Managerial Decision Making Bachelor Essay Example | Topics and Well Written Essays - 3000 words

Managerial Decision Making Bachelor - Essay ExampleThe focus will be on the need for breast distress specializer nurses in the community and how they can improve health care in the UK.The 80-year-old female patient I have chosen to discuss here(predicate) appears to fit the overall criteria for the above study, which was mainly focused on previously hospitalized patients with interventions through specialist smell failure services in the community. My leaf node was diagnosed with heart failure two years ago and had one additional admission to hospital about one year ago for exacerbation of her heart failure. She mat she had not been given adequate information on her condition. She was referred to community heart failure nurses for education, management and titration of Carvedilol 6.25mg bd. Other heart failure medication prescribed include furosemide 80mg mane, spironolactone 25mg mane and ramipril 5mg bd. The spironolactone was stopped due to increased potassium, urea and cre atnine, a decision based on the RALES study (2003). After some other admission for chest infection, she was discharged without furosemide, and I was assigned as a community heart failure nurse. She was concerned about having her furosemide discontinued, and it was recommenced after I contacted the physician. The client feels more secure knowing she has someone to contact rather than bothering her doctor, and we have developed a good rapport. I am working with her on pharmacology issues, making sure she is responding well to her medications as well as taking the right medications. marrow squash Failure - Major Health ProblemHeart failure has continued to be an escalating public health problem. Chronic heart failure is the syndrome of breathlessness, fatigue and fluid retention resulting in impaired ability of the heart to pump properly (Sanderson, 1994, par. 1), often following a heart attack. By the end of the 1990s, 5% of all medical admissions to hospital in UK were related to ch ronic, or congestive, heart failure (Bosson, 1997). The Department of Health considers it a major concern because there is no cure at present. It therefore has a dramatic effect on the select of life, and if not properly managed in the community it can also place very heavy pressures on hospital beds through hint admissions and re-admissions (DOH, 2003). Local GPs in a 2005 clinical audit who had access to a specialist CHF nurse considered the service far more important than did the GPs without a specialist nurse. Even with the existence of guidelines, the treatment for heart failure in UK continues to be suboptimal, a concern which makes the specialist CHF nurse increasingly valuable (Leslie, 2005).The 80-year-old female client whose care I am monitoring no doubt will find herself increasingly dependent on others, and if she doesnt have proper treatment her quality of life will be greatly diminished. The purpose of this paper is to determine whether this type of care in the comm unity not only will lessen the need for hospital inpatient care but ultimately will