The Chosen Health Care Essay -- Health, Breast Cancer

The chosen health care need that this assignment will focus on is Breast Cancer as each year more than a quarter of a million people are diagnosed with Cancer in the United Kingdom, Macmillan (2007). Breast Cancer was chosen as the health care need as people’s awareness of Breast cancer need to be raised. Also through out this assignment the sociological and psychological aspect of breast cancer will be looked at and also the global national and local initiatives will be looked at as well for anyone receiving or caring for someone with breast cancer. Breast cancer develops when a single cell begins to multiply rapidly and forms a tumour; some cells make break away and travel to other parts of the body starting a new tumour cancer research (2004). Breast cancer is the most common cause of cancer in women, Rosto (2009). Even though breast cancer in women is common, there are also 341 men in the United Kingdom diagnosed with breast cancer in 2008, cancer research (2011). In the West Midlands there were 4,222 case of breast cancer in 2009. The number of cancer cases and crude incidence rates continue to increase annually as the population of the West Midlands ages, west midlands intelligence unit (2011). Breast cancer affects mainly 50-64 year olds in the west midlands. However breast cancer still remains the most common form of cancer in females in the West Midlands, it has a strong negative association with deprivation usually found in the more affluent sections of the population, west midlands intelligence unit (2010). In 2009 the five year survival rates were over 80% for breast cancer patients WMIU (2010). The number of deaths to cancer in the west midlands has remained steady over the decade with 13,430 deaths in 20... ...f the absolute benefits and harms of mammography screening for breast cancer remains a subject of discussion. The estimates from individual randomized trials and service screening programmes suggest that between 300 and 500 women need to be screened every 2–3 years for 10 years to prevent one death from breast cancer.1,2 Harms of screening include the anxiety and inconvenience associated with screening and with suspicious screening findings, which do not result in a diagnosis of cancer, and over diagnosis, the last of which has attracted considerable interest recently.3–6 Over diagnosis is defined as the diagnosis of a cancer as a result of screening that would not have been diagnosed in the woman’s lifetime had screening not taken place. Estimates of over diagnosis range from less than 10% of tumours diagnosed in a screening programme to around 50%. Duffy (2010)

Altex Corporation Case Study Essay

1.Why was a risk management plan considered unnecessary? According to the contract award, contracts at that time did not require that a risk management plan be develop while according to the sponsor the risk management plan was not necessary because most of the new weapon systems requirements are established by military personnel who have no sense of reality about what it takes to develop a weapon system based on technology which does not even exist yet. According Kerzner, in the earlier days of the project management on many commercial programs, the majority of project decisions heavily favored cost and schedule. This was because we knew more about cost and scheduling than we did about the technical risks. But on the other hand it is essential that programs define and implement appropriate risk management and contingency plans to enhance program management effectiveness and provide program managers a key tool to reduce life cycle costs (Kerzner, 2009). 2.Should risk management planning be performed in the proposal stage or after the contract award assuming that it must be done? Risk management is employed throughout the program’s life cycle and should be developed early in the program from the very beginning and addressed continually throughout the program. Risk management is not a separate program function but part and parcel of the overall program planning and management process. In order to be effective, the risk management process must be recognized as a program management activity, and not something limited to the engineering function. Any program element associated with cost, schedule, and performance has a direct interface with the risk management process. This process does not change fundamentally as the program progresses, although some changes or adjustments might occur as the program progress (Kerzner, 2009). 3.Does the customer have the right to expect the contractor to perform risk analysis and develop a risk management plan if it is not called out as part of the contractual statement of work? The customer has the right to expect the contractor to perform risk analysis and develop a risk management plan as part of the project planning. An effective life cycle risk management process requires a commitment on the part of the program manager and the program office to be successful. It is essential that Project manager define and implement an appropriate risk management and contingency plans. The customers expect the contractor to be the expert who knows what needs to be done in any project and that is why he has been hired to do the jobs. Risk management will enhance program effectiveness and provide program managers a key tool to reduce life cycle costs (Kerzner, 2009). 5.How effective will the risk management plan be if developed by the project manager in seclusion? There is no way a project manager will have a risk management plan in seclusion. The reason being first, Risk management planning is the process of deciding how to approach and plan the risk management activities of the project. Secondly the process will include identifying the project charter, current polices, current roles and responsibilities, and the project management plan and, the Risk Management Plan (RMP) strategy needs to be established early in the project and will need to be continually developed throughout the project life cycle. Project risks include business and contractual relationships, cost, funding, management, political, and schedule risks. Other risks are technical, production, and support risks. These entire put together risk management plan has to be part and parcel of the project planning (Kerzner, 2009). 6.Should the customer be allowed to participate in or assist the contractor in developing a risk management plan? Risk management requires early and continual involvement of all of the program team as well as outside help as appropriate. When we are trying to identify the risk we may get our results based on survey of the project and this will involves customer fully. We have to involve the customer since in any case there is a risk then it the risk management program that will support setting realistic cost, schedule, and performance objectives and identifies areas that require special attention. If we don’t involve the customer then that may lead to the customer loosing trust on our company and at the same time we will end up delivering a low quality work (Kerzner, 2009).

Exercise in Building and Connecting Sentences

This exercise will give you a chance to practice condensing and combining sentences using transitional words or phrases.  Combine the sentences in each set into two clear sentences. Add a transitional word or phrase to the second sentence to show how it relates to the first. Heres an example: Retirement should be the reward for a lifetime of work.It is widely viewed as a sort of punishment.It is a punishment for growing old.Sample Combination:Retirement should be the reward for a lifetime of work. Instead, it is widely viewed as a sort of punishment for growing old. When you are done, compare your sentences with the sample combinations  below. Exercise: Building and Connecting Sentences With Transitional Words and Phrases To be self-centered does not mean to disregard the worth of other people.We are all self-centered.Most psychologists would probably accept this position.There are differences in math performance between boys and girls.These differences cannot be attributed simply to differences in innate ability.If one were to ask the children themselves, they would probably disagree.We do not seek solitude.If we find ourselves alone for once, we flick a switch.We invite the whole world in.The world comes in through the TV or Internet.Little girls, of course, dont take toy guns out of their hip pockets.They do not say Pow, pow to all their neighbors and friends.The average well-adjusted little boy does this.If we gave little girls the six-shooters, we would soon have double the body count.We know very little about pain.What we dont know makes it hurt all the more.There is ignorance about pain.No form of illiteracy in the United States is so widespread.No form of illiteracy in the United States is so costly.We drove the wagon close to a corner post.We twisted the end of the wire around it.We twisted the wire one foot above the ground.We stapled it fast.We drove along the line of posts.We drove for about 200 yards.We unreeled the wire on the ground behind us.The historical sciences have made us very conscious of our past.They have made us conscious of the world as a machine.The machine generates successive events out of foregoing ones.Some scholars tend to look totally backward.They look backward in their interpretation of the human future.Rewriting is something that most writers find they have to do.They rewrite to discover what they have to say.They rewrite to discover how to say it.There are a few writers who do little formal rewriting.They have capacity and experience.They create and review a large number of invisible drafts.They create and review in their minds.They do this before they approach the page. When you are done, compare your sentences with the sample combinations below. Sample Combinations To be self-centered does not mean to disregard the worth of other people.  In fact,  most psychologists would probably accept the position that we are  all  self-centered.The differences in math performance between boys and girls cannot be attributed simply to differences in innate ability.  Still,  if one were to ask the children themselves, they would probably disagree.We do not seek solitude.  In fact,  if we find ourselves alone for once we flick a switch and invite the whole world in through the TV or  Internet.Little girls, of course, dont take toy guns out of their hip pockets and say Pow, pow to all their neighbors and friends like average well-adjusted little boys.  However,  if we gave little girls the six-shooters, we would soon have double the body count.(Anne Roiphe, Confessions of a Female Chauvinist Sow)We know very little about pain and what we dont know makes it hurt all the more.  Indeed,  no form of illiteracy in the United States is so wi despread or costly as ignorance about pain.(Norman Cousins, Pain Is Not the Ultimate Enemy)We drove the wagon close to a corner post, twisted the end of the wire around it one foot above the ground, and stapled it fast.  Next,  we drove along the line of posts for about 200 yards, unreeling wire on the ground behind us.(John Fischer, Barbed Wire)The historical sciences have made us very conscious of our past, and of the world as a machine generating successive events out of foregoing ones.  For this reason,  some scholars tend to look totally backward in their interpretation of the human future.(Loren Eiseley,  The Unexpected Universe)Rewriting is something that most writers find they have to do to discover what they have to say and how to say it. There are,  however,  a few writers who do little formal rewriting because they have the capacity and experience to create and review a large number of invisible drafts in their minds before they approach the page.(Donald M. Murray, The Makers Eye: Revising Your Own Manuscripts)