Thursday, October 31, 2019
Final over A Raisin in the Sun Essay Example | Topics and Well Written Essays - 500 words
Final over A Raisin in the Sun - Essay Example When Ruth, Lena’s daughter-in-law, becomes pregnant, things take an uncomfortable turn for Ruth and her husband, Walter, who is Lena’s son. Both Ruth and Walter are aware that they do not have enough money to raise another child; Walter attempts to bring up abortion as an option for Ruth. However, Ruth, being the strong-of-heart woman that she is, decides to keep the child, realizing that it is already a living, breathing being. Eventually, Walter comes around and accepts his responsibility as a father. Unfortunately, when things are beginning to look up again, Walter loses what remained from the insurance check when he gives it to a friend for a business investment, instead of setting it aside for food and household needs. His friend runs off with the money, leaving Walter with nothing, and therefore leaving the rest of the Younger family with nothing. Though she showed strength throughout the play, Lena loses hope when she realizes that the check has been taken, leaving them with nothing, although her children are insisting that they can just work a little harder to bring more money in. Lena becomes more hopeful at the thought that her family will This dream is based, though, when the â€Å"welcoming committee†from the Youngers’ new, predominantly white neighborhood arrives and tries to buy them out of moving into the new neighborhood. At first, the family tells the white man off; however, in light of their fresh money problems, they consider taking the money offered and staying in their apartment. However, Walter, understanding the importance of his family’s dreams, opts against taking the money, vows to work harder, and insists that the family moves into their new house, giving them a brighter future. In â€Å"A Raisin in the Sun†, Ruth and Beneatha are two women that, while sharing some similarities, can be found at opposite ends of the spectrum from each other in regard to
Tuesday, October 29, 2019
Discussion- ch9 Coursework Example | Topics and Well Written Essays - 500 words
Discussion- ch9 - Coursework Example Motivation process begins with the identification of desired need. The employee, through the support of the management, engages in appropriate actions that are directing towards achieving the desired need. Realizing the need results into feelings of satisfaction and achievement hence motivation (Farrell, Geoffrey & Linda 27). The theory was formulated by Abraham Maslow in the 1943 academic paper titled A Theory of Human Motivation. The theory is illustrated in a pyramidal hierarchy model. The theory is greatly applied in employee relations and management. The physiological needs are the most important, because they ensure human survival. They include; water, clothing, food, and also shelter (Farrell, Geoffrey & Linda 21). Employees work so that they can get financial resources that will be used to achieve the physiological needs. Many employers provide housing allowance to the employees, to enable them get appropriate shelter. The security needs protect individuals from economic and also physical harm. At the workplace, economic stability is provided in form of job security and also pension plans. Employees value jobs which are stable and predication, due to the reliable remuneration. Also employers, who have an effective retirement pension plan, are favored by both current and potential employees. The e mployees will also work properly if their physical security has been adequately met. The social needs include companionship and love. Employees desire approval and also acceptance by other individuals. Employees need to engage each other at the workplace, through teams, so as to realize work goals together. This shows companionship at the workplace. The employees also have families; therefore, the family members provide adequate companionship and also a sense of belonging to the staff members. Esteem needs illustrates the desire for respect. At the workplace, the managers should respect the opinions of the employees, so as to enhance work
Sunday, October 27, 2019
Developing a Management Plan for Type 2 Diabetes
Developing a Management Plan for Type 2 Diabetes A long term condition (LTC) is defined as an incurable syndrome. However, some LTC can be managed through medication (Goodwin et al 2010) whereas for others, it can be managed by healthcare providers facilitating health promotional support to patients in order to self-manage their conditions effectively (examples, maintaining healthy diet and physical activities) (Hutchison Breckon 2011). Additionally, for this assignment I will use a case study to discuss my experience about caring for a patient with type 2 diabetes in the hospital. The discussion will include the identified problems to support patients’ needs, the nurses’ contributions to promote patients’ health and well-being as well as the benefits of working alongside with a multidisciplinary team. According to Goodwin et al (2010) type 2 diabetes is also known as insulin resistance. The syndrome is when an individual body lacks the ability to produce sufficient insulin or the body is incapable of controlling enough blood glucose level. It is categorised as a LTC because it is incurable. Nonetheless, it can be managed depending on the individual’s conditions needs such as healthy food and regular activities, or a combination of medications and a healthy lifestyle (Diabetes UK 2012). According to Nursing and Midwifery Council (NMC 2010) Guidance on Professional Conduct, the patient’s identity will be maintained confidential and an anonymous name (Jane) will be used. Jane 65, who has had type 2 diabetes for about two years, was suffering from kyphosis on her back. As she has not been on pharmaceutics’ therapy since her diagnosis, she was advised to maintain her weight within an ideal range. However, Jane has not been able to gain control over her weight (73 kg). She lives alone and has no close family members but she has a good relationship with her neighbours and friends. I met Jane while on placement on an aging admission ward. She was admitted via Accident and Emergency department (AE) to an elderly ward referred by her General Practice (GP) with elevated blood glucose (11.5mmol) which was making her feel weak and was also giving her severe headaches, tiredness and recent weight gain (73.6kg). While she was admitted to AE, her hyperglycaemia was s tabilised with a dosage of metformin (500mg) (8.0mmols) prior to her transfer from AE to the elderly ward. Bakris (2011) suggested that nurses should carry out a comprehensive assessment on patients with type 2 diabetes as this will support the nurse to identify and address issues that can prevent and reduce problems that may affect the patients with type 2diabetes. Diabetes UK (2012), also recommended that a patient’s risk can be recognised if healthcare professionals could aid an in-depth assessment. This includes; blood glucose level, Hba1c, blood pressure, cholesterol, Body Mass Index (BMI) and waist circumference. The rationale behind the assessment is to support healthcare professionals to make an appropriate individualised care plan considering the patient’s preference (Diabetes UK 2012). To classify any interrelated problem, the nursing assessment was to look at Jane’s medical history before the admission and to observe what her current condition looked like. The nurse along with the author admitted Jane and prior to carrying out the assessment they introduced themselves to the patient. To obtain Jane’s consent, a full detail of the information about the process was explained to her (Nursing and Midwifery Council 2010). Jane’s vital signs presented a blood pressure of 138/80 mmHg, heart rate 84, respiratory rate 16 and temperature 36 degree centigrade. While examining Jane’s nutritional assessment, her MUST stool height was (1.62cm), weight 73.6kg, and waist circumference 88cm. It was identified that she had a BMI of 27 giving her a score (0). In addition to Jane’s assessment, her fasting glucose level was stable 6-7 mmol/litre her foot showed normal to sensation, no sign of lesions on toenails and skin. From Jane’s screening, the underlying cause for Jane’s hyperglycaemia is an increased BMI 27, this indicates overweight as (British Association for Parenteral and Enteral Nutrition 2010) recognised. Overweight is when an individual has more fat than normal in their body. However, an athlete with muscle mass or someone with swollen legs (oedema) could be overweight due to an increase in BMI (Heath Sturdy 2009). According to Nazarko (2008) an individual with a BMI 25-30 is considered to be overweight. BMI is the most common evidence-based tool used to analyse normal weight, overweight or obese in hospital when patients come for admission. It is calculated by dividing an individual’s body weight kilogram by the square of body height (NICE 2006). Waist circumference is also a reliable tool used to recognise overweight and obesity as it provides information with regards to the distribution of excess body fat in a person’s abdomen (NICE 2006). Nevertheless, BMI has some weakness; it is not suitable for individuals with excess body fat or muscle mass as it does not differentiate between excess body fat and muscle mass (Heath Sturdy 2009). Diabetes UK (2012) argued that using BMI alone to calculate a patient’s height and weight would not identify overweight or obesity. However, the combination of BMI and waist circumference will help classify an overweight or obese person, and for this reason Jane’s waist circumference was measured because it is the best way to measure abdominal fat distributed around her waist as suggested by Diabetes UK (2012). Regardless BMI and waist circumference screening tool was used to classify Janes’ overweight, however, according to Ashwell et al (2012) studies have proved waist to height ratio screening tool a better way of identifying overweight or obesity in adult than BMI and waist circumference. As a result nurses should consider using waist to height ratio as a screening tool to recognize overweight or obese patients with diabetes. This is because the tool measures the ratio of an individual waist to his or her height (Ashwell et al 2012). Jane’s height and weight was measured using stadiometer and clinical scale, nevertheless, the use of stadiometer to measure Jane’s height was comparatively weak (BAPEN 2010). Jane is a 65 year old woman with a small kyphosis on her back and according to Hirani Aresu (2012) the result for an elderly with this condition may impair their actual height resulting to false reading. This is because some people grow older with distort height like kyphosis, this as such will result in the individual to losing his or her real height. Kyphosis is a deformity of an individual’s back which can lead to hunched back due to a deviation of a spinal curvature from its normal shape (Kado et al 2013). Therefore the use of demispan measure tool could be an evidence based practice to consider when a patient’s actual height is distorted. As a result this might have worked for Jane as she has a small kyphosis on her back and the NMC (2010) emphasized that nurses should use their clinical knowledge, skills and judgement to classify factors that could impair individual’s height. Consequently, Jane’s hypoglycaemia is partly dependant on her overweight; therefore the main nursing intervention that needs to be targeted is Jane’s weight loss as it will lead to long term benefit for her. This is because overweight can cause hypoglycaemia, overweight is also associated to inadequate exercise and unhealthy eating behaviours considered to be primary factors contributing in the rising prevalence of type 2 diabetes and if not well managed, it could also lead to other complications such as obesity, heart attack or stroke (Diabetes UK 2012). As a result an effective weight management can improve Jane’s wellbeing using nursing problem solving approach. According to Barrett et al (2010) nursing problem solving approach is about understanding the individual as a whole person. Therefore, using the problem solving approach means nurses have to link the individual’s illness to factors that could affect their disease. These involve psychological, emotional, social environment, spiritual and time and if there’s any of these identified then it should be addressed as they form part of the individual’s well-being (Wade 2009). Knol et al (2006) states depression is common in people suffering from type 2 diabetes. Knol et al (2006) also recognised that thirty seven percent of those people with a medical history of depression are prone to have type 2 diabetes. Evidently, Jane during her initial assessment mentioned that she had little knowledge on dietary due to lack of motivation and her dietary history reveals having unhealthy food such as ready meals and dessert while away with friends. Consequently, this has had an impact on her psychological wellbeing. She also recognised excesses carbohydrate intake and her normal dinner meals consist of pasta whereas during the day she often has rice with homemade sauce as well as walking exercise 10-15 minutes twice in a week. However, the nursing team worked with Jane to determine if Jane’s overweight was caused by her not complying with her dietary advice, as a result she agreed that a referral to a dietician and diabetes specialist nurse was her concern and this was made to deliver meal plan as well as maintain her physical activity. This is the best practice as suggested by NMC (2006) that nurses must work together with their patient to ascertain the patient’s understanding about risk associated with overweight. This is because if Jane’s food pattern is left unattended it may lead to further ill health problems such as obesity, stroke and heart disease (Thomas 2008). The United Kingdom Progressive Diabetes Study (UKPDS 1990) recognised the majority of people with type 2 diabetes have ill health complications associated with their long term condition. In addition to this, the role of the dietician is to identify problems relating to an individual’s nutritional status and once identified the dietician working in partnership with the individual will then formulate meal plan that adapt to the person’s needs and preferences (British Dietetic Association 2012). Department of Health (2005) emphasised that nurses should empower patients with long term condition so that the individual is capable to manage and live with their disease effectively. NICE (2008) also suggested this method of approach as the best practice as it helps the individuals to manage their condition. According to Thomas (2008) weight loss through dietary can be defined as a reduction of less food intake to that of the energy used by an individual. Therefore the dietician along with the nursing team main target was how Jane would lose weight through dietary behaviour change and in order to achieve this she was seen a day after her admission. The initial approach considered was the motivational interview based on providing a solution to a suitable diet. Motivational interviewing is a collaborative patient centred approach in a form of supporting a person’s motivation to encourage and empower patients’ behaviour change (Resnicow Mcmaster 2012). This is to maintain the patient’s autonomy based on his or her needs for their condition and that any decision made is eventually up to the patient (Resnicow Mcmaster 2012). Jane agreed having a motivational interview and had the opportunity to discuss her dietary plan with the main focus on the types of food she likes as mentioned above. In order for Jane to have an appropriate balance diet, the dietician and the nursing team worked with Jane by setting a realistic goal. This is because for an individual to lose weight involves time and encouragement to achieve his or her goals effectively and therefore the best practice is setting an appropriate goal that suits Jane (Thomas 2008). It was difficult to set a short term goal for Jane as she was unable to maintain weight loss due to lack of motivation and therefore a long term goal was set with smaller intake of caloric food so that Jane could gradually lose weight and also improve her glycaemic control (Diabetes UK 2012). Jane was offered the importance to a strict diet and she was provided food such as fish, vegetables, low starchy food per day; a reduction of low sugary food was put in place. She was also encouraged to drink two litres of water daily. Her daily food intake was recorded to meet her dietary care plan needs as (Lang Froelicher 2006) recommended. Moreover, Jane during her admission was subjected to weight monitoring and repeating her ‘MUST’ screening progress for any changes in her BMI (BAPEN 2010). Jane following a regular monitoring, on her fifth day on admission was still considered overweight; however, evidence shows a minimal improvement of 900gms weight loss. A risk of any physical complications of diabetes was low and no episode of hyperglycaemia. Her symptom of severe headaches and tiredness was now resolved and she was more excited to go home. Following Jane’s outcome of her dietary care plan, if Jane can be convinced to increase her physical activity her need for hypoglycaemic drug will be minimised. This is because the combination of dietary and an increase in physical activity on a regular basis is recommended to be more effective for an individual to achieve weight loss in a long term goal (NICE 2006). As such Jane’s care plan was reviewed with the nursing team prior to discharge and from her assessment it was recognised that she does not need a psychological referral but to improve her knowledge with regard to her type 2 diabetes so that she can self-manage her diabetes successfully. Even though Jane was suffering from kyphosis, physically she was fit to increase her physical activity and following the discussion how significantly an increase in exercise can have positive effect on glucose management, Jane agreed to walk each day in the mornings 20 – 25 minutes. After reviewing Jane’s dietary and physical options, a discussion about the need to continue metformin helped to improve her glycaemic control; therefore she was prescribed 500 mg twice a day. Metformin is an oral drug to lower glucose level in the blood. Jane will benefit from taking metformin as it is associated to weight loss this will prevent her from gaining more weight (NICE 2009). Other oral anti-diabetic agent such as thiazolidinedious and sulphonyureas were not recommended due to an increase of body weight caused by these agents. Prior to discharge Jane was informed about the importance of community nurse. The nursing team liaised with the community nurse for a regular monitoring of Jane’s glucose level as well as her weight. NMC (2010) highlighted that consent must be given to Jane before involving a community nurse thus it is the right of an individual to confidentiality and consequently is a must for a nurse to respect this. To sum up, Jane’s dietary plan did not make much significant changes in her weight, however, on discharge she was educated to continue recording her daily food and drinks intake, regular exercise, to closely monitor glucose level for symptoms of hyperglycaemic or hypoglycaemia. Further information about getting support from educational programme such as DESMOND was discussed with Jane. She was also given information leaflets which were easy to read as supporting interventions to help increase her knowledge about how to self-manage her diet.
Friday, October 25, 2019
Ind Aff Theme Analysis Essay -- essays research papers
El Paso Community College English 1302 Research and critical writing                    n                                                                           SHORT STORY PROJECT: IND AFF THEME ANALYSIS Extreme relationships often tend to be abusive in some way from one of the partners towards the other. Very marked age differences some times show a sense of immaturity or a parenting feeling, it is hard to assimilate to someone who in deed is very different to the other. Now when there is a certain dependence that is more than of love, like economic, intellectual, physical, social, progressive it can become very abusive on the depending person. It’s a case were almost anything has to be tolerated, because in deed, if one wants to keep enjoying from those benefits, he or she must lower their head and keep eating what ever is thrown at them. What starts out on a rainy day, seems to open way to the blindness of what’s to come. â€Å"I never got to see much of it cause of the rain†(151), focusing on the fact that she to couldn’t see much of her relationship blinded by the pressure that rained down on her also. There is a constant mentioning of Princip’s story (148), by both lovers; since her theses is based on that historic moment that would be: â€Å"the shot that lit the spark , that fired the timber, that triggered the†¦Ã¢â‚¬ (148). She seems to identify herself in a way with young princip, it’s how she pictures her self, and how she must look for that opportunity to just take control of the situation and just go for it. Our narrator has a direct conflict with Peter’s wife, more of a personal competition to were she considered to have the strong end†¦ â€Å" So far as I could see, it was no contest at all between his wife and myself†. In a sort of way she seems to feel guilty for the way she was slowly being left behind. The Archdukes wife can be represented as Mrs. Piper and how she mustn’t... ...s entertaining.(internet II) Michael Malone; New York Times, April 26, 1992, p. 11. I must agree with Mr. Malone since as much as you’d expect her to destroy peter in her story she gives him a sense of indifference, but one would come to expect that from him since through out the story she seems to plot out his character. Now the way that the story seems to not unravel till the end is interesting, it kind of takes you along a calm river ride with a smooth NIAGRA FALL ending. WORK SITED Weldon, Fay. â€Å"IND AFF†or â€Å"Falling out of love in Sarajevo†Compact Bedford Introduction to Literature. Ed. Michael Meyer. 5th edition. Boston. Bedford / St. Martin’s. 2000. Pages 146-151. INTERNET I RED MOOD http://redmood.com/weldon/biography.html INTERNET II Malone, Michael. â€Å"The Life Force Has a Headache.†The New York Times p.11 April 26, 1992 Criticism about: Fay Weldon. Texshare. E.P.C.C Libraries El Paso 28 February, 2001. Gale Literary Database
Thursday, October 24, 2019
Evaluation of health care systems Essay
Abstract As a health care organization, it is important that the Saint John’s Hospital takes the security and privacy of its patients’ information very seriously. Patient information in the Saint John’s Hospital is electronic and managed by the information systems department. In the organization, the security and privacy of all information is the responsibility of the Information Systems (IS) Manager. As the IS Manager, based on the following information on security and privacy, a Management Plan has been developed to be used as the process for the maintenance of patient information privacy and security. Scenario The administration at St. John’s Hospital takes pride in their sound policies and procedures for the protection of confidential client information. In fact, they serve as a model for other institutions in the area. However, printouts discarded in the restricted-access IS department are not shredded. On numerous occasions, personnel working late observed the cleaning staff reading discarded printouts. What actions, if any, should these personnel take toward the actions of the cleaning staff? What actions, if any, should be taken by IS administration? Management plan Conduct security assessment of hospital system In the development of any improvement system, the first step is to conduct an assessment of the existing system. This will be used as the baseline measurement. To conduct this assessment, an external IS professional will be invited to conduct two exercises. The first would be a security assessment of the system during which the IS professional would perform ethical hacks against the system to assess how secure the information is from fraudulent computer users (hackers). The second assessment exercise to be conducted by the IS professional is information privacy assessment. Social engineering would be used in carrying out this assessment. The IS professional would visit the hospital as an ordinary person and interact with staff of the hospital. During these interactions, the professional would use social engineering skills to find out how much patient information could be extracted from the hospital staff. After the assessment exercises, the IS professional would present a report to the IS Manager of the hospital with recommendations on how the security holes could be blocked and the weak privacy of patient information can be strengthened. Improve security and privacy of patient information The findings and recommendations from the assessment report would be used in the improvement of the security of the system and also strengthening the privacy of any information taken from the hospital’s patients. Schneier (2000) stated, â€Å"Security is a process, not a product†(Computer Security: Will We Ever Learn?  ¶ 2). This means that the security of the information contained in any system is largely dependent on how security conscious the staff that work with the system are and not the amount of sophisticated security devices installed to protect the system. Information privacy, similar to information privacy, is also largely dependent on the level of awareness of the people who input, store, process, and utilize the information. This is because any release of patient information would originate from one of the people stated above. Training To improve the security and privacy of patient information at the Saint John‘s Hospital, the staff need to be educated on the importance of maintaining the security and privacy of information. Training sessions will be organized for all employees at least once a year to refresh their knowledge of privacy and security in compliance to with Health Insurance Portability and Accountability Act (HIPAA) rules. HIPAA Privacy and Security Rule set a national standard for the security and privacy of electronic protected health information; and the confidentiality provisions of the Patient Safety Rule. The US Department of Health and Human Services (2010) stated, â€Å"the Rule requires appropriate safeguards to protect the privacy of personal health information, and sets limits and conditions on the uses and disclosures that may be made of such information without patient authorization†. The training guide will be as follows: A.Take employees through the privacy and security rules of HIPAA Here, employees will be instructed on the security and privacy expectations of the HIPAA law. Employees will be expected to adhere to these rules in order to keep to the code of ethics of St John’s Hospital. B.Train staff on importance of privacy to the core business of the hospital Employees of the hospital will be retrained on the fact that the reputation of the organization not only depends on the kind and level of service provided but also on maintaining patient privacy. C.Educate employees on what privacy and security are Employees need to what the words privacy and security mean. How they affect the patient’s information as well as the health care organization. D.Explain in details the importance of privacy and security with respect to patient health care information Employees will be educated how important it is to maintain the privacy of patients. They will be informed on the importance of not discussing patient information with any unauthorized party as well as not on any social network. E.Educate on the consequences of security breach Employees will be informed and educated on what consequences can result from a security breach if it goes public. Consequences may include compromising the integrity of the health care organization, legal suits against the hospital as well as job security of employees who are involved in the breach. Staff training on code of conduct After the staff training on the importance of information security and privacy, a code of conduct will be prepared and delivered to the staff. The code of conduct The code of conduct applies to all employees of Saint John’s Hospital. The code outlines guidelines for staff conduct and provides guidance on how to exercise judgment in ethical issues. The International Monetary Fund (1998) stated, every employee is â€Å"expected to observe the highest standards of ethical conduct, consistent with the values of integrity, impartiality and discretion†( ¶ 9). The code of conduct for the Saint John’s Hospital is as follows: †¢Under no circumstance should a patient’s personal or medical information be released to a third party without the prior consent of the patient in question †¢The release of a patient’s information to a third party without the patient’s prior consent is subject to punishment determined by the disciplinary committee. The gravity of the punishment is determined by the amount of damage created by the breach of the code of conduct. †¢It is the responsibility of each staff to â€Å"police†other staff and ensure that the code of conduct is being adhered to by all staff. †¢Computers containing patient information should have their monitors facing away from patients. †¢The password policy of the hospital should be strictly adhered to. Passwords should not be written down and placed under keyboards or any other obvious and open access area. †¢All paper documents should be thoroughly shredded and the shredded paper thoroughly mixed up before placed into the dust bin. †¢All computers that are to be donated, auctioned or sold out should be first sent to the IS department for the hard disk drive to be either removed completely and replaced with a new one or the old hard disk drive should be completely wiped off the information that was contained on the drive. Breach occurs There are many situations under which the code of conduct covering the security and privacy of patient’s information can be breached. One of such situations is the one in which cleaning staff get access to patients’ cards from the restricted-area of the Information Systems department because the cards to be discarded from this department and simply thrown into the dust bin instead of being shredded. In such a situation, the first action will be to conduct an assessment to see how much information the cleaners got their hands on. The cleaners involved in this action will be called and educated on the implication of their actions. They will be made aware of the legal implications of reading patient’s medication and/or personal information without the prior consent of the patient (U.S. Department of Health and Human Services, 2010). The duties and responsibilities of the cleaning crew will be hammered and they will be made aware of the fact that they do not have the right to look through such information even if it is not shredded. They will then be advised of the punishment if such an action is observed again. The Information Systems department will immediately procure a shredder and start shredding all documents or cards that they wish discard. In addition, the IS department should investigate other areas where sensitive information could become accessible by unauthorized personnel. Conduct an incident assessment / evaluate the risks associated with the breach After the occurrence of a breach, the first thing to be done is the performance of a detailed assessment of the incidence and how it happened. Following this, a risk analysis needs to be performed to be able to know the level of damage that was caused or to be expected. The assessment will evaluate the extent to which the information was spread. If it is just within the cleaning crew only, then it will be handled internally but if any information is gone out, the affected patients will be contacted and the appropriate action taken. This assessment needs to be performed as soon as possible so that the hospital will be in the posit ion to respond to any allegations that may come from the patient(s) that was affected by breach. With this done, it would be possible to know if the risk can be mitigated or eliminated completely. Prepare incident report One of the responsibilities of the IS Manager is to keep the hospital’s management board constantly updated with all activities related to the information systems. Every code of conduct breach needs to be reported in an incidence report prepared for the hospital management board. The incident report should contain the following information: †¢Code of conduct that was breached. †¢Person(s) responsible for the breach †¢Date and time of the breach †¢How the breach was discovered †¢Risk assessment of the breach Prevent future breaches/talk about how incident occurred With the incident report properly prepared, it would be clear to the IS Manager how it was possible for the breach to have been breached. This knowledge can now be used to document, in detail, how the code was breached and how such an action can be prevented in the future. The appropriate actions would then need to be carried out to ensure that there is no repetition of the act in the future. Implementing the management plan To implement this change in the organization, Plan-Do-Check-Act (PDCA) cycle will be used as a model for change as well as continuous improvement. ASQ (2011) stated, â€Å"The plan-do-check-act cycle is a four-step model for carrying out change†. The implementation of the management plan will be undertaken by the human resource department in conjunction with the information system department. The security training will be conducted by the security engineer of the information systems department and the human resource department will handle the privacy training. The whole process will be supervised by the information systems manager. Conclusion To ensure the continuous security and privacy of patient information, medical institutions need to understand that there has to be continuous staff training and assessment and improvement of the information systems, therefore, the PDCA cycle will be continued and encouraged among staff. A system that is not continuously reviewed and improved will be a static system that will vulnerable to identified system vulnerabilities. Staffs need to be continuously trained and updated on privacy issues concerning the health care industry. Information security and privacy need to be approached as dynamic processes which need to be continuously monitored and improved to ensure that they are always at the best levels. References ASQ. (2011). Project planning and implementing tools. Retrieved March 31, 2011 from http://asq.org/learn-about-quality/project-planning-tools/overview/pdca-cycle.html International Monetary Fund. (1998). IMF Code of Conduct for Staff. Retrieved March 29, 2011 from http://imf.org/external/hrd/code.htm, on December 15, 2011 Schneier, B. (2000). Computer Security: Will We Ever Learn? Cryto-Gram Newsletter. Retrieved March 28, 2011 from http://www.schneier.com/crypto-gram-0005.html U.S. Department of Health and Human Services. (2010). Health Information Privacy. Retrieved April 1, 2011 from
Wednesday, October 23, 2019
Memo Report †Starbucks
As you previously requested I have worked out a memo report on; what Starbucks have done in the past, what they are doing now and how we can learn from them. It is very important to notice what competitors do when there are uncontrollable market conditions, so there can be an easier adapting process. Starbucks have 11. 000 stores worldwide, and they serve more than 40 million customers each week and even with these enormous numbers Starbucks continues to grow. The reason Starbucks is still growing is that; people loves the products that Starbucks provide, but there is more to it, Starbucks is also a very beloved brand. They have a wide product range and they are very innovative, constantly making new products to keep on being interesting. The clever thing about this is that you never get tired of the brand because it’s constantly developing itself, making it a very effective business strategy. In my opinion there is the possibility of following the example that Starbucks have set, it’s impossible to argue with the logics of a constantly extending product range that is both innovative and high quality. Starbucks meet the customer’s needs before they even know that they need it. They come up with ideas faster than most other coffee places, making it virtually impossible to criticize the depth of their product range as it is constantly expanding. An example of the creative side of Starbucks could be the new â€Å"Instant coffee†that Starbuck have just added in their product range. The product consists of a small packet of coffee that a customer can carry with them and make coffee almost everywhere, all they need is water. It would of course be a great idea to be more innovative at Cafe Nero, as it would satisfy a wider range of customers. However one must have in mind that Starbucks is a gigantic worldwide chain and therefore can afford to have whole departments only created to make new products. It is, therefore, not possible to be as innovative as Starbucks, but that shouldn’t stop us from trying. I suggest that we should look at what Starbucks have done, for example with the â€Å"Instant coffee†but while we do that we also have to remember that our brand name have to remain ours, eaning that we cannot try to copy what competitors do, but that we have to invent our own success. There is another very important aspect; the present consumer trends and the economic downturn that should not be forgotten when we consider how we can be more successful. When people become more afraid of their future economic situation they will be less likely to spend money, meaning that a very logic proposa l would be to lower the prices on our products. Coffee is becoming more and more like a culture, for some even an addiction, some people can’t even start their day before they have had their morning coffee. With this in mind, one could make the easy conclusion that there is a demand for coffee and that we could therefore raise our prices. However, I believe that both our current and future customers would appreciate a lowering of our prices, so in a short-term period it would probably lower our income, but I believe that on long-term it would make more customers and make our current customers happier and more loyal to our brand. When the economy eventually starts getting better, maybe even turning to an economic boom it would be a possibility to slowly raising our prices back to a more normal level because people feel more safe about the future and therefore will be more likely to spend money. When looking at the present consumer trends I think it’s safe to say that consumers love variation and creativity. There isn’t a very large market for regular coffee anymore; consumers want to see different products and experience different flavors. The point of this is that Starbucks adapt to this trend by constantly trying to innovate their brand with new products, but at the same time they stay true to their brand and they don’t compromise on quality; that is what made their success. These things that I have lined up are what I have found that we at Cafe Nero can learn from Starbucks, I personally believe that Starbucks is a good source of inspiration and admiration as they have succeeded in so many ways. But what we also have to remember is that we also have to stay true to ourselves and not become something that we are not. Let Starbucks be Starbucks, and let us be Cafe Nero.
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