A: Arcadia Sports Store
ArcadiaSports Stores is known for selling sporting goods and offeringsorting services including whitewater rafting, rock climbing as wellas camping excursions. Arcadia Sports Store being a limitedpartnership, Jeb provides financial resources to run the businesswhile Josh, an enthusiast of outdoor activities is involved inday-to-day operations of the store. However, the emerging profits aresplit equally into a half.
Theprimary type of business entity in Arcadia sports store can be termedas a limited partnership. In this type of business entity is made upof one general partner and one limited partner. The general partnertakes the responsibility of running the business while the limitedpartner contributes resources only (Dorion,Nodari, Olea, Ganzer and de Mello, 2015).
A limited partner has to mind about liability that comes with lawsuits and income only.
Easy to attract investors
Personal income returns for the partners are filed for taxes in the business.
Limited partners do not participate in management while they enjoy the profits and share the losses.
Any active role of a limited partner can make him/her a general partner
General partner is entirely responsible for the debts of the business
Josh’spersonal judgment during the whitewater rafting excursion has costthe business a possible lawsuit from Jane who is hurt during thetour. With Jeb being down financially, the business risks being shutdown because there are no financial resources for Josh to keep thebusinesses going.
ForArcadia Sports store to keep going strong, I recommend the following
Both Josh and Jeb should contribute in management and channeling of financial resources.
The sporting activities should be insured so that when a client gets hurt, it can be dealt with easily.
Implementationof the recommendations mentioned above can be done through:
Hiring an additional trainer to help Josh in the sporting excursions
Getting insurance covers for the business
Both partners to contribute for financial resources.
Dorion,E. C. H., Nodari, C. H., Olea, P. M., Ganzer, P. P., & de Mello,C. B. C. (2015). New Perspectives in Entrepreneurship Education—ABrazilian Viewpoint. EntrepreneurshipEducation and Training,297.
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Healthcareis one of the major concerns in every society. A lot has been done toensure that patients are given the best care they need in terms ofmedicines, facilities and their interactions with caregivers. As acaregiver, I have had quite a number of experiences. Some of themwere positive while some were negative. These experiences have helpedme improve the way I interact with various patients since they alldeal with their illnesses differently and react to conversationsdifferently. This paper expresses some positive and negativeencounters I have had a student caregiver, and the manner in whichthe experiences have contributed to my personal intervention skillsand self-knowledge.
PositiveInteraction: Case 1
Ionce had a female patient who had Alzheimer’s disease which is aprogressive mental deterioration. The patient had been brought to thefacility by her two daughters who had noticed certain symptoms. Theythought it was normal aging but decided to bring her in for checkups.The patient was checked and tests done after which she was diagnosedwith Alzheimer’s disease. She was a very friendly lady andinteracting with her was amazing.
Ourconversations from time to time were about her family and her work asa teacher in her younger years. Her children were very understandingsince they had a similar experience before with another familymember. Interacting with my patient would be frustrating some timessince she would not even remember who I was or why I was trying tohave a conversation with her. However, my interactions with her werevery positive due to the support I got from her family, and her beingvery cooperative. I used assessment as an intervention skill in orderto know which conversations to engage in with the patient atdifferent times depending on the level of her memory.
PositiveInteraction: Case 2
Johnis a patient I once had, and our interactions were very positive. Hecame to the facility for a checkup and after a few more appointmentsand some tests he was diagnosed with prostate cancer. It is thesecond most common cancer among men in the U.S. My interactions withJohn involved questions on what he knew about prostate cancer and howhe felt about being a patient and the treatment involved.
Ifound out that he was quite informed about the cancer from readingbooks and journals and having volunteered at a cancer center in hishome town. This made our interactions much easier especially giventhe fact that it was curable since it had been found early enough. Itwas scary at first for him and his family because cancer is notsomething anyone ever imagines they could have. Finding out about itwas devastating, but I made it a point to encourage him on a dailybasis that there was hope.
Prostatecancer does not kill most men diagnosed with it. This is one factorthat contributed to my positive interactions with John. This factgave him the hope of recovery and the will to push on. This alsoencouraged his family who kept encouraging him and were by his sideto the very last day when he was finally declared cancer free. It wasa long journey but one of my best experiences. There were times whenthe burden would be too much for him but knowing he had a whole teambehind him gave him the strength to hold on.
Inthis case I used the knowledge I have on cancer and its treatments aswell as problem solving skills as a way of intervening to help thepatient deal with the different issues that arise in the course ofthe treatment.
NegativeInteraction: Case 1
Ihave had negative interactions in my line of duty as a studentcaregiver. One of the experiences I have had involved a young boy whowas ten years old. He had been involved in an accident. His fatherwas driving and they got involved in an accident on their way home.There was so much negative energy from his mother when she arrived atthe hospital. I later found out that she was not in good terms withthe father of the boy. This resulted in negative interactions withthe patient since he was made to feel like the father caused theaccident intentionally to hurt him.
Thefather of the boy was treated and discharged on the same day but theboy was at the facility for about a week. It was a huge challengetreating and having a conversation with the boy since the motherwould not allow his father anywhere near him. That would lead to anargument which would lead to the boy being upset and thereforecommunication was a problem. I was glad when the boy finally got welland was discharged because it felt like I was carrying a heavy loadwhenever I had to go serve him.
Thenegative interactions were contributed by the fact that the parentscould not get along, and so each one wanted to appear as the good onewhile portraying the other partner as the bad one. Such an attitudecould have been avoided had the parents focused on helping their songet better first and sorting their issues later on, in private. Inorder to deal with the situation in a professional manner, Iintervened using my critical thinking skills to serve the patient tothe best of my ability. I had to overlook the negativity between theparents and treat the patient positively.
NegativeInteraction: Case 2
Anotherreflection of a case of negative interactions was with a breastcancer patient. The patient was a lady who had been transferred fromanother facility to the facility where I was working. Ourinteractions were negative from the start since she had beendiagnosed quite late. She was bitter and felt like there wassomething she could have done to avoid it. Her bitterness had rolledover to her family members who were frustrated since there is nothingmuch they could do.
Myinteractions with her were quite challenging because I did not knowexactly how to have a positive conversation with her, given thenegative energy she already had. She felt that I had no clue what shewas going through which is true, and that I was in no place to tellher anything positive. My knowledge and experience in dealing withdifferent patients has helped me to understand their feelings and howto deal with them. However, it is still difficult in some cases likethis particular one.
Oneof the reasons my interactions with this patient were negative isbecause she had already given up. When a patient looses the will tofight for life there is very little that can be done. The reason thepatient had a negative experience where interactions were concernedis because she knew she had a few months left to live and that tookaway all her positive energy not to mention the pain she was goingthrough. It is hard trying to convince a patient to be positiveespecially when you both know that there is no hope of coming out ofthe situation victorious. In this case, my intervention skillsapplied through appreciating the fact that every single patient dealswith terminal illness differently. I had to understand the pain anddisappointment of my patient and be patient when interacting withher.
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CASE STUDY 1
1. What can HCHSdo to anticipate market changes and stay ahead of the business needs?
HCHS can performseveral activities to prepare for market changes and continue to meettheir business needs. For example, the organization can develop dataanalysis systems to synthesize information from various departments.The increasing burden of disease requires organizations to remainadaptable. Flexibility is necessary to ensure patient satisfaction.Hence, data analysis can enable the organization to establish norms(Tan & Paython, 2010). HCHS can also stay ahead of business needsby benchmarking its operations against other healthcare providers. Inthis respect, the organization can identify any weaknesses that needto be addressed. Benchmarking is crucial since it allows theinstitution to identify market gaps. Operational changes may benecessary to save costs and increase patient satisfaction.Furthermore, HCHS can implement measures designed to examine theproductivity of its staff (Tan & Paython, 2010). Healthcarepractitioners need to avoid burnout to maintain their effectiveness.
2. How can HCHSimpart training to users on the analytical and proper utilization ofthe data?
HCHS can imparttraining to users through several methods. Firstly, the organizationcan use presentations at financial and clinical meetings todemonstrate the significance of DSS (Tan & Paython, 2010). Suchdemonstrations should focus on the beneficial outcomes ondecision-making. Secondly, HCHS can impart training through the useof qualified physicians. Some practitioners have a great influence onthe outcomes stored in a DSS (Tan & Paython, 2010). In thisregard, DSS consultants and leaders can meet with physicians anddemonstrate using past examples. Administrative decision-makers mustbe shown how DSS can influence quality, financial, and clinicaloutcomes (Tan & Paython, 2010). Hence, they can develop programsdesigned to train users on how and why data should be analyzed.
In addition, HCHScan use hybrid managers to train their peers concerning the properutilization of data. Hybrid managers are usually from clinical orfinancial departments. They act as emissaries for DSS systems sincethey can demonstrate the proper use of data through experience.Consequently, HCHS can ensure that all users are trained on theanalytical and proper utilization of the data.
3. Prepare animplementation plan for the next generation of the DSS application.Who would you involve in such a project team, and what expertiseshould they bring?
Theimplementation plan for the next generation of the DSS applicationwould involve several individuals. It is important to include thedirector of the DSS to provide direction and guidance. The directorwould have extensive experience in the application of DSS. Hence, thedirector can provide crucial insight into the changes that may beneeded to address certain challenges (Holsapple & Whinston,2013). The project team would also include a DSS consultant. Thisperson would be used to assess the institution’s resources andcapabilities. In this regard, the consultant can advise on whethernew facilities are required to implement the DSS. He or she can alsosolve unexpected failures in the DSS application (Holsapple &Whinston, 2013). The project team must include hybrid managers whoare trained in DSS application. Hybrid managers will educate theirpeers on operational processes and demonstrate the proper use of DSSthrough practice (Tan & Paython, 2010). Consequently, theimplementation plan of the DSS application would be successful.
4. How would yougo about measuring the return on investment for the investment in theDSS?
The return oninvestment can be measured by checking the waiting time for patientsto receive medical attention. DSS can enable physicians and otherstaff to diagnose and treat more patients. DSS can help to reduce thedelays that are usually associated with laboratory results (Hall,Belson, Murali, & Dessouky, 2013). Hence, a reduction inpatients’ waiting time shows an excellent return on investment. Thelevel of patient satisfaction can also be used to measure the returnon investment in the DSS.
5. How do yourespond to the growing demand for a "true" enterprise modelin the very non-integrated reality of healthcare informationtechnology?
The growingdemand for an enterprise model can be met by implementing variousstrategies. For example, physicians can share medical informationusing electronic health records (Middleton et al., 2013). Automatedsystems can be used to ensure privacy and confidentiality. It is alsonecessary to integrate technological platforms with current tools.Limiting the occurrence of backward compatibility can help healthcareorganizations to adapt to changing demands.
Hall, R., Belson, D., Murali, P., & Dessouky, M. (2013). Modelingpatient flows through the health care system. In Patient Flow(pp. 3-42). New York, NY: Springer.
Holsapple, C., & Whinston, A. B. (Eds.). (2013). Decisionsupport systems: Theory and application (Vol. 31). New York, NY:Springer Science & Business Media.
Middleton, B., Bloomrosen, M., Dente, M. A., Hashmat, B., Koppel, R.,Overhage, J. M., … & Zhang, J. (2013). Enhancing patient safetyand quality of care by improving the usability of electronic healthrecord systems: recommendations from AMIA. Journal of the AmericanMedical Informatics Association, 20(e1), e2-e8.
Tan, J., & Payton, F. C. (2010). Adaptive health managementinformation systems: Concepts, cases, & practical applications.Burlington, MA: Jones & Bartlett Learning.
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Theend-of-life decisions are quite controversial, especially when theissue of terminating life following the occurrence of terminalillness is quite controversial. In this case study, ethical and legalissues presented in the article “Voluntary stopping of eating anddrinking: An ethical alternative to physician-assisted suicide”will be identified and analyzed.
Thereare three major professional issues addressed in the case. The firstone is the patient engagement, where nurses and other health careprofessionals are required to allow their clients to take part in theprocess of treatment or decision making (Lachman, 2015). For example,the decision to end life should be mutually acceptable. The role ofnurses is to inform patients about the available treatment optionsand then give them a chance to make decisions.
Secondly,nurses are required to assess the level of competence of theirclients when involving them in the decision making or beforeimplementation their decision to end life (Lachman, 2015). Forexample, a decision to take one’s life as a result of terminalillness by refusing to eat and drink should only be made by competentpatients. Competent patients are those whose mental stability isadequate to make decisions affecting their lives (Karnik &Kenekar, 2016).
Third,nurses are supposed to respect the moral value systems of theirclients when delivering care. According to Lachman (2015) a decisionto terminate patient’s life as a result of terminal illness isbased on whether their respective moral systems allow such decisions.This calls for cultural competence, which is a concept that requiresthe health care professionals to appreciate the existence ofdifferences in the moral values that are held by nurses and patients.
Thereare also some ethical issues that have been addressed in the casestudy. For example, Lachman (2015) emphasizes on the role of healthcare professionals to inform their clients about various treatmentoptions and their effects. This empowers patients to make choices andtake part in the treatment process. This leads to the second ethicalissue, which is autonomy. Patients who are given the autonomy areable to make health care decisions without undue influence from thenurses (Cherry & Jacob, 2016).
Moreover,the article addresses the question of whether aided death can bejustified in the legal or ethical context. There are many patientswho believe that life has no meaning when their terminal illnessesreduce the quality of their life. At this point, many patients decideto take their lives through the patient aided suicide or refusing toeat and drink (Lachman, 2015). The controversy about the ethicalbackground of aided death is based on whether people have the rightto weigh between the quality of life and long-term sufferings thatresult from terminal illnesses. The legal aspect of this issue hasbeen addressed through legislation and court decisions. For example,the state of New Jersey legalized aided death by passing the Aid inDying for Terminally Ill Act (Lachman, 2015). These laws and courtdecisions give health care professionals the authority to help theirpatients in ending their lives without being prosecuted for theiractions.
Inconclusion, the idea of ending life by foregoing artificial hydrationand nutrition is a relatively new concept. However, its moral as wellas legal basis has been questioned, just like the physician aideddeath. A decision to end one’s life should be made when patientsare still competent and understand the available options ofimplementing their choices.
Cherry,B. & Jacob, R. (2016). Contemporarynursing: Issues, trends, and management.Amsterdam: Elsevier Health Sciences.
Karnik,S. & Kenekar, A. (2016). Ethical issues surrounding end-of-lifecare: A narrative review. Healthcare,4 (24), 1-6.
Lachman,D. (2015). Voluntary stopping of eating and drinking: An ethicalalternative to physician-assisted suicide. MEDSURGNursing,24 (1), 56-59.
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Causesof Circuit City loss of its competitive advantage
Thereason for Circuit City loss of its competitive ability was theinability to retain core competencies. The 4S business models thatwere core competencies Circuit City followed entailed savings,satisfaction, selection and service. These models were world classand highly effective and efficient. The quality service from the welltrained and highly motivated Circuit City sales people createdcustomer loyalty. However, negligence of the company to uphold itscore competencies led to being outdone by other companies like Amazonand Best Buy. Some of the decisions that led to Circuit City losingits core competencies were trying to acquire Blockbuster, providingan alternative DVD and launching of the CarMax. Laying off 3000highly qualified salespersons was the company’s biggest loss. BestBuy took advantage of the layoff and employed the experienced salesperson and consequently upgrading their core competencies (Hamilton,2008).
Whatcould Circuit City administration have done differently to avoidlosing core competencies?
Layingoff the 3000 salespersons was a huge mistake. The experiencedpersonnel gave Circuit City competitive advantage over the othercompanies. The company should have retained the sales people tofacilitate upholding its core competencies. By doing a cost-benefitanalysis, maintaining the employees was worth more than laying themoff to cut down salaries cost since they were the company’sbackbone. Considering the workers experience it would takesubstantial time to train other employees to reach their level. Incase Circuit City intended to minimize their cost, they should comeup with other strategies which had no direct effect to their corecompetencies. The company should have resulted in other options likeclosing stores not generating profits or focus on changing factors inthe external environment with little effect to their competitiveadvantage.
Hamilton,A. (2008). BreakingNews, Analysis, Politics, Blogs, News Photos, Video, Tech
Reviews- TIME.com.TIME.com.Retrieved 7 April 2017, from
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