submit a term paper on Fuel Price Increase in US.

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You will prepare and submit a term paper on Fuel Price Increase in US. Your paper should be a minimum of 1500 words in length. The thrust at accomplishing set goals in pursuing the ‘green world’ philosophy and theory much based on the need to curtail the towering global climate upheavals has seen the emphasised shift in policy in various industry and agriculture fronts. The soaring fuel prices owing to the volatility of the oil prices have spurred government and energy as well as food industry stakeholders to consider alternative means of curtailing the predicament of escalating fuel prices. President George W. Bush has had the production of corn-based ethanol as part of the core of his energy policy. Hayashi Fumio (2007) notes, “This has brought in some merits on board. The resonating perspective is based on that the emphasis on corn based ethanol production has acute implications on the success of the attempts at throwing a holistic approach to the whole global ‘green world’ initiative”. The scholar further notes that the emphasis of green solution even to the fuel predicament has thus put America society back in the lead in the efforts of making the world a better place.

Patient Preferences and Decision-Making Patient-centered care is one of the most recent developments in nursing and clinical practice.

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Patient Preferences and Decision-Making

Patient-centered care is one of the most recent developments in nursing and clinical practice. Incorporating clients into clinical decision-making has been shown to improve recovery plans, cost-effective interventions, and the selection of the best therapeutic modalities. In the long run, all of these have enhanced patient care and results. Patients and their families may decide on preferred treatment approaches for nurse practitioners to follow to make them feel more comfortable, or because the patient or family has researched high success rates. In home-based care, where the client’s family plays an important part in treatment and rehabilitation, patient preferences are critical. However, it is important to highlight that collaborative decision-making has limitations. As a result, by reviewing a specific clinical practice experience where patient preferences and inclusive decision-making impacted the progression of the situation and the treatment plan, this discussion will explore the specifics of how patient preferences influence the outcomes of care from a nurse’s perspective. The discussion also includes an explanation of how the chosen patient choice can benefit and aid future nursing professional practice.

Several therapeutic interventions in healthcare have attempted to incorporate patient preferences and collaborative decision-making to improve patients’ quality of life while undergoing treatments (Gärtner et al., 2019). This has been the case for patients in Palliative Care setting receiving therapy and care. Patient preferences for cancer therapy and treatment alternatives, when to commence specific treatment protocols, whether to go for screening tests, and the sort of therapies to choose based on the patient’s values, among other things, have all been accommodated.

Prior to working at my current position, I had worked with a 48-year-old mother with two daughters ages 15 and 13 years old respectively, who had survived breast cancer for ten years. Her breast cancer had relapsed and impacted her lumbar spine, thus she had chronic back discomfort. Her oncologist recommended treatment with anticancer hormone drugs in combination with radiation therapy. When it became evident that her disease would not be treatable in the long run, she was recommended for palliative treatment, which would help her manage her symptoms. She was subjected to several cancer therapies over three years, all of which proved futile in the end. The patient was compelled to choose between continuing her cancer treatments, undergoing further life-prolonging treatments such as cardiopulmonary resuscitation, and being admitted to the intensive care unit, among other options. I had the opportunity to use patient decision aids as one of her caregivers. Some of the decisions to be taken were micro-decisions which are sometimes fraught with difficulties due to communication gaps (Karlsen, 2020). The patient had to choose between staying in the hospital and being treated in the privacy of her own home. When shared decision-making is not launched effectively, significant complications can occur, and patient care must be patient-centered (Kon et al. 2016). It was necessary to consider the patient’s values. Thus, her caregivers, including me, unanimously supported her desire to receive home-based care so that she could spend quality time with her two girls. She needed palliative care in the comfort of her own home so that when it was time for her to die, she could die peacefully while surrounded by her loved ones.

The preferred aid I selected was intended to help the patient in part by focusing on her daughters. It entailed determining the breast cancer risks for her two kids, as requested by the patient. I suggested that they do a BRCA Gene Test to assess their hereditary propensity to breast cancer as well as other risk factors so that screening and treatment could begin sooner. The patient felt relieved and accepted her terminal situation after learning that her girls would be fine, and she didn’t have any regrets about opting for home-based care. 

Overall, patient preferences and participation in decision-making about their personalized care are crucial in achieving better results. When patients’ wishes are in accordance with the treatment and care interventions they get, they respond well to treatment. Decision aids improve decision-making by demonstrating the advantages and disadvantages of each option and highlighting some inherent possibilities.

References

Gärtner, F. R., Portielje, J. E., Langendam, M., Hairwassers, D., Agoritsas, T., Gijsen, B., . . . Stiggelbout, A. M. (2019).

               Role of patient preferences in clinical practice guidelines: a multiple methods study using guidelines from oncology as a case.

               BMJ Open, 1-11.            

               https://bmjopen-bmj-com.ezp.waldenulibrary.org/content/bmjopen/9/12/e032483.full.pdf. 

Karlsen, M. M., Happ, M. B., Finset, A., Heggdal, K., & Heyna, L. G. (2020). Patient involvement in micro-decisions in intensive care. Patient                      Education and Counseling, 1-8.

 https://wwwsciencedirectcom.ezp.waldenulibrary.org/science/article/pii/S073839912030207X?via%3Dihub.

Kon, A. A., Davidson, J. E., Morrison, W., Danis, M., & White, D. B. (2016). Shared Decision Making in Intensive Care Units: Executive                           Summary of the American College of Critical Care Medicine and American Thoracic Society Policy Statement. American Journal of                         Respiratory and Critical Care Medicine, 193(12), 1334-1336. https://search- proquestcom.ezp.waldenulibrary.org/docview/1797885427?      

article How Do the American Boss and the Chinese Subordinate Interact.

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The work is to be 6 pages with three to five sources, with in-text citations and a reference page. During the time I worked in that joint-venture, I got close with a Chinese female employee (here I just called her Lussa). Lussa was older than me and had been an employee of the Chinese firm long before the joint venture was formed with a US corporation. After the Chinese firm entered into the joint venture with American firms, there were some adjustments to the personnel arrangement as this is a common occurrence at the early stage of a joint venture, especially for merger and acquisition activities. When two firms or two business lines are joined, great efforts are needed to deal with integration in different departments including human resource, supply chain, financial, research and development. Lussa told me that when the former Chinese firm she has been working for merged with the US firm, great changes have been made in personnel. She was transferred to a different functional department and likewise, her boss also changed. The then new department B where she now worked for was led by an American.

Since I was a new person at that time, she gave me a lot of help in getting familiar with business operations and gave me some advice about how to get on well with the other colleagues. She said everything went well at the very beginning but they somehow changed later on and she got into some trouble. The reason is that Lussa had been late for work for several times and she was warned by her boss that if she is late again for work, she would face severe punishment, and would probably be fired if nothing changes. There is both oral and written warning against her absenteeism.

But she told me that the reason she was late for work was that her newly-born baby needed someone to take care of and her husband was too busy to take time out. Therefore, she had to wait for the babysitter before she leaves for work. But one day, just as she was about to leave for work, the babysitter called and said she would not be able to come. Lussa decided to stay at home that day, but the result is that she was fired by her boss.

In attempting to outline the ethical issues in the case given above to ascertain whether Lussa is right or wrong as well as to establish the person to blame between Lussa and her babysitter, it is important to highlight important factors as far as the concept of ethics is concerned. Basically, the term ethics is primarily concerned with distinguishing between what is good and bad while special attention is focused on issues of morality and professional conduct in an organization where honesty and integrity should be seen as the guiding principles. This is based on normative values which can be described as the “essential and enduring tenets” that help define the company and are “not to be compromised for financial gain or short term expediency,” (DesJardins 2006:5). In general, these can be regarded as the beliefs that incline us to act or to choose one way rather than the other.

Prosocial behaviors are actions that benefit others or support the common good.

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Prosocial behaviors are actions that benefit others or support the common good. How can we encourage prosocial behavior in the classroom? What kinds of activities might we initiate in the classroom to support prosocial behavior? ( 150 words please cite)

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