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QUESTION
Nursing
Multiple Chronic Condition Family Case Study Assignment
For this assignment, you will need to review the information for the five patients below.
You will answer the following questions for each patient on a separate Word document:
- Describe impression/concerns for each patient and how you will address each.
- Describe Health Promotion recommendations for all 6 patients (include screenings and other age and issue appropriate recommendations).
- Discuss Growth and Development for all children (expectations/alterations) based on age.
- Nutrition recommendations for all 6 patients (problems/plan).
- Exercise recommendations for all 6 patients (problems/plan.
- Immunization needs for all 6 patients (what they should have had up to this point and what they need to be up-‐to-‐date on immunizations).
- Medication concerns with specific changes/additions for all 6 patients (problems/plan).
Be sure to identify each patient on your Word document and please make sure you provide very detailed and comprehensive information in your answers.
Patient #1: Ginger Jones is a 46 y/o white Female. Presents to clinic with her 4 children and her mother. All children are adopted. She reports occasionally smoking (1 pack/week x 12 years) and drinking about 3-‐4 beers a week. She thinks she may have a UTI and wants a medication for that. Symptoms include burning on urination, frequency, and dark colored urine with a bad smell. She also reports being in a recent new sexual relationship. They use condoms for contraception currently, but she states she doesn’t want to get pregnant and wants to be put on a birth control pill or something better than what she’s using now. She wonders what she needs to do about getting a mammogram, as she has never had one. Patient is also asking about other screenings she may need. She describes a sedentary lifestyle with a diet high in fast-‐foods and processed foods but states she does eat fruit like oranges, apples, and grapefruit at least once a day. She works as a secretary at a busy lawfirm so she sits most of the day. Her fasting BS today is 304.PMH includes depression, HTN, High Triglycerides, Type 2 DM, resolved GC (Gonorreha) 3 years ago. She takes the following medications: Glipzide 5 mg ER po bid; HTCZ 25 mg qd, Zocor 20 mg qd, Zoloft 100mg qd, St. John’s Wort 600 mg qd. She reports an allergy to Cipro (itching).
BMI 34.
Patient #2: Jennifer is a 16/yo White female. Mother states her daughter doesn’t each much. States her teeth are starting to look bad. Mother believes her daughter is sexually active. She wonders when her daughter should start getting female exams and wants you to talk to her about all her contraceptive options and which would be best for her and why. Mother reports that she thinks her daughter drinks and sneaks some of her smokes every-once-in-a-while. No significant PMH. No medications. No known drug allergies. BMI 16.
Patient #3: Johnny is a 9 y/o Asian male. Mother states he has had a rash to his chest for one day but has been complaining of a bad and worsening sore throat for five days. Mother states her youngest son Freddie had some left-over Amoxil and so she gave Johnny some of it yesterday. No cough. Lungs CTA bil. No significant PMH. No medications. No known drug allergies. BMI 18.
Patient #4: Freddie is 5 y/o Black male. Mother states she believes Freddie may have ADHD. Diagnosed with Asthma last year, uses an inhaler about 5 times a week when he’s outside playing. She believes Freddie’s inhaler seems to work well but that he must be allergic to “something outside.” States he loves playing outside and riding his dirt bike. Mother wants to know if she should get him a note to be excused from PE, as he is about to start kindergarten this year. Wants to know what he needs to do before he starts school. States thinks he may have “missed his last immunizations and may need to catch up.” PMH: Asthma. Medications: Albuterol Inhaler for use prn wheezing or shortness of breath. No known drug allergies. BMI 25.
Patient #5: Julie is a 4 y/o Hispanic female. Mother states Julie “missed her last immunizations and needs to catch up.” The Mother wonders when her daughter will stop wetting the bed. States she just recently started doing it. Keeps putting her hands “down there where she ought not to.” States she is starting to be very introverted. Cries when her mother is leaving for work. States her boyfriend is very attentive to her and keeps her on Tuesdays when she doesn’t have other childcare available. Mother thinks Julie must be nervous or something, so every-once-in-a-while she will give her some of her Xanax to help her relax. No significant PMH. No known drug allergies. Vital Signs WNL. BMI 30.
Patient #6: Mrs. Jones is Ginger’s mother. She is a 76 y/o White female. Presents today with chills, fever of 102.5 F, fatigue, general aches and pains for 3 days, worsening. States spit up some blood last night when she was coughing. PMH: HTN, Hyperlipidemia, Psoriasis, and HIV, Stage 3 Breast Cancer, Bipolar disorder. Medications: Lisinopril/HCTZ 20/25 qd, Simvastatin 20 mg qd, Humira 40 mg SQ every 2 weeks, Viracept 1250 mg pd bid, Tamoxifen 20 mg qd, Lamictal 200 mg qd, Valproate 100 mg qd. Vitals: B/P 102/58. HR 110. RR 24. Allergies: PCN (itching) and reports being lactose intolerant. BMI 17.
| Subject | Nursing | Pages | 8 | Style | APA |
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Answer
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Multiple Chronic Condition Family Case Study: Assignment
Patient #1: Ginger Jones a 46-year-old white Female
- Describe impression/concerns for the patient and how you will address each.
The patient is a smoker and occasionally drinks. She thinks she has a UTI infection due to the symptoms such as burning on urination, frequency, and dark colored urine with a bad smell. She is in a new relationship and needs a contraceptive pill. The patient is asking for a mammogram screening. She also reports high consumption of fast foods and a sedentary lifestyle. She sits most of the time in office.
The patient requires a test to determine the severity of the UTI and proper medication given. A proper contraceptive must also be agreed with the patient.
- Describe Health Promotion recommendations for the patient (include screenings and other age and issue appropriate recommendations).
It is recommended for the patient to maintain a healthy lifestyle and avoid alcohol consumption and smoking. Similarly, the necessary screening procedures such as the mammogram and STI screening should be conducted to ascertain the UTI case (Aslam et al., 2020)
- Discuss Growth and Development for the patient (expectations/alterations) based on age.
The patient is a 46-year-old who has reached maximum growth and is starting to enter the menopause age. She should expect changes in the normal menstruation cycle as the menses diminishes (Gracia & Freeman, 2018).
- Nutrition recommendations for the patient (problems/plan).
The patient should consume balanced diets and avoid the heavy consumption of fast foods (Currie et al., 2010).
- Exercise recommendations for the patient (problems/plan.
Ginger Jones should take part in regular exercise as she sits most of the time in the office. Advisable to take part in at least 2 hours exercise in a daily basis to cope with the sedentary lifestyle (Tremblay et al., 2010)
- Immunization needs for the patient (what they should have had up to this point and what they need to be up-‐to-‐date on immunizations).
The patient should have been issued with all the necessary immunizations from childhood. She should however, be kept up to date with all the current vaccinations to prevent reoccurring infections.
- Medication concerns with specific changes/additions for the patient (problems/plan).
The patient has allergic reaction to Cipro and therefore these kind of medication must not be used. A proper antibiotic should also be issued for the UTI. Similarly, the patient requires a contraceptive pill which must be administered at her convenience.
Reference
Aslam, S., Albo, M., & Brubaker, L. (2020). Recurrent urinary tract infections in adult women. Jama, 323(7).
Currie, J., DellaVigna, S., Moretti, E., & Pathania, V. (2010). The effect of fast food restaurants on obesity and weight gain. American Economic Journal: Economic Policy, 2(3), 32-63.
Gracia, C. R., & Freeman, E. W. (2018). Onset of the menopause transition: The earliest signs and symptoms. Obstetrics and Gynecology Clinics, 45(4), 585-597.
Tremblay, M. S., Colley, R. C., Saunders, T. J., Healy, G. N., & Owen, N. (2010). Physiological and health implications of a sedentary lifestyle. Applied physiology, nutrition, and metabolism, 35(6), 725-740.
Patient #2: Jennifer, a 16-year-old white female
- Describe impression/concerns for each patient and how you will address each.
Jennifer is a 16-year-old white female who is reportedly starting to have bad looking teeth. She is getting sexually active and the mother is concerned she should start having a contraceptive plan to avoid unwanted pregnancies. Additionally, Jennifer could be possibly starting to indulge in smoking and alcohol consumption as stated by the mother.
The patient’s teeth need an examination to determine what is exactly making them look bad. The contraceptive plans available for the patient would only be abstinence and using condoms in extreme cases. I strongly advise on abstinence for Jennifer. Advise on smoking and alcohol consumption is necessary too.
- Describe Health Promotion recommendations for the patient (include screenings and other age and issue appropriate recommendations).
The patient is a 16-year-old girl who should be physically active and therefore it’s advisable to have enough sleep. Being sexually active, it is recommendable to have screenings for sexually transmitted infections such as chlamydia, gonorrhea and HIV. Similarly, the patient should receive counselling on violence, drug abuse and sexuality. Further, nutritional screening is necessary to avoid obesity and malnutrition.
- Discuss Growth and Development for all children (expectations/alterations) based on age.
At age 16, Jennifer is an adolescent who is expected to be experiencing bodily changes such as breast enlargement, hips development and general bodily growth (Kar et al., 2015). She is expected to achieve the average adult body by age 17. Through this time, the patient is expected to be experiencing developmental growth milestones. Her thoughts, feelings and the way in which she thinks is likely to change as an adolescent as explained by Schleider and Weisz (2016). Her interactions with others too is subject to change.
- Nutrition recommendations for the patient (problems/plan).
Jennifer being an adolescent girl who is experiencing much changes in the bodily structures should be taking food rich in protein to build body organs. Additionally, her diet must consist of calcium, fruits and vegetables, whole grains that are energy rich. Jennifer must consume more of iron rich foods since she is starting to lose more blood during menstruation (Branca et al., 2015). She should however limit the amount of fats that she consumes.
- Exercise recommendations for the patient
Jennifer should take part in at least one to two hours of vigorous physical exercise in a daily basis. This would be necessary to burn the fats and avoid unnecessary weight gain (McIntosh-Dalmedo et al, 2018). The exercise would lead to development of strong and healthy bones for a feminine stature.
- Immunization needs for the patient (what they should have had up to this point and what they need to be up-to-date on immunizations)
This patient should have already undergone immunizations for several diseases such as; Hepatitis B, Tetanus, Diphtheria, Haemophilus influenza, Polio, Measles, Chicken pox, and Hepatitis A. She should also be having Human papillomavirus immunization in every six months since she is getting sexually active. Additionally, Meningococcal B vaccine would be necessary to keep Jennifer up to date on her immunization schedule.
- Medication concerns with specific changes/additions for the patient
The patient does not report any serious medical conditions needing medication. It is therefore important to keep in touch with the physician for any cases that might require drugs.
Reference
Branca, F., Piwoz, E., Schultink, W., & Sullivan, L. M. (2015). Nutrition and health in women, children, and adolescent girls.
Kar, S. K., Choudhury, A., & Singh, A. P. (2015). Understanding normal development of adolescent sexuality: A bumpy ride. Journal of human reproductive sciences, 8(2), 70.
McIntosh-Dalmedo, S., Devonport, T. J., Nicholls, W., & Friesen, A. P. (2018). Examining the Effects of Sport and Exercise Interventions on Body Image Among Adolescent Girls: A Systematic Review. Journal of Sport Behavior, 41(3).
Schleider, J. L., & Weisz, J. R. (2016). Mental health and implicit theories of thoughts, feelings, and behavior in early adolescents: Are girls at greater risk? Journal of Social and Clinical Psychology, 35(2), 130-151.
Patient #3: Johnny, a 9-year-old Asian male
- Describe impression/concerns for the patient and how you will address each.
The patient is a 9-year-old Asian male who has been complaining of a sore throat for the past 5 days. Jonny has not experienced any cough though. The mother has also reported a developing rash to his chest.
The patient needs immediate test conducted to ascertain the kind of infection in play. Relying on the results of the test, an appropriate medication can be applicable. An examination into the rashes on the chest would be necessary. Further, an ointment can be used to manage the spread of the rashes as a conclusive medical intervention is sought after the results from the lab tests.
- Describe Health Promotion recommendations for the patient (include screenings and other age and issue appropriate recommendations).
The patient is in a normal playful age. The age requires constant checkups as they play. Parental guidance is necessary to avoid any dangerous situations that the patient may be in. Constantly keeping warm and drinking safe water is recommended. Avoiding dirt is a mandatory health concern for the kids in this age bracket. Similarly, occasional screening for diseases communicable prevalent in kids in this age is necessary as stated by Hardy et al. (2017).
- Discuss Growth and Development for the patient (expectations/alterations) based on age.
Children in the 9-year bracket starts to develop smoother muscles and show a stronger control of their interests. Similarly, they demonstrate an expansion in their physical space and tend to want to be more independent when managing their personal grooming and hygiene (Dowling, 2014). This shouldn’t come as a surprise to the parents.
- Nutrition recommendations for the patient (problems/plan).
The patient requires a balanced diet consisting of a wide range of fruits and vegetables. Additionally, the meals for this patient should be based on foods rich in starch to give more energy (Ogata & Hayes, 2014). Low fat options are advisable.
- Exercise recommendations for the patient (problems/plan)
This age bracket requires exercises tailored towards muscle and bones strengthening. These activities can include squats, pushups and some form of yoga. Alternatively, the patient can be allowed to be involved in free play, to be able to run around freely hence keeping active (Bento & Dias, 2017).
- Immunization needs for the patient (what they should have had up to this point and what they need to be up-to-date on immunizations).
The 9-year-old patient should have already been issued with immunizations for several diseases such as; Hepatitis B, Tetanus, Diphtheria, Haemophilus influenza and Polio. Further the Measles immunization will be issued to keep the patient updated on the vaccines
- Medication concerns with specific changes/additions for the patient (problems/plan).
The patient has been using amoxil for the sore throat. A proper antibiotic will be administered once the patient is fully examined. He may need not to use the amoxil again.
Any reactions will then be recorded for future reference.
Reference
Bento, G., & Dias, G. (2017). The importance of outdoor play for young children's healthy development. Porto Biomedical Journal, 2(5), 157-160.
Dowling, M. (2014). Young children's personal, social and emotional development. Sage.
Hardy, L. L., Mihrshahi, S., Bellew, W., Bauman, A., & Ding, D. (2017). Children's adherence to health behavior recommendations associated with reducing risk of non-communicable disease. Preventive medicine reports.
Ogata, B. N., & Hayes, D. (2014). Position of the Academy of Nutrition and Dietetics: nutrition guidance for healthy children ages 2 to 11 years. Journal of the Academy of Nutrition and Dietetics, 114(8), 1257-1276.
Patient #4: Freddie a 5-year-old black male
- Describe impression/concerns for the patient and how you will address each.
The mother reports that the patient may have Attention-deficit/hyperactivity disorder (ADHD) which must be confirmed. Also, the patient was diagnosed with Asthma and has been using an inhaler about 5 times a week when playing outside. The patient is allergic to something unknown. He is soon moving to kindergarten and this presents a great medical concern.
For these concerns, necessary checkups on the suitability of the inhaler and the severity of the asthma must be ascertained. The allergy must also be determined. Similarly, the mother must be advised on how to handle the kid and avoid dusty environments. Advising the mother is the prime goal to secure the patients’ health.
- Describe Health Promotion recommendations for the patient (include screenings and other age and issue appropriate recommendations).
For the asthmatic patient, it is recommended to understand the necessary control measures in case of a flare up. The caretaker, in this case the mother must be able to perform emergency duties in case of severity before reaching a medical facility (Archibald et al., 2015). The patient must be kept in well ventilated enclosures without dust, this will prevent occasional shortness in breath. Additionally, regularly screening and checkups must be undertaken to check on the patient’s performance and reactivity with the inhaler and other drugs.
- Discuss Growth and Development for the patient (expectations/alterations) based on age.
The most remarkable growth in kids at this age is the ability to jump around, hope, run, throw and kick balls as they play.
- Nutrition recommendations for the patient (problems/plan).
The patient should be given an easy to digest balanced diet. More of fruits such as bananas and apples should be a major part of the diet. Similarly, foods rich in vitamin D would be great as they help lower the number of asthma attacks (Esfandiar et al., 2016).
- Exercise recommendations for the patient (problems/plan).
It is recommended to avoid early morning exercises due to the cold. The kid can be involved in plays that aim at increasing the air circulation in the body hence opening the air vents (Ierodiakonou et al., 2016). The guided plays increase the lung capacity and help control asthma (Wanrooij et al., 2014).
- Immunization needs for the patient (what they should have had up to this point and what they need to be up‐to-date on immunizations).
By 5 years, the patient should have already been immunized against Hepatitis B, Diphtheria, Tetanus, Pertussis, Haemophilus influenza, polio, chicken pox, hepatitis A and measles. For the asthmatic scenario, being up to date on the Pneumococcal vaccine would be an added advantage.
- Medication concerns with specific changes/additions for the patient (problems/plan).
The patient would be put under the same inhaler if it is still effective. The records show no known reactions to other drugs. Therefore, any additions would be readily administered. A possible medication may be prescribed for the unknown allergy and observe the patient’s response.
Reference
Archibald, M. M., Caine, V., Ali, S., Hartling, L., & Scott, S. D. (2015). What is left unsaid: an interpretive description of the information needs of parents of children with asthma. Research in Nursing & Health, 38(1), 19-28.
Esfandiar, N., Alaei, F., Fallah, S., Babaie, D., & Sedghi, N. (2016). Vitamin D deficiency and its impact on asthma severity in asthmatic children. Italian journal of pediatrics, 42(1), 108.
Ierodiakonou, D., Zanobetti, A., Coull, B. A., Melly, S., Postma, D. S., Boezen, H. M., ... & Hallstrand, T. S. (2016). Ambient air pollution, lung function, and airway responsiveness in asthmatic children. Journal of allergy and clinical immunology, 137(2), 390-399.
Wanrooij, V. H., Willeboordse, M., Dompeling, E., & van de Kant, K. D. (2014). Exercise training in children with asthma: a systematic review. British Journal of Sports Medicine, 48(13).
Patient #5: Julie is a 4-year-old Hispanic female
- Describe impression/concerns for the patient and how you will address each.
The patient is a 4-year-old Hispanic female who has reportedly missed on her immunization and needs to catch up. She wets the bed too. The mother thinks the girl must be anxious about something.
Medical recommendations for the kid would include the full administration of the immunization according to the schedule. Similarly, the kid needs counselling and the mother must know what is really making her have anxious characteristics.
- Describe Health Promotion recommendations for the patient (include screenings and other age and issue appropriate recommendations).
The patient is a young kid who is just starting to learn most things, she requires the utmost care to remain in good stature. Screening is required for the kidneys to determine the reason for wetting the bed (Huang et al., 2011). Further, the private parts must be screened for any infections to ascertain why she keeps touching there.
- Discuss Growth and Development for the patient (expectations/alterations) based on age.
The normal growth and development of a young kid at the age of 4 should be expected. The mother should expect the kid to experience anxiety and tend to want to experiment and learn (Christensen et al., 2014).
- Nutrition recommendations for the patient (problems/plan).
A balanced diet is recommended with fruits and lots of vegetables. Immunity boosting foods is recommended for the patient of this young age (Alpert, 2017).
- Exercise recommendations for the patient (problems/plan.
Basic exercise is recommended for the kids in this age group. Leaving them to indulge in free play would be useful (Landry & Driscoll, 2012).
- Immunization needs for the patient (what they should have had up to this point and what they need to be up-‐to-‐date on immunizations).
At this age, the kid should have already been given vaccines on Hepatitis B, Diphtheria, Tetanus, Pertussis, Haemophilus influenza, polio, chicken pox, hepatitis A. To keep the kid updated on the immunizations, the measles vaccine should be given. All the missed vaccinations must also be issued.
- Medication concerns with specific changes/additions for the patient (problems/plan).
The patient has got no allergic reactions to any medication, therefore any possible medication solution would be necessary.
Reference
Alpert, P. T. (2017). The role of vitamins and minerals on the immune system. Home Health Care Management & Practice, 29(3).
Christensen, D. L., Schieve, L. A., Devine, O., & Drews-Botsch, C. (2014). Socioeconomic status, child enrichment factors, and cognitive performance among preschool-age children: results from the Follow-Up of Growth and Development Experiences study. Research in developmental disabilities, 35(7), 1789-1801.
Huang, T., Shu, X., Huang, Y. S., & Cheuk, D. K. (2011). Complementary and miscellaneous interventions for nocturnal enuresis in children. Cochrane database of systematic reviews, (12).
Landry, B. W., & Driscoll, S. W. (2012). Physical activity in children and adolescents. PM&R, 4(11), 826-832.
Patient #6: Mrs. Jones a 76-year-old white female
- Describe impression/concerns for the patient and how you will address each.
The patient has chills with fever. She is also experiencing fatigue with general body aches. She has been experiencing body pains for 3 days now. She also has coughs with blood.
Medical examination into the condition of the patient is necessary, the tests to be conducted on the chest infection for the coughs, and reasons for the body aches and other symptoms. Necessary medication to mitigate the symptoms and alleviate the pain is recommended.
- Describe Health Promotion recommendations for the patient (include screenings and other age and issue appropriate recommendations).
The patient is encouraged to have more rest and eat healthy at all times. Occasional health visits to the clinic is mandatory to know the stages of the infections (Kaufman et al. 2014).
- Discuss Growth and Development for the (expectations/alterations) based on age.
No possible growth could be expected from this old lady. The tissues and muscles are shrinking and therefore not much is expected. Except for the degeneration of body parts and weakening of the muscles (Bogin, (2020).
- Nutrition recommendations for the patient (problems/plan).
The patient is in an old age, and a balanced diet is recommended considering she is already HIV positive. Immunity boosting foods is recommended (De Pee & Semba, 2010).
- Exercise recommendations for the patient (problems/plan.
It is advisable not to indulge in very strenuous exercise as the bones and muscles have become weak. Light exercise is recommended (Sparling et al., 2015).
- Immunization needs for the patient (what they should have had up to this point and what they need to be up-to-date on immunizations).
The patient at this age has already been issued with all the immunizations and the only possible vaccinations could be against the recurring and emerging infections.
- Medication concerns with specific changes/additions for the patient (problems/plan).
The patient is already under medication and results from the tests would indicate addition of more drugs or replacement basing on the severity of the infection. She should however not be issued with the drugs that she has an allergic reaction to.
Reference
Bogin, B. (2020). Patterns of human growth (Vol. 88). Cambridge University Press.
De Pee, S., & Semba, R. D. (2010). Role of nutrition in HIV infection: review of evidence for more effective programming in resource-limited settings. Food and nutrition bulletin, 31(4_suppl4), S313-S344.
Kaufman, M. R., Cornish, F., Zimmerman, R. S., & Johnson, B. T. (2014). Health behavior change models for HIV prevention and AIDS care: practical recommendations for a multi-level approach. Journal of acquired immune deficiency syndromes (1999), 66(Suppl 3), S250.
Sparling, P. B., Howard, B. J., Dunstan, D. W., & Owen, N. (2015). Recommendations for physical activity in older adults. Bmj, 350, h100.
Reference
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[/et_pb_text][et_pb_divider color="#E02B20" divider_weight="2px" _builder_version="4.9.3" _module_preset="default" width="10%" module_alignment="center" custom_margin="|||349px||"][/et_pb_divider][/et_pb_column_inner][/et_pb_row_inner][et_pb_row_inner use_custom_gutter="on" _builder_version="4.9.3" _module_preset="default" custom_margin="|||-44px||" custom_margin_tablet="|||0px|false|false" custom_margin_phone="" custom_margin_last_edited="on|tablet" custom_padding="13px||16px|0px|false|false"][et_pb_column_inner saved_specialty_column_type="3_4" _builder_version="4.9.3" _module_preset="default"][et_pb_blog fullwidth="off" post_type="project" posts_number="5" excerpt_length="26" show_more="on" show_pagination="off" _builder_version="4.9.3" _module_preset="default" header_font="|600|||||||" read_more_font="|600|||||||" read_more_text_color="#e02b20" width="100%" custom_padding="|||0px|false|false" border_radii="on|5px|5px|5px|5px" border_width_all="2px" box_shadow_style="preset1"][/et_pb_blog][/et_pb_column_inner][/et_pb_row_inner][/et_pb_column][et_pb_column type="1_4" _builder_version="3.25" custom_padding="|||" custom_padding__hover="|||"][et_pb_sidebar orientation="right" area="sidebar-1" _builder_version="4.9.3" _module_preset="default" custom_margin="|-3px||||"][/et_pb_sidebar][/et_pb_column][/et_pb_section][et_pb_section fb_built="1" specialty="on" _builder_version="4.9.3" _module_preset="default" custom_padding="0px|0px|0px|||"][et_pb_column type="3_4" specialty_columns="3" _builder_version="3.25" custom_padding="|||" custom_padding__hover="|||"][et_pb_row_inner _builder_version="4.9.3" _module_preset="default" custom_margin="|||-44px|false|false" custom_margin_tablet="|||0px|false|false" custom_margin_phone="" custom_margin_last_edited="on|tablet" custom_padding="28px|||||"][et_pb_column_inner saved_specialty_column_type="3_4" _builder_version="4.9.3" _module_preset="default"][et_pb_text _builder_version="4.9.3" _module_preset="default"]- QUESTIONWeek 4 Discusssion
Choose ONE of the following discussion question options to respond to: Using Adverse Conditions to a Company's AdvantageThis is a discussion question that I need answered. I need the second portion of the questioned answered thoroughly, both bullet points. I have highlighted it in yellow to show that it is what I need answered. I need this r returned to me completed without any grammatical or punctual errors. The company that I want this question written about is Nissan Motor Corporation. - Chakravorti (2010) discusses four methods that corporate innovators use to turn adverse conditions to their advantage. Examine an organization of your choice and briefly discuss how the organization might use one of these methods.
- Using the company of your choice, identify an important and difficult decision that they faced. What were the most important risks and the most important rewards of the decision?
- What data, analysis or perspective would you have used to help Sr. Management decide if the rewards outweighed the risks?
| Subject | Business | Pages | 4 | Style | APA |
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Answer
Training Needs Assessment Introduction Training and development are very instrumental, especially in the current operational context of most organizations that are endeavoring to enhance optimal throughput from the entire resourceful areas of the organization. Training improves employees’ expertise; it gives room and space for ascertaining key crucial extents of employees’ development (Towler, et al. 2014). In order to establish whether employees have the reading level necessary to succeed in a training program, I would employ various techniques as discussed in the following section. First, I will conduct formal interviews and tests that call for reading abilities, experience, and skills. In specific, I would carry out written interviews and tests for the employees at the workplace that would incorporate excerpts that best suits the employees’ reading level for them to read and respond to its related questions. This excerpt, for example, will be based on the objectives of the training, the content, and prior practice settings. This training need evaluation would help to identify employees’ reading behavior and the gaps to be addressed in the training program, which in return would benefit the organization and employees from new training prospects (Gupta, 2011). This will enable me to identify what employees need to know in so far as technical or communication knowledge is concerned, and what they are capable to do in terms of mental or manual skills to realize the intended results and the disposition to execute their roles (attitude). However, it should be noted that, the ability of employees to understand what they read does not resonate with their reading level (Cain, 2011). Furthermore, I would employ an employee performance appraisal interview to identify previous and contemporary performance to find out an area that needs action (Franco-Santos, Lucianetti, & Bourne, 2012). All these are written documents or material that need to be read and interpreted, hence will help in assessing the reading level essential to thrive in a training program. On the other hand, I would use self-assessments, surveys (Garvin, Edmondson, Gino, 2008), and questionnaires. These are all techniques with a regular written format that call for reading. They can be structured based on the attitude of employees, employees’ job content, the standards of employee performance in line with efficiency and outcome, or on the expertise required to execute the roles of the job proficiently (Verrell, McCabe, 2015). In this analysis, I would be able to establish the reading level based on how they respond to the questionnaires and the way and the degree they use to evaluate themselves. Lastly, I would employ focus group discussions which provide an open atmosphere for employees to engage in open written questions on various training requirements as I listen to the way they read and articulate their points out. I would ensure that the topics for discussion are all written, and they should be read within a given period of time before being discussed. This helps in knowing the reading level. Additionally, I would employ desk studies for employees on the organizational documents and the analysis of the records which uses secondary information to help in the identification of training needs (Garvin, Edmondson, Gino, 2008). Employees would be required to give their report which will help me establish their reading level essential to thrive in a training program. .References
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