Discussion Board Rebuttal 3

/in , , , , , , /by

Discussion Board Rebuttal 3 

(Discussion Board Rebuttal 3)

Discussion Board Rebuttal 

The author offers a compelling argument and a description of the different forms of power, including legitimate, referent, coercive, reward, and expert power. Legitimate power is associated with an individual’s formal right to lead, make demands, expecting others to obey and comply. Legitimate powers include formal organizational positions, political positions, and acceptance of social structure and culture.1 Reward power is associated with an individual’s ability to compensate another for compliance or obedience. Most managers in an organization can exercise reward power towards their subordinates because they are more influential. Referent power is linked to an individual’s perceived attractiveness, worthiness, or respect by others.1 Anyone can exercise coercive power, but mostly those in leadership positions, with common approaches being threats of malice and other forms of punishments for noncompliance. Every expert has expert power, but the approach to applying it differs because most tend to limit knowledge sharing to avoid diminishing power. (Discussion Board Rebuttal 3 )

In the specific case study, I agree that Joe, the manager has legitimate power attributed to his position in the company. However, I would like to differ that Joe has coercive and reward power because no evidence is provided to support this argument. Although Joe is the manager, he is good at helping people and wants what is best for everyone and the company, implying that he is not coercive. Also, no information is provided to indicate Joe’s reward or promise of reward for compliance or behavior. Despite the lack of information demonstrating coercive and reward powers, Joe’s position gives him the ability to exercise these forms of power. However, Betty demonstrates expert power to the full extent by limiting knowledge sharing regarding the complex electronic health records software, which she has the highest level of knowledge about at the company. Betty demonstrates expert power over everyone, including Joe, knowing that she is talented and Joe has minimal power over her. Joe also understands that Betty is crucial to the company, and he can do little to convince Betty to train the three new employees. Betty also knows that sharing knowledge with everyone regarding the software would diminish her power, although it would be bad for the company. Conclusively, existence of power is felt or recognized when exercised. (Discussion Board Rebuttal 3)

References

  1. Kovach M. Leader Influence: A Research Leader Influence: A Research Review of Fview of French & Raench & Raven’s (1959) s (1959) Power Dynamics. The Journal of values_Based leadership, 2020;13. https://scholar.valpo.edu/jvbl/vol13/iss2/15/
 
Do you need a similar assignment done for you from scratch? Order now!
Use Discount Code "Newclient" for a 15% Discount!

Discussion Week 6: Summary

/in , , , , , , /by

Discussion Week 6: Summary

(Discussion Week 6: Summary)

Impetigo

Impetigo is an infection that affects the epidermis’ superficial layer, causing gram-positive bacteria, and can easily be transmitted from one individual to another. Most patients indicate erythematous plaques with a yellow crust that can be itchy or painful. It develops mostly in children living in hot, humid climates, typically affecting the face and sometimes other body parts with an abrasion, laceration, or insect bite (Ward Susan & Hisley Shelton, 2009). S aureus is the most common cause of nonbullous impetigo, accounting for most of the cases and Group A beta-hemolytic Strep causes the second-most cases. Bullous impetigo exclusively develops due to S aureus. (Discussion Week 6: Summary)

Discussion Week 6: Summary

Cellulitis

Cellulitis is a bacterial skin infection, presenting as a poorly demarcated, warm, erythematous area and edema and tenderness to palpation. The bacterial infection is acute, leading to inflammation of the inner dermis and the neighboring subcutaneous tissue. Individuals with cellulitis do not develop abscesses or purulent discharge (Ward Susan & Hisley Shelton, 2009). It is typically associated with beta-hemolytic streptococci of group A. Staphylococcus aureus is the second most common cause of cellulitis. These bacteria enter the skin when the skin breaks, allowing for normal skin flora and the bacteria to reach the dermis and subcutaneous tissue. (Discussion Week 6: Summary)

Discussion Week 6: Summary

Human Papillomavirus

The human papillomavirus (HPV) is a DNA virus that contributes to a myriad of epithelial lesions and cancers. It is often non-developed, double-stranded, and circular. It can present as cutaneous and anogenital warts and progress to carcinoma based on the subtype, which is over 100. Persistent HPV infections and having many sexual partners increase the risk of developing more HPV subtypes (Ward Susan & Hisley Shelton, 2009). Clinically, lesions can be visible easily, but in some cases, testing for vital DNA is needed to develop a diagnosis. HPV is associated with laryngeal, oral, lung, and anogenital cancers. (Discussion Week 6: Summary)

Discussion Week 6: Summary

Genital Warts

Genital warts are an infection that results from HPV types 6 and 11 and are typically passed from one individual to another through sexual contact or, in rare cases, through skin-to-skin contact. Most patients indicate warts in clusters or separately in the genital or anal areas (Ward Susan & Hisley Shelton, 2009). Genital warts can disappear within four months after initial appearance but can reoccur three months after completion of initial therapy. The patient’s genital health and immune system, certain HPV strains, inoculation numbers, use of condoms, viral load, and previous HPV vaccinations are determinants of recurrence rates. Risk factors for genital warts include smoking. (Discussion Week 6: Summary)

Discussion Week 6: Summary

Atopic and Contact dermatitis

Atopic dermatitis (AD) is eczema and the most occurring chronic inflammatory skin disease. Contributing factors include genetic and environmental, causing abnormalities of the immune system and the epidermis and disorders like food allergies, asthma, and allergic rhinitis (Ward Susan & Hisley Shelton, 2009). Additionally, it has significant morbidity with an increasing prevalence over the years. Contact dermatitis is an eczematous skin inflammation resulting from chemical and metal ions that cause toxic effects without triggering a T-cell response. Small reactive chemicals, which modify proteins and trigger innate and adaptive immune responses, are also associated with contact dermatitis. It is common among children, but in most cases, it is self-limited and can be eliminated using simple, supportive measures. (Discussion Week 6: Summary)

Discussion Week 6: Summary

Pediculosis

Pediculosis, also louse infestation, impacts many people, with the most common varieties among humans being Pediculus humanus capitis (head louse), Pthirus pubis (crab louse), and Pediculus humanus (body louse) (Ward Susan & Hisley Shelton, 2009). The head louse affects everyone irrespective of socioeconomic status, while the crab louse impacts mostly homeless and displaced individuals. Lice are transmitted mostly through direct skin-to-skin contact or fomite-to-skin contact. Symptoms often present after three to four weeks. Risk factors include poor hygiene and colder months of the year. (Discussion Week 6: Summary)

Discussion Week 6: Summary

 

References

Ward Susan, L., & Hisley Shelton, M. (2009). Maternal-Child Nursing Care Optimizing Outcomes for Mothers. Children, and Families. Philadelphia, FA Davis https://search.worldcat.org/title/maternal-child-nursing-care-optimizing-outcomes-for-mothers-children-and-families/oclc/858443324

 
Do you need a similar assignment done for you from scratch? Order now!
Use Discount Code "Newclient" for a 15% Discount!

Health Assessment of the Older Adult

/in , , , , , , /by

Health Assessment of the Older Adult

(Health Assessment of the Older Adult)

Health Assessment of the Older Adult

Most people prefer to be cared for and die at home, but most do not. Research shows that home deaths are declining worldwide, which is against patient preferences because some deaths come suddenly, and it is difficult to predict the trajectory even in end-of-life care (Nysæter et al., 2022). About half of the sudden deaths occur at home because they are unpredictable, and no particular type of care is offered beforehand. Interestingly, four in five deaths do not occur suddenly and occur as the endpoint of a medical condition progression recorded in patient data, and providers can predict or estimate when a patient will die. Despite the ability to predict such deaths, most people still do not die at home as they would prefer. A month before such deaths, most people are at home receiving home care, representing 52% of men and 39% of women, and 45% of both (Pennec et al., 2017). About 24% and 29% receive care in a care home and hospital, respectively (Pennec et al., 2017). However, as death approaches, the rate of hospitalization increases for both genders and the proportion of people receiving care at home declines. The health status as someone nears death deteriorates, requiring close medical attention, which is why hospitalization rates increase (Pennec et al., 2017). In non-sudden deaths, the moving from home to hospital pattern is more frequent as death nears, which helps explain the trend of home deaths declining against patient preferences. (Health Assessment of the Older Adult)

Fulfilling a patient’s preference toward their death presents ethical dilemmas because nurses must respect patient autonomy, including where they wish to receive care, promote overall good, and avoid harm. If receiving care at home is less effective or increases the risk of preventable injury-related deaths at home, it overrides the need to respect the patient’s autonomy. However, nurses can help increase the quality of life by helping manage patient symptoms to make home care as comfortable as possible (Hagan et al., 2018). Nurses can engage in patient education, including fostering medication and physician instruction adherence and building communication skills to help patients communicate their health status and needs to promote end-of-life decision-making and symptoms management. According to Schroeder and Lorenz (2018), nurses can advocate for the provision of palliative care concurrently with curative measures to address the multifaceted patient needs to ensure home care effectively promotes health and well-being at the end of life, which would help increase the rate of home deaths. (Health Assessment of the Older Adult)

References

Hagan, T. L., Xu, J., Lopez, R. P., & Bressler, T. (2018). Nursing’s role in leading palliative care: A call to action. Nurse education today, 61, 216–219. https://doi.org/10.1016/j.nedt.2017.11.037

Nysæter, T. M., Olsson, C., Sandsdalen, T., Wilde-Larsson, B., Hov, R., & Larsson, M. (2022). Preferences for home care to enable home death among adult patients with cancer in late palliative phase–a grounded theory study. BMC Palliative Care, 21(1), 1-10.

Pennec, S., Gaymu, J., Riou, F., Morand, E., Pontone, S., Aubry, R., & Cases, C. (2017). A majority of people would prefer to die at home, but few actually do so. Population Societies, 524(7), 1-4.

Schroeder, K., & Lorenz, K. (2018). Nursing and the Future of Palliative Care. Asia-Pacific journal of oncology nursing, 5(1), 4–8. https://doi.org/10.4103/apjon.apjon_43_17

(Health Assessment of the Older Adult)

 
Do you need a similar assignment done for you from scratch? Order now!
Use Discount Code "Newclient" for a 15% Discount!