Caring for chronic illness in the rural setting Essay

Caring for chronic illness in the rural setting - Essay Example They also lack knowledge and training about the caring regimen needed for the family members suffering from chronic disease (Smith-Campbell, 2009, p.562). Hence, it is extremely important for health care professionals to design the services which are not only easily accessible to people living in rural areas but also help them in being capable of providing proper care to their family members suffering from chronic conditions. The Obstacles A study by ‘The Dartmouth Atlas Project’ (2006) has found that the chronic diseases like diabetes, heart disease and cancer have affected the health of more than 90 million people in the US (Pierce& Lutz, 2009, p.191). Shapiro (2002) has found that the chronic condition is prevalent in more than one third of young adults aged between 18 to 44 years (Pierce& Lutz, 2009, p.191). A study by AHRQ (2002) has revealed that more than 75% of elder population is suffering from either one or more chronic conditions (Pierce& Lutz, 2009, p.192). T hese studies show how serious is the issue of prevalence of chronic conditions in the US population. It is evident that chronic condition is not limited to a particular age group but is affecting people from every age group. Hence, health care by family members is going to play a vital role in controlling the increase of the chronic diseases in people. However, families from rural setting are facing many obstacles in getting the access to health care services. Inadequate Health insurance Inadequate health insurance has proved to be one of the major problems in accessing proper health care services. A study by Lottero et al. (2007) found that even after having a long term relationship with the health care providers, people from farming profession were denied health care as they were not financially capable of paying the bills for their treatment (Smith-Campbell, 2009, p.562). The major problem with the families seeking health care services for chronic conditions in rural areas is tha t they are either uninsured or underinsured (Smith-Campbell, 2009, p.562). Hence, they avoid the treatment for chronic conditions unless it is an emergency (Smith-Campbell, 2009, p.562). The lack of financial resources and sufficient insurance also make them to avoid getting health screening and preventive measures for chronic conditions (Smith-Campbell, 2009, p.562). Hence, instead of getting under control, the lack of proper resources is leading to growth in the prevalence of chronic conditions. Lack Of Facilities There are many obstacles that people living in rural area face in taking advantage of the medical facilities. They cannot utilize the medical facilities due to lack of follow up facilities required for different kind of chronic condition treatments. A qualitative research, conducted to study the obstacles in implementation of lifestyle and pharmacological changes to improve the chronic condition of ischemic heart disease, found that the use of ACE inhibitors was not poss ible in case of rural patients as it required follow-up blood tests (Putnam, Twohig, Burge, Jackson, & Cox, 2004, p. 401) Unfortunately, people living in the rural area, who suffer from hypertension and congestive heart diseases, cannot use ACE inhibitors as they cannot get an easy access to the blood test facility. Similarly, the facilities for physical exercise are also not accessible to the

Marketin Planning Essay Example | Topics and Well Written Essays - 3500 words

Marketin Planning - Essay Example The advisory committee helps the companies to reveal the strength and weakness in the strategic plans. It discusses the strategic responses with the companies and provides them with the outcome where the company has to improve. The companies are required to get registered with the committee, so that they receive continuous updates and monitoring from IHS CERA. The membership is taken on the annual basis and the committee delivers two research cycles to the companies, who are registered under it. The committee provides with the current scenario of marketing strategies of the industries. The companies will remain well aware regarding the changing perspective of the marketing plans that are undertaken by the industry (Petro Tech, 2012). The members are bound to receive the following from the committee: 1) Forecast or anticipation of the oil and gas industry of the United States 2) Get the access to the IHS CERA Database Centre. 3) Receive semi annual client meeting (invitation/ record o f the proceedings) Shell is the leading oil and petrochemical company based in Unites States. The company seeks to develop unique marketing strategy based on the current scenario of the marketing plans of the industry. ... Shells seek to maintain its position in the industry by meeting the global energy demand in a very responsible way. They aim at providing competitive returns for the shareholders. The company also seeks to develop a competitive edge, so that they can retain the best position in the industry. In new downstream markets, access to upstream resources has become very difficult as there exist high competition. But for Shell the main competitive advantage is their capability of project delivery and the operational excellence along with their concentration in the upstream businesses. The company has invested 80% of the capital in the upstream business in 2013. In the upstream business, the company focus on the exploration of new liquids and natural gas reserves. They aim at developing new projects where the technology and the know-how of the business can add value to the resource holders (Deloitte, 2013). The downstream and upstream engines are generating cash and developing the business, wh ich is strengthening the financial performance of the company.   The company makes investment in few selective growth regions. It thus applies distinctive technology to the growth regions and provides with excellent operating performance for extending the productive lives of the assets of the company and hence increases profitability. Their major strategies are the deep water, integrated gas and the resources that play an important role, such as shale oil and gas. The themes provide them with medium term growth and they expect to make the themes to be their core engines of the business in the near future. The future opportunities of Shell include the potential oil reserves of Iraq, Arctic, Nigeria and Kazakhstan. The opportunities are to be exploited by the company in order to