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Netflix SWOT Analysis Summary

Netflix SWOT Analysis Summary

 

 

 

Abstract

There are many ethical issues that may arise when managers develop a system of organization within a diverse workforce. One of the most important areas of concern is the inclusion of diversity that respects every employee’s input, including differences in perspective and the ways that these differences may improve the team member approach. In the 21st century, these ideas have become increasingly important at every level of business management. Managers have a central role in leading the team together in a shared purpose of social responsibility and strengthening the reputation of the company as a whole. This approach provides a more cohesive system of meaning that can lead to higher rewards as each person is encouraged to share ideas from diverse points of view. At Netflix, which is rapidly becoming a very important international enterprise as they expand their business concerns to many regions of the globe, these objectives are central for the position of managers.

Netflix SWOT Analysis Summary

Netflix is an American multinational corporation that offers a subscription-based video-on-demand service for customers to bypass the waiting period for watching television shows and films, as well as produces original programming of its own. Beginning as a company focused on DVD rentals, the company deviated in order to capitalize on the boom of streaming media. The company is now worth more than $19 billion in assets and has a total equity of nearly $4 billion (Canady, 2017), creating great financial and economic strength for the company. There has been a consumer move away from traditional programming in favor of viewing shows in totality whenever possible rather than dealing with advertisements and the like. Its primary strengths are in numbers and its connectivity, which creates ease of use for consumers. Its connection system includes several devices like computers, laptops, mobile phones, televisions and tablets, all aimed at increase ease to access of its content; this creates an increasing loyal consumer base as well.

Although Netflix is a multinational corporation that services customers’ media programming needs worldwide, one of its major weaknesses is market regulations within other countries that limit its profitability and ability to reach more consumers. High programming costs, censorship and other sociocultural factors, as well as high global unemployment and inflation that weaken its reach and impact. As most companies hope to do, Netflix has looked into international expansion, yet the conditions and regulations of various countries makes that difficult. There are significantly more risks of loss than gain when it comes to expanding for Netflix, especially into European markets. New laws on higher Value Added Tax (VAT) impact consumers, whose subscription costs would likely go up as Netflix must pay a tax to distribute its services. Different nation’s laws and regulations great limit its profitability. In recent years, the company has lost more than hundreds of millions of dollars (Frey, 2015). Netflix is also weakened by declining memberships of its DVD section, which appears to be needless as consumers have access to its main platform of programming without the use of an addiction electronic device.

Netflix is currently the United States’ top streaming service with more than 100 million subscribers. Despite its success, there are still opportunities for growth which can enable it to stave off media competition and increase its values amongst much larger conglomerate challengers like Hulu, Amazon, Disney and 21st Century Fox. One opportunity is for Netflix to use its cultural power and media platform to speak out against the recent repeal of net neutrality rules, which the company had long opposed (Feldman, 2017). The repeal was made official in June 2018 and as Netflix continues to speak out against it in addition to the general public’s dismay, it shows the public that the company is committed to corporate social responsibility and free use of the Internet. Although it drives its bottom line ultimately, it also makes the service continually available to its customers who value the service greatly. Another opportunity is introducing new types of content, like podcasts, to present a new form of storytelling to the consumer. Podcasts like Serial have been making waves among media consumers and it is a way to increase subscribers, especially if paired with shows that are on true crime, many of which Netflix. Netflix can add to the conversation and create more of it as well as the first programming producer to do so (for free with subscriptions). This also makes Netflix a formidable competitor with Stitcher and Apple’s podcasts.

Netflix also faces significant threats to its streaming services, particularly from competitors such as traditional television, DVR, Amazon Prime Video, Hulu and more, as well as decreased offerings from media distributors. At its outset, Netflix was the only company offering this service compared to its competitors now, creating for it a period of long-term financial and economic growth. Netflix gave consumers a new way to consume movies and television on demand when they wanted it, including the option to watch an entire season (or season’s) worth of television, otherwise known as “binge-watching.” Now, Netflix has inadvertently created an on-demand subscription model that the likes of Hulu and Amazon have created their own of. Netflix is no longer unique to the industry, especially considering that some of its competitors have their own original programming as Netflix does itself. All of these companies are vying for the attention of streaming services, making the most significant threat to Netflix.

Netflix’s media content offerings also create a threat to its business in the coming years. With major media conglomerates like Disney and Fox merging, there is the possibility of new streaming services to enter the market, which means that film and TV studios may withhold their intellectual property rights from Netflix to host their won programming. Netflix’s original programming, though, makes up a small portion of its offerings and it relies on making deals with publishers to offer media to consumers. If rivals continue to enter the market and Netflix loses programming, many subscribers will be forced to choose—if Netflix’s prices increase or change in any way, they may get left behind.

The ways in which Netflix could turn its opportunities and weaknesses into strengths is through adapting and continuing to satisfy consumers. In a very media-heavy and technological age, consumers have a plethora of options to choose from—and be overwhelmed by. Creating options and inclusiveness, as well as standing up for what the company believes in like net neutrality, consumers will become interested in and foster a sense of loyalty to the company.

References

Canady, V. (2017). Netflix series prompts need for conversation, information. Mental Health Weekly, 27(17), 4-6.

Feldman, B. (2017). Without net neutrality, what happens to my Netflix? New York Magazine.

Frey, M. (2015). Netflix Crit in the Twenty-First Century. Film Criticism, 40(1), 119-188.

Modern culture from Kafka and Eliot

Modern culture from Kafka and Eliot

 

Modern culture is perceived as an orthodox war that is; cool as well as tolerating and open for all. These are the pictures and representation of a culture any individual would want to be linked with.  The interpretation of modern culture by Kafka is nevertheless one that is spineless of lack of self-conscious by human beings as far as spirituality and identity are concerned. The interpretation of modern culture is that the globe is undergoing change and that technology together with religion should embrace the change. Hence the majority of the people feel afraid of losing their prehistoric religious ways of life so as to allow a new and modern way of living.

Kafka was a proficient academic expert of his time. As from his childhood, he had an interest in writing by which majority of the people regard his writings as being a mystery and phenomena. When he was seventeen years of age, he had started his journey in writing. His critics together with themes have been far stretched from metamorphosis, existential, absurdity, bureaucratic marginality strength as well as identification. In a vigorous growing surrounding, we discover him as continually keen of noting and offering a critic in a properly laid out way on what he seemed as misleading as well as wanting. People at some point in life would wish of making their views heard but how many of them can be heard?.

As far as Kaka is concerned, the use of literature, as well as essay, allowed him to strike of several issues in Europe in what is taken currently as mystical writing which not all the people seem to understand (Harwood & Forlenza, n.d.). Kaka spoke in a voice that was constantly completely his way of addressing issues.

Capitalism is seen by way of the majority as the better way ahead in the direction of the destiny projections. In reality, several countries globally exercise capitalism. But capitalism itself is wanting in various aspects of its operations. For one, capitalism creates the world where cash is almost everything from happiness and which will get anything performed. The take is that without cash, you can’t be glad and to some extent, it is the truth. However, we can all prove that capitalism has resulted in the development of infrastructure as well as expansion in technology. No single individual could need to stay in the days where traveling a few miles would take days due to unreliable modes of shipping that is available on time. At point scenario, Kaka points out in his tour diaries an accident that he encountered in Paris France (Harwood & Forlenza, n.d.). As far as he is concerned, automobiles are easy to steer on asphalt surface but also harder to bring to a stop.

The irony nevertheless is that Kaka was well known of moving from general to more specific. People have in most instances appreciated vehicles, the role they play and how helpful they are in the current times and all this is due to capitalism. Kaka would utilize his words in a craft manner so as to point out on the other side of the argument. In this incident, the vehicle owner with raised palms represents the approaching automobile, the gathering crowd of the spectators and the arrival of the police who proceeds to write down a report of what has just happened. Unhappily, Kafka goes on to say that something has gone wrong with the police officer’s notes and he sees nothing additional. The spectators hope that the police officers would at long last bring order to the scene, but it is clearly in vain. The scene ends with the officer continuously scrutinizing what he has scribbled as well as trying to bring some order.

The subject matter of death appears too dominant on Kafka writings. The fact is that the interpretation of dying seems to arise regarding religion which he was known for criticizing as well as language and the society as a whole (EPSTEIN, 2013). The subject matter of death is not necessarily a superb one; in fact, majority of the people would rather not be related to that subject. As a Jew, Kafka appears to write the majority of his essays in a perspective of Jewish personhood. At one scene, he states that “impatience caused our expulsion from paradise “wherein he is truly relating to his Jewish counterparts extradition. Europe was converting pre to WWI, and much was taking place in the political and social norms. As human beings, we tend to love the trade, but we at some point are afraid of what the variation will convey ahead. For Kafka, he would portray his fears together with dissatisfaction via essay so as to enlighten the community to what he found as evil or wanting.

The society surrounding us is quick to change at some spot in our lives. Hence, a distressing warning concerning an impending danger might be inevitable. But be it the eradication of the cultural way of life as well as religion or language, at some point, such confusion by all yet not in a position of understanding. Hence it is significant to pass a point by the use of a metaphor where individuals are forced to make a comparison of themselves with the related items so as to have a succinct view of what is taking place in the society which is an interpretation by Kafka.

The world is ever changing, and at some point in life, people might be forced to change with it. Nevertheless, people must never at any one moment trade in religion culture of the pursuit of happiness so as to get a better way of living (EPSTEIN, 2013). Actual happiness can just be found by people reflecting their past, the present as well as how well they can create their future without having to destroy what has already been built as well as laid out by the forefathers. Nevertheless, as the society undergoes changes, individuals are bound to change with it thus making required adjustments as well as taking precautions of them to ensure that they do not tarnish their society in pursuit of better living.

 

 

References

EPSTEIN, J. (2013). Is Franz Kafka Overrated?.

Harwood, J. & Forlenza, R. Eliot to Derrida: The Poverty of Interpretation (1st ed.).

 

THE CHANGING FAMILY MEAL EXPERIENCE

 

THE CHANGING FAMILY MEAL EXPERIENCE

Value of Sociology

The society has several biases and assumptions around the family trend. There is an assumption that single parent families (especially mothers and their children) are more likely to lead a life of poverty in comparison to other family set-ups regardless of whether the single parent is fully employed or not. One personal bias that I have observed is how people assume that single parents who spend most of their time working tend to focus more on themselves while forgetting their children (Banschick, 2013). For instance, they are assumed to wear better clothes than their children and not care about how their children experience. 

On the other hand, use of sociological theories and perspectives such as conflict theory (which focuses on how conflicts are likely to occur as a result of power, status, and resources are unevenly distributed between groups) can mitigate biases. Through this theory, it is evident that creating time for dinner helps in establishing positive growth in children regardless of their family set-up. For example, families that take dinner together throughout the week are likely to bond better than those that take two days a week. Lastly, the theories help in creating a balance between work life and family ensuring that the two do not conflict.

Evidence-Based Response

Parents have addressed the negative impact of the family meal experience trend by ensuring that they provide maximum time for dinner meals. This enables the family to share on the days’ experiences and lessons. If not dinner, members have ensured that they at least share one meal a day. Thus, they can bond in different avenues and help in noticing areas that need improvement.

 From my research, establishing a work-life balance is crucial in ensuring that the family gets full attention. Creating a work-life balance ensures that people perform best in their jobs yet participating fully in family affairs. A research by CASA indicates that families that spend time together enables children to perform better in schools and parents to work while not worrying about the issues their children may be going through (Banschick, 2013). Consequently, parents can monitor their children’s growth.

Modern culture from Kafka and Eliot

Modern culture from Kafka and Eliot

 

Modern culture is perceived as an orthodox war that is; cool as well as tolerating and open for all. These are the pictures and representation of a culture any individual would want to be linked with.  The interpretation of modern culture by Kafka is nevertheless one that is spineless of lack of self-conscious by human beings as far as spirituality and identity are concerned. The interpretation of modern culture is that the globe is undergoing change and that technology together with religion should embrace the change. Hence the majority of the people feel afraid of losing their prehistoric religious ways of life so as to allow a new and modern way of living.

Kafka was a proficient academic expert of his time. As from his childhood, he had an interest in writing by which majority of the people regard his writings as being a mystery and phenomena. When he was seventeen years of age, he had started his journey in writing. His critics together with themes have been far stretched from metamorphosis, existential, absurdity, bureaucratic marginality strength as well as identification. In a vigorous growing surrounding, we discover him as continually keen of noting and offering a critic in a properly laid out way on what he seemed as misleading as well as wanting. People at some point in life would wish of making their views heard but how many of them can be heard?.

As far as Kaka is concerned, the use of literature, as well as essay, allowed him to strike of several issues in Europe in what is taken currently as mystical writing which not all the people seem to understand (Harwood & Forlenza, n.d.). Kaka spoke in a voice that was constantly completely his way of addressing issues.

Capitalism is seen by way of the majority as the better way ahead in the direction of the destiny projections. In reality, several countries globally exercise capitalism. But capitalism itself is wanting in various aspects of its operations. For one, capitalism creates the world where cash is almost everything from happiness and which will get anything performed. The take is that without cash, you can’t be glad and to some extent, it is the truth. However, we can all prove that capitalism has resulted in the development of infrastructure as well as expansion in technology. No single individual could need to stay in the days where traveling a few miles would take days due to unreliable modes of shipping that is available on time. At point scenario, Kaka points out in his tour diaries an accident that he encountered in Paris France (Harwood & Forlenza, n.d.). As far as he is concerned, automobiles are easy to steer on asphalt surface but also harder to bring to a stop.

The irony nevertheless is that Kaka was well known of moving from general to more specific. People have in most instances appreciated vehicles, the role they play and how helpful they are in the current times and all this is due to capitalism. Kaka would utilize his words in a craft manner so as to point out on the other side of the argument. In this incident, the vehicle owner with raised palms represents the approaching automobile, the gathering crowd of the spectators and the arrival of the police who proceeds to write down a report of what has just happened. Unhappily, Kafka goes on to say that something has gone wrong with the police officer’s notes and he sees nothing additional. The spectators hope that the police officers would at long last bring order to the scene, but it is clearly in vain. The scene ends with the officer continuously scrutinizing what he has scribbled as well as trying to bring some order.

The subject matter of death appears too dominant on Kafka writings. The fact is that the interpretation of dying seems to arise regarding religion which he was known for criticizing as well as language and the society as a whole (EPSTEIN, 2013). The subject matter of death is not necessarily a superb one; in fact, majority of the people would rather not be related to that subject. As a Jew, Kafka appears to write the majority of his essays in a perspective of Jewish personhood. At one scene, he states that “impatience caused our expulsion from paradise “wherein he is truly relating to his Jewish counterparts extradition. Europe was converting pre to WWI, and much was taking place in the political and social norms. As human beings, we tend to love the trade, but we at some point are afraid of what the variation will convey ahead. For Kafka, he would portray his fears together with dissatisfaction via essay so as to enlighten the community to what he found as evil or wanting.

The society surrounding us is quick to change at some spot in our lives. Hence, a distressing warning concerning an impending danger might be inevitable. But be it the eradication of the cultural way of life as well as religion or language, at some point, such confusion by all yet not in a position of understanding. Hence it is significant to pass a point by the use of a metaphor where individuals are forced to make a comparison of themselves with the related items so as to have a succinct view of what is taking place in the society which is an interpretation by Kafka.

The world is ever changing, and at some point in life, people might be forced to change with it. Nevertheless, people must never at any one moment trade in religion culture of the pursuit of happiness so as to get a better way of living (EPSTEIN, 2013). Actual happiness can just be found by people reflecting their past, the present as well as how well they can create their future without having to destroy what has already been built as well as laid out by the forefathers. Nevertheless, as the society undergoes changes, individuals are bound to change with it thus making required adjustments as well as taking precautions of them to ensure that they do not tarnish their society in pursuit of better living.

 

 

References

EPSTEIN, J. (2013). Is Franz Kafka Overrated?.

Harwood, J. & Forlenza, R. Eliot to Derrida: The Poverty of Interpretation (1st ed.).

 

history foundation of the relationship

 

Literature Review

Mentoring – history foundation of the relationship

The action of mentoring and building of the relationship can be historically traced back to Homer’s legend of the Trojan War told through the poem the Odyssey, when Odysseus left his son Telemachus and wife Penelope to be looked after by his friend Mentor, which is also the Greek origin of the modern word mentor.  Mentor’s responsibility included the child’s education but also shaping his character, the wisdom of his decisions and the clarity of the steadfastness of his purpose (Barondess, 1995; Homer, 1963).  Much like Mentor’s role in the tale of Homer’s Odyssey, mentors in organizations build relationships that go beyond only teaching the functions of the job but have an impact on the protégé or mentee’s knowledge, skills, and growth within the company and personally.

Kram (1983) provides a foundational understanding of the phase model in how mentor relationships move through initiation, cultivation, separation, and redefinition of the relationship that is significant in enhancing development in the mentor/mentee relationship that is shaped by the surrounding organizational circumstances.  Researchers Scandura and Ragins (1993) build on Kram’s organizational mentoring research by explaining three varying types of guidance that manifest in the mentoring support functions- vocational support, psychosocial-support, and role modeling.  By progressing through the experiences as a mentee, the relationship with the mentor enhances both individuals with the goal for the mentee to gain autonomy and gain career-advancing experiences (Kram, 1983).  The cultivation of relationships is uniquely different from a cross-gender and across race relationship perspectives leading to multiple researchers to identify the need for continual research on the implication of race and gender within the practice of mentoring relationships (Alvarez & Lazzari, 2016; Kram, 1983; Weinberg & Lanlau, 2011).  Mentoring can be viewed as organizational citizenship behaviors which build team effectiveness (Janssen, Tahitu, van Vuure & de Jong, 2018).  For Black women the intersection of gender and race affects their experience of being mentored, the relationships forged, and career advancing opportunities that are available to them.

 

Mentoring relationships defined

Mentoring has been the focus of much research for the past decade in the field of education (Colley, 2002; Zambrana, Ray, Espino, Douthirt, Cohen& Eliason, 2015), human resource (Germain, 2011; Madera, 2013; Tolar, 2012), behavioral sciences (Alzarez & Lazzari 2016), and organizational studies (Kurtulus & Tomaskovic-Devey, 2012; Weinberg & Lankau, 2011).  Differentiation has been acknowledged in the types of mentoring relationships, and it is essential throughout this research to understand the context in which the mentor relationship is being discussed and how it affects those involved.  The presence of a mentor can take shape in a mentee’s life as a formal mentor or as an informal mentor.  Ragins, Cotton, & Miller (2000) identify that formal mentor relationships develop with the organization’s assistance, are time specific and intervention that forms through matching.  Weinberg and Lanka (2011), recognize informal mentors do not have a level of accountability to meet time constraints in the relationship as well as this is a relationship that occurs and develops naturally within the organization.

Zambrana et al., (2015) study examine the formal mentoring program designed to investigate the experience of 58 underrepresented minority faculty members, with the finding being that the participants reported they felt they experienced inadequate and career impeding mentoring experiences.  The experience of being mentored leads to the need to measure the effective mentoring, the knowledge transfer of norms and behaviors and contributes to the accumulation of social and institutional capital (Few, Stephens, Rouse-Arnett, 2003).  In the formation of formal mentoring programs race and gender need to be taken into consideration to meet the needs of the minority participates or the positive benefits of mentor relationships will become a deterrent for the person due to the discrimination, sexism, and marginalization that could be experienced. The finds of the research highlight that the effectiveness of the mentoring experience for the minority mentee includes the mentor present with mutual respect, awareness of historical marginalization and acknowledgment of the past barriers (Zambrana et al., 2015).

Boseman and Feeney (2007), examine mentoring from a theoretical perspective to use it in a way that aims to provide a practical finding that is relevant to individual and social needs.  As a definition, these researchers identify that the concepts that are often offered as definitions for mentoring, tend to be more descriptive of the attributes of mentoring rather than a definitive the actual conceptualization of mentoring.  Freedman (2009) research identifies that mentoring definitions are defined and theorized in two categories 1.) career, which describes specific behaviors that support the mentee’s career success and 2.) psychosocial, which refers to the personal aspects of the developed relationships to promote the mentee’s professional identity and self-confidence. Since the late 1980’s, research on mentoring has focused on the organizational benefits of mentoring.

Young and Perrewe (2000) study on mentoring focuses the term on a more formal development of relationships between senior and junior members of the organization through socialization and career development amongst the employees. Thus, focusing on the importance of developing relationships through action. Germain (2011) research expands Scandura and Pellegrini’s (2004) research by using attachment theory to conceptualize individual attachment styles to explain the functionality of mentor-protégé matching in organizational settings.   In the definitions of mentoring, whether it is theoretical or formal classifications, the familiar aspects of the explanation are the development of a relationship and where knowledge is exchanged.

Formal mentoring in comparison to informal mentoring

Formal mentoring programs are often used to help in developing early career professionals, however the use of mentoring programs, do not only provide benefits to the mentee but to the mentor, (i.e., intrinsic satisfaction, benefit from learning from the mentee enjoy the respect and the mentee, and the development of the relationship can enhance their careers) and the organization (i.e. employee integration, material succession, and reduces turnover) (Chao, 2009; Menges, 2015).  When organizations establish formal mentoring programs, they identify a specific person to be the mentor to the junior staff member, and provide specific guidelines the designated mentor is to follow (Gibbs, 1999; Raggin, Cotton, & Miller, 2000).  In the relationship functions between the mentor and the mentee, the mentee is not to be passive, but they have a responsibility to be active in shaping the relationship (Germain, 2011; Hezlett & Gibson, 2005). Formal mentoring is a derivative of informal mentoring practices.

Informal mentoring relationships have characteristics that spontaneously develop between two voluntary participants who select each other for the development of a relationship (Allen, Eby, & Lentz, 2006). Informal mentoring experiences consist of similar characteristics allowing for the transfer of knowledge and organizational norms. However, there is less accountability, structure and time focus than formal mentoring programs.  Researchers tend to focus on how formal and informal mentoring relationships differ in how they are formed and the length of the encounter, however less research has been completed on whether formal and informal mentoring relationships differ in determining the functions of mentors or the career outcomes of the mentee in the contrasting types of relationships (Raggins & Cotton, 1999, Feeney & Bozeman, 2008).

Literature suggests that there are noted characteristics of informal mentoring features.  Joshi and Sikdar (2015) confirmatory factor analysis focused on organizational specific informal mentoring after using data from 311 managerial level employees in India to produce four informal mentoring characteristics, sincerity, commitment, skill, and knowledge, which are perceived significant by the mentee for effectiveness in the mentoring experience.  Desimone, Hochberg, Porter, Polikoff, Schwartz & Johnson, (2014) five year longitudinal, mixed method research focused on novice teacher learning suggests that informal mentors have a substantial role in teacher learning in relation to formal mentoring, with the finding suggesting that informal and formal mentoring practices serve similar functions as well as providing compensatory and support that is complementary to the support of the mentee.  Though these two studies vary geographically, the common function in both identifies that informal mentoring experiences have a root in the cultivation of relationships to provide positive experiences for the growth of the mentee.  The advancement is an interactive approach by the mentor and the mentee and whether it is in a formal or informal mentoring setting.

 

Black women’s identity and mentorship

Foundational research has provided substantial evidence that mentoring, be it formal or informal has had a positive outcome in various organizational environments.  When examining mentoring from a gender-based perspective, Clutterbuck and Megginson (2007) research builds on Clutterbuck and Devine (1987) research to identify that formal mentoring has been a historical norm for executives and directors and further reports the important that a high proportion women executives find significant correlation that mentoring provides them with self-confidence and self-images to seek advancement, increases visibility to top managers, and includes knowledge of how to manage organizational politics.  However, Gibson et al., (2017) research identify that men tend to be recognized as better selections for upper management and women’s education and leadership ability are discounted, thus perpetuating the stereotypes that women are not deemed capable of working at higher levels of leadership, increasing the leadership gap.

Bias, racism, and sexism are common themes present in the literature focused on Black women and being selected for formal mentoring experiences (Bova, 1998; Curtis, 2017; Davis, 2003; Jean-Marie, Williams, & Sherman, 2009).  Each of the previously mentioned structures is based on a structure of power.  Ragins and Sundstrom (1989) research, it is identified that power within-gender differences is a reflection of the divergent paths to the access to power which differs for men than women, with women having more obstacles and fewer strategies for advancement than men.  Within the mentoring relationship, women do not always have positive experiences due to the power dynamics in the relationship.  Research on cross-gender mentoring has identified that within the pairing resentment and the speculation of sexual inappropriateness that takes place between the co-workers, has been identified as damaging factors that are detrimental to the success of the mentee (Donaldson, Ensher, & Grant-Vallone, 2000).  When Black women are paired with mentors, they tend to be white and male which is a reflection of the leadership structure of organizations.

Stereotypes have been defined as “widely shared beliefs about the attributes of a social group” (Kleider-Offutt, Bond, & Hegerty, 2017, p. 28).  These stereotypes influence the judgments and how people are categorized positively or negatively to fit into a specific group (Kleider-Offutt et al., 2017).   Literature from an intersectional approach, identifies that Black women in positions of being mentored face intrapersonal challenges of being the Black face in a sea of workers that do not look like them and carry the burden of making those faces feel comfortable or risk missing out on networking opportunities, building career advancing relationships, and being automatically discounted for being Black and female (Ngunjiri & Hernadez, 2017).

Mentoring quality can predict the worker’s organizational commitment and organizational citizenship behaviors.  Literature has reported multiple findings that Black women who are in leadership positions and/or in mentoring positions report feeling vulnerable to disadvantages of being left out and ignored, which increases marginalization and the diversity language of mentoring continues to be male focused and ethnically white (Curtis, 2017; Crawley, 2006; Jean-Marie et al., 2009).  Research has an established gap of a limited amount of examining the experiences of Black women as leaders that function in predominantly white organizations (Byrd, 2009; Chemers, 1997) as well as there experiences in the leader development experience of mentorship (Blake-Beard, 1999; Davis & Harper, 2003; Murphy-Bova, 1998).  This becomes a relevant problem because traditional and dominant leadership theories have been questioned if they are adequately addressing the African American female leadership experience regarding intersectionality that speaks to the inclusiveness of race, gender, and social class (Byrd, 2009).

 

Intersectionality

  1. Introduction
  2. Intersectionality as a framework
  3. Representational Intersectionality
  4. Intersectionality, BW and the workplace
    1. Intersectionality- occupational segregation
    2. Intersectionality- career advancement programs
    3. Intersectionality- tokenism
  5. Intersectionality and Black women experience in developing leadership relationships

 

 

 

References

Allen, T., Eby, L., & Lentz, E. (2006). Mentorship and mentorship quality associated with formal mentoring programs: Closing the gap between research and practice. American Psychological Association, 91(3), 567-578.

 

Alvaraz, A., & Lazzari, M. (2016). Feminist mentoring and relational cultural theory: A case example and implications. Journal of Women and Social Work, 31(1), 41-54.

 

Barondess, J. A. (1995). A brief history of mentoring. Transactions of the American Clinical and Climatological Association106, 1-24.

Homer, Interpreted by Fitzgerald, R. (1963). The Odyssey. New York: Anchor/Doubleday.

 

Choa, G. (2009). Mentoring: Lessons learned from past practice. American Psychological Association, 40(3), 314-320.

 

Clutterbuck, D., & Megginson, D. (2007). Mentoring executives and directors. Routledge.

 

Colle, H. (2002). A rough guide to the history of mentoring from a Marxist feminist perspective. Journal of Education for Teaching, 28(3). 257-273.

Desimone, L., Hochberg, E., Porter, A., Polikoff, M., Schwartz, R. & Johnson, L. (2014). Formal and informal mentoring: Complementary, compensatory, or consistent? Journal of Teaching Education, 65(2), 88-110.

 

Donaldson, S., Ensher, E., Grant-Vallone, E. (2000). Longidudinal examination of mentoring relationships on organizational commitment and citizenship behavior. Journal of Career Development, 26(4), 233-249.

 

Gibb, S. (1999) The usefulness of theory: A case study in evaluating formal mentoring schemes. Human Relations, 52(8) 1055–1075.

 

Joshi, G. & Sikdar, C. (2015). A study of the mentee’s perspective of the informal mentor’s characteristics essential for mentoring success. Global Business Review, 16(6), 963-980.

Kram, K. E. (1983). Phases of the mentor relationship. Academy of Management journal26(4), 608-625.

 

Feeney, M. & Bozeman, B. (2008). Mentoring and network ties. Human Relations, 61(12), 1651-1676.

Few, A. L., Stephens, D. P., & Rouse-Arnett, M. (2003). Sister-to-sister talk: Transcending boundaries and challenges in qualitative research with Black women. Family Relation, 52(3), 205–215.

 

Freedman, S. (2009). Effective Mentoring. IFLA Journal, 35(2), 171-182.

Raggins, B., Sundstrom, E. (1989). Gender and power in organizations: A longitudinal perspective. Psychological Bulletin, 105(1), 51-88.

 

Ragins, B., Cotton, J., & Miller, J. (2000). Marginal mentoring : The effects of type of mentor, quality of relationship, and program design on worm and career attitude. Acadamey of Management Journal, 43(6), 1117-1194.

 

Scandura, T. A., & Ragins, B. R. (1993). The effects of sex and gender role orientation on mentorship in male-dominated occupations. Journal of vocational behavior43(3), 251-265.

 

 

Weinberg, F., & Lankau, M. (2011). Formal mentoring programs: A mentor-centric and longitudinal analysis.  Journal of management, 37(6), 1527-1557.

 

 

 

Healthcare Policy Concern – Prescription Drug Overdose

 

Abstract

Opioid abuse among teens is a very serious problem which requires further attention and action at the national and local levels. The severity of this problem can contribute to the risk of addiction and overdose, thereby leading to many deaths. Therefore, it is necessary to evaluate this issue in greater detail and to recognize the importance of implementing educational tools in high schools which can have the desired impact on teens and reduce their risk of using opioids, either via legal or illegal means. This problem must be addressed with education to provide greater awareness to teens and to promote an environment in which teens can understand how this problem can dramatically affect their lives and even lead to premature deaths by overdose. An educational program for high school students is necessary to demonstrate the importance of accomplishing specific goals and objectives to prevent teen opioid abuse and to improve health outcomes for this population group.

 

Healthcare Policy Concern – Prescription Drug Overdose

Overview of Healthcare Policy

Healthcare policies offer important insights and information regarding a variety of issues which impact public health and which influence outcomes for patients. In this capacity, different public health concerns requires significant attention and focus to ensure that all possible options can be conducted to facilitate outcomes and to create an environment in which change and progress can occur effectively to improve the health and wellbeing of different population groups. This process requires an examination of effective methods to educate individuals and to provide the resources required to make informed decisions regarding the practice setting which will have a positive and lasting impact on their health. Nurses play a critical role in these processes and provide opportunities to educate the public regarding issues of importance to their health within their communities. Therefore, healthcare advocacy is critical to this process and requires an effective understanding of the key factors which impact the practice setting and the patients who are seen on a regular basis. Recognizing serious health concerns is a critical priority of nurses and supports advocacy efforts which can have a positive and lasting impact on communities in different ways. In addition, the advanced practice nurse utilizes his or her knowledge in different ways to identify areas of concern for patients, to optimize health, and to support the development of practice models to advocate for patient healthcare needs by minimizing disparities and other concerns whenever possible. These tools are critical to the practice setting and provide a framework for advancing key priorities and needs for patients.

Selected Healthcare Policy Concern

 

There are significant risks associated with the use of prescription drugs, and specifically, the use of opioids to relieve pain. There are differences in usage rates based upon location, as some rural communities often experience higher rates of opioid use and addiction than in urban communities; therefore, it is important to identify these differences when developing different educational programs to accommodate teenagers (Monnat & Rigg, 2016). These drugs pose a high risk of addiction and potential overdose for many patients. There are several key contributing factors to this problem which include overprescribing patterns by physicians, poor monitoring of patients after prescribing these medications, stress and anxiety, and other factors which contribute to a high risk of addiction and overdose in some patients. It is possible that some patients are at risk of addiction based upon genetic makeup, but others may be at risk due to poor outcomes related to excessive prescribing methods and easy access to these medications on a regular basis. Therefore, a policy change must be established which can expand education for patients and others who may have a need for opioids in the future to ensure that they have the knowledge and resources necessary to ensure that they can prevent addiction and be mindful of the serious complications which can occur related to the use of opioids.

The implementation of a classroom-based opioid prevention course for high school students will be established in local school districts to provide knowledge regarding the dangers of opioid use and abuse among teens and adults. The target population is high school students because they are a highly vulnerable group which can be influenced by different types of behaviors and activities, including the use of different types of drugs, including opioids. They are a strong audience for which this type of educational program may shed some light on the difficulties related to stress, anxiety, and peer pressure which may impact high school students and create challenging circumstances whereby opioids may be an attractive option. Nurses will play a critical role in this process by administering the educational program and ensuring that students have the knowledge regarding opioids that is required to promote prevention.

Among high school students, 4.2 percent of this population misused pain medications in 2017, and 4,235 teens and adults between the ages of 15-24 died from drug overdoses in 2015, of which half were from opioid abuse (Department of Health and Human Services, 2017). Specifically, it is known that “Between 1999 and 2006, the annual death rate for fatal overdoses of opioids for individuals aged 15 to 24 rose 440%, from 0.7 per 100,000 to 3.8 per 100,000” (Edlund et al., 2015, p. 131). Due to the consistent risk attributed to opioid abuse and overdose among teens, it is necessary to provide educational platforms for high school students which can strengthen their knowledge and understanding of opioids and the risk of addiction to these drugs which could lead to overdoses and even fatalities in some cases. When teens die as a result of an opioid-induced drug overdose, this not only devastates his or her family, but also the surrounding community because of the shock and lack of comprehension of the severity and high risk of addiction among people who use opioids. Although access to these drugs appears to be getting more difficult in some communities, it remains a serious problem when they can be accessed via back channels and can cause harm for teens in unanticipated ways. This poses a serious problem in communities where there are limited resources to fight opioid abuse and addiction and where health disparities exist which can negatively impact individuals across different age groups.

Youth can serve as a key driving force in understanding the risks associated with opioid abuse because when they observe addiction firsthand and lose friends or family members due to overdose, it is a wakeup call on many levels and creates different opportunities for youth to share their experiences with others with the intent to warn them of the risks and dangers of opioid abuse, along with recognizing the value of understanding how opioids can destroy families, friendships, and lives. Opioid abuse among teens and the risk of overdose are serious public health concerns which require expanded education and oversight to prevent future incidents. Therefore, an educational strategy to target teens is necessary to ensure that this vulnerable population group understands the risk factors related to opioid use and abuse.

Student-Identified Solution to Healthcare Concern

There is a critical need to educate high school students regarding the risk of opioid use and abuse because of the epidemic nature of this public health problem. It is necessary to demonstrate the risk of opioid abuse among adolescents and how these risk factors are increased in some communities where opioid abuse is more common. An education program which is required for all high school students as part of the annual curriculum will expand knowledge for these students and enable them to better understand the challenges and risks of using opioids. For some students, the use of opioids is via prescription methods, while others access these drugs under other circumstances, thereby posing an even greater risk of danger to patients (Miech, Johnston, O’Malley, Keyes, & Heard, 2015). Under these conditions, it is necessary to demonstrate the importance of strategies which may be useful in addressing the most critical risks related to opioid abuse among teens by emphasizing the prevalence of this and providing examples of its widespread impact on this population group. It is known that “An association between legitimate opioid use before high school completion and an increased risk of subsequent misuse after high school could change the risk/benefit considerations for clinicians who treat pediatric patients with painful conditions” (Miech et al., 2015, p. e2). Under these conditions, it is likely that some teens who might have been prescribed opioids may not receive them after all, but in cases where they can be accessed illegally without an actual prescription, this can be very problematic for teens and cause greater harm and the risk of addiction and overdose. In addition, the educational program must also emphasize the importance of opioids as a gateway to other drugs, such as heroin, which a much stronger and more potent opiate (Cerda, Santaella, Marshall, Kim, & Martins, 2015).

The risk factors associated with opioid use and abuse are critical to the development of an educational program which can target high school students and support knowledge and resources to prevent overdose and other poor outcomes among teens. The likely positive outcome is lower utilization of opioids among teens, along with an understanding of why these medications can cause serious harm to this population group. The school district and the community must support this initiative so that it can be implemented in local high schools, along with understanding the value of education to curb opioid prescribing methods among physicians. These objectives are likely to reduce the economic burden associated with opioid abuse and reduce the number of overdoses among teens (Groenewald, Rabbitts, Gebert, & Palermo, 2016). In addition, this program will enable teens to understand that there are not only physical side effects to opioid use and abuse, but also psychological implications which can contribute to addiction, and other problems; therefore, community and clinical support are essential in reducing this risk and in fostering increased knowledge of opioid abuse that occurs directly within the community (Boyd, Young, & McCabe, 2014). A reduced number of overdoses in the target communities will demonstrate that the initiative has had some impact on teens and create opportunities to expand the program to other areas. Nonetheless, there are potential challenges to consider which impact decision-making among local community members, such as financing the program and gaining the support of parents, both of which can be accomplished through exposure to real-world statistics and needs for this program.

Identification of Elected Official

To promote the potential effectiveness of the program in the community, Senator Rob Portman of Ohio will be presented with the strategy and will have the chance to understand its potential impact and its benefits for teens in some of the local high schools. This individual was selected because he represents Ohio and has a strong track record on opioid abuse, including recent efforts to enact bipartisan legislation to address the opioid epidemic at the state and national levels. His role in the project will be important in bringing greater attention to the issue and why education for teens is critical as part of a larger strategy to reduce opioid use and abuse among teens.

Conclusion

Opioid use and abuse among teens is very high in some communities and can lead to the risk of overdose and death. Therefore, this is a serious public health epidemic which has serious implications for many communities and requires expanded efforts to reduce this problem at the national level. However, on a local scale, there is evidence to support new programmatic efforts which can educate teens in high school and provide greater oversight regarding their use of opioids. An educational program will attract their attention and that of community members to recognize the serious nature of this problem and its impact on individuals, families, and others within the surrounding areas.

 

 

 

 

 

 

 

References

Boyd, C. J., Young, A., & McCabe, S. E. (2014). Psychological and drug abuse symptoms

associated with nonmedical use of opioid analgesics among adolescents. Substance abuse35(3), 284-289.

Cerdá, M., Santaella, J., Marshall, B. D., Kim, J. H., & Martins, S. S. (2015). Nonmedical

prescription opioid use in childhood and early adolescence predicts transitions to heroin use in young adulthood: a national study. The Journal of Pediatrics167(3), 605-612.

Department of Health and Human Services (2017). Opioids and adolescents.

Edlund, M. J., Forman-Hoffman, V. L., Winder, C. R., Heller, D. C., Kroutil, L. A., Lipari, R.

N., & Colpe, L. J. (2015). Opioid abuse and depression in adolescents: Results from the National Survey on Drug Use and Health. Drug & Alcohol Dependence152, 131-138.

Groenewald, C. B., Rabbitts, J. A., Gebert, T., & Palermo, T. M. (2016). Trends in opioid

prescriptions among children and adolescents in the United States: A nationally representative study from 1996 to 2012. Pain157(5), 1021.

Miech, R., Johnston, L., O’Malley, P. M., Keyes, K. M., & Heard, K. (2015). Prescription

opioids in adolescence and future opioid misuse. Pediatrics, peds-2015.

Monnat, S. M., & Rigg, K. K. (2016). Examining rural/urban differences in prescription opioid

misuse among US adolescents. The Journal of Rural Health32(2), 204-218.

 

Institutional Solutions to Domestic Violence against Women

Institutional Solutions to Domestic Violence against Women

 

Abstract

Institutional Solutions to Domestic Violence against Women is an emotive issue. Although the topic has been addressed many times before, the high rates of domestic abuse in the US highlight the importance of searching for new solutions to the problem. The issue of domestic abuse needs to be addressed on the institutional level through the change of gun legislation, a more active involvement of the government, and the expansion of domestic violence services. The role of gun legislation, government involvement, and existing services is critiqued and the shortfalls identified. It emerges that resources, services, and attitudes are critical factors for institutions to succeed in addressing the problem. The endeavors proposed are higher prioritization of the problem as a major public health concern, increase of funding towards institutions and services, and provision of amenities and legal services to minimize the burden on the victims as well as reduce dependency on abusive partners.

Institutional Solutions to Domestic Violence against Women

Introduction

Kysha (her code name), a 28 year old African American woman living in Detroit is involved in a support group for victims dealing with domestic abuse. She has managed to obtain a full restraining order for her irate husband who claims that she is his source of ‘bad fortune.’ She narrates how she still fears for her life and that of her two tear old son, currently living with her parents within the city. In spite of the restraining order, her husband still accesses her and the child in what she describes as cold ‘gangster visits,’ all without regard for the law. Hers is the plight of numerous other women in the US to whom protection against domestic violence is all on paper. In a single day in 2016, about 67,646 requests for help from domestic violence against women received a positive response. Approximately a sixth of the number (10,871) was not met due to lack of adequate resources. The issue of domestic abuse needs to be addressed on the institutional level through the change of gun legislation, a more active involvement of the government, and the expansion of domestic violence services.

Legislation and Domestic Violence against Women

In 1996, the Lautenberg Amendment was enacted. It considers a criminal offense, the possession of a firearm or ammunition by any individual convicted in a court of a misdemeanor crime of domestic violence (Harvard Business Review Association, 2014). The spirit of the law is evident. David Kelley’s mass shooting incident in Texas at the Sutherland Springs Church triggered an inquiry that revealed his conviction for domestic violence in 2012. Before the mass shooting in 2016, he had just been adversely discharged from the military for assaulting his wife and their child, following which he had be given a 12 month confinement sentence (Lopez, 2017). The author observes that numerous mass shooting convicts have been found to have a criminal history of domestic violence. Therefore, it is difficult to disengage gun legislation from domestic violence. Notably, federal law only revokes the rights to a firearm for spouses serving a full restraining order. However, Vox authors observe that domestic violence victims usually face the greatest risk as the perpetrators retaliate for obtaining temporary restraining orders. Therefore, by the time a full restraining order is granted, the perpetrator still has a chance to use the gun because the temporary restraining order comes first. Secondly, although an individual may not be granted a Firearm Owner Identification (FOID) card, it does little to deter the perpetrators from gun possession. They may acquire guns irregularly through illicit cross-border purchases, as well as private purchases which may be out of the scrutiny of law enforcement. Lopez (2017) proposes that law makers should consider relaxing laws that lead to firearm confiscation. As such, there is no outright alienation of the right to hold firearms, but there are laws governing the conditions of possession. For instance, they laws would allow a police officer to confiscate a gun from an individual who is deemed dangerous to self or others.

Government’s Involvement in Domestic Violence Cases against Women

Several institutional services exist for the resolution of domestic violence. However, the recent trends in the US decry their conclusiveness and efficacy. There is discontentment with the lackluster fashion of handling cases of domestic violence against women and children since many feel that their processes are not rigorous enough to produce objective conclusions (Francis, Loxton, & James, 2017). These institutions include family justice courts, supervised visitation centers, domestic violence courts, and the civil courts. The major problem is that they tend to be misconstrued by those who lead them as conduits of women denying their husbands custody of children. Consequently, most rulings are inadequately dismissed on the basis of alienating children from their husbands. For more objective rulings to ensue, women are held at extremely high legal standards. Civil courts usually produce the opposite result from the victims’ expectations. Women end up spending time in jail for failing to appear during prosecution. Another consequence of citing violence is involvement of Child Protective Services that result in alienation of children from the parents (Brickman, 2016).

Expansion of Domestic Violence Services for the Successful Prevention and Solutions

It is, therefore, clear that the existing institutions and services are not adequately addressing the problem of domestic violence against women. Two broad causes for the poor performance of the services include lack of adequate resources, and poor legal representation. Resources are required to provide services required by abused victims that eliminate dependency on the perpetrator for their needs. These include but are not limited to temporary housing facilities, money, and other amenities. On the matter of legal representation, navigating the court system is a complex task that becomes even more daunting for already abused women. It is further exacerbated by the gun legislation shortcomings earlier discussed, which leaves the abusive spouse with options to further victimize the abused woman. A solution proposed for dealing with the two issues is prioritization of domestic violence against women as a major public health issue and allocation of sufficient funds. The funds can be used to roll out projects such as transitional housing, legal services, and such others (Jeltsen, 2017).

Conclusion

The current institutions and state services for serving victims of domestic violence are not effective; hence the need to increase resources, prioritize the problem as a major public health issue, and review the federal firearm legislation. The legislation should relax restrictions on law enforcement’s capacity to confiscate weapons, rather than alienating the rights to hold firearms. More elaborate facilities such as transitional homes for victims, money, and dependable legal representation should be provided by the state for domestic violence meetings. There is also a need for changes in attitudes and perceptions on the part of the population and judicial officers.

 

 

References

Brickman, J.  (2016). Victims of Domestic Violence Need Greater System Support. Vera Institute of Justice. ]

Francis, L., Loxton, D., & James, C. (2017). The culture of pretence: a hidden barrier to recognising, disclosing and ending domestic violence. Journal Of Clinical Nursing, 26(15-16), 2202-2214.

Harvard Business Review Association, (2014). GUN CONTROL ACT — DOMESTIC VIOLENCE MISDEMEANANTS’ FIREARMS DISABILITIES — ILLINOIS SUPREME COURT CONSTRUES FEDERAL GUN CONTROL ACT TO PERMIT STATE COURT TO REMOVE DOMESTIC VIOLENCE MISDEMEANANT’S FEDERAL FIREARMS DISABILITY. (2014). Harvard Law Review, 127(7), 2146-2153.

Jeltsen, M. (2017). Why So Many Domestic Violence Survivors Don’t Get Help — Even When They Ask For It. The Huffington Post.

Lopez, G. (2017). America’s domestic violence problem is a big part of its gun problem. Vox.

 

 

The changing family meal experience

 

The changing family meal experience

 

Across our country and others, families sit down together to enjoy a family dinner together.  It can be joyful or even argumentative.  It has changed through the years from being a reserved dining experience to a time for families to express themselves (Griffin, 2016).  In the past, it was considered a tradition.  It was a time where the family became unified.  Do the majority of families still eat together?  Do they eat away from home more?  Do they consume more take-out food rather than home cooked meals?  Is this tradition fading?  Has technology and hectic lifestyles brought us away from this tradition?  Does this affect our children and our futures? Having family dinners is more important today than in the past because there are so many more distractions such as technology and a variety of activities to chose from outside of the home.  We meet and interact with many different types of people during the day and our children are learning about the world from various places without input or filters from parents.  Family meals can provide a secure place to discuss ideas, current events, and daily happenings.  These meals provide opportunities to parents to be role models for communication and manners, give children a sense of security, monitor their emotional, educational, and even spiritual growth, prevent destructive behaviors, nourish and expand their worlds one food at a time, and save money (Hand, 2005).  They provide children with structure and routine and can improve overall well being and language and literacy development.  There have been several large studies that have shown that regular family meals are highly associated with increased eating of fruits, vegetables, grains and other healthy food choices and linked to lesser consumption of fried or fatty foods, soft drinks or other less healthy food choices (NDSU, 2009).  Shared family mealtimes can benefit the family, the children, and our health (NDSU, 2009).  While some people think this tradition is becoming lost, that does not seem to be true.  There were two different studies that showed that 79 percent of teenagers stated that they enjoyed eating meals with their families. There was also 64 percent of the teens that said eating at least one meal a day as a family was very important to them.  Finally, there were 98 percent of parents who agreed that having their family eat together at least once a day was very important (NDSU, 2009).  The National Center on Addiction and Substance Abuse (CASA) at Columbia University recently reported on a national phone survey of 1,000 teens and 829 parents of teens that eating dinner as a family helped kids in many ways such as helping them get better grades, and keeping them away from cigarettes, alcohol, and marijuana, and more (Davis).  CASA reported that teens who eat fewer than three family dinners per week in comparison to  those who eat five to seven family dinners a week are two times as likely to use alcohol and tobacco and one and a half times more likely to use marijuana (Banschick, 2013).  Another report from CASA, the Importance of the Family Dinner IV stated that 59% of families reported eating dinner together at least five times a week, which was an increase from only 47% in 1998 (Klein).  A  Pew Research Center report on family issues included information on the frequency of family meals, taken from a survey of adults in October 2010.  Among parents of children under 18 years of age, half of them say they have dinner every day with some or all of their children, 34% say they have family meals a few times a week, 11% say they do so occasionally and 3% say they never do (Cohn, 2011).  In the last ten years, the biggest change has been the movement of women’s work from their families to the paid labor market (Cohen, 2015) Family meals allow us to play catch up, return to our roots, and connect over food (Banschick, 2013). Before the late 18th century, dining rooms and dining tables were not used or thought of and it made it difficult for families to dine together regularly.  Tables and rooms had multiple uses and families would sometimes eat in shifts.  If there were not enough chairs, the men would sit and the women and children would stand (Griffin, 2016).  The rise of American family dinners began in the late 1700’s.  One of the first American homes to have a room specifically for dining was Thomas Jefferson’s Monticello, which was built in 1772. The dining room with the dining table at its center, began to become a part of wealthy homes across the country and eventually began coming into middle class homes (Griffin, 2016).  With a designated space for family meals and enough seating, family meals had a set time and parents used this time to educate children about manners and religion.  In 1943, the sociologist James H.S. Bossard wrote that “it is at the dining table, and particularly at dinner time, that the family is apt to be at its greatest ease.” (Griffin, 2016)  In the same year, The Saturday Evening Post published Norman Rockwell’s Freedom from Want, where a family is dining around a Thanksgiving table.  It  represented the strength of American values during World War II. The people in the painting not only have food, but are very happy, smiling at each other and the viewer (Griffin, 2016).   Family dinners were shown on TV shows such as Father Knows Best, Leave It to Beaver, and Happy Days. There weren’t many TV shows that showed family mealtime with African Americans or minorities; except for Good Times which represented African American families, however  you hardly ever saw the whole family sit at the table while eating their meal. Family mealtime is still important in our society.   Research shows that family meals help nurture children’s social, cognitive, emotional, and nutritional development. The normal family mealtime has changed because of changes to the definition of what a family unit can be, the necessity for women to work outside of the home, or that the food is from a fast-food restaurant in front of the TV, or some other kind of distraction, due to the use of technology.  Despite the changes, family mealtime is still a historic tradition.

 

References

 

 

Banschick, M. (2013, June 21). The Family Dinner.

Becky Hand, Licensed & Registered Dietician. (2005, June 11). The Benefits of Eating Together.

Cohen, P. N. (2015). The family: diversity, inequality, and social change. New York: Norton.

Cohn, D. (2011, April 08). Family Meals, Cohabitation and Divorce.

Davis, J. L. (n.d.). Family Dinners Are Important.

Griffin, M. (2016, February 16). ‘No Place For Discontent’: A History Of The Family Dinner In America.

  1. (2010, March 16). Interesting Statistics on Family Dinners.

Klein, S. (n.d.). Make Time for Family Dinner.

North Dakota State University. (2009).

 

 

         Care Plan

 

Care Plan

 

 

 

 

           Introduction

 

Kevin U. is a 54-year-old divorced male who presents for his three-month diabetes evaluation.  Kevin is a high school graduate who previously worked as a self-employed logger but now raises beef cows and does some crop farming on the family farm. Kevin’s main complaint today is the burning and tingling sensation he is experiencing in his hands and feet.  Has been using gabapentin with minimal relief, applies CBD oil twice daily which he reports provides immediate short-term relief.  Kevin does use marijuana daily for pain control.

History

Kevin was diagnosed with type 1 DM at the age of 18 months.  He denies any hospitalizations for hypoglycemia or hyperglycemia/DKA other than his first diagnosis.  Currently, he is experiencing hypoglycemia unawareness, so he limits his driving to only local areas and will check his BG before starting the vehicle; glucose tablets and glucagon are readily available.  Two surgeries are documented with one being a same day surgery 14 years ago to repair an inguinal hernia and most recently had a cataract removed from his LT eye.  Right eye is free from cataracts currently.  Immunizations are up to date, last pneumococcal vaccine documented as 2015, Tdap 03/14/2014, and influenza vaccine received every year.  Kevin reports as a child he did experience chicken pox, strep throat, and viral illnesses.  Review of medical record shows a positive titer for mumps and rubella.  No known tick exposure, but due to his history of working as a logger, a Lyme titer should be considered.  Colonoscopy completed in 2014.  Diverticulitis was present with one polyp removed.  Last PSA was in 2016 with result of 3.0.  Kevin denies any immediate family members who have mental illness or substance abuse.  Denies tobacco use presently; however, he did chew tobacco when he was in his early 20’s.

Occasional alcohol intake in the form of beer once every two weeks and reports smoking marijuana for the past ten years every evening to help with the neuropathy pain in hands and feet.  CAGE is negative.  Blood glucose meter was down loaded, and readings are reviewed.  Patient on average has been monitoring his blood glucose one to three times a day with average reading being 197.

Current Medications

Lantus 65 units SQ twice daily

Humalog- insulin to carb ratio of 1:6 with a correction scale of 2 units for every 50 above BG of 150.  Administer SQ thirty minutes before each meal

Atorvastatin 80 mg daily

Lisinopril 20 mg one daily

Multivitamin daily

Mega Red 500 mg daily

Aspirin 81 mg daily

Gabapentin 300 mg one tablet three times a day

Melatonin 6 mg by mouth every evening

Glucagon kit to be used as needed for hypoglycemia

Viagra 100 mg ½ – 1 tablet as needed

Care Plan

Review of lab work shows elevated cholesterol, A1c, glucose, RUMAL, creatinine/GFR and liver labs.  Total cholesterol is with the recommended range of <200. However, the LDL is out of range at 140.  Recommended level for LDL is <100.  LDL is also known as the “bad cholesterol” which also has a genetic component. Better diet control and exercise can assist the atorvastatin in lowering the LDL and raising the HDL to a level of >50.  “People with high blood triglycerides usually also have lower HDL cholesterol. Genetic factors, type 2 diabetes, smoking, being overweight and being sedentary can all lower HDL cholesterol.” (heart.org, 2018)

On average for past three months, Kevin’s glucose has been in the range of 180-200.  This is documented by his A1c.  The A1c is an average of glucose readings over the past 2-3 months.  It is measured by the amount of glucose that is attached to red blood cells circulating in the body.  This is an acceptable A1c reading for a brittle type 1 diabetic who is experiencing hypoglycemic unawareness.  Adjusting insulin to lower the A1c could have a detrimental effect on the individual, so no changes will be recommended regarding insulin.  In the future, if the A1c continues to rise, the base insulin (Lantus) could be increased, but caution needs to be taken due to his hypoglycemia unawareness.

Kevin has been a diabetic for over fifty years and his kidneys are being stressed.  This is based on his RUMAL (the amount of albumin/protein released in system when kidneys are stressed) Kevin’s results are >300 which is considered moderate kidney disease.  Normal RUMAL is up to 30, mild kidney disease is 30-300, and >300 shows moderate kidney disease.  Consider increasing the dose of his ACE inhibitor to 40 mg once daily.  The creatinine is elevated at 1.9, normal range being 0.5-1.5.  The creatinine shows how kidneys are functioning, but the GFR which shows how the kidneys are filtering is diminished at 45.  Any result <60 is considered a sign of kidney disease. If the dose of ACE inhibitor is increased, careful monitoring of renal functions and electrolytes is needed.  A common side effect of ACE inhibitors is elevated potassium levels.  If the Ace inhibitor is increased, Kevin should present for a potassium and creatinine level at two-week intervals, times two for monitoring.

The liver functions test AST is used to detect a liver injury or active or chronic liver problem.  The normal range for males is 8-46.  The ALT which is mildly elevated at 51.  This test is used to detect liver injuries or long-term liver disease.  Normal range is 5-40.  The slight elevation could be related to use of atorvastatin or could be related to “fatty liver.”  Monitoring should be completed every three months and include an ultrasound of the liver to check for any physical abnormalities.

Encourage Kevin to continue to see the Podiatrist every three months for foot exams and nail care. Educate on how to complete a daily home foot exam with a mirror and stress the importance of always wearing some foot cover even when in the house.  It is essential for patients who suffer from diabetic neuropathy to be seen frequently by a Podiatrist.  Regular foot examinations and frequent educational messages on foot care will significantly reduce the occurrence of ulceration and even amputation.  One could consider a referral to a vascular surgeon for ABI assessment which is an evaluation for peripheral vascular disease.  Further referrals for Neurology, massage therapist, acupuncture or physical therapy should be considered.  Medication change from gabapentin to Lyrica could also be considered along with adding B vitamins which in studies has shown to reduce paresthesia. Topical therapy with capsaicin or transdermal lidocaine can be used for individuals who may have more localized discomfort, Kevin is currently using CBD cream with short term relief.  Tramadol and narcotics could be added in the future for pain control, however, with Kevin experiencing hypoglycemia unawareness and driving farm machinery, this should be avoided at this time if possible.

The benefits of diet and exercise and how simple changes can improve blood pressure, glucose readings and cholesterol results should be reviewed in detail with Kevin.  Attempt to have Kevin set a daily goal for exercise, review chair exercises and provide handouts.  Encourage to take 6 10-minute exercise breaks during the day and evening with goals to increase exercise to 30-60 minutes daily.   A referral to a dietician should be considered due to Kevin cooking quick processed meals.  Healthy, quick nutritious meals and snacks should be the focus when visiting with the dietician.

Consider Penicillin testing for the questionable penicillin allergy. One can question if the rash was related to the strep infection or the medication.  Completing a penicillin challenge could prove beneficial in the future if he should develop a foot ulcer which needs antibiotic coverage. A Lyme titer should be completed to determine if Lyme disease is enhancing his neuropathy pain in hands and feet. Encourage Kevin to continue to monitor blood glucose before driving farm equipment or his vehicle.  Review automobile and farm equipment safety. Blood glucose should be monitored before meals and at bedtime, minimum of four times a day. Although Kevin continues to refuse wearing a continuous glucose monitor, (CGM) information and review of the benefits of the monitor along with the benefits of an insulin pump should be reviewed.  Complete prior authorization to insurance company and review the minimal cost it will be to him out of pocket along with the beneficial data to be received. EKG should be completed for baseline comparison and then yearly thereafter and as needed.  Reinforce the need for dental exam every six months along with regular Ophthalmologist visits for dilated eye exams.

Summary

There are a few medication adjustments which could be completed in the future, but all will come with the need for increase monitoring.  One of the easiest and most simple is to improve diet and exercise.  This will benefit his cholesterol, hypertension and glucose readings. Improved glucose readings are important for slowing the progression of neuropathy.   Exercise and diet will help him maintain a healthy weight which will also assist with better blood glucose control.  Follow up visits should be scheduled every 6 weeks to 3 months with the Diabetes Educator to monitor blood glucose readings, diet, weight loss and to encourage and keep patient motivated with his lifestyle changes.  Assistance scheduling appointments with the recommended referrals, such as Neurology to assist with his diabetic neuropathy, Podiatry for nail care and foot assessment along with Ophthalmology for eye care.

Encouragement and frequent assessments of blood glucose will hopefully keep Kevin in his current state of health and slow the progression of the diabetes disease process.

 

 

 

Advanced Financial Management

Advanced Financial Management Quiz

 

 

What is net new financing?

 

Building a model for long-term forecasting reveals points in the future where the firm will need _____ when retained earnings are not enough to fund planned future investments.

  • Mergers
  • Stock dividends
  • External financing
  • Dividend payments

 

When the projected liabilities and equity are greater than the assets, the firm can plan to _________.

  • Retain extra cash
  • Pay dividends
  • Retire debt
  • All of these

 

The market size for Loppins is 80 million units.  IF SPI Inc. has a market share of 30% and the average sales price is $2 per Loppin, what is the dollar amount of sales of SPI?

  • $42 million
  • $48 million
  • $40 million
  • $45 million

 

 

 

A firm has $40 million in equity and $20 million of debt, it pays dividends of 20% of net income, and has a net income of $10 million.  What is the firm’s internal growth rate?

  • 2%
  • 2%
  • 3%
  • 1%

 

 

Building a model for long-term forecasting reveals points in the future where the firm will have ______.

  • Excess cash that can be used for dividends, debt repayment, or stock repurchases
  • Cash needs that must be funded with external financing
  • A need for expanding property, plant and equipment to meet increases capacity
  • All of these

 

When making long term plans, any increases in ______________ and _____________ reflect capital structure decisions that require managers to actively raise capital

  • Current ratio, equity
  • Debt, equity
  • Assets, equity
  • Debt, assets

 

Calgary Doughnuts had sales of $100 million in 2007 its cost of sales were $70 million.  IF sales are expected to grow at 20% in 2008, compute the forecasted costs using the percent of sales method.

  • $80 million
  • $84 million
  • $88 million
  • $96 million

 

 

What is common starting point for forecasting?

 

 

The market size for Loppins is 60 million units.  If SPI Inc. has a market share of 20% and the average sales price is $3 per Loppin, what is the dollar amount of sales of SPI?

  • $36 million
  • $32 million
  • $38 million
  • $42 million

 

 

You have just landed in Paris with $750 in your wallet.  At the foreign exchange booth, you see that euros are being quoted at $1.34/€.  How many euros can you exchange for your $750?

  • 56 euros
  • 70 euros
  • 1,005 euros
  • 00 euros

 

Firms use forward foreign exchange contracts rather than a cash-and-carry strategy because________.

  • Of lower transactions costs
  • Of inability to borrow in different currencies
  • Of higher interest costs if credit quality is poor
  • All of these

 

 

 

 

 

A U.S. – based firm is planning to make an investment in Europe.  The firm estimates that the project will generate cash flows of 200,000 euros after one year.  If the one-year forward exchange rate is $1.40/euro and the dollar cost of capital is 9%.   what is the present value (PV) of the project cash flows?

  • $268,880
  • $256,881
  • $245,198
  • $232,981

 

One British pound can be purchased for $1.90.  What is the exchange rate in terms of pounds per dollar? 

  • £0.491
  • £0.526
  • £0.451
  • £0.543

 

The _____________ rate is a price for a currency denominated in another currency.

  • Reversion
  • Interest
  • Foreign exchange
  • Marginal

 

A ___________ exchange rate is the rate that a firm can tie in for a future transaction date.

  • Fixed
  • Forward
  • Floating
  • None of these

 

 

 

 

One British pound can be purchased for $1.65.  What is the exchange rate in terms of pounds per dollar?

  • £0.551
  • £0.626
  • £0.645
  • £0.606

 

The supply and demand for a currency is driven by _______________.

  • Firms trading goods
  • Investors trading securities
  • Actions of central banks in each country
  • All of these

 

A ____________ is written between a firm and a bank and it fixes the currency exchange rate for a transaction that will occur at a future date

  • Currency put option
  • Currency call option
  • Currency forward contract
  • Currency options contract

 

One British pound can be purchased for $1.80.  What is the exchange rate in terms of pounds per dollar?

  • £0.491
  • £0.526
  • £0.556
  • £0.451