Critical analysis and implications of the practice resulting from the Essay

Critical analysis and implications of the practice resulting from the exploration of the patient journey - Essay Example The terminology, â€Å"terminal illness† that emerged and spread in the mid 20th century refers to a condition that cannot sufficiently be treated and is thus expected to end in death after a given period. Among the conditions commonly considered terminal are progressive ones such as advanced trauma-related heart diseases and cancers (Winslow et al., 2005). Terminal diseases are thus conditions that finally end the sufferers’ lives. There are several stages of terminal illnesses that medical professionals should be familiar with. The fact that different patients and their families react differently to news about these stages implies that nurses and other medical professionals should know how to handle and communicate news about each of these stages. The first stage of a terminal illness is the disbelief phase during which most people are shocked and despaired at news about terminal illness. This phase is sometimes marked by feeling of guilt as one suspects he/she has do ne something wrong to deserve such an illness. The disbelief stage is followed by the stage of depression, which range from mild to moderate in intensity, calling for immediate family and professional support (medical therapy). Since there is no cure for terminal illnesses, only certain types of medical treatments such as treatment to ease breathing or reduce pain could be appropriate. While some incurably ill people accept aggressive treatments to reduce their suffering or in the hope of full recovery, others reject all unbearable treatments that might result in unwanted side effects and worsened condition (Abma et al., 2005). Still. Some opt to undergo untried treatments including radical dietary modifications in the hope that they could prove effective. To help manage pain, suffering, symptoms and to improve general patient life and wellbeing regardless of the management approach used, palliative care is often recommended. To provide the much needed emotional and spiritual suppor t for terminal illness patients and their families, hospice care is highly recommended. Further, supplementary care such as relaxation therapy, massage, and acupuncture are used to manage signs, symptoms and other causes of distress and pain. Analysis of â€Å"Patient Journey† An analysis of the ‘Patient Journey’ reveals several challenges that terminally ill patients encounter throughout the rest of their lives. Easily identified in the analysed case of the terminally ill John is the challenge of frequent admissions into health facilities. Accompanying these frequent admission are numerous treatments and therapies such as blood transfusion, which make the patient‘s life more painful and unbearable. In spite of these therapies and treatments, John’s condition continues to deteriorate, rendering him unconscious and unable to make decisions on his own about his health care. John’s family makes the situation worse since they respond to all questi ons directed at John. This scenario implies that the nurses could not engage the patient directly with questions regarding his health care (Abma et al., 2005). In fact, the patient’s family intervenes whenever the nurses wanted to relieve his pain by administering painkillers. Further, it is the family’s voice and opinion that was heard over John’

A Report on the Investigation on the Allegations against a Plant Essay

A Report on the Investigation on the Allegations against a Plant Employee of an Acquired Corporation, Lakes Inc - Essay Example The investigation landed on a big clue, which made it clear that the offence was done in the preparation of invoice for purchase of items. From this case it was found that actually, the invoice was supposed to be prepared for purchasing high definition flat screen television but the prepared invoice was in the name of a computer server. The investigation is carried out from August to November 2009. In the mean time, it was also found that the employee has submitted the invoice through the purchase department for a refund amount of $8,795.60. Due to this issue, the director of purchasing department, Mr Bob Smith, and the administrative assistant, Ms Mary Bad, had to be terminated from the company. The company maintains a database for all the items they purchase and a particular code is fixed for the items, which relates to the work done by the administrative assistant. As part of the investigation, a visit was made to all the stores from where the goods were purchased. The manager of one store said that in the past six months, Bob Smith had done two more purchases and these items were delivered either to him or his assistant. He showed the invoices of these items that had been purchased. When comparing these with the plant invoices, the file had only copies. Everything in the invoice except the name of the items was similar. The director of the purchasing department and the administrative assistant are the culprit in this case. They cheated the company and this had been continuing for several years. The invoices, the proof and the statement of the store manager have been apt evidences for this particular investigation. Bob Smith and Mary Bad were cheating the company by making false invoices and purchasing costly items with the company’s earnings. They might even resell these items at a higher price and make more profits out of it. The case is found to be misappropriation on purchasing the asset. There are various schemes for asset misappropriation such a s â€Å"skimming, cash larceny, fraudulent disbursements, and non-cash larceny and misuse† (Albrecht n.d pg 2). Misappropriation of the Asset Fraudulent Disbursement Scheme From these schemes, the one, which is similar to the case under study here, is the fraudulent disbursements scheme. Asset misappropriation schemes consist of â€Å"those frauds in which a perpetrator employs trickery or deceit to steal or misuse an organization’s resources† (Albrecht n.d pg 1). In this case, both the director and his assistant have taken assets of the organization to benefit themselves. Here, misappropriation of assets occurred during the purchase of goods and services. The organization pays extra for purchased goods and services, as all of them were not used in the plant. It includes a billing scheme, which involves employers making payments based on false invoices for personal purchases as done by Mr Bob Smith and Ms Mary. Such type of asset misappropriation frauds are seri ous enough, which result in material misstatement of the financial statements of the organization, without the knowledge of the management. Finally, the company incurs a huge loss and a lot of damages. Final Results of the Investigation Asset misappropri