Friday, February 28, 2020

LITERATURE REVIEW ASSIGMENT Assignment Example | Topics and Well Written Essays - 750 words

LITERATURE REVIEW ASSIGMENT - Assignment Example This chronic condition is managed using two medical therapies; that is pharmacological and non-pharmacological management. Pharmacological therapy manages the condition within the hospital setting. The patient is put under medication and machine monitors to manage the condition. On the other hand, the non-pharmacological therapy is confined to patient education and intensive surveillance activity; emphasis is put shifting care from hospital to a primary care setting. Numerous studies have been conducted to examine which of the two therapies manage the condition more effectively. These studies have shown that patients that comply with non-pharmacological recommendations reduce the risk of death caused by this condition. Compliance can be defined as the extent to which congestive heart failure patients’ behavior, in terms of managing the condition, are in line with those of a medical practitioner or health provider (Martje et al 2010). The non-pharmacological recommendations inc lude diet,fluid restriction, weighing and exercising. The studies that were conducted included an 18 month follow up of the patients after they were discharged from hospital. The compliance ratings of pharmacological recommendations range from 10% to 70% while those of non-pharmacological recommendations range between 12 % and 75%. Approximately 48% of the patients who comply with the non-pharmacological recommendations fully comply with all the four recommendations.An individual tally of the recommendations compliance reveals that about 80% of patients comply with weighing; 90% comply with diet and fluid restrictions (Holst, et.al 2008); and about 60% comply with exercises. In elderly patients, compliance with the non-pharmacological recommendations prevents the reoccurrence of heart failure (Martje et al 2010). Patients who comply with these recommendations have fewer recommendations than non-compliant patients and those that spend in hospital are few. Patients who comply with the exercise and daily weighing recommendations often elongate their lives compared to those who don’t.This compliance also reduces the heart failure readmission. Isotonic exercise training has proven to have a positive effect on congestive heart failure patients, according to a study conducted on 30 male patients (Larsen, et.al. 2001). Total compliance of the recommendations also reduces the rate of readmission due to heart failure by 56.2%. This figure may not be statistically significant but it ascertains that close follow-up of patients will reduce the likelihood of being readmitted due to heart failure (Rich, et.al. 1995). In addition, relaxation therapies have a positive psychic effect in older patients. It reduces the psychological distress, depression in particular, among the patients (Yu, et.al p. 78). It has been discovered that patients whose levels of sodium intake are high have a high chance of being readmitted. This means that sodium intakes levels are consistent w ith the rate of readmission among the patients (Alves, et.al. p.446; Brooke, et.al. 2009). If heart failure patients begin using ACE-inhibitors during their stay in hospital, then their cognitive performance is expected to improve independently (Zuccala, et.al. p. 230). The main question of this topic is whether

Wednesday, February 12, 2020

Middle of Acquiring Essay Example | Topics and Well Written Essays - 250 words

Middle of Acquiring - Essay Example ourth step, the negotiation team will seek to ensure that the acquisition process will protect the interests of both parties and in case their interests clash then there has to be a compromise. In the fifth step, the negotiation team will present to the overseas company, strategies and policies that they will implement after the acquisition process, which will indicate on how the buying company will absorb the current workforce of the overseas company into their organizational structure. Secondly, the strategies and policies will show how they are ready to abide by the conditions set by the overseas company. In the sixth step, the negotiation team will state exactly how much they will are willing to pay for each division or the entire company and equally, the overseas company will state the selling price for the entire company. The negotiation team will engage in final price negotiations whereby they will give out their final buying price of which DePamphilis (2010, P. 175) notes that it should be considerably equally to the true value and potential of the overseas