Care Giver Perceptions of End of Life Care for COPD Patient

Care Giver Perceptions of End of Life Care for COPD Patient RESEARCH PROPOSAL Title: Exploring the primary family care givers perceptions of care giving for end of life care of COPD ICU patient. Introduction: The world perspective is shifting towards non-communicable diseases, with chronic conditions such as heart disease, stroke and chronic obstructive pulmonary disease (COPD) as chief causes of death globally. COPD is a chronic progressive disease of air flow obstruction which includes emphysema and chronic bronchitis. COPD is predicted as 3 rd leading cause of death in 2030 according to 2008 WHO statistics. In terms of social burden of disease quantified by disability-adjusted life-years (DALYs) lost, COPD ranked as the 12th leading cause of DALYs lost worldwide in 1990, but will be the 7th leading cause of DALY lost worldwide in 2030.COPD is more common among world age people due to decreased lung function capacity. The world population above 60 years was1.7% in 2013 and will continue to grow as a reaching 21.1 per cent by 2050 (world a geing population 2013). COPD is one of the major 8th leading causes of death in Singapore. According to MOH 2013 census COPD causes 1.6% of deaths per 18938 populations.COPD is a treatable disease but not a curable one. So ultimately it increases the economic burden of the country by its chronicity, rate of hospital readmission and affects the quality of life Lynn, 2000; Simonds, 2004).The palliative care needs of patients with end-stage respiratory diseases are increasingly being recognized (Curtis, 2008; Lanken et al., 2008) . The COPD patient experience significant impairment of quality of life and physical and psychological needs when compare to individual with lung cancer (Core et al., 2000; Edmonds et al., 2001; Skilbeck et al., 1998; Tranmer et al, 2003). Why family members? When there is progression of diseases it imposes negative impacts on psychological health of Care givers (Daniela Figueiredo, 2014). Careers are more likely to suffer from anxiety and depressive symptoms providing continuous care during the advance stage of the disease and end of life care (Abebaw Mengistus Yohannes 2007). Preparation for death should include a realistic appraisal of the prospects for dying peacefully at home. (Hansen –Flaschen J .2004) Most of the patients are willing to be housebound at the end stage of life so its responsibility of family cares to provide continuous care and support them White P (2011) stated 45% were housebound, 75% had a career in end stage of COPD . despite no studies have been conducted qualitatively on family care givers perception on End of life care on COPD in Asian countries .

Risk management Essay Example | Topics and Well Written Essays - 3500 words

Risk management - Essay Example The systemic risk governance requires unity between the countries and enclosure within the process of industry, government, academia and the civil society. Governance is defined as the processes, traditions, actions and institutions by which the authority exercises and takes decision which is then implemented (Aven & Vinnem, 2007). Risk Governance The term risk governance can be defined as the assessment, identification, management and communication of the risks in a board framework. It comprise of â€Å"actors, rules, conventions, processes and mechanisms and is concerned with how relevant risk information is collected, analyzed and communicated, and how management decisions are taken†. It uses the main beliefs of the good governance that includes effectiveness, transparency, efficiency, strategic focus, accountability, equity, sustainability and fairness. It deals with the rule of law and also need to chose the solution which will be legally and politically feasible along wi th publicly and ethically acceptable. Risk is always accompanied by changes. It is an important and permanent part of every life. The urge and the capacity to accept the challenge of the risk is very crucial for the achievement of the economic development and the introduction of the new technologies. Sometimes risk is accompanied by potential opportunities and benefits in the emerging technological sector (Graham & Rogers, 2002). Good risk governance aims at minimizing the following: 1) The unfair distribution of benefits and risk between the countries, social groups and the organisations. 2) By modifying the approaches for assessment and management of the same risk. 3) By emphasising extensive focus on the high profile risks it can be eliminated but the lower profile risk are also looked upon. 4) By managing the risk tradeoffs. 5) Failure in understanding the secondary effects and the linkages between the issues 6) The cost is reduced in case of inefficient regulations. 7) The deci sions that are taken for inappropriate account of the public perception. 8) Decisions are taken for not losing the trust of the public. Risk oversight function The main challenge of managing the risk lies in the benefit that the society will receive from change and by minimising the ill consequences of the risk which is associated with the change. (Confusing sentence, reframe) The main aim of the Board of Risk Governance of every company is to oversight the risk that the company is going to face or faced already confronted with. The main risk oversight functions are the following: 1) The boards are worried regarding the strategic long term risk: Over sighting risk is an important duty of the boards. The boards pay serious attention to many facets of the issues that includes a wide range of risks that the companies confront and the various enterprise risk management (ERM) systems. But the members underline the fact that it is crucial for the boards to concentrate on the risks which a ffects the strategy of the company, leveraging talent of the directors. It is also needed to help the senior management for identifying, analyzing and responding to those risks. The challenges that are posed to the very existence of a company are the big risk of the disruptive technologies and the new business models. The new business models which emerge suddenly pose threat to the existence of the

China Assignment Example | Topics and Well Written Essays - 750 words

China - Assignment Example The emperor created an intricate bureaucracy which they used to wage imperial wars, perform public works projects and to build large temples. During the Imperial era, the states were centralized though local officials maintained limited autonomy. Artisans and self-sufficient peasant farmers ruled the economy during this period. Business was relatively frequent and it increased after the Han Dynasty after Silk Road was developed. During this period, there was an emergence of large-scale businesses and advancements in technology. Developments in technology were marked by the invention of paper, wheelbarrows and the seismograph. The Late Imperial era brought an economic revolution in China. With technological advancements, there was a rise in large-scale enterprises, waged labour and use of paper money. Trade in the overseas flourished during the Ming Dynasty. Liberalisation of capital, investment and commerce took place as technology continued to advance. At the same time, there was privatisation of government manufacturing industries. There was also emergence of urban and rural markets, whereby there was production that was geared towards consumption. The emergence of these markets was a key development during this era (Hampton & Moss, 2004, p. 37-42). Power distance refers to the extent to which people who have less powers in an organization will expect and accept power to be distributed in a different way. China is ranked 80 on power distance which is very high. This rank means that there is a big power distance between the subordinates and the management. However, that is acceptable and considered normal. Individualism is where people think with a mentality of â€Å"I† or â€Å"We†. For the American culture for example, it is mostly â€Å"I† focused. It therefore means that the Americans focus more on furthering themselves and their careers versus furthering their departments or groups. China is ranked at 91 on individualism. It therefore means