Souldice Hospital Marketing Strategy Essays

Souldice Hospital Marketing Strategy Essays Souldice Hospital Marketing Strategy Paper Souldice Hospital Marketing Strategy Paper Unlike physical products, a service cannot be seen, tasted or felt before it is bought. There is always an element of uncertainty and the service seeker looks for evidence of quality. People will draw conclusions from the place, the people, key influencers, communication material and most importantly from people who have already gone through the experience. Therefore the service providers task is to supply this evidence, to tangibilize the intangible [Kotler] Shouldice marketing strategy is one of a kind, in the sense that it is different, which is the secret behind every successful strategy. Its ? thinking out of the box. Its sensing a need and fulfilling it in a remarkable manner. Everything we have studied in the past classes seems to be embodied in the strategy of Shouldice hospital from experiential marketing, brand loyalty, providing a memorable experience, the importance of good word of mouth advertising, to focus and using ones competitive advantage to such an extent that although people might try to copy it, there are slim chances of them getting it right. Shouldice hospital is marketing a well-developed, focused service delivery system, it is providing an experience. Core Competency Dr. Earle Shouldice who founded the hospital started this operation from an idea and then developed the idea further by dedication and passion, he operated on men who wanted to be soldiers but were denied because they needed hernia treatment, during the war in 1940, hospital space and doctors were scarce, especially for this non-emergency surgery that normally took three weeks of hospitalization. Dr. Shouldice stepped in and operated without taking any fee, he performed an innovative method of surgery on seventy of these men, hastening their induction into the army, and thus the idea developed into a surgical technique which survived him and is still thriving. As Bruce Lee once said I fear not the man who has practiced 10,000 kicks once, but I fear the man who has practiced one kick 10,000 times. The focus on doing what you are best in, and developing it to such an extent that people are trying to copy it, it makes sense to just stick to that and thats what Shouldice did. A Strategic Service Concept- Focused Service Factory Shouldice defined the one thing they do to perfection and built a whole integrated system around it. Removal of external hernia were their forte and they stuck to it. The patients at the Shouldice center take some of care of themselves. Before the operation a questionnaire is sent to them which is simple to understand and the purpose is to determine the type of hernia and other risks associated with surgery. In Shouldice, all the patients were encouraged to walk up and down the halls and to get in dialog with the other patients and the surgeons. In thought of encouraging the patients, the steps between the floors are constructed with a smooth inclination, there are not TVs at the bedrooms and the rooms were designed as if it were a home instead of a hospital. Every square foot of facility is carpeted to reduce the hospital feeling and the possibility of a fall. ?Market Segment: Shouldice hospital is staying focused because it has not changed its target market and the methods that made it a success; the target market for Shouldice Hospital remains the people who were detected with a primary inguinal, which was the most common kind of hernia. They treated only external hernias. More complicated cases, especially those involving patients with other health problems, were not undertaken. The primary advantage of admitting only healthy people was that the duration of the patient in the hospital was drastically cut down. Thus new patients could be admitted with a higher frequency. Great Word of mouth advertising Part of the success of the Hospital from a psychological point of view is the opportunity for the patients to meet one another. I certainly enjoyed the other patients and I did not hear a single one express any negative attitude toward the hospital and I heard many glowing words about it. RON KENYON-THORNHILL, ONTARIO Other qualities that help it stay focused in short are ?A Flat Organizational structure Top Management Commitment to Quality Dr. Shouldice and his sister Mrs. Uquhart each owned 50% of each, i. e. , the hospital and the clinic. ODell as the administrator was responsible for all the five departments ? surgery, nursing, administration, maintenance and housekeeping. T ? Customer Value Satisfaction As is evident by the questionnaire and response and the fact that most of its customers are referrals. Which according to most is the one number you need to be concerned about. ?Focused Differentiation Stayed focus on treating external hernias ?Self Service Technologies Patients self screen Self Serve Walk about Dont need bed pans Q2. Is Shouldice hospital a good place to work and why? Excellent service providers know that positive employee attitudes will promote stronger customer loyalty, so the best employees must be found to do the job and then they must be retained. At Shouldice the turnover rate is minimal, only four nurses a year, which for hospitals is quite remarkable. Shouldice hospital is great place to work pretty much for the same reason that it is a great place to be operated on. There is an atmosphere of warmth of family rather than a workplace. The nurses work more as psychologists. And a lot of the dirty jobs so to say are avoided since the patient is healthy enough to walk around the place, his linen need not be washed regularly and can be changed only after he leaves the hospital after four days plus patients do not need bed pans. This also reduces the amount of time that the nurses need to devote to each patient in terms of individual care. Nurses could better utilize this time by conducting orientation programs for the patients and also counseling them. This kind of work keeps the work force motivated and they do not have to deal with the drudgery of day-to-day work. There s a profit sharing plan for both doctors and nurses. As far as the doctors are concerned they get a chance to see ? their children grow up, meaning that the hospital does not take over their entire lives as this profession normally does. The doctor on call is rarely called to the office and has regular hours. A surgeon day ends at 4 p. m.  which in medical terms is quite a ? miracle. And although hernia repairs are traditionally seen as mundane the Shouldice technique is a trick anatomical procedure and thus it gives a doctor a new skill. Salary and bonuses are good too. Since the patient base is healthy post-operative care required is lesser. There is an ? open door policy that was in place for the staff. Employees can go to ODell could come in and discuss their problems ranging right from their personal problems to their official problems. This kind of close staff and management interaction helped in keeping the staff. Nobody gets fired; the pay scale is higher than comparable jobs in other areas. There is a feeling of family as people often pitch in to do work. Alan ODell went on to further elaborate the happy and feeling involved. Yet another policy prevalent is that of job rotation, which removes the monotony from the job, also helps in keeping the staff prepared to face crisis situations, which could possibly arise due to some staff member remaining absent or suddenly taking ill. The staff functioned more as autonomous units loosely controlled by the administration. This freedom served as a motivating factor and propelled them to achieve higher efficiency results. Q3. How is Shouldice providing a unique and memorable experience to its patients? The Provision of an Experience rather than a service! The first thing that struck me while reading the case that its not like a hospital at all its more like a home where people for retired people or even in fact a hostel. Shouldice has been remarkably successful in its ability to not only provide its patients with a quick, quality and low cost surgery but also providing an unforgettable experience and comfortable environment to all of its patients. Shouldice Hospital success is due to a number of factors ? Warm and friendly environment [carpets to dispel the hospital feeling and disinfectant smell] ? Communal Dining; which is psychologically appealing to patients receiving surgery, they are able to associate with other patients as well as doctors receiving the procedure to compare notes and discuss concerns and ultimately alleviate any anxieties with other patients. ?Patients encouraged to exercise and walk around meeting other people making friends. 58% appreciated friendship with other patients as ? very important and 34. 57% rated exercise as ? very important ? Shouldice Hospital has a high success rate; only 0. 8%. Dr. Shouldice technique is far superior to others. 72% rated that as ? very important ? Building of partnerships and sharing of medical notes. Patients are given rooms that they share with a roommate who is generally from a similar professional background or shares similar hobbies. ?Post-operative treatment that they get. No television or telephone is kept in the room. Thus the patient compulsorily has to walk down the specially constructed stairs and come to the common room to avail of these facilities. This helps the patient recovers mentally and considers himself fit and healthy. Patients in fact want to stay longer; they can explore the premises make new friends, You are not alone and isolated feeling scared for children their parents are allowed to stay with them without charge. At every customer touch point the feeling of intimacy and caring putting yourself in the patients shoes is available Q4 Should Shouldice hospital expand? Why? Group 13 Shouldice should expand but be very cautious not lose out on its uniqueness, because bigness and the cost associated with it often can lead to undifferentiating. Q5. If it were to expand, what are the options available to expand what are the options available to expand and which option do you recommend? What is going on presently? 1. Alan ODell wants to increase capacity he doesnt want to lose control over quality. He thinks himself as a doctor first then as an entrepreneur. 2. They cant market their services as they dont know if they will be able to fulfill the demand. 3. Other doctors are using the Shouldice technique without results. 4. Saturday operations, if they expand further there is danger of change in attitude. 5. Dr. Obney is resisting change and opposes operations on Saturdays. 6. Even when hey expand capacity backlog declines but climbs once again 7. The selection of the next chief surgeon So what should they do? The were established as a focused service factory and that hs led to their success so they should definitely not move away from that into other areas, stick to external hernia operations. Since patients are attracted to the hospital in part by rates, any expansion plan has to ensure that the cost des not have to be borne by the patient. They should definitely copyright the Shouldice technique. Teach it to other surgeons and make sure that people check if the surgeon who says he is using the Shouldice technique has a certification much like the board certification needed. This is to protect their intellectual property. Or have a campaign that makes people aware that others are copying their technique and its not endorsed. Since you cant stop them from copying you can train them yourselves. There is a demand for the same operation from other hospitals. Besides, some of the other hospitals are imitating the same method wrongly. So, they should develop a self-contained branch in northern part of US. And by the help of their good image in medical care, they can brass to offer new specialty medical service first in Toronto. If the demand is enough, they can expand their new specialty medical care service area. Brochures saying that Shouldice Hospital is the only hospital having the technical expertise to practice the Shouldice method and warning the people against fraudulent practices will ensure that the failures of such fraud operations are not blamed on the Shouldice method. They can videoconference now that technology permits. This technique can be done over the world. They can hire new surgeons and nurses to deal with the expanded capacity, especially for Saturdays. If Saturday surgery is causing a rift a compromise can be reached by limiting the number of operations that would be actually performed on Saturday. Although addition of Saturday operations will result in increased workload. Since the patients stay at Shouldice for average of 5 days, an increment in capacity will be inevitable. There should be a lot of talks and Saturdays should definitely be utilized since patients whos  operations are scheduled late in the weekend stayed in the hospital over the weekend Adding another floor of beds which could increase MON-FRI surgeries by 50%. In my opinion adding a half day Saturday is the best option. Although 42% of their patients come from the U. S. Im not sure whether opening a hospital in the U. S. would allow them to stick to their strategy or the differentiation they have created. An organization like this is very characteristic of the place it belongs ? Canada. America is a different ball game and it could cause them to lose its distinctive edge and ? soul.

How to Find an Abortion Clinic

How to Find an Abortion Clinic If youre absolutely sure you want an abortion and are trying to find a legitimate abortion clinic, it can be confusing to locate an abortion clinic that actually offers abortion services. Many that advertise themselves as abortion centers are actually run by anti-abortion organizations. Look for "Abortion Services" or "Abortion Referrals" Whether youre looking through a phone book or searching the internet, you may find that anti-choice centers (many with warm and fuzzy names) are often listed alongside abortion clinics and legitimate womens health clinics that support reproductive choice. This can make choosing an abortion clinic more confusing, but dont be fooled by them. The goal of these centers is to reverse, block, interfere with, or delay your decision to terminate your pregnancy until its too late to obtain an abortion. A reputable abortion clinic will either provide abortion services on-site or will refer you to an abortion provider. It will clearly state that it offers abortion services or abortion referrals in its advertising or on its website. Any clinic or center that states that it does not provide abortion referrals will not help you obtain an abortion, regardless of your circumstances. Getting accurate facts online about abortion methods and procedures is also tricky. If you search the phrase I need an abortion the results will include websites that claim they provide unbiased medical information on abortion but are created to scare you and convince you not to terminate your pregnancy. "Abortion" in the Title Isn't Always Pro-Choice Even websites with abortion in the title arent necessarily abortion providers or even pro-choice. As Fox News reports: On the Internet... anti-abortion groups buy up Web addresses similar to those of abortion providers or abortion-rights groups, then use them to lead to Web pages with anti-abortion materials. Our idea is to change the hearts and and minds of people about abortion, said Ann Scheidler, executive director of the Chicago-based Pro-Life Action League. These websites mask an underlying pro-life agenda, but theyre easy to spot. They will immediately emphasize the risks of abortion, as well as the regret and fear they say many women suffer from afterward. They often include graphic depictions of abortion that play to your emotions; ignore accepted medical facts and cite other unverified claims as truth (such as the unproven link between breast cancer and abortion); inflate the level of post-abortion complications involved; and suggest possible outcomes (such as damage to internal organs, sepsis, scarring and even death) that rarely occur in developed countries where abortions are performed by trained health care professionals with sterile medical instruments. "Pregnancy" in the Title Usually Means Pro-Life Clinics that support reproductive choice will either offer abortion services or provide a referral to an abortion provider. Clinics that oppose reproductive choice will not refer you to an abortion provider. Many of these anti-choice clinics call themselves pregnancy centers, pregnancy resource centers, or abortion counseling centers. Names like new life or new hope indicate a health center whose sole goal is to maintain pregnancy, not terminate it. They promote adoption over abortion. Yet its significant to note that very few unmarried women who complete their pregnancies ultimately give the baby up for adoption; according to the National Center for Health Statistics, less than 1% did so between 1989–1995. In short, pregnancy or new life centers will not help you obtain an abortion or give you a referral to an abortion provider. Visiting them will only waste valuable time if youre determined to have an abortion. Adult or Minor - Laws Regarding Reproductive Choice It may seem that getting an abortion is very difficult. And it can be, depending on where you live. Its estimated that 85% of counties within the U.S. are not served by an abortion provider. Although abortion has been legal in the United States for over three decades, the laws regarding abortion vary from state to state depending on your age: If you are an adult (18 and older), reproductive choice is your right.If you are a teenager, depending on your age and the abortion laws in your state, you may or may not need parental consent. You should know what the laws are in your state to make an informed choice. Factors in Choosing an Abortion Provider When choosing an abortion clinic or abortion provider, it is also essential that you understand the differences between the two types of abortion medical and surgical before you make your decision. What type you choose will depend on the availability of services, how many appointments are required for the abortion itself and any follow-up exams you may need, and how far along you are in your pregnancy. Not all abortion services are available at all clinics, and youll need to leave ample time to make arrangements for travel to and from the clinic, recovery at home, and payment for the services. Armed with this information on how to find an abortion clinic, you can locate abortion clinics in your area and make contact online, over the phone, or in person.

Four Forces of Evolution Essay Example | Topics and Well Written Essays - 500 words

Four Forces of Evolution - Essay Example It is worth denoting that the four forces often correspond to changes in the frequencies of allele, genetic drift, natural selection, mutation, gene flow, and genetic hitchhiking. Natural selection focuses on the evolution of species. It is denoted that specie is a fundamental unit of biological categorization and a taxonomic position. This is one of the fundamental grounds of evolutionary theory. Natural selection attempts to highlight dissimilarities in characteristics among species such as coloring. The major premise of natural selection is that a trait that allows a person to survive in an environment usually triumphs. Natural selection happens after the meeting of reproduction, variation in offspring numbers per person, variations in the physical attributes, and heredity condition (Ruse and Joseph 136). Variation within the evolutionary world focuses on the distinctive characteristics that define organisms, as well as their actions. Mutation is a significant variation source, and work as an evolution mechanism when there are contrasting probabilities at the level of molecules for varied mutations to happen. This procedure is regarded as mutation bias. Supposing two genotypes, one having nucleotide G and the other with nucleotide A within a similar position possess similar fitness, even though the mutation from G-A occurs more frequently compared to the mutation from A-G, then genotypes within A will evolve. Deletion mutation and different insertion biases within contrasting taxa can result to the evolution of dissimilar genome sizes. Mutational or developmental biases were also observed under morphological evolution (Ruse and Joseph 154). Genetic drift signifies alterations within the frequencies of alleles from a generation to the subsequent due to subjecting alleles to sampling errors. Accordingly, when the selective forces are relatively weak or

Answer brief questions about hinduism Essay Example | Topics and Well Written Essays - 500 words

Answer brief questions about hinduism - Essay Example However, despite this, people spend the daily life in a normal way, and this belief makes little to no difference in their day to day living. However, the extent to which an individual gains influence of this belief depends upon his/her religiosity. A highly religious person is too concerned about the world hereafter and thus, lives in this world as a passenger. He/she really considers the other world more important than this world. On the other hand, there are people who run after money and power in this world and commit sins despite their knowledge of and belief in the world hereafter. To them, this world is more important than the other one. Thus, it varies from individual to individual, though a vast majority of people value this world more than the other one. 3. Shiva is an interesting character in Hinduism. What does it mean? Hindus hold the belief that all motion that takes place in the universe starts from God and terminates in Him. Since the start of time, the universe has r emained engaged in a continuous whirl of activity and change. Sun rises and sets. Moon undergoes a continuous cycle of appearing and disappearing. Likewise, atom that every matter is made up of keeps swirling. This is what Hindus refer to as the dance of Shiva.

Case Analysis And Problems With Dementia Nursing Essay

Case Analysis And Problems With Dementia Nursing Essay Dementia is a progressive and irreversible decline in mental function1. Lewy Body Dementia (DLB) is a form of degenerative dementia characterised by the presence of Lewy Bodies which are clumps of alpha-synuclein and ubiquitin protein in neurons2. These are only detectable in post-mortem brain biopsies2. The manifestations of dementia present themselves clinically as progressive cognitive decline which impairs day-to-day social and motor functioning. This central feature of DLB is essential for the initial diagnosis of the disorder and the initial evaluation of a patient with dementia must establish the presence of cognitive impairment and provide a measure of its severity. Three core features which are significant in the diagnosis of DLB and distinguishing it from these other disorders are2: 1.  Ã‚  Ã‚  Fluctuations in both mental cognition and relative levels of attentiveness. The severity and duration of these episodes vary among patients, however, generally, severity increases with time. 2.  Ã‚  Ã‚  Visual Hallucinations characteristically detailed and well-formed; significant in differentiating DLB from Alzheimers disease as they are relatively rare in the latter disorder. 3.  Ã‚  Ã‚  Spontaneous features of Parkinsonism, such as tremors. At least two of these core features must be present to conclude that there is DLB3. Suggestive features of the disorder include rapid eye movement (REM) sleep behaviour disorder, repeated falls and transient loss in consciousness. In the absence of a core clinical feature the presence of one or more of these suggestive features may help in the diagnosis of DLB. The differential diagnosis for DLB is mainly Alzheimers disease, Parkinsons disease or other dementia syndromes. However, in Catherines case the presence of a number of core and suggestive features strongly indicate DLB. In relation to Catherine, there are many indicators present which qualify her for diagnosis with the disease. Not only does she exhibit some of the core features mentioned previously but it is also evident that she is suffering from some of the more suggestive, but equally as debilitating, aspects of the disease. It is evident on examination that Catherine is experiencing fluctuations in cognition as her verbal responses are often difficult to comprehend and are unreliable. These memory lapses, along with aggressive responses, are known symptoms of dementia2. She has had some vivid visual hallucinations previously which may be a mitigating factor in her continuous falls, another suggestive feature of the disorder2. Catherines husband faces many challenges as her primary caregiver. Caregiver burden is defined as the high levels of stress and anxiety associated with the provision of care to another person suffering from some kind of illness4. Catherines husband is likely to suffer from caregiver burden as he is the sole provider of care and his closest source of relief is his daughter who lives some distance away. He faces challenges in communication and in managing Catherines behaviour and struggles with his own physical fitness while also trying to care for his wife. He is likely to suffer emotionally as result of the demands placed upon him as a result of Catherines unwillingness to avail of respite care services. Catherine presents many challenges to the healthcare system in that she is aggressive towards members of staff with whom she is unfamiliar. This impedes upon the quality of her care as nursing staff appreciate her condition but are unable to manage it on an acute ward. The problems with her memory make interactions difficult as she does not remember her surgical treatment and becomes aggressive and agitated at times. It is likely that as the disease progresses these factors will become more serious and incapacitating, leaving her husband with no choice but to admit her to a long-term care facility. Societal Context It is difficult to quantify the prevalence of Dementia in Ireland and in various countries due to variances in how we define and ration dementia and also due to methodological variances in conducting studies5.  However there remain some factors such as age and gender which show consistencies across studies. It has been found that Alzheimers disease is more common in women, and that prevalence of dementia can double with every 5 years of increase in age6. The Alzheimer Society of Ireland (ASI) estimates that there are currently more than 44,000 people suffering from some form of dementia in Ireland7. It is shown that the prevalence is higher in females than males with 20,000 females and 14,000 males found to be suffering in 2002 and the incidence is expected to increase dramatically in the coming years in correspondence with the aging population in Ireland.  By the year 2036 the ASI estimates that there will be over 100,000 people with dementia8.   Studies have shown there are a number of risk factors associated with dementia. Along with age and gender, genetics and BMI have also been linked closely with dementia. One study found that normal-weight women had a greater risk of developing dementia than women with a higher BMI than them9. It has also been found that those with higher BMI  have  a decreased risk of cognitive decline10. Cholesterol levels have also been linked to the cause of dementia in that high levels of high density lipoprotein have been associated with a decreased risk of Alzheimers disease11. There are a number of known support groups in this country for relatives of patients with  dementia7. For example, The Alzheimer Society of Ireland provides  a range of services to people with Alzheimers disease and other forms of dementia. The Carer and Family Support Groups operate throughout Ireland, usually meeting on a monthly basis7. This support network offers a vital opportunity for carers and family members to share experiences, information and practical advice in a supportive environment and would be of significant benefit in Catherines case to provide her husband with an outlet from the constant pressures associated with her disease. The Irish Government does offer some financial support to people suffering from dementia but it appears not to be enough. There are a number of schemes which provide home care to patients, however a  new report  illustrates that Ireland  spends only half the OECD (Organization of Economic Cooperation and Development)  average on dementia services12 despite the fact we rival any other European Country in relation to the growth of dementia. According to the report for every 18,500 euro cut, four people with dementia will  lose  any service provided by the government12. This would be detrimental in Catherines case as she may eventually rely heavily on the government for support. Healthcare Quality and Patient Safety The treatment of Dementia is focused towards specific disease manifestations as there are no definitive treatments available. To effectively treat Dementia, patients and families should be involved as soon as the diagnosis is made. The availability of information, good health services, and support should be provided to help patients and their families to cope with dementia. The behavioural and psychological symptoms of dementia have been a difficult management area for neurologists and psychiatrists alike. The key to proper management is the correct identification of each symptom and the underlying precipitating cause. The proper management is not only rewarding in terms of responsiveness in an otherwise incurable and progressive disease, but also improves the quality of life of the patients and the caregivers. The management of dementia begins with a thorough assessment to search for underlying causes of behavioural changes. Non-pharmacological approaches should be used prior to medication use. These interventions include music, light, changes in level of stimulation and specific behavioural techniques. The type of dementia, individual symptom constellation and the tolerability of the patient will help to determine what medication should be used13. Cholinesterase inhibitors treatment for people with DLB is commonly used in clinical practice, especially for patients that exhibit neuropsychiatric symptoms. The use of antipsychotics for agitation and aggression has shown consistent efficacy and it is the most studied pharmacological intervention14. Pharmacotherapy must be monitored closely for both effectiveness and side effects, with consideration of medication withdrawal when appropriate. Studies show that anti-dementia medicine neither cure, arrest nor delay the onset of the disease, but are helpful in symptom relief14. There is an urgent need to develop more efficacious medications for the treatment of dementia15 as in the long-term we know that a diagnosis of dementia is a sentinel event that signifies progressive loss of independence and increasing demands on caregivers. In this case, the biggest barrier to Catherine receiving adequate healthcare is herself and the uncooperative and aggressive nature of her condition. Her husband and family cannot fully support her needs therefore she needs to be admitted to a long-term care facility. Her wishes to continue living in her own home may prevent her from getting the care she needs. Also, the fact that her husband must make the decision could be considered a barrier as he is unwilling to put her into long-term care, where the stability may help her. Individualised rehabilitation approaches targeting relevant and personally-meaningful aspects of everyday functioning have demonstrated significant benefits in single-case and small-group intervention studies16. Cognitive rehabilitation is a relatively new approach to improving well-being for people with dementia and their families, but at present only preliminary evidence regarding efficacy is available16. However, this preliminary evidence suggests that cognitive rehabilitation does have the potential to bring about changes in behaviour, enhance well-being and maintain involvement in daily life. Psychosocial interventions of this kind can be provided alongside pharmacological treatment, and it is possible that these two approaches can complement one another to optimize benefits for the person with dementia17. There are a great many questions still to be answered, but the existing evidence provides a valuable basis for further development of this approach. Ethical Considerations There are a number of ethical issues to address in Catherines case. As DLB progresses, it gradually renders people incapable of tending to their own needs, thus their decision-making capacity is compromised and caretakers must step in and make decisions for them. Catherine suffers from dementia and requires constant care. In preventing Catherine from independently getting in and out of bed, several ethical issues are involved. Her caretakers can only effectively tend to her and ensure her safety by compromising her right of autonomy for the sake of beneficence18 i.e. doing this for her own well-being in order to provide her with adequate care. Also non-maleficence18 is a factor in this situation i.e. they must ensure she does not get harmed while moving about unsupervised In Ireland, under the Mental Health Act of 2001, certain conditions must be must be met before someone is involuntarily admitted to a long-term care facility19. Fundamentally The patient must be eligible to be involuntarily admitted The Person sending the patient must send in application for the patient That Person must fit certain requirements. After application, a registered medical practitioner must do an examination on the patient and if he/she is satisfied, he/she writes a recommendation for the involuntary admittance of the patient in an approved centre. Catherine definitely fits the requirements of the patient to be involuntarily admitted as she is actually suffering from a mental disorder20 and her caretakers may be considered unfit to take care of her. While her husband wants to respect her wishes he is physically unable to provide the level of care that she needs, even with his daughters weekly assistance. It is obvious that she requires constant monitoring as evident by her repeated falls. Therefore, after a mental health assessment it is likely that she be recommended to live in such a facility with more appropriate care21. Healthcare providers are only able to advise patients and their family members on the best course of treatment and management plan available, suggesting alternatives are still within their boundaries. However, the final choice always resides with the patient and his/her family members22. Disputes which may arise become a tough issue for health care professionals to resolve, as all circumstances need to be taken into consideration before a decision can be reached23. Word Count: 1989 Search Strategy As part of our search strategy we used resources from the library and those online.   We found books and journals in the library useful for sourcing background information about Lewy Body Dementia. Online we used medical search database, Medline and PubMed. We had to tailor our search criteria to suit the particular section of the report we were writing.   To further refine our search findings we used the advanced search and used the limits option. If our search yielded too few findings, we learnt to change our keywords and to broaden our search area. For example when Dementia is searched PubMed reveals 119494 options, however if dementia AND Ireland is searched 404 results are revealed. To further refine this search we used Limits whereby we limited the findings to trials that had links to the free article online, were in English and were conducted on humans. This searched revealed 60 findings. It is also useful to use sources that have been referenced by other authors and we found that once you found one or two good trials, they usually had referenced some other sources that matched your search criteria. This cut down on the searching through irrelevant articles and proved better use of our time.   All in all we found the internet very useful for sourcing our references and in particular we found PubMed and Medline user friendly once we understood how to use them properly.

Hawkins V Clayton Case Summary

Hawkins v Clayton [1988] HCA 15; (1988) 164 CLR 539 (8 April 1988) High Court of Australia Case Title: HAWKINS v. CLAYTON [1988] HCA 15; (1988) 164 CLR 539 F. C. 88/012 Medium Neutral Citation:[1988] HCA 15 Hearing Date(s): 1987, May 13 1988, April 8 Decision Date:20 June 2011 Jurisdiction: High Court of Australia Before:C. J Mason J. Wilson J. Brennan J. Deane J. Gaudron Catchwords: Negligence – Duty of care – Solicitor – Will held by solicitor – Failure to inform executor of death of testator and of contents – Whether duty to do so – Loss to estate caused by executor's ignorance of death – Measure of damages.Limitation of Actions – Tort – Accrual of cause of action – Running of time – Commencement – Breach by solicitor of duty of care to inform executor of testator's death – Loss to estate caused by executor's ignorance of death – Limitation Act 1969 (N. S. W. ), s. 14(1). Legislation Cited: Limitation Act 1969 (N. S. W. ), s. 14(1) Wills, Probate and Administration Act 1898 (N. S. W. ), s. 150 s. 32 of the Wills, Probate and Administration Act s. 61 of the Wills, Probate and Administration Act Cases Cited: Central Trust Co. v. Rafuse (1986) 31 DLR (4th) 481, at p 521Bowen v. Paramount Builders (1977) 1 NZLR 394, per Richmond P. , at p 407 Central Trust Co. v. Rafuse (1986) 31 DLR (4th) 481, at p 521 Bowen v. Paramount Builders (1977) 1 NZLR 394, per Richmond P. , at p 407 Voli v. Inglewood Shire Council [1963] HCA 15; (1963) 110 CLR 74, at p 85 Midland Bank v. Hett, Stubbs and Kemp (1979) Ch 384, at pp 402-403 Hedley Byrne & Co. Ltd. v. Heller & Partners Ltd. [1963] UKHL 4; AC 465 Marshall v. Broadhurst (1831) 1 C & J 403 [1831] EngR 151; (148 ER 1480) Balch v. Symes [1823] EngR 362; (1823) Turn & R 87, at p 92Aebly's Will (1941) 29 NYS 2d 929, at pp 931-932; affirmed (1941) 31 NYS 2d 664 Georges v. Georges [1811] EngR 446; (1811) 18 VesJun 294 (34 ER 328) Lord v. Wormleighton [1822] EngR 477; (1822) Jac 580, at p 581 [1822] EngR 477; (37 ER 969) Estate of Harvey (1907) P 239 Goods of Shepherd (1891) P 323, at p 326 Hollis v. Smith (1808) 10 East 293, at p 295 (103 ER 786, at p 787) Meyappa Chetty v. Supramanian Chetty (1916) 1 AC 603, at pp 608-609 Ryan v. Davies Bros. Ltd. [1921] HCA 53; (1921) 29 CLR 527, at p 536) Pinchon's Case [1572] EngR 289; (1611) 9 CoRep 86b, at p 88b [1572] EngR 289; (77 ER 859, at p 863)Texts Cited: Sir James Stephen, A History of the Criminal Law of England (1883) Parties: Representation – Counsel: File number(s): DECISION The case of Hawkins V Clayton was the result of a breach of duty by the solicitors of the testator, Mrs Brasier, and to the executor of the estate, Mr Hawkins. The solicitors were in custody of Mrs Brasier’s will and seemingly were not aware of the testators death for some time as they had written letters to her regarding her will in September 1978 and August 1979 with no respo nse.After the commencement of the action taken up by Mr Hawkins, he had passed and his widow and executor continued the action as she had become Mrs Brasier’s executor by devolution. Mr Hawkins and his family had lived with Mrs Brasier as a â€Å"tenant† in her home at Blakehurst, sometime during August 1973 Mr Hawkins and Mrs Brasier had had a disagreement and the Hawkins family had left the Blakehurst house. It was determined that Mrs Brasier had spoken with Mr Hawkins about his appointment as executor but had not confirmed it once the will was written.After August 1973 Mrs Brasier had contact the solicitors to make a new will but had not carried out the changes and the solicitors had not had any instructions from her since. After the death of Mrs Braiser, her nephew, Ronald Lamb had taken up residence in her house and had not paid any rent or maintained the property. Mr Lamb had contacted the solicitors and had represented to them that Mr Hawkins had disappeared and requested payment out of the estate for funeral expenses.Some years later, Mr Hardwick who had been handling the matter had retired and upon the retention of new solicitors from the Executor, had rendered an account for services provided to the estate. This case was heard in the High Court of Australia on appeal from the judgment handed down from the Supreme Court of New South Wales. In the judgment from the Supreme Court, it was found that the Statute of Limitations had barred the solicitors from being found guilty of a breach of duty of care.The High Court Judges had not reached a unanimous decision regarding the duty of care owed to the executor. Mason C. J and Wilson J found that there was no duty of care owed to Mr Hawkins and suggested the appeal be dismissed, on the other hand; Brennan, Deane, Gaudron JJ had found that there had been a breach of the duty owed to Mr Hawkins, and that the Limitations Act would not affect any claim of such a breach as the breach did not occur a t the time of the death of Mrs Braiser but from when the Solicitors found out of her death.There was argument that the resultant damages incurred by Mr Hawkins was caused by his ignorance of the will and his failure to administer the estate it was however found that the damages were indeed caused by the lack of the solicitors to promptly notify Mr Hawkins of his interest in the estate and his role as executor. Brennan, Deane, Gaudron JJ ordered that damages be paid by the respondents though as the damages had not been quantified, they all agreed that the parties should discuss and agree to the amount of damages payable, if the parties could not agree to an amount, the Supreme Court of NSW would determine the costs owed.The final orders as found in the judgment are as follows: 1. the appeal to that Court be allowed with costs; 2. the judgment of Yeldham J. be set aside; 3. in lieu thereof judgment be entered for the plaintiff for damages to be assessed; 4. the action be remitted for determination by a judge of the Supreme Court; and 5. the defendants to pay the plaintiff's costs to be taxed.

Analysis Of The Book Carte Blanche Essay - 1479 Words

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