Explain the organizational archetypes as described by
Mintzberg and discuss how organizational structure influences innovation.
Mintzberg’s work with archetypes.
key features and implications are involved in each archetype?
we need a template for explaining the structure of an organization?
claimed we have too many managers and too few leaders. Do you agree
or disagree with this and why?
Explain the organizational archetypes as described by Mintzberg and discuss how organizational str
Los Angeles’s Geological Formation and Activities Essay
Geology of Los Angeles Los Angeles boasts as one of the major cities in America. It is located on the pacific plate bordering the big bend of the SA fault. The city falls within the active fault of Western transverse Ranges. This means topographical changes are occurring around the city. Los Angeles in the past has experienced some natural disasters ranging from earthquakes to storms. Landslides and floods characterize some of the major disasters associated with the city. Several fossil deposits have been discovered around the city. Gradual classification and analysis of fossils date back to 1900. One of the well-known areas with fossil deposits is the La Brea Tar Pits. The pits or called Salt Creek are a source of more than 194 species of animals. The geological characteristics of the oilfields form a tourist attraction site. The tar pits are formed when oil deposits flow through fault fissures. With hot ground rocks, the high light part of the oil evaporates leaving the thick tar. The thick tar consolidates in pools forming the asphalt deposits. In the early years, asphalt remains were used in roofing and laminating fishing boats. During the excavation of the tar, animal bones or remains were discovered. The pioneer scientist to work in the tar field was Prof. J C Merriam. The University of California has capitalized on working on the archaeological site. The deposits recovered from the site are displayed at the Page Museum. Animal remains have shown that life around Los Angeles in the past 40 thousand years ago has not changed. Herbivorous and carnivorous remains found on the La Brae pits resemble those in the current state. Archaeologists have come up with generalizations of life then. These animal remains ended up here when they went hunting. The prey being chased by the predator got trapped by thick tar and died. Some of the fossils on display at the museum include smilodon californicus and C lupus furlong. Smilodon is one of the most common animals that were found in the pits. It is one of the saber-toothed predator animals of the cat family. The number of bones found there has gone beyond thousands thus representing thousands of a number of them in existence many years ago. Professor Merrian was one of the first archaeologists to discover it together with his students in the early 1930s. C lupus furlong is another fossil on display at the museum. The study of its remains has shown that the animal is classified in the group of gray wolves. The gray wolf is botanically called Canis lupus. It is recorded that in the period of Pleistocene, C lupus shared this zone with the group known as C dirus. C dirus is called in the layman’s language as a dire wolf. These remains form a great part of the Museum at the heart of Los Angeles. The geological formation of Los Angeles has changed over time. Topographical features present today represent artificial and natural makings. With disasters and human activities over time, natural features have become extinct. The exploitation of oil deposits at the La Brae pit led to the discovery of animal fossils deposits. Early scientists from the University of California made an impact and initiation of what is seen on display at Page Museum. Geological activities in Los Angeles take various directions depending on the catalysts and natural calamities. Get your 100% original paper on any topic done in as little as 3 hours Learn More
Case Study of risk of Pressure Damage: Mrs A
essay writer free Mrs A is a 84 year old lady who has been referred to the district nurses by the G.P. as he has concerns regarding her pressure areas . Following a recent fall Mrs A has lost her confidence and is now house bound, spending more time in her chair. She has a history of high blood pressure for which she currently takes medication. She has no history of previous falls or problems with her balance. Mrs A is more vulnerable to pressure damage as her skin has become more fragile and thinner with age. Due to Mrs A spending more time sitting in her chair she has become at a higher risk of developing a pressure sore. A pressure sore is an area of localised damage to the skin and underlying tissue this can be caused by pressure, friction or sheering. (EPUAP 1998). It becomes difficult for the blood to circulate causing a lack of oxygen and nutrients to the tissue cells. Furthermore, The lymphatic system also begins to suffer and becomes unable to properly remove waste products. If the pressure continues and is not relieved by equipment or movement, the cells begin to die leaving an area of dead tissue resulting in pressure damage. In order to establish Mrs A’s current risk of developing a pressure area a assessment must take place. An initial assessment will provide a baseline that will identifiy Mrs A’s level of risk as well as identifying any existing pressure damage. The assessment tool used throughout my area of work is The Waterlow Scale was researched and developed by Judy Waterlow. The Waterlow Scale is used to measure a patient’s risk of developing a pressure sore and can also be used as a guide for the ordering of effective pressure relieving equipment. The Waterlow scale assessment tool was first put into practice in 1985 (Waterlow, 1985). The use of the Waterlow tool enables the nurse to assess each patient according to their individual risk of developing pressure sores (Pancorbo-Hidalgo et al., 2006). The scale illustrates a risk assessment scoring system and on the reverse side provides information and guidance on wound assessment, dressings and also preventative aids. Also equipment surrounding the three levels of risk highlighted on the scale. It also provides guidance concerning the nursing care given to patients. Althought the Waterlow score is used in the community setting when calculating the risk assessment score it is vital that the nurse is aware of the difference in environment the tool was originally developed for. The tool covers two factors intrinsic which include Disease, medication, malnourishment, age, dehydration / fluid status, lack of mobility, incontinence, skin condition and weight. Also extrinsic factors which refers to external influences which cause skin distortion such as Pressure, Shearing Forces, Friction, and moisture. There is also a special risk section of the tool which can be used if the patient is on certain medication or recently had surgery. This contributes to a holistic assessment of a patient and enables the practitioner to provide the most cost effective and appropriate pressure relieving equipment. The score is calculated by counting the scores given in each catergory which apply to your patient’s current condition. Once these have been added up you will have your ‘at risk’ score, this will then indicate the steps that need to be taken in order to provide the appropriate level of care to the patient. Identification of a patients risk of developing a pressure sore is often considered the most important stage in pressure sore prevention (Davis 1994). When using the Waterlow tool to assess Mrs A’s pressure risk I found she had a score of 9. According to the Waterlow scoring system Mrs A is not considered as being at risk as her score is less than 10. As i had identified in my assessment she had a score of 2 for her skin condition due to grade 1 pressure damage I felt it necessary to highlight her as being at risk. During the assessment of Mrs A I have identified she has a grade 1 pressure sore on her sacral area this maybe due to her recent loss of confidence and spending more time in her chair. Grade 1 pressure damage is defined as a non-blanchable erythema of intact skin. Indicators can be discolouration of the skin, warmth, oedema, induration or hardness particularly in people with darker pigmentation (EPUAP, 2003). It is believed by some practioners that blanching erythema indicates grade 1 pressure damage (Hitch 1995) others suggest that grade 1 pressure damage is present when there is non-blanching erythema (Maklebust and Margolis, 1995; Yarkony et al, 1990). The majority of clinicians agree that temperature and colour play an important role in identifying grade 1 pressure ulcers (European Pressure Ulcer Advisory Panel, 1999) and erythema is a category in almost all classifications (Lyder, 1991). The pressure damage usually occurs over boney prominences (Barton and Barton 1981). The skin in a grade 1 pressure ulcer is not broken but it requires protection and monitoring. At this stage it will not be known how deep the pressure damage is and regular monitoring is essential. The pressure ulcer may fade but if the damage is deeper than the superficial layers of the skin, this wound could develop into a much deeper pressure ulcer over the following days or weeks. A grade 1 pressure ulcer is classed as a wound and so I have commenced a wound care plan and also a pressure area care plan. I will also ensure Mrs A has regular pressure area checks in order to prevent the area breaking down. Dressings can be applied to a grade 1 pressure ulcer they should be simple and offer some level of protection. Also to prevent any further skin damage a film dressing is often used or a hydrocolloid to protect the wound area. These dressings will assist in reducing further friction or shearing if these factors are involved. The advice given to practitioners on the reverse of the Waterlow tool is to provide a 100mm foam cushion if a patients risk score is above 10 ( Waterlow, 2005). As Mrs A has an ‘at risk’ of 9 with a grade 1 pressure sore evident I feel it appropriate to provide the pressure relieving cushion to prevent any further pressure damage developing. As I am providing a cushion it is not felt necessary to apply a dressing at this point. However the area will need regular monitoring as at this stage it is unknown how deep the pressure damage is. If proactive care is given in the prevention and treatment of pressure ulcers with the use of risk assessments and providing pressure-relieving resources the pressure area may resolve. Pressure ulcers can be costly for the NHS, debilitating and painful for the patient. With basic and effective nursing care offered to the patients this can often be the key to success. Bliss (2000) suggested that majority of grade I ulcers heal or resolve without breaking down if pressure relief is put into place immediately. However, experiences in a clinical settings supports observations that non-blanching erythema can often result in irreversible damage (James, 1998; Dailey, 1992). Although there are various tools which have been developed to identify a patients individual risk of developing pressure sores. The majority of scales have been developed based on ad hoc opinions of the importance of possible risk factors (EHCB, 1995). The predictive validity of these tools has also been challenged (Franks et al, 2003; Nixon and Mc Gough, 2001) suggesting they may over predict the risk, incurring expensive cost implications as preventative equipment is put in place when it may not always be necessary. Or they may under predict risk so that someone assessed as not being at high risk develops a pressure ulcer. Although The Waterlow (2005) scoring system now includes more objective measurements such as BMI and weight loss after a recent update. It is still unknown due to no published information whether the inter-rater reliability of the tool has been improved by these changes. It has been acknowledged that this is a fundamental flaw of these tools and due to this clinical judgement must always support the decisions made by the results of the risk assessment. This is clearly recognise by NICE as they advise their use as an aide-mémoire (2001). Assessment of the intrinsic factors that may increase a person’s risk of pressure ulcer development usually involves the use of a formal assessment tool such as Waterlow (2005, 1985) or Braden (Bergstrom et al, 1987). Despite the plethora of risk-assessment tools there is little robust evidence clearly identifying the risk factors that have a direct correlation with pressure damage (Clark, 2004). If this were the case the tools would identify correctly all those who will develop a pressure ulcer (sensitivity) and all those who will not (specificity) (Nixon and McGough, 2001).
Carlos Albizu University Wk 7 Risk Management in Healthcare Essay
Carlos Albizu University Wk 7 Risk Management in Healthcare Essay.
Week 7 Reply Risk Management in Healthcare APA Style Reply Considering the focus of involuntary outpatient treatment, research and discuss the legislation of your state surrounding involuntary outpatient commitment. Reply to each Peer about their post. Considering the focus of involuntary outpatient treatment, research and discuss the legislation of your state surrounding involuntary outpatient commitment Reply to Teacher ( Teacher responded this to my post and posed the following questions): Hello, Very good job on your discussion this week regarding mental illness in the state of Arizona. You provided some interesting information regarding involuntary outpatient commitment in the state of Arizona. I especially liked that you provided such great information from Arizona’s statutes and the separate clauses. Do you feel that from a Risk Management perspective that involuntary outpatient treatment is good for the patients and those around them? I ask this due to the fact that they are responsible for getting to their outpatient appointments. Did you research tell you how Arizona ensures that these patients are going to their treatment? In addition, the graphic above show criteria for this type of treatment. Did you find anything like this in your research for the state of Arizona, and if so, can you please share it with us? Lastly, here is an interesting video regarding Arizona’s commitment. Please review and let me know if you learned anything new from your original research. ARIZONA COMMITMENT DOCUMENTARY Thank you, Professor Susan Considering the focus of involuntary outpatient treatment, research and discuss the legislation of your state surrounding involuntary outpatient commitment Reply georgina: In a psychiatric emergency. Texas has civil commitment laws that establish criteria for determining when involuntary treatment is appropriate for individuals with severe mental illness and who cannot seek care voluntarily. A minimum of 50 beds per 100,000 people is considered necessary to enough treatment for people with severe mental illness. Percentage of the population served by a mental health court was 44%, percentage of population served by CIT was 27%, and the combined average was 36% that gives them a grade of C. There are some ups and downs that come with the care of mental illness, the dignity and support that escalate when their loved one is in good hands and balance in healing. “Involuntary outpatient treatment represents an effort to provide more suitable care for patients who, in the present system, are either over confined or undertreated.” (Kavaler, 2014). In these cases, it is necessary to have an accurate analysis to be sure that an over confinement or under-treatment is not what the patient receives. When this crucial step is performed it provides the best possible treatment available and professional practice for the team members. Outpatient commitment in Texas: the judge may order a proposed patient to receive a court-ordered temporary up to 90 days outpatient mental health services. This is only if the judge finds that appropriate mental health services are available to the proposed patient, and the judge or jury finds, from clear and convincing evidence, that the proposed patient is a person with severe and persistent mental illness. Also, outpatient mental health services are needed to prevent a relapse that would likely result in serious harm to the proposed patient or others, (CENTER, 2018). References CENTER, T. A. (2018). Treatment Advocacy Center. Retrieved from www.treatmentadvocacycenter.org: https://www.treatmentadvocacycenter.org/browse-by-… Kavaler, F. (2014). Risk Management in Health Care Institutions. Burlington: World Headquarters Jones & Bartlett Learning.
Carlos Albizu University Wk 7 Risk Management in Healthcare Essay
Individually Authored Case Study Analysis
Individually Authored Case Study Analysis.
Dr. Jones develops an outpatient vascular surgical procedures center attached to his office. He equips the center with a fluoroscopy unit, and all the requirements for a single specialty operating room have been maintained. He hires a nurse anesthetist to give anesthesia and monitor the patients. In addition, he has a small recovery area with a nurse to follow the patients postprocedure. He learns he can be reimbursed an up to $20,000 facility fee for every procedure performed. He has decided that since his overhead is anywhere from 40%–60%, the more procedures he performs, the higher his profit ratios will be.Therefore, when Mr. Smith is in need of a lower extremity revascularization, he is brought in for diagnostic angiogram. The angiogram reveals he has an external iliac and a superficial femoral artery stenosis on the left side. These two lesions probably account for the patient’s symptoms. The patient returns the following week, and Dr. Jones performs an iliac artery angioplasty with a balloon. In approximately 10 days, the patient returns for one of three procedures in which he has his superficial femoral artery also treated with a balloon angioplasty.The patient has now had three procedures totaling $60,000 in revenue. The overhead for these procedures was approximately 40%, providing a $36,000 profit. Had these procedures been done in a regulated space (i.e., a hospital), the physician would have probably performed the diagnostic angiogram as well as the definitive angioplasties of both external iliac and superficial femoral arteries at the same time. The physician’s fees for these procedures would have been approximately $2,000. Also, it is possible that in a regulated facility the doctor would have chosen to at least place a stent or would have performed an atherectomy or even used a drug-coated balloon in one or both of these lesions. However, in the free-standing outpatient vascular surgery center, the use of these devices would have greatly driven up the cost of the procedure and decreased the profits.It is not uncommon for these types of procedures to be performed in an unregulated space with no hospital quality control or supervision. While they drive up the cost of treating the patient, they are extremely profitable for the doctor. In order to gain this profit, the physician has subjected the patient to three procedures with three different anesthesia procedures, tripling the risk of any anesthetic complications for the patient. Furthermore, if an adverse event occurs in these settings, there is no rapid response team available to resuscitate the patient.QuestIons1. What are the facts of this case?2. Compare and contrast the impact on Dr. Jones revenue stream for patients covered by the following insurance plans: HMO (closed or open panel), IPA model HMO, Network Model HMO, PPO, POS, Medicare, and Medicaid.3. Based on your analysis of the above, which plan(s) do you think he is targeting for his revenues?4. What are the legal and ethical obligations Dr. Jones has to his patients and how do they apply to this case?5. What are the advantages and disadvantages for the consumer in this scenario?6. What are the advantages and disadvantages for Dr. Jones in this scenario?7. If an adverse event occurs, what do you think will happen to Dr. Jones and his facility?8. Is Dr. Jones gambling with patients’ lives? Provide a rationale for your responses.The length of the case analysis should be approximately 1,000 words (excluding the reference list at the end of the paper). The paper should also apply and cite at least three external references above and beyond the textbook. APA format is required.
Individually Authored Case Study Analysis
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