Friday, December 27, 2019
The Complications Associated With Diabetes Mellitus ( Dm )
Abstract This paper explores the complications associated with Diabetes Mellitus (DM) including altered tissue perfusion. Altered tissue perfusion occurs as a result of DM and can cause many complications such as diabetic foot ulcers. Although altered tissue perfusion is not the only cause of ulcers, it contributes to the acceleration and degeneration of tissue once an ulcer forms. This paper also covers nursing diagnoses, individualized nursing interventions, patient and treatment goals as well as evaluation of outcomes, associated with an actual patient. I was able to treat a patient with hyperglycemia within my critical care clinical experience. It also covers the psychosocial concepts that influence teaching readiness, growth andâ⬠¦show more contentâ⬠¦Small arteries in diabetic patients experience changes due to increased atherosclerosis. Tissue perfusion depends upon fasting plasma glucose and fasting insulin levels which are also dependent upon how sensitive the patien t is to the insulin. Increased permeability to large molecules such as albumin is increased in diabetes, which can be associated with hyperglycemia (Levy, et al., 2008). Studies have shown patients with type 2 diabetes experience decreased coronary flow which is related to hemoglobin A1C and fasting plasma glucose levels (Marketou, et al., 2008). Mild insulin resistance can also be associated with a decrease in coronary flow. In addition, a decrease in myocardial perfusion in diabetic patients is related to decreased blood flow. An impairment in peripheral circulation leads to ischemia, which is associated with pain in the lower legs called intermittent claudication, which may result in lacerations of the feet (Levy, et al., 2008). Peripheral vascular disease (PVD) can cause thrombosis of the arteries causing tissue death. Gangrene from Diabetes Mellitus (DM) can lead to amputations beginning in the toes and moving into the foot (Lemone, Burke, Bauldoff, 2011). Diabetes Mellitus is a chronic disease that has become an epidemic as it effects more and more the population each year. DM is a group of metabolic diseases, stemmed from the Endocrine systems, characterized by hyperglycemia
Thursday, December 19, 2019
Essay on Case Study-Whole Foods - 1284 Words
1. Whole Foods creates a narrow market niche by catering to the special needs and tastes of the consumer, thus, creating a differentiation-based advantage over competitors. By taking actions to acquire Wild Oats, Whole Foods has gained the competitive edge in the marketplace. 2. Recent developments and conditions in the natural and organic food industry can put a strain on the vision and strategy that John Mackey first set out to accomplish. However, part of a good business strategy is to be able to adjust and change with development or restrictions by government standards. 3. John Mackey does have a good strategic vision for Whole Foods. He has the ability to grow the business with such profitability and foresee whatâ⬠¦show more contentâ⬠¦This coupled with satisfied employees give way to everyone becoming loyal to Whole Foods. The companyââ¬â¢s website has numerous videos of consumers boasting about the stores and remaining loyal to Whole Foods despite protesters for any given reason. There are also videos of employees explaining how good the company has been to them and therefore they remain loyal in the face of adversity. John Mackey also plays on the importance of giving back to the community and helping those less fortunate than his loyal customers, helping the agriculture industry, maintaining good environmental practices, and giving respect to his trade partners. The combination of these core values contribute to the companyââ¬â¢s success. 5. Whole Foods, according to Exhibit 9 and 10, obviously is performing well from a financial perspective. The real numbers that tell the story lie in the years that follow from 2008 to the present. The stock prices in 2007 were $48.96. It took a drastic dip in 2008, at the start of the recession, were stock was $20.03 per share at the end of the fiscal year. It jumped a bit in 2009 to $30.49. The stock currently is $38.60 a share, still not where it was 3 years ago. 6. .From a strategic perspective Whole Foods is performing very well. Management has clearly defined the goals to grow the business making their vision a reality. They have created loyal customers by educating them on the healthier ways of eating,Show MoreRelatedWhole Foods Case Study1568 Words à |à 7 PagesNick Zawisa Strategic Management September 23, 2010 Case Study: Whole Foods Market Since 1980, Whole Foods Markets has grown from a small local store in Austin, Texas, to the largest retail chain of natural and organic foods in the United States. Whole Foods has been leading the natural and organic foods movement across the United States, working to gain acceptance among the growing number of consumers interested in eating healthier foods. The company has built a reputation for being selectiveRead MoreCase Study Whole Foods1155 Words à |à 5 PagesCase Study assignment 1. What are the chief elements of the strategy that Whole Foods Market is pursuing? Fresh natural and organic foods and products with no preservatives or artificial ingredients. Promote healthier eating/lifestyle and increasing consumer knowledge/education of food safety, environment and how pesticides affect the land as well as the human body. 2. Is the strategy well matched to recent developments and conditions in the natural and organic foods segment of the food retailingRead MoreCase Study(Whole Foods)1481 Words à |à 6 Pages1.) The Whole Foods strategy seeks to provide products of the best quality to its customers by maintaining high standards that the farmers, organic growers must match. The strategy also involves providing best tasting food and foods that are fresh, wholesome and safe to eat. It also involves promoting organically grown foods to exercise their influence on the people and the industry. Customers are the most important stakeholders responsible for the growth of Whole Foods Market, thus satisfying theirRead MoreWhole Foods Case Study2408 Words à |à 10 PagesCase Analysis Whole Foods Market in 2010: Vision, Core Values, and Strategy By: Katie Hollar Baker College Online Case Analysis Whole Foods Market in 2010: Vision, Core Values, and Strategy Overview Whole Foods Market was established in Austin, Texas in 1980 as a natural and health food supermarket, and it has since become the worldââ¬â¢s largest supermarket chain in organic and natural foods. Whole Foods Market had 289 stores located in Canada, Great Britain, and predominantly in theRead MoreWhole foods case study Essay870 Words à |à 4 PagesNovember 27, 2013 HRM 598 Case Study Introduction Whole Foods Market, Inc. is the largest chain of natural foods supermarkets operating in the United States. Whole Foods has six core values that drive its company and they include; selling the highest quality natural and organic products, satisfying and delighting customers, supporting their Team Members (Whole Food Employees) happiness and growth, creating wealth through profits and growth, caring about the communities and our environment, creatingRead MoreWhole Foods Inc Case Study1200 Words à |à 5 PagesIntroduction Industry Overview The Whole Foods Inc was founded in 1980 by john Mackey, from a local supermarket store on safe grocery. Since then, it has grown into the worldââ¬â¢s largest retail store all kinds of organic and natural foods. As of 2004, the annual sales were recorded as $8 billion. It has approximately 264 stores in the USA, 6 in Canada and 5 in the United Kingdom (Thomson, 2010). The headquarters are located on an 80,000 square feet flagship store in Austin, Texas. Over the yearsRead MoreCase Study : Whole Foods Market1370 Words à |à 6 Pages Performance Mangement-4013 Assignment Title: Whole Foods Market Report by: Kiranpal Mann Student #: c0645417 Date: 1st March 2016 Table of contentsRead MoreWhole Foods Case Study Essay1324 Words à |à 6 PagesWhole Foods Markets is a retailer of natural and organic foods. The company was founded by current CEO John Mackey who partnered with Craig Weller and Mark Skiles to merge their two natural food stores, Saferway and Clarkville Natural Grocery, resulting in the opening of the original Whole Foods Market on September 20, 1980. They had a 12,500 square foot store manned by 19 staff members. With a passion this industry, Mackey devised great visions, values, and strategies to take Whole Foods MarketsRead MoreWhole Foods Market Inc. Case Study Essay1200 Words à |à 5 PagesAccording to the Whole Foods Market Inc. case, study shows that Whole Foods Market is an American supermarket chain exclusively featuring foods without artificial preservatives, colors, flavors, sweeteners, and hydrogenated fats. It is the United States first certified organic grocer, which mean s it ensures, to National Organic Program standards, organic integrity of the heterogeneous products from the time they reach stores until they are placed in a shopping cart. Whole Foods Market Inc. openedRead MoreWhole Foods Operations Management Case Study1794 Words à |à 8 PagesWhole Foods Operations Management Case Study Assignment With the launch of the 365 brand, Whole Foods is hoping to target and bring in a younger, more hipster demographic of customers. Their hopes are that these younger, more price sensitive shoppers will grow with the brand, become accustomed to the organic, GMO-free selection, and will transition into customers of the regular, more expensive, Whole Foods stores as they grow in their careers and begin making more money. The most important challenge
Wednesday, December 11, 2019
History B Assignment free essay sample
Share Click the blue box in the upper right corner. Click Change and select Anyone with the link can edit Click Save, then Done. 4. Us bomb Copy the link and submit assignment to Gradation. Examine this prompt, then type your response below: Americans have often had to balance the need for national security with the need to protect peoples rights and freedoms. In times of crisis, rights are sometimes limited. Beginning in the late sass, the Cold War dominated American life.For a number of years, the nation was in the grip of a new Red Scare. Although the hunt for communists did catch some spies, it also disrupted the lives of thousands of innocent Americans. The following list displays the actions taken by the Truman administration to address the public concern about domestic communism: President Truman created a Federal Employee Loyalty Program in March 1 94 7. The order permitted the FBI and other government security agencies to screen fee real employees for signs Of political disloyalty. We will write a custom essay sample on History B Assignment or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page The Truman administration also used the 1 940 Smith Act to cripple the Com insist Party in the United States. This act made it unlawful to teach or advocate the violent overthrow of the U. S. Government. Congress joined in the search for communists. In 1938, the House of Repress natives had created the House Americana Activities Committee (HUGH) to investigate pop Seibel subversive activities by fascists, Nazis, or communists.
Wednesday, December 4, 2019
Virtual Teams as Teamwork Efforts
Virtual teams refers to teamwork efforts that are facilitated through information technology medium where individuals get to work together without having to meet physically (Maznevski, 2006). Basically the term virtual team refers to a group of persons that primarily interact through internet connectivity or other electronic media and occasionally get to meet physically in order to achieve certain work objectives.Advertising We will write a custom essay sample on Virtual Teams as Teamwork Efforts specifically for you for only $16.05 $11/page Learn More There are three characteristics that defines a virtual team; members must be separated by geographical features, they must be linked together virtually through a form of an electronic media and they must be engaged in achieving a common objective that is mostly work related (Maznevski, 2006). The purpose of this paper is to discuss the elements of virtual teams as well as evaluation tool of measuring its e fficiency for human resource personnel in an organization. Generally virtual teams can be categorized into four groups; tasks groups, command groups, interest groups and friendship groups (Kruse, 2003). In an organization setting there are several reasons that necessitate the use and set up of virtual teams. In this case the main reasons include low cost of business operations, convenience, outsourcing of scarce human resource and the need to gain a competitive edge (Duarte, 2005). Regardless of the type of virtual group, a virtual team requires six elements that must be enhanced in order for it to be effective, they include effective communication skills, conflicts management, leadership skills, building of ideal relationship, team empowerment and rhythm building (Gould, 2006). These are the essential elements of a highly efficient virtual team. One of the articles in the field of virtual team that attempts to comprehensively assess the efficiency of virtual teams in an organizatio nal setting is written by Tricia Steege, the CEO of transformation strategies. In this article the maturity and efficiency of virtual team is measured by a Virtual Team Operation Survey tool that assesses the indicators of virtual team performance (Steege, 2003). The survey tool developed for assessing the effectiveness of virtual teams in organization focuses on a total of five indicators that include; trust, leadership, communication, technology and learning that are rated based on four criteriaââ¬â¢s (Steege, 2003). The possible cumulative scores when using this survey tool is 100 points that are disaggregated by 20 marks in each category. Based on the points obtained during the evaluation of the team efficiency, a human resource specialist can identify areas of weaknesses and strengths of the virtual team under evaluation.Advertising Looking for essay on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More The interpret ation of the survey tool scorecard is pretty straight forward since the indicators that have the lowest points are the weakest links that are used to identify areas of weaknesses while areas that score highly indicate areas of strengths. The specific interpretation and analysis of the Virtual Team Operation Survey tool score is indicated in the following table. Table 1: Virtual Team Operation Survey Tool Analysis Score Range Overall Rating 90-100 Highly effective. The work capability of the virtual team is highly mature and highly functioning. 80-90 Generally effective. The work capability of the virtual team is generally mature and functioning quite well. 70-80 Moderately effective. The capability of the virtual team is somewhat mature with several dimensions of virtual work processes needing to be improved. 70 and Below Below effective. The capability of the virtual team is immature with many areas of virtual work needing to be improved. Source: (Steege, 2003). How M ature Are Your Virtual Team Work Processes? References Duarte, K. (2005). How to tell Virtual Team Effectiveness. Web. Gould, David. (2006). Fifth Generation Work-Virtual Organization. Web. Kruse, Kevin. (2003). Creating Conditions for Virtual Team Effectiveness. Web. Maznevski, Martha. (2006). Creating Effective Virtual Teams. Web.Advertising We will write a custom essay sample on Virtual Teams as Teamwork Efforts specifically for you for only $16.05 $11/page Learn More Steege, Tricia. (2003). How Mature are your Virtual Team Work Processes. Web. This essay on Virtual Teams as Teamwork Efforts was written and submitted by user Rumiko Fujikawa to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.
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