Big Issues Research Paper Example | Topics and Well Written Essays - 250 words

Big Issues - Research Paper Example conditions surrounding their medical situation will involve the kind of medical attention required, and the capability of the caregiver to administer the requirements. Does the primary medical professional have the right to decide? William Coch believes so. Firstly, if an elderly has no relative, he should be in a nursing home. However, when there are relatives involved, a lengthier and more complex decision-making process takes place. Based on Coch’s experience, most of his patients look to him for the final decision. He positions it as â€Å"doctor’s orders.† If such is the paradigm, it takes away the emotions involved from the point-of-view of abandonment vs. capability to care. It objectifies the decision, and makes it a part of the elderly patient management (Frontline, 2006). Does the immediate relative have the right to decide? If the presence of a relative is available, then by all means should be consulted. However, the primary medical professional still gets involved with the conversation, if at a minimum to provide a professional prognosis of the elderly’s medical condition, and if requested, can provide a professional medical opinion as an advocate (Frontline, 2006). In conclusion, the best decision will be made by the three players: the sensible elderly, the primary health provider and the primary caregiver relative. It should be a decision based on consensus, where all parties will agree to an objective – the level of quality for end-of-life. US Bureau of Census (2010). Persons 65 Years Old and Over--Living Arrangements and Disability Status: 2007. Retrieved on May 2, 2010 from

Leader Effectiveness in Multicultural Environments Coursework

Leader Effectiveness in Multicultural Environments - Coursework Example Based on the previous journal entries, I should work on cultural communication, strategy, and cultural motivation skills. These skills are key to successful leadership because they determine how one can keep relationships with people from varied cultural backgrounds (Rowley & Poon, 2009). Cultural communication is the ability to communicate very well with people from varied cultural backgrounds. It is the ability to make individuals from different cultures to feel comfortable by adopting their cultural behavior and communication technique. Effective communication technique is necessary ingredients in the achievement of effective leadership. Cultural strategy refers to the set of techniques that one uses to handle situations that require cultural intelligence. It entails careful planning and execution of efficient management practices that facilitation the adoption of cultural behavior and communication from different cultures. Sometimes it is necessary for a leader to pause and perform a mental reset. The reset is necessary to ensure one is on the right track. The skills that are essential to the development of cultural awareness and effective leadership are cognition, metacognition, behavior, and motivation. The whole training will take one month. The timeline is a bit long because time is needed to experience different environments, which can facilitate the practice of several skills. Cultural communication will be the first skill to practice. The first week of the training will involve a real life experience in a multicultural environment. Placing myself in a multicultural environment will help me to focus on cultural behavior and practices to master how to communicate with people from different cultures. The goal is to master the specific behavior associated with communication in different contexts. The ability to understand cultural behavior and related it to communication