Questions Archives | Page 380 of 494

Identification of the illness Essay Paper

Identification of the illness

Order Instructions:

Introduction

While treating the chronically ill, a major challenge is developing a plan of care that addresses the specific needs of a patient and a caregiver. You need to be in close touch with patients and their support group, family and peers, to come up with an ideal plan.

In this course project, you are going to develop a plan of care for a chronic illness group of your choice. While executing the tasks of this project, remember that while you need to give a general overview of the biomedical considerations of the case, the focus should always be on the psychosocial elements. Your perspective in this care plan should be the patient’s goals rather than that of the medical team.

Each week, you will complete a part of this project. You will submit a final completed project in Week 5. This course project will count for 40 percent of your grade, so be sure to take the time to carefully complete each of the weekly assignments and then put it all together in Week 5.

Ensure that you save a copy of this course project after you have submitted it at the end of this course. You are expected to resubmit this project along with the other course projects at the end of the Registered Nurse (RN) to Bachelor of Science in Nursing (BSN) program. File Transfer Protocol (FTP) details will be provided in the Capstone course.

Identifying a Group

Identify an area of chronic illness (something in the area of oncology) of specific interest to you. Explain your choice and your interest in it. Prepare a questionnaire utilizing your knowledge of health and illness, with the aim of acquiring all information you need from patients to prepare a plan of care for the specific illness group.

Support your responses with examples.

Cite any sources in APA format.

SAMPLE ANSWER

Identification of the illness

The care for chronic illness requires articulate plans that involve the care giver and the patient. This is crucial especially in the oncology related illnesses. The chronic illness in the area of oncology that is addressed in this is cancer. Cancer illness has been on the increase in the recent times. Although there has not been a well known cause of cancer, this chronic illness has been associated with lifestyle that is subjective to the prevalent conditions for its development. There is interest in the care for this chronic illness because it subjects the patients to lots of pain and discomfort, hence, the need for nurses to articulate the care necessary for this chronic illness.

Much interest to this oncology chronic illness has emanated from the realization that early detection can lead to better treatment and even cure. On the other hand, for those that the detection comes a bit late, they are subjected to endure the bitter toil of the disease for the rest of their lives. Stricker & O’Brien (2014) observe that; this would interest a nurse in the making to choose this kind of ailment to develop the plan for care for it. The interest follows the urge to see that the patients of this chronic illness are subjected to a care that is well planned such that the pain and discomfort is minimized. It is also crucial that those patients live a fulfilling life despite the challenges of the chronic illness. In this sense, it would be crucial to have a plan that encourages and enables the patients to engage in the( healthy ) activities that they used to engage in before so as not to feel to have been thrown out of life by the illness.

It is also crucial to have a plan that enables the patients to engage in economical activities up to the maximum time possible. This is very crucial considering the economic impact of the illness. Cancer is associated with a lot of economical demands. This follows the high cost of the drugs and the processes employed in the treatment such as chemotherapy. Garland (2015) observes that; these utilize huge finances and if the patient comes from a weak background financial, it would be difficult to afford those services. Cancer illness also requires that the patient uses a healthy diet so as to boost the immunity. This is costly especially in consideration of the high cost of fruits that are much needed in the diet in order to keep a healthy diet.

In the preparation of plan of care, the interests of the patient as well as that of the care giver are put in to consideration. In order to come up with a viable plan for the cancer patients, it is crucial that the nurse making the plan considers the interest of the patient more than the interest of the care giver. Dulko, Pace, Dittus, Sprague et al (2013) note that; there is always expectation of difficulties to be encountered especially where there are languages or cultural barriers. However, the crucial point here is to engage the patient in the conversation and not just to have the plan in a document. In order to understand the interest of the patient it is crucial that the care giver engages in interaction with the patient to understand them well. This also calls for asking of questions to the patient so as to come up with a plan that is quite suitable for them. In order to acquire the required information, it is crucial that the involved nurse prepares the questions to be asked to the cancer patients in a bid to get direction to the care plan that suits them. Such questions would include:

Personal details: these include their name, age, gender and maybe some little background on them.

Specific diagnosis: It would be crucial for the nurse to establish whether the patient understands the specific diagnosis of their illness.

Initial treatment plan: The nurse should seek to understand what initial plans the patient had about the treatment of the disease. This helps the nurse to align the plan to the initial expectation.

Expected common and rare toxicities: The nurse establishes the toxicities expected and the allergies that the patient may have.

Who will take care of specific aspects of treatment and their side effects: this touch on the person that will be responsible in case the patient is subjected to conditions that do not allow them to be responsible for some of their personal issues?

Psychosocial and supportive care plans: the nurse asks the patient about the expectations of the patient about psychological and social support. For instance, I they would encourage visits to their residence to be guided on issues concerning the disease or if they would be willing to join support groups.

Vocational and financial concerns: For instance, would they still continue with their current jobs?

Advanced care directives and preferences: The nurse establishes the anticipation of the patient about advanced care directives and what they would prefer.

References

Dulko, D., Pace, C. M., Dittus, K. L., Sprague, B. L., Pollack, L. A., Hawkins, N. A., & Geller, B. M. (2013). Barriers and Facilitators to Implementing Cancer Survivorship Care Plans. Oncology Nursing Forum, 40(6), 575-580. doi:10.1188/13.ON

GARLAND, S. B. (2015). Planning Checklist For Chronic Illness. Kiplinger’s Retirement Report, 22(1), 1-4.

Stricker, C. T., & O’Brien, M. (2014). Implementing the Commission on Cancer Standards for Survivorship Care Plans. Clinical Journal Of Oncology Nursing, 1815-22. https://www.doi:10.1188/14.CJON.S1.15-22

We can write this or a similar paper for you! Simply fill the order form!

Sustainable Solutions Paper Available Here

Sustainable Solutions Paper

Order Instructions:

This paper is a continuation of 112582 and the writer must refer to that paper before completing this 6 points listed below. The writer will also note that he has to write and executive summary for the entire paper , he must follow the instructions for writing that summary and also the conclusion. The writer must also follow the instructions for written each level heading as indicated below

The writer will expand and elaborate more on this aspects of Apple Inc. listed below which is the company chosen for this paper. The writer will reference to #112582. For this paper the writer will start by giving an
Executive summary

Boid Analysis
Industry Evolution Modeling
Life Cycle Assessment
Sustainable Value Framework Analysis

Conclusions

For each Level 1 heading, provide a brief 2–3 sentence introduction to the section. This terse introduction is the only writing between the Level 1 heading and the first Level 2 heading for the section.

An introduction states the purpose of the section and provides a preview of the major points presented in the section. The introduction does not provide any descriptions or any synopses of the contents of the section.

A terse, brief scholarly description is provided for each concept/theory applied in the SSP. This terse, brief scholarly description is written first following the Level 2 or Level 3 heading section in which your analysis is completed. In other words, first provide a scholarly description of the theory you are using and then apply it in the analysis.

The conclusion should contain a definite, positive statement of what you have learned or call to action – but, that statement needs to be based on what you have provided in the paper/section. Remember conclusions are formed based on the linking of results of the analysis. Conclusions do not contain new analysis or introduce new information. When you form and write your conclusions, link/refer back in your writing to the results of your analysis to support them. Use a strong topic sentence to state your conclusion. The linkage/reference back to your analysis results is part of your paragraph development in support of your topic sentence. In some cases the topic sentence is succeeded or preceded by a transitional sentence linking the current paragraph/section to the previous one or providing background information.

SAMPLE ANSWER

Sustainable Solutions Paper

Executive summary

The paper aims to gain insights on how Apple Inc creates value and how it can improve in future by adjusting its systems. Apple is one of the most competitive companies in the world. The company deals in personal computers and other products such as iPhone, iPod, Smartphones among others. The pioneer founders of the company are Steve Jobs and Steve Wozniak.

The paper furthermore covers on various aspects including applying traditional strategic thinking, applying complexity analyses and applying systems and sustainability analyses focusing on Apple Inc. These tools capture on the bigger picture of Apple challenges and its future operations and profitability. Application of these tools as well provides a detailed analysis for the company to create long term viability and future success.

This sections covers on various aspects including stakeholder identification and value chain analysis, general forces analysis of Apple, porter five forces industry Analysis: industry environment and a detailed value chain analysis: internal environment, and detailed SWOT Analysis. Results from stakeholder identification and value analysis show the company to be focusing on the utility of its products for the customers to accrue maximum benefits. The focus of Apple is on the specific stakeholder such as the college students. The company employs a broad enterprise strategy as it aims to remain competitive in the market and accrue higher profits.

Results from General Forces analysis (GFA) indicates that threats stems from GFA subsection on government/military /legal. The company is expected to pay heavy taxes that reduce its profitability. Second threat is GFA subsection Economics as the company is faced with challenge of high expectation from customers hence, must remain at the top of the game. These therefore pose harm to future profitability of the company opportunities is on the increased consumer markets, through high promotion and advertisements and aligned with skills, competences and the capabilities of employees.

Results from Porters Five Forces reveals threats as supplier bargain powers and the increased rivalry in the industry from major companies such as Nokia and Samsung. These therefore have a negative impact on the company profitability. Opportunities include low bargaining power of buyers and wider consumer base.

Value chain analysis indicates that Apple value chain is successful when it comes to exploiting skills, strengths and capabilities to overcome the weaknesses. The strengths of the company include its firm infrastructure, research and development, HRM marketing and technology, logistics. The company is innovative and this has enabled it to remain competitive in the market.

The SWOT analysis is also used and it reveals the strategies and action plans that have contributed in positioning Apple strength, capabilities, skill to leverage opportunities, mitigate the weaknesses and protect it from threats (Apple Case Study, 2012). The company strength is based on its quality products and wider consumer bases. The company strategy type is on differentiated and customer relations. The company produces products that are of high quality and focused on target audiences. They as well focus on customer relations to attract and retain their customers. The paper as well applies complexity analysis by incorporating boid analysis, industry evolution modeling, life cycle assessment and sustainable value framework analysis. Boid analysis encompasses various issues that makes the company competitive such as use of success stories, producing products that meet the demands of the market. Industry evolution modelling has enabled the company to adapt to strategies that will enable it remain competitive in future such as use of software and hardware suitable to their business model. Life cycle assessment helps the company to make informed decisions and understand their strengths while sustainability value framework provide valuable information on strategic intent thinking and strategic planning to employ methods that promote sustainability and future profitability.

Boid analysis

Boid analysis is a tool that helps to enhance understanding of the attractiveness of the industry and the strategies that the company can adopt to remain competitive. The first rule that Apple Inc., has employed to create an attractive market is to invest in innovation. The company is producing products that meet consumers’ needs (Porter, 2008). The customer experience of using these products has contributed to its leadership in market. The products are therefore aligned to the market needs hence the leadership. The company has adopted an aggressive marketing and promotional strategy through success stories among others that has enabled it to retain competitive. The company strategy is in tandem with the customer demands as products delivered are aimed at satisfying the customers.

Industry evolution modeling

Evolution model is a concept that explains the continuous changes that organizations experience in a given industry. Apple has continued to evolve and to adapt to strategies as the industry grows and matures. The company adopted a guaranteed recurring cash flow focusing on customers that are not its regular consumers. It has as well developed a computing software and hardware that suits its model of business. The company produces its own mobile devices and iTunes that are suitable to its business model (Sahoo, 2012). The company as well has the capacity to make adjustments in the business model to ensure that it works or it performs better.

Applying Systems and Sustainability Analyses

These systems include Life Cycle assessment and sustainable value framework analysis.

Life Cycle Assessment

Company goes through various stages of development that usually play a critical role in informing their decisions and strengths. The stages of development or life cycles include development stage, start stage, growth state and expansion and maturity stage. Apple. Inc is at maturity stage and this means that it has experienced other stages to its current stage. At this stage, the market is competitive because of few and vibrant players that have managed to overcome or survive the previous stages (Harvard Business School Press, 2005). Because of this competition from other big players such as IBM, Nokia and Samsung, Apple. Inc must adapt to appropriate strategy to remain profitable. Some of the strategies that Apple has so far adopted is to differentiate its products from those available in the market. This has enabled it to remain competitive.

Sustainable Value Framework Analysis

Organizations nowadays are embracing the concept of sustainability because of the benefits it accrues to them. Entities have to embrace strategic planning and strategic intent thinking to reap the value of sustainability and remain competitive (Liedtka, 2011). Different measurements instruments can be used to measure the effectively of the sustainability initiatives in Apple such as through weekly reports, and evaluation results. Apple needs to ensure that it maintains continuous oversight to keep track of its objectives. Apple finds pride in its friendly work environment combined with motivated highly knowledgeable employees.

Conclusion

Apple Inc. is one of the companies that have continued to grow and spread across the globe. The company has managed to remain competitive in the iPhone and iPod markets across the world. It embraces innovation and creativity. It also focuses on meeting customer needs something that has enabled it to compete favorably with other larger players in the market such as Samsung, Nokia and IBM. The company as well applies high-end technologies to its product designs. The organization culture and work ethics have as well gone extra miles in taking the organization this far it has gone. The company profitability and future sustainability is evidenced by various tools employed in its analysis such as the generic forces, porters five forces, SWOT analysis and other complexity analysis tools such as boid analysis, industry evolution modeling analysis and Systems and Sustainability Analyses.

References

Apple Case Study. (2012). Apple Inc.: The Steve Jobs Effect. The Steve Jobs Effect, 1-16 https://www.worldcat.org/title/apple-case-study-the-steve-jobs-effect/oclc/809931001

Harvard Business School Press. (2005). Strategy: Create and implement the best strategy for your business. Boston, MA: Author.

Liedtka, J. (2011). Beyond strategic thinking: strategy as experienced. Rotman Management,28-33

Porter, M. E. (2008). The five competitive forces that shape strategy. Harvard Business Review, 86(1), 78–93.

Sahoo, D. (2012). Strategic Change of Campaign at Apple Inc. The Indian Journal of Management, 5(2), 38-48.

We can write this or a similar paper for you! Simply fill the order form!

Strategies for improvement of organizations

Order Instructions:

Dear Admin,

Note: To prepare for this essay please read the required articles that is attached

I need an essay in the following subject:

What are the special issues facing public sector organizations like the Highways Agency when it comes to designing and implementing a business improvement strategy?

What special issues would need to be faced by your company or another you know well? Explain with examples

1) The answer must raise appropriate critical questions.

2) Do include all your references, as per the Harvard Referencing System,

3) Please don’t use Wikipedia web site.

4) I need examples from peer reviewed articles or researches.

5) Turnitin.com copy percentage must be 10% or less.

Note:To prepare for this essay please read the required articles that is attached.

Appreciate each single moment you spend in writing my paper

Best regards

SAMPLE ANSWER

Introduction

Strategies for improvement of organizations are developed every so often. It is crucial for organizations to come up with strategies to ensure dynamism and constant improvement. In the course of development and implementation of the strategies, there are several issues that organizations face. While some ate challenges that impede the development and subsequent implementation of the strategies, others are stepping stones that work towards the realization of the goal. This discussion looks at some of the issues that emerge in the development and implementation of development strategies.

Having a Clear Focus

This is very crucial for every organization as it helps in cutting clear the direction. This involves looking at the vision and mission of the organization, and identifying whether or not they are in tandem with the goals of the organization (Armstrong 2006). Where necessary, the mission and vision will be revealed so that they are totally in line with the direction in which the organization seeks to move.

Benchmark

Benchmarking is yet another issue of great importance. It involves looking at what is considered to be best practice and using it to come up with a model that suits the needs of the business. In the strategy of benchmarking, an organization will look at all the services that they offer to the public. Questions must then be asked in form of a review as to the necessity of the services. The aspect of cost versus benefits and commercial interests must be carefully considered. There are some activities that organizations engage in as matter of routine and culture and of no benefit. Through a benchmark review, such activities are revealed and done away with.

One the services have been scrutinized and have been found to be necessary and of utmost importance, the second step is to carry out a self assessment. This involves seeking to establish how well the organization has performed in terms of delivery of the said services. In considering this aspect, a number of issues must be considered. Some of them include feedback from customers, projected profit margins as contracted to the actual sales among others.

It is after identification of the actual performance at present that strategies are put in place to bring about an improvement. Even when the organization is satisfied with the performance, there is always a room for improvement (Armstrong 2006). The organization will then come up with ways and means through which even better performance can be enhanced. It is crucial to remember that a public sector organization pays an important role as they set out the guidelines that are followed by all those in the industry. In the development of strategies, it is crucial to ensure that decisions are made with a sober mind in order to streamline the relations of the industry.

The next step is the implementation stage where all the changes that have been made are affected. This takes some time and has its fair share of challenges. Some of the challenges include the fact there might not be proper facilities and mechanism to absorb the changes. The personnel are also caught off guard and perhaps not fully ready to let go of what they are used to. Eventually, however, the change process is implemented and what follows are results.

Achievements

Having carefully and keenly implanted the strategy, the results that were realized were quite positive. In order establish whether or not the implementation of the strategy has worked a number of evaluation measures must be put in place. This will involve looking at the overall strategy that has been put in place. It will be crucial to identify if all the changes that have been effected have had any positive impact on the organization. In order to wholesomely conclude that the strategy is successful, every aspect of the strategy must be carefully considered and examined.

Special Issues that Ought to faced by Organizations

One of the special issues that should be faced by any growing organization is dynamism. Dynamism in this case refers to constant changes within the organization. These changes often occur as result of the dynamism in the sector or industry within which the organization is based. Dynamism is direct characteristic of growth. When an organization is moving from one level to another, changes are bound to occur (Armstrong 2006). An organization that is constantly in one place is an indication of lack of growth. This consequently may mean that an organization will not achieve the goals it had set out to achieve.

Of even greater necessity in organizations is the constant identification of areas of improvement. Organizations should not at any one time remain in comfort zones. When an organization is comfortable with its level of achievement, no great effort will be put. However, constant identification of areas that need improvement helps to keep the organization on their toes.

Another aspect that is importance is emphasis on offering products and services that are geared towards customer satisfaction. An organization must constantly keep in mind that the customer remains first in all decisions that are made. All the issues that have been discussed herein above are all done with the customer in mind. Organizations must ensure that they prioritize the customers (Armstrong 2006). Customer management and satisfaction has been identified as one of the pillars of successful organizations. At the end of the day, the most important aspect for public organizations such as the Highway Agency is quality delivery of services. For services to be considered to be of high quality, it means that those receiving them are happy and satisfied with the services. It is not always easy to achieve the highest threshold of customer management and satisfaction. It is for this reason that organizations must from time to time engage the customers. This will help the organization understand exactly the expectations of the customers and hence meet them. Engaging the receivers of service should be done often to cater for the dynamism that is characteristic of the various industries. The world is dynamic and so are the various sectors. This means that even the expectations of customers are likely to change with time.

Conclusion

There are various challenges as well as special issues that public organizations face. While the challenges and opportunities may not match, the most important thing to recognize is that customer satisfaction and happiness remains the most paramount. Organizations must endeavor to attain if not surpass the high bar that has been set by the clientele. Designing and implementing a strategy may sound simple. However, it will only be effective if all the factors that have been discussed herein above are incorporated.

Reference

Armstrong, M, 2006, Strategic reward: making it happen, London, Kogan Page

We can write this or a similar paper for you! Simply fill the order form!

Design and Implementation of Business Improvement Strategy

Special Issues in the Design and Implementation of Business Improvement Strategy: A Case Study of 24-7 Service Centre Company

Order Instructions:

Dear Admin,

Note: To prepare for this essay please read the required articles that is attached

I need an essay in the following subject:

What are the special issues facing public sector organizations like the Highways Agency when it comes to designing and implementing a business improvement strategy?

What special issues would need to be faced by your company or another you know well? Explain with examples

1) The answer must raise appropriate critical questions.

2) Do include all your references, as per the Harvard Referencing System,

3) Please don’t use Wikipedia web site.

4) I need examples from peer reviewed articles or researches.

5) Turnitin.com copy percentage must be 10% or less.

Note: To prepare for this essay please read the required articles that is attached

Appreciate each single moment you spend in writing my paper

Best regards

SAMPLE ANSWER

Special Issues in the Design and Implementation of Business Improvement Strategy:

A Case Study of 24-7 Service Centre Company

Introduction

The design and implementation of business improve strategies is not always an easy task for many public sector organisations.There are certain critical issues that they must face and meet failure to which their business could be at stake. Strategic planning is core in the fight for space in the ever competitive business market and this is why some organizations do better and keep on improving day by day than others. This case study focuses on the 24-7 Support Service, which a social service company based in Leicester City. There are quite a number of issues that this company has strived to put into consideration whenever a new business improvement plan is designed and implemented. Such issues are as discussed below.

Expertise

More often than not, the design and implementation of any new business improvement strategy calls for certain expertise. It therefore forces a company to source for personnel with specific skills that are commensurate with that particular area of improvement. According to Rasha & Fady (2013), human resource is a bank of ideas and knowledge and this is why a company that invests on it must always be successful because it has the capacity for creativity and innovativeness. 24-7 Support Service had wanted to advance its calls and rescue services. To do this, they had to acquire more IT personnel to improve the call system as well as medics and guards to aid in rescue operations.In addition to acquiring personnel from external sources, they also opted to train the existing ones as a way of improving their capacity.The issue of expertise therefore ought not to be taken for granted during any business development plan for any organisation.

Assessment

When coming up with a new business strategy, a company must first a foremost formulate an assessment method. Assessment is very crucial because it makes a company to know a particular area in their business that needs adjustment or improvement. It creates a sense of objectivity before any strategy is designed or adopted. Needs assessment in a company will enable the identification of various loopholes that might exist and therefore determines the corrective measure to be taken by the company (Seedee, 2012). This corrective measure must always be captured in a business improvement strategy.For instance, in the case of 24-7 Service Centre, assessment helped in knowing the minor details on what resources they needed, in what proportions and when should this to be effected.

Performance improve

As indicated by Harris, McAdam, McCausland & Reid (2013), it is only logical for a company to design strategies that will ultimately improve its business performance when implemented. Performance improvement is an aspect of the overall business improvement strategy. It has a direct bearing on the speed at which quality services are offered to clients. 24-7 Support Service had intended to increase the number of clients it serves every day. During the implementation of this new strategy, they had noticed a sharp increase in the number of clients served both during the day and at night and this was a plus on their side.

Customer satisfaction

Another key issue in business improvement is the focus on customers given that they are the determinants of the success or failure of a company. It is the interest of any company to be able to impress there customers with the kind of services and products that they offer because this will keep them coming over and over again. In addition, they could also influence other new customers to come and this will only happen in the event that they have achieved customer satisfaction (Harris et al., 2013). The betterment of call and rescue services at 24-7 Service Centre was able to enhance the satisfaction of their clients and this has made the company to become one of the leading social service centres within Leicester and its environs. The company is also well aware that it could be so costly to get new clients than to retain the existing ones and hence, they made customer satisfaction a very important aspect of their business improvement strategy.

Communication

The manner in which information is passed among the management, the employees and other stakeholders of company is also very critical during the formulation and implementation of a business strategy. It has been identified that the most successful approaches of communication in business are either bottom up or top down (Seedee, 2012). The effective flow of information in an organisation should always follow a particular order of hierarchy to avoid confusion or misinformation. This is because an organisation is a system made up of several organs and not an individual who can do or say anything at will. The success of 24-7 Service Centre is attributed to the fact that there was smooth flow of information and ideas from the management to the team players and vice versa.

Conclusion

The study on 24-7 Service Centre has identified very critical issues about strategic planning in businesses. All these issues are dependent on one another and whenever one is jeopardised, the remaining ones may not be effectively achieved given that they all form part of a system.

Reference list

Harris, R., McAdam, R., McCausland, I. & Reid, R. 2013, “Levels of innovation within SMEs in peripheralregions: the role of business improvement initiatives”, Journal of Small Business and Enterprise Development,vol. 20, no. 1, pp. 102-124.

Rasha , E.A. & Fady, R. 2013, “Business improvement using organisational goals, Riva technique and e-business development stages”, Journal of Enterprise Information Management, vol. 26, no. 5, pp. 577-595.

Seedee, R. 2012, “Moderating Role of Business Strategies on the Relationship between Best Business Practices and Firm Performance“, International Journal of Business and Social Science, vol. 3, no. 24.

We can write this or a similar paper for you! Simply fill the order form!

New leadership skills and dimensions

Order Instructions:

Dear Admin,

I need an essay in the following subject:

Today’s globalisation demands new leadership skills and dimensions, especially in the area of cultural intelligence. Earley and Mosakowski (2004) explain that cultural competence is more than rote memorisation of a culture’s practices and beliefs; it involves, among other elements, an adoption of a culture’s habits and mannerisms. They further elaborate that through the adoption of customs and use of culturally relevant gestures, global leaders demonstrate to peers they hold them in high enough esteem to want to emulate them.

In this week’s Collaboration you will engage with your colleagues in a further exploration of the global business environment and the leadership practices within. You will analyse cultural competencies based on the ‘Diagnosing Your Cultural Intelligence’ test on the following link:

https://hbr.org/2004/10/cultural-intelligence/ar/1

To prepare for this Collaboration:

Complete the brief test entitled, ‘Diagnosing Your Cultural Intelligence’ by Earley and Mosakowski (p.4). in the following link:

https://hbr.org/2004/10/cultural-intelligence/ar/1

Consider the challenges and opportunities in a global environment that require effective leadership practice.

Explaining how your cultural intelligence might have an impact on the challenges to leadership.

After identifying at least two specific global leadership challenges that are of particular interest to you.

Discuss the ways that your cultural intelligence are similar or different with regard to the two specific leadership challenges in today’s global environment

1) The answer must raise appropriate critical questions.

2) Do include all your references, as per the Harvard Referencing System,

3) Please don’t use Wikipedia web site.

4) I need examples from peer reviewed articles or researches.

5) Turnitin.com copy percentage must be 10% or less.

6) IMPORTANT NOTE: I need you to talk about the Egyptian culture as I am from Egypt.

Note: To prepare for this essay please read the required articles that is attached

Appreciate each single moment you spend in writing my paper

Best regards

SAMPLE ANSWER

Introduction

The dissolution of economic boarders has been the result of many business operations getting global. As more organisations get involved into mergers and acquisitions, one is highly likely to suppose that enhanced integration between nations, and the internationalization of organizations, would lead to the disappearance of cultural disparities. In reality, as economic boundaries get shattered, cultural barriers are usually erected, an aspect that presents challenges and prospects for the business (Aggarwa, R. 2011). However, various global leadership standards have been identified to be rather effective when applied specifically in a multinational setting. For instance, effective leadership in a global context should always be informed by the firm’s vision, mobilizing an individual towards change, serving by building emotional bonds and also by nurturing individual for future responsibility (Aggarwa, R. 2011). And yet leadership within a multicultural setting can only be effective if the leadership is willing to recognize cultural constrains. This is to say, leaders can only become influential if they are able to acknowledge limitations presented by cultural disparities and by adapting to the culture of a host company.

Challenges and Prospects of International Leadership

International leadership has become a serious challenge in the prose of global commerce, social issues as well as HRM and development. How to undertake international leadership proficiently in the increasingly intricate environment is critical to global business and workforce management. While technological evolutions present the prospect of global economy, in terms of how communication and business is executed, cross-cultural managers should put into consideration at global change as a challenge that comes with prospects for corporate and individual development (Ang and Van Dyne, 2008). Moreover, to be able to adapt rather fast to global transformation, global business educators and purveyors are expected to react swiftly to the effects of demographics, innovation and internationalization with a view to offering specific job skill development, when it comes to international leadership, work related ethics and endless learning (Aggarwa, 2011).

With an increasing demand for information-based organizations, it has become the obligation for both employees and the leadership to cultivate the success of workplace learning and career growth. International leadership in this case, is about building their interpersonal dexterity to manage racial gridlocks that have occurred and to develop persons and groups in the workplace. An effective global leadership should recognize what leadership is required and executed it accordingly (Ulrich & Smallwood, 2012). Persons with diverse cultural backdrops might differ in their view points and expectations of leadership. Owing to the largely Western as well as individualistic viewpoint, the extent to which leadership conjectures especially from the west is executed internationally is a subject of discussion in various quotas. Eastern leadership, for instance is the complete oppose from western leadership in terms of cultural customs and business practices.

To cultivate a timeless leadership, global leaders should demonstrate competence in cross-cultural consciousness and practice. It is therefore imperative to comprehend the importance of leadership and what is expected of it, and to be able to enhance and sustain competent leadership approaches for lasting change (Ulrich & Smallwood, 2012).

Creating Cultural intelligence

Livermore (2011) contends that organizations across the world can only hope to create cultural intelligence pegged on four drivers namely; drive, knowledge, strategy and action.

For organization to become CQ compliant, they need motivation to learn and acclimatize in an environment with diverse cultures. So it also starts with getting interested in knowing what brings to the fore a certain culture. To enhance the underlying motivation, exploration of new cultures and communities is necessary. Organizations should create voluntary projects employees to interact with various departments, firms and cultural groups in bid to building confidence (Earley and Ang, 2013).

While CQ is beyond learning different culture for the sake of learning, being acquainted with how culture shapes one’s behavior, values and belief system is critical. This is to say organizations should encourage employees within a multicultural setting to learn about a culture they find more appealing. This knowledge base will present them with the general outlook of cultural disparities; moreover, it will enhance their understanding of how persons from diverse cultures interact. It starts with the need to understand a country’s chronological account when relocating there, or when assembling a team of local employees (Livermore, 2011).

Organizations that expect to realize this goal have no option but to come up with a strategy that guides their bid to enhance CQ across the company. This approach should stem from what employees have learned from their cultural consciousness, while making strong, cultural schedules in the end. For instance, an employee from South East Asia may consider that saying No is being discourteous (Bhagat, 2006). Why? It would be critical for instance to have a close understanding of how masculine and individualized societies react at any given point. Employees from the west for instance, are brought up with capitalistic mindset where individual success matter a great deal over collectivism. In the same breadth, it requires any company to understand the employees from the East for instance, have been cultured in a masculine society where group efforts are valued over individual input. With this background, it becomes important to keep notes of cultural observations in a multiplicity setting as the best to resolving cross-cultural problems. Ultimately, CQ is about enhancing cultural interaction at work.

This is the last component of cultural intelligence that is associated with behavior and especially the technique used in adapting when things do not work as planned. In most instances, cross cultural interactions are not always smooth, as such, it’s important to think while being in control. For example, an organization should learn business etiquette of the culture they are working to present them with that culture not just business but also social practice (Livermore, 2011). When it comes to observing a different culture, the organization should keenly concentrate to way is going on around. For instance, conversion style, voice intonations and body language. This will help the organization a detailed understanding and effectively interact with that culture.

Conclusion

While the 21^st century is increasingly becoming global, our common human is shrinking day by day, as we get closer and closer. In this respect, as the world gets more integrated, cross-cultural intelligence becomes a critical element. This is evident in modern organizations where employees stem from a diversity of backgrounds. At that point, the issue of CQ has a huge bearing when it comes to corporate leadership and management (Ang and Van Dyne, 2008). Based on the paper CQ allows employees to adapt easily within a multiplicity environment. With CQ, employees are able to sermon cultural strategic thought processes, motivation and behavioral thinking. Managers on the other will be faced with the challenge of working in a multicultural setting. Without CQ, the manager may find it hard to identify the subtle cultural disparity that is usually the genesis of many organization hitches.

Bibliography

Aggarwa, R. 2011. Developing a global mindset: Integrating demographics, sustainability, technology, and globalization. Journal of Teaching in International Business, 22(1), 51- 69.

Earley, P.C. and Ang, S. 2013. Cultural Intelligence: Individual Interactions across Cultures. Stanford Business Books: Stanford.

Ang, S. and Van Dyne L (eds). 2008. “The Handbook of Cultural Intelligence.” New York: ME Sharpe.

Livermore, David A. 2011. “The Cultural Intelligence Difference.” New York: AMACOM,

Bhagat, Rabi S. 2006. “Rev. of Early and Ang, Cultural Intelligence, and Hooker, Working Across Cultures“. Academy of Management Review 31 (2): 489–93.

Ulrich, D., & Smallwood, N. 2012. What is leadership? In W. H. Mobley, Ying Wang, Ming Li (ed.) Advances in Global Leadership (Advances in Global Leadership, Volume 7), Emerald Group Publishing Limited, pp.9-36.

We can write this or a similar paper for you! Simply fill the order form!

How we learn is more important than what we learn

Order Instructions:

Write a 1200 word argumentative essay that draws on a minimum of four quality sources including at least one from the unit readings.

How we learn is more important than what we learn”

SAMPLE ANSWER

With the current technology, the most appropriate means of acquiring knowledge is via addressing the process of learning instead of what is being learned. There exists various learning methods where the best one, as well as the most appropriate, is being selected. Learning becomes difficult and problematic when the appropriate style is not realize. However, when the appropriate method is being recognized as well as the necessary steps, learning proceeds smoothly and results in improved results. In this essay, various ways of learning that are mostly being preferred are going to be discussed.

The learning style involves the way of studying and learning. It includes processes such as the learning in groups as opposed to alone or learning in the structure instead of unstructured and freer manner. Also, preference for learning of an individual refers to an intellectual approach learning and thus it has in important direction on the proceeding of various individuals in learning[1]. Learning preference also involves the conditions that include the environmental, emotional, physical and sociological. The three major learning styles are the Visual, Auditory, and Kinesthetic. Visual learners prefer learning via seeing such as in diagrams maps and graphs since they have good visual memory. The auditory learners prefer learning via hearing, saying and listening since they have best auditory memory hence benefiting from discussions, lectures interviews, and audio tapes. The kinaesthetic learners prefer to learn via doing and touching since they are best at recalling the events and can associate physical experiences or feelings with memory. However, it is clear that most of human brain blends the three classifications hence the best combination should be selected to facilitate learning.

According model of student engagement in learning, the engagement of the student in the process has a significant importance and make much difference since it serves as the framework for learning. The students should participate in the discussion where the question are being involved. The educators use the feedback of the students, and this gives them an easier task on accessing the progress of the learning of the student. It is a best idea that was being brought about through the analysis of the promotion of the students[2]. According to the analysis that was being carried out by the educators, the automatic promotion of the students hinders negatively the learning process. It is because the students no longer bother about the grades since academic success does not affect their promotion. Hence, it leads to students avoiding to do their work. The student who is found not to be caring. From the first principle of learning, the students, teachers and parents should care about the education as well as the learning process[3]. The students who care about the education should be encouraged to continue with their methods of learning while the students who do not care about learning should be forced and encouraged to do so. It helps in building the culture of thinking and enhances the learning process rather than what is being learned. To support this, it is not an easy duty, and it requires the annoying task that have the connection with goals that have meaning. Radical changes are being needed in the system of learning since most of the trained people are passive learners. They tend to memorize the content, which is just other people’s talking’s rather than using its words in conversation.

There is much power of social connection in enhancing learning via the formal education that is relevant to the society. It also increases the engagement to the underscore of the intensely personal, engaged, invested aspects of learning in a democracy. The social connection involves the connection to family, neighbors, friends and the democratic structure. The Poor social relationship has been leading to weakness in the emotional and social status of an individual. It is being brought about by the much attendance of the meeting and leading to the minimum time being spent with neighbors, friends and others[4].

Of all the possible learning techniques that exist, it has been found that the learning together persists to be the best. It helps in the process of connecting learning to experience and connecting the learner to one another. From the study that was being done at Harvard, it was being found that almost all people learn from each other. Also, it was found that learning together, irrespective of the things being taught, proves to be motivating, effective and excellent for knowledge retention. Learning together also plays a significant role in keeping people learning both formally and informally.

Online learning is enhancing learning too via the creation of much synchronous or asynchronous interactive learning communities[5]. It makes broadly brings out a vivid clearance between success or failure and retention or dropping out. It offers the connective support and connected support to several individuals that are being isolated across distances and among the learners from different backgrounds. Thus, online learning is calling for the need for future initiatives to devise ways of connecting learners with the entire world and all over the knowledge map of higher education to facilitate together learning.

References

Ballard, B and J. Clancy. 1984. Study Abroad: A Manual for Asian Students. 60. Kuala Lumpur: Longman.

Cormier, David. 2014. ‘Learning’s First Principle – The Most Important Thing I Learned This Year | Dave’s Educational Blog’.http://davecormier.com/edblog/2014/12/21/learnings-first-principle-the-most-important-thing-i-learned-this-year/.

Davidson, Cathy. 2015. ‘Why Are We Still Learning Alone? Why Connection Is More Important Than Ever.http://www.hastac.org/blogs/cathy-davidson/2015/02/23/why-are-we-still-learning-alone-why-connection-more-important-ever-f.

Pritchard, Alan. 2008. “Learning Styles.” Studying and Learning at University: Vital Skills for Success in Your Degree, 18-22. London, UK: Sage Publications.

[1] Pritchard, Alan. 2008. “Learning Styles.” Studying and Learning at University: Vital Skills for Success in Your Degree, 18-22. London, UK: Sage Publications.

[2] Ballard, B and J. Clancy. 1984. Study Abroad: A Manual for Asian Students. 60. Kuala Lumpur: Longman.

[3] Cormier, David. 2014. ‘Learning’s First Principle – The Most Important Thing I Learned This Year | Dave’s Educational Blog’.http://davecormier.com/edblog/2014/12/21/learnings-first-principle-the-most-important-thing-i-learned-this-year/.

[4] Davidson, Cathy. 2015. ‘Why Are We Still Learning Alone? Why Connection Is More Important Than Ever.http://www.hastac.org/blogs/cathy-davidson/2015/02/23/why-are-we-still-learning-alone-why-connection-more-important-ever-f.

[5] Pritchard, Alan. 2008. “Learning Styles.” Studying and Learning at University: Vital Skills for Success in Your Degree, 18-22. London, UK: Sage Publications.

We can write this or a similar paper for you! Simply fill the order form!

Breaching Experiments Research Paper

Breaching Experiments

Order Instructions:

The first part is a description (the who, what, where, when) of the breach you conducted. I don’t want this part to be overly analytical of other people’s behaviors or your own. I want you to describe the breach in as much hard-boiled detail as you can. In other words, I want you to describe your techniques for creating trouble in a familiar scene of life.

The second part of this write up is analytical. I want you to (1) identify the social norm you breached, (2) discuss how other people responded to your breach, and analyze the “repair work” of other people in order to bring the situation you breached back to “normal.”

The first and second parts must be between 500-600 words each. Total length of this assignment: 1000-1200 words.

SAMPLE ANSWER

Breaching Experiments

Breaching experiments concept relates to the work of Harold Garfinkel and aims at examining the way people react to violations of social norms or rules commonly accepted by the society (Rafalovic 156). Different people react to situations they do not anticipate in different ways. This paper therefore deliberates on the techniques for creating trouble in a familiar scene in life and identifies the social norm breached, how people responded to the breach and repair work that helps to bring the situation to normal.

In our day-to-day lives, we breach these social rules and norms even without ourselves noticing. The reactions of people close to us in most cases indicates that one has done something or reacted in a manner that is not socially accepted or anticipated. Sometimes people may as well create trouble in familiar scenes of life full aware of what they are doing. As an individual, I have find myself acting and behaving contrary to the social norms and rules. This has happened at various occasions at home, school and even at my workplace. Most of the times, this has happened with my full awareness but some instances have happened without my understanding and awareness. For instance, when I was at school, I could find myself asking for clarifications during conversation with my friends on various topics. At the time, I could not understand what exactly I was doing. The technique I can say that I use to cause trouble in situations that I am familiar such as home is the use of background expectancies. This technique enabled me to interpret and decide on how I should behave or act in specific social situation. I do understand that situations and circumstances do vary and the expectation of the people around you as well may vary based on their socialization and other factors such as level of education and so forth. I would make these background expectancies visible by becoming a stranger to the life implying that I produce disorganized interactions n as a way of exemplifying how the structures of activities people engage in on daily basis are created and maintained. For instance, in our culture, it is expected that people of young age show respect to their elders. As a sign of showing respect, the younger is expected to give a seat to an elderly. Doing contrary to this in a society is viewed as going contrary to the social norms and even will lead to ridicule from the members of society. Therefore, in such scenarios, my technique for creating trouble is based on first analyzing the situation and the expectations of the society. The technique I use in such cases is to ignore that I am not aware of what is going on. These behaviors therefore shield me from the public ridicule. Therefore, it becomes very important to understand how to act in these situations to salvage oneself from the wrath of the society who my perceive that you have gone astray. Such behaviors as well contribute to trouble as it elicits criticisms from the members of the society.

Part 2

In our day-to-day interactions, we breach many social norms and rules, some of the norm that people breach are consciously breached while others are not. One of the social norms I breached is failing to respect the queue until my turn to receive service comes. This situation occurred when I visited a bank to deposit my cheque. The queue was long and I was in a hurry. I was tempted to breach the rules and pass a number of people that were already in front of me. It is social norm for people in my culture to follow queues as a sign of respect when waiting for services. The social norms that they use are based on the premise of first come first served. Therefore, coming late and passing those already on the queue is an offense to people especially those that came before you.

When I walked to the counter, people on the queue reacted differently. The bottom line of their reactions was anger and feeling of disrespect. I remember one of them shouting at me and telling me to stop disrespecting them. He was so furious and shouted to an extend that he caught the attention of the people around the bank seeking other bank services. Another person, rebuked me and insulted me, ‘these young people are manner less”. Another person summoned the security officer at the entrance and told him to prevent behaviors of people that are not patient enough on queue threatening that he would also jump the queue if the situation was not contained. I remember one young man who came and tried to grab me and through me out of the queue claiming that, I was not acting in a civilized manner. Their facial expressions and body movements annoyed many of the people. The faces of people I have jumped were pale and full of creases, some begun murmuring and throwing their hands in the air as a way of expressing their annoyance. They exemplified these behaviors in a glimpse of time I decided to breach the norms and jump the queue.

Bringing the situation back to normalcy took some considerable time. The people that had been angered by my actions would not let this habit go on. They had to do what is known as’ repair work’ to contain the situation and curb such incidence of people passing the queue. They vowed in unison to gang against any person that would not follow the queue. They resolved that no individual should allow any person not formerly on the queue to jump them. They as well had to report the matter to the security officer so that he ensures that all the people that need services follows the queue and no one should pass others. I had also to ask for their forgiveness. I had to talk to them and inform them what drove me to behave in this manner and requested for their forgiveness. Many of them even though could not accept my apologies; it however helped to bring their tempers down. The only mistake I did is that I did not inform them or sought the intervention of the person in charge to request me jump over the queue.

In conclusion, as human beings were are expected to act and behave consistent with the social rules and norms. However, we found ourselves acting and behaving contrary to these expectations. It therefore, important to remain sensitive about our behaviors and circumstances we found ourselves to avoid breaching some of the social norms and rules.

Work cited

Rafalovich, Adam. “Making sociology relevant: The assignment and application of breaching experiments”. Teaching sociology 34.2 (2006): 156–163. Print. https://www.jstor.org/stable/20058471

We can write this or a similar paper for you! Simply fill the order form!

Individual Reflection: Reflecting on the Topic of Budgeting

Order Instructions:

NB/THIS UNDERGRADUATE PAPER NOT A HIGH SCHOOL PAPER

Assignment 2: Individual Reflection: Reflecting on the Topic of Budgeting
Reflect upon the following in terms of the practices of your organization, providing actual examples and scenarios to illustrate your points. Note that if you are not currently employed in a finance or accounting position, you may need to set up a meeting with the person at your organization who can help you to answer the questions included below which are organization-specific.

The Assignment:

Explain how forecasting compares to budgeting.
Identify the key components of the master budgeted income statement.
Identify the key stakeholders in the budgeting process at your organization.
Explain some of the key planning assumptions used in your organization.
Explain how your new understanding of these concepts will impact your decisions in your organization.

SAMPLE ANSWER

Individual Reflection

Question one

Forecasting resembles what is known as the budget. The mechanics applied to come up with forecasting are also the same to that of a plan. However, forecasting is different from a plan. This is due to how it is been used and the type of the data it contains. If the management is able to use the forecasting wisely, it will be a major tool that will ever ensure that the company will never go out of cash. Forecasting helps the management or a company to make informed decision and help adjust to the existing plans according to the latest information available public or private. Company use forecasting as an educated goal and as a budgeting objective, (Lal, & Srivastava, 2009, pg. 887).

Question two

Operational budget

This comprise of the company’s sales, production, direct materials cost, direct labor costs, administrative cost and the cost of goods manufactured. These categories all have their own budget and the most component is sales.

Financial budget

It comprises five different categories. The expected amount for each quarter for a SMEs will vary different, the schedule of the expected cash inflows is based on forecasting such as sale revenues, the cash budget, statement of income stamen and the statement of financial positions of all the budget cash.

Question three

Internal stakeholders

Customers, staffs, and training department

External stakeholders

Project managers and developers

Question four

The organization has the necessary and quality products and services that the consumer want and the company is in a position to produce and sell at a profit, (Vego, & Naval War College U.S. 2009, pg. 32).

Question five

This new concept will help to be able to forecast the expected future cash inflow and outflow of the company major components of the main budget. Also, the budget planning will have to involve all the primary stakeholders. This will help to come up with informed public and private information that will guide the company financial in a given fiscal year.

References

Lal, J., & Srivastava, S. (2009). Cost accounting. New Delhi: Tata McGraw-Hill.

Vego, M. N., & Naval War College (U.S.). (2009). Joint operational warfare: Theory and practice. Newport, RI: Naval War College.

We can write this or a similar paper for you! Simply fill the order form!

Using Performance Reports to Inform Organizational Decisions

Order Instructions:
Application: Using Performance Reports to Inform Organizational Decisions

Very often, managers are called upon to make decisions “by the numbers.” In this Assignment, you will sort through information provided from the fictitious Honey Bear Confections (HBC) organization in order to glean information you need to make decisions about productivity levels.

HBC is a small organization dedicated to making bear-shaped sweets with honey as a sugar substitute. You have just been promoted to a position as manager of the production department at Honey Bear Confections when your supervisor shows you the following report. She tells you to “get it fixed.” You suspect she is alluding to a problem with productivity and efficiency.
To prepare for this Assignment, begin by reviewing the information below. Additionally, you may find valuable information in your course text, especially Example 6-3.

Honey Bear Confections
Manufacturing Overhead Static Budget Report
For the Month Ended June 20XX
Budget Actual Variance (U of F)
Production in bags of candy 10,000 12,000 2,000F

Costs:
Indirect labor $26,000 $31,200 $5,200U
Supplies $25,000 $29,500 $4,500U
Utilities $19,000 $22,500 $3,500U
TOTAL $70,000 $83,200 $13,200U

The Assignment:
o Prepare a performance report using spreadsheet software, such as Excel.
o For the next section of this Application, please utilize a word processing software (such as Word) to complete the following:
o Write a short memo to your supervisor explaining your findings and your recommendations.
o In your memo, as part of your recommendations, take a position on the following: Do all the variances in this example need to be examined? Why or why not?

SAMPLE ANSWER

Memo

To: Supervisor HCB company

From: financial analyst

Date:

Dear sir/madam

Ref: PERFORMANCE REPORT

From the above information, it can be deduced that the company should follow the budgeted cost rather than use the actual cost.

Yours faithfully

The actual cost for the production of 10000 and 12000 variances should be considered because they bring loss to the company.

References

Brockett, A., & Rezaee, Z. (2013). Corporate sustainability: Integrating performance and reporting. Hoboken, N.J: Wiley. https://www.wiley.com/en-us/Corporate+Sustainability%3A+Integrating+Performance+and+Reporting-p-9781118122365

Vreeland, D., & Vreeland, A. (2013). Memos: The Vogue years, 1962-1971. New York: Rizzoli International Publications.

We can write this or a similar paper for you! Simply fill the order form!

Non-Small Cell Lung Cancer Assignment

Non-Small Cell Lung Cancer

Order Instructions:

its the same essay you advertised dated 8 April 2014(symptom management case study)my case study is about a patient newly diagnosed non small cell lung ca .contact me on my email if need clarification,its more reliable,supported relevant evidence should be no more than 5 years.

SAMPLE ANSWER

The case study is about a 72-year old female patient (Jane) that has been diagnosed with non-small cell lung cancer (NSCLC). The woman has three adult children that don live with her. Unfortunately her husband passed away and she has no one to take care of her. It is for this reason that Jane needs nursing care.

Non-Small Cell Lung Cancer

Most of the patients that have been diagnosed with this illness have smoked in sometime in their past or are smoking. However, some of the other factors that result in the development of NSCLC include; radon (a radioactive gas commonly found in rocks and soil), air pollution, radiation therapy to the chest, asbestos, and HIV/AIDS (Kitchens, Kessler & Konkle, 2013, Pg. 89). It is also hereditary.

Symptoms of NSCLC

Mostly, lung cancer cells do not cause symptoms until they have spread many organs. However, symptoms have been detected in NSCLC. Patients with NSCLC have the following symptoms;

A persistent cough that keeps worsening
Pain in the chest. The pain gets worse when the patients breathe deeply, cough or laugh (Giaccone, 2012, Pg. 37).
Hoarseness
LOSE weight as well as appetite.
Cough up rust-colored sputum or blood
Have short breath
Fatigue
Have recurrent infections of bronchitis and pneumonia
Wheezing

NSCLC begins severe and spreads to other body organs. At this stage, the patients experience pain the bone, neurologic changes such as headaches, numbness of the arms, problems in balancing, and dizziness (Leary, 2011, Pg. 45). When NSCLC affects the liver, the patients’ skin becomes yellow (jaundice). When NSCLC affects the lymph nodes and the skin, lumps start developing on the body surface. Most of these conditions are likely to be caused by other conditions apart from NSCLC.

Consequences of the Symptoms to the Patient and the Family

When serious disease or disability strikes a person, the whole family is affected by the illness process as well as the entire health care experience. In the case study, Jane’s illness disrupts her whole family. Her illness has made her sons change their lifestyle and take on some role functions of Jane, which in turn has affected their normal role functioning. For instance, the eldest son, who is also a father of two, has been forced to take leaves to console his mum. His sons have also been forced to arrange for their parents care.

Jane’s illness has also caused additional strain due to economic problems and interruptions. NSCLC requires expensive therapy procedures and costly medications too. However, on a positive note, Jane’s illness has brought her family close together. She has had the opportunity to re-unite with her sons who have been busy all through. The sons have been forced to adjust their priorities and forgo some plans to just take care of their ailing mum. They also live in fear of their mum passing on.

To Jane NSCLC has caused her to undergo immense suffering. She feels a lot of pain that causes deep sorrow. She has lost her weight and has no appetite; she even sometimes regrets and feels as if she is a nuisance to her sons by making them visit her every now and then to confirm how she is fairing. NSCLC is a life-threatening disease; its symptoms have trouble Jane to a point that she feels that she should just rest in peace instead of going through intense suffering. This has led to Jane being assigned counseling officers to encourage her and let her know that there are some patients that were in the same condition that she is in but have then recovered and resumed their normal duties.

Goals of Care

Every person and every illness is peculiar. After patients such as Jane have been diagnosed with NSCLC, nursing care is aimed at;

Relieving pain and other NSCLC associated symptoms
Addressing patients’ spiritual as well as emotional concerns of the patient and their families.
Coordination of care
Improving the patients’ quality of life during their illness.

For instance, a palliative care nurse has been assigned to Jane. The nurse prescribes medications and other therapies to help treat Jane’s pain, shortness of breath, constipation, and other symptoms. Jane also has a social worker who has been charged with the responsibility of acting as Jane’s advocate on her behalf and family. She also has a chaplain who offers her spiritual support and aids her in exploring her values and beliefs. The care is also aimed at updating Jane’s family on her progress and necessary medical information.

Nursing Care Plan for NSCLC Patients

Nursing care for patients suffering from lung cancer deals with comprehensive supportive care and educating patients on how to reduce the complications they are experiencing with an aim of speeding recovery from radiation, surgery, and chemotherapy (Almeida & Barry, 2011, Pg.67). The following are nursing’s care plans for patients with lung cancer;

(I)Impaired Gaseous Exchange

Impaired gas exchange is associated with a change in the supply of oxygen and a decreased oxygen carrying capacity of the blood. Patients present with cyanosis, restlessness, dysnea, and hypercapnia (Kumar & Eng, 2014, Pg. 26). Nursing care plan is provided to the patients with these symptoms with an aim of improving ventilation and sufficient oxygenation of body tissues. The care plan also targets freeing symptoms of respiratory.

Nursing Interventions

-To achieve the above patient outcomes, nurses should examine respiratory rate, depth, and ease of respirations. They should also monitor accessory muscles, variations in the color of the mucous membrane, pursed-lip breathing, and cyanosis (Lam & Cavallari, 2013, Pg. 73). Patients may have an increased respiration as a result of pain or as a compensatory mechanism that is triggered in order to accommodate the loss of lung tissue.

-Nurses should also auscultate the patient’s lungs to examine movement of air or abnormal breath sounds.

-Restlessness and variation in mentation or consciousness should also be investigated. This procedure may demonstrate high levels of hypoxia and mediastinal shift complications that could be accompanied with tachycardia (Newman, 2010, Pg. 851).

– Evaluation of the patients’ response to an activity. Nurses should allow patients to have rest periods and reduces activities to promote patient tolerance. Surgery and increased consumption of oxygen can lead to dysnea. However, patients should participate in early mobilization to aid in preventing pulmonary complications as well as obtain efficiency in their circulatory and respiratory systems.

– Finally, nurses should monitor and record ABGs and levels of hemoglobin (In Matzo, & In Sherman, 2015, Pg. 143). Low partial oxygen concentration and high carbon dioxide may necessitate the need for ventilator support.

(ii)Impaired Airway Clearance

Can be linked to restricted chest movement, fatigue, and increased secretion of mucous in the airway. Patients present with dysnea, abnormal sounds of breath, and ineffective cough (Kumar & Eng, 2014, Pg. 243). Nurses provided care that is aimed at clearing these abnormal sounds and decreasing secretions.

Some of the interventions that are involved include;

Observing the amount and appearance of sputum and other aspirated secretions. Initially, increased amounts of watery, colorless or blood streaked secretions are normal (Davey, 2012, Pg. 67). However, such secretions should decrease as the patient progresses with recovery.
Patients should be encouraged to have oral fluid intake of approximately 2500mL/day within tolerance of the cardiac activity. This is because adequate hydration helps in keeping secretions loose and also promotes expectoration.
Clinicians administered bronchodilators, analgesics, and expectorants. This will aid in improving airflow, increase production of mucous, liquefy, and reduce viscosity of secretions.

(III)Acute Pain

The pain may be due to surgical incision, disruption of nerves, and tissue trauma. Chest tubes and invasion of NSCLC into the pleura may also be a cause of pain (In Palmer, In Brown & In Hobson, 2013, Pg. 56). Clinicians will learn that patients are experiencing pain when the patients have verbal discomfort, guard the area that is affected, are restless or have changes in blood pressure and respiratory rate.

Nursing Care Interventions

-Care providers should evaluate the patients’ verbal and non-verbal pain cues whereby discrepancy between non-verbal and verbal cues would indicate the degree of pain.

– They should encourage measures that minimize pain such as changing the patient’s position, supporting them with pillows, and back rubbing patients.

Barriers of NSCLC Symptom Management

Poly-pharmacy

Studies have shown that cancer is associated with 13% increase in medical use (Jeremić, 2011, Pg. 92). Some of the factors that result in poly-pharmacy include age-related physiologic changes and multiple chronic conditions. When cancer patients take multiple drugs, adverse drug reactions take place. This poses as one of the biggest threat in management of cancer patients.

Frailty among older patients who might have experienced loss of organ function and general decline of overall health is also a barrier in management. Frail patients require careful considerations of appropriate non-pharmacologic and pharmacologic approaches.

To aid in tackling some of these barriers care providers may use non-pharmacologic practices such as acupuncture, Tai Chi, yoga or acupressure which have been reported to have tremendous positive effect in cancer survivors (Ellis, Calne & Watson, 2011, Pg. 231).

References

Giaccone, G. (2012). Systemic treatment of non-small cell lung cancer. Oxford: Oxford University Press.

Kitchens, C. S., Kessler, C. M., & Konkle, B. A. (2013). Consultative hemostasis and thrombosis. Philadelphia, PA: Elsevier/Saunders.

Ellis, H., Calne, R., & Watson, C. (2011). Lecture Notes: General Surgery. New York, NY: John Wiley & Sons.

Perry, M. C., Doll, D. C., & Freter, C. E. (2012). Chemotherapy source book. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins.

In Palmer, K. T., In Brown, I., & In Hobson, J. (2013). Fitness for work: The medical aspects.

Jeremić, B. (2011). Advances in radiation oncology in lung cancer. Berlin: Springer.

Rohde, G., & Subotic, D. (2013). Complex Pleuropulmonary Infections: European Respiratory Monograph 61. Sheffield: European Respiratory Society.

Sinclair, A. J., Morley, J. E., & Vellas, B. (2012). Pathy’s Principles and Practice of Geriatric Medicine. New York, NY: John Wiley & Sons.

Taktak, A. F. G., & Fisher, A. C. (2012). Outcome prediction in cancer. Amsterdam: Elsevier.

Davey, P. (2012). Medicine at a Glance. New York, NY: John Wiley & Sons.

In Matzo, M., & In Sherman, D. W. (2015). Palliative care nursing: Quality care to the end of life.

Kumar, D., & Eng, C. (2014). Genomic Medicine: Principles and Practice. Oxford: Oxford University Press.

Lam, Y.-W. F., & Cavallari, L. H. (2013). Pharmacogenomics: Challenges and Opportunities in Therapeutic Implementation. Burlington: Elsevier Science.

Roth, J. A., Cox, J. D., & Hong, W. K. (2011). Lung Cancer. New York, NY: John Wiley & Sons.

Small cell lung cancer: New insights for the healthcare professional (2011 edition). (2012). S.l.: Scholarly Editions.

Newman, W. G. (2010). Pharmacogenetics: Making cancer treatment safer and more effective. Dordrecht: Springer.

Almeida, C., & Barry, S. (2011). Cancer: Basic Science and Clinical Aspects. New York, NY: John Wiley & Sons.

Pass, H. I., Pass, H. I., & International Association for the Study of Lung Cancer. (2010). Principles and practice of lung cancer: The official reference text of the IASLC. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins. http://www.academia.edu/11476728/Principles_and_Practice_of_Lung_Cancer

Leary, A. (2011). Lung cancer: A multidisciplinary approach. Chichester, West Sussex, UK: Wiley-Blackwell.

We can write this or a similar paper for you! Simply fill the order form!