Description Of A Shopping Holiday - 1357 Words

A Shopping Holiday Are you hungry for some healthful eats? Craving some good wine? Maybe you re just hankering for a great deal. Then let s take a stroll down to the docks and pay a visit to old Trader Joe. If you re lucky enough to find parking –it seems most Trader Joes have rather limited parking lots– you’re on your way to an adventure in grocery shopping. As you pass through the magical sliding glass doors, you enter another world, a fascinating bustle of excitement, smiles and wholesome nutrition. This self-proclaimed â€Å"Unique Grocery Store† is certainly unlike any other vendor of goods you will find. Compared to your ordinary Ralph’s, Von’s or Costco, Trader Joe’s offers its customers, and its employees, a fully realized theme environment, not unlike what one might find at a store designed by the Walt Disney Company. As you enter the brightly-lit space guests are overwhelmed with a very welcoming, island atmosphere: flowers, Tiki carvings, hand-painted signage, and some stores even have aisles with thatched-roof awnings supported by heavy wooden poles to ensure you get the idea. This theming and design takes customers out of the real world and into an over-seas adventure. While walking around the store, selecting your rather common loaves of bread or chicken breasts, you get the drawing impression that you are on a very uncommon tropical vacation. In our fast-paced, modern environment here in Southern California, any respite from the madness is a welcomedShow MoreRelated Holiday Shopping Essay967 Words   |  4 PagesHoliday Shopping As I skim through the Chadwick’s mail-order catalog, I come across a woman, who looks as if she is in her mid-thirties, standing outside on the snow-covered ground. Her gloved hand is arched back in a ready-to-throw position with a snowball resting in her palm. The woman is wearing a  ¾ length gray wool coat and black leather gloves, which catches my eye. The serene, white-topped leaves of the pine trees lean in different directions, waiting for spring to arrive. â€Å"Winter isRead MoreThe Need For Multi Store For B2b Solutions1144 Words   |  5 PagesSeparating products that appeal to different customers, industries or economic groups Making browsing and shopping for products easier and more focused Highlighting manufacturer brands, high-end merchandise and more profitable items Allowing customers to save their account information and shipping preferences to use in all related stores without needing to update information or use separate shopping carts Fine-tuning customer segregation by tracking which stores customers visit Increasing Google SERPRead MoreAdvertising, Refund Problem And All Other Problem Of Online Shopping961 Words   |  4 Pagesthe online shopping. Online shopping means the service provider or seller and the customer contract each other without simultaneous, actual and physical presence. Online shopping has become increasing day by day especially in holidays. Online shopping save times, individual the hassle of searching several stores. If people find themselves having problems getting visitors to purchase and are not selling as much as they would like to, chances are they not addressing the online shopping pain pointsRead MoreThe Behaviors Of People Shopping Is Best Buy On Black Friday At The King Of Prussia Mall ( Kop1569 Words   |  7 PagesInformation For my ethnography assignment, I choose to study the behaviors of people shopping in Best Buy on Black Friday at the King of Prussia Mall (KOP). This file assignment is to participate and to observe the anthropological concepts usages in American rituals. Since I did not have the chance to meet with my family members, who live in Indiana, I choose to participate in the modern tradition of Thanksgiving- shopping. Moreover, one of my friends decided she want to experience the spirit and the heatRead MoreCareer as a Travel Agent700 Words   |  3 PagesIntroduction 1.1 Definition Description 1.2 Aims 2. Discussion 2.1 History 2.2 Qualification/ Skills/ Requirements 2.3 Salary 2.4 Prospects 3. Conclusion 4. Recommendations Bibliography 1. Introduction 1.1 definition and description A Travel consultant is a person that arranges travel packages on behave of other people witch can include, flights, insurance, accommodation, tours and transfers. Most travel consultants usually have experienced many holidays domestically or internationallyRead MoreThe Determinants Of Australian Consumers Attitudes Toward Online Retail Shopping1296 Words   |  6 Pagesonline retail shopping has experienced an extensive growth in Australia and also worldwide in the last few years, the rapid growth in numbers of internet users buying products online. Research shows that the growth of online shopping has continued to outperform that of traditional retail, since November 2011 and November 2012 The National Australia Bank retail index shows online retail sales have increased by 27% since previous years. Factors that may be driving the growth of online shopping in AustraliaRead MoreDesigning A Seamless Experience For The Web1055 Words   |  5 Pagesthoughtfulness. The typical user r elates to the brand identity and is often a family member, friend, or boyfriend/girlfriend looking for a unique gift for a specific person (friend, sister, mother/grandmother, girlfriend, bridesmaids) for a specific need (holiday, birthday, wedding). The user or the recipient would likely be technology savvy, interested in sustainability, or interested in supporting local businesses. Scope The scope of a website encompasses all of the features and functions that are includedRead MoreOnline Shopping and High Street Shopping1465 Words   |  6 PagesNowadays, an increase in the technological revolution has happened in the world; however, the internet is the important significant revolution that has ever known so far and used by a lot of people .Shopping via the internet has become one of the most successful uses that can connect the various and companies and consumers alike. That is because of the wealth of time and effort, rather than travel to buy the specific needs of a country. It has been able to the users of the internet to choose whateverRead MoreMy Family Strengths And My Life889 Words   |  4 PagesMy Family Strengths Provide the names, ages, and a short description of your nuclear or main family members. How you define this is up to you. Bruce is my domestic partner and we have been together for eight years he is 49 years old. Myself and I am 52 soon to be 53 next month. Tonya is my oldest daughter and she is 34 and her daughter Makayla is 11. Tonya is a single-parent, however, at the present time Makayla lives with her dad Bobby and his wife Rachel and their daughter Morgan who is 6 yearsRead MoreAnalyzing Online Shopping Essay1421 Words   |  6 Pages 2.1 Shopping is made more convenient One of the main advantages of online shopping to the consumers is the convenience of being able to shop anywhere and anytime. Online stores can be easily accessed by any device which can connect to the internet. With online shopping, it is entirely possible to shop in the wee hours of the morning, while still on bed as online stores almost never close. An individual only has to log onto a particular website, add the items they want to purchase into their shopping

Care Plan Free Essays

Palliative care would allow the client to receive a combined and holistic approach for medications, equipment, unseeing, and symptom treatment all fascinated through one program. The community health nurse needs to be careful not to impose ones own perception about quality of life upon the client. With the experience of having helped both of my parents through the dying process, I know that it is important to separate my own experience and perceptions from those of my client. We will write a custom essay sample on Care Plan or any similar topic only for you Order Now Just as each person takes on life with a different philosophy, so it goes with the dying process. The nurse must not assume that the patient’s priorities are the same as his or hers. Open communication regarding the patient’s wants and needs must be initiated. Though not all patients have had the time or skills to know how to deal with a terminal illness, one of the most important Jobs of the nurse is to connect the patient to the proper resources needed for navigating through the various aspects and stages of their disease process, and to do so without Judgment or bias. B. Many terminally ill patients begin to navigate through the stages of grief as outlined by Elisabeth Kibble-Ross. While caring for this client with a lingering terminal illness such as cancer, my first strategy would be to keep the lines of communication open, managing the patient’s emotional and spiritual needs and outlining the stages of grief as the client progresses through them. By initiating a good line of communication, one can recognize and guide both Mr.. And Mrs.. Thomas through denial, anger, bargaining, depression and acceptance (Kibble-Ross). It will be easier to better manage Mrs.. Thomas’ physical needs if her psychological social needs have been addressed. My second strategy in helping to improve the quality of life for Mrs.. Thomas and her husband would be to manage Mrs.; Thomas’ comfort. Working carefully with a palliative or hospice team to manage the physical discomforts of the tangent’s illness, can greatly increase quality of life. This is often a critical area of educating the patient on pain control. Patients are often afraid to take pain medications, and therapeutic communication is likely to be necessary. Monsoon). My third strategy would be to set up an interdisciplinary palliative care team to to manage the health of Mrs.. Thomas. Terminal illness can be overwhelming for a family, where likely there are other factors – be it financial, familial, psychological, and no one person can manage it all. By working with the family to institute a good team or care, the burden can be lifted off the family and this will ideally allow them to care for their loved one without becoming burdened or overwhelmed. It is important to consult the family regarding any spiritual support that they would feel comforting. Is there a minister or spiritual guide currently in their life? If not, would they be open too visit from someone that is akin to their spiritual values? These are questions that should be carefully addressed. C. Nursing Care Plan for Mrs.. Thomas Assessment: Mrs.. Thomas is a 56 year-old female with a history of breast cancer. Mrs.. Thomas is aired with two grown sons, aged 28 and 30 both of which live out of state. Mrs.. Thomas has a strong familial history of braes cancer and one year ago, was treated for a malignant mass in her right breast. After a right mastectomy, chemotherapy and radiation six months ago, the cancer has now returned with subsequent right sided mastectomy, chemotherapy and radiation. The cancer has now metastasis’s to the lungs and the prognosis is now deemed to be â€Å"poor† with â€Å"palliative care now being recommended†. (Task 2). Diagnosis Number One: Acute Pain related to incision secondary to surgical intervention as evidenced by tangent’s visible discomfort/crying in bed, pallor, respirations, blood pressure and a report of 8/10 pain. Goal 1. Patient will verbalize a pain rating of 4 or less on a scale of 10 with each assessment. 2. Pain control as evidenced by patient demonstrating ability to use analgesics appropriately, use alternative non-analgesic relief, reported pain to be mild, relaxed body language, vital signs returning to normal Plan 1. Analgesic pain medication as prescribed by physician (Swearing) 2. Use of diversionary and or strategies to assist with pain (SHE Nursing Care Plan Guide) 3. Assist patient with positioning for comfort Implement . Evaluated effect of medication, utilize pain scale 2. Assessed effectiveness of diversionary strategies (SHE Nursing Care Plan Guide) 3. Assisted with position changes Diagnosis Number Two: Activity Intolerance related to generalized weakness as evidenced by increasing fatigue Goal 1. The nurse will help fascinate a physical therapist to help with mobility 2.. Will ambulate IX around block daily Patient 3.. Patient will fully participate in Tall’s within physical limitations without dizziness or change in vital signs by 8/1/14 1 . Assess patient’s level of mobility, educate within patient’s capability 2. Assess nutritional status. Adequate energy reserves are required for activity. (Swearing) 3. Ambulate patient XX a day 1. Educated patient on benefits of mobility and the proper body mechanics for mobility 2. Encourage nutrition prior to activity and the proper body mechanics for mobility Monsoon) 3. Ambulated patient XX daily Diagnosis Number 3: Ineffective Coping related to financial burden and emotional impact of diagnosis on family as evidenced by patient’s increasing isolation 1. Set up a quality interdisciplinary team incorporating counseling services for the family 2. Patient will demonstrate problem solving techniques Monsoon) 3. Patient ill verbalize acceptance of diagnosis 1. Patient will utilize available support systems and work with counselor for socio psych issues 2. Assist client to identify priorities and attainable goals as he/she starts to plan for necessary lifestyle and role changes 3. Perform actions to facilitate the grieving process (Elsevier) 1. Patient met with counseling services 2. Patient identified priorities and set goals 3. Patient demonstrated knowledge of the 5 stages of grief and how to work through them In order to optimize Mrs.. Thomas functional ability, the care team should strive for all three of the goals in her plan of care to be met. First of all, her pain needs to be managed so that manipulation can be successful, without discomfort. It is quite common for patients to be concerned about becoming addicted to pain medication as in the case of Mrs.. Thomas. Addiction is â€Å"psychological dependence† on a drug and is not the same as tolerance or physical dependence, according to Oncologist, DRP. Gary Johansson who states that â€Å"In fact, addiction is rare when avoids are used for pain relief†. With proper education and regularly scheduled pain medication, Mrs.. Thomas should be much more comfortable and able to manage other areas of her life more successfully. Once Mrs.. Thomas’ pain is under control, she will be able to work through many of the stresses that have mounted since her diagnosis. As Mrs.. Thomas disease progresses, there will come a time when she will no longer be able to care for herself. A new Plan of Care should be created and ready to transition to at that time. At this time the interdisciplinary team should consist of a hospice care which is generally implemented when a patient has less than 6 months to live. When hospice is begun, all care is transferred to the hospice team. New orders for care, medication, equipment will be set up and time is given to the family or supporting both the patient and their loved ones. Care will focus on making the most out of the time they have left, â€Å"without some of the negative side-effects that life prolonging treatments can have†. Monsoon). Most hospice patients can attain a level of comfort that allows them to â€Å"concentrate on the emotional and practical issues of dying†. Willet-Legislations). Mr.. Thomas is carrying a big physical and emotional burden during his wife’s terminal illness. The Thomas family’s case is complicated by Mr.. Thomas’ chronic depression and high stress occupation. As Mrs.. Thomas’ needs escalate and change, so do the needs of the Mr.. Thomas. By facilitating psychological help for Mr.. Thomas, the care team is in turn helping Mrs.. Thomas by easing her worries about her spouse. Patients and families need support, guidance, and encouragement to begin planning for many decisions. Many spouses are weighted with concern about the patients’ comfort and impending death as well as every day problems. â€Å"This is an emotionally intense, exhausting, and singular experience, set in a world apart from everyday life patterns†. (Siegel). Mr.. Thomas needs to be reminded that in order to help care and be emotionally supportive to his wife, he needs to take care of himself. Medication reminders and grief support should be set up for Mr.. Thomas. Therapeutic conversation and guidance can make all the difference for the significant other off terminal patient. In addition, Mr.. Thomas needs respite care so that he can be fully present while caring for his wife. Mr.. Thomas should be encouraged to take a walk, a nap, or a restorative A care plan for Mr.. Thomas could be initiated with a nursing diagnosis of: Risk for Caregiver Role Strain. (SHE). Goal: Spouse will report low or no feelings of burden or distress by 8/01/14, measured by relief stated by spouse. Plan: Encourage the caregiver to talk about feelings, concerns, uncertainties, and fears. How to cite Care Plan, Papers Care Plan Free Essays Nursing Diagnosis| Expected outcomes| Interventions| Rationale| Evaluation| Nursing Diagnosis:Sleep deprivationR/t: Age related sleeping problems and dementia. A. E. We will write a custom essay sample on Care Plan or any similar topic only for you Order Now B: Verbal report of not sleeping well. Also maybe be caused by dementia. Nursing Diagnosis: Risk of hopelessnessR/t: Client’s loss of family members in the past. A. E. B: Lack of eye contact, passive attitude, and deteriorating physical and mental condition. | Client will take part in relaxation techniques such as massage therapy and aroma therapy at least one time a week. Caffeine intake will be decreased. Client will not have any caffeine after 2 pm. Client will avoid the uses of loud T. V. ’s and radios every night. Client will use a sound generator to generate sounds of the ocean and waterfalls to improve sleep every night. Client will use the bed only for sleeping, avoid afternoon naps, and try to go to bed only when sleeping every day. Client will spend time with a caregiver or family member one-on-one at least one time a week. A family member of the client will be expected to visit at least one time a week and spend time with the client. Client will make at least 2 simple decisions every day. Client will engage in group activities at least one time a week. Assess level of anxiety. If client is anxious, use relaxation techniques. Assess and evaluate the client’s diet and caffeine intake. Keep environment quiet for sleeping. Use soothing sound generators. Follow guide lines for good sleep habits. Spend one-on-one time with the client. Involve family and significant others in Clients life. Encourage decision makin g in the daily schedule. Encourage client to participate in group activities. | The use of relaxation techniques to promote sleep in people with chronic insomnia has been shown to be effective. Caffeine often interferes with sleep. Caffeine after the use of 2 pm is associated with poor sleep. Attention to environmental noise can reduce or eliminate sleep. Ocean sounds promote sleep. Guidelines on sleep hygiene have been shown to effectively improve quality of sleep. Physical presence and active listening inspires hope in the client. Social support is a significant variable related to hope. Hopelessness may be an outgrowth of a previewed loss of control. Group activities provide social support and help the client identify alternative ways to solve problems. ** Source for rationale: Nursing Diagnosis Handbook. Betty J. Ackley and Gail B. Ladwig. **| Client responded well to the relaxation treatments used to improve sleep deprivation. Client is well after decreasing unneeded caffeine in diet and is expected to sleep better. Client’s sleep improved once excessive noise has been diminished. Client responded well to the sound generator. Client is finding it hard to follow the guidelines. Client responds well to one-on-one time and appears happy during the session. Client enjoys having family around more often. Client makes decisions on what to where and what to eat each day. Client enjoys spending time with other residents. | | | | | How to cite Care Plan, Essay examples Care Plan Free Essays Transition Nursing Process Discussion Group 3 Case Study Michael Martinez Is a 24-year-old Marine who was Involved In a motor vehicle accident (MBA) while on leave. His face hit the dashboard, resulting in a fracture of the mandible. Yesterday, he underwent a surgical incommensurable fixation, (wiring of the Jaw) for stabilization of the fracture. We will write a custom essay sample on Care Plan or any similar topic only for you Order Now As a result of this surgery, he is unable to open his mouth and is limited to a liquid diet. The restricted diet will be necessary for 4 to 5 weeks until the fracture heals. One day post pop, his vital signs are 120/76, T-99. 2, P-82, and R- 20. After medication, is pain level is 3/10. With the exception of facial bruising, his appearance is within normal Limits, Steps of the Nursing Process Patient Information Assessment Objective and subjective data will be entered here. The database presented In the case study will be used. Data is collected and verified from the primary (apt. ) and the secondary (family, friends, health professionals, and medical record). Analysis of this data provides the basis for development of the remaining steps in the nursing process. Subjective: Patient expresses disinterest in a liquid only diet Objective: wired Jaw Liquid diet Nursing Diagnosis After analyzing the assessment data, formulate a priority nursing diagnosis. Remember, a nursing diagnosis is a statement describing the patient’s actual or potential response to a health problem that the nurse Is licensed and competent to treat. An actual diagnosis Is written In three parts: diagnostic label (problem) related to_ as evidenced/exhibited by_. A risk diagnosis is written in two parts: Risk for (diagnostic label) _ related to Nutrition: less than body requirements related to Inability to eat solid foods as evidenced by liquid diet post-surgery Planning Goals: Now is the time set patient centered goals. Here you will develop expected selection of interventions based on six important factors outlined in your text. Please write the interventions you select below in implementation. Patient will be free of signs of malnutrition post dinner time each shift Implementation Here is where the nurse will carry out the plan of care. Then continue data collection and modify the plan of care as needed and document care provided. What nursing interventions will you provide to enhance patient outcomes? Assess patient’s weight every shift Calculate bowel sounds Evaluate total daily food intake Provide high calorie, nutrient-rich dietary supplements Evaluation The purpose of evaluation is to support the effectiveness of nursing practice which is patient-centered and patient-driven. This phase measures the patient’s response to nursing interventions and progress towards achieving goals using five elements listed in the text. Did you achieve the goal for this nursing diagnosis? Will you continue the plan of care, revise the plan of care, or discontinue? Reassess patient’s lab value daily for signs of malnutrition. If malnourished call health care provider for further orders Patient will weight within 10% of normal body weight every morning How to cite Care Plan, Papers Care Plan Free Essays A. Our client, Mrs.. We will write a custom essay sample on Care Plan or any similar topic only for you Order Now Thomas has been given the unfortunate diagnosis of metastasis breast cancer. When considering the current and future needs of this client, significant thought and planning must be directed toward the client’s level of well being. In the case off terminally ill patient, it is important to help facilitate a high quality of life that encompasses both physical and psychological health. I would recommend initiating palliative care for Mrs.. Thomas. Palliative care would allow the client to receive a combined and holistic approach for medications, equipment, unseeing, and symptom treatment all fascinated through one program. The community health nurse needs to be careful not to impose ones own perception about quality of life upon the client. With the experience of having helped both of my parents through the dying process, I know that it is important to separate my own experience and perceptions from those of my client. Just as each person takes on life with a different philosophy, so it goes with the dying process. The nurse must not assume that the patient’s priorities are the same as his or hers. Open communication regarding the patient’s wants and needs must be initiated. Though not all patients have had the time or skills to know how to deal with a terminal illness, one of the most important Jobs of the nurse is to connect the patient to the proper resources needed for navigating through the various aspects and stages of their disease process, and to do so without Judgment or bias. B. Many terminally ill patients begin to navigate through the stages of grief as outlined by Elisabeth Kibble-Ross. While caring for this client with a lingering terminal illness such as cancer, my first strategy would be to keep the lines of communication open, managing the patient’s emotional and spiritual needs and outlining the stages of grief as the client progresses through them. By initiating a good line of communication, one can recognize and guide both Mr.. And Mrs.. Thomas through denial, anger, bargaining, depression and acceptance (Kibble-Ross). It will be easier to better manage Mrs.. Thomas’ physical needs if her psychological social needs have been addressed. My second strategy in helping to improve the quality of life for Mrs.. Thomas and her husband would be to manage Mrs.; Thomas’ comfort. Working carefully with a palliative or hospice team to manage the physical discomforts of the tangent’s illness, can greatly increase quality of life. This is often a critical area of educating the patient on pain control. Patients are often afraid to take pain medications, and therapeutic communication is likely to be necessary. Monsoon). My third strategy would be to set up an interdisciplinary palliative care team to to manage the health of Mrs.. Thomas. Terminal illness can be overwhelming for a family, where likely there are other factors – be it financial, familial, psychological, and no one person can manage it all. By working with the family to institute a good team or care, the burden can be lifted off the family and this will ideally allow them to care for their loved one without becoming burdened or overwhelmed. It is important to consult the family regarding any spiritual support that they would feel comforting. Is there a minister or spiritual guide currently in their life? If not, would they be open too visit from someone that is akin to their spiritual values? These are questions that should be carefully addressed. C. Nursing Care Plan for Mrs.. Thomas Assessment: Mrs.. Thomas is a 56 year-old female with a history of breast cancer. Mrs.. Thomas is aired with two grown sons, aged 28 and 30 both of which live out of state. Mrs.. Thomas has a strong familial history of braes cancer and one year ago, was treated for a malignant mass in her right breast. After a right mastectomy, chemotherapy and radiation six months ago, the cancer has now returned with subsequent right sided mastectomy, chemotherapy and radiation. The cancer has now metastasis’s to the lungs and the prognosis is now deemed to be â€Å"poor† with â€Å"palliative care now being recommended†. (Task 2). Diagnosis Number One: Acute Pain related to incision secondary to surgical intervention as evidenced by tangent’s visible discomfort/crying in bed, pallor, respirations, blood pressure and a report of 8/10 pain. Goal 1. Patient will verbalize a pain rating of 4 or less on a scale of 10 with each assessment. 2. Pain control as evidenced by patient demonstrating ability to use analgesics appropriately, use alternative non-analgesic relief, reported pain to be mild, relaxed body language, vital signs returning to normal Plan 1. Analgesic pain medication as prescribed by physician (Swearing) 2. Use of diversionary and or strategies to assist with pain (SHE Nursing Care Plan Guide) 3. Assist patient with positioning for comfort Implement . Evaluated effect of medication, utilize pain scale 2. Assessed effectiveness of diversionary strategies (SHE Nursing Care Plan Guide) 3. Assisted with position changes Diagnosis Number Two: Activity Intolerance related to generalized weakness as evidenced by increasing fatigue Goal 1. The nurse will help fascinate a physical therapist to help with mobility 2.. Will ambulate IX around block daily Patient 3.. Patient will fully participate in Tall’s within physical limitations without dizziness or change in vital signs by 8/1/14 1 . Assess patient’s level of mobility, educate within patient’s capability 2. Assess nutritional status. Adequate energy reserves are required for activity. (Swearing) 3. Ambulate patient XX a day 1. Educated patient on benefits of mobility and the proper body mechanics for mobility 2. Encourage nutrition prior to activity and the proper body mechanics for mobility Monsoon) 3. Ambulated patient XX daily Diagnosis Number 3: Ineffective Coping related to financial burden and emotional impact of diagnosis on family as evidenced by patient’s increasing isolation 1. Set up a quality interdisciplinary team incorporating counseling services for the family 2. Patient will demonstrate problem solving techniques Monsoon) 3. Patient ill verbalize acceptance of diagnosis 1. Patient will utilize available support systems and work with counselor for socio psych issues 2. Assist client to identify priorities and attainable goals as he/she starts to plan for necessary lifestyle and role changes 3. Perform actions to facilitate the grieving process (Elsevier) 1. Patient met with counseling services 2. Patient identified priorities and set goals 3. Patient demonstrated knowledge of the 5 stages of grief and how to work through them In order to optimize Mrs.. Thomas functional ability, the care team should strive for all three of the goals in her plan of care to be met. First of all, her pain needs to be managed so that manipulation can be successful, without discomfort. It is quite common for patients to be concerned about becoming addicted to pain medication as in the case of Mrs.. Thomas. Addiction is â€Å"psychological dependence† on a drug and is not the same as tolerance or physical dependence, according to Oncologist, Dry. Gary Johansson who states that â€Å"In fact, addiction is rare when avoids are used for pain relief†. With proper education and regularly scheduled pain medication, Mrs.. Thomas should be much more comfortable and able to manage other areas of her life more successfully. Once Mrs.. Thomas’ pain is under control, she will be able to work through many of the stresses that have mounted since her diagnosis. As Mrs.. Thomas disease progresses, there will come a time when she will no longer be able to care for herself. A new Plan of Care should be created and ready to transition to at that time. At this time the interdisciplinary team should consist of a hospice care which is generally implemented when a patient has less than 6 months to live. When hospice is begun, all care is transferred to the hospice team. New orders for care, medication, equipment will be set up and time is given to the family or supporting both the patient and their loved ones. Care will focus on making the most out of the time they have left, â€Å"without some of the negative side-effects that life prolonging treatments can have†. Monsoon). Most hospice patients can attain a level of comfort that allows them to â€Å"concentrate on the emotional and practical issues of dying†. Willet-Legislations). Mr.. Thomas is carrying a big physical and emotional burden during his wife’s terminal illness. The Thomas family’s case is complicated by Mr.. Thomas’ chronic depression and high stress occupation. As Mrs.. Thomas’ needs escalate and change, so do the needs of the Mr.. Thomas. By facilitating psychological help for Mr.. Thomas, the care team is in turn helping Mrs.. Thomas by easing her worries about her spouse. Patients and families need support, guidance, and encouragement to begin planning for many decisions. Many spouses are weighted with concern about the patients’ comfort and impending death as well as every day problems. â€Å"This is an emotionally intense, exhausting, and singular experience, set in a world apart from everyday life patterns†. (Siegel). Mr.. Thomas needs to be reminded that in order to help care and be emotionally supportive to his wife, he needs to take care of himself. Medication reminders and grief support should be set up for Mr.. Thomas. Therapeutic conversation and guidance can make all the difference for the significant other off terminal patient. In addition, Mr.. Thomas needs respite care so that he can be fully present while caring for his wife. Mr.. Thomas should be encouraged to take a walk, a nap, or a restorative A care plan for Mr.. Thomas could be initiated with a nursing diagnosis of: Risk for Caregiver Role Strain. (SHE). Goal: Spouse will report low or no feelings of burden or distress by 8/01/14, measured by relief stated by spouse. Plan: Encourage the caregiver to talk about feelings, concerns, uncertainties, and fears. Acknowledge the frustration associated with caregiver responsibilities. Initiate counseling. 2. Help the caregiver problem solve to meet his needs. 3. Set up medication reminders for psychological medications. Implement: 1. Patient openly discusses concerns, uncertainties and fears (SHE). Patient acknowledges frustrations associated with his caregiver responsibilities. Patient attends counseling. 2. Patient participates in problem solving to meet his needs. 3. Patient follows medication reminders and takes medications for his depression. How to cite Care Plan, Papers

Business Level Strategy Job Performance

Question: Discuss about theBusiness Level Strategyfor Job Performance. Answer: Introduction Job performance assesses whether an employee is performing well in a particular workplace or not. According to Hayati and Caniago (2012), job performance is an important part of industrial and organizational psychology. As stated by L?z?roiu (2015), main characteristic of job performance is that it has to be goal pertinent. Performance must be directed toward organizational goals that are appropriate to the job or role. Goal or objective of any business organization is to gain profitability. Profitability of any organization entirely depends on job performance of employees. That is why; it is important to carry out researches in order to find out how job performance can be enhanced. Motivation Motivation or employee motivation, as mentioned by Bell (2013), is the level of energy, obligation and ingenuity that an organizations employees bring to their jobs. It does not matter whether an economy is growing and lessening, shaping ways to motivate employees is always a concern of the management. As mentioned by L?z?roiu (2015), there is an old proverb you can take a horse to the water; however, he will only drink if he is thirsty. Same thing is applied to the employees. Employees will do what they want to do or they are motivated to do. According to studies, employees are motivated through two aspects of motivation which are intrinsic and extrinsic motivation. Intrinsic motivation improves internal desires of an employee to perform a particular task. This type of motivation comes from internal rewarding. If an organization is providing safety needs, social needs and esteem needs of an employee, then he will be motivated internally (Bell 2013). On the other hand, extrinsic moti vation comes from mostly financial rewarding such as incentives, bonus and payments related to overtime working. Parent Theory (Expectancy Theory) Expectancy theory states that employees will decide how to behave depending on the outcomes they wait for as a result of their performance. In other words, employees will work longer and harder if they are provided a pay rise. Therefore, according to Hsu et al. (2014), it can be said that employees will harder and will provide superior job performance if they are promised a pay rise. This expectancy theory depends on three major elements which are expectancy, instrumentality and valence. Expectancy: It is known as the belief of employees that their effort will result in their desired goal. However, it also depends on their past knowledge, self assurance and how difficult they think the goal is to attain (Renko et al. 2012). Instrumentality: It is known as the belief that the employees will receive a reward if they meet performance expectations. In only this situation they will improve their job performance. If employees are not sure that they will rewards, they will not feel motivated and will not perform accordingly. Valence: It is the value the employee place on the reward. Providing rewards that do not interest employees will not motivate them. Therefore, it is important to select proper rewards in order to motivate employees. Therefore, it can be said that expectancy theory states employees are highly motivated if they believe that they will gain desired rewards and outcomes if they hit an achievable target (Renko et al. 2012). As a result, they work hard and put their best in the workplace that delivers superior ob performance (Hsu et al. 2014). On the other hand, if they are not motivated by the rewards, then they will not feel motivated and will not perform accordingly. Relationship Between Motivation and Job Performance Contradictory research findings for the possible influence of Concept 1 on Concept 2 Support from the literature for the possible influence of Concept 1 on Concept 2 A research work done by (Aly and El-Shanawany 2016) clearly shows that nurses satisfaction with performance appraisal method in the study had a powerful positive influence on their motivation and work performance and productivity. Mostly, intrinsic rewards played a major role to improve job performance of the nurses. This research outcome can be supported by the literature and theory mentioned by Shields et al. (2015) who stated that intrinsic rewards are capable to facilitate motivation among the employees. If employees are motivated they will work harder which will improve job performance of the employees. Research work conducted by (Ogunleye and Osekita 2016) concluded that there is a noteworthy effect of employees job position and accomplishment motivation on their job performance. The research was done on Ekiti State Local Administration employees. From the research work it was found that several aspects were responsible for increasing amount of motivation among the employees. However, each of those factors is helping the employees to enhance their job performance. According to Bell (2013), the achievement motivation theory introduced by John Atkinson and David McClelland dictates that employees can be motivated by achievement in work. Achievement motivation is often contrasted with failure prevention. If employees are ensured that they will not face failure, then they will find enjoyment in performing challenging tasks. These employees will also work hard to improve their skills which not only enhance their job performance but also improve organizational productivity. Proposition After going through the expectancy theory and some research findings, it can be concluded that employee motivation can positively influence job performance. However, it is important to select appropriate reward systems to motivate employees. Conclusion In the end, it can be concluded that employee motivation is a major factor that can improve job performance of the employees. However, the best way to motivate the employees is still not clear. Some organizations mostly depend on intrinsic reward systems and some organizations depend on extrinsic reward systems. Some larger business organizations such as Apple and Google have implemented both intrinsic and extrinsic systems to motivate their employees. However, for comparatively smaller companies it is not easy to implement both the systems. Therefore, it is important to carry out a research and collect feedback of employees before implementing such systems. However, it is proved that motivation in workplace can provide job satisfaction that in turn increases job performance of the employees. References Aly, N.A.E.F.M. and El-Shanawany, S.M., 2016. The Influence Of Performance Appraisal Satisfaction On Nurses' Motivation And Their Work Outcomes In Critical Care And Toxicology Units.European Scientific Journal,12(20). Bell, N., 2013. Experimental evidence on the relationship between public service motivation and job performance.Public Administration Review,73(1), pp.143-153. Hayati, K. and Caniago, I., 2012. Islamic work ethic: The role of intrinsic motivation, job satisfaction, organizational commitment and job performance.Procedia-Social and Behavioral Sciences,65, pp.1102-1106. Hsu, D.K., Shinnar, R.S. and Powell, B.C., 2014. Expectancy Theory and Entrepreneurial Motivation: A Longitudinal Examination of the Role of Entrepreneurship Education.Journal of Business and Entrepreneurship,26(1), p.121. L?z?roiu, G., 2015. 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