Drug Abuse Rehabilitation Strategies

Drug Abuse Rehabilitation Strategies Amber Pegg Does NKY have the Most Effective Treatments Available? A Review of the Literature Drugs and alcohol have increased in acceptability over the years in the United States. Individuals use these drugs for mood alterations and medicinal purposes. Society is surprisingly very unaware of the epidemic that is occurring right under their noses. Annually, illicit drug abuse cost in average $181 billion dollars. (Office of National Drug Policy, 2010) Addiction and dependency both play an extreme role in the increase of use and both are extremely misunderstood. During the year 2013 21.6 million individuals were classified with Substance Dependence/Addiction (Administration, 2013). With addiction on the rise in North America it has been recognized as a public health crisis that is extremely multidimensional and complex. (Larkin, 2006) Drug addiction is classified as an actual disorder according to the medical association. Studies have began to show that genetics may indeed be a part of addiction. These studies are showing genetics may cause susceptibility to addiction in an individual. (Erickson, 2001) Drug addiction is classified into three groups; the first being preoccupation and anticipation, the second being binge and intoxication, and finally the third is withdrawal and negative effect. Those stages are described as, preoccupation with using the substance, constant cravings, using more than necessary, and experiencing tolerance. Addiction is having a severe craving for a substance. This generally also implies that a great deal of attention is devoted to the activity and interferes with the individual’s daily routine. Frank Tallis writes â€Å"At first, addiction is maintained by pleasure. But the intensity of this pleasure gradually diminishes and the addiction is then maintained by the avoidance of pain.† Dependency is said to be the compulsion to use drugs to experience psychological or physical effects. To be considered drug dependent you must have three characteristics; First they must exhibit tolerance, which happens after the body becomes familiarized to the drug, second they must show habituation, this is continuing to have the desire to use the drug after the physical need has ended, and lastly addiction this normally means a great deal of attention is devoted to this activity. In both addiction and dependence the primary goal of an individual suffering from these is simply to attain and use the substance. Commonly used drugs are often categorized into six groups, opioids, sedative-hypnotic, stimulant, hallucinogens, cannabis, and inhalants. In the Northern Kentucky area there are certain drugs that are more prone than others. These include but are not limited to, stimulants, opioids, cannabis and hallucinogens. Opioids include heroine and methadone. Heroin was introduced in 1898 as a cough suppressant, which depresses neural functioning. Heroin use has shifted within populations; literature shows that it was mostly low income minorities as to now where middle class Caucasians are the most prevalent users. (Cleero, 2014) The majority of opiates reduce anxiety and pain for a short period of time. Most heroin users will have the need for larger amount to get the â€Å"fix† but for some, overdose occur and death is the ultimate price. In 2011 heroin alone accounted for 16% of all admissions to treatment facilities. (services, 2012) The most common stimulant abused is known as cocai ne. Cocaine is a crystallized white powder, convenient for snorting. Stimulants increase alertness, decrease the need for sleep and often suppress the feeling of being hungry. This makes it very marketable to college students. Cannabis is often described as a natural drug and is often in debate as to whether it should be classified as something addictive. Marijuana has been cultivated for over 5000 years. THC can produce several effects Marijuana has the effect of relaxation and could give someone the perception of slowing time. What Are the Varying Types of Treatments available? Across the United States there are several treatment types available to those who suffer from substance abuse. Addiction treatments vary due to the complexity of the disease. Individuals may benefit from rapid treatments or they may need treatments that in other terms work to cure and take longer amounts of time and effort. (Riessman).In the last 30 years, there has been significant progress in the development and validation of psychosocial treatments for substance abuse and dependence, with a predominant focus on the validation of cognitive behavioral treatments (Dutra Lissa Stathopoulou, 2008) The office of Drug and Crime reported in 2012, â€Å" expressed in monetary terms, some $200-250 billion dollars would be needed to cover all cost related to drug treatment worldwide; less than 1 in 5 that need treatment will actually receive it. (Publication, 2012). Factors such as treatment length and intensity of individuals play a role into the success of treatment but studies have proven that there is a link between the two. (Finny, 1996) The following information will focus on the most dominant and relevant to NKY. With medically assisted treatment on the rise it has quickly become one of the most popular and user â€Å"friendly† though controversy over drug substitution has arisen within the treatment community (Kleber, 2008). Mattick wrote â€Å"Medically assisted treatments are more appealing than typical drug free approaches.† (Mattick, 2009) With the up rise in heroin and opioid use these treatments will continue to grow. Medically assisted treatments normally consist of one of three drugs to help intervene within the withdrawal and detox phase; Methadone, Suboxone, and Buprenorphine. Each of the three are considered to be moderately effective. There are drop in clinics that will supply the medication and are considerably accessible to communities. Medically assisted treatments can potentially cause addictiveness to the treatment itself. According to the SAMHSA data collected more than 300,000 individuals received medically assisted treatment in 2011. (Treatments for Substanc e Abuse Disorders, 2014) The National Institution on Drug Abuse classifies Detoxification and Withdrawal as the most common process. (NIDA, 2009)Detoxification is the allowance of the body to rid itself of a drug while managing the symptoms of withdrawal. (NIDA, 2009) Each treatment process must begin with the detoxification and withdrawal stages. An often misconception of these two are that while they are processes within each treatment they alone are not considered treatment, one must have follow up. There are several forms of counseling and therapy available to those in need. This ranges from individual, group, psychotherapy, couples, family, open and closed meetings. These sessions are available through insurances and some are right in an individual’s own community. These groups and sessions are great means for resources, networking and general support. Literature reads that cognitive behavioral therapy for substance abuse has been deemed effective; both in combination treatment and monotherapy. (Center for Alcohol and Addiction Studies, 2009). Cognitive and Behavioral treatment programs are focused on a short term approach. Motivational Interviewing and CBT are both evidence based treatments that continue to make strides in the treatment industry, (McHugh, 2010) Lastly, Inpatient and Outpatient rehabilitation. These facilities are structured similarly yet have extreme differences. While an individual is attending an inpatient center they are at the center 24 hours a day, each day. They will see therapist and doctors routinely for a minimum of 28 days. Outpatient facilities still routinely have therapist and doctors with their clients but they are able to return home in the evenings and be part of their normal routine. This also keeps them accessible to whatever the addiction may be. These programs allow individuals to use self autonomy in which treatment facility they feel would best suit them. Many would argue that outpatient is less affective when in fact studies have shown that there is little to no difference in outcomes between the two. (Moos, 1995) Steven Gifford included in his description of inpatient and outpatient unsettling statistics from NIDA; 23.2 billion individuals required treatment for substance abuse in 2013, only 2.4 bill ion were treated by some sort of drug rehabilitation. (NIDA, 2009) Gaps Included in the Literature The amount of literature readily assessable in regards to drug abuse and treatments available is incredible. There is an abundance of knowledge about the topic with reasonable resources at ones fingertips. We know that individuals who suffer from substance abuse are likely to choose a treatment that fits best to their needs and addiction but also at the convenience to themselves and their families. Finances and insurance can also impact ones decision to certain treatment programs. As to the question, Does NKY have the most effective treatments available the literature does not go into depth enough in geographical terms. There are many treatment options available but whether they are geographically reasonable to the rural and lower income are that is left unanswered. The statistics and information in very broad to the general. Though we know there are treatments in NKY area the question of are they the most effective continues to go unanswered. Works Cited Administration, S. A. (2013). Retrieved March 15, from www.drugwarfacts.com: http://www.samhsa.gov/data/NSDUH/2013SummNatFindDetTables/NationalFindin#sthash.snuPjFav.dpuf Center for Alcohol and Addiction Studies. (2009). Cognitive Behavioral Treatment with Adult alcohol and Illicit drug users. Journal of Studies on Alcohol and Drugs , 516-527. Cleero, T. E. (2014). The changing Face of Heroin. Journal of the American Medical Association , 71 (17), 821-826. Dutra Lissa, P., Stathopoulou, G. (2008). A Meta-Analytic Review of Psychosocial Interventions for Substance Use Disorder. The American Journal of Psychiatry , 179-187. Erickson, S. W.-M. (2001). Drug abuse and addiction Research. Journal of the American Pharmacist Association , 41 (1). Finny, M. a. (1996). A qualitative synthesis of patient, research design and treatment. Explaining Abstinence rates following Treatment , pp. 787-785. Kleber, H. D. (2008). Methadone Maintenance 4 decades later. American Medical Association , 2303-2305. Larkin, M. W. (2006). Towards addiction as relationship. Addictions research and theory , 207-215. Mattick RP, Breen C, Kimber J, Davoli M. Methadone maintenance therapy versus no opioid replacement therapy for opioid dependence. Cochrane Database of Systematic Reviews 2009, Issue 3. McHugh, R. a. (2010). Cognitive Behavioral Therapy for Substance Use Disorders. Psychiatric Clinics of North America , 511-525. Moos, R. P. (1995). Three models of Community residential Care. Journal of Substance Abuse , 99-116. NIDA. (2009). Treatment. Retrieved March 30, 2015, from NIDA: http://www.drugabuse.gov/publications/drugfacts/treatment-approaches-drug-addiction Office of National Drug Policy. (2010, December). Retrieved April 11, 20145, from National Criminal Justice Reference System: https://www.ncjrs.gov/App/Publications/abstract.aspx?ID=255037 Publication, U. N. (2012). World Report. Retrieved April 2015, from Office on Drugs and Crime. Riessman, F. C. (n.d.). Social Policy. 27 (2), pp. 36-46. services, N. A. (2012). Center for behavioral health statistics and quality. Retrieved 4 5, 15, from http://www.samhsa.gov/treatment Treatments for Substance Abuse Disorders. (2014, 10 16). Retrieved March 2015, from SAMHSA: http://www.samhsa.gov/treatment/substance-use-disorders

Philips Versus Matsushita: the Competitive Battle Continues Essay

1. How did Philips become the leading consumer electronics company in the world in the post-war era? What distinctive competence did they build? What distinctive incompetencies? Philips became the leading consumer electronics in the world in the post-war period by a strong investment in research and development of their independent national organizations, and good communication between the organizations. Philips has continued this tradition with fourteen divisions of product development, production and distribution in the world, which is another factor n the success of Philips, national organizations. Distinctive competence Philips They had built national organizations that recognize a great advantage of the situation and respond to differences in local countries had, and finally product development was based on local market conditions. They also had to transfer their assets abroad in trusts in the United Kingdom and the United States and they moved most of its research staff in England, and senior executives in the United States. There were distinctive in that Philips skills are no longer able to make decisions ad one company’s technology is o put new products on the market, but each had The national organization tried to take care of their own problems and but they have lost the ability to manage the company as a whole administration. They tried to establish areas of products, but they also failed. 2. How did Matsushita succeed in displacing Philips as No. 1? What were its distinctive competencies and incompetencies? Matsushita was able to move Philips as Number 1 in consumer electronics with a unified global strategy, allowing increasing volumes Matsushita to lower the cost of pushing the lowest price, and hey have finally surpassed the strength Philips its related manufacturing. Matsushita basic skills were they. Control of the company’s subsidiaries and a single global strategy, they were allowed to reduce their production and enhance the coastline there were distinctive skills that they do not develop the innovation and they were not able to develop innovative foreign companies. 3. What recommendations would you make to Gerald Kleisterle? To Eumio Ohtsubo? Both Philips and Matsushita changed its business some things better and some things for the worse.  Philips has its international corporate culture, but it seems that Philips is finally turning around again and again in his fundamental beliefs in research and manufacturing. It will be difficult, but with all the cost savings they had to do while trying to get there, and they need to have confidence in it. They used to make their production continues to improve in the development of research, but they need to promote innovation, to develop the company where he was. Matsushita will never recover it vocation is terrible and they were slow to respond to the recession in Japan. They lost their advantage in the manufacture of other low-cost competitors and they do not recover this advantage, because many companies have lost faith in Matsushita and how they do business. We think Philips and Matsushita are the same things need to improve their business. Both companies to consolidate their production by improving innovation, outsourcing products in low-wage countries, back with a strong research and development, and improve communication within the organization. If they do, there should be an increase in revenue over time. You lose money in advance, but it will be worth it in the end.

Challenges and Opportunities of the Global Insurance Industry

Introduction The global insurance industry seems to have escaped the worst of the financial crisis in comparison to other financial institutions. Day to day business has been relatively unaffected but the area that gave the most cause for concern has arisen from exposures to risky financial instruments. â€Å"The Reactions Magazine’s Global Insurance Conference 2009† was held in Swissotel, Zurich, Switzerland. At this conference the financial services industry tried to re set itself following the worst crisis for years. (www. euromoneyseminars. com). Insurance is an established industry. Like other companies insurance is facing increased competition from global players. It has been difficult for insurers to accomplish profitable growth, so they need to improve this. They will need to adopt new advanced approaches to expand their distribution networks. This essay is divided into two sections. The first talks about the types of risks that are present in the global insurance industry. I will take each of these points and discuss them in detail: growth, governance and risk management, market reporting, mergers and acquisitions, human capital and lastly compliance and regulation. The second section looks at the opportunities that are available to the global insurance industry within the next twelve to twenty – four months. They include: disaster modelling, disaster planning, managing the industry’s reputation, grow globally, innovative products and delivery and Focus on readdressing product and distribution strategies. The insurance industry is always looking for new opportunities in different services and geographies. To take advantage of these opportunities insurance companies need to re-examine their strategies and be prepared to drive basic changes in the way they work. The primary function of insurance is to act as a risk transfer mechanism. The basic principle of insurance is that the losses of the few are paid by the many. Its underlying purpose is to provide protection against the risk of financial loss, thus giving peace of mind to the policyholders. † (www. peerpapers. com) Challenges are getting bigger for insurers as an increas e in pressure for bigger profit margins. This means taking a hard look at reducing costs and top line revenue growth. Making a profit is due to the ability to accurately assess risk and look after customer relationships over time in order to get financial success. I am going to look at the following six challenges. 1. 1 Growth After a spell of cost cutting and readjustment, insurers are again moving up a gear and trying to strive for managed growth. While growth is valued by investors, it is hard to find in the fairly mature insurance industry. To be successful in the future companies will need to create and design new products and services, cross – sell more effectively, strengthen their ties with brokers and agents and avail of any opportunities presented by emerging markets such as China and India. (www. pwc. com). Further demand for pensions and health insurance is likely to rise in the Western world as the population ages and lives to enjoy a longer retirement. Costs will remain critical however to meet the ever exacting demands of today’s customers is liable to be the main point of contention. There are new openings from the increasing wealth of customers in new markets e. g. China. As their insurance industry is one of the fastest growing in the world with GDP at 3. 2% and the end of December 2008, they stand far behind the global average of insurance industry which stands at 7%. www. lloyds. com) Saturation of insurance markets in the developed world has made the Indian market more attractive for international insurers according to â€Å"Booming Insurance Market in India (2008-2011)†. This is due to its huge population base and large untapped market. (www. newsblaze. com) 1. 2 Governance and Risk Management Natural calamities are another challenge facing the industry. Global warming has caused a change in weather patterns which have caused a shift in the underlying probability of insured loss by storms, floods, wind and heatwaves. Natural disasters like hurricanes Katrina and Rita whose losses amounted to $61. 5 billion (www. duncansadviceonmmoney. vox. com) These disasters posed some very serious problems for the insurance industry as they are faced by difficult and uncertain financial burdens because of this this has shown the importance of quality data and calibration of model outputs, effective validation and also the experience and initiation of the underwriter. Structures will have to be put in place to tackle the threat of climate change. The development of Enterprise Risk Management (ERM) capabilities help to protect insurers from damages to their reputation and provide a platform for strengthening governance, decision making and compliance with regulations. Pricewaterhouse- Coopeus (ERM for the insurance industry) revealed that many insurers have difficulty implementing and enforcing ERM in the face of containing data, systems and governance challenges. Also found in this study were examples of how resourceful and efficient management and helping to overcome these hurdles and bring greater insight to the insurers ERM missions. www. pwc. com) 1. 3 Market Reporting Insurers are facing a major overhaul of market reporting. This contains the launch of the market Casistent Embedded Value Principle, a planned move to a finalised IFRS level for insurance contracts and the increased risk and capital management disclosure foreseen by EU Solvency II â€Å"Scheduled for implementation in 2012, it is a new regulatory regime de signed to provide a principles-based supervisory framework for European insurers and reinsures. Solvency II is a risk-based system and is being built to meet the challenges of rapidly developing financial markets. It will also bring an increased level of transparency and harmonisation to the sectorâ€Å". (www. towersperrin. com). These changes are likely to set a model for global disclosure for others to follow in relation to risk. The key elements , include the possible adoption of IFRS(International Financial Reporting Standards) in the US form 2014. Implementation of Solvency II and IFRS reporting will be demanding. The good news is that corresponding timings and basis of valuation could open up cost – savings in areas like data, modelling and reconciliation. These changes help to increase stakeholder confidence by enabling insurers to show a single view of their business that shows more clearly how it is run on the inside. A survey by (IFRS 2007) insurance states that companies will need to provide more risk information and explanation to meet the exacting expectations that have come about from market events. (www. pwc. com) 1. 4 Mergers and Acquisitions Although funding is a challenge from time to time. Mergers and Acquisitions is vital for business to expand complementary earnings streams, realise opportunities for cost saving synergies and reinforce their existence in fast increasing emerging markets. Emerging markets are underinsured and these present potential business for the insurance market. Within ten years China is expected to become a leader in the global insurance market, while India is set to double its digits in the growth rate. However, due to cultural conflicts and protectionism could stop growth in economies. In the near future, the insurance industry is liable to be a very active period for mergers and acquisitions. US insurance companies attractive evaluation will make it easier for insurers in the EU to infiltrate the US market. (www. pwc. com) 1. 5 Human Capital All organisations in the world realise the importance of people in the conduct of their business therefore the trend of classifying their employees as assets. The human resource management school of thought tends to focus on the enrichment of the knowledgeable worker in terms of its theory. Human resource planning should be part of the total resource planning equal to planning devoted to capital development and materials and equipment purposes. Many insurers are facing an skills shortage in their workforce. Training and development of staff is now on the agenda as a rule in all organisations. Improved productivity is expected to result in trained and motivated workers. The employee training programs are intended to provide them with more knowledge and skills so they can do their job to the best of their ability. Training is a visible pay-off and is seen immediately whereas development is future- orientated.. Lessons are being learnt on a continuous basis in the requirement of human capital in the new economy in comparison to the old economic labour force. M Morley et al 2004). This investment in recruitment and career development lags behind other financial sectors. They look at short term fixes rather than looking at the long term prospects. However, looking to the future demographic shifts accelerating globalisation look set to change the shape of the labour market and make it more difficult to attract and retain good peo ple. (www. pwc. com) 1. 6 Compliance and Regulation Growing regulatory demands are bringing increased problems to insurers. Solvency II is included to require a critical check of capital and risk management along with sustaining information and documentation. The EU Reinsurance Directive gives a standard system of regulation and mutual recognition across Europe. This includes an ease of the regulatory limitations on securitisation which could give way for a large increase in risk transfer to the capital markets. Also they give a new definition of reinsurance that will prevent several contracts. Insurers are also facing a ceiling on regulatory changes including anti-money laundering and harder conditions on consumer protection. A key challenge is to know how to include these requirements into â€Å"business as usual†. Enterprise wide risk management can assist in providing ways to do so. They can help by giving a greater understanding of the trade off between reward and risk which will result in a brighter capital allocation. (www. pwc. com) As I have discussed in the challenges previously opportunities in the next twelve to twenty-four months can be found by global expansion adopting the latest technologies to give better service delivery and provide services to meet the exacting requirements of the next generation of retirees. The insurance industry is in the process of undergoing transformation as a result of the following three factors : sector specific, macro and operational. Increased regulation requirements outsourcing, globalisation, new distribution channels, more modern IT systems and climate change are adding to the increased volatility in the insurance industry today and they are now positioning themselves to be successful in the future that requires many changes in the way they do their business. China is one of the fastest growing insurance industries in the globe. â€Å"China Insurance sector forecast 2013† is the outcome of much research and in – depth study of the insurance market in China. Between 2009 and 2013 it is expected to grow CAGR of 28% – 30%. Chinas insurance industry is already out of the financial crisis and is expected to make great headway in the coming years. In 2008, the industry grew in the fastest pace since 2002, due to the rising insurance awareness level and government support. Insurance products which include life, health, and personal accidents accounts for the majority of growth. Property insurance products are also growing rapidly and are basically divided into two segments â€Å"motor and commercial property insurance†. Non life insurance products i. e. that is product liability, credit and marine insurance etc. These will decide the long term viability of the non- life insurance market. 2. 1 Disaster Modelling The tragic impact of the Asian Tsunami, as well as the worst Japanese typoon in 2004 was the year of improbable disasters. As a result, this forces us to look at how we prepare for such risks. Hurricane forecasting began in the 1980's, forecasters have tried for many decades despite being unsuccessful to deliver accurate predictions, and landfall activities. Scientists of tropical storm risk in London announced that they had developed a new model which represents a major step forward.. (www. lloyds. om) Insurers also use models developed by companies e. g. Air Worldwide Corporation to predict the damages caused by storms so that insurers can forecast the payouts to be made. (www. informationweek. com). This reminds us of the importance of investing in scientific research to help our understanding of risk and its impact 2. 2 Disaster Planning Insurance and disaster planning are closely related as they both deal with the risk of the disaster happening and the after math. Due to the upward trend of catastrophe events we see the need for robust and effective disaster planning for the future. Part of the solution must be insurance markets and their regulators working together sharing their respective knowledge and expertise. By doing this, we can be sure that response procedures are well tested and run as smooth as possible for when the next disaster strikes. In terms of claim handling, lessons can be learnt. The shortage of adjustors on the ground and the mishandling of claims by some shows how important the relationship between the insurer, the adjustor and the regulator is. As the frequency and cost of disasters goes upwards it will be very important to have a relationship based on trust and flexibility. (www. lloyds. om) 2. 3 Managing the Industry's reputation Improving transparency and disclosure are two issues which are needed to manage and improve the industries reputation that has been rocked by high profile developments. For instance in the USA the New York State Attorney Generals investigation sparked very close scrutiny of the commercial insurance market. In th e minds of customers, commentators and regulators the financial service industry has been left with a very poor image, after the recent investigations. These investigations highlighted the lack of transparency and accountability that are expected of a 21st century business environment. These issues can no longer be ignored. In a survey, by Lloyds of a hundred underwriters, one third admitted that the industries reputation is tarnished. Transparency and disclosure as well as good communication appears to be the answer to those outside the industry globally. Basically more time communicating and building bridges with consumers, economic leaders and world politicians initially means less problems down the line. (www. lloyds. com) 2. 4 Grow Globally Sales in new markets or by new acquisitions insurance companies need to grow globally more than ever before. Growth in the European and American market is slowing down while growth in India and China is increasing. The aging population presents insurers with a dilemma. The industry has great difficulty in attracting and retaining talent than other sectors of the financial services industry.. This situation is going to get worse as there are more retirees and fewer graduates moving into the top jobs. There is also a loss of graduates to banking and other financial institutions. Concern is expressed about the career path from insurance company hire to insurance agent. If this problem is not addressed the industry’s sale force would diminish. By moving into the European and American markets, insurers can grow a less risky strategy rather than expanding into new product lines. Those who do go overseas have to look at the various business lines in different markets. Chinas middle class and aging population with long term care and security needed make it a very viable option for foreign insurance companies. By 2010 China will be a major player on the insurance market. The same is also said of India. (www. rmislab. com) 2. 5 Innovate Products and delivery Innovation is seen as the main driver of profit over the next three and five years both in delivery and product innovation. By building relationships with customers moving them for example form car insurance to other insurances as they become asset rich. By providing better service and delivery insurers can strengthen their customer base. Technology can strengthen relationships with intermediaries which helps them run more efficiently and reduce their running costs. Insurers must look to cut cost they can do this by cost reduction initiatives like outsourcing and use of shared services, rationalizing product portfolios . Companies need original approaches and to continue to invest in this very complicated environment. (www. rmislab. com). â€Å"In 2007, AXA Equitable Life Insurance Co introduced a variety of enhancements to its variable annuities including an expanded choice of â€Å"living benefits† and the upbundling of optional income and death benefits† (www. deloitte. com) 2. 6 Focus on readdressing product and Distribution Strategies As the economy continues to even out, insurers need to evaluate their decisions and distribution channels. These decisions are vital in assisting insurers rebuild capital as well as positioning themselves for future growth. (www. ey. com). Insurance companies that sell directly through call centres, internet and direct mail have been performing better and this is due to lower costs because of their economies of scale and strong internet capabilities. Compared to independent insurance agents who lack these advantages have been put under pressure they require support and further development. Insurers need to find ways to work more effectively across product lines e. . give a customer packages that reward him/her for being a good driver. (www. deloitte. com) Conclusion In my findings I have found that the insurance industry has survived the financial crisis much better in comparison to the banking sector. This is due to its strong focus on risk management and long term prospects. Even though capital markets have decreased downwards their insurance assets, insurers are optimistic about the fu ture and some are expecting an improvement in prospects in mergers and acquisition over the next twelve to twenty – four months. The global insurance industry faces many challenges but despite these that they are being faced with the majority of insurers must move into fast growing markets i. e. India and China or find new innovative ways to get more businesses out of slower growing developed markets. China with its huge population is an obvious choice while the latter options include diversification, new products and speciality products. Insurers need to improve their risk management especially in the areas of disaster modelling and managing the industries reputation as it is vital to have a tarnished free reputation. Finally insurers need to work effectively and efficiently to develop and market a range of products aimed at older customers. In this intensely competitive market, employers will need to develop an excellent human resource management capable of responding to business needs and the workforce expectations. They will need to be able to identify and realise opportunities for career development prospects and other key areas of their employment. (www. pwc. com) With this knowledge insurers will be able to position their business models to optimize investment returns and control operations using the most effective and efficient methods available.

Cultural Sensitivity In Nursing - 1557 Words

Albanian Cultural Analysis As America continues to grow and expand with diverse cultures immigrating into the United States it is important to start to incorporate culture specific care into nursing. Cultural competence is when attitudes, knowledge, and skills to diverse cultures are adequate to provide quality care to the individual (AACN, 2008). Cultural sensitivity is when verbal and nonverbal ques are used to reflect sensitivity and appreciation for one another’s culture (AACN, 2008). Per American Association of Colleges of Nursing (2008), there are five key competencies when providing care which include applying the knowledge of social and cultural factors, using relevant evidence based practices, promote safety and quality†¦show more content†¦The patient has fluids running from the Emergency Room (ER). The nurse does the admission process, and finds out the patient has advance directives that have been verbally stated to the husband and son who will make de cisions. The patient and family are also Albanian Muslims who practice faithfully. Past medical history include Sickle Cell Anemia, chronic migraines, asthma, chronic shortness of breath, and hypertension. The advance directives include not to resuscitate and no ventilator. The patient starts to complain of uncontrolled pain in her chest, feeling feverish, difficulty breathing, increase respiratory rate, decrease oxygenation 90%, and a strong wet cough. Doctors are notified of new onset of symptoms. The patient is diagnosed with Acute Chest Syndrome, and is treated appropriately with a bronchodilator, chest x-ray, antibiotics and fluids. No ventilator required, and patient states relief of pain. Education provided about crisis, with family at bedside. The husband stated he did not want any more interventions done now that she is stable and would like their medicine doctor to come see her. The patient refuses food provided by the cafeteria, due to the cafeteria tray having meat on the plate, and food is brought in to the patient by family and friends. The father or son is at the patient’s bedside at all times, and the patient’s medicine doctor visits to do a healing ceremony on the patient. The patient isShow MoreRelatedAmerican Nurses Association : The Protection, Promotion, And Optimization Of Health And Abilities, Prevention Of Illness907 Words   |  4 PagesAmerican Nurses Association nursing can be defined as â€Å"the protection, promotion, and optimization of health and abilities, prevention of illness†. (American Nurses Association 2016) Nursing is a career where a person, should have compassion, a caring heart, and be devoted to their client care. Sometime person goes into the nursing field for the money, job stability, and because a person s family member wants them to go into the nursing field. 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