Essay on Operation Management - 1445 Words

Wolf Motors Case Study 1. What recommendations would you make to John Wolf with respect to structuring the supplier relationship process for the Wolf Motors dealership network? The recommendations I would suggest for structuring the supplier relationship process for the Wolf Motors dealership network are Wolf Motors should consider a centralized corporate level Materials Management System to consolidate buying decisions for each of the 4 dealerships. This would facilitate greater leveraging with suppliers for consistent quality-control. They should study, calculate and make effective decisions on the materials that should be brought for each of the four dealerships instead of allowing each dealer to do it on their own. An automated†¦show more content†¦Wolf has to work with the distributor to identify and select only those brands or products that meet the quality standards which they have set. An objective would be to reduce the number of suppliers in the purchasing process by identifying a single source distributor for as many supply and product acquisitions as possible. The number of transactions could also be minimized so that it would be helpfu l in maintaining the desired inventory levels allowing the Wolf to realize the additional cost savings. Lubricants can be available at many places outside the company for the less cost but whereas the GM parts can be get only from the company and therefore the feasibility is less for GM parts where the lubricants can be got from various suppliers that to for a very less cost. 3. How can supply chain design and integration help John Wolf reduce investment and space requirements while maintaining adequate service levels? Using Supply-Chain Management to reduce space and investment requirements while maintaining adequate service levels is that when an effective supply-chain management, Wolf Motors can streamline the acquisition processes and maintain efficient inventory control while reducing unnecessary inventory warehousing. Wolf Motors could analyze the historical inventory turnover rates to diagnose the appropriate range of supplies that should be on hand in each and every category. WolfShow MoreRelatedOperations Management : Operation Management1355 Words   |  6 PagesOperations Management Introduction Operations management is the activity of managing the resources that create and deliver services and products. The operations function is the part of the organization that is responsible for this activity. Every organization has an operations function because every organization creates some type of services and/or products. However, not all types of organization will necessarily call the operations function by this name. Operations managers are the people who haveRead MoreOperation Management - Cadburyworld2493 Words   |  10 Pagestechnology to streamline the operation process) and facility costs (old and outdated facilities) at lowest possible. In return, they have to compromise low costs with their other objectives. The unskilled staffs and outdated facilities are compromised with the quality in the core process. For example, the brief video (facility) in the packaging plant is outdated and requires commentary notes from some guides. However, the unskilled guides are not familiar with the operations so they need to read fromRead MoreOperation Management And Operations Management2148 Words   |  9 PagesOperation management Introduction Being an operations manager is not an easy task, it involves good control and responsibilities for the major activities within the organisations in order to achieve goals that might be in form of services or in form of goods. The operation management roles may be different from business to business depending on the size and resources available, each organisation has its own operations functions, and in order to produces goods or services they have to convert theRead MoreImportance Of Production And Operations Management2317 Words   |  10 Pagesthe production and operation of enterprises. In order to remain competitive, companies in different countries have different factors of competitive advantage. A clear competitive advantage is the key to gain success in production and operation management. An effective operations management is the foundation of enterprise competitive advantage and the fundamental guarantee to realize corporate strategy. This essay deals with the importance of production and operations management in the enterprise,Read MoreOperations Management : Operation Management Essay2171 Words   |  9 PagesOperation Management Operations administration concentrates on precisely dealing with the procedures to create and circulate items and administrations. Operations administration is the procedure, which joins and changes different assets utilized as a part of the creation/operations subsystem of the association into quality included item/benefits in a controlled way according to the arrangements of the association. In this way, it is that part of an association, which is worried with the changeRead MoreOperation Management2751 Words   |  12 PagesTABLE OF CONTENTS 1. OPERATION MANAGEMENT 3 1.1. DEFINITION OF OPERATION MANAGEMENT 3 1.2. THE ROLE OF OPERATION MANAGER 3 1.3. RELATIONSHIP OF OPERATION MANAGEMENT WITH OTHER CORE FUNCTIONS 3 2. CASE STUDIES 3 2.1. HEATHROW INTERNATIONAL AIRPORT 3 2.2. NESTLÉ UK CHOCOLATE FACTORY 3 3. MAJOR UNDERSTANDINGS OF THE STUDY 3 4. CONCLUSIONS 3 REFERENCES 3 1. Operation Management For the success of an organization, the management crew plays a major role. An organizational structure is based on differentRead MoreOperations Management986 Words   |  4 PagesOPERATIONS MANAGEMENT Select two organisations that you are familiar with – one with a service output and one with a product output, and compare and contrast these organisations with respect to the following aspects: 1.1 The process of transformation of inputs to outputs 1.2 Process and Capacity design 1.3 Supply Chain management 1.4 Scheduling Operations Management refers to the management of the production system that transforms inputs into finished goods and services, (http://csuponomaRead MoreOperation Management2436 Words   |  10 PagesOPERATION MANAGEMENT IS IMPORTANT TO ALL BUSINESS To be able produce specialized managers capable of fulfilling strategic tasks within business and government enterprises the need for the practice of operations management cannot be forgone. Operations management is very significant in business operations since it forms the heart of the organisation by controlling the system of operation. Operations management deals with the design, operation, and enhancement of the systems that generate and deliverRead MoreOperations Management Chapter 18 Manual1950 Words   |  8 PagesChApter 18 Management of Waiting Lines Teaching Notes Some of the math and calculations can be left out in order to focus more clearly on the concepts of waiting lines. For example, all infinite source problems, including single channel (except constant service time) can be handled using the infinite source queuing table. In the past, queuing presented students with a good bit of computational requirements, and because of that, students frequently lost sight of the underlying concepts. WithRead MoreOperations Management1791 Words   |  8 PagesQUESTION 1 Operations management must be managed properly in order to improve an organization’s productivity and profitability. In the Cadbury World case, several micro and macro processes are involved and those processes bring some impacts to Cadbury World. Thus, Cadbury World must possess a sustainable micro and macro processes to achieve the best outcome and performance. Micro processes that involved are easily to manage compared to macro processes because macro processes are hard to manage

Letter Of Apology And Apology Essay - 2233 Words

Picture it: June 6, 2011 a warm Texas summer evening and I, a uniformed patrolled officer, have arrived to work to start a twelve-hour shift when I find a sealed letter by the County Prosecutor in my mail box. I am certain that it is not a subpoena as those are never sealed and always hand delivered but imagine my surprise when I read what the County Attorney has sent. I find a letter of explanation from him and an apology from a juvenile that I had pursued in a foot chase earlier that year. The County Attorney explains that he cannot discuss the prosecution of a juvenile but that the juvenile in question has taken responsibility for his actions and as such has included a letter of apology composed by the juvenile. The following page dated April 15, 2011 reveals that this juvenile, Efrain, has indeed enclosed a letter of apology for running from the police and states his actions were wrong and that he wanted to apologize for those actions and furthermore, he expressed his desire to c omplete high school and stay out of trouble. When this paper was first assigned, I thought about Efrain and how he was not that remarkable nor was his crime. However, Efrain’s letter of apology, whether required by the terms of his probation or the result of his own sheer desire, was the only one I have ever received from a juvenile offender and as such, it stayed with me. I have the honor and privilege of serving a good community but I have now been employed long enough that the adults that IShow MoreRelatedLetter Apology Letter Of Apology1504 Words   |  7 PagesDear: Dr. Patterson, I hope this letter finds you well and that you are prospering and in good health. First, let me express my appreciation for your letter of apology concerning the twitter post by the preaching professors at Southwestern Seminary. I saw the post and was more disheartened more than I was upset or angry. I chose to wait awhile, gather my thoughts, and let things die down a little before I responded. I know that the post has gone viral and we have received harsh criticism whichRead MoreThe Apology : Letters From A Terrorist919 Words   |  4 Pagesthe Middle East serving our country as a U.S. Soldier in our military and how the U.S. military and the Iraqi police mistreated its prisoners who were in the custody of the Iraqi police and the United States army. Laura Blumenfeld essay â€Å"The Apology: Letters from a Terrorist† was about Blumenfield getting to know a convicted terrorist and trying to understand the terrorist motives and why the terrorist chose to shoot Blumenfield father. Both of these essays demonstrate the positive and negative aspectsRead MoreThe Letter Apology Of The Stolen Generations By Kevin Rudd3036 Words   |  13 PagesThe 2008 apology to the Stolen Generations by Kevin Rudd is historically significant for a number of reasons (Creative Spirits, 2014). Some felt it provided closure to a painful and traumatic part of Indigenous history while others fail to see how the apology has in the years after proven to change the circumstances of Indigenous peoples. Impacts in areas such as health, education, economic opportunity and involvement in child protection and/or the criminal justice system are all areas which shouldRead MoreBusiness-to-Business Messages1637 Words   |  7 Pagessignificance and characteristics of the messages and the behavior of parties involved in the process (Robbins, Judge, Sanghi, 2007). The most common forms of business-to-business messages include; appreciation letters, inquiry letters, acknowledgement letters, letters of recommendations, apology letters, contracts, purchase orders, delivery notices, etc. Each of these business messages has a separate communication process which is largely affected by the purpose, environment, technology, noise, and feedbackRead MoreThemes Of Atonement971 Words   |  4 Pagesclear, the reader does not know what the apology or reparation is for. The reader only gradua lly discovers the purpose of the title through many events and through repetition and point of view. Throughout the novel, there are many themes that are portrayed and developed: guilt, water, sexual desire, etc. However, none are shown and are more actively represented than that of an atonement; an apology for wrong doings†¦ a reparation. Though there are many apologies present throughout the work, there areRead MoreMachete Season1360 Words   |  6 Pagesthose interviewed admit their guilt in killing the Tutsis, their lack of remorse makes  their apologies and actions largely  unforgivable. This insincerity can be seen through their selfish concerns and motives, emphasis on receiving forgiveness from God rather than those victimized, and vision of a return to a completely unaffected future. Prior to assessing the sincerity of their regret and apologies, we must see to what extent they believe themselves to being responsible. These men cite severalRead MoreWe Need A People Of Color ( Poc ) Room1690 Words   |  7 Pagesprofessors come to the school to talk about issues Mental health, etc. We need a letter of acknowledgement: It is not a new radical idea for students to protest the different problems happening within the school environment, this has been going for quite sometime and students have gained the courage through anger and frustration to shed light on these problems more and more everyday. We demand that there be a written letter of acknowledgement that the school knows there are problems and that it is aRead MoreA Story Of A Trip To The Ziggurat 1074 Words   |  5 Pagesto regain his trust. I decide that I will write an apology letter to him and deliver it myself. The next day I spent all morning writing my letter. I explained how sorry I was and how I would do anything to regain our friendship. I even signed it with my cylinder seal. A cylinder seal is a cylinder made of metal or stone that is used to print a signature on a cuneiform tablet. My father and I then walked to the ziggurat to give the priest my letter. When we arrived we saw the priest talking to a manRead MoreThe Great Thinkers Like Socrates And Martin Luther King1229 Words   |  5 Pagesfor the society, Similar to Socrates, Martin Luther King advances his community by letting his people to seek more knowledge about just and unjust laws. In his letter from Birmingham jail, King says â€Å"How can you advocate breaking some laws and obeying others? The answer lies in the fact that there are two types of laws: just and unjust† (Letter from Birmingham Jail, 611). Socrates was on trial because he broke some laws that he does not believe in and yet was willing to die by those same laws. MartinRead MoreEssay on Japanese Comfort Women1011 Words   |  5 PagesImperial Military trampled on their rights, some Japanese officials claim that Japan did not intrude the girls in the past. Regardless of irresponsible reactions from some governors, the Japanese government should give compensations and thorough apologies to former sex slaves who were enslaved as being â€Å"comfort women† during WWII because of relationships between Japan and other damaged nations, former sex slave and women’s continuous fight for their rights, and possible repetition of this big mistake

The Woman Trapped Behind The Yellow Wall Of Freedom

â€Å"The Woman Trapped Behind the Yellow Wall of Freedom† â€Å"The Yellow Wallpaper† is a short story written by Charlotte Perkin’s Gilman. This story portrays the feminist point of view on how women are mistreated. The main character is the wife in the story, and she is supposedly mentally ill. Therefore, her husband makes her move to a new house. The new house has a room with barred windows and yellow wallpaper, which becomes the room the wife stays in. The yellow wallpaper in the room has a certain shape trapped behind the wall, the shape of a woman. The wife spends the majority of the story trying to get the woman out from behind the wallpaper where she is trapped. The woman that she thinks is trapped behind the wallpaper is symbolizing how†¦show more content†¦When Gilman says that it is a constant irritant to the modern mind, she is saying how people see it as a nuisance. Yet, it is a clear problem that can be easily fixed, if people realize they are confined beneath the wall of equality. What the main charact er is seeing is her own reflection, how she is trapped by the walls that surround her life that keep her from freedom. Next, the main character, or the wife, understands that she is not like most people in society. She is more of an outcast. Society thinks that she has an erotic behavior, and once she realizes, she does nothing to try to fix the problem. This is evident when in Johnson’s summary, of the story â€Å"The Yellow Wallpaper† it says, â€Å"we might view her behavior as an expression of long-suppressed rage: rage which causes a temporary breakdown†¦ but which represents a prelude to psychic regeneration† (Johnson 2). This also stated when Gilman writes about how the wife views her psychological problems in â€Å"The Yellow Wallpaper†, â€Å"I sometimes fancy that in my condition if I had less opposition and more society and stimulus†¦ it always makes me feel bad†¦ so I will let alone† (Gilman 468). When Gilman talks about how she is an opposition to society and a stimulus, it is a metaphor to describe how women are mentally not as strong as men in society. The rage that she has built up is because everyone is telling her that she is different than others, when in reality she is no different than anyone else. She has tried to makeShow MoreRelatedLiterary Analysis Of The Yellow Wallpaper1512 Words   |  7 PagesIn 1892, Charlotte Perkins Gilman published the story, â€Å"The Yellow Wallpaper†; a short story that addresses the sensitive topic of inequality between men and women during the nineteenth century. The courageous feminist discusses an issue that many were afraid to talk about, the inhumane treatment of women diagnosed with hysteria. She was the voice for the helpless women who didn’t know how to speak up during this revolting oppression. Gilman created the striking novel by using powerful images toRead MoreThe Yellow Wallpaper Essay1453 Words   |  6 PagesThe Yellow Wallpaper is a story that exemplifies the common belief during the 1800’s. During then women were never held accountable for any duties other than being house bidden due to the weakness of handling stress. In the 1800s society was known to look past women who did anything besides house chores and raising children. Majority of women were then meant to be housewives and mothers and seen as the trophy wife and nothing more. It was extremely uncommon for the average women to want to furtherRead MoreThe Yellow Wallpaper By Charlotte Perkins Gilman1472 Words   |  6 Pagesâ€Å"The Yellow Wallpaper,† written by Charlotte Perkins Gilman in 1892, is a great example of early works pertaining to feminism and the disease of insanity. Charlotte Gilman’s own struggles as a woman, mother, and wife shine through in this short story capturing the haunting realism of a mental breakdown.The main character, much like Gilman herself, slips into bouts of depression after the birth of her child and is prescribed a ‘rest cure’ to relieve the young woman of her suffering. Any use of theRead MoreT he Yellow Wall Paper By Charlotte Perkins Gilman951 Words   |  4 Pagesnarrator, who is never fully introduced, narrates the story of â€Å"The Yellow Wall-Paper†, written by Charlotte Perkins Gilman, in the form of a diary/journal. Confined in a mansion to treat her mental illness of depression the narrator becomes obsessed with the ugly yellow wallpaper that covers the walls of her room. Ultimately, I presume that the wallpaper itself represents her relationship that she has with her husband, while the women behind the wallpaper represents herself; which go hand-in-hand. As statedRead MoreThe Yellow Wall Paper By Charlotte Gilman1518 Words   |  7 PagesPerkins (Stetson) Gilman is certainly the most noticeable name in American Literature in late nineteenth century. In her remarkable writing, she uses symbolisms as a dominant instrument for fighting inequality and oppression in men’s world. The Yellow Wall-Paper as her most celebrated and intrigue piece of work, represents a spectrum of symbols that address the general concerns about a woman’s role in the nineteenth century society, particularly within the realms of marriage, maternity and domesticRead MoreEssay On The Yellow Wallpaper916 Words   |  4 Pagesâ€Å"The Yellow Wallpaper† the narrator becomes increasing mad throughout the short story. The narrator has a â€Å"nervous condition† (151) after the birth of her child; under recommendations by her husband and her brother, who are both physicians, her treatment was a Rest Cure which is that narrator cannot nothing anything but lay down and only have two hours of intellectual work a day. The â€Å"dreadful† yellow wallpaper that the narrator comes to hate is, of course, a symbol in the story. The yellow wallpaperRead MoreInternal And External Captivity By Langston Hughes1739 Words   |  7 Pagesconflict between freedom and confineme nt (something that is in constant tandem), it can serve as an interesting theme within a text. In Langston Hughes’ â€Å"The Negro Speaks of Rivers†, he uses imagery to symbolize the important places on the journey the reader has embarked upon and starts with a basis of freedom from a newborn civilization and goes on to explain the confinement of an ever-changing society who has lost its way. Contrasting with that society, Charlotte Perkins Gilman’s â€Å"The Yellow Wallpaper†Read MoreCompare and Contrast the Garden Party and the Yellow Wallpaper1236 Words   |  5 PagesParty† and Charlotte Gilman’s â€Å"The Yellow Wallpaper† are both centralized on the feministic views of women coming out to the world. Aside from the many differences within the two short stories, there are also similarities contained in Chopin’s. Both Party and Wallpaper are what we today might categorize feminist works of fiction. Both reveal women who are imprisoned, though one is imprisoned more literally than the other. â€Å"The Garden Party† and â€Å"The Yellow Wallpaper,† such as the same conceptRead MoreRhetorical Analysis Of Charlotte Perkins Gilman1700 Words   |  7 Pagesshe wrote a large amount of importance in furthering her ideology with society and reformation at the time. â€Å"The Yellow Wallpaper† uses the symbolism of the story s title, confinement to the room, and the narrator’s husband to reveal different themes about society at the time the book was written along with why Gilman wrote the story as she did. Gilman wrote â€Å"The Yellow Wallpaper† in 1890, and it was officially published by The New England Magazine in January 1892. During this timeRead MoreAnalysis Of The Poem The Yellow Wallpaper 1560 Words   |  7 Pages â€Å"The Yellow Wallpaper† provides an insight into the life of the narrator- a woman suppressed and unable to express herself because of her controlling husband- leading the reader down her fall to insanity, allowing for her inner conflict to be clearly expressed. The first person point of the view the author artfully uses and the symbolism present with the wallpaper cleverly depicts the inner conflict of the narrator, losing her own sanity due to the constraints of her current life. However, while

Nutrition Assignment Essay Example For Students

Nutrition Assignment Essay Explain to the athlete the ingredient of their diet. Give details of macro and micro nutrients and supplementation. For an athlete a well balanced diet is essential, they need all types of macro and micro nutrients to help fuel exercise and help repair/restore the body back to pre-exercise state. Macro nutrients are needed in large quantities and come in the form of carbohydrates, fats and proteins. Micro nutrients are needed in much smaller quantities like vitamins and minerals. A well balanced diet will normally comprise of 60% carbohydrates, 25% fats and 15% proteins Ref (Physical Education and Sports Studies) but will vary for elite athletes. Carbohydrates are basically sugar and starch and are broken down into glucose molecules, when used as energy carbohydrates become fuel for exercise in the lactic acid and aerobic system when glycotic enzymes enable the breakdown of glucose to produce energy for the re-synthesis of ATP. If it is not used it is converted to glycogen through glycogenisis and stored in the liver and muscles. Carbohydrates come in two categories, simple and complex. Simple carbohydrates come in the form of monosaccharide i.e. glucose and fructose and disaccharides i.e. maltose and sucrose, these are easily digested and passed quickly into the bloodstream; examples of foods are fruit, sugar and sweets. Carbohydrates taken in the form of starch are more beneficial to us than the foods which contain large amounts of simple or refined sugar; this is because the starchy foods contain many more vitamins and minerals compared to sugary foods. Ref (Sport Examined) The other category is complex carbohydrates or polysaccharides found in grains and vegetables. Functions of carbohydrates include protein sparing, fuel for the central nervous system, energy and help to metabolise fat. Proteins are another macro-nutrient and are made up of amino acids and stored in the small intestine. There are essential and non essential amino acids, there are 20 essential amino acids which the body must get from the diet as the body cannot make them itself i.e. valine, leucine and isoleucine which the body can use as fuel if glycogen stores are low. There are 12 non essential amino acids which the body can make from other amino acids. Every function in the living cell depends on proteins; these include energy, actin and myosin for muscle contraction, cell structure, transport, and chemical regulation. Proteins are also receptors for hormones and are contained in enzymes which are the catalysts for all biochemical reactions. An elite athlete proteins requirements can be summarised as 1.2 1.6g of protein for every kg you weigh. Ref (The Complete Guide to Strength Training) Foods rich in protein include fish and red meats. Fats are the other macro nutrient, there are many different types of fats the main types are triglycerides-simple fats which is about 95% of fat found in the body. These include saturated, polyunsaturated and monounsaturated fats found in foods such as dairy, sunflower oils and vegetable oils. There are also phospholipids compound fats to do with carrying fats to the liver, derived fats which are mainly cholesterol e.g. egg yolks and good for synthesising vitamin D. All fats are broken down into essential fatty acids which must come from the diet as the body cannot produce them itself and glycerol, these then combine with other nutrients to help produce energy. Of all the nutrients water is the most important, it makes up more than 60% of your body weight and is vital to all cells. Ref (The Complete Guide to Strength Training) Conditioned athletes can store and burn energy in a shorter time; so the body releases more heat, requires cooling and so requires more water. As a guideline drink 500 ml of fluid 2 hours before you train, then another 125-250 ml immediately before. Ref- (The Complete Guide to Strength Training) Micro nutrients are vitamins and minerals. Vitamins are organic compounds which help to regulate the many chemical reactions that continuously take place in the body. Ref (Sport Examined) Minerals are the basic elements which are found in the soil and the air, they are essential for life. Ref (Sport Examined) Minute quantities of these are needed; they have to be obtained from the food we eat. .u130267b8ba77950b6d179fa4c02750aa , .u130267b8ba77950b6d179fa4c02750aa .postImageUrl , .u130267b8ba77950b6d179fa4c02750aa .centered-text-area { min-height: 80px; position: relative; } .u130267b8ba77950b6d179fa4c02750aa , .u130267b8ba77950b6d179fa4c02750aa:hover , .u130267b8ba77950b6d179fa4c02750aa:visited , .u130267b8ba77950b6d179fa4c02750aa:active { border:0!important; } .u130267b8ba77950b6d179fa4c02750aa .clearfix:after { content: ""; display: table; clear: both; } .u130267b8ba77950b6d179fa4c02750aa { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u130267b8ba77950b6d179fa4c02750aa:active , .u130267b8ba77950b6d179fa4c02750aa:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u130267b8ba77950b6d179fa4c02750aa .centered-text-area { width: 100%; position: relative ; } .u130267b8ba77950b6d179fa4c02750aa .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u130267b8ba77950b6d179fa4c02750aa .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u130267b8ba77950b6d179fa4c02750aa .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u130267b8ba77950b6d179fa4c02750aa:hover .ctaButton { background-color: #34495E!important; } .u130267b8ba77950b6d179fa4c02750aa .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u130267b8ba77950b6d179fa4c02750aa .u130267b8ba77950b6d179fa4c02750aa-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u130267b8ba77950b6d179fa4c02750aa:after { content: ""; display: block; clear: both; } READ: The Kung, Shoshone, and Mbuti Tribes: Hunting and Essay There are 12 key vitamins and minerals including vitamin A, B, C, D and E and minerals such as calcium, iron and zinc. Explain how you specifically came to choose the ingredients of their diet and the order they are put in, for example why intake more carbohydrate post exercise than immediately pre-exercise. The ingredients of the programme are .

Management Of Chronic Arthritis Pain In The Elderly †Free Samples

Question: Discuss about the Management Of Chronic Arthritis Pain In The Elderly. Answer: Introduction The assignment is the annotated bibliography pertaining to the chronic health condition. The aim of the annotated bibliography is to develop the critical analysis and the solution focused skills. The annotated bibliography is based on the critical evaluation of the evidence-based literature. For the purpose of the assignment, a chronic health condition is selected and a clinical practice issue related to chronic care nursing. The assignment deals with the arthritis in the aged-care setting. The issue with the chronic care nursing selected is the pain management. In order to guide the literature review a research question is developed. For annotated bibliography the completed search strategy is detailed. The annotated bibliography consists of summary and critical discussion. The bibliography consists of atleast 5 scholarly sources. It is followed by the synthesis of all the articles reviewed. Chronic health condition A chronic illness is the long term condition that has no complete cure and is associated with several comorbidities. One of the chronic health conditions that will be discussed in the paper is arthritis in the aged care setting. Rheumatoid arthritis, gout and osteoarthritis are the common problem faced by the elderly patients. Arthritis is the chronic disease that attacks women, men and children at any age. It damages the body joints causing intense pain and discomfort. The most commonly affected joints are the Knees, ankles, neck, back, hips, hands, wrists, fingers, ankles and toes (Walker, 2012). This chronic deforming disease and associated pain can render anyone disabled without proper treatment. Patients with this disease live in uncertainty about the unknown consequences in future. Some types of arthritis are difficult to diagnose. The treatment for arthritis usually consists of pain killers, anti-inflammatory disease and anti-rheumatic drugs. Apart from the pharmacological treatment, non-pharmacological treatment includes modification of lifestyle and pain management techniques. Some of the symptoms of the arthritis is so debilitating that the patients lose mobility and joints strength. The patients are thus forced to change the lifestyle to be able to manage the activities of daily living (Jia Jackson, 2016). Issue related to chronic care nursing The common challenge for the nurses caring for arthritis patients is the symptoms management such as pain and flares. On a daily basis in the emergency room it is heartbreaking to see the patents with arthritis. The patients arrive in ER with intense pain or flares. Middle aged men and women are most frequently encountered in the emergency room. Arthritis and ageing are associated with several comorbidities. It includes osteoporosis, cardiovascular disease and malignancies. With the increasing aging population the prevalence of arthritis especially rheumatoid arthritis is estimated to increase (van Onna Boonen, 2016). These factors significantly hamper the management of arthritis. Over the years there is an increasing concern among the nurses failing to handle pain management concerns of the patients with arthritis. On the other hand, the elderly patients too lack the knowledge required to manage the symptoms, which is a challenge for nurses. As per the literature, there is inadequa te treatment of the pain as it tends to be underestimated. In the management of the patient care, the nurses act as mediator between the patients and the physicians. Nurses play a vital role in outpatient pain management. Pain management is centre in health care today given the opioid crisis (Fitzcharles, Lussier Shir, 2010). There is a lack of knowledge on factors acting as barriers for nurses to implement effective pain management strategies. The rationale for the chosen nursing issue is the experience observed from one of the relative suffering from the arthritis and dissatisfied with the pain management strategies. Patients satisfaction with pain control is known to be associated with the key contributions of the nurses. Thus, it is necessary to identify and understand the barriers of the nurses to manage pain symptoms of the arthritis patients. Search strategy: Research question The research question to guide the literature review as a part of the evidence based medicine, which involves developing a question based on the issues identified with the disease or the patient. Using the research question, evidence will be identified. The research question for the annotated bibliography is- What are the educational needs and barriers of the nurses caring for the patients with arthritis (gout, rheumatoid arthritis, and osteoarthritis)? 2. The key topics expressed in the research question are the nursing education needs in caring for arthritis patients. The topic also expressed is the challenges faced/perceived by the nurses in caring for the arthritis patients. 3. Search terms The search terms used for extracting the research papers for annotated bibliography and narrowing the research are- Arthritis care, rheumatoid arthritis care, gout management, osteoarthritis, nursing care, arthritis nursing care, pain management arthritis, nursing educational needs for arthritis, nursing barriers for arthritis treatment, provider barriers in gout management, and patient and provider educational needs in osteoarthritis. For effective research the Boolean operators AND, OR and both were used. Databases used To find the best available literature the electronic databases searched were MEDLINE, Cochrane library, and Google scholar. The Cochrane and MEDLINE database are chosen as it is regularly updated. The hierarchy used for searching is the prospective cohort studies and then moving down to the case reports (Rollyson, 2016). The search was restricted to articles published in English language and between 2015-2018. 5. Database searched with keywords and phrases. A total of 110 articles obtained The articles were scanned for titles, and abstracts to determine the relevancy. It will help eliminate the irrelevant articles. For further elimination the full text articles are scanned to determine the relevancy. 6. The first 20-30 articles were related to dementia, knee arthoplasty, aged care setting and the challenges faced by the nurses in these areas. In addition there were some more papers on the recommendations for the arthritis management and patients barriers in arthritis management. There were a total of 67 articles and not many were relevant. Therefore, the search was refined by modifying the search terms. 7. For researching the databases the search terms used were: rheumatoid arthritis AND provider barriers, osteoarthritis AND nursing barriers, gout AND provider barriers, nurses training needs AND arthritis management, nurses educational needs AND caring arthritis, nurses educational needs AND rheumatoid arthritis OR osteoarthritis. These key terms further helped to narrow down the research. The search generated 33 relevant articles 8. The same databases were again used for extracting the research papers using the modified search terms. The inclusion criteria were research paper published between 2012-2018. The patients must be suffering from arthritis and includes nurses and the patients as the research participants. The study conducted in Australia as well as in other country is considered for broad perspective. The exclusion criteria were review papers, reflection reports and case reports. This further narrowed the search. Using these criterion 12 articles were excluded. The search then generated 21 articles and after scanning through titles, abstracts, and full text 16 articles were excluded. Finally five articles were selected for annotated bibliography considering it to be most appropriate. Annotated The study explored the patient and providers perception of the illness, which is gout. The study used qualitative research paradigm. Upon conducting the semi structured face-to-face interview with the patients and the nurses, it was found that the nurses had lack of knowledge about the nature of gout and its recommended management. The nurses failed to utilise the clinical guidelines for gout. The nurses were found to give only suboptimal information. It was due to lack of training and education of gout related best practice. Another barrier for nurses was lack of incentives to improve treatment and symptoms management. Based on the interview the patients too had misconceptions concerning the nature of gout. However, the findings of the study limit generalisability due to caveats and there is small sample size (Green et al., 2015). The strength of the paper is its implications with improving the standards of care and education needs in this condition. The overall text is well organis ed and the research objective is fulfilled. The cross-sectional survey intended to identify the educational needs of nurses caring for osteoarthritis and rheumatoid arthritis. The nurses respondents were found with less confidence in their skills and knowledge when caring for osteoarthritis patients. The method of investigation was appropriate considering the research objective. The nurses were incompetent in pain medication for the patients, advising patients on exercises and unsure about the symptoms management when caring for the rheumatoid arthritis patient. The study implies for future training that must contain key components like medication and joint protection. The study is based on adequate background research and the arguments are well supported with the relevant sources. The results are well explained with graphical illustrations and text is well organised. The survey however, had limitations like small sample size and the recruitment resembles that the professionals were already acquainted with the nurses. The char acteristics of the non respondents were not known thus, there must be bias in the interpretations of the results (Little Rubin, 2014). The nurses perceiving that they do not have the adequate knowledge and skills may not be related to the actual skills and knowledge. There is a need of objective assessment. The study described the kind of education needed by the nurses caring for patients of rheumatoid arthritis. The author conducted survey and analysed using the thematic and summative content analysis. It was found from the survey that the nurses demanded to strengthen their knowledge in medically reacted care. There was lack of knowledge among nurses about the medicine-based information about rheumatoid arthritis. Lack of continual and update education was perceived as a barrier by the nurses. Rheumatoid arthritis has considerable impact on the patients life and nurses need ever widening areas of knowledge (Walker, 2012). Only then nurses can provide the patients with suboptimal information. The overall study is well organised with supporting literature. The research objective was clearly defined; the methodology and the results were presented in easily understandable format. Owing to the difficulty in performing the summative content, the reliability of the paper may be doubted (Gree n et al., 2015). There are different natures of the expressions provided by the nurses and there may be difference in the exact amount of simplifications. The strength of the paper is the consistency in results with other sources. The study explored the nurses involvement in educating patient with rheumatoid arthritis. According to author, the important part of the nurses role is to provide the patient education in rheumatoid arthritis. Based on the qualitative study the nurses perceived educating the non-adherent patients as challenge. It was easy to educate the patients who were committed to their health. The non-adherent patients have different perception of the disease and acceptance, motivation and autonomy. As per the semi structured interview the nurses would be benefitted with more training on dealing with the non-adherent patients. The interview was not enough to understand the experiences faced by the nurses. As the interview is conducted only in one hospital the transferability is doubted. However, the study is helpful in addressing the research question. The results have an important implication which is strong involvement of nurses in patient education in rheumatoid arthritis. The results are valu able as it implies about nurses training to deal with non-adherent patients. Unlike other studies this study has opened a new ways of seeing a problem from the eye of non-adherent patients. The conclusion thus satisfies my own investigation. The method of investigation was appropriate considering it an exploratory study and it very well addresses the research objective. The study conducted cross-sectional descriptive correlational study to examine factors in gout patient affecting the adherence to urate-lowering therapy. The study results imply for nurses to learn skills to educate patients on mechanism of urate-lowering therapy and help them adhere to medication. It implies for the nurses to take lead in educating the gout suffering patients to help them adhere to the management. The results implies for nurses to learn skills to modify patients beliefs about medication. The study did well contribute to the limited research on gout patients issue with medication errors. The methodology of investigation is well justified as per research objectives. It implies for nurses the need to develop skills to explore the patients opinions and concerns about gout and ULT. Only with the help of proper training of nurses will be able to develop appropriate interventions. The limitations of the study include potential response bias, due to participants misinterpre tations of the questionnaire. Overall the study contributes well to the personal research question. Synthesis Based on the literature review the nurse barriers to care for arthritis patients are lack of knowledge, inability to provide optimal information to the patient on managing gout, rheumatoid or osteoarthritis, lack of skills among nurses in educating the non-adherent patients, insufficient medical information about the arthritis pain management, lack of incentives for nurses to manage the arthritis symptoms and patients confusion about the nature of the arthritis. These barriers also imply the training and educational needs of the nurses. Upon synthesising the relevant data, the educational needs of the nurses caring for the arthritis patients is a matter of serious concern. The training and educational programmes can address the knowledge gaps of the nurses, enhance the communication with clinicians and improve relationship with patients. The results aligns with the study of Edgerton et al. (2017), according to which adequate training and education will bring behaviour change among nu rses that in turn will increase patients adherence to arthritis management. It will also help nurses to engage in effective communication with patients. Having adequate education among nurses on arthritis management will allow nurses to manage the dissonant patient expectations and provide care that is consistent with the clinical practice guidelines. The results are appropriate and are also confirmed by study of Larsson et al. (2010). According to this study the when the nurses educate the patient about drugs; it gave the patients power, autonomy and security. Thus, it can be concluded that nurses must be well trained about the arthritis symptoms management and educated about skills to address the patients concerns. References Chua, X. H. J., Lim, S., Lim, F. P., Lim, Y. N. A., He, H. G., Teng, G. G. (2017). Factors influencing medication adherence in patients with gout: A descriptive correlational study.Journal of clinical nursing. DOI:10.1111/jocn.13918 Egerton, T., Diamond, L. E., Buchbinder, R., Bennell, K. L., Slade, S. C. (2017). A systematic review and evidence synthesis of qualitative studies to identify primary care clinicians' barriers and enablers to the management of osteoarthritis.Osteoarthritis and cartilage,25(5), 625-638. DOI:https://doi.org/10.1016/j.joca.2016.12.002 Fall, E., Chakroun, N., Dalle, N., Izaute, M. (2013). Is patient education helpful in providing care for patients with rheumatoid arthritis? A qualitative study involving French nurses.Nursing health sciences,15(3), 346-352. DOI:10.1111/nhs.12042 Fitzcharles, M. A., Lussier, D., Shir, Y. (2010). Management of chronic arthritis pain in the elderly.Drugs aging,27(6), 471-490. DOI: https://doi.org/10.2165/11536530-000000000-00000 Green, C. A., Duan, N., Gibbons, R. D., Hoagwood, K. E., Palinkas, L. A., Wisdom, J. P. (2015). Approaches to mixed methods dissemination and implementation research: methods, strengths, caveats, and opportunities.Administration and Policy in Mental Health and Mental Health Services Research,42(5), 508-523. DOI: https://doi.org/10.1007/s10488-014-0552-6 Jia, X., Jackson, T. (2016). Pain beliefs and problems in functioning among people with arthritis: a meta-analytic review.Journal of behavioral medicine,39(5), 735-756. DOI: 10.1007/s10865-016-9777-z Larsson, I., Arvidsson, S., Bergman, S., Arvidsson, B. (2010). Patients' perceptions of drug information given by a rheumatology nurse: a phenomenographic study.Musculoskeletal care,8(1), 36-45. DOI:10.1002/msc.16 Lillie, K., Ryan, S., Adams, J. (2013). The Educational Needs of Nurses and Allied Healthcare Professionals Caring for People with Arthritis: Results from a Cross?Sectional Survey.Musculoskeletal care,11(2), 93-98. DOI:10.1002/msc.1035 Little, R. J., Rubin, D. B. (2014).Statistical analysis with missing data(Vol. 333). John Wiley Sons. Retrieved from: https://books.google.co.in/books?hl=enlr=id=AyVeBAAAQBAJoi=fndpg=PT8dq=characteristics+of+the+non+respondents+were+not+known+thus,+there+must+be+bias+in+the+interpretations+of+the+results+ots=uyRU7GqVfzsig=z37i7gGdThpwe_P5cmtx4Pyz9Cs#v=onepageqf=false Rollyson, C. (2016).Biography: an annotated bibliography. Open Road Media. Retrieved from: https://books.google.co.in/books?hl=enlr=id=HbFgDAAAQBAJoi=fndpg=PT4dq=annotated+bibliography+of+the+literatureots=7NRgrZErtssig=Peo-fwl8akEHVAUinBqUhB72UB8#v=onepageq=annotated%20bibliography%20of%20the%20literaturef=false Romppanen, T., Rantanen, A., Kuokkanen, L., Roine-Mentula, K., Vuorinen, R., Suominen, T. (2015). The educational needs of nursing staff taking care of patients with rheumatoid arthritis.Journal of Nursing Education and Practice,5(8), 44. DOI:https://doi.org/10.5430/jnep.v5n8p44 Spencer, K., Carr, A., Doherty, M. (2012). Patient and provider barriers to effective management of gout in general practice: a qualitative study.Annals of the rheumatic diseases,71(9), 1490-1495. DOI: https://dx.doi.org/10.1136/annrheumdis-2011-200801 Van Onna, M., Boonen, A. (2016). The challenging interplay between rheumatoid arthritis, ageing and comorbidities.BMC musculoskeletal disorders,17(1), 184.DOI: https://doi.org/10.1186/s12891-016-1038-3 Walker, J. (2012). Rheumatoid arthritis: role of the nurse and multidisciplinary team.British journal of nursing,21(6), 334-339. DOI: https://doi.org/10.12968/bjon.2012.21.6.334