Operations Management: Incident and Disruption Management
Order Instructions:
Please read the pages, beginning from where it says “Case Study: Convex Productions, Revisited” on the first page. I only need an answer for question number 1 on the third page. It does not necessarily have to be one entire page, just enough to answer the question. No sources or references needed either. Thank you
SAMPLE ANSWER
Operations Management: Incident and Disruption Management
In the event Convex Production plans to produce Native Sun, it is prone to many risks. One of the risks is human related risks, which most of the cases are inevitable. For example, a leading actor in the Native Sun might die unexpectedly. In some incidents, actors may become sick with flu when filming in places such as in London. The production of Native Sun is not limited to financial risks. This is because Convex Production receives funding from Malomar, and in the event production of the film is not productive, Convex production have agreed to purchase completion insurance for the project which guarantee the return of Malomar investment. Financial risks extend to the fact that in the event disruptions happen, Convex Production will be forced to fly in and out personnel throughout that period. This automatically would double its expenses while filming, and will end up tiring and complicating employees.
Convex Production estimates that filming will take place in three locations, which amounts to six weeks per location. However, they are posed to natural risks such as raining during the occasion. It is also aware that during filming, technical risks can occur which can take the form of permit to close streets expiring before filming there finishes in such place as in San Francisco. The climax of these disruptions poses Convex productions to reputation risks. This is because it can opt to skip marketing/reediting phase of post-production, therefore it will be edited one. This poses it a risk of not popular, which would annoy Malomar as it was nit the deal. Competition risks come last, as it with rumors, a rival company who rushes a similar story into production for release at the same time or earlier, which will pilfer Covex marketing efforts is on its move.
We can write this or a similar paper for you! Simply fill the order form!
The Securities and Exchange Commission (SEC) regulates public companies. The SEC has found that some of these companies have violated GAAP by using creative accounting practices to mislead investors and creditors regarding the health of their company.
Use the Internet or Library to research a recent accounting scandal within the last five (5) years where the SEC accused public companies of accounting irregularities.
Write a three to four (3-4) page paper in which you:
1.Analyze the audit report that the CPA firm issued. Ascertain the legal liability to third parties who relied on financial statements under both common and federal securities laws. Justify your response.
2.Speculate on which statement of generally acceptable auditing standards (GAAS) that the company violated in performing the audit.
3.Compare the responsibility of both management and the auditor for financial reporting, and give your opinion as to which party should have the greater burden. Defend your position.
4.Analyze the sanctions available under SOX, and recommend the key action(s) that the PCAOB should take in order to hold management or the audit firm accountable for the accounting irregularities. Provide a rationale for your response.
5.Use at least three (3) quality academic resources in this assignment. Note: Wikipedia and other Websites do not qualify as academic resources.
Your assignment must follow these formatting requirements:
•Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
•Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.
The specific course learning outcomes associated with this assignment are:
•Analyze the required generally accepted auditing standards, professional ethics, and legal liability of the auditor.
•Assess how the Sarbanes-Oxley Act has affected auditing.
•Evaluate an audit report.
•Evaluate objectives for conducting audits, and compare management’s and auditors’ responsibilities.
•Use technology and information resources to research issues in auditing.
•Write clearly and concisely about auditing using proper writing mechanics.
SAMPLE ANSWER
Efficacy in oversight of audit reports is very fundamental in ensuring that there is integrity in financial reporting. Acceptable auditing standards are very key to any auditing firm or individual auditors. This research aims at critically analyzing these standards, legal liability of parties’ involved and general professional ethics that needs to be upheld by auditors. However, for the past few years many cases of sub-optimal procedures and oversight framework processes have been witnessed. Most of the accounting firms have been involved in unscrupulous practices with some committing harder to detect financial frauds (Wines, 2010). According to Wall Street however, measures by Securities and Exchange Commission (SEC) to step up their accounting fraud policing has witnessed the unveiling of Accounting Quality Model which has enabled such frauds to be sniffed out.
In August, 2014 Wall Street journal reported allegations accounting misconduct by CVS Caremark Corp. that boosted reported revenue in 2009. This is further backed by the United States Securities and Exchange Commission; Form 10-K Item 3 (8) on legal proceedings where CVS received subpoenas and requests on information regarding the same allegations. In the audit report, prospectus supplements for 1billion US dollars offering was not well disclosed in the fiscal year that ended December 31, 2008. This was not further described in forms 10Q or 8K that were subsequently filed by CVS. It is noted that CVS lost several Pharmacy Benefits Manager (PBM) contracts that was significant for 2010 that would have resulted in a 125% net loss in revenue during that season which was not indicated or disclosed in their report. These key findings show clearly that CVS misled investors (third parties) on their expectations towards financial results of the PBM segment. According to release by the centers for Medicare and Medicaid Services, CVS fared very poorly for the bidding process in Medicare Part D which according to the release the company stood to loose as much as $101 million earnings before taxes and interest.
In failing to disclose the true status of the company, CVS contravened SEC rule 10b-5 that “prohibits making of any untrue statement of a material fact or omitting to state a material necessary in making the statements made. In light of the circumstances under which they were made, and not misleading in connection with the buying or selling of any security.” CVS was solely responsible in submitting corrective disclosure in which it had to relate to the matter either as misrepresentation on omission (Business, 2013). CVS had violated generally acceptable accounting standards, by failing to precisely disclosing material trends, trace of misstatements in their report and changing calculation methodologies which had significant change in directional trends. To an a big extend, auditors carried the biggest responsibility by further alluding the retention rate of PBM as 92% as opposed to actual 88% which they had knowingly changed the way retention rate was calculated thereby omitting $1.7 billion expected revenue loss from being unsuccessful in Medicare part D bidding (Business, 2013). The company suffered a big blow when it was sanctioned and requested to pay $20 million to settle the allegations. Management was also culpable but on only before enacting Sarbanes Oxley Act when recruitment, assessment and independence of an auditor was determined by the management. Since then Audit committees have been tasked with oversight of quality and integrity of financial statements of a given company.
These forms of malpractices are the basis in which Sarbanes-Oxley Act became mandated with harsh regulations to increase auditor’s liability (Deng, 2012). This outlines measures that ought to be taken to make corporations organizations to have more usefulness and reliability in their financial disclosures. Since investors significantly rely on an auditor as a mechanism in which the firm can credibly communicate a company’s value, there’s a great need to build on that trust. SOX has took this to the next level when they ushered in Public Company Accounting Oversight Board (PCAOB) which has strengthened corporate governance. Through PCAOB, SOX sets the required standards, Conducts inspections and enforces disciplinary measures against unruly auditors. PCAOB has the utmost power to impose hefty fines to individual auditors or auditing firms, revokes registration licenses prohibits association with other audit firms (Deng, 2012). However, there is still a lot to be done in regards to enforcing discipline in management.
While most companies absolve themselves from responsibility when such cases of anomalies occurs, it should be noted that it is always their primary responsibility to protect the investors’ interest. As was the case of CVS Caremark Corp. who claimed that it was public knowledge that the loss of their three major customers could not have caused the share price drop. This was true though they failed to own up to as why they lost the three customers (Business Report, 2013). In deed the more reason why PCAOB needs to strengthen their enforcement capabilities targeting the management and governance of concerned corporations. Measures such as Chief Executives of companies having to certify financial reports before being circulated to the public are good in accounting practice. Ensuring that auditors are not given misleading information in the first is also another vital concern for most auditors (Deng, 2012).
Regulatory oversight of all auditing firms and individual auditors should always be carried in a manner that is both fair and professionally acceptable. In recent years unintended consequences of Sarbanes Oxley Act have to some extend witnessed a collapse in investments. It is therefore paramount to a have a balance between Capital markets, auditors’ liability and investments.
References
Business Torts Reporter (2013). Securities Litigation and Fraud. Database: Business Source Complete. 25 (9) 250-254.
Caskey, J. & Hanlon, M. (2013). Divident Policy at Firms Accused of Accounting Fraud. Contemporary Accounting Research. 30 (2) 818-850
Deng, M, Melumad, N & Shibano, T. (2012). Auditors’ Liability, Investments, and Capital Markets: A Potential Unintended Consequences of the Sarbanes-Oxley Act. Journal of Accounting Research. 50 (5) 1179-1216
For the Final Project, you provide an in-depth analysis of victimization. Select a crime that has been publicized in the media and contains one main victim to use for your Final Project. You apply the concepts studied throughout this course to provide the in-depth analysis of the victimization in the crime.
Final Project Guidelines
Assignment Length: 12 pages (not including title page, abstract, and references)
Your Final Project must include the following elements:
Introduction:
• Describe the type of crime (women/children victimization).
• Describe the victim (Jaycee Dugard).
Demographics:
• Explain factors related to social class, gender, ethnicity, and race of the victim that might have played a role in the vulnerability of the victim.
• Explain factors related to social class, gender, ethnicity, and race that might have played a role in the type of crime committed against the victim.
• Explain how the victim’s experiences in the criminal justice system might vary based on the social class, gender, ethnicity, and race of the victim.
Victim/Offender Relationship:
• Explain the victim/offender relationship (if any).
• Explain how the relationship between the victim and offender may have influenced the type of crime, the location of the crime, and the type of weapon used.
Effects:
• Explain psychological, social, and emotional effects of victimization on the victim. Indicate which effects are short term and which effects are long term.
Perceptions:
• Explain how the media portrayed the victim.
• Explain if there was any victim blaming by the media.
• Explain possible impact (positive and/or negative) of the media coverage about the victim.
Services:
• Explain services available in the state of the victim that might be beneficial for the victim.
• Explain any services that may not be available to the victim that might be beneficial to the victim.
Secondary Victims:
• Describe any secondary victims of the crime.
• Explain effects on the secondary victims of the crime.
Legal Aspects:
• Describe any laws or policies that resulted from the crime.
• If laws or polices were developed, explain the implications for social change.
Social Change:
• Explain any social change implications of this crime being publicized and/or any laws or policies that resulted from this crime.
SAMPLE ANSWER
Victimology
There are people who are involved in the practice of the domestic violence at their residence. It expresses violence in interactions where one companion uses force to gain the control over the other spouse. The intolerable behavior among the partners can be expressed sexually, mentally and physically. It also involves the bullying of the other person that involves the actions that leads to control and threatening. There could also be the act of allegation, wounding, and isolation. It is quite hard to know the exact degree of unfriendliness against women as most of the behavior such as wife battering and rape are being rarely conveyed.
Abusive behavior at home can be physical, sexual, financial, or mental actions or intimidation of activities that impact someone else. It incorporates any practices that threaten, control, humiliate, seclude, startle, threaten, constrain, debilitate, accuse hurt, harm, or wound somebody. It is exceptionally hard to quantify the genuine degree of hostility against women as most occurrences of aggressive behavior at home and rape go unreported. This essay will look into the victimization of women in domestic violence crimes that are occasionally being committed in virtually all parts of the world.
The persons who perform unfriendly practices that involve forceful sex and physical harm are mostly related persons as well as strangers. The people of the female gender are at higher risk in places where they feel more secure such as in their households (Stalans & Lurigio, 1997). For many people, “home” is the place they confront an administration of fear and savagery because of some individual near them someone they ought to have the capacity to trust. They are not able to settle on their choices, voice their opinion, or ensure themselves and their children for dread of further repercussions. The right of ladies are normally underprivileged and taken away repeatedly by the threat of cruelty. Twenty years back, brutality against women was not viewed as an issue deserving of global consideration or concern. Casualties of hostility endured in a hush, with a minimal open difference of their situation. The length of viciousness against women proceeds with, we cannot claim to be making genuine advancement towards balance, improvement, and peace. Important Work by the Commonwealth, States, and Territories alongside accomplice non-government associations, women’s gatherings, and systems has been attempted to handle men’s savagery against women. Our understanding of the nature and extent of this brutality is expanding, and there is better energy about its effect on women, children and on our country. Nevertheless, advance in how to anticipate hostility and to make situations where ladies live free from savagery is at its outset and obliges ongoing Research consideration and strategy vigilance.
As seen from a case that occurred in New York recently where a young man beat up her wife ruthlessly without a care in the world about the young lady’s health and well-being. Hostility against women is available in every area, in all societies, social groups, different originalities, and oldness. Most of the commands is against wildness on women. Despite the fact that most social orders banish viciousness against ladies, in reality, brutality against the rights of the female gender is normally being allowed according to everyday social practices and beliefs of the religion to the. Also, when violation happens inside the home, as is all the time the case, the misuse is viable supported by the implied hush, and the latency showed by the state and the law upholding apparatus. The worldwide measurements of the brutality are surprising as being shown via studies on its frequency of manifestation. It is regularly known as “sex-based” viciousness because it develops partially from women’s subordinate status in the public arena.
As viewed in the case of the young man madly beating her young wife’s to death due to her decline to have any sexual affair with the man. We can clearly see that the highest degree of antagonism against women is being presented through unfriendliness of the male gender through forced sex. It occurs to teenagers, adults and youths (Coker et al., 2002). Personal accomplice ill-use otherwise called aggressive behavior at home, wife beating, and battering is quite often joined by mental abuse and in one-quarter to a one-a significant portion of cases by constrained sex too. The greater parts of women who are ill-used by their accomplices are being misused commonly. Honestly, a climate of fear frequently pervades damaging connections. Aggressive behavior at home can happen to anybody paying little heed to race, age, sexual introduction, religion, or sex. Unfriendly behavior at home affects people of all the social classes including all the stages of training. The unacceptable behavior being expressed at home occur in both husband and wife, same sex relations and those who are dating. Abusive behavior at home influences the individuals who are ill-used, as well as having a generous impact on relatives, companions, collaborators, different witnesses, and the group. Children who are being raised in abusive marriages ends up growing up being affected by the lawbreaking. The continual exposure of the behavior to kids makes them believe that the abuse in marriage is a normal lifestyle. It can result in the hazard of the development of the offensive societies in for the generations.
The brutality case of this young couple was said to have occurred several other times in the past. But unfortunately nobody had ever come to realize until on this day when the young lady could no longer take any more beating. It shows that this abusive behavior at home regularly happens because the culprit accepts that misuse is and supported and worthy, and may create repeated cycles of ill-use that overlook brutality. Mindfulness, recognition, and documentation of aggressive behavior at home vary broadly from nation to nation. Casualties of abusive behavior at home are involved in local brutal circumstances through seclusion, power and control, deficient budgetary assets, fear, disgrace or to secure youngsters. As an issue of misuse, exploited people may encounter physical handicaps, incessant welfare issues, emotional sickness, restricted accounts, and inadequate capacity make substantial connections. Abused women may go through post-traumatic worry issue. Children that are the secondary victims resides in the insulting residence shows much aggression at the tender age that later results to brutality in maturity (Chesney‐Lind, 2002). The ill behavior expressed in homes occurs to restrained marriages. Aggressive behavior at home was for the most part connected with physical viciousness. In spite of the fact that accurate rates are questioned, particularly in the United States, there is a vast assemblage of multifaceted proof. It proves that ladies are subjected to abusive behavior at home fundamentally more frequently than men. What’s more, there is an expansive accord that women are all the more often subjected to extreme types of ill-use and are more prone to be harmed by an injurious accomplice. The circumstances can exacerbate if the lady is financially or socially reliant on the wrongdoer.
Unfortunately, the case of the young man could not be well handled as later within the prosecution the family of the young lady withdrew the case from the court on the basis of protecting their family name and traditions. It therefore illustrates the fact that in most communal classes, women are being accused of having the pre-marital sex and next of keen have had them killed because of breaking their virginity. Losing one’s virginity is seen as the offense to the integrity of the community. According to Heise (1998), the exercise is worse in the sub-Africa region. The act of ahead of schedule marriage is a typical practice that is overreaching in the towns of Tamil-Nadu. It is a presentation of forceful sex, and the youth are being restrained in marriages and the relations of sex. It exposes them to the peril of high chances of contracting HIV/AIDS. It highly contributes to school drop outs. Moreover, it is a fact where the folks are being highly contributes toward the bright future of their young daughters. Parents give their young girls as a way of acquiring funds and status for themselves with their daughters.
Unreliability, clashes, and societal emergencies additionally enhance early marriages. Fiscal reasons are said to assume a note worthy part in such relational unions. Because of the regular practice of lady cash, the young lady youngster turns into an advantage replaceable for cash or products. Families see giving an adolescent girl (or sister) to a family that has the capacity pay a high cost for the lady as an issue answer for their neediness and obligation. The custom of lady cash may rouse families that face responsibility and financial emergency to “trade in for cold hard currency” the “advantage” as youthful as 6 or 7. It is with the comprehension that the real marriage is being deferred until the kid achieves adolescence.On the other hand, there ports demonstrate that this is likewise being watched that young people may be sexually abused by the husband to be. Also they are abused by more seasoned men in the family, especially if the man of the hour is a youngster as well.
The case of the young man and the lady also became open when several of their friends come out in the open and directly criticized the young man. The young man is criticized of infidelity which might have been the cause of the brutality she had towards her wife. The wife might have been just trying to protect herself from contamination to sexual disease thus her refusal for a sexual relationship with her partner thus the brutality against her. Therefore, it is clear that Women cannot ask for safe practices of sex and can neither resist bad sex practices. It has contributed to the high spread of the HIV/AIDS. Undesirable sex from being not able to say “no!” to an accomplice and be listened, to rape, for example, assault brings about a higher danger of scraped spot and dying, giving a prepared road to transmission of the infection. A study showed that the high number of HIV/AIDs were being found in people of Tamil-Nadu in the present years. The lack of the information predisposes the ladies to abuse. The affected people in today’s out fitted clashes are much more inclined to be regular folks than soldiers. By most accounts, 70 percent of the set backs in latest clashes have been non-warriors the greater part of them women and children. Ladies’ bodies have ended up into being some piece of the battleground for the individuals who use deadly weapons as an issue of war. They are assaulted, stolen, mortified and made to experience constrained pregnancy, sexual misuse, and bondage.
In many countries, women and young girls living in exile camps have reported assaults, beatings, and kidnappings that happen when they leave the camps for necessities. 29percentage of all women have encountered physical attack. When a fight ensues, the lady bears the burden of the outcome of such unrest. Welfare specialists and NGO’s distant from everyone else cannot change the social, social, and lawful environment that offers rise to and overlooks far-reaching brutality against women. Finishing physical and sexual hostility obliges long haul responsibility and methods including all parts of society. Numerous governments have conferred themselves to suppress the brutality against the rights of the women. They have also passed the laws that enables for the protection of the rights of women and to punish their abusers. According to Sternberg et al. (1993), there are ways that can make ladies change the convictions and mentality that allows for unfriendly behavior. Just when ladies pick up their spot as equivalent parts of society will viciousness against ladies never again be an imperceptible standard, however, rather a stunning variation. Numerous NGO’s have organized out training and gathering talks, as an issue of which “respect killings” were shockingly talked about in broad daylight. The undertaking prompted positive changes in information, mentality, and practices among group parts that progressively started to respect “honor killings” as an issue, instead honest to goodness intends to guard a tribe’s honor.
Crimes are perpetrated against the women in varied forms of brutality. According to the Constitution, Article 21, it has to be linked to the harshness against women and not to the community. In India, Crimes against ladies extensively fall into two classes. Offense eminent under IPC and offenses accepted under Special Laws. The Act is proposed to secure the privileges of ladies adequately to an acceptable and honorable life in the group. It is critical to note, that the Preamble of the Act emphasizes the requirement of the concerned women quick reliefs. Harshness against women illustrates uneven force in associations amongst the men and ladies. Brutality against women is an appearance of unequal force relations in the middle of men and ladies. It has led to the oppression of the ladies by the male gender. It is usual that the abuse is the portion that affects the general well-being that is against human rights. The fierceness’s effects are very destructive to ladies’ health both mentally and physically. According to Crenshaw (1991), brutality results in hazards of various body organs of the body as well the agony, drug abuse and conditions of the body. The ladies that have a past of physical and sexual abuse have the high rates of unplanned pregnancies, STIs and abnormalities in their fetuses. The ones that are involved in the violence seeks the assistance from medical practitioners where they end up vain.
After a further study of the case of the young lady and her abuse husband, it becomes eminent that the young man started being brutal to the young lady before and after she gave birth to his firstborn. It clearly shows that the danger of abusive behavior at home for women who have been pregnant is most noteworthy promptly after labor. The Council E.U dispensed guidelines on the fight against the brutality being shown to women and young girls including the FGM. The European women supported this information that aid in addressing issues affecting the women in Europe today. The ill behavior toward the women entails the physical and the sexual harassment of the families or the outside relationships (Tjaden & Thoennes, 2000). Women are being exposed to the higher percentage of brutality in the private relationship as compared to anywhere else. In a later study by the WHO in Tamil-Nadu, over 50% of the elder officials realizes the abusive relationships interferes with ladies’ working environment and has a negative impact on organization benefits. It was further being realized that the brutal misconduct at home made the affected to lose about 8000000 number of days of paid work annually. Subsequently, large number of women are subjected to early death by their recent or previous partners. Ladies are being murdered by the individuals whom they know and kick the bucket from weapon savagery, beatings and smolders, among various different manifestations of misuse.
The United Nations Declaration on the Elimination of Violence against Women (1993) expresses that the brutality against the ladies is proof of unbalanced powers present between the ladies and men. It has triggered the expertise over and the oppression of ladies and to the counteractive action of whole the progression of ladies. It also has led to hostility against ladies is one of the urgent social instruments by which ladies are constrained into a subordinate position contrasted and men. The Declaration of the Elimination of Violence against Women orders viciousness against ladies into three classes. They all happens in the family happening, in the general group and at the executed or overlooked by the State (Mullin & Linz, 1995). When a woman is being mistreated during the period of expectancy, it may result in serious problems of health to the fetus and herself. Pregnancy is also advantageous since it makes the rude partner halt the behavior.
A UNIFEM report gives an account of savagery against women, from 1327 episodes of violence towards women gathered in the year 2003 to 2005. Over 35 females were being involved in various cases of killing. Restricted accessibility of administrations, disgrace, and apprehension keep ladies from looking for support and change. In the recent study that was being conducted by the organization of health found that 55-95% of Tamil-Nadu, ladies who were abused had never complained about any assistance. Savagery by accomplice is so typical in our public that forced ladies do commit suicide a few times. All the traditional practices observe harsh treatment against women that are being practiced in many parts of the world. It includes the FGM, honor killing, and early forceful marriages. They all result to the death, mental disturbance and health problems of women. Females of all age are interfered by this tradition. In this case, the media had highlighted in bold letters about the young man’s behavior and used this as a good example of them any women who suffer brutality in silence. The media took the opportunity that men are the once who mostly instigate these brutal confrontations within the families. Although it was the case in a specific scenario, it is sometimes the other way round where also women are the victimizers of their men something that the media did not highlight in the occasion.
Indeed, ladies that have not been exposed to the incidences of the hostility are aware of their susceptibility. Most women have the fear of walking alone during the nights. According to the parliamentary report, there is the authorization from various mixed sources. Ladies are more dreadful than men of being distant from everyone else in their homes and of strolling in their neighborhood around evening time. Ladies s alarm of hostility in the group found that more than 70 percent of Australian ladies feel dangerous when walking unaccompanied at night. According to the Victorian study, the effects of abuse on women should not be ignored. Various ladies experience the different forms of brutality which largely affects their security and success, at work and in the group. Brutality against women especially at home does a huge effect on the children who experience the traumatizing images of their parents fighting at very tender age. It affects the child mental well-being as in the case of the child belonging to the young couple who occasionally fought while being watched by their young ones. Thus, it brings a very negative image of the society and thus tarnishing the community’s name.
The National Survey on the people’s position to brutality against Women 2009 will both help and reinforce these activities. It expands on the outline and methodology of two past national reviews of group state of mind to savagery against ladies embraced by Headquarters of Women between the years 1987 to 1995. The key aims of the 2009 National Survey are to evaluate the constituents that influence organization various collection depositions. It aid brutality against the women and achieves the gauging mental alterations. The hostility happens in all the tribes, social classes, and religious beliefs. In the world, all women are vulnerable to hostility. As seen in the case of the young men and her wife, it is eminent that both women and men can be culprits and casualties of hostility and rape. Look into reliably demonstrates that men execute the mind dominant part of brutality and misuse against ladies in homes. It is the men whom ladies know well or in circumstances they impart Violence against ladies cuts over different varieties of interpersonal viciousness. Therefore must be tended to as an issue of sex imbalance and disparity (Gracia, & Herrero, 2006).
In conclusion, Brutality against ladies is not just a sign of unequal force relations amid men and ladies; it is a component for sustaining imbalance. Knowledge of brutality against ladies and why group disposition is imperative Violence against ladies is an infringement of human rights, now and again fatal and constantly unsuitable. It is an intricate and tireless issue with different reasons (Campbell, 2002). The general effect of such hostility is boundless, as it straightforwardly influences women as well as their children, their families and companions, work environments and groups. In good terms, there is no more prominent effect than the damage showed by personal accomplice savagery on ladies’ lives the end of such viciousness has turned into a commitment of all governments. In respect of the brutality against ladies, we must take a day out to judge investigate and wipe out any brought on viciousness on them. Also universally, it is praised on 25 Nov consistently as “white lace day “additionally. The conclusion from the World History, it has dependably been demonstrated that a woman is dependable been tormented physically, rationally and sexually. Continuously, she is dealt with as an issue that looks decent when being indoors and throughout and does everything according to the instructions given to her. It’s the time to structure such society that promises women that brutality is inadmissible and that no lady should be beaten, sexually ill-used, or made to endure inwardly.
References
Campbell, J. C. (2002). Health consequences of intimate partner violence. The Lancet, 359(9314), 1331-1336.
Chesney‐Lind, M. (2002). Criminalizing victimization: The unintended consequences of pro‐arrest policies for girls and women. Criminology & Public Policy, 2(1), 81-90.
Coker, A. L., Davis, K. E., Arias, I., Desai, S., Sanderson, M., Brandt, H. M., & Smith, P. H.
Crenshaw, K. (1991). Mapping the margins: Intersectionality, identity politics, and violence against women of color. Stanford law review, 1241-1299.
Gracia, E., & Herrero, J. (2006). Acceptability of domestic violence against women in the European Union: A multilevel analysis. Journal of epidemiology and community health, 60(2), 123-129.
Heise, L. L. (1998). Violence against women an integrated, ecological framework. Violence against women, 4(3), 262-290.
Heise, L. L., Raikes, A., Watts, C. H., & Zwi, A. B. (1994). Violence against women: a neglected public health issue in less developed countries. Social science & medicine, 39(9), 1165-1179.
Mullin, C. R., & Linz, D. (1995). Desensitization and re-sensitization to violence against women: effects of exposure to sexually violent films on judgments of domestic violence victims. Journal of Personality and Social Psychology, 69(3), 449.
Paudel, G. S. (2007). Domestic violence against women in Nepal. Gender, Technology and Development, 11(2), 199-233.
Stalans, L. J., & Lurigio, A. J. (1997). Responding to domestic violence against women. The Legal Response to Violence Against Women, 5(4), 343.
Sternberg, K. J., Lamb, M. E., Greenbaum, C., Cicchetti, D., Dawud, S., Cortes, R. M., … &
Lorey, F. (1993). Effects of domestic violence on children’s behavior problems and depression. Developmental psychology, 29(1), 44.
Tjaden, P., & Thoennes, N. (2000). Prevalence and consequences of male-to-female and female-to-male intimate partner violence as measured by the National Violence Against Women Survey. Violence against women, 6(2), 142-161.
We can write this or a similar paper for you! Simply fill the order form!
Assessments and nursing interventions for Post Anaesthetic Care Unit
Assessments and nursing interventions for Post Anaesthetic Care Unit (PACU)
Order Instructions:
Hello writer sir, how are you today
Thank you very much for helping me to complete this assignment.
• Please see the detail instruction for Assessment task, video reflections and rubric marking guide.
• I attached Video link with assessment task paper. There are 5 questions to give the answers.
• I need at least 15-20 genuine references with APA referencing style between years 2008 to 2015.
• I attached unit outline for your kind information to know what they looking in to the assessment and you can find some useful references.
• I am in Australia so please try to use Australian or New Zealand based study or article to support the papers please ( if you can)
• If you need any other information please feel free to email to me ASAP
SAMPLE ANSWER
Assessments and nursing interventions for Post Anaesthetic Care Unit (PACU)
Identify the assessments performed. Were these assessments adequately prioritized?
The post-operative care must be adequately planned to make the client’s recovery process fast. After the patient identification is positive, the second step is physical assessment (Parekh Et al.,2013). This includes recording patient Heart Rate, respiration rate, temperature SpO2, and Blood pressure. Other processes include examining patient’s oxygen requirements, Urine output, IV fluids, Blood loss, Analgesia, surgical wound assessment and presence of drains. The RR, HR, SpO2 should be done continuously until the patient is ready for transfer to inpatient ward (Barnes Et al., 2013).
From the video, the assessments performed were prioritized. Once the nurse received and formally identified the patient from operating room, she performed full body assessments, starting with the airway, to ensure that it is patent. Oxygen is a very important aspect of the body metabolic functions; its deficiency leads to serious complications or even death. An artificial airway must remain in place until the patient can breathe easily (Milby Et al., 2014).
The nurse monitored the oxygen saturation levels via pulse oximetry. If the difficulty in coughing is prolonged, the nurse is supposed to suction the accumulated secretions. The patient in the video seemed to have small in difficulty in breathing. In this case, it is also important to encourage the patient to take deep breath and cough every 2 hours as this will help boost oxygen saturation levels in the lungs (Price Et al., 2011). The patient lung’s was auscultated.
In terms of the circulatory system, the nurse assessed the patient any indication of internal or even external bleeding and there was none. She did this assessing the patient’s skin color and condition. The patient ECG readings were closely monitored. The patient indicated that she was hypothermic; therefore, the nurse provided a heated blanket (Bittner, Eikermann & Schmidt, 2012).
The patient positioning is also very important during PACU (Demirel Et al., 2014). The nurse positioned the patient with head flat. Evidence based practice indicates that this positioning prevents hypotension (Price Et al., 2011). For unconscious and/ or unresponsive patients, they should be positioned on their side to reduce risk of aspiration (Tighe Et al., 2014). For patients with abdominal incision, they should be repositioned every two hours (Seglenieks, Painter & Ludbrook, 2014).
If the patient is fully responsive, the head should be raised slightly so that the respiratory expansion is facilitated (Shah Et al., 2014). Most patients present with a reaction to anesthesia such nausea and vomiting (Simpson & Moonesinghe, 2013). For such clients, antiemetic drugs should be administered. It is also important for the nurse to assess the patient sensations and movement in the extremities (Tighe Et al., 2014).
The nurse also assessed the patient’s bladder for distention and the catheters in situ for patency. The patient’s frequency in urination, the urine color, odor and the amount of urine were also assessed. The Nurse checked the surgical wound to check for signs of excessive drainage. The surgical wound did not indicate any complication. Pain assessment was scored at 7/10. For this high pain scores, the nurse was required to administer pain medication (Harrop-Griffiths, Et al., 2013).
All the assessments procedures were within the normal range. Once the patient is ready for transfer, other investigations should be conducted including biochemistry analysis of the patient’s complications, the secondary symptoms associated with the surgical process. This way, the patient educational demands will be addressed adequately on the nutritional requirement and the job/mobility restrictions (Madenski, 2014).
How effective was the communication between the two nurses? Did it promote teamwork?
Effective communication in nursing is important because it increases opportunities to interact with one another. Effective communication between the two nurses facilitates quick and informed decision making with minimal chances for medical errors (Lunn Et al., 2012). Communication between the nurses can face some hurdles such as perceived loss of autonomy, clashing perceptions and trust issues. However, the two healthcare providers had an open attitude, trust and some mutual respect for each other. Consequently, the process was conducted with utmost professionalism and increased satisfaction; thus promoting teamwork (Haenke, 2013).
How effective was the communication between the nurses and the patient?
Engaging in communication is also portrayed in the way the nurses engage the patient in communication during the assessment (Law Et al., 2011). This ensures that the patient is informed and can be integrated in the decision making process (Haenke, 2013). Additionally, through communication, the healthcare providers understood the patient demands thereby ensuring that the patient received individualized care. This nurse-patient interaction indicated nurses’ extent of courtesy, sincerity and kindness (Lunn Et al., 2012).
Identify the post -op orders. Were all of these discussed?
The Post-op orders were well communicated both verbally and in written form. For instance, the clinical handover highlighted issues that were important throughout the intraoperative period. These included issues such as patient’s body temperature, which recorded low, and the inability of the patient to do a deep breathe and cough, among others. The patient pre-surgery conditions were also explained in detail to the PACU nurse to ensure that the PACU nurses had a baseline for comparison (Christensen Et al., 2013).
Based on literature, are there any recommendations to improve for future practice?
Post-operative patients are normally taken to the post anesthesia unit (PACU) in order to monitor their recovery from anesthesia (Price Et al., 2011). During this time, the nurses conduct relevant assessments and provide medication as necessary, in order to relieve pain, or to avoid further complications (Lovestrand, Phipps & Lovestrand, 2013). Postoperative processes are associated with many complications resulting from immobility, a compromised respiratory system and thrombophlebitis (Milby Et al., 2014). The patient is also at risk of suffering from anemia due to excess blood loss resulting in reduced circulating blood volume. Tissue perfusion also commonly referred to as Hypovolemia may occur due to reduced circulating blood volume (Demirel Et al., 2014).
The evidence-based practice acknowledges the importance of evaluating patient recovery system from anesthesia using Aldrete scoring system (Yip Et al., 2014). Each of the vital body organ must exhibit stability and these includes circulatory system, oxygen saturation, consciousness and activity. The patient is ready for discharge from PACU if the Aldrete score is 8 out of 10. The patient must also exhibit stability in most of the vital signs (Ganter Et al., 2014). Additionally, there should be no bleeding and the reflexes must have returned to normal including swallowing, cough and gags. The surgery wound should be minimal to moderate and the urine output must be at least 30mL/ hr (Yazicioglu, Akkaya & Kulacoglu, 2013).
Other recommendations provided by evidence-based practice are provision of discharge education of the patient. This includes education relating to medications, in terms of the dosage, purpose of dosage and possible adverse effects. Dietary guidelines should be provided as well as all activity restrictions. The patient should also be advised wound treatment instructions and how to use assistive devices (Ganter Et al., 2014). This involves care givers roles implying that they must be integrated in the process. Future studies should look into staff beliefs and attitudes on patient relative’s visitations in the PACU; and how this impacts patient satisfaction and during the recovery process.
Bittner, E., George, E., Eikermann, M. and Schmidt, U. (2012). Evaluation of the association between quality of handover and length of stay in the post anaesthesia care unit: a pilot study. Anaesthesia, 67(5), pp.548-549.
Christensen, R., Voepel-Lewis, T., Lewis, I., Ramachandran, S., & Malviya, S. (2013). Pediatric cardiopulmonary arrest in the postanesthesia care unit: analysis of data from the American Heart Association Get With The Guidelines®-Resuscitation registry. Pediatric Anesthesia 23: 517–523
Demirel, I., Et al., (2014) Comparison of patient-controlled analgesia versus continuous infusion of tramadol in post-cesarean section pain management. J. Obstet. Gynaecol. Res. Vol. 40, No. 2: 392–398
Ganter, M.T., Et al (2014). The length of stay in the post anaesthesia care unit correlates with pain intensity , nausea and vomiting on arrival. Perioperative medicime 3:10
Haenke, R. (2013). Letter to the Editors: Post-Anesthesia Care Unit and Six Sigma Process. HERD: Health Environments Research & Design Journal, 7(1), pp.126-128.
Harrop-Griffiths., W., Hosie, H., Kilvington, B., MacMahon, M., Smedley P. & Verma, R. (2013). Immediate post anaesthesia recovery 2013 Association of Anaesthetists of Great Britain and Ireland. Anaesthesia 2013, 68,
Law, C.J., Sleigh, J.W., Barnard, J.P.M., & MacCOLL., J.N. (2011). The association between intraoperative electro-encephalogram-based measures and pain severity in the post-anaesthesia care unit. Anaesth Intensive Care 2011; 39: 875-880
Lovestrand, D., Phipps, S., & Lovestrand, S. (2013). Posttraumatic stress disorder and anesthesia emergence. AANA journal 81:3; 199-205
Lunn, T.H., Kristensen, B.B., Gaarn-Larsen, L., Husted, H., & Kehlet, H. (2012). Post-anaesthesia care unit stay after total hip and kneearthroplasty under spinal anaesthesia. Acta Anaesthesiol Scand 2012;56: 1139–1145
Milby, A., Bohmer, A., Gerbershagen, M.U., Joppich, R., Wappler, F. (2014). Quality of post-operative patient handover in the post anesthesia care unit: a prospective analysis. Acta Anaesthe siol Scand 58: 192-197
Parekh, J., Roll, G.R., Feng, S., Niemann , U., & Hirose, R. (2013). Peri-operative hyperglycemia is associated with delayed graft function in deceased donor renal transplantation. Clin Transplant 2013: 27: E424–E430 DOI: 10.1111/ctr.12174
Price, C., Golden, B., Harrington, M., Konekwo, R., Wasil, E., Herring, W. (2011). Reducing Boarding in a Post-Anesthesia Care Unit. Production & operations management 20:3;431-441
Seglenieks,R., Painter, T.W., & Ludbrook, G.L. (2014). Predicting patients at risk of early postoperative adverse events. Anaesth Intensive Care 2014; 42: 649-656
Shah, P., Dongre, V., Patil, V., Pandya, S., Mungantiwar, A., & Choulwar, A. (2014). Correspondence: Comparison of post-operative ICU sedation between dexmedetomidine and propofol. Indian Journal of Critical Care Medicine May 2014 Vol 18 Issue 5 291-298
Simpson, J., & Moonesinghe, R.S. (2013). Introduction to post-anaesthetic care unit. Peri-operative medicine 2:5;
Tighe, P.J., Harle, C.A., Boezaart, A,P., Aytug, H., & Fillingim, R. (2014). Acute pain & Periopeartive pain section. Of Rough Starts and Smooth Finishes: Correlations Between Post-Anesthesia Care Unit and Postoperative Days 1–5 Pain Scores. Pain medicine 15: 306-315
Yazicioglu, D., Akkaya, T. and Kulacoglu, H. (2013). Addition of lidocaine to bupivacaine for spinal anaesthesia compared with bupivacaine spinal anaesthesia and local infiltration anaesthesia. Acta Anaesthesiologica Scandinavica, 57(10), pp.1313-1320.
Yip, P.C., Hannam, J.A., Cameron, J.D., & Campbells, D. (2010). Incidence of residual neuromuscular blockade in a post anaesthetic care unit. Anaesthesia & intensive care 38; 91-95
We can write this or a similar paper for you! Simply fill the order form!
Holistic care is necessary for individuals with chronic illnesses.
Holistic care is necessary for individuals with chronic illnesses.
Order Instructions:
Part 1
In your location, identify three medical insurance providers that operate as HMOs or PPOs. What are the types of services (disease management, case management, holistic care, care plans, educational programs, family support, etc.) offered by the HMOs or PPOs and ways in which the services have benefited your patients?
Part 2
Discuss two reasons why holistic care is necessary for individuals with chronic illnesses.
at least 1 citation for each part
SAMPLE ANSWER
Part1. Medicare, Aetna health insurance, and Humana are some of the three medical insurance providers in my location. They provide health care plans to their members. These services help the members finance their health services or buy medicines when they are sick or someone they are taking care of is sick. The insurance providers also provide educational programs to its members on current health trends, what to avoid, and how to manage certain conditions (Kongstvedt, 2013, Pg. 27).
Part2. I believe every nurse knows about Florence Nightingale’s devotion to taking care of patients that could not take of themselves. Her emphasis on the connection between patients and their environment has made her be considered as the first and greatest holistic nurses. In fact she is branded “The Mother of Modern Nursing.” This just shows how significant holistic care is in nursing.
For me, holism is more that certain activities performed or words spoken to the patient. Holism is a philosophy; it is a means of ensuring that all parts of the patient obtain care. With holistic care, nurses manage to recognize and treat each patient differently (Morton & Fontaine, 2013, Pg. 74). Some patients have been found describing holistic nurses as “those nurses that truly care.” While there is nothing wrong with being goal-oriented or task-oriented in the nursing field, if a clinician is overly task-oriented, he/she tends to become severely rushed leaving patients feeling as if they are a burden or nothing else but a number. Holistic care aids nurses to balance all their roles and responsibilities that come with the title hence; their duties become their privileges and success
Secondly, holistic care entails healing the mind, body, and soul of the patients. It helps nurses think about and assisting patients with consequences of a disease on the body, mind, religion, emotions, and personal relationships. Holism involves taking into account the social and cultural differences and preferences of the patients. I believe every person is his/her own individual. Isn’t it essential then to individualize patient care?
Morton, P. G., & Fontaine, D. K. (2013). Critical care nursing: A holistic approach. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.
We can write this or a similar paper for you! Simply fill the order form!
Determining appropriate sample size for survey research
Organizational research: Determining appropriate sample size for survey research
Order Instructions:
Use the attached file
For the past 2 weeks, you have focused on the features and considerations of quantitative research designs. However, quantitative designs are not appropriate for all research questions. Perhaps you are concerned with how patients react when confronted with negative test results, or you wish to study how views on a certain health topic change over time. In each of these cases, the emphasis is more on understanding the thinking and experiences of an individual or group than on numerical measurements. For these types of questions, a qualitative or mixed methods research design is the most appropriate.
For this Discussion, you focus on the different types of qualitative research designs, when they are used, and why they are important.
To prepare:
Reflect on the comments made by Dr. Mauk in this week’s media presentation on the value of qualitative research in nursing.
Locate the journal Qualitative Health Research in the Sage Premier database in the Walden Library.
From this journal, select an article of interest to you that was published within the last 3 years.
Review the information on different qualitative research designs in Chapter 20 of your course text.
Determine what qualitative research design was used in your selected article and evaluate whether it was the best choice.
Consider ethical issues involved in the study and how the researchers addressed them.
Think about how using a quantitative design would have affected the type of data gathered.
Post on or before Day 3 an APA citation for the article that you selected and provide a brief summary of the content and the qualitative research design used. Evaluate the appropriateness of the design, and explain how ethical issues in the study were addressed. Analyze how the study would have been different if a quantitative design had been used.
SAMPLE ANSWER
Determining appropriate sample size for survey research
Introduction
Data collection is part of the research work that includes the gathering of primary data from the respondents (Sekaram and Bougle, 2009). In this case, the data required would be collected from the daily patients who visit the hospital through the use of a questionnaire as it’s convenient and easy to use in a hospital. The questions have been limited to only critical ones to avoid any discomforts to patients. The population or the sample size for the survey has been determined to be 100 (N). A group of researchers would interview the first twenty patients who leave the hospital every day for five days. The total maximum points that can be awarded is 2500 but it will depend on the performance of the total points achieved but the minimum points possible has been set at 500 that’s incase all the questionnaires return a score of E or 1 point for a population of 100 entries for five questions while the maximum represents a score of A or 5 points for 100 entries for five questions. The following is the sample of the questionnaire that would be used to determine the Patients satisfaction levels at the hospital.
The first five questions attract no score however, points are earned from questions six to ten. The following information was retrieved from the researchers who gathered the data from the hospital;
The Ten days data
Question
A
B
C
D
E
Totals
% ratings
6
250
80
30
34
3
397
72.00
7
450
20
6
4
1
481
95.20
8
250
80
60
18
1
409
78.00
9
300
120
15
10
0
445
87.00
10
350
40
45
10
0
445
87.00
Totals
1600
340
156
76
5
2177
87.08
On question six most of the patients responded favorably towards the waiting time spent at the hospital and majority of the answers suggested that the patients were on average very satisfied with the average waiting time hence a rating of 72% was awarded. That’s the totals of columns A, B and C divided by the total possible points of 500 (Sekaram and Bougle, 2009).
To ensure reliability of the information, all the questions must be answered and the percentage scores would be pegged to the maximum scores possible to eliminate any bias against the lower points. For example a total score of 250 if calculated against a total of 397 it would amount to almost 90% of the totals but if calculated against the maximum possible of 500 then it would be 50%.
The hospital’s score on patient satisfaction is 87.1% which means that about 13% of the patients are dissatisfied with the services at the hospital with about 28% being particularly unhappy with the waiting period at the hospital while another 22% would not recommend their friends at the hospital. However, 97% of the patients are very satisfied with the staff response at the hospital.
The central measures of tendencies and the excel functions have also been used to arrive the summarized table above and which includes the research findings that have been arrived at after processing the information from the primary data and tabulating the summaries.
The other methods of collecting data like observation and interviewing patients are difficult to apply in a hospital as patients have different conditions and their convenience must also be factored when choosing the research method to adopt.
The sample size has been calculated based on the Wald binomial distribution where 4√0.25/n=W where a 95% confidence level is required. Hence n=1/B^2 where B is ± 10% n is 100 (0.01 x 10,000) (Bartlett, Kotrlik & Higgins, 2001).
To conclude, the hospital is providing very good service to the community and a very high number of patients are very happy with the services being provided at the hospital hence about 87% of the patients rate the services of the hospital as being very good and would definitely make a return visit in future.
References
Sekaram, U., Bougle, R. (2009) Research Methods for Business; A Skill Building Approach, 5th Edition. West Sussex, UK. John Wiley & sons.
Bartlett, J. E., Kotrlik, J. W. & Higgins, C. (2001). “Organizational research: Determining appropriate sample size for survey research”. Information Technology, Learning, and Performance Journal 19 (1): 43–50.
We can write this or a similar paper for you! Simply fill the order form!
This essay is to be no less than 1000 words and prepared in Turabian format (including footnotes).
In our reading the concept of God’s love emerges several times (a) in connection with Plato, (b) Augustine’s understanding of the essential nature of God in the Trinitarian relation, (c) the relation of God toward creation, and (d) especially as an attribute directed toward sinful humanity. Van hooper attempts thread the needle between Plato and Nygren on the matter of God’s love toward fallen creation (c and d, above).
1. Discuss the significance of this issue for classic theology vs. the contemporary discussion regarding the immutability of God.
2. Would you agree more with Vanhoozer or Nygren on this issue? Why?
3. In what way(s) does Feinberg contribute to this discussion in response to “Openness” theism and in relation to the immutability of God? Explain the importance of this issue for the gospel and Christian ministry.
SAMPLE ANSWER
The Doctrine of God
Understanding the nature and the Love God has to humanity is something that has elicited mixed reactions from various scholars. People hold contrary views about God’s love. For instance, people such as Plato, Augustine and Van hooper among many others have different perspectives and insights concerning the love of God and whether indeed God changes. The author therefore deliberates on the significance of the issue concerning immutability of God from the perspective of classic theology and contemporary and provides own view on the stance of Vahnoozer or Nygren on the issue. Contribution of Feinberg on the aspect of openness theism in relation to immutability of God is as well discussed.
Immutability of God (whether God changes or not) from classic theology and contemporary theology is important as it provides an opportunity to have a deeper understanding of God’s love. The views of classic theology on immutability of God differ from that held by the contemporary theology on various instances. The Bible talks about God’s love in a number of verses. For instance, in 1 John 4:7-8 the Bible says ‘”Beloved, let us love one another, for love is from God; and everyone who loves is born of God and knows God. The one who does not love does not know God, for God is love”[1]. This verse clearly shows that God Himself is love and therefore people must replicate this love.
However, classic theology, which has been greatly influenced by Platonic philosophy, holds the view that God or gods does not need anything from the human beings therefore cannot love[2]. The argument is that if God is perfect it means that He is not able to change since change means that He could be imperfect. Therefore, this classical view about God’s love is not supported by the Holy bible believed to be inspired by the Holy Spirit hence, Gods word. On contrary, contemporary theology uses the Bible as a reference to ascertain and prove of God’s love. Because love needs reciprocity between two people it means that God is not immutable meaning that God changes. A number of verses shows this such as (Genesis 18:16-32, Exodus 32:14)[3]. This perspective furthermore, provides a number of lessons. First is that the schools of thought indicates that God is the creator of all the things in the world and He has control over everything. He is therefore able to change in some times when people do not walk and do the way He has commanded and Wishes. It is the love of God that actually contributed to the sending of Christ, His only Son to save man from sin. Therefore, this is enough evidence about the love of God and that God can change.
I do concur with Van hooper perspective when it comes to the relation of God towards creation and when it comes to attribute directed towards the sinful humanity. God is a loving God, he sometimes changes, and this does not mean that God is imperfect. From the scripture that Van Hooper relies on to argue his point, it is important that God extend his love by forgiving the fallen humanities. Human beings that had defied the commands of God were saved from their sins. God love therefore, is surmountable. God forgives humanity their sins by sending His son to die for the sake of our sins[4]. This is a sign of love. Furthermore, in the Old Testament God is able to spare Sodom and Gomorra from destruction by promising Abraham that he will not destroy the city if he found anyone righteous. In Exodus 32:14 God repents for the evils he thought to have done to people. Therefore, I agree with Vanhoozer that indeed God is a loving God and He changes.
John Feinbeg as well contributes to this discussion. His response to open theists whose version is of (incomplete God who is neither all knowing, all-powerful nor eternal beyond time), he believes that this is unscriptural. In relation to immutability of God, Feinberg believes that there are other things such as His inherent attributes and God Moral character that cannot change while some other things such as His Relationships to people and His emotions can change[5]. Therefore, the views of Feinber reconciles that passages or the views of changing and unchanging aspects of God but rather is weakened when God is viewed or placed as inhabitant of time[6]. This issue is therefore important for gospel and Christianity ministry. The church leaders and ministers must be able to understand this to know where they are heading. For the classic theist God is far and is uncaring hence does not qualify to be God. For the open theists, God seems confused and is not near God and projected in the Bible. The best way for Christian to live is to believe in the word of God as written in the bible. God is unchanging but will change in response to the activity of human beings as manifested through various instances in the bible. He is sovereign God and has given man freewill hence; people are responsible for whatever things they do.
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!
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.
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.
