Marketing Mix Strategy for John Lewis Essay Example | Topics and Well Written Essays - 4250 words

Showcasing Mix Strategy for John Lewis - Essay Example  Objective for John Lewis John Lewis depends on proprietorship structure and business achievement that are extraordinary in nature and based upon organization notoriety. Along these lines, the general targets of the association should center upon accomplices, clients and benefit. Accomplices ought to accomplish individual fulfillment in being one of the individuals from a co-possessed venture, utilize and save faithful clients through their use of their constant trust and should make sufficient benefit to proceed with business imperativeness with desire and benefit sharing among individuals (John Lewis, 2011). 1.1. Showcasing Objectives Marketing target will be towards the accomplishment of by and large objectives of the business. There are targets that are identified with item. John Lewis needs to dispatch more product offerings either through their own brands or through cooperation with different brands in various pieces of the world (Mesure, 2005). Creation cost and different co sts should be scaled down with the goal that items are reasonable and serious valuing is kept up. There are sure stocks that have increased high deals volumes. Additionally, a significant number of the stocks experienced low deals volumes. Procedure should be created to deal with the product offerings as per own image and different brands that are related with high and low edge. 2.0. Natural Analysis 2.1. World of politics The administration of the UK urges the retailers to offer blend openings for work from privately based, adaptable occupations to exceptionally gifted and more generously compensated employments. This industry is high with respect to staff turnover. In any case, the model of John Lewis guarantees that the workers are faithful to the organization. 2.2. Financial Environment Economical variables have the compelling capacity to influence John Lewis and Waitrose regarding value, benefit and cost. Because of monetary emergency, there has been increment in the degree of joblessness. This will in general influence the interest for merchandise and ventures (Adair and Et. Al., 2009). The financial elements are at the specific purpose of time, crazy of John Lewis and have its impact on the company’s execution and in this way showcasing blend can be extraordinary. The log jam in market will influence John Lewis in non-food class and Waitrose in food classification. Be that as it may, this isn't heavily influenced by the company.â

The purpose and the nature of creative writing Essay

The reason and the idea of exploratory writing - Essay Example It additionally requires basic and scientific style of composing, and the understudy's capacity to communicate their free supposition. When managing understudies somewhere in the range of 14 and 19 years old, the issues required to be remembered are the development level of the understudies, their phase of life when feelings will in general be unstable (REFERENCE You could discuss tempest and stress - G Stanley Hall from the books - Adolescence (1904) and Aspects of Child Life and Education (1921).) , the requirement for the educator to appreciate the regard and certainty of the understudies, and last, however not the least, for the instructor to be exceptionally restrained and anticipate discipline from the understudies. Puberty is a troublesome period to expect a standard of-the-thumb discipline. This is a beginning and normal time of a youngster's life when the person in question is on the edge of masculinity or womanhood. The physical and mental transformation varies in every youthful grown-up, and it is beyond the realm of imagination to expect to anticipate a uniform example of developed procedure. One youngster may not give any indication of progress and move to accomplish the full condition of masculinity or womanhood in quietness and certainty. ... Article Writing Article composing is a composition on a point. It is a unique order to acquaint the understudy with genuine composition. What is required is a blueprint, data identified with the theme, sound jargon and language to convey the data, and the capacity to adjust the exposition with an end. To start, permit the understudies to compose an exposition On the most proficient method to compose an article, in the wake of having given them all the data essential on the point. Try not to anticipate wonders. None of the understudy will finish the paper to the instructor's fulfillment. On the off chance that the individual in question has, no doubt, the paper has been duplicated! Getting understudies to assemble the exposition with the assistance of sentences and passages constantly prompts data gathering, practice, order, and time awareness. It likewise includes episodes of dissatisfaction and frantic measures as undoings and tearing of pages. These are ordinary. Learning models The most ideal approach to start is to train the essentials followed by some additional season of inquiries and answers to ensure the understudies have a decent handle of how to compose an article. Understudies with great potential regularly perform well after the initial hardly any training meetings. In any case, the ability levels of the normal understudies will in general fluctuate, some of the time broadly. (John Shaw, 16.1.2008) DATE). An understudy might be splendid in science and arithmetic. Be that as it may, writing and language might be his Achilles heel. This sort of issue is tended to by investigating and managing the understudy's degree of passionate knowledge. Make a little test into their character and check for spider webs or negative sentiments. (Educating Expertise16.1.20080 ). This passage is generally excellent (THANK YOU!) Learning models for 14-multi year olds The most ideal approach to get great

Attitudes Towards Euthanasia | Literature Review

Perspectives Towards Euthanasia | Literature Review Presentation This writing audit depends on people groups mentalities towards Euthanasia, which originates from the Greek importance great demise and in English methods the executing of one individual by another to alleviate the enduring of that individual and Physician Assisted Suicide (PAS), which is depicted as; a clinical expert supporting an individual who is unequipped for the demonstration themselves to end it all, (NHS, 2010). For this writing survey, a writing search was performed utilizing the Cochrane library, Science Direct, EBSCOhost and Sage utilizing the catchphrases: Helped self destruction Willful extermination Feelings Disposition Joined Kingdom Open Option to Die Helped Dying The vast majority of these words (except for Assisted Suicide and Assisted Dying) were utilized in every one of the web indexes exclusively and furthermore used to frame sentences, be that as it may, the main electronic databases that gave this inquiry the data it required was Sage. This gave a considerable measure of diaries, a ton of the others utilized were membership based or a charge was required, however from the allowed to utilize data two of the most applicable to the subject I wished to play out the survey on were picked. The two papers were looked over overviews and studies acted in the United Kingdom, since it was chosen to investigate what the musings and sentiments of clinical experts were in a spot where this training was by and by illicit. Use in the writing search, however this was hard to obtain. The titles of the three diaries are: Legalization of Euthanasia or Physician Assisted Suicide: Survey of Doctors Attitudes, and Opinions of the Legalized of Physician Assist ed Suicide. In spite of not contributing the word doctor into the web index, a great deal of the hunts thought of sorts of diaries which notice this at any rate. This audit will basically assess the data in the diaries and will be contrasted and one another, talking about the hindrances of the studies and the focal points. The survey will likewise incorporate the different research strategies utilized in the examination. The Literature Review The primary paper audited is in English by Clive Seale, PhD, from the Center for Health Sciences, Barts and The London School of Medicine and Dentistry, London and is known as The legitimization of Euthanasia or Physician-Assisted Suicide: Survey of Doctors Attitudes. The convention was to figure out what specialists assessments about the legitimization of restoratively helped passing on (which incorporates the terms, willful extermination and doctor helped self destruction (PAS)) were and this was done in examination with the assessments of the overall population of the UK. The strategy was to convey organized polls with a progression of inquiries utilizing subjective strategies and afterward break down the outcomes in a quantitative way. In 2007, Binleys database (http://www.binleys.com) was utilized to send polls to 8857 at present working clinical professionals everywhere throughout the UK, this was separated into 2829 (7%) GPs, 443 (43%) nervous system specialists, 836 (21% of t hese were specialists) pros under the watchful eye of the old, 462 (54% of these were likewise specialists) authorities in palliative medication and 4287 laborers in other emergency clinic based specialities. This is a significant enormous example to utilize and covers a wide scope of specialities. It isn't clear in what month in 2007 these polls were conveyed yet follow-up letters were sent to non-respondents between November 2007 and April 2008 to enquire regarding why they didn't react, in which 66 specialists in totally reacted with the most well-known explanation being absence of time to finish the study. In general the reaction rate was 42.1% with authorities in palliative medication being the most responsive with 67.3% of individuals restoring their poll, alongside pros being taken care of by the older (48.1%) nervous system specialists (42.9%) other clinic claims to fame (40.1%) and GPs (39.3%). Notwithstanding the enormous example of individuals, 42.1% of answers are very f rustrating, despite the fact that it is an emotive subject. Overall, the quantity of passings joined in. They were totally posed four inquiries about their disposition towards willful extermination and helped self destruction, so as to get the poll in full the creator of the overview welcomed individuals to get in touch with him. An email was sent: Appendix (an) and an answer was gotten the following day: Appendix (b). Past reviews with respect to this subject were acted in the Netherlands, Oregon (USA) and Belgium dominant part support from the clinical calling has been significant in passing tolerant enactment in these nations. The catchphrases utilized in this investigation were helped passing on; killing; doctor helped self destruction; option to bite the dust and terminal consideration. The conveyance of surveys implied that the strategy utilized was directly as it was attentive and arrived at many individuals in a short measure of time, the main risk with this technique was that the clinical experts didn't need to react which was appeared in the arrival reaction of 42.1% there was no budgetary or other motivation as this would conflict with every single moral thought. Moral endorsement for this investigation was conceded by the South East Research Ethics Committee. The outcomes indicated that the individuals who were pros in palliative medication were progressively contradicted to willful extermination or PAS being legitimized than different specialities, in spite of the fact that this could be down to the higher reaction rate around there. Those that communicated their strict convictions were increasin gly restricted to the sanctioning moreover. The investigation demonstrated that the most broadly held view was that British specialists don't bolster sanctioning helped biting the dust in either willful extermination or PAS; this varies from the British Social Attitudes (BSA) overview which has followed changes in general feeling since 1984, and is the most steady wellspring of information (http://www.britsocat.com). The subsequent paper investigated is Survey of specialists assessments of the sanctioning of doctor helped self destruction by William Lee, Annabel Price, Lauren Rayner and Matthew Hotopf from the Institute of Psychiatry. Lords College, London. The convention is like the primary paper in that they were taking a gander at experts conclusions on willful extermination and PAS. The article starts by saying that there is wide help among the overall population for helped kicking the bucket however less for the individuals who care for the perishing. The system was to convey a postal review of a 1000 senior specialists and clinical professionals were chosen haphazardly from the economically accessible Informa Healthcare Medical Directory (2005/2006), resigned specialists were rejected from the study. Survey were sent right off the bat in February 2007, after 12 weeks, in May, non-respondents were reached and afterward a month and a half later they were called, it was found that that a porti on of the potential givers had moved, passed on or resigned. This data was acclimated to consider. The creators finished separate univariable (a solitary variable) and multivariable (containing more than one variable) anticipating the results utilizing polytomous strategies which would permit two results to be anticipated together. The reaction rate to the review was half once the avoidances were represented, which is higher than the main paper and still gave a great deal of date to work with. Remembered for the study the writers incorporated a short blueprint of the Assisted Dying for the Terminally Ill Bill (2006) 32% of the specialists who reacted had perused a portion of the Bill. Sexual orientation, strength and years in post had no impact on resistance or backing for another law. An intriguing point noted is that the perspectives on specialists who couldn't care less for the withering count with the overall populations see, so there is some relationship there with 66% of the individuals who never thought about the perishing supporting an adjustment in the law. The result of enthusiasm for the creators was to what level experts concurred with the announcement: The law ought not be changed to permit helped self destruction. A second result of intrigue was the degree of concurrence with the announcement I would be set up to recommend a deadly medication to an at death's door understanding who was enduring excruciatingly, were that strategy to get lawful. (Hotopf, et. al. 2007:3). The discoveries of this survey can be found in Appendix (c). Both of these inquiries were resolved utilizing five-point Likert-type scales, utilized usually in surveys, following this were changed over into three-point scales including concur, neither concur nor differ and differ with an adjustment in law. The overview shows that senior specialists are part adjoin their perspectives with respect to an adjustment in the law; less are in favor than the overall population in the United Kingdom. These discoveries have been noted in the US, just as Canada, Finland and the Netherlands just as the UK. Moral authorization was picked up from the Institute of Psychiatry, Kings College London Research Ethics Committee. Examinations and Conclusions There are numerous examinations between the two papers, for instance, both conveyed polls to their objective gathering, who were experts in specific fields. Nonetheless, the main paper studied over twofold the measure of individuals the subsequent paper did yet got less answers. The two examinations were done around the same time yet it is hard to tell who began theirs first as the date for first paper is obscure other than it was acted in 2007. The subsequent review is unmistakably more inside and out that the first, and it proposes that subjective research is expected to comprehend specialists sees better while the principal paper didn't state which the favored strategy was. The subsequent paper recommends that specialists who contradict an adjustment in the law originates from an over-hopeful confidence in their capacity to diminish the enduring of the withering. (Hotopf, et.al. 2007). It is conceivable to contend against this however and the information and experience of patients who are kicking the bucket impacts sees about PAS. Both analyze t

Dissertation Example

Dissertation Example Dissertation Example A dissertation is by far the most important part of any research scholar’s life. A fine dissertation example is not only the end result of all the hard work and education of these students but also a symbol of their hard work and a stamp on their knowledge and expertise in their respective chosen fields of study. How a Dissertation Example Can Help A dissertation example is also one that offers a scholar a chance to have a look at other works done previously, their structure, the style of writing, presentation of ideas and findings which can be valuable in writing their own dissertation example. A dissertation example can be found through many sources, older records in college, from mentors, from books, from online sources and others. Many students in the current scenario prefer to look online for a dissertation example, and while many dissertation examples are available online, it is not advisable to copy or lift material from these sources as it is plagiarism a serious offence that affects the credibility of the researcher and reduces his work and efforts to a bad dissertation example. It is possible to obtain ideas online from any example of dissertation and change its date and edit the content but dissertation examples are not to be sought to be passed off as one’s own. The idea of writing a dissertation proposal example for instance is to prove that the researcher is an expert and has thoroughly investigated his topic of study. An example gives the students ideas of their own in finally picking out their topic of dissertation. A psychology dissertation example would be â€Å"To study the effect of positive thinking on terminal illness†. By going through a dissertation example a student gains a better understanding of dissertation methodology, the type of study that can be conducted, hurdles experienced in research, and also get dissertation help with the research process and seek to avoid these and make a stronger research through their research methodology and their own investigations into a chosen topic. Psychology Dissertation Example Dissertation research and writing to make yours a dissertation proposal example, or even better, a phd dissertation example can be quite a fulfilling experience once completed and a mark of your expertise in your chosen field of research.

Plagiarism Essay - 1301 Words

Plagiarism. We do it everyday. But most people don’t even know that they do it. Plagiarism is the act of taking the work or a idea of someone else, and passing it off as your own (Webster). Now, there are two main types of plagiarism: intentional and unintentional. Intentional plagiarism is when someone copies words, ideas, or phrases and purposefully pass it off as their own, all without giving credit to the correct source. On the other hand, unintentional plagiarism is when someone cites poorly, or if they didn’t know that someone else had an idea, and they pass it off as their own, thinking they were the first to come up with it. The issue with plagiarism and the United States, is whether or not America plagiarized democracy. To know†¦show more content†¦Each state will have a certain number of representatives, and also pay direct taxes, on the basis of population size† (US Constitution 1-2). This excerpt from the US Constitution talks a lot about pow er being divided in the government, by having three different branches, judicial, executive, and legislative. The judiciary is the Supreme Court, which is addressed about later in the US Constitution, the executive is the president, and the legislative is the Senate and the House of Representatives. They also talk about power being divided in the Declaration of Independence. In the Declaration of Independence it states â€Å"Governments are instituted among Men, deriving their just powers from the consent of the governed...He has obstructed the Administration of Justice...He has dissolved Representative Houses repeatedly, for opposing with manly firmness his invasions on the rights of the people† (Declaration of Independence). It doesnt directly state it, because the Declaration of Independence talks about how the king of England is unfair, and how he rules poorly. When they state what the king is doing wrong, the reader can infer that the US will do the opposite. So, when th ey say that the king is dissolving the Representative Houses, the reader can assume that the US will not dissolve the Representative Houses repeatedly like the king previously did. However, famous foreign documents talked about power being divided way before the US did. ForShow MoreRelated Plagiarism Essay1731 Words   |  7 PagesPlagiarism missing works cited Plagiarism is a distinguished sounding word. One would almost think that it sounds like some lofty philosophical ideal named for the great Greek teacher Plagiarus, something to be aspired to. This is not so. Plagiarism is in fact a moral misdemeanor, and an academic felony. By definition, plagiarism is a piece of writing that has been copied from someone else and is presented as being your own work. Socrates, Plato and Aristotle would have frowned on such a practiceRead MorePlagiarism Essay1649 Words   |  7 PagesI think there was far more plagiarism in the last century. It was almost an accepted part of writing. The ethics of writing has changed. Nobody gets upset about whether Shakespeare plagiarized something. But I think the standards have to be pretty high now, particularly for non-fiction writers. [1] Introduction to Plagiarism According to most leading authorities, including The Office of Research Integrity, plagiarism includes both the theft or misrepresentation of intellectual property and theRead More The Problem of Plagiarism Essay1729 Words   |  7 Pagesresearching topics and sharing ideas, these same students are faced with the temptation to simply copy and paste information as they find it. Instances of plagiarism are on the rise, yet teachers are in a position where they cannot discontinue this type of assessment. Therefore, teachers face the question: How can we stop the rise of plagiarism among students? Input Since teachers have given assessments of any kind, students have attempted to find ways to cheat. Whether they were looking at anotherRead More Plagiarism On The Increase Essay1236 Words   |  5 Pages Plagiarism seems to be an increasing problem in todays society, especially on college and university campuses, with the immense resources presently available to people. Previously, individuals were restricted to finding information in resources such as books, magazines, journals, encyclopedias and newspapers, but with the technology and the growth and popularity of the Internet, plagiarism has truly become an issue. There seems to be a direct correlation with the increasing use of the InternetRead MoreOvercoming Plagiarism Essay1247 Words   |  5 Pages Plagiarism is an ever-increasing problem throughout the world today, as the internet, along with technology such as Iphones and Tablets, has made accessing another person’s useful work as easy as typing a few words into a search bar. Pirating that work is then a simple matter of â€Å"cutting and pasting†. Similarly, advanced word processors have provided a stress-free way of integrating another’s writin g into one’s own, or editing a plagiarized work so that it is more difficult to detect. HoweverRead MoreEssay on Plagiarism1301 Words   |  6 Pagescode of conduct at Clarion University plagiarism is â€Å"the use of anothers words without attribution and without enclosing the words in quotation marks. Plagiarism may also be defined as the act of taking the ideas or expressions of ideas of another person and representing them as ones own--even if the original paper has been paraphrased or otherwise modified.† (â€Å"Department of Nursing† ) A lot of people, including myself have been confused of what plagiarism really means. Through my research I foundRead More Internet Plagiarism Essay1563 Words   |  7 PagesInternet Plagiarism Plagiarism used to be easy to catch. It always took real work for a student to try to pass off someone else’s work as his or her own. Different sources of plagiarizing included copying texts from the library and buying old papers off of other students. There were not many resources to choose from where a student’s topic was contained. That has now changed. There is a little thing called the Internet. It has revolutionized the plagiarism world and made it a little more difficultRead MoreEssay On Plagiarism1754 Words   |  8 PagesPlagiarism Many people plagiarize their papers without meaning to. What exactly is plagiarism? Plagiarism is using someone else’s thoughts and ideas as your own and not properly citing them--or not giving the original author credit at all. In this case, we are going to focus on research papers. How do you write a research paper and if you have to use specific sources, how do you properly cite them? In this research paper, I will discuss the following: What is plagiarism? How do you avoid it? HowRead MoreEssay on The Internet and Plagiarism1042 Words   |  5 PagesThe Internet and Plagiarism The World Wide Web is larger than any one person can imagine. There are an infinite amount of links to libraries and other sources of information. There are numerous search engines, such as Yahoo, which make researching really easy. We can find anything that we want on line, because there are no boundaries to our explorations, and there are no laws to stop us. You can find anything from socks to guns. People can even find completed research papers online; theyRead More Plagiarism Essay1189 Words   |  5 PagesPlagiarism For many, many years schools have been trying to stop students from plagiarizing materials. Detecting this plagiarism used to be easy because students only had access to books in the library, magazines, and encyclopedias. However, as the popularity of the Internet increased, so did the number of essays and papers being plagiarized. Students can easily go onto the internet and in no time at all find and essay on their topic of choice. For a certain fee they can buy the essay and

The Five Stages Of Critical Thinking - 897 Words

Critical thinking in the nursing process can be described as the â€Å"intellectually disciplined process of actively and skillfully conceptualizing, applying, analyzing, synthesizing, and or evaluating information gathered from, or generated by, observation, experience, reflection, reasoning, or communication, as a guide to belief and action.† (The Critical Thinking Community, n.d, para. 3) It is that mode of thinking that improves the quality of thoughts by skillfully taking charge of the structures inherent in thinking and imposing intellectual standards upon them (The Critical Thinking Community, n.d, para. 10). Critical thinking is essential in the nursing process as it assist nurses in identifying and defining a problem, and formulating procedures to achieve expected outcomes or results through assessing relevant information to attain solutions. The five stages of critical thinking in the nursing process are assessment, diagnosis, planning, implementation, and evaluation as stated by (Yildirim Ãâ€"zkahraman, 2011, p. 261). My critical thought process was utilized while taking care of a 65 year old male patient who was admitted on the post-surgical floor for left hip total arthroplasty. On post op day 2, I observed the patient to be highly confused, agitated, and having a hard time following commands or cues. His oxygen saturation kept falling below 90% on room air and he now needed two people to assist with transfers who previously required minimal to moderateShow MoreRelatedIdentify the stages of the Nursing Process and the skills essential to the Nursing Process1672 Words   |  7 PagesThe nursing process is a five stage systematic framework, and based on the problem solving approach; it forms the foundation for nursing practice to facilitate focussed, individualised care planning for patients (Yildirim and Ozkahraman 2011). This assignment will serve to identify the five stages of the nursing process: Assessment, Nursing Diagnosis, Planning, Implementation and Evaluation. The skills: Communicat ion, Observation, Critical Thinking and Reflection involved within the nursing processRead MoreCritical Thinking By Edward Glaser1285 Words   |  6 PagesFebruary 2016 Critical Thinking In a inspiring study on critical thinking and education in 1941, Edward Glaser defines critical thinking as â€Å"The ability to think critically, as conceived in this volume, involves three things: (1) an attitude of being disposed to consider in a thoughtful way the problems and subjects that come within the range of one s experiences, (2) knowledge of the methods of logical inquiry and reasoning, and (3) skill in applying those methods. Critical thinking calls for aRead MoreMy Philosophy Or Belief Of Nursing751 Words   |  4 Pagesare different and each day we make a difference in our patient lives. The nurse philosopher I relate to is Dr. Patricia Benner. She developed the model for the stages of clinical competence. Her model is a useful framework for assessing nurses’ needs at different stages of professional growth. Her model progresses through five stages from: novice, to advanced beginner, competent, proficient to expert level. According to Nursing Theory (2016), novice level is the nursing student who is just beginningRead MoreTeam Process And Team Development1201 Words   |  5 Pagesdefined as two or more freely interacting individuals who share collective norms and have a common identity (Kreitner, Kinicki, Cole, 2007). The team process is an important factor which helps the team to attain success. The team process plays three critical roles which are: converts the team’s charter and work plan into actions, influences individuals and team behaviors and helps to reveal the intent behind behaviors (Wong, 2010). Therefore team process is an activity when team is performing tasks toRead MoreMy Current Level Of Critical Thinking And How Can It Be Improved Essay1492 Words   |  6 Pagesconsist of; the ability to use and develop critical thinking, formation of patient objectives, comprehension of learning processes, the proper use of constructivism and an understanding of how the field of Physical Therapy has changed. With this paper, I will demonstrate my knowledge of these topics while answering the following questions: What is critical thinking and how can it be used in Physical Therapy? What is my current level of critical thinking and how can it be improved? What are the objectivesRead MoreThe Theory Of The Change Theory1400 Words   |  6 PagesChange Theory In nursing, Lewin s change theory is frequently used. His theory contains three stages: the unfreezing stage, moving stage, and refreezing stage (Mitchell, 2013, p. 32). Lippitt s theory is based on Lewin s theory and includes seven linked phases the nursing process and uses similar wording (Mitchell, 2013, p. 33). This project will utilize Lippitt’s theory phases that include: †¢ phase 1: diagnose the problem, †¢ phase 2: assess motivation/capacity for change, †¢ phase 3: assessRead MoreMy Opinion On Critical Thinking882 Words   |  4 Pagesthink of critical thinking still reminds the same, I believe that critical thinking is for someone to think outside the box. By thinking outside the box, it makes you be more open to new ideas and you’re not afraid of taking a risk. Also by making you seek to more information and the information you get helps you have a better understanding of the material. Critical thinking is very important to our society because every person uses critical thinking in every aspect of their life by thinking, writingRead MoreArticle Review On Using Literature Essay1235 Words   |  5 PagesI want to learn. I believe that every subject is connected and should be presented that way. We cannot teach one without the other. Segregating the subjects and skills does more harm than good to students because it does not promote higher order thinking. Mairà ©ad Hourigan and Aisling Leavy not only captured my attention but they kept it. In the article they described how literature and math can build understanding of probability and statistics while building on prior knowledge. I also appreciatedRead MoreLean Thinking : Banish Waste And Create Wealth1096 Words   |  5 Pages Authors of the book Lean Thinking: Banish Waste and Create Wealth in Your Corporation, James P. Womack and Daniel T. Jones, focus on Lean thinking, the five principles of Lean with details on how to implement these ideals in their text. Additionally it provides evidence as to how creating a Lean factory will boost productivity and reduce inventories. Womack and Jones define Lean thinking as providing â€Å"a way to make work more satisfying by providing immediate feedback on efforts to convertRead MoreA Nursing Process Approach to Malignant Melanoma1155 Words   |  5 Pagesthat incorporates the collection of data and processing that data through critical thinking. The nursing process is essential because it incorporates this concept into a well throughout steps of action. The Nursing Process The nursing process is a systematic problem solving approach that directs individualized nursing care for clients in any state of health or illness (Wilkinson, 2007). It is a method of critical thinking that focuses on solving patient problems in professional practice. The

Asthma Case Study for Primary Care Patients- MyAssignmenthelp.com

Question: Discuss about theAsthma Case Studyfor Primary Care Patients. Answer: The case study consists of a 12 year old boy who is suffering from acute exacerbation of asthma. This disorder usually causes the muscle of the respiratory tract to contract and as a result the bronchioles become narrow. These result in the swelling of the airways in the case of the patients making him suffer from asthma. The case reports change in weather in the environment of the patients residence were a thunderstorm had hit the land. Often such weather changes fuels the occurring of the disorder. Thunderstorm also increases the chance of asthma in the patient by making him vulnerable to dust mites (Reddel, 2015). The case also reports that the boy had participated in soccer with his friends on Saturday. During this time, the patient experienced tightness and also coughed. This can be stated here that the exercise that he had during the game may have triggered the occurrence of asthma. Researchers have stated that there is a specific type of asthma called the exercise induced asthma. This takes place as a result of aerobic workout (Dekhuien et al., 2014). Hence, the occurrences of the symptom in the patients may be also due to this factor. The case study also reports that the patient had developed infection in the upper respiratory tract. The infection must have been due to the attack of micro-organisms like bacteria as well as the virus. Researchers have often stated that cold, flu and similar other infections often trigger the occurrence of asthma. As the patient had suffered from such an infection, therefore one can take it as a contributing factor. Researchers have noted that there are four different types of asthma that are reported. This involves the mild persistent asthma, intermittent asthma, moderate persistent asthma as well as severe persistent asthma (Loymans et al., 2014). The case study had reported that when the patient was initially admitted for treatment, spirometry test showed that he had a FEV of 1.64 L which had accounted for about 55% of the normal value that is predicted to be present. After interventions, the FEV value had become 2.22 L after increase and this had accounted for about 74% of the normal predicted value. Moreover his breathing rate before the intervention was 26 beats per minute which after intervention had become 21 beats per minute. From the entire analysis above, it can be understood out of the four categories of asthma, the patient is suffering from moderate persistent asthma. The rationale behind quoting this statement is that after intervention, her FEV increased from 1.67L and became stabilized at 2.22 L. this shows about 74% of the normal predicted value. The moderate persistent asthma patients have this value between 60% and 80% of the predicted value. Therefore, the patient of the case study can be stated to fall under this category. Moreover, patients of this category need to have medications every day (Matsuse Kohno, 2014). Geronimo missed some of these medications and therefore might have faced the consequences. This again shows that he is falls into the mentioned category. This asthma already affects any regular activities and this is also true for the patient. Hence the rationale supports the claim that he is a patient of moderate persistent asthma. Spirometry is a special kind of diagnostic test that is mainly performed when a healthcare professional wants to learn about the lung disorders that are present in the patient. These tests mainly help to gather information about the patterns of breathing in a patient by assessing the volume as well as the flow of air take or released by the patient during inhalation as well as in exhalation (Buccheiri et al., 2015). This test mainly helps in showing two important components. The first component is the Forced vital capacity referred to as the FCV. This case study does not show any information about the FV of the patient. However, the second component called the Forced Expiratory volume is the second component that helps to determine the total volume of air that n individual will be able to exhale out in one second after a full inspiration period. Previously before the intervention, it was found that the FEV of the patient was only 55% of the normal predicted value and after stabilization it showed that the value had become 74%. This helped to understand that the patient had recovered from the crucial phase. Arterial Blood Gas test mainly helps the doctors to understand how well the lungs of the patient is working in removing carbon dioxide from the blood and taking in oxygen. It also helps the doctor in understanding whether any acidity is present in blood or not. A doctor can instruct to conduct such test to patients with asthma or COPD to evaluate whether they need extra oxygen to enter into the lungs for better activity and to breathe efficiently (Vaahersalo et al., 2014). It also help the professional to understand whether the right amount of blood is entering the lungs or not. The medications that are provided to patients often depend upon the seriousness of the asthmatic affects. They are also given in accordance to the symptoms, age as well as the side effects. In order to control the different symptoms of asthma and to prevent any kinds of harmful effects due to asthma attacks, healthcare professional suggest the use of medications like long acting Beta agonists (LABAS), inhaled corticosteroids, theophylline as well as leukotriene modifiers (Castro et al., 2014). In case of asthma that had resulted from allergen, healthcare professional provide medications called allergy shots called immunotherapy as well as omalizumab (Xolair) and others. These medications help by reducing the bodys sensitivity to different types of allergens. In order to provide quick reliefs to people suffering from asthma attacks, doctor provide them with oral corticosoids which mainly acts as a rescue medication. For providing short term relief and to prevent asthma, short acting b eta agonist like ipratropium as well as albuterol can also be included. Bronchodilators are mainly provided where they act by relaxing the muscles of the tract that gets tightened around the airways. In this way, it helps in opening up the tract. Steroids and anti- inflammatory drugs can act by reducing the swelling of the airways and also acting upon the mucous production in the tract. People can also use asthma nebulizers if they face problems in using asthma inhalers (Loerbroks et al., 2016). However it should be kept in mind that they should be used only for short course of time. Using them for a long course of time may lead to the occurrences of side effects that may be detrimental for the patients. References: Bucchieri, S., Cuttitta, G., Cibella, F., Alfano, P., Audino, P., Melis, M. R., Viegi, G. (2015). Airway Obstruction In Primary Care Patients: Need For Implementing Spirometry Use. InC46. HOW DO YOU DO IT? COPD DIAGNOSIS AND ASSESSMENT(pp. A4467-A4467). American Thoracic Society. Castro, M., King, T. S., Kunselman, S. J., Cabana, M. D., Denlinger, L., Holguin, F., ... Avila, P. (2014). Effect of vitamin D3 on asthma treatment failures in adults with symptomatic asthma and lower vitamin D levels: the VIDA randomized clinical trial.Jama,311(20), 2083-2091. Dekhuijzen, P. R., Bjermer, L., Lavorini, F., Ninane, V., Molimard, M., Haughney, J. (2014). Guidance on handheld inhalers in asthma and COPD guidelines.Respiratory medicine,108(5), 694-700. Loerbroks, A., Sheikh, A., Leucht, V., Apfelbacher, C. J., Icks, A., Angerer, P. (2016). Determinants of patients needs in asthma treatment: a cross-sectional study.NPJ Primary Care Respiratory Medicine,26, 16044. Loymans, R. J., Gemperli, A., Cohen, J., Rubinstein, S. M., Sterk, P. J., Reddel, H. K., ... ter Riet, G. (2014). Comparative effectiveness of long term drug treatment strategies to prevent asthma exacerbations: network meta-analysis.BMJ,348, g3009. Matsuse, H., Kohno, S. (2014). Leukotriene receptor antagonists pranlukast and montelukast for treating asthma.Expert opinion on pharmacotherapy,15(3), 353-363. Reddel, H. K. (2015). Treatment of overlapping asthmachronic obstructive pulmonary disease: Can guidelines contribute in an evidence-free zone?.Journal of Allergy and Clinical Immunology,136(3), 546-552. Vaahersalo, J., Bendel, S., Reinikainen, M., Kurola, J., Tiainen, M., Raj, R., ... FINNRESUSCI Study Group. (2014). Arterial blood gas tensions after resuscitation from out-of-hospital cardiac arrest: associations with long-term neurologic outcome.Critical care medicine,42(6), 1463-1470.