraged, each person can break down the demands into pieces and recognize his or her ability to address the pieces. By reflecting on his or her life in totality and identifying the challenges that have been successfully met, confidence can be strengthened. In addition, taking stock of capabilities, support systems, and other things to be thankful for can promote a positive mind-set.
REFLECTION
What do you have to be thankful for?
Google Case Living Fully with Chronic Conditions Summary
Growing numbers of people are being diagnosed with chronic conditions. Living with a chronic condition adds new challenges and responsibilities to oneís life that affects body, mind, and spirit. Fortunately, we live in a time when people can survive and live high-quality lives with these conditions. Being equipped with knowledge, good support, and a positive mindset enables a person to live effectively with a chronic condition.
Google Case Living Fully with Chronic Conditions Reference
Centers for Disease Control and Prevention. (2016). Chronic disease overview. Retrieved January 1, 2016, from http://www.cdc.gov/chronicdisease/overview/index.htm
Suggested Readings
Geisler, C. C., & Cheung, C. K. (2014). Complementary/alternative therapies use in older women with arthritis: Information sources and factors influencing dialog with health care providers. Geriatric Nursing, 36(1):15ñ20.
Ho, T. F., Rowland-Seymour, A., Frankel, E. S., Li, S. Q., & Mao, J. J. (2014). Generational differences in complementary and alternative medicine (CAM) use in the context of chronic diseases and pain: Baby boomers versus the silent generation. Journal of the American Board of Family Medicine, 27(4):465ñ473.
Lorig, K., Holman, H., Sobel, D., & Laurent, D. (2013). Living a healthy life with chronic conditions (3rd ed.). Boulder, CO: Bull Publishing.
Rich, M. W. (2016). Managing chronic conditions in older adults with cardiovascular disease. An issue of Clinics in Geriatric Medicine. Philadelphia, PA: Elsevier.
Teichroew, J. K. (2016). Chronic diseases: An encyclopedia of causes, effects, and treatments. Santa Barbara, CA: Greenwood Press.
Zembroski, R. (2016). Rebuild: Rebuild your body after disease, prevent chronic health issues, lose toxic fat, transform your body. Salem, MA
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Nike Spreading Out to Win the Race Read the “Nike: Spreading Out to Win the Race” case study on the corresponding Nike Case Study Analysis sheet(attached).
Nike Spreading Out to Win the Race Case Study
Complete the questions on the “Nike Case Study Analysis” sheet(attached).
Nike is indisputably a giant in the athletics industry. The Portland, Oregon, company is known worldwide for its products, none of which it actually makes. It has thrived by knowing how to stay small, focusing on core competencies, and outsourcing manufacturing.
But if you donít make anything, what do you actually do? If you outsource everything, whatís left? A lot of brand recognition, as it turns out.
Nike Spreading Out to Win the Race Case Study Behind the Swoosh
Nike continues to outpace the athletic shoe competition while spreading its brand through an ever-widening universe of sports equipment, apparel, and paraphernalia. The ever-present Swoosh graces everything from bumper stickers to sunglasses to high school sports uniforms. Nike products embody a love of sport, discipline, ambition, practice, and all other desirable traits of athleticism.
The company has cleverly kept its advertising agency nestled close to home but has relied extensively on outsourcing many non-executive and back office responsibilities to reduce overhead. Nike is structured around its core competency in product designónot manufacturing. It has taken outsourcing to a new level, with sub-contractors producing all of its shoes.
Nike Spreading Out to Win the Race Case Study and Whoops
Although outsourcing production hasnít hurt product quality, it has challenged Nikeís reputation for social responsibility, especially regarding work conditions and labor practices at some suppliers. In a move designed to turn critics into converts, Nike posts information on its website detailing every one of the hundreds of factories that it uses to make shoes, apparel, and other sporting goods. It released the data in conjunction with a comprehensive corporate responsibility report summarizing the environmental impact and the labor situations of its contract factories.
Nike also encourages designers to develop environmentally sustainable designs like the Nike Free, a lightweight running shoe that boosted sales dramatically. Nikeís Sustainable Business & Innovation Lab funds outside startups focused on alternative energies, more efficient approaches to manufacturing, and the promotion of healthy lifestyles.
Nike Spreading Out to Win the Race Case Study and Pesky Competition
Nike has so far balanced size and pressure to remain successful by leveraging a decentralized and networked organization structure. Individual business centersósuch as research, production, and marketingóare free to focus on their core competencies without worrying about the effects of corporate bloat.
This company has found continued marketplace success by positioning itself not simply as a sneaker company but as a brand that fulfills the evolving needs of todayís athletes and athletes-at-heart. Will Nike continue to profit from its organizational structure, or will it spread itself so thin that its competition has a chance to overtake it?
Source: Schermerhorn Jr., J.R., Bachrach, D.G. (2016) Nike: Spreading Out to Win the Race. In Exploring Management (Cases for Critical Thinking).
Nike Spreading Out to Win the Race Case Study and Case Analysis Questions
Answer the following in up to 350 words each.
Describe the factors that drive Nikeís decision to stick with some form of network organizational structure rather than own its manufacturing operations.
Assess why Nikeís choice of a decentralized and networked organization structure worked well for them.
Summarize the current state of competition in this industry. Assess if Nike continuing to pull away from rivals, or if they are catching up.
Assess whether Nikeís organizational structure is still a major strength that contributes to its success, or if it is creating problems that will call for organizational design changes in the future.
Determine whether a matrix structure could improve performance for Nike.
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