Senior Care Marketing Plan Essay - 3852 Words

| Bessie V. Rose Senior Care | | Marketing Plan | | Bessie V. Rose Senior Care | | Marketing Plan | Proposed by broderick pierce August 21, 2011 Submitted to Professor Day Proposed by broderick pierce August 21, 2011 Submitted to Professor Day Table of Contents Page 1. Executive Summary 3 2. Strategic Focus and Plan 3 Mission Statement 3 Goals 3 Competitive Advantage 4 3. Situation Analysis 4 SWOT Analysis 4 Customer Analysis 5 Competitive Analysis 5 Company Analysis 5 * Trends in Home Care Industry†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.6 4. Market-Product Focus 7 Marketing and Product Objectives 7 Target Markets 8 Points of Difference 8†¦show more content†¦Rose Companionship Care STRENGTHS: * a new and/or innovative service for the southern area of Dallas * cultural connections * community driven * connection with VA Hospital * growing trend around the nation * prime locations near many senior living facilities | WEAKENSSES: * financial support and available funding * reputation of services as such mistreating patients * lack of access to technology in these areas * management or staff availability * lower income areas * undifferentiated service lines | External: Opportunities amp; Threats OPPORTUNITIES: In addition to new or significant trends, other external opportunities exist and how can we best exploit or benefit from each. Examples might include: * a market vacated by a competitor * availability of new communication technology * younger generation with a disdain for placing family members in nursing homes * lack of dominant competition * new market segment * niche market is growing throughout the states | THREATS * there are new competitor(s) in our home market * changes in reimbursement or regulations * changing insurance plans and/or contracts for major area employers * established competitors have superior access to channels of distribution * economic shifts * field is not booming at local universities * shifts in market demandShow MoreRelatedThe Marketing Plan For Senior Care1288 Words   |  6 Pagestowards the future, and what our company plans to achieve going forward with our new d ivision, we will show you our balance scorecard. This scorecard will give you an idea of what the company wants to achieve in regards to our shareholders, customers, operations, and learning and growth perspectives. When looking at the positives and negatives of the SWOT analysis, we can identify potential alternatives. One alternative with the growing need of senior care would be to purchase or build more individualRead MoreElderly Care in HK Essay932 Words   |  4 Pagesï » ¿ Individual Written Assignment A 5-year Marketing Plan for Senior Citizen Home Safety Association Content Introduction Senior Citizen Home Safety Association (SCHSA/the association) was founded in 1996, reacting to the tragedy that more than a hundred singleton elders were found dead under the sudden attack of a cold spell at the same year. It was the first charitable institution offering emergency link service to the elderly in Hong Kong. Making use of innovative technologyRead MoreA Description Of How Advantagecare Visis To Health Service1061 Words   |  5 Pagesof how AdvantageCare Physicians can increase the number of primary care visits by Medicare recipients (seniors) to our healthcare facility. Analyzing the data provided by Dartmouth Atlas, East Long Island, New York has a poor rate of primary care visits by Medicare recipients overall: 72.5 percent. In comparison to other states, as well as other counties within N.Y. state, East Long Island has one of the lowest rates of Primary Care Visits. Long Island is below the National Average of 79%, thus fallingRead MoreLong Term Care Plan For Sen ior Care1469 Words   |  6 Pagesthough senior care includes the increasing of staff including geriatric nurses. This can be done by local long-term care facilities, partnering with community colleges in training nursing staff and staff having the ability to gain the necessary accreditation needed. Long-term care plans can become apart of the services which are provided within the community by social workers who are employed by the state. They can partner with case managers and their individuals to derive long-term care plans, andRead MoreMobile Dental Hygiene Services : Nursing Facilities, Intermediate Care Homes, And Assisted Living Facilities Essay1719 Words   |  7 PagesGolden Scalers! Your answer to mobile dental hygiene services! In an effort to meet the needs of many seniors residing in skilled nursing facilities, intermediate care homes, and assisted living facilities, with an emphasis on memory care facilities, Golden Scalers Mobile Hygiene Services, will be available to assist some of the dental needs of this community. This business will travel to seniors , as well as the developmentally disabled, who can’t get to a traditional dental office and provide teethRead MoreWhy Do Healthcare Practices Need a Marketing Plan?793 Words   |  3 Pagesadvertising and marketing efforts for the coming year is known as a marketing plan. A marketing plan includes a statement of the marketing situation, a discussion of target markets and company positioning and a description of the marketing mix intended for use in reaching marketing goals (entrepreneur.com, 2012). A second definition of a marketing plan is as follows: a plan that describes the activities involved in achieving certain marketing objectives withi n a given timeframe. A market plan starts offRead MoreUnit 3-Business Studies Level 31729 Words   |  7 PagesRSA Academy BTEC Nationals in Business (Level 3) (September 2010 onwards) Unit 3: Introduction to Marketing |Route: |BTEC Level 3 Certificate Diploma | |Unit code: |Y/502/5411 | |QCF Level 3: Read MoreIdentifying and Describing the Management Functions1218 Words   |  5 Pagesperson with the responsibility of telling others what to do and how to do it. This is true, but being a manager is much more than that. University programs across the United States train students that want to become health care managers in areas such as structuring, marketing, positioning and governance; financial management; leadership, interpersonal relations, an written and oral communications skills; managing human resources and health professionals; managing human resources and health professionals;Read MoreBoxes And Bins ( B B )1499 Words   |  6 Pagesstudy, advanced successfully into new role of senior vice president of marketing; joining BB’s executive team. Her dimension of leadership was learned over time, and not inborn (Ibarra Oboradu, 2009). She primarily focused on developing a new strategy for marketing and implemented a promotional plan to drive increased profitability. During this time, Schuler was concerned that members of the company had various perspectives on where BB’s marketing efforts were headed. The organizational goalRead MoreManagerial Analysis : Ulta Beauty Corporation1682 Words   |  7 Pages$245 billion dollars on average a year. Ulta Beauty’s’ long term strategic plan focuses on developing a prestigious shopping environment, and salon services for its market. The corporation is able to achieve this by four different tactics. The first tactical strategy is by providing a one stop shop; secondly it has a Customer Value System, and lastly securing off-mall convenient locations. The first functional plan entails facilities planning. Ulta Beauty has produced a shop that is designed

What Is Psychiatric Mental Health Nurse Practitioner

Psychiatric Mental Health Nurse Practitioner My passion is in psychiatric nursing. I am very much interested providing psychiatric care to the individuals suffering from chronic and persistent mental illness. Being equipped with over seven years of experience providing intense case management to this population, a non-RN position, I have finally found myself here. I attained my Registered Nursing (RN) license through the Entry Level Masters (ELM) program here at APU. My goal is to add needed competencies and skills to my existing experience as a case manager to be a successful Psychiatric Mental Health Nurse Practitioner (PMHNP). I find that my newly acquired nursing skills as well as case management proficiencies complement each other very well and are crucial to my future practice as a PMHNP. PMHNP provides care to individuals at risk for and suffering from psychiatric or mental health problems, taking the lifespan approach (from birth to death) (Thomas, 2013). Understanding PMHNP competences and implementing them in my future practice is imperative as they directly affect the patient’s care and thus the success of my future practice. For the purposes of this assignment the following are the three competencies I will discuss in this forum: (a) leadership competencies, (b) quality competencies, and (c) policy competencies. Leadership competencies In addition to the core competencies of Advance Nurse Practitioner (ANP) PMHNP should, â€Å"1. Participates in community andShow MoreRelatedEssay about The Role of Psychiatric Nurse1443 Words   |  6 Pagesdefinition is essential to the development of the psychiatric nurse. The expanded role of the psychiatric nurse is clearly identified in the literature for many areas of care such for the forensic psychiatric nurse in Lyons (2009), the nurse practitioner in O’Neil, Moore, and Ryan (2008); Kaye et al. (2009) , and for the mental health liaison nurse in Merritt and Procter ( 2010). However, a clear role definition for the generalist nurse is not easily found (Rungapadiachy Gough, 2004)Read MoreMy Life After A Medical Surgical Examination778 Words   |  4 Pagesthe office to address what had occurred. That was the beginning of my emotional healing as I was strongly encouraged to begin counseling and medication management. Seeking psychological help for my mental breakdown allowed me to overcome the biggest challenge I had to prevail over in my l ife by obtaining by diploma as a Registered Nurse. This significance assumed a depth of meaning to me as over the course of the subsequent dozen years that I have served as a Registered Nurse having the opportunityRead MoreMy Goals And Current Problem1524 Words   |  7 Pagesused at an appointed time. My calling is to be a nurse, gifted with an impassable love for others, talented by God to help with the healing process of His people, and now it is time to advance in my field of nursing. Progressing to implement the latest and best evidence based practice to one’s community, along with providing holistic compassionate care. Achieving a doctoral degree is a part of one’s destiny in transforming the discipline of psychiatric nursing, enhancing one’s knowledge and strengtheningRead MoreNursing Informatics For The American Nurses Association ( Ana )1214 Words   |  5 Pages According to the American Nurses Association (ANA), nursing informatics â€Å"integrates nursing science, computer science, and information science to manage and communicate data, information, knowledge, and wisdom in nursing practice (ANA, 2007).†Nurses who wish to pursue a career in informatics one need to specialize. One does not need to have a masters degree in order to be certified in informatics. Per the American Nursing Credentialing Center, they must hole an active Registered Nursing licenseRead MoreDevelopment Of The Psychiatric Mental Health1199 Words   |  5 PagesThe development of the Psychiatric Mental Health Nurse Practitioner (PMHNP) specialty began in the late 19th century as reform began to take place within the mental asylums of the time. Focus began to shift from restrictive treatment and the â€Å"baby-sitting† of patients towards actual medical treatment of those with mental illness (ANA, 2012). In 1882, Dr. Edward Cowles established the first hospital for the insane with a formally organized nurse training school. Central to the operation of theRead MoreThe Human Services At Th e Medical Model Of Service Delivery Essay1195 Words   |  5 Pagesdependable solutions. Before the development of Human Services people believed that mental illness was caused by evil spirits and that the only cure was to get rid of the bodies of these demons. A physician named Hippocrates was the first to categorize the different classifications of mental problems and used a Scientific method to describe and treat mental illness. He believed that natural spirits were not the causes of mental illness. Hippocrates work had a great impact on the birth of the medical modelRead MoreA Research Study On Health Care Management1240 Words   |  5 PagesHealth care management ensures that expertise professionals are serving clients to address issues that are arising. The manager’s role is to certify things are running smoothly in a health care organization. I decided to interview a nurse practitioner because that has always been my dream occupation, but I realized looking into the psychiatric part. I interviewed a licensed psychiatric nurse practitioner who works at Sant a Clara Valley Medical Center in San Jose, Ca. According to the American AssociationRead MoreEssay about A Career in Mental Health Nursing1383 Words   |  6 PagesWhat is it that makes choosing a career so difficult? Is it the fact that many people mainly choose a career they live off for the rest of their lives? Or is it just that they are scared of the difficulties and obstacles that will come through their path? Many students choose the usual careers: nursing, doctors, mechanics, or just working at a gas station. It all depends on where and if the student decides to go to college and what degree they are looking forward to earning. Becoming a mental healthRead MoreDifferences Between Counselor, Msw, Pschologist, Psychiatrist, Therapist, Meditation Teacher1672 Words   |  7 PagesLPC, Licensed Professional Counselor or LMHC, Licensed Mental Health Counselor: 3 MSW or Master of Social Work: 4 Psychiatrists: 5 Clinical Psychologist: 5 Alcohol and Substance Abuse Counselors: 5 Marriage and Family Therapist (MFT): 6 Mental Health Nurses: 6 Life Coaching: 7 Conclusion: 7 References 10 Differences between Human Service Providers: There are many different types of Licensed Mental Health Professionals or Human Service Providers. A ‘Counselor’Read MoreProfessional Roles And Values Project1709 Words   |  7 PagesProfessional Roles Values Project My motto as a nurse is that â€Å"in the world you may be one person, but to one person, you may be the world†. My professional nursing statement is to promote the health of the children and families in my care by teaching them about wellness and self care habits, preventing the spread of disease, advocating for healthcare needs, and returning patients to their community at their maximum potential for health and productivity. I aim to provide best-quality care and

Getting a Chinese Foot Massage

The Chinese foot massage has been practiced for centuries and is a popular pastime in China. The process consists of a foot bath followed by an intense massage on various pressure points in the feet, ankles, and legs. For many Westerners, a traditional Chinese massage can be painful the first time.   In China, people get a foot massage for a variety of reasons, ranging from getting pampered, to socializing with friends  or treating an injury or sickness. Read on to see if a Chinese foot massage interests you and where to sign up for one! Historical Background The ancient Chinese medical text,  Huangdi Neijing (é »Æ'Ã¥ ¸ Ã¥â€¦ §Ã§ ¶â€œ), has been consulted for more than two millennia. It was written by the Yellow Emperor (é »Æ'Ã¥ ¸ , Huà ¡ngdà ¬). In the text, the Emperor recommends massage for healing and health. Since then, massages have been incorporated into treatment for medical ailments. They are widely performed in hospitals and massage parlors today. What To Expect During A Chinese Foot Massage While the quality of a traditional Chinese foot massage may vary, it typically begins with being seated on a footstool while soaking the feet in hot water infused with tea and herbs. While the feet are soaking, the masseur massages and kneads a person’s shoulders, upper back, and neck for five to 15 minutes. After, the person is transferred to a comfy lounge chair. Next, the feet are removed from the water and dried off with a towel and then propped up on a footstool. Then, the massage therapist wraps one foot in a towel and then begins to work on the other foot. The massage therapist applies cream or lotion to the foot and then rubs, kneads, pushes, and massages pressure points on the bottom, top, and sides of the foot. The massage is often painful, particularly for first-timers, because it is believed that each part of the foot is connected to a part of the body. If soreness is felt in a particular part of the foot, the theory is that the corresponding part of the body has a problem. After both feet are massaged, hot towels are wrapped around the feet. After the massage therapist rubs the swaddled feet, they are dried. Then, the lower legs and thighs are massaged using kneading, stroking, and pounding motions.   A cup of tea is often served before, during or after the massage. Snacks such as dried plums, nuts, or tomatoes may also be served. Where Can I Get A Chinese Foot Massage? Traditional Chinese foot massages are available in cities large and small throughout China, Hong Kong, Macau, and Taiwan. Getting a traditional Chinese foot massage is routine and serves as either time for rest and relaxation or as a time to catch up with friends and family. Follow these spa etiquette tips for getting a massage in China. Price A 30 minute, hour-long, and 90-minute foot massage cost about $5-$15 in the East. In the West, traditional Chinese foot massages can be found in Chinatowns and some spas. Expect to pay $20 or more for an hour-long massage and dont forget to tip.

Essay about The History of the American Civil War

The American Civil war, also know as the War Between the States, was a bloody war to end slavery. It all started with eleven states seceding from the Union to form their own nation to be able to enslave the African American. The eleven states formed the Confederate States of America, also known as Confederacy, under their president Jefferson Davis. The Civil war came about in 1861 as the North wanted stop the eleven southern states from seceding and forming their own nation just so they can uphold slavery. However, despite having the cold Civil War in the 1860s, all the effort to gain a â€Å"new birth of freedom† went in vain. Although the North were advance than the South and were to defeat them in the war, they had in reality lost. By the†¦show more content†¦Congress penalizing any interference with the registration, voting, office holding, or jury service of blacks (Document ER). In the 1866 in Tennessee, an organization known as the Invisible Empire of the South , or Ku Klux Klan, sprouted. This organization consisted of racist Whites who hated the Black and so it wan an organization that scared Blacks from not voting or seeking any jobs. Document F shows that the â€Å"KKK† organization often used terror and violence to scare the blacks. The members of this organization were known as Klansman and these Klansman burned churches and schools, hanged teachers and educated blacks. Blacks were often whipped for refusing to work for whites, for having intimate relations with whites, for arguing with whites, or for having jobs whites wanted. Or else, these blacks were brutally beaten, as shown in Document F, just for being an African American. Document H also tells about the Klansman and that they would wear masks and long white gowns to frightened people and if anyone would show bravery they would be whipped, maimed, or killed. With gaining freedom, countless freemen did not know what to do. Since they did not have money and many places to work, thousands of freemen became sharecropper farmers (Thomas Bailey, Document J). However many loyal slaves did return to their their masters as they had nowhere to go. Many African American also went to the Bureau of Refugees, Freedmen, and AbandonedShow MoreRelatedThe Civil War On American History1206 Words   |  5 Pagescountry divided, the Civil War left a huge impact in history as it helped form what our nation is today. An inevitable conflict that was due in time to transform into a war, the Civil War was influenced by societal interests, economic changes along with political disagreements. Together, these influences sparked a nation into a great divide that ended in what is known as the deadliest war in American history. Just In the aftermath of the industrial revolution, the Civil War was ignited due to economicRead MoreAmerican History : The Civil War1138 Words   |  5 PagesWar makes us what we are. It changes our lives and makes our past into the future. One of the most important events in American history was the Civil War (1861 to 1865). The Civil War changed thousands of lives and our nation. At the beginning the Civil War, it divided our country but at the end of the Civil War, it brought our country back together recreating the United States. â€Å"But the Civil War defined us as what we are and it opened us to being what we became, good and bad things. It was theRead MoreThe Civil War And American History890 Words   |  4 Pages In American History many significant events took place that reflected religious faith of multiple Americans and has shaped the world we live in today. Throughout the 1800s, the most memorable times in America took place throughout the Civil War. Events that esc alated before, during and even following the Civil War resulted in a chain of reactions from many people within that period. After analyzing the events of the Civil War, I was able to draw a connection to the actions of the soldiers, womenRead MoreThe Civil War And American History1528 Words   |  7 Pages Before we discuss the Civil War, we need to discuss how and what lead to this major turning point in American History. Both sides, the Union and the Confederate had its reasons to attack each other. Whether it be the lack of contribution towards the government by the South, or the constant disturbance to free slaves from the North, tempers flared years before the first shots were ever fired. The disagreements between the North and the South were too much for the South to endure, they felt forcedRead MoreAmerican History And The Civil War Essay1287 Words   |  6 PagesOne of American history’s famous battles involves the diverging of Northern and Southern states. Even wh en this time period itself is taught, at least from my experience learning it, that divide between Northern and Southern ideology seems even more pronounced. As United States territory expanded, so did hesitations of citizens on both sides—both Northerners and Southerners thought strongholds were put in place to sway governmental opinion, and consequently, actions. In order to bring the nationRead MoreHistory And The American Civil War Essay1927 Words   |  8 PagesIn the history of the United States, African Americans have always been discriminated against. When Africans first came to America, they were taken against their will and forced to work as laborers. They became slaves to the rich, greedy, lazy Americans. They were given no pay and often badly whipped and beaten. African Americans fought for their freedom, and up until the Civil War it was never given to them. When the Civil War began, they wanted to take part in fighting to free all slaves. TheirRead MoreThe Civi l War And American History2238 Words   |  9 PagesRachel Lee Professor Salazar History 141 4 December 2014 The Civil War The Civil War is a war that happens within a country and in this case, the Civil War took place in the United States between the North and the South. The Civil War happened between the North and the South for various reasons. Both sides expected a short war with few casualties, and instead a little over 1 million soldiers died in the Civil War. After the war was over, the war left a huge impact on the modern world through theRead MoreAmerican History And The American Civil War1610 Words   |  7 PagesThroughout American history, the United States Mint has coined several denominations that would now be considered â€Å"odd† or â€Å"strange† by the general public: the half cent, two-cent piece, three-cent piece, half dime, twenty-cent piece, quarter eagle, three dollar piece, half eagle, eagle, and double eagle. At the time, however, many of these were seen in everyday circulation, a completely normal denomination. Each of them had a purpose behind its inception and a practical use after mintage. For exampleRead MoreThe Civil War Is The Deadliest War Of American History Essay1853 Words   |  8 PagesThe Civil War is the deadliest war in American History. Between 1861 and 1865, over 600,000 brave souls lost their lives at nearly 10,500 battles. By the end of the war, there were nearly 200,000 African-Americans that fought on the side of the North, with 80 percent recruited from slave states (Half Slave and Half Free, 240). Wars are fought over irreconcilable differences. There may not be one specific cause. Directly or indirectly, slavery was intertwined in many of these differences and the physicalRead MoreU.s History : American Civil War1423 Words   |  6 PagesOmer Bhatti U.S History I Professor Ojserkis U.S History I: Final Paper In early April 1861, the attack on Fort Sumter marked the beginning of the American Civil War. However, the belligerence of both sides of the war began long before the first shot. There is a great deal of possible causes of the Civil War, and in much disagreement with popular belief the war was not solely fought about the existence of slavery. Unfortunately, there is no simple reason why the war began because there were many

The Timeout Process Free Essays

string(46) " which occur primarily at the surgeons hands\." The implementation of the timeout processes could well be the most important procedure to be introduced to the operating theatre in recent times. This seemingly small change has had a dramatic impact on patient outcome, staff cohesion and cost reduction in medical institutions. However, there are still issues that are obstructing the effectiveness of the timeout, namely poor compliance by some team members who believe that the fast turnover of cases does not allow for the timeout, that they have never had a problem in the past or that the timeout is questioning their competence. We will write a custom essay sample on The Timeout Process or any similar topic only for you Order Now This essay will look at the positive outcome that the timeout process has had in the operating theatre, why it is working and how to ensure that it remains a priority. The writer will also address the problem of poor compliance by some members, why they are resistant to the timeout process and what can be done to ensure their co-operation thereby creating a positive outcome for more patients. In order to place the checklist process in a proper perspective the following historical event is provided: In aviation, pilots have been using checklist since 1935. It was formulated after the crash of the new Boeing Model 299 on its test flight, which killed two of the five crew members. One of the fatalities was Major Ployer P. Hill the Air Corps’ Chief of Flight Testing. The ensuing investigation ruled that the accident was pilot error and not mechanical failure. As the result of this ruling a group of test pilots took it upon themselves to investigate the reason for the pilot error. They concluded that the new technology had a lot more sequential steps for the pilot to follow than the older aircrafts, which made it easier for Major Ployer P. Hill, a highly experienced pilot, to have missed a crucial step. The solution they formulated to rectify this dilemma was a simple checklist. By following this checklist the Model 299 was flown for 1. 8 million miles without an accident. Gawande (2010, p. 32 – 34). Likewise, the nursing profession has been using checklists in various forms, from the implementation of routine recording of vital signs to medication charts. However, it was only in 2001 that a critical care specialist, Peter Pranovost, decided to formulate a simple checklist to try and reduce central line infections in the ICU at the John Hopkins Hospital, where he was working at the time. Peter Pranovost and his colleagues monitored the results of their idea for a year. In that time the ten-day line infection rate went from 11 percent to zero. They proceeded to test other checklists with equally impressive results. (Gawande 2010, p. 7- 39) Several studies were done on surgical outcomes that showed that about half of the complications experienced could have been prevented through the use of this checklist. In these studies it was shown â€Å"that in industrial countries major complications occur in 3% to 16% of inpatient surgical procedures, and permanent disability or death rates are about 0. 4% to 0. 8%. In developing countries, studies suggest death rates of 5% to 10 % during major operations. Mortality from general anaesthesia alone is reported to be as high as one in 150 in parts of sub-Saharan Africa. Infections and other postoperative complications are also a serious concern around the world. † WHO (2007). In 2007 the World Health Organization (WHO) decided that something must be done to improve the situation A team of experts, led by Dr Atule Gawande, was brought together to find a solution. They formulated the surgical checklist and challenged the world to use it. The group investigated the impact of the WHO checklist in eight hospitals worldwide, four in high-income settings and four in low and middle-income settings. Data on in-hospital complications occurring within the first 30 days after surgery were collected prospectively from consecutively enrolled adult patients undergoing non-cardiac surgery, 3733 before and 3955 after the implementation of the checklist. The overall death rate was reduced from 1. 5% to 0. 8% (P= 0. 003) and in-patient complications f rom 11. 0% to 7% (P 0. 001)†. Haynes (2009) What does this surgical checklist entail? As stated by WHO â€Å"The checklist identifies three phases of an operation, each corresponding to a specific period in the normal flow of work: Before the induction of anaesthesia (â€Å"sign in†), before the incision of the skin (â€Å"time out†) and before the patient leaves the operating room (â€Å"sign out†). In each phase, a checklist coordinator must confirm that the surgery team has completed the listed tasks before it proceeds with the operation†. Many institutions worldwide have adopted the surgical timeout; they have changed a few points of the WHO checklist to better meet their needs, with impressive results. A study following 8000 surgical procedures, found that the implementation of the timeout resulted in a 30% reduction in the rate of surgical complications and deaths (Hayes 2009). Not only has patient mortality and expenditure decreased but its application showed an increase in staff cohesion. The surgical checklist has helped to increase communication by ensuring that all members as a team take the time to check and discuss potential problems and expected outcomes for the patient. This enhanced interaction between the multidisciplinary team lends itself to the staff’s increase awareness of potential problems and adverse conditions, which contributes to improved patient outcomes. Taylor (2010) surveyed operating room staff and found a perceived improvement in communication, teamwork, respect and patient safety related to the use of the timeout. Improved patient outcome following the implementation of the surgical checklist has been clearly demonstrated within Veterans Affairs (Neily et al 2010) as well as in the Netherlands (deVries et al 2010) and Iran (Askarian et al 2011). In the Netherlands study by deVries, it was found that most postoperative complications declined and that this decline could be credited to improved communication. An interesting outcome was that rates of bleeding and anastomotic leaks also declined as well as technical problems which occur primarily at the surgeons hands. You read "The Timeout Process" in category "Papers" The findings of this study suggest that the indirect effects of implementing checklists may be much more important than their specific content. (Birkmeyer 2010) Improved communication leads to respect for each team member and trust in each other. To maintain a high degree of efficacy all staff members should be provided with continuous education and evaluation of their performance. All members should therefore be informed and have access to the data that shows the benefits of using the surgical checklist. This will prevent the staff from becoming complacent. However, complacency is not the only obstacle preventing the success of the surgical checklist, poor or even non compliance is of greater concern. There are a number of reasons for this. A checklist implies that mistakes can and do happen. In a study which investigated medical professionals’ attitude to the safety systems 30% of nurses and doctors stated that they ‘did not make errors’. (Sexton 2000; p745-9) A great number of medical personnel have this misconception that they do not make mistakes or they feel that admitting to mistakes, no matter how minor, will lead to their colleagues loosing respect for them and some fear being punished as the medical profession as a whole has a low tolerance for errors. These feelings can cause staff members not to report minor incidences; unfortunately many minor incidences can lead to major problems. The hierarchy system that exists in the theatre environment also leads to poor compliance with regards to the surgical timeout. Although nursing in theory is now deemed to be a profession that works alongside doctors, not for them or subservient to them, in practise this is not always the case. When there is resistance from the surgeon or anaesthetist toward the checklist this resistance is expressed verbally in an active ridiculing manner, or non-verbally by just ignoring the process (Valen, Waehle et al 2012, p 4). When this type of attitude is displayed the theatre nurses’ main objective becomes self-preservation and the maintenance of peace, which makes the nurse rush the checklist and omitted points that may cause the surgeon or anaesthetist to become more displeased. If the surgeon and anaesthetist are supportive of the checklist, it is more likely that it will be done correctly. (Mahajan 2011, p161-8) One often finds that staff feel that doing the surgical checklist will cause delays in patient turnover, they also feel that the current system is working for them and their team so why fix what is not broken. The 2010 report by Patient Safety First showed that while most trusts reported that the checklist led to improved safety and teamwork the most common challenges to its implementation were negative clinician attitudes. (Allard, 2011, p711-17) In the operating theatre setting there are three professions involved, namely, nursing, surgery and anaesthesia and all three are working towards a common result and yet each profession is accustomed to doing this to achieve individual goals. All three are faced with staff shortages, educational duties and economic pressures. (Lingard et al 2006, p 471-83) These pressures lead to the inconsistent use of the checklist. When the checklist process is started all staff are meant to stop what they are doing, thereby giving their full attention to the checklist. However, this is not always the case as team members may be reluctant to alter their work routine and feel that what they are doing is more important, or that if people of the team knew what they were doing the checklist would not be necessary. Amalberti et al 2005, p756-64) If there is no clear decision made as to who is responsible for the completion of the surgical checklist, points may not be addressed or in the rush the checklist may just be ticked so that it is complete when it is audited. Vats et al( 2010, p340) discovered that there was confusion over who’s responsibility it was to do the sign-out checks which were frequently missed due to it being at the most time pressured part of the process and also found some checklists to be incomplete, hurried, dismissed or completed without key members participation. As can be seen from the above observations there are a number of factors that lead to poor compliance and this presents a challenge in finding ways to remedy this. It is hard for junior or more timid members of the team to implement the checklist if the more senior or assertive members are not compliant. Paull et al (2009, p 675-78) states that leadership support was deemed the strongest single predictor of successful checklist implementation among sixty four Veterans Health Administration Facilities. When studying the implementation efforts of five hospitals Conley et al (2011, p873 – 79) found that having the department chiefs as members of the implementation team and actively promoting the checklist was a big factor in its success. The senior staff need to lead by example and should be seen actively supporting and participating in this process, which in turn will ensure compliance by the rest of the staff. A team approach is recommended, with the team being made up of respected members of physicians, anaesthetists and nurses. Having all disciplines represented in these teams is important as they are likely to positively influence their peers. (Reinertsen et al. 2007) This team approach removes the need for a nurse to approach a doctor or anaesthetist, which would prove difficult and they would more inclined to ignore the advice given. To ensure the surgical checklist is adopted completely by the multidisciplinary team, it should be first introduced on a small scale, to one team or theatre. This allows for more comprehensive training in the correct way to complete the surgical checklist (Taylor 2010), Positive feedback will filter from the team doing the checklist to the teams not involved, so when they have to start using the check list they will have a positive attitude towards it. This is when changes should be made to the list which will customize it to the institution. The success of the surgical checklist will filter to the other surgical teams, thereby causing wider acceptance and compliance. Langley 2009) Modifying the original WHO checklist will ensure equal participation from all team members and, therefore, creates a checklist that is inherently â€Å"team led†. A feeling of ownership will be cultivated. The WHO published a comprehensive implementation manual (WHO, 2008) to accompany the introduction of the WHO checklist that encouraged modification to fit with local practice, cautioning against making the checklist overly complex. The Multidisciplinar y team members need to receive comprehensive training with regards to how the surgical checklist is to be presented to the other staff members. They need to have clear guidelines as to who will take ownership of the checklist, in many cases it is the circulating nurse. The checklist should ideally not be recited from memory; it should be read from the list. All activity should stop when the checklist is being presented. To maintain the interest and compliance of all staff, regular feedback should be given, namely real-time feedback. As Ursprung et al (2005) cited in their discussion on improving safety, providing real-time feedback is critical for early detection and remediation of problems that may arise. Data should be collected on a regular basis and be correlated, as to provide solid evidence that will provide proof of the goals the staff have achieved and evidence of what still needs to be addressed. Thereby, maintaining their interest in the checklists importance. The surgical checklist when approached in the proper manner is a simple tool that has the potential to improve patient outcomes expediential. Various studies by A. B Haynes (2009), J. Neily (2010), C. Hayes (2009) just to name a few have shown marked improvement with regards to patient complications and mortality rates. To prevent poor compliance by members there are a number of strategies that can be adopted. Senior members should be seen to actively participate in the checklist process so that the rest of the staff will take ownership of their checklists. To assure the success of the checklist, a small team should be formed comprising of respected members of the three disciplines involved, this will allow for peer interaction. Introducing the checklist on a small scale allows for more comprehensive education and positive feedback to the members not involved. The culture in theatre needs to change, the theory that doctors and nurses are both professionals in their own rights and neither are boss over the other, needs to be put into practise. The multidisciplinary team in theatre needs to become a team, forget their individual agendas and make the positive outcome for their patients their priority. The surgical checklist will help, as it creates the opportunity for open communication between the multidisciplinary team, which leads to greater respect and trust between the members. With the ever increasing number of surgeries performed each year, the need for quicker turnover times will become greater, therefore without the surgical checklist, surgical complications and mortality rates will increase. It is the opinion of the writer based on the evidence gathered, that the implementation of a comprehensive surgical checklist, should be mandatory for every medical facility in the world. How to cite The Timeout Process, Essays

Trip to Dubai free essay sample

Water Park. Expedia, 2010) We stayed there for about five or so hours before returning to the hotel. On day two of our trip we woke up at eight o’ clock and went down to the aquarium dining room and had breakfast. After eating we left to meet our guide and captain for our Palm Cruise. (South Travels , 2010) The cruise was great it took us all around the man made palm islands, and included an afternoon lunch. When we got done with the cruise we returned back to the hotel. We spent hours in just our hotel looking around at all of the amazing architecture that went in to building the hotel, not to mention the huge indoor aquarium with exotic fish and other sea life from all over the world. After exploring for a while we went up to our room and went to bed . On day three we woke up and went to the hotel pool for a little while before leaving for the Burj Experience which was a seaplane tour that took us to see the Dubai Creek Golf Yacht Club, Jebel Ali Golf Resort Spa, the Burj Al Arab and the world’s tallest building the Burj Khalifa. We will write a custom essay sample on Trip to Dubai or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Asia Travel Tips, 2010). The seaplane tour was amazing but as soon as it was over we were headed off to our Nighttime Panoramic Tour of Dubai, which was a double-decker bus tour through the city of Dubai. The tour showed you all of Dubai’s main attractions as well as the terrific nighttime lights throughout the city. When the tour was over we went back to our hotel to sleep. On day four we had to wake up early because we had to be at the airport at six-thirty to catch our seven-thirty flight out of Dubai heading to Munich. When we got to Munich we got on another plane headed to Newark where we caught our final plane to Greenville Spartanburg International Airport. The trip was amazing and the experience of a lifetime so I encourage you to take a trip similar to this one if you ever get a chance. ? Works Cited Expedia http://www. expedia. com/pub/agent. dll? qsfr=cmfditid=itdx=itty=ecid= Car Rentals http://www. carrentals. net/carstp2. php? country=2area=55company=27 Asia Travel Tips http://www. asiatraveltips. com/ South Travels http://www. southtravels. com/

Link Spiritual Development and Education †Free Samples to Students

Question: Discuss about the Link Spiritual Development and Education. Answer: Introduction: India is the largest country in South Asian region with a population of about 1.2 billion (Subbarayalu 396). The country borders the Indian Ocean on the South, the Arabian Sea on the South West and the Bay of Bengal on the South East. The Indian culture dates back to more than 4,500 years during the Vedic period. It is the foundations of Hindu philosophy, mythology, theology, and literature that led to the development of many beliefs and practices which exist even to date. A myth is a popular historical belief that explains the origin of cultural practices or natural phenomenon (Brown and Aaron 13). The stories are always supernatural. As a result, mythology is defined as the study of the paranormal stories that account for the existence of something (Sellaturray et al. 390). The Indian mythology is rich of elements that form the Indian culture making it even unique in the world. Different Indian stories have been passed from generation to generation through word of mouth or the stored scriptures and works of art economics. The Indian myths always convey subtle facts, rules, and maxims to offer guidance the daily lives of people. There are several Indian myths, some of which include; yoga is a system of exercise, India is poor, India is a country and traveling in India is dangerous and Vishnu. According to Indian mythology, Lord Hanuman is one of the seven immortals that was devoted to Rama. Others immortals include Kripacharya, Parashurama, Vibhihana, Mahabali, Ashwattama, and Vyas (Weiss and Richards 274). Hanuman immortality is a combination of several boons that he received from many different gods. Hanumans father was Vayu the god of wind and Anjana, a celestial nymph and was believed to be a monkey because of the spelled curse on Anjana by sage. A story of Hanuman while young, leaping up the sky when mistook Sun to be a ripe mango that he wanted to eat to quench the hunger (Bhatnagar and Sushma 3). Unfortunately, Lord Indra the king of gods intervened when Sun made noise after being shocked with Hanumans behavior. Indra came to help Sun, by striking Hanuman down into the earth using Vajra, a thunderbolt that led to breakage of hanumans its jaw. In Sanskrit, the word Hanu means Jaw while Man means Disfigured so the word Hanuman means disfigured jaw. The action annoyed Hanuman father, Vayu, (God of wind) to go into secluded place, taking all the air in the world along with him hence the living beings began asphyxiating, this led Indra to withdraw the effect of the thunderbolt that kept Hanuman unconscious. Later devas revived Hanuman blessing him with multiple boons to appease Vayu. The boons granted Hanuman manyblessings. Varuma granted Hanuman the boon of life, meaning that he would not die either from noose or water, Yama granted him the boon of good health as he would be invulnerable to the chastisement rod while Lord Kuvera granted Hanuman the boon that his mace will never cause any harm during combat and Hanuman will live long. The combination of all these blessings made Hanuman powerful and immortal. The immortality is evident when Lord Ram issued a command that Hanuman to be executed by arrows because of disharmony, a threat that was created by Narada. The execution through the use of arrows failed to do any harm to Hanuman even when Ram tried to use Brahmastra. There are other 108 names of Lord Hanuman in the Sanskrit language. Due to intense devotion and adoration to Rama-bhakti, Hanuman became ideal character among the Indians even to date. Today Hanuman is a subsidiary figure and worshiped in most of the Indian temple that is dedicated to Rama or in the shrines that are dedicated directly to Hanuman himself (Ali and Mumtaz 257). In those shrines, monkeys always throng since they know that they cannot get any human interference. Most of the devotees believe that in the chanting of the name Hanuman, leads to the destruction of demons economics. In every Indian home, a lamp is always lit daily at specific times and places, some before the altar, some before the dawn, some before dusk some homes twice a day and some homes the lamp is continued throughout the day (King and Ursula 250). All the functions such as housewarmings and housebreaking always commence with the lighting of the lamp too, throughout the event. Among the Indians, light is perceived as a symbol of knowledge, during darkness as a symbol of ignorance. Knowledge removes darkness, and it is a lasting inner wealth by which the outer achievement is accomplishable; therefore, Indian also believes that Lord is the knowledge principle, the source, the illuminator, the enlivener (Sinha and Ajay 64). Thats why the Indian light the lamps, bow down to the knowledge as the greatest form of wealth and most major source of knowledge. Even with todays development where there is electricity in almost every part of the world, Indians still doesnt embrace the light from the bul b. The traditional oil lamp is believed to have spiritual significance as it symbolizes Indian Vaasanas, or negative tendencies, the wick and the ego. When there is light, the spiritual gets exhausted slowly, and finally, the ego perishes too. As the flame burns upwards, Indians too ask knowledge to take them to higher ideals. During those events, there are four different lamps used; In auspicious work, the lamp is preferable to as Sthapitadipa meaning the witness for that occasion or work (Sinha and Ajay 67). During the worships and some vows such as marriage, the lamp made from the flour dough, Pisthadipa. Another lamp that is known as Aukshana is waved around a person to increase the lifespan while Raghuvansh is a lamp that is lit around horses before a war begins to bring protection and victory. Ethics is the ideology of protecting, recommending the proper behavior from the wrongful actions. India has versed ethical issues that are used to uphold life moral values such as brotherhood, honesty, and integrity (Seetharam and Sridevi 75). These values come from great Indian Epics such as Ramayana and the Mahabharata. Such stories teach the children the importance of keeping a promise, having affection and relevance to their parents, warnings of bad advice, defending the weak, sibling bonding and more other moral lessons. Conclusion Beliefs and practices have been important parts of the Indian religion and culture, which makes them believe that they are incomplete without them and passable from generation to generation. The diversity and the uniqueness have made them be recognized globally, and are all practiced with each believing on different aspects due to different opinions that everyone has toward them. Works cited Ali, SriMumtaz. "Spiritual Well-Being: The Fourth Dimension Of Health."Indian Journal Of Public Health, vol 56, no. 4, 2012, p. 257. Medknow, doi:10.4103/0019-557x.106411. Bhatnagar, Sushma. "To Find The Story Behind The Story......"Indian Journal Of Palliative Care, vol 19, no. 1, 2013, p. 1. Medknow, doi:10.4103/0973-1075.110211. Brown, Aaron. "Kelly Myths And Heroes."Wilmott, vol 2016, no. 85, 2016, pp. 10-15. Wiley-Blackwell, doi:10.1002/wilm.10531. King, Ursula. "Earthing Spiritual Literacy: How To Link Spiritual Development And Education To A New Earth Consciousness?."Journal Of Beliefs Values, vol 31, no. 3, 2010, pp. 245-260. Informa UK Limited, doi:10.1080/13617672.2010.520998. Sellaturay, SenthyV et al. "Proteus: Mythology To Modern Times."Indian Journal Of Urology, vol 28, no. 4, 2012, p. 388. Medknow, doi:10.4103/0970-1591.105748. Sinha, Ajay. "Ajay Sinha. Review Of "Gods On The Move: Architecture And Ritual In The South Indian Temple" By Crispin Branfoot.."Caa.Reviews, 2010, College Art Association, doi:10.3202/caa.reviews.2010.62. Subbarayalu, Y. "Book Review: Irfan Habib And Faiz Habib, Atlas Of Ancient Indian History."The Indian Economic Social History Review, vol 51, no. 3, 2014, pp. 394-399. SAGE Publications, doi:10.1177/0019464614537139. Weiss, Richard S. "Religion And The Emergence Of Print In Colonial India: Arumuga NavalarS Publishing Project." The Indian Economic Social History Review, vol 53, no. 4, 2016, pp. 473-500. SAGE Publications, doi:10.1177/0019464616662138.