Nursing Project Essay Example | Topics and Well Written Essays - 2750 words

Nursing Project - Essay Example The evidence definitely supports the use of this program and s presented in this paper. Continuous quality problems and spiraling costs in healthcare have lead to widespread interest in solutions that are effective and well supported. Evidence based practice has taken hold as an answer to the problem that makes sense (Coleman, 2003) EBP is sometimes viewed as an ideology, however, as far as practice goes it's goal is to supplement professional decision making with the latest research. It is sometimes argued today that to treat someone with a practice that the efficacy has not been shown is not ethical (Kind,2007). That would leave many healthcare treatments today as unethical. This paper will discuss nursing transition to evidence based practice in the realm of patients and transitioning. The question would be, "What are the most effective interventions for improving care coordination" Many Medicare dollars are spent on a small percentage of beneficiaries with chronic conditions and those people are in and out of the hospital many times, many within short periods of time. The causes of this are numerable but some of them are inadequate care, poor communication among primary caregivers, specialists, and patients, weak adherence by patients, and failure to catch problems early. There are three types of intervention being looked at closely at this time to try to solve these problems. Transitional Care, self managed education intervention, and coordinated care interventions are being considered as effective but requiring further study (Coleman, 2003). Transitional care is first engaged in the hospital, followed intensely post-discharge and receives comprehensive post discharge instructions on medications, self care and symptom recognition. Reminder calls are made to assure that the patients follow up with primary care providers as required. Effective transitional care is targeted for patients with specific diseases such as CHF. This is guided by APN's and is usually a twelve week intervention that is highly structured with protocols (ncga.gov.) It requires a one year post discharge follow-up. Statistically it has shown to reduce hospitalizations by 34% and lower overall costs by 39%. APN's in this case are the transitional coaches and there are tools given for cross site communication. Self management education is a term used for collaboration with patients and families to identify patient goals, improve self management, expand sense of self efficacy, and assess mastery of skills (ncga.gov). Much of this is done in group sessions of limited duration. The targeted patients are usually forty or older and have heart disease, lung disease, stroke or arthritis. There are usually seven weekly group sessions on exercise, symptom management, techniques, nutrition, fatigue and sleep management, use of medications, dealing with emotions, communication and problem solving. Statistics show that these patients have 1/3rd fewer hospital stays. Coordinated care on the other hand is considered teaching patients about self care, medications, how to communicate with problems, monitor patients symptoms, well-being, and adherence between office visits and advise patient on when to see their physician. A full report is given to the patient's physician (ncga.gov). This would also include arranging for social support

Introduction and Executive summary Essay Example | Topics and Well Written Essays - 750 words

Introduction and Executive summary - Essay Example However, the architectural marvels and the grounds of the park fell into a state of disrepair in the eighties of the past century. The existing state of affairs has forced the authorities to have a relook at the best way to utilise the space. The site is optimally suitable for mixed use development of utilities/ structures type that can stand on their own but will undoubtedly benefit from the other product types within the development. Thus, the development team has arrived at the conclusion that the construction of office tower surrounded by smaller buildings housing a myriad of different retail uses and restaurants would utilise the site in the best possible way. Also minimum alterations would be done to some of the existing paths and walkways that contribute greatly to the overall character. Overall structure is planned in such a way so that the office building, which will be the centrepiece of the construction, would be placed in the centre so as to pull people inside. As per our estimates, mixed use development of the site would cost $79,905,200. While construction of residential structures would cost around $20,067,000, construction of office/hotel and industrial/retail structures and industrial/retail structure would cost around $74,000,000 and $21,990,600 respectively. Above incurred expenditure is forecasted to deliver an income of $18,301,356 / year. From residential structures alone the income is pegged at around $ 16,463,928. Income from office/hotel is forecasted at around $13,247,600 while that from industry/retail is estimated to be around $4,789,828. Utopia Development is keen to develop this site since its development coincides with the company’s aim of promoting the overall usability and utility of specific areas while also retaining its historical flavour. Utopia Development not only has the will and experience to do

Health insurance Essay Example | Topics and Well Written Essays - 500 words - 1

Health insurance - Essay Example Therefore, this paper will look into a health advertisement and discuss it in its fullness. Health and health insurance as a topic is important in most people’s lives. Decisions on what the best medical policies are suitable for an individual and their families as well as what medical services are best suited for them often take center stage in planning. Therefore, companies and medical providers have the obligation to research and find out what consumers need and how effectively they can provide these needs. They have to take into consideration; the pricing, the treatment, cause of the drug as compared to its complements, then advertise it in a manner that will captivate the consumers and make them want to try it. Advertisements assure the target market of how effective the product is and how well- tested it is should be included to erase any fear of bad and severe side effects or otherwise. There is an advertisement of the Swiss drug maker, Novartis, on multiple sclerosis disease that says â€Å"Hey MS, Take This!† (Olson). The advert is about people who refuse to let the disease control their lives. Multiple Sclerosis is a disease that affects the brain and the spinal cord. These parts of the body are the central and core parts that control most, if not all the other body parts. Multiple Sclerosis can affect the body hindering an individual’s perfomance as well as personal independence; thus, making them rely on assistance for the rest of their lives. The advert shows people with the Gilenya drug on their tongues that are stuck out (Olson). This shows that they are willing to fight against any disease that may want to affect their bodies neurologically or otherwise. The text â€Å"Hey MS, Take This!† (Olson). The graphics of extremely good-looking and healthy persons brings out the defiance nature that we should adopt against any condition. It is encouraging and shows a positive fighting spirit and the strength that

The supreme court does not have the power to execute its decisions and Essay

The supreme court does not have the power to execute its decisions and interpretations. how then, does the supreme court obtain compliance with its interpretations of the constitution - Essay Example We will also seek to understand the challenges with regard to such compliance. In United States (US), federal government is divided into three separate branches i.e. The Legislative branch governed under Article 1 of the Constitution, The Executive Branch governed under Article 2 of the Constitution and The Judicial Branch governed under Article 3 of the Constitution. As per Article 3, The Judicial Branch is headed by US Supreme court. Supreme Court has original jurisdiction in certain cases i.e. Issues involving Ambassadors, treaties by federal government and issues where two or more states are parties. Every state has its own Supreme Court as well and cases related to a particular state are dealt in the respective state’s Supreme Court. However, the US Supreme Court works as appellate court for such cases if there is a federal issue involved. Separation of power leads to the concept of check and balance. In US all the three branches of state not only facilitate each other in completing the desired goals under the constitution but also ensure check and balance over each other. Supreme Court does not derive its force through administrative means. The decisions of court are enforced through other branches of the system i.e. legislative and executive. So the compliance of court decisions is a matter of supremacy of Constitution. The Constitution safeguards balance among organs of state where one organ does not interfere with the rights and powers of other. On the other hand, the system of check and balance provides the court with powers to interpret constitution. The most important of them is Judicial Review. Political Backing and Continued nature of service of Supreme Court Judges also help the Court to enforce its writ. Judicial review is a process through which executive and legislative decision can be questioned by the judiciary and if they are found against the supreme law of the

Education Problems ( The Risk ) Research Proposal

Education Problems ( The Risk ) - Research Proposal Example It was advocated as a way to insure that students were receiving the education they were entitled to, and not just pushing them through the motion of graduation. However, critics have contended that it is ineffectual, punitive, inflexible, and hurts minority students the most, the very one's the Act was purported to help. An evaluation of the important markers of achievement scores, drop out rate, and performance gap will show that the NCLB has left minority students farther behind, and in fact is fundamentally discriminatory in its implementation. The NCLB was enacted with good intentions and targeted the legitimate educational problems in the public school system, but the unintended consequences have prohibited the ACT from realizing its goals. The Act was passed with bipartisan support amid much fanfare with then President Bush stating, "These reforms express my deep belief in our public schools and their mission to build the mind and character of every child, from every background, in every part of America" (cited in US Department of Education, 2002, p.9). The fundamental principles of the NCLB came after decades of debate and stress that "schools and districts work best when they have greater control and flexibility, when scientifically proven teaching methods are employed, and when schools are held accountable for results" (US Department of Education, 2002, p.9). However, after 6 years of data it appears that schools and teachers have lost their autonomy and the results are being masked and hidden through unethical accou nting practices. Issues such as bilingual education are being used as a political hot button, with little regard for the students that the policies impact. Data is falsified, drop out rates soar, and the real problems go unnoticed in an air of false confidence. The situation has degenerated to the point that some states have considered abandoning the NCLB and forfeiting federal funding for education. It is of extreme importance to look at the latest data available and make an evaluation as to the future of the NCLB. It is the obligation of the citizens and legislature to assure we have an Act that works as designed and fulfills the lofty, and worthwhile, goals set by the NCLB. Literature Review One of the most focused upon characteristics of student data is what is called the 'Achievement Gap'. It is the performance gap that exists between the white students and the minority students. Traditionally, since the 1960s white students have outscored minorities at almost every level and subject due to socio-cultural and economic reasons, and the NCLB has a goal of closing this gap (Smith, 2005, p.513). However, this aspect of the NCLB is almost immeasurable. For the recent 4-year period beginning in 2004, the data required to evaluate the achievement gap only exists for 10 of the 50 states (Anderson, Medrich, & Fowler, 2007, p.549). To be measured as a minority sub-group, such as Hispanic, the school needs a minimum number of the minority students to be required to include them in the data. If the number of minority students is small, such as in a rural school, they are not required to disaggregate them in the data. Schools and districts can set this number arbitrarily and may be using it to hide minority results. According

Goodyear Tire & Rubber Company New Product Development Process Essay

Goodyear Tire & Rubber Company New Product Development Process - Essay Example Goodyear is amongst the leading tire manufacturing company in the world. It has made its presence felt in every corner of the world. The company started its journey with 13 employees at its manufacturing plant in Ohio, USA and since then has grown into a company which is home to more than 70,000 employees across the world. The company with its continuous hard work has risen from scratch to become a billion dollar company. Goodyear with net sales of $22.8 billion (as of 2011) is surely leading the way to not only be the top tire manufacturing company in North America but also in the world (Goodyear, n.d). This project report on Goodyear will identify the prospects related to new product development. New product development is a critical aspect for the company in the cut throat competitive market. Product development is always based on certain criteria’s which otherwise can benefit Goodyear as a company in terms of market share and revenue generation. The purpose of this project is to analyze Goodyear’s strategy and methodology in developing new product. This project emphasizes on the need of new product development and its importance. Goodyear has been in the business for a long time and the project will evaluate the company’s future prospects in context to new product development. Tire market is a huge market with many competitors. The project will answer certain questions such as why new product development is the need of the hour and how can it change the fortune of a company?... The company with its continuous hard work has risen from scratch to become a billion dollar company. Goodyear with net sales of $22.8 billion (as of 2011) is surely leading the way to not only be the top tire manufacturing company in North America but also in the world (Goodyear, n.d). This project report on Goodyear will identify the prospects related to new product development. New product development is a critical aspect for the company in the cut throat competitive market. Product development is always based on certain criteria’s which otherwise can benefit Goodyear as a company in terms of market share and revenue generation. Purpose The purpose of this project is to analyze Goodyear’s strategy and methodology in developing new product. This project emphasizes on the need of new product development and its importance. Goodyear has been in the business for a long time and the project will evaluate the company’s future prospects in context to new product devel opment. Tire market is a huge market with many competitors around which makes the new product development even more important for Goodyear. The project will answer certain questions such as why new product development is the need of the hour and how can it change the fortune of a company? Tire market is no more confined to the developed nations as the emerging economies of the world are leading the way in terms of tire consumption with the rise in number of vehicles plying on the roads. It comes as an opportunity for the company and the project analyzes what are the ways Goodyear can cope with the rise in demand by offering cutting edge technology to its customers. Background Goodyear Tire & Rubber Company was founded in the year 1898 by Frank A. Seiberling in Ohio, USA.

A ustralian Company Accounting Coursework Example | Topics and Well Written Essays - 1500 words

A ustralian Company Accounting - Coursework Example Income tax Liability (Statement of Financial Position) $ 4,650 Requirement 3: Treatment: Doubtful Debts Expense: Doubtful debts represent that balance of amount which will not be recoverable out of the total trade receivables of the company. This is considered to be a trade expense thus is accounted for in the income statement of the company. Rent Revenue: Rent revenue is defined as an income generated by the company through renting out any of its assets. It can include machinery, equipment or property. All kinds of income generated by the company are included in the profit and loss account of the company. But for tax purposes it is taxable under savings income heading so it will be deducted from the profit of the company and taxable separately as the savings income has a different tax rate. Entertainment Expense: Entertainment expense comprises of the expense incurred during the process of entertaining the clientele of the company. As the entertainment expenses incurred on the emplo yees is not an allowable expense for tax purposes, it is assumed that this expense relates to the one incurred on the clientele unless otherwise stated. Thus it will also be included in the profit and loss account of the company for tax purposes as a deductible. Requirement 4: Calculation of Deferred Tax Asset and Liability: Calculation of tax base values of assets: MOTOR VEHICLE: Book Value ($) Tax Base ($) Motor Vehicle (Cost) 18,000 18,000 Motor Vehicle (Acc. Depreciation) (15.750) (18,000) ------------------- ---------------- 2,250 Nil Thus Deferred Tax Liability = 2,250 * 30% = $675 EQUIPMENT: Book Value ($) Tax Base ($) Equipment (Cost) 100,000 100,000 Equipment (Accumulated Depreciation) (60,000) (45,000) ------------------- ----------------- 40,000 55,000 Deferred Tax Asset = ($55,000-$40,000) * 30% = $ 4,500 RECEIVABLES: Tax Base = $12,000 Thus deferred tax liability = 12,000 * 30%= $3,600 RENT RECEIVBALE: Tax Base = $2,800 Thus deferred tax liability = 2,800 * 30% = $840 T otal Deferred Tax Liability = $675+$3,600+$840 = $ 5,115 Thus the new deferred tax asset and liability becomes $4,500 and $5,115 respectively. Requirement 4: Journal Entries: Deferred Tax Asset: Dr. Tax Expense (Statement of financial performance) $ 1,950 Cr. Deferred Tax Asset (Balance sheet) $ 1,950 Deferred Tax Liability: Dr. Tax Expense (Statement of financial performance) $ 2,370 Cr. Deferred Tax Liability (Balance sheet) $ 2,370 Question 2: REPORT Executive Summary This report is designed for the purpose of reflecting on the new accounting policy change that is being implemented by the company which requires the company to disclose its advertisement expense as an asset as opposed to be treated as an expense as it incurs. In this report it was observed and suggested that the criteria for the policy change implemented by the company met the recognition criteria of an asset as set by the AASB (Australian Accounting Standard Board), and was of material balance to be disclosed in t he financial statements of the company. Introduction: The purpose of this report is to determine if the new policy of the company to record its advertisement expenses as an asset is true and fair according to Australian