Health Care Controversy Obamacare - 972 Words

Health Care Controversy Obamacare may be one of the most debatable topics at the moment ever since 2010. For those who are still confused on what Obamacare is and how it works is understandable and common amongst Americans. Obamacare is also known as the Affordable Care Act. It can be summed up as a law that ensures every American has access to health insurance that is affordable and within their budget. This is done by offering people discounts on government-sponsored health insurance plans, and by expanding the Medicaid assistance program so they include more people who can’t afford health care. In order for someone to qualify for Obamacare they must have an insurance plan that covers at least ten essential services that pertain†¦show more content†¦Beginning this year is when nobody can be denied health insurance because of any previous medical conditions they were denied to before. The law also ended insurance denials that were due to pre-existing conditions. Good news for adult child ren is that anyone uo tp 26 can continue to get health insurance on their parent’s policies. The law even ends lifetime limits on insurance payouts and health insurers are demanded to at least spend 85% of their premium dollars on health care. However, some people still find Obamacare flawful and rule out the positivity it impacts on people and focus on the negative it causes. The fact that one must at least have an insurance plan that covers 10 minimum essential health care services to have health insurance now or through Obamacare services bugs most. The government also limits patient choice through federal regulation of the insurance market, government interference in the decisions patients make with their doctors, and the rising dependence of government health programs. Some controversy that has arisen due to Obamacare would be the government website crash that occurred on the last day of open enrollment. The technical problems however had nothing to do with the high dema nd that day. Other issues that have shown up were Republicans see the law as a â€Å"job killer† as it imposes too many costs on businesses. Republicans heavily impact the states they are inShow MoreRelatedHealth Care Controversy958 Words   |  4 Pages Health Care Controversy Essay ObamaCare, also known as the Patient Protection and Affordable Care Act, is a Health care reform law that was signed on March 23, 2010. ObamaCare’s goal is to provide more Americans with affordable health care insurance. ObamaCare also hopes to improve the quality of healthcare and health insurance in America, regulate the healthcare industry, and reduce the cost of healthcare in the United States. ObamaCare is made up of ten titles; I: Quality,Read MoreFinding Common Ground Essay1105 Words   |  5 Pages Affordable Care Act and Its Controversies On March 23, 2010 President Obama signed the Affordable Care Act (ACA); this date is when the growing debate began. The Affordable Care Act is also commonly known as Obamacare. A large issue between the opposing sides is the future of small business under this bill. â€Å"Many small businesses are going to be absolutely crushed by the provisions in Obamacare that require them to provide expensive health insurance coverage for their employees.† (Snyder, Michael)Read MoreThe Patient Protection And Affordable Care Act1686 Words   |  7 PagesObama was the first to implement federal health care reform. The Patient Protection and Affordable Care Act (ACA), otherwise known as Obamacare, was signed into law on March 23, 2010, in efforts to abate healthcare costs and provide health insurance to all United States citizens and legal residents. The intent of Obamacare revolves around providing universal access to healthcare regardless of a pre-existing condition, setting reasonable pr ices for health care insurance, and providing government subsidiesRead MoreThe Patient Protection and Affordable Care Act: An Analysis of Argumentative Articles941 Words   |  4 PagesObamacare The Patient Protection and Affordable Care Act (a.k.a. Obamacare) was signed into law on March 23, 2010, and generated much controversy as a regard of the effects that people believed it was going to have on the U.S. The media world has gotten actively involved in discussing the act and while some support its principal ideas, others lobby with regard to how it is going to seriously destabilize the health care system. From an act meant to guarantee that more people in the U.S. have accessRead MoreThe Affordable Care Act ( Aca )810 Words   |  4 PagesAbsurd? The Affordable Care Act (ACA) has definitely had a tremendous impact on the economics of health care within the United States. However, is this actually the impact that was intended? There are many political controversies over the ACA, which leaves unanswered questions about the true financial projection of the new healthcare reform. The pricing of new health care coverage has forced cost-shifting but more so price discrimination. The main intent of Obamacare was to eliminate the highRead MoreObamacare : The Affordable Health Care Act1610 Words   |  7 Pagesmonumental in the health care world. These changes have been positive as well as negative. This new government policy has come about through the Affordable Care Act, more commonly known as Obamacare. This new program has been so purely monumental, because government until then had not been directly involved with health care as much as they are. Benefits include lower costs, and thousands of uninsured individuals and famil ies with health care. Downsides are more and higher taxes, and health insurance goesRead MoreThe Obamacare Act962 Words   |  4 PagesThe Patient Protection and Affordable Care Act The Patient Protection and Affordable Care Act (a.k.a. Obamacare) was signed into law by President Barack Obama on March 23, 2010. While the act is directed at addressing one of the countrys most pressing problems, it generated much controversy as a consequence of the ethical dilemmas that it brings on. The act provides individuals with a wider range of choices and control over their health coverage. It provides a series of benefits such as peopleRead MoreThe Great Depression : President s Franklin Roosevelt And Herbert Hoover1033 Words   |  5 Pagesthe Great Depression, and if the were here today I feel they would each deal with the healthcare issue in America in different ways. Each president handled this massive challenge in very different ways. Today, a lot of controversy is on our nation’s health care, and the Obamacare Act. In my opinion, Roosevelt would more than likely help encourage this act, while Hoover on the other hand, would not be so pleased with what it had to offer. In 1929, seven months into Hoover’s Presidency, the stockRead MoreFurthermore, Reproductive Rights Cannot Be Discussed Without1698 Words   |  7 Pagesmore likely to enter into nursing homes when they are older and live longer lives (2011). Despite these frequencies, women are not often considered or even included when planning healthcare. For example, Medicaid is a government program that provides health insurance to the poor and women are much more likely to face a negative impact when Medicaid faces budget reductions but are never included in the discussion of de-funding Medicaid. Medicare, healthcare for retired people, and Medicaid were both firstRead MorePros and Cons of Obamacare1693 Words   |  7 Pages Obamacare Controversy always surrounds change. Healthcare is this kind of controversial topic where people refuse to accept changes, even though changes must be made. Obamacare details many changes, how they will be made, and whom they will affect. As with any bill, there are pros and cons that exist as the bill helps many, but makes some a little worse off. Taking into account the pros that include the minimum benefits package and expansion of Medicare coverage as well as the cons that include

The Redemption Of The Soul - 1597 Words

Katherine was coming into her own as a reformer, and while the King does change a few things about the church, he was far from a reformer. Parr embraced the reformist ideals of reading and interpreting the Bible for herself and firmly believed that religion should be debated and discussed. As shown in her own writings, Parr did not want a priest, or any man for that matter, to speak for her when it came to religious matters and beliefs. According to Porter, he refused to embrace the Lutheran doctrine of justification by faith alone (a belief that Parr held, staunchly), because he believed there must be more to salvation and would not accept that good works and charity did not play their part in the redemption of the soul. Parr blatantly ignored the Act for the Advancement of the True Religion by distributing her text, and while she initially had the blessing of Henry, he quickly regretted the decision and is inspired by those around him to have Parr arrested for her beliefs and fo r spreading them. Parr is fortunate to get a hold of the warrant, and swore as an axiom â€Å"I have not done it (argued religion) so much to maintain opinion, as I did it rather to minister talk, not only to the end that your majesty might with less grief pass over this painful time of your infirmary, being attentive to our talk, and hoping that your majesty shall reap some easy by it; but also that I hearing your Majesty s learned discourse might receive some profit. Henry acceptedShow MoreRelated A Philosophical Criticism of Augustine and Aquinas Essay1548 Words   |  7 PagesA Philosophical Criticism of Augustine and Aquinas: The Relationship of Soul and Body       The relationship of the human soul and physical body is a topic that has mystified philosophers, scholars, scientists, and mankind as a whole for centuries. Human beings, who are always concerned about their place as individuals in this world, have attempted to determine the precise nature or state of the physical form. They are concerned for their well-being in this earthly environment, as well as theirRead MoreSlumdog Millionaire: A Broken Mirror Essay1280 Words   |  6 Pagesâ€Å"The eyes are the mirror of the soul† is an old proverb that possesses a mystifying truth. Often times one can look into another person’s eyes and determine if a person is content or angry, inquisitive or confused, or even reputable or malevolent. A few people, however, can look into a mirror, or even at others, and see someone other than the true person standing in front of him. Salim, a character from the movie Slumdog Millionaire is portrayed as one of the â€Å"bad guys,† and rightfully so becauseRead MoreFlannery OConnor: A Brief Biography842 Words   |  3 Pagesâ€Å"When a book leaves your hands, it belongs to God. He may use it to save a few souls or to try a few others, but I think that for the writer to worry is to take over Gods business.† (O’Connor). This statement is encouraging to all believers in God, knowing that it is coming from a fellow Catholic like Flannery O’Connor. O’Connor is associated with the Christian Realism movement, which is a logical view developed by a theologian, Reinhold Niebuhr, who argued that the Kingdom of God cannot be realizedRead MoreEssay about Rime of Ancient Mariner1551 Words   |  7 Pagesaspect of the mariner’s tale is the obvious themes of sin and redemption. 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Shown in The Shawshank Redemption, directed by Frank Darabont, was a passionate and inspiring story of a quiet and wrongly convicted man named Andy Dufresne and his encounters with fear, friendship, freedom and hope. In The Shawshank Redemption, fear is shown through the prisoners of ShawshankRead MoreShakespeares Macbeth and Dr. Faustus Bargain 788 Words   |  3 Pagessuch prophetic greeting (1.3.73-81). Unlike Banquo, who is undisturbed by this foretelling, Macbeth is captivated by his learned fate. Unconsciously, this bargain entails much more than what Macbeth expected. He loses possible salvation for his soul, sanity, and everything that makes his life living. There are two notable occasions when the readers can see Macbeth losing his sanity. At the end of act 3, scene 3, Macbeth is at the banquet with friends and his wife. During this dinner, he sees ghostlyRead MoreFlannery OConnor1591 Words   |  7 Pagesand â€Å"Good Country People†. The imagery is generally comedic and grotesque, which expresses the notion that God works in mysterious ways. Although redemption may be proffered, the protagonists are sometimes kept from salvation by their own intellectual pride. Flannery O’Connor’s use of characterization and symbolism aid in revealing the theme of redemption in her short stories. One way O’Connor does this is by using the grandmother’s murder in â€Å"A Good Man Is Hard To Find† to express that in certainRead MoreArchetypes And Allusions Of Nathaniel Hawthorne s The Scarlet Letter 1198 Words   |  5 Pagesin The Scarlet Letter In the nineteenth century novel, The Scarlet Letter, Nathaniel Hawthorne utilizes different origins of allusions and archetypes to emphasize how individuals in order to encourage individuals to forgive sins and work towards redemption. Sin Allusions. From the Bible. In Dimmesdale’s home, Hawthorne describes a work depicting the Prophet Nathaniel, David, and Bathsheba: â€Å"The walls were hung round with tapestry, said to be from the Gobelin looms, and, at all events, representing

Rights of Drug Administration Free Essays

THE SIX RIGHTS OF DRUG ADMINISTRATION Right Drug Many drugs have similar spellings and variable concentrations. Before the administration of the medication, it is imperative to compare the exact spelling and concentration of the prescribed drug with the medication card or drug profile and the medication container. Regardless of the drug distribution system used, the drug label should be read at least three times: 1. We will write a custom essay sample on Rights of Drug Administration or any similar topic only for you Order Now Before removing the drug from the shelf or unit dose cart. 2. Before preparing or measuring the actual prescribed dose 3. Before replacing the drug on the shelf or before opening a unit dose container (just prior to administering the drug to the patient) Right Time When scheduling the administration time of a medication, factors such as timing abbreviations, standardized times, consistency of blood levels, absorption, diagnostic testing, and the use of p. r. n. medications must be considered. 1. Standard Abbreviations—The drug order specifies the frequency of drug administration. Standard abbreviations used as part of the drug order specify the times of administrati0n. The nurse should also check institutional policy concerning administration of medications. Hospitals often have standardized interpretations for abbreviations. The nurse must memorize and utilize standard abbreviations in interpreting, transcribing, and administering medications accurately. 2. Standardized Administration Times—For patient safety, certain medications are administered at specific times. This allows laboratory work or ECGs to be completed first, in order to determine the size of the next dose to be administered. 3. Maintenance of Consistent Blood Levels—The schedule for the administration of a drug should be planned to maintain consistent blood levels of the drug in order to maximize the therapeutic effectiveness. 4. Maximum Drug Absorption—The schedule for oral administration of drugs must be planned to prevent incompatibilities and maximize absorption. Certain drugs require administration on an empty stomach. Thus, they are given 1hour before or 2 hours after meals. Other medications should be given with foods to enhance absorption or reduce irritations. Still other drugs are not given with diary products or antacids. It is important to maintain the recommended schedule of administration for maximum therapeutic effectiveness. 5. Diagnostic Testing—Determine whether any diagnostic tests have been ordered for completion prior to initiating or continuing therapy. Before beginning antimicrobial therapy, assure that all culture specimens (such as blood, urine, or wound) have been collected. If a physician has ordered serum levels of the drug, coordinate the administration time of the medication with the time the phlebotomist is going to draw the blood sample. When completing the requisition for a serum level of a medication, always make a notation of the date and time that the drug was at last administered. Timing is important; if tests are not conducted at the same time intervals in the same patient, the data gained are of little value. 6. P. R. N. Medications—Before the administration of any p. r. n. medication, the patient’s chart should be checked to ensure that the drug has not been administered by someone else, or that the specified time interval has passed since the medication was last administered. When a p. rn. medication is given, it should be charted immediately. Record the response to the medication. Right Dose Check the drug dosage ordered against the range specified in the reference books available at the nurses’ station. 1. Abnormal Hepatic or Renal Function—Always consider the hepatic and renal function of the specific patient who will receive the drug. Depending on the rate of drug metabolism and route of excretion from the body, certain drugs require a reduction in dosage to prevent toxicity. Conversely, patients being dialyzed may require higher than normal doses. Whenever a dosage is outside the normal range for that drug, it should be verified before administration. Once verification has been obtained, a brief explanation should be recorded in the nurses’ notes and on the Kardex 9or drug profile) so that others administering the medication will not be repeatedly contacted with the same questions. The following laboratory tests are used to monitor liver function: aspartame aminotransferase (AST), alanine aminotransferase (ALT), gamma glutamyl transferase (GGT), alkaline phosphatase and lactic dehydrogenase (LDH). The blood urea nitrogen (BUN), serum creatinine (Crs), and creatinine clearance (Ccr) are used to monitor renal function. 2. Pediatric and Geriatric Patients—Specific doses for some drugs are not yet firmly established for the elderly and for the pediatric patient. The nurse should question any order outside the normal range before administration. For pediatric patients, the most reliable method is by proportional amount of body surface area or body weight. 3. Nausea and Vomiting—If a patient is vomiting, oral medications should be withheld and the physician contacted for alternate medication orders, as the parenteral or rectal route may be preferred. Investigate the onset of the nausea and vomiting. If itbegan after the start of the medication regimen, consideration should be given to rescheduling the oral medication. Administration with food usually decreases gastric irritation. Consult with a physician for changes in orders. Right Patient When using the medication card system, compare the name of the patient on the medication card with the patient’s identification bracelet. With the unit dose system, compare the name on the drug profile with the individual’s identification bracelet. When checking the bracelet under either system, always check for allergies, as well. Some institutional policies require that the individual be called by name as a means of identification. This practice must take into consideration the patient’s mental alertness and orientation. It is much safer ALWAYS to check the identification bracelet. 1. Pediatric Patients—Never ask children their names as a means of positive identification. Children may change beds, try to avoid you, or seek attention by identifying themselves as someone else. Check identification bracelets EVERY TIME. 2. Geriatric Patients—It is a wise policy to check identification bracelets, in addition to confirming names verbally. In a long-term care setting, residents usually do not wear identification bracelets. In these instances, only a person who is familiar with the residents should administer medications. Many errors may be voided by carefully following the practices just presented. Make it a habit to check the identification bracelet EVERY TIME a medication is administered. The adverse effects of administration to the wrong medication to the wrong patient and the potential for a lawsuit can thus be avoided. Right Route The drug order should specify the route to be used for the administration of the medication. Never substitute one dosage form of medication for another unless the physician is specifically consulted and an order for the change is obtained. There can be a great variation in the absorption rate of the medication through various routes of administration. The intravenous route delivers the drug directly into the bloodstream. This route provides the fastest onset, but also the greatest danger of potential adverse effects such as tachycardia and hypotension. The intramuscular route provides the next fastest absorption rate, based upon availability of blood supply. This route can be quite painful, as is the case with many antibiotics. The subcutaneous route is next fastest, based on blood supply. In some instances the oral route may be as fast as the intramuscular route, depending on the medication being given, the dosage form (liquids are absorbed faster than tablets), and whether there is food in the stomach. The oral route is usually safe if the patient is conscious and able to swallow. The rectal route should be avoided, if possible, due to irritation of mucosal tissues and erratic absorption rates. In case of error, the oral and rectal routes have the advantage of recoverability for a short time after administration. Right Drug Preparation and Administration Maintain the higher standards of drug preparation and administration. Focus your entire attention on the calculation, preparation, and administration of the ordered medication. A drug reconstituted by a nurse should be clearly labeled with the patient’s name, the dose or strength per unit of volume, the date and time the drug was reconstituted, the amount and type of diluent used, the expiration date/ or time, and the initials or name of the nurse who prepared it. Once reconstituted, the drug should be stored according to the manufacturer’s recommendation. †¢ CHECK the label of the container for the drug name, concentration, and route of appropriate administration. †¢ CHECK the patient’s chart, Kardex, medication administration record, or identification bracelet for allergies. If no information is found, ask the patient, prior to the administration of the administration of the medication, if he or she has any allergies. †¢ CHECK the patient’s chart, Kardex, medication administration record for rotation schedules of injectable or topically applied medications. CHECK medications to be mixed in one syringe with a list approved by the hospital or the pharmacy for compatibility. Normally, all drugs mixed in a single syringe should be administered within 15 minutes after mixing. Immediately prior to administration, ALWAYS CHECK the contents of syringe for clarity and the absence of any precipitate; if either is pr esent, do not administer the contents of the syringe. †¢ CHECK the patient’s identity EVERY TIME a medication is administered. †¢ DO approach the patient in a firm but kind manner that conveys the feeling that cooperation is expected. DO adjust the patient to the most appropriate position for the route of administration (for example for oral medications, sit the patient upright to facilitate swallowing). Have appropriate fluids ready before administration. †¢ DO remain with the patient to be certain that all medications have been swallowed. †¢ DO use every opportunity to teach the patient and family about the drug being administered. †¢ DO give simple and honest answers or explanations to the patient regarding the medication and treatment. DO use a plastic container, medicine cup, medicine dropper, oral syringe, or nipple to administer oral medications to an infant or small child. †¢ DO reward the child who has been cooperative by giving praise; comfort and hold the uncooperative child after completing the medication administration. †¢ DO NOT prepare or administer a drug from a container that is not properly labeled or from a container where the label is not fully legible. †¢ DO NOT give any medication prepared by an individual other than the pharmacist. ALWAYS check the drug name, dosage, frequency, and route ofadministration against the order. Student nurses must know the practice limitations instituted by the hospital or school and which medications can be administered under what level of supervision. †¢ DO NOT return an unused portion or dose of medication to a stock supply bottle. †¢ DO NOT attempt to administer any drug orally to a comatose patient. †¢ DO NOT leave a medication at the patient’s bedside to be taken â€Å"later†; remain with the individual until the drug is taken and swallowed. †¢ DO NOT dilute a liquid medication form unless there are specific written orders to do so. BEFORE DISCHARGE: (1) Explain the proper method of taking prescribed medications to the patient. (2)Stress the need for punctuality in the administration of medications, and what to do if a dosage is missed. (3)Teach the patient to store medications separately from other containers and personal hygiene items. (4)Provide the patient with written instructions reiterating the medication names, schedules, and how to obtain refills. Write the instructions in a language understood by the patient, and use LARGE BOLD LETTERS when necessary. (5) Identify anticipated therapeutic response. 6)Instruct the patient, family member(s), or significant others on how to collect and record data for use by the physician to monitor the patient’s response to drug and other treatment modalities. (7)Give the patient, or another responsible individual, a list of signs and symptoms that should be reported to the physician. (8)Stress measures that can be initiated to minimize or prevent anticipated side effects to the prescribed medication. It is important to do this further encourage the patient to be complaint with the prescribed regimen. Right Documentation Documentation of nursing actions and patient observations has always been an important ethical responsibility, but now it is becoming a major medicolegal consideration as well. Indeed, it is becoming known as the sixth right. Always chart the following information: date and time of administration, name of medication, dosage, route, and site of administration. Documentation of drug action should be made in the regularly scheduled assessments for changes in the disease symptoms the patient is exhibiting. Promptly record and report adverse symptoms observe. Document health teaching performed and evaluate and record the degree of understanding exhibited by the patient. †¢ DO record when a drug is not administered and why. †¢ DO NOT record a medication until after it has been given. †¢ DO NOT record in the nurses’ notes that an incident report has been completed when a medication error has occurred. However, data regarding clinical observations of the patient related to the occurrence should be charted to serve as a baseline for future comparisons. Whenever a medication error does occur, an incident report is completed to describe the circumstances of the event. An incident report related to a medication error should include the following data: date, time the drug was ordered, drug name, dose, and route of administration. Information regarding the date, time, drug administered, and dose and route of administration should be given, and the therapeutic response or adverse clinical observations present should be noted. Finally, record the date, time, and physician’s ordered given. Be FACTUAL; do not state opinions on the incident report. How to cite Rights of Drug Administration, Essay examples

Corporate Strategy Of One Of The Leading Hospitals Of Malaysia

Question: Discuss about the Corporate Strategy Of One Of The Leading Hospitals Of Malaysia. Answer: Introduction In todays highly competitive business world, the development and effective implementation of the Corporate Strategies is considered most important for the success of the business. Corporate Strategy can be considered as the overall scope a direction of the businesses for the achievement of the goals and objectives of the companies (Baker, 2014). Thus, it is the responsibility of the highermanagement of the companies to develop and implement corporate strategies. One important part in the aspect of corporate strategy is the development of mission, vision, goals and objectives of the companies. The main aim of this report is to analyze and evaluate various aspects of corporate strategy of one of the leading hospitals of Malaysia. For this reason, Gleneagles Kuala Lumpur is taken into consideration. Gleneagles Kuala Lumpur is considered as one of the major leading hospitals in Malaysia. Gleneagles provides different types of healthcare services and solutions under one roof (gleneagleskl .com.my, 2018). Different stages of the report provide some recommendations for increasing the effectiveness of the corporate strategies of Gleneagles Kuala Lumpur. Benefits of having a Mission, Vision, Aims and Objectives From the analysis of the corporate strategies of Gleneagles, it can be seen that the hospital some clear mission, vision, goals and objectives. The mission of Gleneagles is to create a difference in the life of the common people by providing excellent care and services for the patients (gleneagleskl.com.my, 2018). In addition, the core value of the hospital is involved with people, excellence and results. In this aspect, it needs to be mentioned that there are certain benefits to have a clear mission, vision, aims and objectives. In Gleneagles, the mission statement is considered as the statement of purpose and it works as a guide for the decision-making process of the hospital (gleneagleskl.com.my, 2018). Themanagement of Gleneagles develops strategies to achieve the mission of the company. The vision statement of Gleneagles adds specific direction for the achievement of the organizations values. Apart from mission and vision, Gleneagles becomes highly beneficial from the presence o f aims and objectives as they help the hospital in identifying the future state of affairs for organizations success. Apart from this, another major purpose for Gleneagles to develop aims and objectives is to measure the performance of the hospital in the long-run (gleneagleskl.com.my, 2018). Effectiveness of Strategies and Tactics From the above discussion, it can be seen that Gleneagles has some specific set of aims and objectives and it is important for the hospital to achieve these aims and objectives. For this reason, Gleneagles has developed and implemented some major corporate strategies for the achievement of the aims and objectives. The first corporate strategy of Gleneagles is to ensure excellence in treatment and care (Bryson, 2018). This strategy or tactic involves the reliable recognition and early treatment of different types of diseases. Under this, Gleneagles has also implemented the technique of reliable monitoring of patients for the identification of diseases and for the treatment of deteriorating patients. Another major corporate strategy of Gleneagles is the maintenance of organizational sustainability. Under this strategy, the hospital has adopted some major tactics. Gleneagles has been effectively maintaining and expanding their different range of clinical procedures for the betterment of the patients (Smith, 2013). Moreover, another important tactic used by Gleneagles is the increase in patient experience in comparison with the provided services. Apart from this, Gleneagles has complied with the regulations and policies of workplace safety for the elimination of work related injuries and illness for the staffs of the hospital. Moreover, themanagement of the hospital has developed and implemented several strategies related to environmental sustainability (Bryson, 2012). Thus, from the above discussion, it can be observed that the developed and implemented corporate strategies have integral role to play in the achievement of the aims and objectives of the hospital. Strategies of Organizational Culture and Power Balance in Decision-Making Process The above discussion talk about some specific set of objectives and tactics of Gleneagles. In this context, it needs to be mentioned that certain aspects have influence on the organizational decision-making process of Gleneagles and all these aspects are important aspects. Among all of them, two major aspects having influence on the decision-making process of Gleneagles are Organizational Culture and Power balance. The effects of these two aspects on the business of Gleneagles are discussed. Organizational culture is considered as one of the most important aspects for the success of the business and there is not any exception of this fact in case of Gleneagles. Organizational culture refers to a particular system of shared values, assumptions and beliefs that help in governing the behavior of organization people (Alvesson, 2012). Two types of organizational cultures can be seen within the business organizations; they are strong organizational culture and weak organizational culture. In Gleneagles, the presence of a strong organizational culture can be seen. It needs to be mentioned that the seniormanagement of Gleneagles is the organizational decision makers and the company seeks the participation of all of their employees in the decisions-making process (Alvesson Sveningsson, 2015). The presence of a strong organizational culture leads to a unitve as well as positive attitude of the employees of Gleneagles towards the business decisions. Apart from this, effective orga nizational culture establishes certain virtual regulations about what organizational people should do nor should not. This particular aspects limits the choices of the management team of Gleneagles for decision making (Hogan Coote, 2014). Thus, from the above discussion, it can be seen that organizational culture is the core of Gleneagles and has positive effect on the business decision-making process. The next important aspect is Power Balance in the organization that is connected with organizational structuring of Gleneagles. There needs to be the correct flow of power from the upper management to the employees to support the decision-making process (Clegg, 2013). In case of Gleneagles, it can be observed that power is flown in downward from the board of directors to the administration team. The board of directors of Gleneagles takes the important business decagons and gives power to the administration team to implement them. After that, the administration team takes various steps to implement them with the help of the junior subordinates and others (Emmers, 2012). Thus, from the above discussion, it can be seen that the power flow in a systematic and balanced manner in the hospital that provides great assistance in the decision-making process of Gleneagles. Recommended Strategic Changes for Improvement The recommended strategic changes are discussed below: It is recommended that Gleneagles needs to follow the strategic plan in the most scientific and logical manner. Due to this strategic change, the hospital is required to put more focus on achieving the mid-term goals of the business for making the way easy to chive the long-term goals and objectives (Mantere, Schildt Sillince, 2012). Gleneagles is advised to push their developed strategies close to the mission and vision of them. The large gap between the strategies and vision and mission can disrupt the strategic plan of the hospital. For this reason, Gleneagles is required to choose strategies that are closely related to the mission and vision of the organization. It is recommended to Gleneagles that they should follow the strategy of less is more philosophy for the development of strategic plan. It implies that it is hard to achieve too many goals at a time with the help of strategic plan. Thus, Gleneagles needs to prioritize their business goals so that sufficient resources and support is allocated to achieve them (Sujova Rajnoha, 2012). Most importantly, Gleneagles is required to be realistic while setting the goals and objective for the success and expansion of their business. For this reason, they should set realistic goals that can be achieved and can be measured. Recommendations on Strategic Leadership and Stakeholders Relationship The recommendations for the improvement of strategic leadership in Gleneagles are discussed below: The strategic leaders of Gleneagles are required to have a clear vision as this vision provides them with the idea of how the organization should achieve its core purposes. Thus, the leaders are required to be stay true to this vision. The strategic leaders are needed to be constantly informed and up to date about the industry Gleneagles is operating in and about its competitors (Schoemaker, Krupp Howland, 2013). It is recommended that the strategic leaders of Gleneagles should be able to create a mindset of innovation within the hospital so that they can think differently. The strategic leaders should know how to transform the ideas into specific action. In this process, the strategic leaders of Gleneagles are required to conduct various activities in the organization to invite new ideas for achieving the organizations goals and objectives (Carter Greer, 2013). For this reason, the strategic leaders of Gleneagles need to communicate these ideas with the employees in an effective manner. The recommendations for the improvement in stakeholders relationship in Gleneagles are discussed below: It is recommended that Gleneagles should build strong relationship with their various stakeholders from the beginning. For this reason, Gleneagles is required to share the vision, mission and strategies with the stakeholders on a regular interval (Wagner Mainardes, Alves Raposo, 2012). It is required for the strategic leaders of Gleneagles to involve their major stakeholders in the organizational decision-making process. In this way, the stakeholders feel themselves as a part of the decision-making process of the hospital. In order to improve relationship with the stakeholders, it is recommended that Gleneagles should organize frequent touch-base sessions to discuss and resolve various issues that the stakeholders are facing (Herremans, Nazari Mahmoudian, 2016). At the same time, it is recommended to the strategic leaders of Gleneagles to take necessary steps for resolving the raised issues related with the stakeholders. Conclusion From the above discussion, it can be seen that Gleneagles has specific mission and vision that provides the company with necessary direction for achieving goals and objectives. it can be sen that Gleneagles has developed certain strategies and tactics for achieving these goals and strategies. From the above discussion, it has been observed that organizational culture and power balance has important role to play in the decision-making process. 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