...Begin by analyzing the sales approach of the organization that sells the product or service you have chosen. Describe the role of the sales professional and present your own personal selling philosophy. • Describe the personal selling role *comp 1 1 of 3 for this product (consultative, strategic, or partnership). What are the expectations of the personal selling role within the company? • There are three primary differentiators that mark a Consultative Salesperson: • - They ask more questions. • - They provide customized vs. vs. generic solutions. • - Their calls are more interactive. • - They provide insights to their prospects and customers http://www.richardson.com/Who-We-Are/Thought-Leadership/Defining-Consultative-Selling/ • Consultative Selling is all about the dialogue between the salesperson and the customer. The word dialogue comes from the Greek and means “to learn.” In Consultative Selling, the salesperson learns about customer needs before talking product. Product knowledge is transformed into a tailored solution when the solution is delivered and positioned based on the customer’s needs and language. http://www.richardson.com/Who-We-Are/Thought-Leadership/Defining-Consultative-Selling/ • With Consultative Selling, the customer’s needs come first. Needs are identified through a combination of preparation and effective probing and drilling-down into customer answers. Consultative Selling took the hard edge from product selling and...
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...March 14, 2014 Physician-Assisted Suicide Must Be Legalized Imagine that you just received a phone call from your physician’s nurse and she told you that the doctor wants to see you right away. When you ask her what is the problem; she tells you that it would be best if you came into the office as soon as possible. You tell her that there is no way that you can come in until next week; she asks if you can hold for a minute while she relays the message to your doctor, and the next thing you know your physician is on the phone and tells you that he wants to see you today. You try to rationalize everything that your physician could possibly tell you. Then you tell yourself that it cannot be too bad because you have always taken good care of your body, you eat right, you get plenty of exercise, and you see your doctor once a year. At the doctor’s office, the doctor informs you that there is no easy way of telling you that a large amount of cancer cells have been found in your blood work. As you try to speak, he continues to inform you that the cancer cells have completely taken over your blood and have migrated to your vital organs. As you try to speak again, he interrupts you one more time, however, this time it is to deliver the final blow; you only have six weeks left to live, which you will surely spend in extreme pain and unremitting suffering as your body goes into complete organ failure. Would you not want the option to end your pain and suffering and die with at...
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...you had a baccalaureate degree nurse vs. an associate degree nurse? Both the ADN and the BSN have the specifications needed that you get from accredited colleges to take the NCLEX. Once they pass they have licensure to practice as an RN and are capable of going into and being successful in any type of patient care setting. Let us compare the associate and bachelor degree and see if there are any differences or similarities. Some studies show that the BSN prepared nurse can have better patient outcomes. We will look at an example of a clinical situation to show if there is a difference in the care of the patient between an association degree RN and a baccalaureate degree RN. Mildred Montag was a nurse following World War ll. She saw a need to make more nurses in a shorter amount of time so she shortened the four year BSN and made a two year degree program to make technical nurses. (Grand Canyon University, 2014, Mildred Montag slide). These programs did well because they didn’t cost as much and they took less time. In the ITT Tech (2014) Nursing Associate’s Degree Program, things that are addressed in their education are “nursing values, nursing process, health promotion and maintenance, nursing roles, therapeutic communication skill and competent nursing care.” (ITT Technical Institute, (2014). These nurses can give safe and compassionate care. The primary role meant for the associate degree nurse or technical nurse is to take care of patients at the bedside. The baccalaureate...
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...end of life care: Outline Gurbani Virk SOC313: Social Implications of Medical Issues (CGF1516A) Instructor: Mark Mussmann Date submitted: May 4, 2015 Introductory Paragraph Miller family is filled with traditions, diversity and cultural values. In the scenario, Grandma Ella has been experiencing various issues with regard to having alternative treatments and medicines. Ella’s decision is hugely influenced by her cultural and traditional expectations that may influence directly or indirectly on the care given to her in her end of life days. In addition to that, there are other systems like micro, mezzo, and macro influences affecting Ella and her family members due to her medical condition of having cancer for more than 10 years and its prognosis. The debate is over whether Grandma Ella would have advantages or disadvantages by receiving end of life care at a hospital setting or hospice and palliative care will be given for her at home. As a social worker, I have a big responsibility for deciding on Ella’s treatment plans which may get affected by her other family members who have to take care of their own medical and personal problems. Outline I. Introduction A. Background Information 1. Grandmother Ella’s condition has significant implications on her life and the lives of other family members 2. Cultural and traditional issues, context of health care setting as well as psychological and social issues affect decisions on privilege of care given 3. Micro...
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...you had a baccalaureate degree nurse vs. an associate degree nurse? Both the ADN and the BSN have the specifications needed that you get from accredited colleges to take the NCLEX. Once they pass they have licensure to practice as an RN and are capable of going into and being successful in any type of patient care setting. Let us compare the associate and bachelor degree and see if there are any differences or similarities. Some studies show that the BSN prepared nurse can have better patient outcomes. We will look at an example of a clinical situation to show if there is a difference in the care of the patient between an association degree RN and a baccalaureate degree RN. Mildred Montag was a nurse following World War ll. She saw a need to make more nurses in a shorter amount of time so she shortened the four year BSN and made a two year degree program to make technical nurses. (Grand Canyon University, 2014, Mildred Montag slide). These programs did well because they didn’t cost as much and they took less time. In the ITT Tech (2014) Nursing Associate’s Degree Program, things that are addressed in their education are “nursing values, nursing process, health promotion and maintenance, nursing roles, therapeutic communication skill and competent nursing care.” (ITT Technical Institute, (2014). These nurses can give safe and compassionate care. The primary role meant for the associate degree nurse or technical nurse is to take care of patients at the bedside. The baccalaureate...
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...concept of personal vicarious exposure to trauma on a regular basis. Yet this phenomenon of compassion fatigue lacks clarity. In this article, the author begins by describing compassion fatigue and distinguishing compassion fatigue from burnout. Next she discusses risk factors for, and the assessment of compassion fatigue. The need to support nurses who witness tragedy and workplace interventions to confront compassion fatigue are described. Citation: Boyle, D., (Jan 31, 2011) "Countering Compassion Fatigue: A Requisite Nursing Agenda" OJIN: The Online Journal of Issues in Nursing Vol. 16, No. 1, Manuscript 2. DOI: 10.3912/OJIN.Vol16No01Man02 Key words: Compassion fatigue, nurse stress, work setting improvements, communication skills Nurses care for ill, wounded, traumatized, and vulnerable patients in their charge. This exposes them to considerable pain, trauma, and suffering on a routine basis (Coetzee & Klopper, 2010; Hooper, Craig, Janvrin, Wetzel, & Reimels, 2010). While many nurses perceive their work as a calling, few anticipate the emotional implications and sequelae that come from their close interpersonal relationships with patients and families (Aycock & Boyle, 2009; Walton & Alvarez, 2010). Compassion, or the feeling of emotion which ensues when a person is moved by the distress or suffering of another, is foundational to...
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...Palliative and Supportive Care ~2006!, 4, 399–406. Printed in the USA. Copyright © 2006 Cambridge University Press 1478-9515006 $16.00 DOI: 10.10170S1478951506060494 Requests for euthanasia and physician-assisted suicide and the availability and application of palliative options MARIJKE C. JANSEN-VAN DER WEIDE, M.SC., BREGJE D. ONWUTEAKA-PHILIPSEN, PH.D., AND GERRIT VAN DER WAL, PH.D., M.D. Department of Public and Occupational Health and Institute for Research in Extramural Medicine, VU University Medical Center, Amsterdam, The Netherlands ~RECEIVED June 5, 2006; ACCEPTED August 27, 2006! ABSTRACT Objective: This study investigated the palliative options available when a patient requested euthanasia or physician-assisted suicide ~EAS!, the extent to which the options were applied, and changes in the patient’s wishes. Methods: In an observational study, 3614 general practitioners ~GPs! filled in a questionnaire and described their most recent request for EAS ~if any! ~n 1,681!. Results: Palliative options were still available in 25% of cases. In these cases options were applied in 63%; in 46% of these cases patients withdrew their request. Medication other than antibiotics, which was most frequently mentioned as a palliative option ~67%!, and applied most frequently ~79%!, together with radiotherapy, most frequently resulted in patients withdrawing their request. Significance of results: GPs include the availability of palliative options in their decision making when...
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...disclosure of ‘bad news’ Dong Xue1, Jane L Wheeler 2, Amy P Abernethy 2 Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Department of Integrated Traditional Chinese and Western Medicine, Peking University School of Oncology, Beijing Cancer Hospital, Beijing Institute for Cancer Research, Beijing, PR China, 2Division of Medical Oncology, Department of Medicine, Duke University Medical Center, Durham, NC, USA A central challenge of the palliative care clinician, and of the oncologist who sees patients with advance disease, is that of ‘breaking bad news’. As this conversation requires that the clinician divulge extremely sensitive and personal information, and usually incurs an emotional response from the patient, truth-telling to advanced cancer patients is not only a challenging task but also one likely to be handled differently in cultures according to differing norms for interpersonal behavior and communication. China and the United States, with their deepset communitarian vs. individualistic ethics, respectively, typify divergent cultures. This paper discusses cross-cultural differences in norms of truth-telling to cancer patients, that is, the extent to which physicians inform patients themselves of their disease status when prognosis is poor; China and the US are used to illustrating potential differences in approach and consequent cross-cultural misunderstandings. In an increasingly mobile global community, in which information technology...
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...Ryan Somma Information Systems Proposal for XYZ Hospice Table of Contents I. Organization Environment and Requirements......................................3 A. Hospice Care...................................................................................................3 B. Assumptions....................................................................................................3 II. Inputs and Outputs...........................................................................................5 A . Inputs.............................................................................................................5 B. Outputs ...........................................................................................................5 C. Distributed Objects..........................................................................................6 III. System Hardware ...........................................................................................7 A. Client Systems ................................................................................................7 B. Peripherals ......................................................................................................8 C. Server..............................................................................................................8 IV. Software .............................................................................................................9 A. Operating System........................
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...as well as the high cost of providing mealtime assistance. The effectiveness and appropriateness of tube feeding has been the subject of much debate as it applies to those with severe cognitive impairments and those who are in a persistent vegetative state (PVS). Recent research shows that in these vulnerable populations, tube feeding alone does not necessarily prevent malnutrition and risk of infection or improve functional status and comfort. While advanced directives allow an individual to make decisions about his or her care at the end of life, court cases and religious doctrine examine the individual’s right to autonomous decision making in opposition to preserving the sanctity of life. As long as the outcome of this debate is largely undecided, the process of dying may be prolonged for those who can no longer advocate for themselves. Keywords: Enteral feeding, tube feeding, ethics, persistent vegetative state, dementia, palliative care Introduction Nutrients are introduced into the body in two ways: by enteral feeding through the digestive tract, and by parenteral feeding through a tube inserted in a vein in an arm or leg (peripheral line) or through the chest wall in...
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...individual is dead when higher brain functions—those that give rise to consciousness—permanently stop (Lewis 266-267). I believe when faced with certain undignified death, one should get to choose how they wish to die. For example: Brittany Maynard, a 29-year-old with terminal brain cancer and less than six months left to live, who wanted to die on her own terms wrote the following: “When my suffering becomes too great, I can say to all those I love, ‘I love you; come by my side, and come say goodbye as I pass into whatever’s next.’ I will die upstairs in my bedroom with my husband, mother, stepfather, and best friend by my side and pass peacefully. I can’t imagine trying to rob anyone else of that choice (Maynard).” I have taken care of people who are in constant severe pain and who’s bodies are failing them, seen people be afraid to die without dignity...
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...Isaac Allen Williams Jr. Dr. Anja Matwijkiw Biomedical Ethics P393 26 June 2013 Put Out to Pasture: The Problem with Euthanasia I have decided to write my paper on Euthanasia as the topic elicits all types of opinions and conversion on the matter. It is definitely a hot button topic when it comes to Ethical dilemmas, theories, principles, and how society should precede with this in application of law and legislation. I believe that allowing for Euthanasia globally and nationally will begin to further erode the very moral and ethical fiber that separates man from animal. I further support my stand with the example of abortion, and even though opinion hasn’t changed much in the 40 years since Roe vs. Wade allowed for abortion to take place, still millions of babies have been killed despite to negative opinions about it. My hypothesis on this issue is that if nationally legalized it would lead to an untold amount of elderly, handicapped, ill, poor, and lonely people vulnerable to being put to death against their wishes and before their time. The aim of this paper it too show that indeed legalizing “Euthanasia” or “Patient Assisted Suicide” would indeed lead us down the “slippery slope. This first step for me in this paper would be to talk about the theories and principles behind not being pro-euthanasia. There are a number of ethical principles that are deontological in nature, are part of the natural moral law, and relevant to the kinds of dilemmas that occur...
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...Should terminal illness patients choose to prolong their lives? Terminal illness patient is a disease that patient will die soon regardless any treatment intervention. End-of-life care in the ICU concerns both ‘normal’ dying process with aggressive pain management and the decision to end life with an “A good death”. “A good death” is a person dies on his own terms, relatively free from pain, in a supported medical setting. The medical team plays big roles in both processes. Koesel and Link state that, “At times, ongoing aggressive life-prolonging interventions for a terminally ill patient can create ethical conflicts and moral distress for nurses” (1). Nurses have an ethical obligation to the patients which conflict with the patient’s choice...
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... 05970640 The NMC Code (2008) charges nurses to protect confidential information, and to only use it for the purposes given – for their treatment. Therefore all patients and events mentioned in this essay are inspired by real patients and events, but names, locations, dates and other details have been altered or obscured to make identification impossible. Following the introduction of the knowledge and skills framework (DH 2004a) and emphasis on quality of health care and patient centred, interprofessional, health and social care (DH 2000; Leathard 2003; Thompson et al. 2002) health care professionals and students will need to be able to demonstrate the quality of our care and team working abilities. There is a connection between practice and thinking about practice – action and reflection are interdependent; they need one another. Reflection may be triggered by an awareness of a gap between theory and practice, a difference between what ‘should be’ and ‘what is’ (Sullivan & Decker 2005). Our actions and the quality of our care are improved by reflection-on-action, by making sense of what we have experienced, and thinking about how we might act differently in the future (Lillyman & Ghaye 2000). Reflection has a rôle in maintaining one's personal portfolio and maintaining competency and continuing professional development. Support and supervision from managers, who already have a responsibility for assessing competence and continuing professional development of staff can help make this...
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...STUDY GUIDE for C475 Care of Older Adult Objective Assessment Exam questions are taken from the Learning Objectives under the 9 Competencies: #1 Competency 742.1.1: Compassionate and Respectful Care of Older Adults The graduate integrates principles of compassion and respect for patients and their families into the planning and delivery of care to a diverse population of older adults and into advocacy for vulnerable older adults. This topic addresses the following learning objectives: * Recognize the impact of attitudes, values, and expectations about aging. * Describe how the RN’s personal beliefs and values may impact the care of older adults. * Articulate the concept of individualized care as the standard of practice with older adults, considering the right care, at the right time, in the right place and by the right provider of care. * Define Baby Boomers * What are the five racial groups listed in your text? * How would you perform discharge teaching to an Hispanic patient * Apply effective and respectful communication strategies in the care of older adults and their families. * List some of the changes of aging that could affect therapeutic communication * Note the ways to communicate or assist a patient with disabilities such as hearing deficits, vision impairments, or aphasia and dysarthria. Be familiar with the types of hearing devices. How should you address the older adult during therapeutic communication? ...
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