How Cell Phones Changed Our Lives - 2832 Words

All of the changes we as a society have adjusted to over the past few decades have created revolutionary milestones for our everyday lifestyles and habits. Thanks to these advancements, we are also given a glimpse of what our society may become in the near and distant future. One of the most evolutionary aspects to today’s society is the cell-phone. As of today, our society most definitely takes the idea of cell-phones for granted, since they are now so easily accessible and common. But cell-phones weren’t nearly as useful and convenient to society decades ago. Throughout the nearly seventeen years of my life, I have observed how much society has improved technologically. How cell-phones became such an important part of our everyday lives is the idea that I am most curious about. Before researching, I knew basic information about cell-phones: how they were less common years ago, and they were much bigger with extremely basic functions. I wanted to expand my knowledge on this topic because cell-phones are becoming more essential for everyday work and/or tasks. I also wanted to know how one of the most important and used devices of our generation came to be. Not only did I want to explore the evolution of the cell-phone, but I also wanted to research the Apple Company more in depth as well. Their products have constantly and successfully introduced and displayed revolutionary advancements to how society views technology, especially when it comes to the cell-phone. Music is myShow MoreRelatedHow the Cell Phone Has Changed Our Lives Essay818 Words   |  4 PagesHow the Cell Phone has Changed our Lives The cell phone, or mobile phone, has become a large part of our American culture. You see them wherever you go, and in the hands of every group dynamic. This technology seems to have appeared overnight, and it is probably going to be with us for a very long time. They are used for both personal and business demand, and have an interesting future as well. Our lives have changed quite dramatically with the invention of the cell phone, with both good and arguablyRead Morecell phones: how have they changed us socially927 Words   |  4 Pages Cell phones: How Have They Changed Us Socially? Introduction Thesis Statement: Cell phones have socially changed our lifestyle and have greatly influenced our lives. Alternatively referred to as a cell, cellular, and cellular phone, a cell phone, which is also sometimes abbreviated as â€Å"cp† is a mobile phone or portable phone that enables a user to communicate almost anywhere in the world. The cell phone was invented by Dr. Martin Cooper who led a team of developers at Motorola and madeRead MoreWhat Makes A On Money And Cellphones Essay907 Words   |  4 PagesPeople today should learn to live more simply, as our ancestors did, with more reliance on what we can obtain from the environment and less reliance on material goods. Since technology and human development have advanced in exponential ways the last houndred years, the world can easily see how obsessed people have become with material goods. Things like computers, cellphones, televisions and money as well. Now the definition of happiness has changed for many. For some people having money is whatRead MoreCell Phone Use A Social Addiction939 Words   |  4 PagesToday’s society is a generation that is being raised on conveniences, and with this generation, cell phone use has exploded. Millions of people are obsessed with their cell phones and literally will not leave their house without it. 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Introduction para 2: Take your first cell phone you ve ever had and the cell phone you haveRead MoreCell phones have truly changed our lives Essay969 Words   |  4 PagesI would choose cell phone as my cultural artifact. It has become such an important aspect of our lives making it the mainstay of todays society. The ever evolving technology of cell phone has made it so important in todays life that living without it seems tedious. Cell phones these days are more than just a device to communicate and talk to people. It has become a gadget that allows you to communicate via email, calls, and texts and even without balance in your cell phone you can now contactRead MoreCell Phones And Electronic Devices Essay1450 Words   |  6 PagesEvidence of Cell phones and electronic devices are changing our notions of communication seen in â€Å"Dead Man’s Cell Phone† Today, in the society we are part of, we have the resources to communication in a variety of ways other than conventional in person conversations we are custom to. The main reason for this is because of the existence development of technology and the wide interest in this technology from people around the world. Technology is taking a vital role in our culture and they ways we

wedding planer swot analysis - 1160 Words

SWOT Analysis of MAYLOS, Luxury Wedding Planner SWOT analysis is a structured planning method used to evaluate the Strengths, Weaknesses which are internal factors of a company, and Opportunities, and Threats which are external factors, is a critical exercise for any business. For a wedding planner, this approach can help analyze current operations, identify areas of opportunity and compete effectively against other local wedding planners. A SWOT analysis helps to organize advertising objectives and tactics to build a strategy that has a high level of impact.Each year thousands of men and women get married. When getting married, couples basically have two main planning options. They can either plan their own wedding or they can†¦show more content†¦For example, if outdoor weddings are becoming more popular in your area, and you have vast experience in planning these events, an array of outdoor wedding venues you work with, or numerous wedding props suitable for an outdoor event, this could be an opportunity for your busin ess to grow. By identifying an opportunity in the marketplace, you can exploit that opening by gearing your messages towards that target market. ï‚ · We can create strategic relationships hotel sales managers, catering managers, and banquet facility managers. Thanks to these strategic relationships we will sustain long term growth. ï‚ · We can generate positive cash flow after the first several weddings. ï‚ · For a better yield, we can outsource wedding planner services to trusted partners. ï‚ · The price for someone who wants to start up a wedding planner business is about ten thousand euros, so is not very expensive to start this type of business. ï‚ · As a consultant, we do not need to purchase a great deal of inventory or have items in stock to show potential clients. ï‚ · With the approval of same-sex marriage in France since May 2013, there is a fast-growing marketplace that we have to conquer. Threats Threats differ from weaknesses in that a weakness is generally internal and a threat is external. For example, if there is proprietary wedding planning software that

An Overview Of Collaboration Procurement Construction Essay Free Essays

Procurement is a term which describes the activities undertaken by a client or employer who is demanding to convey about the building or renovation of a edifice. Procurement has great influence on the clip, cost and quality. The made-to-order nature of many building undertakings increases the built-in hazards. We will write a custom essay sample on An Overview Of Collaboration Procurement Construction Essay or any similar topic only for you Order Now These hazards include finishing a undertaking which does non run into demands, which is delivered late or costs more than the client can pay or fund. All these hazards can impact the client ‘s nucleus concern, earnestly. The procurance scheme developed balance hazards against undertaking aims at an early phase of building. This method of procurance involves the contractor being responsible for design every bit good as building, it can be suited for all clients, including inexperient clients and those necessitating distance from the undertaking and cost certainty and faster path. It is of import at the beginning to guarantee that the field of treatment is clearly defined. One of the jobs that have beset this peculiar country of building research is a deficiency of clear definition. ( rowlison, steve ) As procurance the undertaking squad will be selected. After the undertaking squad has been selected the undertaking can come on through developing initial design work to fixing drawings and paperss to exemplify the undertaking, accomplishing be aftering consent, specifying criterions to be met and apportioning duties. During this period the client ( or undertaking patron or undertaking director ) should guarantee land purchase is completed on clip, if necessary guarantee the design procedure is consistent with the strategic brief, guarantee an internal decision-making system is in topographic point to avoid design holds. Keep the wider client organisation informed set up. An appropriate support model to guarantee payments can be made on clip. Construction stage will come on under the direction of the undertaking director or the undertaking squad. ( online ) Collaborative procurance is non popular but this method is increasing in the worldwide. Collaborative procurance is seen as horizontal coaction between different local governments during one or more stairss in the procurance procedure. In this method contact is made with different little companies with the regard of their forte. Through this procedure many companies take complete equipment and make their ain undertaking. Different advantages can be gained by collaborative procurance in footings of effectivity and efficiency. In this signifier the rate of success depend on the manner of organisation which is used. The collaborative procurance proposals are the manner to utilize the professional purchasing organisation by puting up a different companies in one panel and it drive to greater coordination, consistence and transparence. ( Online ) Partnership may hold somewhat different contents and range so coaction, but the lowest common is that the parties will work as a group jointly in any regard and that the parties must hold assurance in each other. The term collaborative contract, a definition of a collaborative contract is to be controlled by client and contractor and it is besides modulate the regular interaction between the client and a contractor. It besides makes the regular contact with contractor and adviser of different undertakings. Therefore the Collaboration procurance is really of import for multi undertakings. This client will salvage the clip and cost. Quality will besides better by doing contract with all specializers in their ain Fieldss. Method statement Introduction Nahar al-wafa Est. has the expertness and resources to transport out this developing undertaking and welcoming the chance of fall ining the professional squad during pre-tender phase. From our probe program of this undertaking will done on fast path method in the order to supply our clients with the complete contract at earliest possible day of the month together with high quality. Method statement Site constitution: Investigating the site is an of import undertaking ; a study will be done to transport out indispensable pre stamp work. Before the taking the duty of work all the job of bing site must be notified to client ‘s representative. During the probe of site, contact will be made with statutory governments to place the local existing services. Site Adjustment: Contact should be made to allow section sing the possible posing for adjustment. On the site after the completion of slab floor the full adjustment will be installed as followers: Client ‘s demand will stipulate on measure page Nahar AL-wafa Est Accommodation Provision for: undertaking executive building undertaking director, Site Agents, Engineers, Surveyors, General Forman and disposal. Welfare Facilities Canteen, Draying Room, Toilets and First assistance. Extra demand for chief sub contractor ‘s supervising offices and security office will setup on the demand. Site entree During the infrastructure work there is opportunity of hurt. So chief entree should from north gate and south gate should utilize for issue. For lading and droping trim country is available in the site. Materials Distribution In the order to run into the agenda and maximal coverage of site 2 Cranes will be suggested. It is besides suggested to put in the Cranes in early phase so it can be used in sub-structure work. Crain should be topographic point on rain force concrete construction. After doing the floor, riders and goods hoists should be distribute in all floors before taking the Cranes. Infrastructure works: Basement building would make with pilling. It is assumed that pile testing will be carried out to chief contract work with pilling plan. Extra clip for pilling trial will non be granted it is expected that successful pilling contractor would utilize at least three rigs. We have assumed that pre tiring pilling will non be indispensable and the advancement of pilling contractor will non enforce any consequence on other work. For velocity and efficiency, the retaining wall signifiers would be fabricated off site. Concrete universe should transport out with Cranes in the order to salvage clip and money. ( Construction Methods And Planning ) Ace construction: In the order to fast method a carefull survey of model systems is carried out in the relation to rapid advancement. The selected methods showed that it is verified to acquire best consequence in less clip. Aluma system will be used on the land slab which is portion of our strategy. This system can be installed rapidly. It will besides do the building visible radiation weight. For upper slabs we have planned for the usage of winging signifiers. Round signifier work to columns would be manufactured off site in glass reinforced plastic or steel to supply the quality coating required. Distribution of concrete support and signifier work for the frame would be by crane concrete. In the order for rapid building it is suggested to utilize nomadic concrete pumps. It will salvage the clip and cost every bit good. External envelope Due to the wellness and safety ground impermanent fencings barrier must be installed as a frame of building. It is really of import to procure the site. Curtain palisading type and industry is non being specified. Full research is non possible for the design and industry. It is designed harmonizing to the tendency of market. ( Construction Methods And Planning ) Site organisation construction: Organization of this site will be provided by the Nahr Al wafa est company. This company has the directors and technology. In assorted instances they been trained by the company and have established their place on varied undertakings over long periods. Training and employment of local people It is really of import that local people should use after some preparation. The divisional policy is to advance the formal preparation of employees at all degree. Most of these sort of preparations carried out in the houses with to the full equipped developing school. Engagement in external preparation strategies is supported and encouraged the immature people. For senior degree, the preparation is given about direction development. Health and safety: Division has the duties to do guarantee that the employs are working under safe system. The full safeguards measure has been taken and all the staff will non consequence by any operations. ( Construction Methods And Planning ) How to cite An Overview Of Collaboration Procurement Construction Essay, Essay examples

Nursing Care Plan Chronic Illnesses

Question: Discuss about the Nursing Care Plan for Chronic Illnesses. Answer: Introduction Chronic illness has been a major issue of concern in the society. It has been a major cause of death in different parts of the world. However, it should be acknowledged that chronic illnesses can be handled if adequate healthcare services are provided using appropriate intervention strategies. This paper presents and in-depth and critical analysis of Luigis care plan. Luigi is a 77-year old male patient who has been diagnosed with Type II Diabetes and Chronic Renal Failure. This is complex multimorbidity that requires a lot of attention to address. The paper looks at the recommended interventions, guiding principles and the roles of Registered Nurse in the patients treatment. Guiding Principles Chronic illnesses require attentive care of the healthcare providers. Whenever given an opportunity to serve a chronically-ill patient, a healthcare provider should dedicate time to offering high quality services. In fact, more attention should be given to patients with multimorbidity. This is what Luigi, who suffers from a combination of Type II Diabetes and chronic renal failure. For Luigi to properly manage his condition, he requires to be adequately assisted by a primary healthcare provider (Kirkman et al., 2012). This is the surest way through which the patient can learn to appreciate his condition, and acquire recommended coping and management skills. However, when discharging his duties, a primary healthcare provider needs to operate under the guidance of well-outlined principles. The first principle to apply is collaborative management. Here, the nurse should acknowledge that the multimorbidity condition of the patient requires a collaborative approach. Meaning, the nurse should not operate in isolation, but be ready to work with other professionals. The fact that Luigi suffers from a renal kidney failure and Type II Diabetes implies that he should be handled by different experts. It should therefore be incumbent upon the nurse to consult physicians, social workers, counselors, pharmacists, and other specialists (Vogeli, Shields, Lee, Gibson, Marder, Weiss Blumenthal, 2011). When necessary, the nurse should refer the case to these experts since they are knowledgeable on different areas. Before making any important decision, the nurse should seek the opinion of these experts because they have diverse knowledge that if put together, can help in providing high quality services to the patient. The other principle to apply when handling the patient is self-management. Despite getting an opportunity to serve Luigi, the nurse should not assume to be the sole decision maker. Instead, the nurse should be ready to cooperate with the patient and seek his opinion whenever necessary. This simply means that the nurse should deliver a patient-centered care that advocates for the involvement of the patient in the making of major decisions regarding his health. The principle of self-care can be achieved if the nurse takes the initiative to empower the patient (Schneider, ODonnell Dean, 2009). A patient like Luigi who suffers from a multimorbidity condition does not only need to be treated, but be given opportunity to acquire management and coping skills. It can empower the patient to be an active participant in the management of his condition. It can be much better if the patient extends the empowerment activities to the patients families and carers who are involved in his treatment. Last, but not least, the nurse should apply the principle of individualized care. As a professional, the nurse should always be versed with the information that the diverse nature of the society calls for flexibility in healthcare delivery. The uniqueness of each patient means that each situation is to be handled differently. Although it might be necessary to deliver group-based care, Luigis case can yield more results if individualized (Kirkman et al., 2012). If properly done, the nurse can get enough time to understand the uniqueness in his conditions, analyze his history and identify the most appropriate intervention to provide. It is no doubt that the individualization of cases is a better alternative for the patients with multimorbidity conditions. Roles of the Registered Nurse in the Acute Medical Ward in the Management of the Patient and His Family Chronic illness does not necessarily means that a patient cannot live. Since it is not a death sentence, all cases of chronic illness should be properly handled by a trained healthcare provider. The critical conditions of Luigi necessitate that he should continue to be admitted in the healthcare facility. Here, there are RNs and other specialists who can offer the necessary care. This is a clear proof that a RN is an exceptional professional who plays a very significant role in the treatment of chronic illnesses. For the entire period that Luigi will be in the acute ward, he will continue relying on the RN for the delivery of interventions. In other words, the RN will be charged with the responsibility of providing evidence-based care to the patient. Apart from assessing the patient, the RN is responsible for setting up a treatment plan for the patient. It is the RN, who coordinates the treatment process of the patient, organizes for medications, depression screening, and evaluates the patients compliance with the recommended medications (Hsu, Coleman, Ross, Johnson, Fishman, Larson Reid, 2012). All these are necessary activities that should be done to a chronically-ill patient. It is not possible for Luigi to manage his conditions without necessarily being guided by the RN. For this reason, the RN should always be available to closely monitor the patient and help him to deal with multimorbidity no matter how challenging it might be. The monitoring process should continue even when the patie nt is discharged from the hospital because the RN needs to follow-up the patient to ascertain his progress. The RN is also responsible for empowering the patient, his family and carers. The complex nature of the patients conditions implies that he cannot perfectly manage it without a proper guidance of the RN. The delivery of patient-centered care requires that the patient should be adequately empowered at all times. The RN should not tire from educating the patient and his family on important issues such as management, compliance and coping. These are sensitive issues that require adequate training by a specialist (Ludman Von Korff, 2012). Type II Diabetes is a chronic condition ha causes physiological, emotional and psychological changes in the life of the patient. Hence, while serving Luigi at the acute ward, the RN should create enough time to educate him. Similar services should be offered to the patients family who are also concerned about his health. Multidisciplinary Collaboration To effectively deliver high quality care to Luigi, the nurse should adopt a multidisciplinary approach. Here, the RN should not assume to be a know-it-all. Instead, the RN should always be ready to work with other professionals, who are, in one way or the other, involved in the delivery of services to chronically-ill patients like Luigi. These include the physicians, psychiatrists, social workers, and pharmacists. Whereas the RN is responsible for delivering primary care to the patient, the pharmacist should be consulted to help in providing a proper guidance on the use of medication and all the other matters related with prescription and compliance (Katon, et al., 2010). On the other hand, the physicians should be consulted when the RN feels that expertise advice and guidelines are required to help in handling the patients multimobidity conditions. The most basic form of collaboration in the healthcare facility should be established amongst the RNs themselves. Acute care is not a simple task to be handled by only one nurse. Whenever discharging his duties, a RN should work alongside other nurses to help in monitoring the patient and delivering services needed at any given time. When nurses come together and work as a team, they can help one another in serving the patient. At the same time, collaboration can be fruitful in making well-thought, justifiable and rational decisions (Von Korff, Katon, Lin, Ciechanowski, Peterson, Ludman Rutter, 2011). When nurses collaborate, they can work as a team and this can benefit them in many ways. Apart from helping them to create a conducive environment, team work enables the nurses to engage in joint decision-making, a brilliant idea that can enable them to deliver exceptional services to the patient. The establishment of a cordial working relationship with such specialists can play an integral role in handling the patient. No RN can single-handedly manage Type II Diabetes and Chronic Renal Failure without relying on well-trained experienced specialists for consultation or referral in case of complexity. Although the RN should constantly monitor the patient, there are certain procedures that the nurse cannot handle (Morgan, Coates, Dunbar, Reddy, Schlicht Fuller, 2013). Should that be the case, the nurse should not hesitate to seek for the intervention of the specialist. For example, when the patient develops serious complications on his renal conditions, a specialist renal failure expert should be immediately called for to attend to him. The same should be done in case of emergency and serious issues arise on the patients diabetic condition. Similar closeness should be established with the psychiatrists, counselors and social workers because Type II Diabetes often result into psychological distresses that can overwhelm the patient if no psychological intervention is provided. It is therefore obvious that the input of these professionals should be incorporated when educating the patient and his family members. These are skilled counselors who can study the patients mental conditions and give appropriate guidelines on how to manage the situation and lead a stress-free no matter how difficult it might be (Mastal, 2010). When properly educated, the patient can acquire accurate information on the causes, symptoms, intervention strategies, and medication. Despite the fact that RN should be educative, better results can be obtained if the nurse adopts collaborative approach. It is therefore undisputable that interdisciplinary collaboration is a viable tool in the treatment of acute illness. Nursing is a broad area that involves a lot of specialists who have diverse training backgrounds. The complex situations encountered by the RNs leave them with no option rather than embracing a collaborative approach with others (Institute of Medicine, 2011). Consultation and referrals are better tools that can help in improving the quality of healthcare especially when dealing with chronic cases like Luigis. RNs have interdisciplinary collaboration opportunities that should be explored whenever handling any patient. After all, the RNs should never advance their own interests, but always seek to deliver benevolent services for the benefit of the patient. This is exactly what Luigi wants. Nursing Interventions Luigi has been diagnosed with a multimorbidity condition. Suffering from a Type II Diabetes and Chronic Renal Failure leaves no doubt that the patient as a chronic and complex condition. He therefore requires uninterrupted support from the RN, physicians, pharmacist, and family members. Each of these has a significant role to play in his life. The nurse will be of great contribution because of the primary healthcare services delivered to him (Bodenheimer Berry-Millett, 2009). Nonetheless, to serve him well, the nurse requires adopt a wide range of interventions. A proper choice of intervention of an intervention can be appropriate because it an enable the nurse to help the patient to manage and cope up with his complex condition. Individualized Stepped Care Intervention One of the most important interventions to adopt is the individualized stepped care. Under this intervention, a nurse is supposed to give attention to the patient. Each patient should be regarded as a unique individual who has a peculiar set of background, needs, weaknesses, strengths, and hopes. Under individualized stepped care, a nurse is supposed to be keen on personally observing the patient before making important decisions regarding the kind of treatment to provide. So, when attending to Luigi, the nurse should apply this intervention because it can benefit the patient a great deal (Bodenheimer Berry-Millett, 2009). The treatment should not be based on diagnosis alone. The nurse should be guided by the observations made on the patients compliance to medications, and response to treatment. If appropriately applied, the individualized stepped intervention can help in delivering quality services to the patient. It is an efficient and cost-effective intervention that can aid in making informed decisions regarding the health of the patient (Laughlin Beisel, 2010). Multimorbidity is a sensitive and complex condition that requires a lot of keenness. All the procedures performed on Luigi should be supported by observations. Luigis condition is quite demanding, but can still be managed if this kind of intervention is applied. This can help in handling the patients Type II Diabetes and Chronic Renal Failure deteriorating conditions. Psychological Intervention Psychological intervention is a strategy in which the healthcare provider seeks to address the psychological needs of the patient. In most cases, chronic illnesses result into psychological changes in the patients. These, if not handled well, can negatively impact on the patient. Therefore, anytime a RN is given an opportunity to care for a chronically-ill patient, the nurse requires creating enough time to offer psychological support. As a patient, Luigi requires psychological assistance from the nurse (Lin, Korff, Ciechanowski, Peterson, Ludman, Rutter Katon, 2012). His diabetic condition causes lots of psychological and emotional distresses to him. The nurse should therefore dedicate his energy to educate the patient on how to manage the psychological changes experienced so far. Additional training should be given on how to adjust to the diagnoses and treatments given by the healthcare provider. If all the psychological needs are addressed, Luigi can get to learn and appreciate why he should cope up well and manage his conditions without unnecessarily succumbing to the distresses it causes. Behavior change is a key factor in the management of chronic conditions. However, no patient can readily accept to change behavior as required. Many patients with multimorbidity do not comply with the medications given (Tomcavage, Littlewood, Salek Sciandra, 2012). The complex conditions of such patients often make them to develop unexpected psychological behaviors that might delay their chances of recovering. In this regard, a committed nurse must offer standardized psychological support to the patient. The contributions of psychological intervention should not be disputed because it is an evidence-based intervention. It has been acknowledged for immensely contributing to the satisfaction of the patients psychological and emotional needs. Collaborative Team Intervention The RN who has been mandated to serve Luigi has a large number of roles to perform. By getting a chance to offer primary care to the patient, the nurse is in charge of assessing the patients condition, diagnosis, disease management, education, follow-up, and managing the inpatient-outpatient transition. These are numerous activities that might not be efficiently performed by the nurse alone. In other words, the nurse should readily accept to work in collaboration with other specialists (Smith, Soubhi, Fortin, Hudon ODowd, 2012). In a hospital setting, there are many professionals who are knowledgeable on different areas. Therefore, when handling a patient with multimorbidity conditions, the nurse should not perform all the activities alone. When the nurse wants to help Luigi to manage his diabetic condition, the nurse should discharge all his duties as expected. At the same time, the nurse needs to cooperate with other nurses and specialist diabetic physicians. These are experts who can help the nurse to deliver quality and satisfactory services to the patient. The same thing should be done when handling Luigis renal complications. Regardless of the efforts put by the nurse, advice should be sought from renal failure specialists (Gabbe, Landon, Warren-Boulton Fradkin, 2012). Better still; the nurse should seek for the intervention of the psychiatrist whose contributions can play a major role in addressing the patients psychological needs. From this discussion, it is evident that a collaborative approach can be a viable intervention. It is based on past evidence that commends it because it emphasizes the need of bringing together different experts to collectively deal with the complex multimorbidity. Conclusion Chronic illness makes life difficult for many patients. The situation worsens when one is diagnosed with multimorbidity-a condition which troubles Luigi, who has been diagnosed with Type II Diabetes and Chronic Renal Failure. Luigi can regain his health if a well-organized treatment plan is adopted for him. If the RN perfectly discharges his roles and applies the individual stepped care, psychological and collaborative interventions, Luigi can be empowered to manage his conditions and lead a healthier life. These are evidence-based interventions whose proper use can be fruitful in addressing Luigis complex multimorbidity. Type II Diabetes and Chronic Renal Failure can still be managed even if they are serious conditions that have been causing many deaths. What the patient requires is a right prescription, treatment, and thorough education on a proper management of the condition. References Bodenheimer, T., Berry-Millett, R. (2009). Care management of patients with complex health care needs, the Synthesis Project. Princeton, NJ: Robert Wood Johnson Foundation. Gabbe SG, Landon MB, Warren-Boulton E, Fradkin J. (2012). Promoting health after gestational diabetes: a National Diabetes Education Program call to action. Obstet Gynecol.119(1):1716. Hsu, C., Coleman, K., Ross, T.R., Johnson, E., Fishman, P.A., Larson, E.B., Reid, R.J. (2012). Spreading a patient-centered medical home redesign: A case study. Journal of Ambulatory Care Management, 35(2), 99-108. Institute of Medicine. (2011). The future of nursing: Leading change, advancing health. Washington, DC: The National Academies Press. Katon, W.J., et al. (2010). Collaborative care for patients with depression and chronic illnesses. New England Journal of Medicine, 363(27), 2611-2620. Kirkman M., et al. (2012). Diabetes in older adults. Diabetes Care. 35(12):265064. Laughlin, C.B., Beisel, M. (2010). Evolution of the chronic care role of the registered nurse in primary care. Nursing Economic$, 28(6), 409-414. Lin, E.H., Von Korff, M., Ciechanowski, P., Peterson, D., Ludman, E.J., Rutter, C.M., Katon, W.J. (2012). Treatment adjustment and medication adherence for complex patients with diabetes, heart disease, and depression: A randomized controlled trial. Annals of Family Medicine, 10(1), 6-14. Ludman, E. Von Korff, M. (2012). Cost-effectiveness of a multicondition collaborative care intervention: A randomized controlled trial. Archives of General Psychiatry, 69(5), 506- 514. Mastal, M. F. (2010). Ambulatory care nursing: Growth as a professional specialty. Nursing Economic$, 28(4), 267-269, 275. Morgan, M.A., Coates, M.J., Dunbar, J.A., Reddy, P., Schlicht, K., Fuller, J. (2013). The TrueBlue model of collaborative care using practice nurses as case managers for depression alongside diabetes or heart disease: A randomized trial. BMJ Open, 3(1).67-73. Schneider, K.M., ODonnell, B.E., Dean, D. (2009). Prevalence of multiple chronic conditions in the United States Medicare population. Health and Quality of Life Outcomes, 7, 82. Smith, S.M., Soubhi, H., Fortin, M., Hudon, C., ODowd, T. (2012). Managing patients with multimorbidity: Systematic review of interventions in primary care and community settings. BMJ, 345, e5205. Tomcavage, J., Littlewood, D., Salek, D., Sciandra, J. (2012). Advancing the role of nursing in the medical home model. Nursing Administration Quarterly, 36(3), 194-202. Vogeli, C., Shields, A.E., Lee, T.A., Gibson, T.B., Marder, W.D., Weiss, K.B., Blumenthal, (2011). Multiple chronic conditions: Prevalence, health consequences, and implications for quality, care management, and costs. Journal of General Internal Medicine, 22(Suppl. 3), 391-395. Von Korff, M., Katon, W.J., Lin, E.H., Ciechanowski, P., Peterson, D., Ludman, Rutter, C.M. (2011). Functional outcomes of multi-condition collaborative care and successful ageing: Results of randomized trial. BMJ, 343, d6612.