Substandard Patient Care or Health Care Delivery

Table of Contents Introduction Substandard Patient Care or Health Care Delivery Conclusion Reference List Introduction The world health organization defines health as a condition of absolute physical, mental and social fitness. Thus, the presence of diseases and infirmities do not necessarily reflect unhealthy status. Nevertheless, such infirmities and diseases can heal if patients subject themselves into health care facilities and services.Advertising We will write a custom research paper sample on Substandard Patient Care or Health Care Delivery specifically for you for only $16.05 $11/page Learn More Perhaps to start with, a health care delivery system comprises of human resources, pharmaceutical drugs, surgical equipments, and other health care services vital to health demands. On the other hand, there are health care facilities such as dispensaries, clinics and hospitals controlled and administered by either the public or private segment. Each o f these health care facilities provides range of services. For example, public health care facilities provide curative and preventive care services while, the private segment deals with curative health care services. Thus, it is evident that there are many factors determining the health of an individual. In most cases, the environment where a person lives is imperative in determining health conditions. (Amanda, 2006, p. 1). As Michael (2006) notes, in highly populated regions, people seem poor hence, poor health care services. Of course, with the current economic downturn, many people have failed to secure first-rate patient care services. Worse still, health care professionals have made professional mistakes, which have led to many death cases. Research shows that substandard patient care has worsened the provision of health care services, and together with ignorance and negligence from health care professionals, many will loose life or encounter additional health problems (p.1). A t the present, substandard patient cost American taxpayers about US$3 billion per year on Medicare patients alone. Noticeably, the figure will be high we consider other departments. Personally, I have witnessed a number of cases arising from substandard patient care. In a rather disturbing note, I am able to recall about two medical malpractices done to two close family members. In my own view, substandard health care delivery causes more pain far above than the previous one. Moreover, it leads to leads to additional financial burdens, which many people fail to afford. It has come to my realization that many hospital facilities do not have enough human resource. The number of nurses attending patients is too low. In fact, some patients die unattended due to the shortage of health care workers. The few health care workers present work for long hours, making them unable to deliver efficiently. In many health care facilities, there is dire demand of health care equipments. (Gerson Lehr man Group, 2009, p. 1).Advertising Looking for research paper on health medicine? Let's see if we can help you! Get your first paper with 15% OFF Learn More Substandard Patient Care or Health Care Delivery Substandard patient care occurs due to negligence or medical malpractices of health care workers. For example, it is quite legitimate and non-discriminatory to fire a nurse for failing to offer standard patient care. Not once, I have witnessed a number of cases where nurses fail to deliver due to incompetence. Nurses who lack professional nursing skills can cause additional health problems or even cause death. For example, one hospital in Oklahoma City recently released one nurse off her duties citing incompetency in work. The nurse who was working in the hospital’s anesthesia care unit had little experience in patient care. During her first weeks at the hospital’s patient care unit, the nurse seemed positive about her tasks. However, her incompetence came into public when I took my sister for a delivery process. From the first day, I realized something was wrong with the nurse’s attitude. This is because she could not even examine my sister first before proceeding with her professional roles. Worse still, the nurse could not account reports from other patients under her care. She seemed to take more offs without notifying the nurse in charge and therefore leaving patients agonizing. As for my case, the nurse failed to administer some basic drugs properly (IV drip and IV push). According to medical practitioners, such failures led to my sister develop health care complications while under patient care. In addition to this, the nurse could not even recall professional skills regarding the coding of patients in order to control respiratory distress in my sister. These and many other substandard patient cares left my sister in serious jeopardy. When experienced co-workers examined my sister, they found out that the nurse had participated substandard patient care. They therefore decided to terminate her contract to retain public confidence. Thus from this particular scenario, it is evident substandard health care causes additional health problems besides increasing the cost of health care services. (Legal Eagle Eye Newsletter for the Nursing Profession, 1996, p. 1). Five years ago, my grandfather died while undergoing recuperation at the patient care. The circumstances leading to his death resembled that of substandard patient care. My grandfather was suffering from aspiration pneumonia. In order to combat this health problem, the doctors had to carry out a bowel blockage operation. However, after two weeks, my grandfather died due to wrong operation that caused more pain hence, resulting to his death. My family strongly believes that the hospital erred in patient care. Since the day, my grandfather arrived at the hospital, substandard patient care exhibited. For example, it took the doctors three days t o carry out a CT scan test revealing his extended stomach.Advertising We will write a custom research paper sample on Substandard Patient Care or Health Care Delivery specifically for you for only $16.05 $11/page Learn More Inside his stomach, a certain fluid extended all the way to the esophagus thus blocking the bowels. The problem demanded an operation in order to remove the fluid. In that case, surgical doctors settled on the idea of inserting a naso-gastric tube into his stomach aimed at removing the fluid. Nevertheless, these surgical doctors failed to perform the operation on time in what the hospital described as, â€Å"a busy patient care day†. After successful interaction with the hospital staff, we finally took my grandfather to an operation room later in the day. However, the absence of a nurse complicated matters especially on the fact that my grandfather had been vomiting the whole day and needed some patient care. Consequently, an anesthetist came to perform the operation but did not even have scan results. Definitely, the anesthetist went ahead to carry out a wrong surgery. Under anesthetics, a patient of this kind is likely to vomit when his muscles relax, and by the following morning, my grandfather had vomited two litres of fluid, one of it from the lungs. The fluid in the lungs had caused serious damages and eventual caused his death. Although the doctor appeared remorseful of his wrong surgery, he blamed substandard patient care as the main cause of my grandfather’s death. The doctor added that under such circumstances, death is unavoidable. (Natalie, 2010, p.1). Conclusion Many people die because of substandard patient care. The government should institute proper mechanisms of controlling deaths that occur due to substandard patient care. In the past, we have seen some families take health workers in court for their professional mistakes. To some extent, this has made nurses and doctors extra ca reful when executing their professional skills. Perhaps, professional medical bodies should enact legislations aimed at discouraging negligence and laziness at work. To some extent, this will improve standards of patient care and health care delivery. Reference List Amanda, G. (2006). Most Americans Getting Substandard Health Care. Web.Advertising Looking for research paper on health medicine? Let's see if we can help you! Get your first paper with 15% OFF Learn More Gerson Lehrman Group. (2009). Negligent Patient Care: The Impact on the Cost of Health Care. Web. Legal Eagle Eye Newsletter for the Nursing Profession. (1996). Web. Michael, T. (2006). Pleasant Care Nursing Facility Struggles With Quality of Care Lawsuits: Newest Settlement with State Attorney General Will Place Monitor in Facility. Web. Natalie, A. (2010). Patient’s care ‘substandard’. Web. This research paper on Substandard Patient Care or Health Care Delivery was written and submitted by user Elsa P. to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.

Free Essays on Comparison Of Family Themes In Like Water For Chocolate And In The Metamorphosis

Explore the Presentation of the Family in â€Å"Like Water for Chocolate† and â€Å"The Metamorphosis† Considering How the Writer Uses Them to Convey Significant Ideas. In this essay, I will explore and discuss the role of family in ‘Like Water for Chocolate’ and ‘The Metamorphosis’ because I think that both the novel and novella obtain sensational ideas and morals about the family that are portrayed through the way the writers present them. The novella ‘The Metamorphosis’ introduces young Gregor Samsa as the son whom the rest of the family absolutely depends on. He is more the provider of the family rather than the heart of the family because his family is his main responsibility in life as he is obliged to financially carry them on his back. The novel, ‘Like Water for Chocolate’ poses Tita as the main character and a victim of her mother’s cruel intentions. Tita’s life is condemned to the old Mexican family tradition that requires the youngest daughter forbidden to marry and obliged to take care of her mother for the rest of her life. Both stories somewhat revolve around the harsh and disheartening elements of family relationships and traditions. Gregor’s purpose in his family is to financially support all of them. He basically takes on the role of the father, as his own father has lost his job and is currently in debt to the company that Gregor works at. Kafka shows that Gregor’s family has a lack of conventional family values such as love, support, sympathy and acceptance therefore Gregor is portrayed as emotionally detached from his family as they are merely living vicariously off him. This emotional detachment causes Gregor to alienate himself emotionally from his family. Communication is very important within a family. There is an obvious lack of communication within the Samsas as they â€Å"communicate by way of Gregor’s room† as if his room isn’t there, suggesting that their lives revo... Free Essays on Comparison Of Family Themes In Like Water For Chocolate And In The Metamorphosis Free Essays on Comparison Of Family Themes In Like Water For Chocolate And In The Metamorphosis Explore the Presentation of the Family in â€Å"Like Water for Chocolate† and â€Å"The Metamorphosis† Considering How the Writer Uses Them to Convey Significant Ideas. In this essay, I will explore and discuss the role of family in ‘Like Water for Chocolate’ and ‘The Metamorphosis’ because I think that both the novel and novella obtain sensational ideas and morals about the family that are portrayed through the way the writers present them. The novella ‘The Metamorphosis’ introduces young Gregor Samsa as the son whom the rest of the family absolutely depends on. He is more the provider of the family rather than the heart of the family because his family is his main responsibility in life as he is obliged to financially carry them on his back. The novel, ‘Like Water for Chocolate’ poses Tita as the main character and a victim of her mother’s cruel intentions. Tita’s life is condemned to the old Mexican family tradition that requires the youngest daughter forbidden to marry and obliged to take care of her mother for the rest of her life. Both stories somewhat revolve around the harsh and disheartening elements of family relationships and traditions. Gregor’s purpose in his family is to financially support all of them. He basically takes on the role of the father, as his own father has lost his job and is currently in debt to the company that Gregor works at. Kafka shows that Gregor’s family has a lack of conventional family values such as love, support, sympathy and acceptance therefore Gregor is portrayed as emotionally detached from his family as they are merely living vicariously off him. This emotional detachment causes Gregor to alienate himself emotionally from his family. Communication is very important within a family. There is an obvious lack of communication within the Samsas as they â€Å"communicate by way of Gregor’s room† as if his room isn’t there, suggesting that their lives revo...

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Theoretical Framework Essay Example | Topics and Well Written Essays - 250 words

Theoretical Framework - Essay Example It provides clear and general guidelines that represent how things between different phenomena relate Conceptual framework has been used in the study of the counselling psychology (Clarkson 1996). The study sought to find out the relationship between various variables that included psychology, psychoanalysis and counselling and drew a general conclusion about the relationship of the three. To arrive at the decision, the study was based on literature sources and incorporated other sources of information such as personal experiences, clinical data and observations and knowledge from supervising. Incorporation of a variety of variables for study in the study made the study assume the conceptual framework study. The study revealed the relationship between a number of forms of psycho-therapeutic endeavour and their importance to therapeutic relationship. The inferences drawn from the study shows the differences between psychoanalysis, the psychology applied in counselling and psychotherapy. The effects and results of each one of these forms of therapy are compared to determine its effects on a person. Literature review on the topic and application of actual study to relate documented information and the actual findings in the field makes the study take a specific mode of study, and thus the conclusion that the study was more of a conceptual framework rather than a theoretical study. The use of flow charts to show ideological patterns and graphs to show study results is prove of the conceptual framework used in the study. Facts about psychology, psychoanalysis and psychotherapy are arrived at after a thorough investigation by sampling techniques (Clarkson

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Changing for Better Outcome - Essay Example As application of CASS procedure would significantly reduce VAP cases, and any nurse working in units with vent-dependent clients should support the application of this procedure. Nursing accountability to clients would mean that they are accountable for implementing this practice safely. The application of the CASS procedure requires proper staff training, and nurses who care for vent-dependent clients should attend these training courses and in-services. Moreover, when nurses are competent to perform this procedure, they should strictly follow its guidelines. The additional mechanical suctioning apparatus only takes effect when monitored on hourly basis by nurses. The tubes may be disconnected due to built up pressure or by being accidentally hit by other staff members, thus frequent monitoring is a must. The aspiration function also stops automatically when the collection bottle for secretions is full. The negative pressure of the suctioning apparatus is set at proper level accord ing to secretion status of a particular client. Following evidence-based practice would guarantee for uninterrupted application of CASS procedure. To exemplify, the following sections present a potential client for such practice, as well as an understanding of my accountability as his nurse. VAP was not new to a vent-dependent client in my unit because this 59 year old male client had VAP almost monthly, if not biweekly. This client was in a comatose state. He had a diagnosis of chronic obstructive pulmonary disease (COPD).

Living Organ Donation Inspired Explorations In Normative Ethics Philosophy Essay

Living Organ Donation Inspired Explorations In Normative Ethics Philosophy Essay Ever since the first living adult organ transplantation in 1954, organ donation continues to advance as a form of medical intervention (Pence, 2007). With its ongoing popularity, living adult organ donation inspires a variety of debates in normative ethics circles. In this essay, I am taking the opportunity to advocate for Virtue Ethics as the most ethically defensible approach to living adult organ donation. Virtue Ethics, unlike Utilitarianism or Deontology, promote the highest degree of personal enlightenment and, as such, ensure the highest calibre of our moral choice through maximized consistency, personal accountability, and overall highest harmony of our actions as they relate to key players in living adult organ donation (donor, recipient, doctors and society). To complete my perspective, I will reclaim the widely-accepted drawback of Virtue Ethics regarding its lack of systemized action rules (i.e. codifiability) by proposing realistic societal long-term transformations, as governed by Virtue Ethics, which would make codifiability achievable. Living adult organ donation is an act of providing of a vital organ to an organ recipient by an organ donor for organ transplantation for the immediate purposes of either improving the quality of life of a recipient, the quality of life of both donor and recipient or saving recipients life (Pence, 2007). Living adult organ donation differs from cadaveric organ donation because the donor is alive, while in cadaveric organ donation the donor is brain-dead (Pence, 2007). According to the provincial organ donation agency, Trillium Gift of Life Network, there are 1487 people on waiting list for organ donation this year (Trillium Gift of Life Network, 2010). Organs that can be transplanted are liver, heart, kidney, lung, pancreas and small bowels (Trillium Gift of Life Network, 2010). The reality of the situation is that some of these people will not find a suitable donor and their health will deteriorate or they may die. In order to truly explore the ethical journey of organ donation, I will put myself in the shoes of a potential organ donor and take a walk in the halls of Deontology, Utilitarianism and Virtue Ethics schools. Why, when and to whom would I donate my organ so that my decision is morally right for me, for the recipient, for the doctors and for society? There is nobody that I know requiring an organ at this moment. Although I could enlist myself as a living organ donor and potentially save another human fellow, currently I choose not to. If my loved one or somebody I know and respect needed an organ right now, I would, however, donate it without hesitation. As I walk in an organ-donors shoes, I enter the Deontology school and I see a representative Deontological philosopher, Kant, sitting at his work desk, surrounded by piles and piles of paper. He greets me and at the same time approves of my present choice of not being enlisted in an organ donors list. According to Kant and Deontology theory, one should never treat oneself as an object or means only, but always as an end (Pence, 2007). He goes on to share his view that if we voluntarily choose to potentially endanger our bodies by taking out organs for organ donation purposes, we are not cultivating humanity in that case because to be human means protecting your bodys integrity (Pence, 2007). Kant considers my present choice of not being enlisted as an organ donor morally right because I am not physically harming myself for the benefit of another human being, i.e. I treat myself as an end, not as means. Deontologians believe that our decisions must come from a rational and autonomous perspective of a free will in order to be morally right (Pence, 2007). Furthermore, it is not rational to harm yourself and it is always wrong to potentially harm yourself for the benefit of another human being. The final view of wrongness of organ donation is universalizable for everyone and in every situation and it would be my duty to follow such set of rules (Pence, 1998). Thus, according to Kants rationale, it is always morally wrong to engage in organ donation. I disagree with Kant about what constitutes a free will and what is my moral duty. According to my upbringing, system of values and my life experiences, free will, for me, is not only consisting of a rational component, but also emotional component. If my brother needed an organ and I was a match, I would donate it. If I act according to Kant and not donate my organ to my loved one, my action would be morally wrong for me, the recipient, doctors and the society. Firstly, the motivation behind my organ donation is the unconditional love I feel for my brother. I consult the Virtue Ethics School and in their teachings I find that unconditional love is actually a trait in the character, and if made habitual, it would constitute a virtue because unconditional love promotes good actions (Pence, 2007). By giving my brother my organ, he would know even more about my unconditional love for him and we would both strengthen even further our individual emotional foundations. Second, my intellect is satisfied by my organ donation to my brother because I know that, if the operation goes well, his health will improve and I wouldnt suffer any major side-effects that require hospitalization. Because both my brother and I would be healthier and happier, I would not be anxious or depressed about his state. This wo uld mean that I would not be a burden to the healthcare system because I would have no need to see a psychiatrist or a psychologist, for I would be happy. As both my brother and I are healthy and happy, each of us could further contribute to society by being productively employed. Our positive attitude due to the happiness we feel could be positively reflected further in our other relationships, thus contributing to the overall harmonious developments stemming from an organ donation to a loved one. According to Virtue Ethicists, my action of organ donation would be morally right because I have displayed character virtues such as courage and sincerity of my motivation. Most importantly for Virtue Ethicists, my actions are in alignment with my system of values and my life experience, thus I have exercised my moral wisdom and reach a sought-after happiness state (Stanford Encyclopedia of Philosophy, 2003). I continue my exploration of normative ethics by entering the hallways of Utilitarianism school. According to Utilitarianism, the action is morally right if its consequences produce the greatest amount of goodness or the smallest amount of negative consequences (Pence, 2007). Goodness can be measured in various ways and, depending on the reference parameters, goodness can be measured in emotional, psychological, monetary or any other means as goodness. Utilitarianism school has two divisions rule utilitarianism and act utilitarianism (Pence, 2007). According to rule utilitarianism, what makes an act right is following general moral rules that produce the greatest good for the greatest number. On the other hand, act utilitarianism wishes to reserve the right to judge each unique case and then decide which action creates the greatest good. Although act utilitarianists agree that general rules commonly should be followed, they reserve the right to break them. Rules are broken if extrao rdinary circumstances arise, where a greater good for a greater number of people would be created by doing so (Pence, 2007). In my hypothetical case of donating an organ to my beloved brother, act utilitarianism would approve of such an action because it would benefit me, my brother, the healthcare and the society, as previously stated. But does general utilitarianism produce consistent moral actions that are in harmony with our personal value system, irrespective of external benefits to the society? To illustrate that utilitarianism does not encompass the entire spectrum of human decision-making requirements, consider the scenario where I have an opportunity to save three people by donating three of my organs (liver, kidney and a lung lobe), versus saving my brother by donating only one organ my heart. If I choose to donate to these three people, I would, numerically speaking, increase the overall good consequences in the world by allowing three people to live at the cost of my emotional turmoil on my death bed, following the surgery, for not saving my brother. More people would be happy than not, if we take into account that families of three recipients outnumber my family. But, in my opinion and in the opinion of Virtue Ethicists, this action would not be morally justified as I would have betrayed my emotional v irtues framework when I decided not to save my brother. When deciding whether the action is morally right, Virtue Ethics do not hide under a cloak of incomplete moral rules, such as Deontological evasion of an emotional component during such an act. By calling upon the complete enlightenment of ones character (i.e. virtues) and in combination with moral wisdom attained through life and its conditions, Virtue Ethics holds every individual accountable for his/her actions (Stanford Encyclopedia of Philosophy, 2003). When people are held personally responsible for their actions as they relate to their character, they truly have an opportunity to grow as a human being and reach the ultimate potential for happiness and thus, perform the most morally righteous action on any particular topic. The followers of the Virtue Ethics school embrace the intricacies of human experiences and aspire to understand a moral action within the cultural, emotional and intellectual conditions it has been performed in. While it can be a tedious and somewhat challenging to expect from every human to seek to act in accordance with Virtue Ethics, if exercised, it does ensure consistency of moral acts within a society which Utilitarianism and Deontology lack. Some argue that codifiability of Virtue Ethics is impossible to achieve, but I argue that it is possible. The societal transformation that would need to occur would require enormous good will from the majority of human population, mandatory excellence in parenting, and most importantly, ones utmost commitment to achieving happiness as defined by Virtue Ethics. Both Utilitarianism and Deontology schools offer noble, but incomplete foundations for evaluating whether adult organ donation is a morally right act. While each theory protects the principles of either ratio or overall goodness, neither of them account for the myriad of emotional and empirical factors that are present in our decision-making, whether we like it or not. Virtue Ethics seeks to understand moral actions in a true rainbow of colors that they arise from, which is why it is the only normative ethical theory that is realistic enough to salute our human complexity.

Sears Essentials :: essays research papers

I.  Ã‚  Ã‚  Ã‚  Ã‚  Introduction a.  Ã‚  Ã‚  Ã‚  Ã‚  Sears Essenials – A new type of store from Sears. b.  Ã‚  Ã‚  Ã‚  Ã‚  Cover who they are, what has been done, when new stores open and what stores are open now, locations, and the aim of these new stores. II.  Ã‚  Ã‚  Ã‚  Ã‚  Who a.  Ã‚  Ã‚  Ã‚  Ã‚  Sears Essentials is a new store format that opened after the merger with K-Mart b.  Ã‚  Ã‚  Ã‚  Ã‚  Sears Essentials was originally planned as stores in areas where there was no competition, but may be expanding into areas with high levels of competition III.  Ã‚  Ã‚  Ã‚  Ã‚  What a.  Ã‚  Ã‚  Ã‚  Ã‚  These stores are a combination of: i.  Ã‚  Ã‚  Ã‚  Ã‚  Pantry items ii.  Ã‚  Ã‚  Ã‚  Ã‚  Apparel iii.  Ã‚  Ã‚  Ã‚  Ã‚  Tools iv.  Ã‚  Ã‚  Ã‚  Ã‚  House Wares v.  Ã‚  Ã‚  Ã‚  Ã‚  Sporting Goods vi.  Ã‚  Ã‚  Ã‚  Ã‚  Toys vii.  Ã‚  Ã‚  Ã‚  Ã‚  Lawn & Garden viii.  Ã‚  Ã‚  Ã‚  Ã‚  Appliances ix.  Ã‚  Ã‚  Ã‚  Ã‚  Media x.  Ã‚  Ã‚  Ã‚  Ã‚  Electronics xi.  Ã‚  Ã‚  Ã‚  Ã‚  Optometry, Pharmacy, Auto Repair b.  Ã‚  Ã‚  Ã‚  Ã‚  Originally planned to have 25 stores opening, but will be expanding into 47 by the end of the calendar year. c.  Ã‚  Ã‚  Ã‚  Ã‚  Aimed to compete with Target and Wal-Mart d.  Ã‚  Ã‚  Ã‚  Ã‚  Provides many items at a lower price than is available in the Sears Grand locations e.  Ã‚  Ã‚  Ã‚  Ã‚  Off-Mall locations designed to get into areas that are not generally near a mall f.  Ã‚  Ã‚  Ã‚  Ã‚  Combines the Sears name with the single-floor, clean and bright layout of K-mart. IV.  Ã‚  Ã‚  Ã‚  Ã‚  When a.  Ã‚  Ã‚  Ã‚  Ã‚  Store openings have already begun. With over 26 open stores, 12 more opening in August, and 9 more scheduled to open in October, this is a quickly growing chain. b.  Ã‚  Ã‚  Ã‚  Ã‚  In the Florida areas, there are 3 stores opening in August and 1 in October i.  Ã‚  Ã‚  Ã‚  Ã‚  Clearwater (Open) ii.  Ã‚  Ã‚  Ã‚  Ã‚  West Palm Beach (Open) iii.  Ã‚  Ã‚  Ã‚  Ã‚  Deland (Open) iv.  Ã‚  Ã‚  Ã‚  Ã‚  Cape Coral (Opens in October) V.  Ã‚  Ã‚  Ã‚  Ã‚  Where a.  Ã‚  Ã‚  Ã‚  Ã‚  3020 Se Federal Hwy, Stuart, FL 34997 b.  Ã‚  Ã‚  Ã‚  Ã‚  1363 NW St Lucie W B, Port St. Lucie, FL 34986 c.  Ã‚  Ã‚  Ã‚  Ã‚  101 E International Speedway Blvd, Deland, FL 32724 d.  Ã‚  Ã‚  Ã‚  Ã‚  2130 Gulf to Bay Blvd., Clearwater, FL 33765 e.  Ã‚  Ã‚  Ã‚  Ã‚  4717 S. Florida Avenue, Lakeland, FL 33813 f.  Ã‚  Ã‚  Ã‚  Ã‚  2310 Del Prado Blvd South, Cape Coral, FL 33990 (Opening Late October) g.  Ã‚  Ã‚  Ã‚  Ã‚  5750 NW 183rd St, Hialeah, FL 33015 h.  Ã‚  Ã‚  Ã‚  Ã‚  15201 N Cleveland, Suite 1500, North Fort Myers, FL 33903 i.  Ã‚  Ã‚  Ã‚  Ã‚  4560 Forest Hill Blvd, West Palm Beach, FL 33415 j.  Ã‚  Ã‚  Ã‚  Ã‚  9500 9th St N, St. Petersburg, FL 33702 VI.  Ã‚  Ã‚  Ã‚  Ã‚  Why a.  Ã‚  Ã‚  Ã‚  Ã‚  Sears and Kmart have both been losing market shares and in several years will go away without changes to their structures. b.  Ã‚  Ã‚  Ã‚  Ã‚  Sears Essentials, as a combination of Sears and Kmart, offers an opportunity for them to compete on the level of Walmart and Target.