Evaluation on pulmonary rehab audit Dissertation

Evaluation on pulmonary rehab audit - Dissertation Example This dissertation has endeavoured to prove both the existence of such high standards in the practice of Pulmonary Rehabilitation and the lack of adequate means for LNFH to meet those standards. A random sample of 47 patients revealed insufficient assessments and records of assessments. However, it is very clear from reviews of many doctors who published their findings that PR should improve the quality of life of patients through an improvem...... The present lean Team made up of only two (2) Specialist Nurses and one (1) Specialist Physiologist at LNFH did not have weekly records to control. And the main task was just to encourage patients to exercise at least twice a week. To see improvements, the standard has been to try and be able to prolong those exercises or increase the distance and time for walking as well as to gather positive feedback through the accomplishment of Chronic Respiratory Questionnaires (CRQs). Pulmonary Rehabilitation programs at LNFH consist of physical cardiovascular and strength training, disease education, and nutritional, psychological and behavioural intervention. The benefits should eventually include the improvement in exercise performance, health status, dyspnea, increased quality of life and reduction in use of health services. The Respiratory Assessment Unit of Lymington New Forest Hospital provides a Pulmonary Rehabilitation Service (assessment and management) to the Hampshire PCT (SW) popul ation, following referral from Consultant, GP or Practicing Nurses following national standards. Phase 3 (supervised programme) and Phase 4 (ongoing lifestyle change management programmes) are available on an out patient basis. It delivers pulmonary rehabilitation at two sites, namely, Lymington New Forest Hospital and Hythe Hospital. This is to maximize capacity and offer a geographically more suitable location for patients. The course runs for eight weeks, on a rolling basis to improve compliance, and consists of exercises to improve limb strength and cardiovascular fitness. After a period of recovery and relaxation where refreshment is served and an education session is delivered based on the following core

Sally Soprano Essay Example | Topics and Well Written Essays - 1500 words - 1

Sally Soprano - Essay Example Therefore, for the last two years, Sally was paid $25,000 for the last two years and $12,500 the last time she was paid. This indicates that Lyrics paid $12,500 per year. This reflects an inflation of 25%. Based on the last payment by Lyrics and the inflation rate, Sally must have been willing to sing for 150% Ãâ€" $12,500. This is the amount that Sally was paid most recently. Therefore, Sally said she would be willing to sing for $18,750. The author also provides a memo that indicates various issues that are to be considered in the agreement between Lyric and Sally Soprano. In the publicity section, the author poses two questions: what will lyric do? What will Sally do? According to the description of terms in the agreement, there are various sets of boundaries laid for the roles of both Lyric and Sally in terms of publicity. First, the two have specific parts to play in advertising for the sake of the company’s publicity. Lyric is to contribute a given amount of money to cater for advertising budgets. Lyric also agrees to increase the advertising budget by a given percentage while Sally agrees to contribute a dollar for every three dollars contributed by Lyric to cater for the increase in the advertising budget. However, this is subject to a given maximum dollars contribution by Sally. The ad Campaign will be given an input by Sally and her agent. In preparation for a meeting with Sally for a negotiation of terms of contract in this involvement, I will consider various aspects of negotiation that will enable me to strike a good deal for the interest of both Sally and Lyric. In this case, the context of negotiation in the agreement will be important. While it is necessary to maintain confidentiality in the negotiation between Lyric and Sally, it is also important to give a good image of a strong relationship between the two parties so that the public may appreciate