Saturday, January 25, 2020

Monitoring Risk in Project Management

Monitoring Risk in Project Management Risk identification and analysis lies in the hands of the owner who is the first participant in any type of project. When they are identified earlier, then there is a plan on how to manage them. If this task is to be given to any other personnel, then he/she should have the skills to interpret those risks. Although the owner may fail to identify all the risks, then there should be an integrated project team who will assisting this. Any plan that is designed for the project should have the risk identification part. In a certain flower farm, the owner saw it appropriate to test a certain variety of flower and see how it would perform in the ecological zone he was in. Before doing anything else, he contacted each and every employee to tell them about his idea. Most of them were very willing to help in anything they could. One of the ways he started doing is to group we as employees into groups that would work as a team to achieve this. He could also call upon some of us in a face-to-face interaction and this improved on trust of all of us. He could also contact specialists in the sector in question, not because we could not do it by ourselves but because he wanted a variable number if ideas. Team members also needed to play their roles effectively. They needed to actively involve themselves by giving ideas and nobody was permitted to criticize. On the same note, each of the identified risk would be recorded whether relevant or not. All this would help to identify all the risks possible with the help of missions, strategies and goals of the project, cost estimate, procurement, and execution and financing plan, projects Environmental Impact Assessment among others. This process was repeated several times before the outcomes were realized. We as teams then took the challenge to rank these identified risks in the order in which they could be severe. The lowest rank held those risks that were less severe and we categorized them as negligible. Marginal, critical and catastrophic were among the more severe. This ranking was based on value in other words number of dollars and indicated that there will be minimal environment damage. On top of this was the marginal risks where we indicated that there will be imitable environmental damage and that there will be restoration activities that will take place. On and on until we got to the catastrophic ones where we showed that there would be irreversible environmental damage and that the business would be closed. We went ahead and ranked them on the basis of likelihood where we ranked them as certain, likely, possible, unlikely or rare. The rare ones were those that were unlikely to occur although they were possible. The unlikely are those that could reasonably expected to occur. Those that are possible are those that will occur severally while the likely will occur frequently. The certain ones are those that will continually be experienced. Monitoring the risks was also the mandate of the teams. We had identify all new risks and take action in managing them. We also examined and documented the effectiveness of risks responses. We also could measure the technical performance of the risks. Before all this, we could first evaluate the risks whether all our assumptions were still valid, whether the risks have changed from the prior state, whether the proper measures for are being followed or whether they needed to be modified in line with the aim of the project. On top of all this, the owner had an idea of purchasing a new car that he would use to convey the flowers when they will be ready to the market. What motivated him was that he had enough money to purchase it cash. He would get the car of his choice as well as the one that will be suitable to carry out the function. He was sure enough that the value of this expected car will be covered by the expected sales of the flowers. REFERENCES Wardlaw, C. Wardlaw, C. (2017). 8 Important Decisions to Make Before Buying a New Car. NY Daily News. Retrieved 13 March 2017, from http://www.nydailynews.com/autos/street-smarts/8-important-decisions-buying-new-car-article-1.2558671 Reincke, K. (2017). Monitor Control Project Work myPmps. Mypmps.net. Retrieved 13 March 2017, from http://www.mypmps.net/en/mypmps/knowledgeareas/integration/monitor-control-project-work.html Ranking Risks: Rare to Certain, Negligible to Catastrophic. (2017). Project Smart. Retrieved 13 March 2017, from https://www.projectsmart.co.uk/ranking-risks-rare-to-certain-negligible-to-catastrophic.php

Friday, January 17, 2020

Diabetes mellitus Essay

An ethical dilemma exists when the right thing to do is not clear or when members of the health care team cannot agree on the right thing to do (Potter, Perry, Stockert, & Hall, 2011). S. Z. is a 65-year-old Hispanic man who was admitted to the hospital for the third time in 6 months, for hyperglycemia. He is now scheduled to be discharged but his daughter pleads with the nurse that she does not want her father discharged because he is non-complaint with his medications and diet at home. She says she has small children at home and can’t be responsible for him, too. She is worried sick that he is doing this on purpose because he has been so depressed since her mother, who did everything for him, passed away. She says that her father has been seeing a curanderos, who treats him with traditional methods and that he refuses to take his medicine and only follows what the curanderos tells him to do. She does not agree with this and confides that she hopes to find a way to prevent her father from seeing this person and wants to know if the nurse can have her father’s discharge canceled and to ask the doctor to admit him to a nursing home where they can ensure he eats right and takes his medicine and not the herbs he has been using. Then she pleads, â€Å"Please just tell the doctor he won’t take his medicine. † Many years ago he was diagnosed with Diabetes Mellitus Type II and has been on insulin for two years. His blood sugar on admission was 589. He is retired and was widowed one year ago. He’s active in his church, gardens, and likes to work on small projects around the house. His medical history includes Diabetes Mellitus Type II, insulin dependent, Hyperlipidemia, and Osteoarthritis. The three possible scenarios I came up with are 1) to discharge S. Z. from the hospital and go home, 2) to discharge S. Z. to a nursing home, and 3) to delay the discharge and have an in-depth meeting with S.Z. , his daughter, his doctor, his nurse, and a social worker in order to come up with the best solution following his discharge from the hospital, When it comes to a situation that pertains to a patient’s safety, personal lifestyle, habits, and their health post-discharge, it’s best to bring the patient, his family members, his doctor and nurse, and a social worker together to discuss the best possible solutions for post-discharge care. With the 1st scenario of discharging S. Z.to go home; his daughter may feel responsible for him after he is discharged and may end up resenting him if she is unable to meet his medical care needs due to her own family issues and daily responsibilities. S. Z. may feel like his daughter doesn’t want or need him around which may cause a lot of anxiety. With the 2nd scenario of discharging him to a nursing home; this may make S. Z. feel more depressed due to a loss of independence. He may even start to feel isolated because he will unable to attend his church, tend to his gardens, or work on small projects around his house. All these things help to keep him in touch with the world as well as keeping his body, especially his hands, nimble. With the 3rd scenario of holding off on the discharge and calling to order a meeting of the minds to further discuss S. Z. s discharge outcomes. There are 5 signs an older person shouldn’t be living alone. The first sign is that the older person is healthy, but cannot safely live alone. Even the healthiest people are prone to slips, trips, and falls, especially when taking certain medications. Older people have a much higher risk of bone fractures due to progressive loss of bone mass (Scheve, 2013). The second sign is the early signs of Alzheimer’s. This disease commonly presents itself in those who are retirement age and older. The third stage deals with physical impairment or a disease that the family members are unable to provide care for (Scheve, 2013). Some diseases require care that family and friends just aren’t capable of providing for. The fourth stage is a change in personality or lack of proper hygiene. Difficulties in daily life such as incontinence, changing their own clothes, and fixing their meals can be very daunting and frustrating (Scheve, 2013). The final sign an older person shouldn’t be living alone is when he/she gets to be too great of a burden on the family (Scheve, 2013). The average family is juggling their daily activities and aging parents require demands that outweigh the logistical and financial resources available. With the 1st solution, the doctor feels confident enough to go ahead and discharge S. Z.to go home and go about his regular routine of going to church every Sunday, tending to his gardens, working on small projects around his house, and even conferring with a curanderos. However, since S. Z. s daughter is adamant about this discharge procedure, we must move on to another discharge solution. The 2nd solution I had for S. Z. is to be discharged to a nursing home. Having to move into a nursing home can be one of the most difficult times in a person’s life (Harker, 1997). It can be extremely difficult for the patient because they may feel that they are being â€Å"put away† which can be very difficult for the family as well. There’s the worry that their loved one may not be get the loving care they feel they should have. S. Z. may end up feeling isolated because he will no longer be involved in his daily activities of going to his church, seeing his friends, gardening in his gardens, etc. I chose the 3rd solution to delay discharging S. Z. from the hospital and to set up a meeting with S. Z. , his daughter, doctor, nurse, and a social worker so they can put their heads together to come up with a solution for S. Z. following his discharge. This way, everyone will have the chance to speak their peace while getting pertinent feedback from the rest of the key players. Since S. Z. is capable of understanding his own medical needs and issues, then he should be involved with the decision making process of moving into a nursing home or going back to his home. The Code of Ethics for Nurses helps to answer scenarios like this one. It identifies four primary obligations you must meet to fulfill the contract between nursing and the public (Lachman, 2013). The four primary obligations are respecting the patient’s privacy and protecting confidentiality, communicating honestly all aspects of the patient’s diagnosis, treatment, and prognosis, conducting an ethically valid process of informed consent, and advocating for the patient’s interests (Lachman, 2013). The best way to decide what’s in the best interest for S. Z. is by taking all these aspects into consideration during the discussion with S. Z. , his family, his doctor and nurse, and the social worker. Conclusion The Code of Ethics serves as an excellent baseline to use for collaborating patient information, needs, and desires, the family’s needs and desires, their medical information as coming from the doctor and nurse, and information the social worker can bring to the table. The nurses and other healthcare professionals rely on the code of ethics to assist them when conflicts arise. I believe that having a well thought-out discussion with all those involved and coming up with a solution before discharging S. Z. is in his and his daughter’s best interest. References Harker, J. (1997). Help me: Coping with the nursing home decision. Retrieved form: http://www. alharris. com/harker/helpme. htm Lachman, V. (2013). Making Ethical Choices: Weighing Obligations and Virtues. Retrieved from http://www. nursingcenter. com/pdf. asp? AID=817321 Potter, P. , Perry, A. , Stockert, P. , & Hall, A. (2011). Basic Nursing (7th Ed. ). St. Louis, MO: Mosby Elsevier. Scheve, T. (2013). 5 Signs an Elderly Person Shouldn’t be Living Alone. Retrieved from: http://health. howstuffworks. com/wellness/aging/elder-care/5-signs-elderly-living-alone. htm.

Thursday, January 9, 2020

Human Sexuality - 754 Words

1. Discuss 4 types of scientific methodology used in human sexuality research, including strengths and weaknesses. Since I feel a survey is pretty self explanatory correlation, direct observation, case study and experimental research are the four methods I will be discussing. Correlation mathematically measures the degree between two variables. When one variable increases due to the increase in the second variable this positive, however when one variable increases due to a decrease in the second variable this is negative. â€Å"The relationship between two variables is rarely perfect.†(26) The strengths in this research are (1) the better the correlation between the variables, a more precise prediction can be made on the relationship between†¦show more content†¦They both have a vasocongestive response within seconds of simulation. The plateau phase sets the stage for orgasm. It is different for every man and this phase can vary tenths. The diameter of the penis conti nues to increase and the testicles swell up fully with blood. For women three things happen in this stage; the clitoris pulls back, the breasts swell up with blood and increase in size, and lastly fluids from the vaginal wall slow down. Orgasm in men and women are very similar. They both have rhythmic muscular contractions however women have an orgasm in a single stage while men have the sense of inevitability, â€Å"coming†. The final stage resolution in which the sexual response drops below the plateau level, thus becoming unaroused, however some women can have multiple orgasms without dropping below the plateau while men need to have a refractory period, before having anotherShow MoreRelatedThe Science Of Human Sexuality Essay1437 Words   |  6 Pages Sexology, an idea truly founded during the late nineteenth century, is the science of human sexuality and fixates on the non-reproductive physical and conceptual functions of sex. 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Wednesday, January 1, 2020

The Transgender Community Is Becoming More And More Accepted

Picture yourself being in an unfamiliar place and going into the opposite gender’s restroom, how embarrassed would you be? Hearing you’re a lady you’re not supposed to be in here! I have done this quite a few times, and I was terrified hoping that no one saw me. What if you didn’t identify yourself as a specific gender, which restroom would you use? Do you use the one that you are â€Å"supposed† to use or do you use the one in which you define yourself as? Transgender people tend to face this difficult decision each time they are in a public place especially schools. The transgendered community is becoming more and more accepted in society’s eyes, but they still face discrimination from people, and society. The issues that the transgender†¦show more content†¦Those who suffer with the tough decision concerning gender are said to have gender dysphoria, A Gender Identity Disorder that focuses on transgenderism. Gender dysphoria is a c ondition in which there is a conflict between a person s physical gender and the gender he or she identifies with (Medline Plus, 2014). Transgender individuals feel as if they were born in the wrong body and would love to be considered a member of the opposite sex, especially once their bodies start to change as they grow up. Most youth reported feeling they were transgender at puberty (Grossman D augelli, 2006). During puberty the youth’s family and daily interactions at school play a critical part in life. During this time, children believe they will grow up to become the opposite sex (Medline Plus, 2014). As stated in â€Å"The Transgender Child†, â€Å"No one knows how common transgender children are. Some gender specialists say that 1 in 500 children is significantly gender-variant or transgender† (Brill Pepper, 2008). These students go through school trying to fit in just to be accepted by the society around them, even though they were just disappointed by the fact that their bodies didn’t change. Youth noted four problems related to their vulnerability in health-related areas: the lack of safe environments, poor access to physical health services, inadequate resources to address their mental health concerns, and a lack of continuity of caregiving by