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The 4 P’s of Marketing

            Hamric, Hansen, Tracy, and O’Grady (2014) explain that marketing for advanced practice nurses (APNs) can be separated into two different areas (p. 539). One of these areas is the APN marketing themselves in order to obtain employment (Hamric et al., 2014, p. 539). The second area is the APN becoming an entrepreneur and marketing their business to the community and other health care professionals (Hamric et al., 2014, p. 539).

            The four P’s of marketing refer to product, price, place, and promotion (Hamric et al., 2014, p. 540). Hamric et al. (2014) describes product as the service provided by the APN and the APN themselves (p. 540). I feel that this is a very interesting idea that the APN themselves could be considered a product. I have never thought of myself as a product before, but Hamric et al. (2014) further explains that by having the APN being considered a product helps the customer realize the value of APNs (p. 540).

            Hamric et al. (2014) explains that “Price is the amount of money that an individual will be asked to pay for the product being offered” (p. 540). APNs help control costs in health care by providing preventative care, which reduces admissions of preventative illness to hospitals (Hamric et al., 2014, p. 540). Furthermore, APNs provide care at a more cost-effective price than physicians do (Hamric et al., 2014, p. 539).

            Place refers to the location that the product is available (Hamric et al., 2014, p. 540). Hamric et al. (2014) describes examples of places an APNs services can be accessed, as hospitals, classrooms, clinics, and virtual spaces (p. 540). I find it interesting that virtual space is considered a “place”. As virtual spaces continue to expand, like our very own  virtual classroom experience, I feel there will be even more opportunities for APNs to reach more people.

            Chang et al. (2001) defines promotion as communicating to the market what the value of the product is (as cited in Hamric et al., 2014, p. 540). APNs can promote their services by providing education to their patients (Hamric et al., 2014, p. 540). Additionally, APNs can promote their services by launching marketing campaigns (Hamric et al., 2014, p. 540).

            I feel that all of the 4 P’s are closely intertwined but the product is at the fore front. There must be a price assigned to the product, a place for the product to be available, and the product must be promoted. Without a product, there would be nothing to market. This being said, I feel the APN must have a solid foundation in order to be marketed successfully. 

 

References

Hamric, A. B., Hanson, C. M., Tracy, M. F., & O’Grady, E. (2014). Advanced practice nursing: 

            an integrative approach (5th ed.). St. Louis, MO: Elsevier/Saunders.

COMMENT TANA

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  I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT.BETWEEN 150-200 WORDS

 

“The Scriptures tell us of a struggle between two kingdoms. Each of them, the kingdom of this world and the kingdom of God, are competing for citizens. The outcome of this struggle is secure: the heavenly kingdom will prevail” (Shelly & Miller, 2006, p. 153).  There are four parts of the Christian Biblical Narrative; Creation, Fall, Redemption, and Restoration. Creation speaks of how the universe and everything in it was created by God and was considered to be good and as it should be.  The Fall introduces sin which was created by humans, or Adam and Eve, by the event of disobeying God’s will, thus introducing sickness and disease, as well as, suffering and death. “Cancer, brain tumors and AIDS should be brought under the worldview of the fall and in doing so the church can humbly affirm that they are not part of God’s good creation, they are not the way things are meant to be” (Jonswales, 2008).  Redemption is our way of trying to receive forgiveness from God for our sins and heal our illness.  “This move against suffering may take the form of social or political action against injustice, but may legitimately find part of its expression in a healing ministry”(Jonswales, 2008).  Restoration speaks of returning to the idea of creation where everything was as it should be and there was no sin (PHI-413V Lecture 3, 2015).  This part of the Christian Narrative has not yet come to fruition.

 

The Fall describes and provides an understanding, for believers, that sickness and disease was a result of the human sin. Comfort in the light of illness or disease can be found in Redemption. Redemption is restoring a “good” relationship with God, and that our sins may be forgiven, thus providing hope in the face of illness.  This hope can be of cure, ease of suffering, or even the belief of life after death. Many of my cancer patients that have not previously been considered religious will find their relationship with God during their illness.  Many are scared and see no hope; the thought of God watching over them and the promise of heaven eases their suffering. A visit from a chaplain while in the hospital is always a worthwhile event as a nurse cannot always provide everything a patient may need spiritually. With redemption there is truth of the original creation. ‘Thy kingdom come, thy will be done, on earth as it is in heaven’.

 

Biomedical Ethics in The Christian Narrative. Unpublished manuscript. (2015). Retrieved from https://lc-ugrad3.gcu.edu/learningPlatform/user/users.html?operation=home&classId=528e0524-3c9b-4d11-a5e2-1d5338548ec0#/learningPlatform/loudBooks/loudbooks.html?viewPage=current&currentTopicname=Biomedical

Ethics in the Christian Narrative&operation=innerPage&topicMaterialId=97398c46-a5f4-4052-b68e-548d7f1928da&contentId=03c5c1df-8b1d-4f2d-8abe-897f0f09463f&15cafc8280bb&contentId=dea4915c-b10a-4b7f-a3e3-fafe866ebeb5&

Jonswales (2008). Christian Worldview, Sickness, Healing and Dying. Retrieved from https://ordinand.wordpress.com/2008/06/03/christian-worldview-sickness-healing-and-dying/

Shelly, J. A., & Miller, A. B. (2006). Called to Care A Christian Worldview of Nursing (2 ed.).

COMMENT JENNIFER

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i NEED A POSITIVE COMMENT BASED IN THIS ARGUENT..BETWEEN 120-150 WORDS

 
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            Re:Topic 4 Mandatory Discussion Question

Mucor is a fungus. It can be found in the house on bread and bread like products. It can also be in the heating and air ducts and soiled carpets. Outside it can be found in soil, hay and manure. Especially in leaves, compost and rotten wood piles. It can sometimes be in stored seeds. It can be inhaled or ingested. It affects the respiratory system. It can lead to a brain infection, paralysis, pneumonia, seizures, even death. It can also affect the digestive tract as well. The colonies if the fungus is fast growing and spread quickly. Because we are all probably exposed at times to these conditions, it is most likely for patients with weakened immune systems have a high chance to become affected. There is a lot of complications from fungal pneumonia.

The disease dissemination to other areas, like the brain, heart, eyes, adrenals, meninges, kidneys, spleen, liver and skin is one complication. Another is that the blood vessel invasion, leading to hemoptysis, pulmonary infraction, myocardial infarction, cerebral septic emboli, cerebral infarction, or even blindness. People can experience bronchopleural fistulas, chronic pulmonary symptoms, histoplasmosis, and pericarditis (Web MD, 2017). As a nurse, it is important to watch for effective airways clearance and breathing pattern, Provide oxygen if necessary. It is important to watch for fluid deficit and encourage fluids, watching for fluid overload. As a nurse always be aware of any pain and treat as needed. Give ordered antibiotics as prescribed by the doctor. It is always important to help maintain adequate nutrition.

The laboratory tests are all within normal limits except the following. The glucose fasting was 138 which is higher than the normal range. This may indicate that the patient may have diabetes. The WBC are elevated suggesting infection or inflammation. The ph is elevated meaning the blood is alkaline, low levels of concentrated carbon dioxide. The lymphocytes are low, meaning the body’s ability to fight infection is low. The PaO2 is low and this means low oxygen saturation in the blood. The PaCO2 is also low, this means low carbon dioxide in the blood.  The HCO3 is high, meaning the bicarbonate which helps determine body’s ph. These all point to respiratory alkalosis. The numbers represent an infection or inflammation. The patient has a disturbance in the acid and base exchange from alveolar hyperventilation. This decreases carbon dioxide and increases the bicarbonate which increases the ph which is the bases for respiratory alkalosis.

Treatment would include antibiotics to get rid of infection. Cough medication to give your lungs a rest and allow them to clear. Pain relief because you need to have pain under control so that you can rest. Possible steroids to reduce inflammation. The doctor would order intravenous antifungal medications and consider having surgical debridement. This involves cutting away all infected tissue. By doing the surgery it prevents infection from spreading. These antibiotics of choice are:

  • amphotericin B (given through an IV)- Concerns of nephrotoxity. Must monitor renal functions closely, as well as electrolytes
  • Posaconazole- (given through an IV or orally)- triazole antibiotic and can be used as the step down antibotic from amphotericin B.
  • isavuconazole (given through an IV or orally)- wide spectrum triazole fungal antibiotic

 

 

 

 

Centers for Disease Control and Prevention.(2015). Fungal Diseases. Retrieved August 19, 2017, from https://www.cdc.gov/fungal/diseases/mucormycosis/treatment.html

 

Medscape. (2017). Mucormycosis (Zygomycosis). Retrieved August 19, 2017, from