Case Study Eastman Sports Cars Management Essay

Case Study Eastman Sports Cars Management Essay First, to answer the case study about Eastman Cars Sports Ltd. This will be done by identifying issues relating to LD within this company. Secondly, to propose solution in connection to LD aiming at improving both the performance and the workplace at Eastman cars Finally, this report will try as much as possible to predict potentials barriers to face in the process of introducing LD strategies. 2.0 Issues identified with proposition regarding LD After readiing the case study, I discovered that the company is so antiquated that they are not worth functionable. According to the case study staff have lack of limited resources. This means that the leaders in the company have rigid culture and negative mindset of managers. I therefore encountered numerous problems that the organisation is facing, these were: The company was sort of having a unilateral decision making managing director Lack of communication Lack of Management system and style of leadership Lack of technology and training Lack of human resource management Health and safety system wasnt put in place Low staff morale All these had an extremely negative effect on the company performance and infastructure. And I consider this as a bad aspect of a stituaton where the leaders should guide and inspire the team, but the issues I would like to discuss is the following: 2.1 Communication within the organization Problems occurring within business can easily be solved through teamwork discussions. Teamwork discussions refer to internal meeting held within organizations comprising of staff from various organizational departments. According to business professionals, effective communication within company acts as a major factor that leads to its development (Thetimes100, 1995-2009). Eastman requires having effective internal communication for it to succeed. This is as it will help in effective flow of information within the company thus helping each department carry out its respective responsibilities smoothly. However, communication may prove to be complicated for the company due to each department having its own mannerism, biases and capabilities. On the other hand most of the information to be conveyed to the departments will be intended for particular groups. Therefore the company need to take great attention on information intended for particular groups. Eastman Company has various groups ranging from formal to informal. Formal groups are those that have been assigned vital roles by Eastman Company and are established by the management which includes sales department, managers, administrators and accounting staffs. As these departments are allocated in different sites within the company, there is great need for information flow within them to be ensured for Eastman to attain its goals and objectives (Susan, 2009, p 1-3). Employee relation with their supervisors can go far in helping or hampering the attainment of organizational goals. Workforce, being the ones involved in day to day operation of the company, may identify various areas within the company that requires to be improved. If supervisors within Eastman prove hard to deal with, employees might opt to continue operating the company without reporting any hitch that occurs within the company. This would lead to the company not attaining its goals. In most cases, companies crumble due to poor relationship between managers and employees (David, 2009, p. 5). With some employees in Eastman admitting that some equipment are poorly managed within the company but they cannot help it as their supervisor is not willing to listen to their suggestions, it implies that the company is likely to collapse. Good relationship between employees and their managers would improve employee motivation leading to increase in their productivity. There is great need for Eastman supervisors to ensure that they are always ready to listen to employees opinions and work on them accordingly. Commending employees whenever they have done well will also help in improving their morale. In most cases, supervisors try to look for the negative deeds that their subjects commit forgetting about the many good things they do (Andrew, 2009, p. 2-4). It is the duty of supervisors to listen to what their subordinates tell them. This does not mean that they agree with all that is said by their subordinates. Sometimes, employees being the ones carrying out the daily operations of the company may have ideas on how to improve some of the processes within the company such as development of the cars bodies. Failure to listen to employees opinion is what is leading to the growth of dont care attitude among staffs within Eastman company. If not dealt with urgently, it would lead to the company incurring a lot of expenses in purchasing and repairing damaged equipments. In practice therefore Eastman should arrange and encourage the departments in looking after employees interest. From this mayo (1980-1949) suggest that employees are motivated when there is a better communication between managers and workers. He also concluded there should be a greater management involvement. It is manager requirement to educate, influence, motivate and lear n to approach his employees. 2.2 Lack of technology / Training With increased development in technology, business organizations need to regularly conduct training to their staffs to improve their productivity. Bearing in mind that Eastman only conducts only technical training to its staff when they are employed, the company requires to conduct training to it staffs. To conduct effective employee training and development, Eastman requires being aware of all changes that will result from the training. For it to maintain its competitive power in the market, it needs to impart new knowledge within its employees and not rely on what employees already know. Continuous employee training and education has proved to be a key factor in improving organization performance. In conducting the training, Eastman need to encourage creativeness among the staffs as it is the major element that will lead to the company gaining competitive advantage in the market. Training will help in introducing new inventions within the company making it more unique from its comp etitors (James, 2009, p.2-4). In todays business environment, the only way for a company to survive is to be innovative. This depends entirely on the level of training being conducted within a company. It does not imply that Eastman has to go out looking for means to impart knowledge on its staffs. If knowledge does not bring positive changes to the company it is as good as when the staffs are not trained as the company will incur unnecessary expenses. Eastman needs to ensure that it has harmonized its training with its needs, goals and the goals of its staffs. Business training has been faced with opposition from managers who perceive it as expensive and time wasting. Some claims that training is not fruitful while others term it as for young people who get in companies without knowledge. Eastman managing director may see as if conducting staff training is expensive but failure to conduct the training would prove even more expensive. Studies have shown that empowering employees through training and development h as great impact than investing in machineries and other physical resources (Patrick and Bruce, 2000, p.225). Its essential that Eastman supervisor ensure all employees are not exposed to exploitation in case they fail to undergo the training. Some companies use training to scare employees by threatening to sack them in case they fail to complete the training successfully. Instead, LD should be used to add value to the organisation and not the reverse. Clear goals are necessary for an organisation before it embarks on training of workers. If the company goes into training without clear goals of the values that need to be added to the company, such an organisation is courting failure. Eastman Sports Cars needs clear objectives for training the workers. Learning and development requires resources. An organisation must set aside resources to be used in training workers. The amount will depend on the kind of training they need. The learning resources must be easily accessible to the workers. They should be of high quality and cost effective. The cost of training should not be very high such that it hinders the smooth running of the organisation. Eastman Sports Car has not been doing very well lately and cost of training workers needs careful consideration. In addition, be timely and relevant to the learning needs of the workers. More importantly, training intervention should provide value for money (Thomas and Ploman, 1986, p. 64). The barriers that are likely to be encountered are lack of enough funds to finance the training. Time is also a barrier to training this is because some workers may have little spare time on their hands to attend classes. They may also be free at unusual hours (Thorne and Mackey, 2007,p.39). Accessibility is another challenge some sources may not be accessible to workers and the quality may not be satisfactory such that at the end of training the individuals gain very little to help them improve their skills. Lack of proper communication also leads to inadequate information and advice. (Sandler, 2007, p. 93). Lack of management support is another barrier to LD due to Mr Eastmans lack of interest for training. 3.0 Conclusion Whereas every employee in Eastman performs a specific task, the company can initiate cross training. This is where employees are trained on various jobs to ensure regular operations within the company. If an employees job cease to exist in the company or one department happen to require more staffs, staffs can be transferred to this department without the need for Eastman to employ new staff. This can also assist in expanding companys capacities without having to recruit new staffs. For instance, cross training has been said to be secrete behind the success of Toyota automaker in Japan. Another type of training that can be productive in Eastman is the just-in-time training. This is where employees are trained when need arise to meet the required skills. These training can be conducted at work place and requires short time hence not expensive for the company (VemiĆ¡, 2007, p. 209-216). There are many issues in learning and development such as strategies, intervention and res ources. In addition, during learning and development the barriers may arise. However, the barriers can be overcome. Thus, the company achieves its objectives in learning and development. 4.0 Recommendations I recommend that the managers in Eastman should identify and promote learning and development. The company can do this through personal interviews of the workers. The company can also look at its priorities and match them against the individual needs (Thorne and Mackey 2007, p. 16). Once the needs identification is through the company should provide a solution to the needs. The solution comes in for of training or learning. The company develops and delivers the most appropriate learning to meet the need. During this stage, the company works with external experts on the subject matter to design learning packages. The learning can take various forms for instance the course can be computer-based, paper-based, work experience, structured activities or self-paced activities. The learning resources must be easily accessible to the workers. They should be of high quality and cost effective. Further recommendations include the following: The company should avail funds to train workers. Incentives can also be given to the workers who commit to training. The employer can give them subsidies. The leaders should consider In determining the most appropriate style of leadership in the work place which includes: the characteristics of the manager, personality, attitude, abilities, value system and the personal credibility of managers( mullins, 2007, p 390) The type and nature of the organisation, organisation culture, and different stages in innovation and development. I completely recommend the managing director (Kayleigh) to act as a coach and a mentor to the organisation. Employers have the right skills to support the success of their businessess, and individuals have the skills they need to be both employable and personally fulfilled (Harrison, 2005, p.26). The learning and development plan should be meaningful to the workers by linking skills to be learnt with the company objectives. The company should allow worker time flexibility during the course period. The company can assist in developing part-time learning as well as distance learning. The trainers should also train the workers at the workplace to save on time spent on travel. The company should conduct background check on the trainers to ensure that the relevant authority accredits them. The company should stick to high quality training standards to give the workers high quality learning. Communication between the workers and leaders should be improved so that information is passed upwards or downwards effectively. Evaluation should be on learning and development after training to see the value of the training packages.

Most Important Mnemonics for Step 2 Cs

HISTORY & PHYSICAL EXAMINATION HPI (history of present illness) ALL CASES: OPD CSF AAA PAIN: OPD CSF LIQR AAA OPD CSF ABCDO FLUIDS: (Vomiting, Diarrhea, constipation, cough, vaginal discharge) O Onset of the symptom + precipitating factors P Progression D Duration C Constant /Intermittent S Settings F Frequency L Location of the symptom (forehead, wrist†¦ ) I Intensity of the symptom (scale 1-10, 6/10) Q Quality of symptom..BCDSPP(burning,Cramping,dull,Sharp,pulsating,pressure like) R Radiation of the symptom ( to left shoulder and arm) A Associated symptoms ( palpitations, shortness of breath) A Alleviating factors (sitting with my chest on my knees) A Aggravating factors (effort, smoking, large meals) A Amount B Blood C Color C Consistency C Content D Duration O Odor UG Hx: OPD-CSF-AAA + FINISH PUBC F Frequency (How frequent do u have to pass urine? ) I Incontinence (Do u have trouble holding Ux until u get to BR? ) N Nocturia ( do u have 2 wake up @ Night to go to BR? I Incom plete emptying (do u feel fullness even after Ux) S Stream (How is ur flow of urine? is it cont. or is there any dribbling after Ux? ) Strain (Do u have to strain during Ux) Stone (have u passed stones in the past? ) H Hematuria (did u notice any blood), Hesitancy (do u have 2 wait b4 starting Ux) P Pyuria (was there any pus in ur Ux? ) U Urgency (do u have 2 rush to BR to Ux? ) B Burning (dysuria) (does it burn) C COLOR 1 [email  protected] com PMH (past medical history) PAM HUGS FOSS P Previous presence of the symptom (same CC), Past Medical problems (^BP, ^BS,U , idney prob. Rhinitis,Sinusitis, sthma,) A Allergies (drugs, foods, chemicals, dust †¦ ) M Medicines (R U taking any prescription medications/any over-the-counter med. ), H Hospitalization for any illness in the past (Trauma, surgery) U Urinary changes ( esp if diabetic, elderly†¦ ) G Gastrointestinal complains (diet changes, bowel movements†¦ ) S Sleep pattern(difficulties falling/maintain asleep,wake up ,snoring,med. to help sleep, how many hour, nightmares) F Family history (similar chief complaints/serious illness)/ Fevers, Chills/ Fatigue O OB/GYN history (LMP, abortions, para†¦ LMP RTV CS PAP S Sexual habits (active/preferences/STD/no. of partners/contraception/pregnancy/ last pap smear) Q 1. â€Å"Mr. John, Are you Sexually Active? † Q 2. â€Å"How Many Partners are you active with? † Q 3. â€Å"Are your partners male or female or both? † [Unless the SP says wife or husband in Q 2] Q 4. â€Å"Do you use protection during intercourse? † Q 5. If yes in Q. 4 â€Å"What kind of protection do you use? † Q 6. Ask about anal intercourse in male homosexuals Q 7. h/o STD's; Rx for STD's S Social Hx (job/house/smoking/alcohol/recreational drugs/†¦.. ) WAD SAD TOES Social Hx WAD SAD TOESW Weight A Appetite D Diet S Smoke (cigarettes, marijuana, how much, how many years) A Alcohol (what type of alcohol, how often, how much ,consider doing CAGE question. ) D recreational Drugs (what drug, how do you use it, any IV drug use? ) T Travel /Trauma O Occupation (what do you do for living? ) E Exercise S Stress HEADACHE OPD CSF LIQRAA + DIAGRAM Head trauma/Seizure/Weak,Numb Tears / visual changes Flu Vomit/ Speech Neck stiffness 2 [email  protected] com Ped Hx (Child with fever) CUB FEVERS + PAM IF BIG DEALS-T C Colds-runny nose,cough,chest pain, fast respirations,SOB-CRYâ€Å"how is ‘cry of ‘baby? U Urination-increased or decreased urination, # of diapers, any odour, colour of urine Ulcers in mouth B Bowel changes: Diarrhea-frequency, onset, mucus/pus/blood in stool, any crying during defecation Discharge Q’s (ABCD-O: Amount, Blood, Content, Consistency, Color, Constant/Intermittent, Duration, Odor/Onset) F Fever & chills E Ear pulling V Vomiting E Ear/eye discharge, Ear hearing, Eye vision R Rash S Seizure-any jerky movements, which part of body? Any leakage of urine or stool during fits, and postictal irr itability or loss of consciousness. Stress (bet wet, DM) P Past medical/Past surgical Hx / Previous Hospitalizations.A Allergies, effect on child/parents (bet wet, DM), Activities M Medications, Menstruating (female child >10yo) I Ill contacts F family history B Birth Hx I Immunizations G Growth n development, ht, wt, milestones SSC-WTD: S(1), S(6),C(9),W(12),T(15), D(30) smile, sit, crawl, walk, talk, dress wks: 1,6,9,12,15,30 D Day care / Difficult swallowing E Eating habits, feeding of baby A Appetite L Look of the baby or appearance, Last check-up S Sleep T Travel recently Premenopause : H Hot flashes A Atrophy of vagina D Dryness of vagina O Osteoporosis (council) C Coronary artery disease HADOC [email  protected] com ObGyn Hx : LMP RTV CS PAP L LMP (when was ur LMP? ) M Menarchae (how old were u when u had ur 1st period? P Period (how many days ur period last? ) R Reglarity ( R ur periods regular? ) T Tampoons (how many pads do u use in a heavy day? ) V Vaginal DID: discharg e, itching , dryness (have u ever had any vag discharge? ABCDO. do u have any vag. Itching? ) C Cramps (Dysmenorrhea) do u have abd cramp with ur period? S Spotting ( intermenstrual / post coital ) have u ever bled (. ) ur cycles?Did u ever notice any bleeding after intercourse? P Pregnency ( Hx & complications) have u ever been pregnant? How many times? A Abortion/miscarriage (Any miscarriages or abortions? In ? month of ur pregnancy? ) P PAP smear(have u been getting regular PAP sm ? when did u have the last PAP sm ) (any Female>50 yo:ask about:1-R u taking vit D & Ca,2-have u ever tried HRT? ) If suspect abuse SAFE GARDS S Safety inquiry (Do you feel safe at home? ), Sex ever forced? A Alcohol abuse (does your hubby abuses alchol? ), Attacked Children?F Friends/Family who are aware( Dos any1 f ur friend/Fam know of this) Fractures (Abuse ever resulted in fractures? ) E Emergency plan (u have emergency plan? ), Ever tried to leave/divorce? why not? G Guns at home (are there any we apons @ home? Attacked with it? ) A Afraid of husband R Relationships with husband (how is ur relationship with husband? do you feel Threatened when he is around? For how long? D Depression (lost wt/appetite/sleep), Drugs (does husband use recreational drugs) S Suicidal (idea/plan/attempt) (ever felt like ending it all up? ) 4 [email  protected] com Diabetic pt â€Å"FU/Med Refill† D Duration of disease I Insulin regimen/ oral hypoglyemics regimen A A1c hg -> Gluc. monitoring (fast, home, HgA1c) B Blurry vision (retinopathy) E Extremity (foot ulcer/infection T Tingling/numbness (neuropathy) I Infections (resp/urinary) C Cardio Risk Factors (HTN, CHOL, Heart disease) Counseling DM & HTN M Medications (regularity) E Exercise ( for obese/sedentary life styles) D Diet Modification( Salt/Fatty foods) O Opthalmoscopic exams (annual routine) W Weight Management (/control) S Sugar Check upsDIABETIC MEDOWS Neuro cases â€Å"LOC† P Palpitations A Aura â€Å"b4 problem† S Shaking (duration) S Spinning/ lightheaded B Bladder incontinence / Bowel incontinence L Loss of consciousness (duration) T Tongue biting/ tinnitus & hearing loss S Speech difficulties/ Sleep disturbance A Ataxia â€Å"gait† N Numbness/nausea & vomit D Difficulty breathing W Weakness I Injury (trauma) & fall C Confusion after the event / Visual disturbance H Headache PASS BLT SANDWICH -And to make sure you got it completely don't forget the MinMental Stat.Exam 5 [email  protected] com MINI MENTAL O Orientation X3 â€Å" time, place, persons† R Registration â€Å"I’m going to say 3 objects†Ã¢â‚¬ ¦ then repeat A Attention â€Å"spell world backwards† R Recall what were those 3 items again? L Language â€Å"Repeat after me.. â€Å"No, ifs, ands, or buts† 2 Identify two objects â€Å"what is this.. pen.. and this†¦ paper† 3 Obey 3 commands â€Å"take a piece of paper, fold in ? , put on floor† R â€Å"Read 3 commands on this paper and do what it says† W Write a sentence D Draw, copy the image ORARL23RWDForgetfulness/ Memory Loss / Dementia/ Alzheimer’s FORGETS HIM + DEATH SHAFT F FAINTING / Flashes/ FHx of Alzheimer 0 ORTHOSTATIC HYPOTENSION R RUNNING URINE â€Å"INCONTINENCE† G GAIT E EYE[VISION] T TRAUMA, TINGLING S STRENGTH,SEIZURES H HEADACHE I INFECTION [SYPHILIS, MENINGITIS] M MOOD ADL – Activities of daily living D Dressing E Eating A Ambulation (can you find your way thru home) T Toiletry (do you manage your toiletry unassisted) H Hygiene IADL – Instrumental activities of daily living S Shopping H Housekeeping A Accounting F Food prep (do u do your cooking ) T Transportation (do you drive? How is your sight, hearing? 6 [email  protected] com Foot / Heel / Knee / Back pain OPD-CSF-LIQORAAA +WET SURF-D -‘CIS’ W Work /Weakness / Walking habits /Wt loss E Eye infection redness T Trauma to foot /Tingling& Numbness / Tender S Stifness in other join ts/leg Swelling /long Standing hours/morning Stiff/sound U Urethral discharge /ulcer R Rash/ Redness of skin of joint F Fever & chills& night sweat D Deformity / Dysurea IN CASE OF BACK PAIN ADD: CIS; Cancer Hx /IV DRUGS/ Steroids 4 long time Depression: (Psychiatric Hx Checklist) SIGME CAPS DHAT +2 (+MMSE: ORAL23RWD) S Sleep (difficulties falling/maintain asleep, wake up, snoring, med. o help sleep, how many hours, nightmares), Stress, Support I Interest, What do you do in your free time? How are you doing in your job? do you enjoy what you do? G Guilty M Mood. ( anxious, sad, hopeless, lonely? Memory problems E Energy C Concentration A Appetite, changes in your Weight P Psychomotor agitation/retardation (do you feel easily agitated or angry/do u feel not to do anything? ) S Suicide: thoughts, plan, attempts(do u have pills/guns @ home? D Delusions/Drugs H Hallucinations/Hopes A Attitude towards life (positive negative frame of mind) T Thyroid dysfunctions (ABCD HV for HYPOTHYROID) also need to ask : Do u realize that u have problem ? Do u want help? ( if patient was sent or asked by anyone to consult doc ) HYPOTHYROID APPETITE BOWEL-constipation COLD INTOLERANCE DEPRESSION HAIR FALL VOICE-Hoarseness 7 [email  protected] com ABCD HV Hearing loss: P Pain D Discharge F FB I Imbalance N Noise R Ringing S Spinning T Trauma Dx ABD Signs PDF IN RST CKMG MIOR (MIOR assoc. ith Appendicitis) C Cullen $- periumbilical discoloration (Retroperitoneal He,pancreatitis, AAA rupture) K Kehr $ –sever Lt. Shoulder pain- Splenic rupture, ectopic pregnancy M Muphy’s $- Abrupt interruption of inspiration on palp of RUQ- acute cholecystitis G Gray-Turner $, Discoloration of flank (same as Cullen $) M Mc Burney’s $- Tenderness 2/3 from ASIS to Rt of umbilicus I Iliopsoas $, Hyperextention of R hip Cx ABD pain O Obturator $- Internal rotation of flexed R hip Cx ABD pain R Rovsing $- RLQ pain upon palpation of LLQ DDNasuea & Vomiting A Anorexia M Metabolic( DKA )/Meds O Obstruction (pyloric /Intestinal) P Pregnancy I Inflammation( Pyelo/Cholecysto/Appi/Pancreas/PID) N Neurological (BETA)= Bleed/Encephalitis/Tumor/Abscess G Gastroenteritis A MOPING 8 [email  protected] com Cranial Nerves: 2 optic 3 4 6 5 7 Oculomotor Trochlear Abducent Trigeminal -Test visual acuity -Test pupillary reflexes (direct) -Test accommodation reflexes -Assess pupillary reactions to light -Assess corneal reflection -Perform H-test for EOM -Sensory: close eyes,touch face where? Motor: Assess strength of muscles of mastication;bite down and palpate masseter Ask patient to; -smile -wrinkle forehead, -blow out cheeks -close eyes -whisper, -Weber -Rinne tests Assess movements of the soft palate; swallow and palpate neck Assess strength of trapezius & sternocleidomastoid muscles; -shrug shoulders up -move neck to side against resistance Ask patient to protrude tongue (assess for fasciculation, atrophy & Deviations) -stick your tongue up -move it side to side facial 8 V estibulocochlear 10 vagus 11 accessory 12 hypoglossal 9 [email  protected] com – Mr. ? – Good morning Mr. , I am Dr. Khalil, an attending physician in this hospital. SHAKE HANDS First I’ll ask u few Qs. and do brief physical exam. Meanwhile if u have any Qs, feel free to ask me, ok? – Let me make u more comfortable DRAP PT. – I’ll be sitting & writing some notes while we’re talking, is that ok? †¦THANK U. – Please tell me what brought u in today Mr. ? †¦Ã¢â‚¬ ¦.. – I. C. , can u tell me more about †¦Ã¢â‚¬ ¦.. â€Å"c. c. † Mr. I’d like to ask u few Qs. about ur health in the past, is that ok? Mr. now I’d like to ask u few Qs. bout ur habits, is that ok? Now I’d like to ask u few personal Qs. I assure u that all info. Will be kept confed. ok? Now, let me ask u few Qs. about health of your family members, ok? Does any body in ur family have any med. Conditions? Mr. thank u. I am done e history, let me summarize for it, As u mentioned, u have †¦.. Do u have any Qs. for me? Mr. Now I need to examine u. may I proceed? But 1st let me wash my hands. Ok? Mr. Thank u for ur cooperation. I am done e phys. Exam let me give my impression. Based on ur Hx & my PE, it seems that u might have†¦.. ut it could be something else/ †¦or†¦, so to arrive at right D, I ‘ll run some tests & order imaging studies such as †¦.. once I’ve result we’ll meet again discuss various ttt. Options. – Do u have any Qs. for me? SHAKE HANDS & LEAVE ROOM 10 [email  protected] com HISTORY HPI: OB/GYN: LMP†¦, regular periods every†¦.. Weeks ,lasting†¦.. Days. Menarche at age†¦ Uncomplicated NSVD at full term.. Years ago. ROS: negative except as above. Allergies: NKDA Medications: none PMH: PSH: SH: smoke /alcohol / illicit drugs/sex / job /exercise FH: noncontributory PHYSICAL EXAM Patient is in no acute distress OR looks .. anxious,tired, †¦) ( The source of information is the patient’s mother. the mother of a †¦. -month/year-old female/male c/o her child having †¦.. ) VS: WNL (except for temp. Of †¦) HEENT: NC/AT, PERRLA, no conjunctival pallor. No fundoscopic abnormalities. Nose,mouth and pharynx WNL Neck: Supple, No LAD, thyroid normal, no carotid bruits. Chest: no tenderness, clear breath sounds bilaterally. Heart: RRR, normal S1/S2, no murmurs, rubs or gallops Abdomen: soft, non-tender, non-distended, +BS, no guarding, no hepatosplenomegally Extremities: no edema, normal DTR in lower extremities Skin: no rash Neuro:MMSE: AOx3, spells backward, recalls 3 objects, Cranial nerves: 2-12 grossly intact, Motor: strength 5/5 throughout -sensory: intact to soft touch and pinprick, DTR: symmetric 2+ in all extremities (or lower extremities), – Babinski bilateral, Gait: normal, Cerebellar: – Romberg, rapid alternating movement and heel to chin test normal and symm etric 11 [email  protected] com UWShort UWLong 1 16-31-37 2 1-13-1925-35-39 24 25 4-5-1822-24 29 15 28 20 21-40 12 7 43 10 FA Full 19 1-2 38 6 3 FA Mini CASE 23-24 Urine problem Alcoholism 19 Abd pain Heel pain Chest pain 13 8 31 5 6 7 4 6-26 10 38 42 34 11 UL pain 31 Shoulder pain 21 Knee pain 27 32 Back pain 37 Calf pain Vomiting â€Å"adult† 18 Vomiting â€Å"child-TEL† 7-8 33 Fever â€Å"child† 5-28 20-22 Diarrhea Rectal bleeding Constipation 9 Night sweat 21 Hemoptysis 9-10-40 12 Chronic cough 15-16-17 8 Fatigue 15 Wt loss 16 Wt gain 17 dysphagia 18 1 Headache 3 Depression 4 psychosis Anxiety Seizure –new onset Amenorrhea Menopause 25 26 Menstrual problems 26 Vaginal discharge 12 [email  protected] com 12 23 13 30 9 33 14 16 17 18 19 20 21 22 23 12 36 13 27 23 6 2 22 41 30 36 41 3 17 32 34 14 11 39 30 14 15 30 10 5 7 6 27 28 14 8 32 27 29 11 2 [email  protected] com 35 33 26 31 4 29 29 11 25 34 Forgetfulness Frequent falls DM New DM drug refill BA drug refill HTN drug refill HIV drug refill Vaginal bleeding Obesity Spells â€Å"LOC† Terminal cancer Confusion Tremors Pre-employment Domestic violence Sexual assault Insomnia Dizziness Numbness-weakness Jaundice â€Å"adult† Jaundice â€Å"Neonate† Enuresis Palpitations SOB Smoking cessation Hallucinations +ve Pregnancy test Pain with sex MVA Sore throat Difficult swallowing Hearing loss Blurred vision Erectile dysfunction Behavioral problem â€Å"child† Skin rash 3 FA cases GIT Trauma Resp Cardio Ped Neuro Endo Psych Renal ObGyn Pain DM/HTN Jaundice Fever Fatigue 1-2-5-11 3-21-27-31-37-38 4-9-10-41 6-20 7-8-28-30-36-39-40 12-14-18-22-23-29 13-24 15-16-17-34-35 19 25-26-32-33 FA cases 1-2-3-21-38-6-27-37 13-20-36 11-39 7-8 15-16-17 14 [email  protected] com

African Women s Struggle For Civil Rights - 1104 Words

When compared to other minorities and women, African Americans have gone through the most unjust and horrendous treatment above all and have made the most progress in the struggle for civil rights. Most Southerners rationalized the exploitation, brutality, injustice, and degradation of slaves with the old assumptions of Anglo-Saxon superiority and innate African inferiority, white supremacy, and Negro subordination. (pg.435) The most important struggle that African Americans faced was slavery. Slavery began in 1619, when colonists brought Black Africans to the new world to harvest the tobacco crops in Jamestown. Slavery granted economic prosperity to thousands of white families. Being born an African American meant a 99 percent chance of being a slave and having your life controlled unfairly from birth to death. Slaves were part of their owner s properties just like a house, the fields, and the furniture. (pg.435) Slaves were denied education and the deprivation of education strength ened the concept of the superior/inferior relationship by making the slave more dependent on his master. (pg.436) Slavery grew rapidly because of the cross-Atlantic slave trading industry. Owning a slave was economically attractive to the North s textile industries and South s agricultural interests. Many farmers and plantation owners morally opposed slavery, however, economic reality prevented the abolition of the system, opting instead to ban the exportation of new slaves into theShow MoreRelatedThe Civil Rights Movement During The 1960 S1224 Words   |  5 Pagesnegative effects on the people of the US.   During the 1960’s there were a lot of changes and one of these major changes was know as The Civil Rights Movement.   The civil rights movement was a movement created by African Americans to achieve rights equal to white people and have equal opportunity in housing, employment, education, the right to vote, and to not be segregated.   This movement had many import ant leaders that helped get rights for African Americans.   The book â€Å"Tambourines To Glory† is basedRead MoreAfrican American Women During The Civil Rights Era942 Words   |  4 PagesThe Civil Rights Era, which took place during the years of 1955 till 1968, was indeed the movement that gave African Americans the push to achieve their first major accomplishments of the decade. The Civil Rights Movements goals were to break down the walls of legal segregation in public places, achieve equality and justice for African Americans, and to help make African Americans become more self-conscious when standing for all their interest. This movement not only benefited men, but it also benefitedRead MoreThe Civil Rights Movement : African Americans And Native Americans1086 Words   |  5 Pagesbuilt the foundation for civil rights, a movement in which minorities fought for equality. Groups that previously had been discriminated against began to defend themselves with greater str ength and success. The civil rights movement inspired African Americans, Native Americans, women, queers, and Latinos to fight for equality. Although each social group faced their own unique challenges during the civil rights movement, each group shared a common connection through their struggles for equality. MutualRead More Discrimination and Civil Rights in America Essay701 Words   |  3 Pages â€Å" Civil rights is the term that refers to the right of every person to equal access to society’s opportunities and public facilities.† Civil rights is used to imply that the state has a positive role in ensuring all citizens equal protection under law and equal opportunity to exercise the privileges of citizenship and to participate fully in life regardless of race, sex, religion, or other characters unrelated to the value of the individual. According to Webster’s Dictionary, the definitionRead MoreSlavery And Jim Crow Laws1613 Words   |  7 Pages   African descendants have lived in the United   States of America for over 400 years and since arriving the black race has struggled to obtain equality. Realistically, if you are born black in the United States of America, you are in a sense cursed with the burdens of   systematic oppression and racism.   Slavery and Jim Crow Laws were created by white supremacist to maintain power and authority as they sought out to rule over any and all minority groups they consider inferior to the white race. FortunatelyRead MoreEssay about Frq Analysis1138 Words   |  5 PagesRuhani Malik Period 4 1960’s HW FRQ Questions Due by April 26-27, 2012 Be sure to provide a strong and specific thesis statement with a nice introduction to your essay. Also be sure to provide names, dates, book titles, court cases, statistics and any and all other relevant facts you can think of to support your answer. Staple this sheet to the front of your essay and be sure to follow the formatting rules discussed for previous FRQ’s. 1. With respect to THREE of the following,Read MoreAfrican Americans And The Civil Rights Movement1623 Words   |  7 Pages African Americans were brought to America during the colonial days by Britain, before the civil war, as slaves. They were the foundation of slave economy, being auctioned off and sold, with no thought given to their opinions, families, or lives. Throughout American history, African Americans have slowly fought their way towards where they are today. Their fight has developed into the Civil Rights Movement in the 1900s. Many historians would agree that the start of the Civil Rights Movement happenedRead MoreHistory of the Blues Essay1018 Words   |  5 PagesCavender, Jason. Civil War Music. Reference Guide to Literature and Arts, 2nd Edition. 20 March 2003. Pages 31-38. This article deals with the obvious oppression that African Americans faced in the 19th century and the music behind this depression. This music is the Blues. The writer of Civil War Music, Jason Cavender, explains that Blues music originated around campfires on plantations and on the battlefields of the civil war. Many African American soldiers during the civil war were askedRead MoreThe Civil Rights Movement And African Americans1048 Words   |  5 Pagesfor civil rights, a movement through which minorities fought for equal opportunity. Groups that previously had been submerged or subordinate began more forcefully and successfully to defend themselves. The civil rights movement inspired African Americans, Native Americans, women, queers, and Latinos to fight for equality. Thesis : Although each social group faced their own unique challenges during the civil rights movement, each group shared a common connection through their struggles for equalityRead MoreCivil Disobedience And Deliberative Democracy1550 Words   |  7 Pages1 Introduction Civil disobedience encompasses the refusal to obey governmental laws or orders. This concept that is well known in the context of South African history. There are many examples present throughout history, especially in the new constitutional era, such as fees must fall. In this essay I will consider this concept of civil disobedience, especially in a South African context as well as considering a quote by Jurgen Habermas in an article by William Smith titled Civil Disobedience and

Applying the D.E.C.I.D.E Model of Decision Making

This paper explores the legal, ethical and moral issues of three healthcare colleagues by applying the D-E-C-I-D-E model as a foundation of decision making as found in Thompson, Melia, and Boyd (2006). Issues explored will be those of the actions of registered nurse (RN) John, his fiancà © and also registered nurse (RN) Jane and the Director of Nursing (DON) Ms Day. Specific areas for discussion include the five moral frameworks, autonomy, beneficence, Non – maleficence, justice and veracity in relation with each person involved as supported by Arnold and Boggs (2013) and McPherson (2011). An identification and review of the breached code of ethics and the breached code of conduct in reference with the Nursing, Council, and Federation†¦show more content†¦Griffith Tengnah 2010 states: Accountability is a fundamental concept crucial to the protection of the public and individual patients, particularly where they are vulnerable adults or children (p. 2). His actions do however have potential in being considered ethical in regards to all countries being entitled to access equitable resources for healthcare (Nursing et al., 2008). John disregards his responsibility for providing non-harmful care in an appropriate manner whilst trying to practice without a prejudicial attitude. This highly expresses the concern for the health consumer and towards access to quality nursing and health care for all as stated in VS 4. John does not appear to show any moral self-respect or restraint towards his professional practice which is in unity with value statement 5 (Nursing et al., 2008). In disregarding value statement 6 RN John is possibly hindering the health and lives of many people instead of helping them. Introducing medical equipment supposed to be disposed of to assist third world countries has significant risks associated with impacting the health care issues throughout the whole population (Popp et al., 2010). An issues in itself as all healthcare professionals and clients have a moral obligation and right to practice in a safe environment (Nursing et al., 2008). This effect can have risk to patients, for example, by causing harm from infection with hepatitis B, C or HIV