Case study Essay Example | Topics and Well Written Essays - 500 words - 55

Case study - Essay Example In addition, active care will mean routine patient evaluation of circulatory status with exercise and at rest. From the active multidisciplinary approach, Mr. P will reduce hospitalization incidents that result to increased hospital costs that have ended up depressing his wife. Since Mr. P demonstrates some degree of clinical instability, further medical therapy is required following evidence-based guidelines. Through active care clinic visits, Mr. P’s condition is manageable through the use of antidiuretics and fluid sodium restrictions with the therapeutically intention of treating edema and restoration of extracellular fluid compartment to normal (Cooper, 2011, p. 21). Proper management of Mr. P’s edema will contribute greatly in eliminating shortness of breath or labored breathing. In addition, the use of antidiuretics will promote Mr. P’s response to drugs like ACE inhibitors and beta blockers that are approved for managing patients with cardiomyopathy that results to systolic dysfunction of the heart’s left ventricle. However, patients demonstrating intolerance to ACE drugs require additional Isosorbide dinitrate and Hydralazine hydrochloride or Angiotensin II receptor blockade (Costantini, Boyd, Huck, Carlson, & Buchers, 2001, p. 178) Daily weight checks are essential in ensuring that the Mr. P does not have any weight changes due to fluid retention which is also reflected in shortness of breath and moist crackles on lungs. The best way to identify weight gain will be to know Mr. P’s dry weight or weight taken in the absence of edema. Mr. P will be trained on how to calculate his weight gain by subtracting his presently measured weight from the dry weight. (Costantini, Boyd, Huck, Carlson, & Buchers, 2001). Since he is managing edema, the resulting difference is expected to decrease with the right patient compliance. For both Mr. P

TQM IMPELEMENTION Essay Example | Topics and Well Written Essays - 750 words

TQM IMPELEMENTION - Essay Example The leaders rely on the assumption that punishment and reward modes are the most effective motivators at a work place. They actively engage in rewarding hardworking workers in a given organization without understanding the need of engaging in such activity (Edwards, 1994). Severe punishment measures introduced at the work place, for instance, in a given organization to curb the act of laziness, therefore, ensuring almost equal output in the organization. Such an assumption positively boasts the general outcome of the organization without the leader’s knowledge of it. The leaders engage in optimizing every process area in an organization, which leads to the optimization of the entire organization with time thus ensuring growth and stability in an organization. The managers or leaders, further, engage in the assumption that better results achieved by setting specific objectives within the organization. The set objectives within an organization foster stiff competition among work ers at the workplace to ensure the set objectives attained thus brings positive success in the organization. ... Further, competition as an assumption steps in because it is a necessary aspect in the day to day life. Managers who fail to accept that competition in a given organization cannot be avoided fail to effectively manage their organizations to the required standards. With this in place, the managers require a theory to act as a guide in order to realize the importance of quality management, as stated in the above assumptions, for the success of their organizations in the future market place. According to Edwards Deming theory of profound management, called the system of profound knowledge, the theory explores the current style of management undergoing revolution. It further explores the system of profound knowledge, which provides a map of theory to understand in details the organization we work for. The theory relates to the above discussion because it focuses on the transformation of an individual in a given organization in order to continuously teach other people, to become a good li stener, and help people to pull away from their current beliefs and practices. The Edwards Deming theory of system of profound knowledge directed to the leaders or managers in a given organization basing on the assumptions provided (Edwards, 1994). The profound knowledge appeals to managers or leaders appearing in four parts, such as in psychology, variation knowledge, system appreciation, and theory of knowledge practice. A manager needs to fully understand the four parts of the profound knowledge in order to fully apply in the process of transforming from the present Western management style to that of optimization. The four parts of the profound knowledge cannot be separated thus should work hand in hand for