Teleflex Canada Essay Example

Teleflex Canada Essay Aimed Course Instructor Compensation Theory and Practice (HARM 380) School of Business North South university Subject: Submission of the case on Telexed Canada- A Culture of Innovation. We would like to thank you for assigning us coursework for the course Compensation Theory and Practice. This case study has given us the opportunity to combine our theoretical knowledge with a practical scenario In the case. We worked as a team to solve the case as you taught in the class. We would like to thank you for giving us the opportunity to solve the case and work with a strong and reliable team. We believe that the knowledge and experience that we have acquired while working with this case will Immensely help us In our future professional life. We have tried to make use of our best knowledge to analyze the project as meticulously as possible and it surely had offered us the opportunity to enhance our knowledge on Compensation Theory and Practice of Telexed Canada. We have concentrated our best effort to achieve the objectives of study and hope that this endeavor will serve the purpose. However, we will always be ready to provide any further clarification that you may require. Sincerely, Group A HARM 380, section 1 1. We will write a custom essay sample on Teleflex Canada specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Teleflex Canada specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Teleflex Canada specifically for you FOR ONLY $16.38 $13.9/page Hire Writer In the next section we have discussed analysis of the case that consists of the Theme which outlines most challenging factors that involves the publics resentment the main essence of the case where we discussed about details in their compensation and incentive policies. The Main Issue part has however picked up the most important significant point of the case. It may be noted that Main Issue has ended up with question how it can be solved or how the whole situation is resolved. We have done PESTLE Analysis of this case where Political factors arose with Telexed. Accordingly economical factors determines the current position of a country in the global market is as necessary as to see whether the country falls under developed or developing nations, then economical factors of the country is one of the main factors that should be considered. Social factors includes the difference that environment has brought up in the stores and their development in the growing market. Telexed has used the extensive technology to save time and effort and Legal factors are important for ensuring ethical practices in the business. Lastly, environmental factors include the competition that they faced. The Human Resource Issue is the statement that talks about how Telexed has been operation in consequences of issues that arose during their daily successful operation. In Recommendation, we have tried to dig out the problems that Telexed Canada faced and emphasized giving the best solution on developing effective and efficient employment structures or other cost effective means of HER management more practicable solution within limitations and restraints. Lastly, in Implementation we have discussed how to solve the problems broadly. We have discussed how to implement and conduct to resolve all the problems. No. Name Page No. 01. Background 02. Theme 9 03. Main Issue 10 PESTLE Analysts 11 05. HER Issues 18 Recommendation 21 Implementation 26 Telexed Canada is a counterpart company of Telexed Incorporated and it is best known for the innovations in the manufacturing industry which consists of products from many range for instance from marine hydraulic steering to heat equipment for both the trucks and buses industries over the past 30 years. It is also regarded as the pioneer of designing and manufacturing hydraulic and thermal technology products. By maintaining a variegated and consolidated culture inside the company, the many has been able to create revolutionary products- products that have been meeting the demands of customers over the past years. And, it has the potential of becoming a leading company in nearer future as the growth rate is very high. Ethnicity Innovation of Telexed Canada Telexed Canada that is a partition of Telexed incorporation is well prominent for the production of a variety of products which includes marine hydraulic steering systems, trim components for marine propulsion, heating equipment for the truck and bus industries, a range of proprietary fluid controls, and field cook stoves for the manufacture of hydraulic and thermal technological products. The company had to go through many questions that arose in many different manners. Telexed Canada Executives had to face various questions for instance if the size would inhibit the ability to innovate or not, would increased corporate centralization at Telexed Inc. Impact Telexed Canadas ability to respond quickly to new market opportunities, Could the culture of innovation in Telexed Canada be transferred to other parts of the company and what was the appropriate level of corporate support and control accessory to foster innovation and high performance at Telexed Canada and at other Telexed business units. Inside Telexed Canada there was a consensus that continual innovation in product design, manufacturing, and marketing was critical to the success of the organization. Telexed Incorporation is a diversified manufacturing company, which was headquartered in Limerick, Pennsylvania, Just outside Philadelphia. The company had three principal business segments. Which are as follows: Commercial Medical Aerospace They built many range of products for several companies. A mixture of products for automotive, naval, and engineering markets, including manual and automatic gearshift systems, transmission guide controls, mechanical and hydraulic steering systems, vehicle pedal systems, heavy-duty cables, hoisting and rigging equipment for oil drilling and other industrial markets; mobile auxiliary power units used for heating and climate control in heavy-duty trucks, industrial vehicles, locomotives and fluid management products for automobiles and pleasure boats were manufactured by the commercial segment. Telexed Inc. Also concentrates on manufacturing health are supply and surgical devices including anesthesiology devices, sutures, legation solutions, chest drainage systems, and high-quality surgical and orthopedic instruments. They have more of these segments which deals with the manufacturing of commercial and military aerospace, power generation, and industrial turbine machinery markets. Aerospace businesses provided repair products and services fo r flight and ground-based turbine engines; manufactured precision-machined components and cargo-handling systems; and provided advanced engine surface treatments. Products in the Commercial segment were generally produced in higher nit volumes than that of the companys other two segments. Marine and Industrial Hydraulic Systems Telexed Canada began during the year 1974 when Telexed Inc. Purchased part of Chaplain Engineering, as mall machine shop in Vancouver that was developing hydraulic steering systems for boats. At that time, another Telexed unit was producing marine steering systems with mechanical cable steering. Telexed Canada available before. Telexed Canadas hydraulic steering systems and they are as follows: Sea Star Sea Star Pro Bay Star All of these were designed to enable more comfortable control of pleasure boats. These products fundamentally changed the marine steering industry. In 2004 Telexed Canada sold more than 100,000 Sea Star systems, an increase of more than 30% over the previous year (retail prices for the higher-end products ranged from about $1 ,500 per system, while lower-end systems were about $250). The company had an estimated 95% market share in North America and 50% share in markets outside the continent. Telexed Canadas steering products were usually among the highest-priced products available in the marketplace. The marine steering industry had two main market segments. They are as follows: One of the segment was the marine distribution and dealer network that sold Telexed-branded products to boat companies and individual boat owners. Sales of marine products were split almost equally between original equipment manufacturers like Volvo Pentane and aftermarket dealers. A second segment includes stern drive engine companies like Volvo Pentane that would purchase a private label steering system and integrate it with their engine to provide a complete steering and controls package to boat builders. At the same time as talking about the steering services Telexed Canada also reduced components for marine engine companies like Bombardier and Volvo Pentane. These products were referred to as industrial actuation systems. During the year 1985 Telexed Canada began licensing an engine governor technology for large diesel trucks. In 1990 ancillary heater business for large trucks and buses was purchased from Cummins, which led to the development of the Preheat vehicle heater product line. The heater technology was adapted in the year 1997 to create cook stoves, which was known as modern burner units (Mbps), for use in army field kitchens. A major contract was signed with the U. S. Military for the production of Mbps. By 1999 Telexed was producing 10,iambus per year for military purposes. Telexed Canada innovation focused on product and market development that solved customer problems or created new markets. Much of Telexed Canadas success has come about because a demand was identified for new products in niche markets that were ready for a change in technology. The essential conviction of the executives of Telexed is that they dont use any technology that is not proven. They prefer calling themselves product developers. They will not develop any technology that cannot be robust and highly reliable with a low repair requirement. They take existing new (although sometimes new technology had to be invented to solve a customers problem). The executives here believe that Telexed Inc. Canada is a company that has been innovative in applications engineering as they focus on products they know they can sell because they are close to the market and know the customers very well. Here the executives think that the innovation of Telexed has a different meaning which can be understood by three questions. The questions are- How some market niche with that product can be penetrated and dominated? How reliable and robust products from that technology can be developed? How the existing technology can be exploited? However, Telexed Inc. Acquired Chaplain Engineering; the intent was to expand into new markets. At that time, the company was producing a heavy-duty commercial hydraulic steering system. In 1978 Telexed Canada introduced System, the worlds first low-cost hydraulic system for the mass pleasure boat market. Cost was a big factor because System competed against low-priced mechanical steering systems. Unfortunately, Systems plastic parts deteriorated when used beyond their mechanical capability, leading to unsatisfied customers and a risk that Telexed Canada would SSE its position in hydraulic steering. At that time, Telexed Canada had about 10% of the hydraulic steering market (the largest competitor had a share of about 80%). A new hydraulic steering system called Sea Star: Easter is a product introduced by Telexed which was introduced during the year 1984. Easter became the leading product on the market. In 1989 the new Easter was introduced. The mandate for the development team was smaller size to expand the potential market, lower cost, and better performance. Using some patented technology (a floating spigot); the new Easter was 30%cheaper to produce, 18% more efficient, and sold at the same price as the older model. In 1993 Easter Pro was introduced and was very successful in the Bass boat market where performance was the primary purchase criterion. Bay Star, introduced in 2002 for the lower-end market, was very successful (although it used up part of its innovation to fix the sales of a mechanical steering system produced by another Telexed division). Here Telexed came up with new and different innovative strategy. What they did is to regain their reputation in the marketplace; they had to come out with an overkill approach with the product. They developed a much more sophisticated and rugged all-metal system, which became Easter. This decision involved heated internal debates because the development costs were substantial. This required a lot of trust from IBM Black (Telexed Inc. Chairman and former CEO). He was willing to take some risk in the investment. There were a lot of skeptics. But, the hydraulics technology was well proven and being used in automotive systems. They were applying existing technology to a customized marketplace. From a technology perspective, the risk was (from another Telexed Inc. Business unit) was not going to satisfy customers as boat engines got bigger and more difficult to steer. This is what their concept was behind launching their new technology. Energy product development to get into heaters: They bought a product line from Cummins Engine. Cummins was not successful with the product. So, they bought the remaining inventory. This got their foot in the door, and it is much easier start a business when you have something to sell. When they did the deal with Cummins, they had already concluded that the product [the truck heater] was not any good. They did the deal anyway because it got them into a new arrest that they thought they could serve better with new products. The development of the truck heater, along with several other products, including a heater portents used by the military, provided Telexed Canada with a solid base of experience in combustion technology. This led to the development of the military cockatoos called the Modern Burner Unit ( MBA). The MBA used the same combustion technology as the truck heater and could be used as a block heater, passenger heatstroke, barbeques, or oven. The MBA project started with an inventor who had built a prototype stove. The inventor was ablate convince the U. S. Army to UT the project out for bid based on the specifications he had developed in his prototype. Later on Telexed Inc. Canada focused more on few strategies which includes the following: Pull-through Strategy: Rather than designing products and then looking for channels through which to sell them, Teleconferenced focused on end users. Executives described this strategy as a pull-through strategy. In this strategy the end users were the main sector of concentration and the design, looking for channels were not a matter of concern. Vertical Integration: Telexed Canada had always been vertically integrated. There was a consensus that, in he future, there would be less vertical integration. All the customers wanted the company to be as cost-effective as possible. In the past the company was incredibly vertically integrated. Relationships with Telexed Inc. : Within all of Telexed Inc. There was an ongoing debate about the merits of centralization and unified operating processes. Within Telexed Canada, this debate was particularly relevant given the history of the subsidiary (I. E. , 3,000 miles from headquarters) and its successful innovations. The bigger area of conflict from a corporate unified perspective involves market and product development, who owns it, ND how do they keep the innovation happening Managing Size: Telexed Canada has grown rapidly over the past three decades. Size has brought a variety of challenges. Every time they made a big Jump in revenue, there were benefits and downsides. Getting big can be a problem, which is one reason why Harold split the company into three divisions?he saw that they were accomplishing well and growing accordingly. Forward thinking: New product development and New Technologies: New product development was were generally confident that the organization would continue to develop and exploit existing technologies. The bigger challenge is dealing with new technologies. The risk is that existing products get replaced by new technologies in which we have no expertise. It is very obvious that hydraulics will go away eventually, and the market will demand more comfort at lower prices. The boat builders may integrate steering into their outboards. Most stern drive engine steering uses a cable with a power steering system. Telexed has a splendid reputation due to its well development in innovation and quality service for which they are the world leader. Apart from all success there were few reasons that were potentially bothersome. Some of these were high development costs that came up with new and innovative products, being innovative is what Telexed Inc. s all about but high development costs eventually increases the risks of failure of the new product. In 2004, the economic expenses were not under control and were relatively higher from the market. Relationship with Telexed Inc. Was another issue and delegation that arose problems like high costs, discrepancy in products etc. Maintaining the size of the organization was another enormous issue becau se the size is increasing and thus has to be managed effectively. Finally, they re always below stress for new product development, because their obtainable products technology would become past it in the near future. ND adopt with its high growth rate, hi tech niche markets, prolonged market response time and vertical integration to achieve optimum performance and creativity with minimal cost? PASTEL Analysis is an analytical tool for business planning. It is a strategic framework for understanding external influences on a business. PESTLE stands for Political, Economic, Social, Technological, Legal and Environmental and is used for marketing planning, business and strategic planning organizational hang, business and product development and research reports. By understanding these external environments, organizations can simply maximize their opportunities and minimize their threats to the organization. Political Analysis: When a company begins a business overseas it might face some political issues while expanding the business in other countries. And because of some of these issues some factors influences the company position and way they cooperate with in the business. Companys way of dealing and conducting with such issue are certain mostly and are related to the political factors. Past Factors: Telexed Canada started its business during the year 1974 by Telexed incorporation. The company didnt agree with starting business from the scratch as it was really hard to startup new company in Canada. They would rather look around for acquisition and bought small companies that would allow them to have a new market. They bought part of Chaplain engineering, a small machine shop in Vancouver. Not only in Canada the company knew that politically this business is stable and will be profitable if they could target the perfect customers which they did by targeting the military. The military has been helping them to increase their business by ordering new product from them as they have served them successfully in the previous project. Present Factors: The military are funding them for new projects in terms of political factors. The military is giving them the change to enhance their products and create new products for them. They are always working for new technologies and trying to come up with new innovated products. Future Challenges: The way they are capturing the markets and innovating new technologies for the military, they have surely made them loyal towards them with their promising reduce value. The backing they are getting from military has a substantial part charge, rather they should reduce the amount of taxes for them as they are serving the military of that country. Economical Analysis: Determining the current position of a country in the global market is as necessary as to see whether the country falls under developed or developing nations, then economic factors of the country is one of the main factors that should be considered. This is the factor which we can relate with the current economic condition of the company. Past Factors: Sales of Telexed Canada is now at the peak according to them. Telexs products are innovative, are of high quality and add value to their customers. However, one of Telexs primary weaknesses was its products were focused on the marine pleasure craft industry which was heavily tied to the economy, and its ups and downs. Present Fatsos: The marine pleasure craft industry is dependent on the economy. When the economy is good people have disposable income to spend on luxury goods such as marine pleasure crafts and when the economy is in decline luxury goods such as boats are one of the first markets to feel the pressure. Future Challenges: Their way of inventing gives them the upper hand to earn more money by inventing a new product when no one else has done it. This was possible since they believed in creating identity and differentiate themselves from the rest of the corporation. Telexed Canada have acquired many companies so that they dont need to start something from the scratch which helps them to be profitable sooner and without any hassle. Economically the company is very strong and at this moment the company has a good amount of sales. If they can continue this service then the ales will increase at a higher rate in the future. They are always working on what they are going bring in the future. This gives them a upper hand in predicting the future economical condition of the company Social Analysis: It is important to understand the social factors of a country as it might help to find the loop holes to make the most out of it. Social factors inspect the social environment of the market, and measure determinants like cultural trends, demographics, population analytics etc. In the past, there were no such social factors that they had to deal with.

The Man in the Iron Mask vs Absolutism Comparative Essay essays

The Man in the Iron Mask vs Absolutism Comparative Essay essays The Man In The Iron Mask: The Absolute Monarchy Of France Revealed The film The Man In The Iron Mask is in part fictional with real historical roots dating back to the age of absolutism. The important people, places and events that shaped all of France are significantly depicted throughout the film. The Man In The Iron Mask portrays an accurate representation of the age of Louis XIV regarding his regime, landscape and courts, as well as French culture. Louis XIVs age of absolutism is mirrored in the film The Man In The Iron Mask. This form of government is called an absolute monarchy where complete authority is given to one person. Born into royalty after his father Louis III, Louis XIV reigned as King of France from 1643 until 1715 as performed by Leonardo Dicaprio. In an absolute state, the King rules by divine right accountable to no one but God. During the film Leonardo remarks to Christine, As King I am ordained by God, I will not go to hell. King Louis XIV ruled over nobility and church, which was essential for him to gain full control with no limits to his power. Louis XIVs desire for wealth, land, power and glory is seen in the eyes of Dicaprio. Louis XIV rated his personal interests and glory highly having nobility praise and dote on him constantly. However, Louis XIV ensured the vitality of France making it the centre for all of Europe blinded by the magnificence of Versailles. Louis XIV was a powerful and feared king w hom gained and kept absolute control over all of France. Louis XIV also built a new court called the Palace of Versailles that reflected his prestige, which sets the scene for The Man In The Iron Mask. The beauty of Versailles is depicted in the film with French Provincial style. Beautiful paintings, marble, gold, tapestries, mirrors, chandeliers, and all elaborate things adorned the rooms and hallways of Versaille ...

Marketing Audit Article Example | Topics and Well Written Essays - 500 words

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To produce a critique pf Part 4 of the draft Human Tissue and Embryos Essay

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Early Stage Dementia Nursing Care

Early Stage Dementia Nursing Care The aim of this case study is to explain and discuss the nursing care of a 69 year old lady who has recently been diagnosed with early stage dementia. This case study will demonstrate my knowledge and understanding of evidence based nursing practice whilst exhibiting my ability to outline a plan of care which is based on this. The structure of this study will adopt part of the nursing process, i.e. assessment of the client and planning of care in partnership with the client. The nursing process requires the nurse to carry out a holistic assessment of clients needs which takes into consideration the persons physical, social, psychological and spiritual being in order to produce an appropriate plan of care (Kenworthy et al, 2006). This case study shall also discus the nature and possible causes of Simones illness. 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Simone stated that she does not need help at the moment and that she will cope. Simone has no family locally and since she began looking after her daughter 10 years ago, Simone appears to have lost touch with many of her friends. Simones home is clean and well equipped; they both wish to continue living here although it appears as though they are anxious about coping. Simones daughter reported that on a few occasions recently her mother had burned food while cooking. According to National Health Service (NHS, 2009) dementia is a common condition. In the year 2000 18 million people worldwide were said to have been living with the condition with that figure projected to rise to 34 million by the year 2025 (Alzheimers Disease International, 2010). At present there are approximately 700,500 people in the United Kingdom with dementia and although it is something which largely affects people in later life there are currently at least 16,000 people in the UK under the age of 65 who have the illness (Department of Health, 2009). Dementia can affect anyone regardless of their gender, ethnicity or class. At particular risk of developing dementia are people with learning disabilities. Dementia is a devastating and severe illness and can be defined as a syndrome which is associated with a number of illnesses in which there is a progressive decline in many areas of functioning. These areas include memory, reasoning, communication skills and our ability to carry out daily activities (DOH, 2009). Furthermore people may experience behavioural and psychological symptoms such as psychosis, depression and aggression (World Health Organisation [WHO], 1992). There are different forms of dementia, the most common being Alzheimers which accounts for 62% of all cases. With Alzheimers the chemistry and structure of the brain is altered and brain cells die. The onset of Alzheimers disease is said to be slow and the decline is gradual over many years. The second most common cause of dementia is vascular dementia (VD) with the most common type being Multi Infarct Dementia (MID), this is where the brain has been damaged by repeated small strokes. MID can also be caused by high blood pressure, irregular heart rhythms or diseases which cause damage to the arteries in the brain. As a result of MID the patients condition gradually gets worse in steps and the person will usually deteriorate until they have a stroke were they will deteriorate before having another stroke and deteriorating further. Often people will have both types of dementia. Other forms of dementia include but are not limited to dementia with Lewy bodies (DLB) and fronto-temporal de mentia (FTD) (Ouldred Bryannt, 2008). Dementia with Lewy Bodies is thought to be the third most common cause of dementia. Those who have it have microscopic changes called Lewy bodies in the nerve cells of the brain which are caused by tiny protein deposits in the brain which disrupt its functioning. Visual hallucinations and delusions often occur. Fronto temperal dementia is rarer and the person affected may have personality changes before their memory is affected. Progression of dementia is different for each individual, for some it may be fairly rapid whilst for others it may be more gradual. Clinical features of the disease can be classified into three stages although these may not be present in every person and not all people will move through each stage (Alzheimers Society, 2007). Simone had visited her GP recently in relation to a series of vague physical complaints however recently she also admitted that she was worried that she had been having lapses in memory as well as becoming very intolerant of her daughter at times. According to the Scottish Government (2010) some people may be reluctant to attend their GP if they are worried they have dementia, some people may wait for as long as two years. The fear of dementia in the person or in their family is seen as the most significant barrier to seeking a diagnosis (National Audit Office, 2008). It is usual practice for General Practitioners to start the assessment process before referring the person to a local memory assessment clinic or community health team for further detailed assessment (Ouldred Bryannt, 2008). A bio medical approach is one way of understanding dementia and this view may have been important in ensuring Simone has a proper diagnosis. The Mini -Mental State Examination was developed as a screening instrument for diagnosing dementia which results in assessment of things such as, memory, language and visuoperceptual function. In Simones case, when cognitive impairment was detected, the MMSE will have been utilised to detect dementia. Whilst trying to determine whether Simone has dementia she will have been asked if she wishes to know the diagnosis as well as whom else she would like to know (NICE, 2007). A score of less that 24 out of a possible 30 points is said to indicate an abnormal result however patients with scores between 21 and 25 can be considered for re evaluation in 3 to 6 months. Those with a score of greater than 25 reduce the probability of cognitive impairment. NICE (2007) recommend the result of this MMSE assist in determining the appropriateness of pharmacological interventions. For cognitive symptoms of Alzheimers dementia, Donepizil, Galantimine and Rivastigmine which are acetylcholinesterase inhibitors are utilised. Nice recommend the prescribing of these three for those who have a diagnosis of Alzheimers disease of moderate severity that is decided by an MMSE score of between 10 and 20 points. For non- Alzheimers dementia and mild cognitive impairment the acetylcholinesterase inhibitors and Memantine should not be prescribed for the treatment of cognitive decline (NICE, 2007). Should the use of medication be an option for Simone as past of her care plan there would be a need to assess whether Simone requires assistance with medication administration including storage of medicines ( NMC, 2010). The possibility of a pill dispenser (dossett box) may be useful to encourage correct dosage and timing (Alzheimers Scotland, 2010). Also incorp orated into the care plan would be the need to inform Simone of the side effects of the medication as well as monitoring Simone for any effects (NHS, 2007). Dementia has been known to be referred to as having three stages. A comprehensive assessment has concluded that Simone has been diagnosed as having early stage dementia. The early stages of dementia it is also referred to as mild with the next stage known as moderate/middle and finally severe/late. Nice (2007) suggests that after Simones received her diagnosis informing her of what this entails should be incorporated into her plan of care. As a nurse I would ask Simone if she wishes that her and her family receive this information. This information would include the signs and symptoms of dementia (NICE, 2007). Sign (2006) argue that the information should be offered to patients and their carers in advance of the next stage of the illness. One of the problems arising from the assessment is that Simone appeared anxious about her diagnosis and what might happen to her daughter. This would be an important time for the nurse to attempt to gauge Simones knowledge understanding of the disease and offer information step by step depending on her ability to cope with it (Lecouturier et al 2008). The importance of a client centred approach is central when planning care for Simone (NICE, 2007). As a nurse it is important to recognise Simones theory of her life, and to realise that what counts is her perception of her situation and not just what the expert may think (Rogers, 2003). In order to achieve this successfully the nurse may plan to establish a therapeutic relationship with Simone. Good communication between all those involved including the nurse, client, relatives and specialists within the multidisciplinary team must take place accordingly in order to create a holistic and individualised plan of care (Hinchliff et al, 2003). As a nurse I could adopt the use of a model to provide a basic framework for the helping process for example Egans skilled helper model (Hough 2006).This is concerned with obtaining the clients current picture, it helps clients clarify the key issues which require to be changed (Egan, 2007). The main principle is helping clients to tell their stories, whilst enabling clients to develop new perspectives that help them reframe their stories, also to help clients achieve leverage by determining which part to work on first (Egan, 2007). Skills the nurse could use here include basic listening skills, paraphrasing and reflecting, summarising, asking questions and using silence (Egan, 2007). These skills will underpin the therapeutic relationship (Rogers, 2003). This model also looks at the preferred picture and is concerned with helping Simone identify and choose what she wants, again the main principle here is to help her imagine a better future and help her choose realistic and challenging goals that are real solutions to the problems and unused potentials which have been identified (Egan, 2007). The third stage is concerned with the way forward, the main principle is to help Simone review and choose possible strategies, along with resources and put these into a realistic plan to achieve goals (Egan, 2007). It is clear that Simone and her daughter wish to carry on living at home for as long as possible therefore by helping Simone recognise and understand the illness and its stages will assist in identifying her strengths and highlighting the things she can do as well as plan ahead for the future. At this moment in time Simone feels as though they are coping however respite could be part of the care package (NICE, 2007). Written and verbal information should be passed on regarding local support groups that Simone could attend on her own, or with friends and family. It is important to encourage Simones independence for as long as possible by encouraging her to carry on independently with those activities of daily living she still appears to be managing. Simone appears to be have isolated herself over the last few years therefore the option of attending a day hospital may be offered with transport to and from being put into place. The option of befriending may encourage Simone to get out and about in addition to support and companionship (Volunteer Centre, 2010). As it has been reported that Simone has burned her food lately this could pose a risk to Simone and also her daughter. As part of Simones plan of care I would be required to draw on the expertise of members of the multi-disciplinary team for example an occupational therapist who could visit in order to carry out a kitchen assessment. Simones vulnerabilities and risks to herself and others, as a result of her cognitive impairment would be identified by carrying out a risk assessment. Part of Simones care plan would include a risk management plan (NHS, QIS, 2007). This care plan would identify the roles and responsibilities for all members of the multidisciplinary team including Simone, her daughter, the community mental health nurse, occupational therapist, psychiatrist, social worker and also physiotherapist. Within Simones plan of care it is vital to ensure that risk assessment is continuous as Simones dementia progresses through the stages then so too will the risk to her and other s increase. As a community psychiatric nurse I have a responsibility to draw on expertise from the relevant disciplines and make referrals accordingly (NMC, 2010) for example as Simone progresses through the stages there may be a risk of falls and therefore as part of the risk assessment and plan of care I would refer Simone to a physiotherapist. As a nurse I should always seek valid consent from the person to share the information obtained via assessment with other agencies that may be involved in the care planning process (NMC consent). Simone has been presumed to have capacity to make decisions regarding her care and treatment however as the dementia progresses this may no longer be the case. If a person appears to lack capacity to make a decision then the provision of the Adults with Incapacity Act must be followed. This Act sets out principles which must be adhered to in addition to a Code of Practice, these principles include, presumption of capacity, supporting a person to make decisions, an individuals right to make unwise decisions, the best interests of the person and ensuring the least restrictive alternative (Griffith Tenhnah, ). As Simone appears to have been diagnosed early this allows time to discuss and plan for the future. This may include discussing the provisions of the above mentioned act for example, whi le Simone still has capacity she may nominate a spokesperson (attorney) to make decisions regarding her personal welfare including healthcare and consent to treatment should she become incapable. This is known as lasting powers of attorney (LPA). Another provision under the Mental Capacity Act that may be discussed with Simone is that of Enduring Power of Attorney (EPA) where Simone could appoint someone which would give them the legal right to manage Simones financial affairs. As a nurse it is important to discuss the use of an advanced statement as part of the plan of care as this would enable Simone, while she is still well enough to do so, to write a statement which outlines the way in which she wishes to be treated should she become unwell and no longer have capacity (). Dementia is a terminal illness and NICE (2007) recommend a palliative care approach from the time of diagnosis until death. As a result the care plan should incorporate Simones wishes in relation to end of life care for example a preferred place to die. The provision of palliative care in the UK is said to favour those with cancer (Fallon Hanks, 2006) although those with dementia can have equally as severe symptoms and similarly poor prognosis. Therefore planning ahead for Simones end of life care may result in a good quality service with improved experiences for Simone and her daughter (Scottish Government, 2008). Discussions might also take place around the possibility of a do not resuscitate decision, if Simone felt this was appropriate it could be documented. This would ensure that no attempt is made to resuscitate Simone in the event of cardiac arrest if this is her wish (National Health Service Scotland, 2010). People who care for relatives with dementia are said to suffer higher levels of stress and ill health than the general public (Scottish Dementia Strategy). This may well be a significant change for Simones daughter. As Simone wishes to stay at home it is vital that a carers assessment is carried out and appropriate support and information is provided as it may become too difficult for her daughter to sustain otherwise and could result in Simone requiring admission to care services. The option of respite should be a vital part of the care plan (NICE, 2007). In conclusion, this essay has provided an explanation and discussion regarding the nursing care of a 69 year old lady who has recently been diagnosed with early stage dementia. This case study has demonstrated my knowledge and understanding of evidence based nursing practice and demonstrated my ability to utilise this in order to outline a plan of care. Alzhiemers Scotland (2010) http://www.alzscot.org/pages/info/safety.htm National Health Service Choices (2009) Your health your choices: Dementia. [Online] Available from: http://www.nhs.uk/conditions/dementia/Pages/Introduction.aspx [Accessed 04th August, 2010] Alzhiemers Society: Demography, Alzheimers Society position statement. [Online] Available from:http://www.alzheimers.org.uk/site/scripts/documents_info.phpcategoryID=200167documentID=412 [Accessed 04th August, 2010] Alzheimers Society (2007) Information Sheet: The Progression of Dementia. Alzheimers Society. London. [Online] Available from: http://www.alzheimers.org.uk/factsheet/458 [Accessed on 3rd August 2009] Department of Health (2009) Living well with dementia: A National Dementia Strategy. London. [Online] Available from:http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_094051.pdf [Accessed 3rd August, 2009] Fallon, M., Hanks,G ABC of Palliative Care. British Medical Journal. Blackwell Publishing. Folstein MF, Folstein SE, McHugh PR. Mini-mental state. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12:189-198. Egan, G. (2007) The Skilled Helper. (8th Edn) USA: Thomson Brooks/Cole Griffith Hinchliff, S., Norman,S., Schober, J. (2003) Nursing Practice and Healthcare (4th Edn) London: Arnold. Hough, M. (2006) Counselling Skills and Theory. (2nd Edn) Great Britain: Hodder Arnold. Kenworthy, N., Snowley, G., Gilling, C. (2006) Common Foundation Studies in Nursing. (3rd Edition) Churchill Livingston:USA. NHS QIS 2007 NMC CONSENT http://www.nmc-uk.org/Nurses-and-midwives/Advice-by-topic/A/Advice/Consent/ Ouldred, E., Bryant. C. (2008) Dementia care. Part 2: understanding and managing behavioural challenges. British Journal of Nursing. Vol 17. No 4. Scottish Government (2008) Living and Dying Well A National Action Plan for Palliative and End of Life Care. Edinburgh. The Volunteer Centre http://volunteerglasgow.org/befriending/drumchapel.asp World Health Organisation (1992) The ICD-10 Classifications of Mental and Behavioural Disorders: Clinical Descriptions and Diagnostic Guidelines. WHO. Geneva.

Bush A= Plan :: essays research papers

Bush A+ Plan Lieutenant Governor Brogan and Governor Bush fought for approval of what they called, the Bush/Brogan A+ Plan for education. This was a comprehensive system of school reform. They believed that each student should gain one years of knowledge with one year of school. They also believed that no student should be left behind. These are the principals that the plan was built upon. In order for them to be assured that a student gained a years knowledge in a years time, the FCAT was set in place. This FCAT tests students till the tenth grade. The results of this test is then used to make sure the student is not left behind. The education is then centered around the individual needs of each student. Although this is not the only reason for the FCAT test. The test also shows if the school is performing to standards. Schools are assigned a performance grade based on the student achievement from the FCAT. If the school receives a failing grade, then resources are put into effect. The school receives addition money assistance, along with salary incentives for the teachers in those schools. I personally do not see the reason to award a failing school or a teachers of that school. But I guess I stand corrected, due to the fact the program seems to be working for the most part. I believe there are some problems with this plan. I believe that the children that exceed the standards are left behind. When my daughter entered the sixth grade she was ready for Algebra 1. The school felt that only eight graders should take algebra 1. Their reasoning was that in the seventh and eighth grade they would not have a math for her to complete. Due to this reasoning, I feel, they decided to leave my child behind. My daughter was taken out of the public school and placed in a private school. In the private school she was able to exceed at her learning capabilities. Today she is attending CFCC as a full time student. This is her second semester. She carries thirteen credits this semester, with a 4.0 grade average. My daughter is thirteen years old. She shall receive her A.A. degree by the time she is fourteen. I believe if she had been left in the public school, she would of been held back from her abilities.