Where to next?
If after constructing the VMOST tree for your organization you have no open questions, then you can be confident that your organization is well informed and well-aligned around your vision, mission, and strategy.
If you have any open issues from the analysis, then you should resolve these and communicate your vision, mission, and strategy again.
Many organizations have a vision, mission, and objectives but go straight to action, without having a strategy for understanding and solving difficult problems. This is the most likely area for further leadership.
AVALIAÇÃO DO IDOSO
Type in the name of your organization.
Strategy
How should your Strategies change?
You might need to add, remove or clarify strategies to achieve each objective.
Make some notes about how your Strategies could be changed.
Will your strategies achieve your objectives?
Consider each objective together with the strategies that solve future problems and obstacles.
- Are these solutions enough?
- Will some obstacles remain that have not yet been addressed?
- Are vision, mission, and objectives being used to hide a lack of strategy?
You might need realign your strategies to ensure that there are no contradictions.
Make some notes about how your strategies should change.
Do all your strategies fit together?
Review all your strategies across objectives.
- Do they all fit together?
- Do any of them work against each other, or not line up?
YesNoOther
How should your Strategies be strengthened?
Consider replacing strategies that do not solve problems.
Make some notes about how your Strategies should change.
Are your strategies really strategies?
Review each of your strategies and check that they really are strategies.
- Does each strategy solve an identified problem?
- Is each problem really a core problem, or are there other mechanisms behind it? Solving symptoms is not strategy.
- Are any of your strategies actually goals or objectives? 'Be the best' is not a strategy.
YesNoOther
You might need to clarify your objectives to include other strategies, or maybe some of your strategies are not really aligned with objectives and should be changed.
Make some notes about how your objectives or strategies should change.
Are all your strategies in the VMOST tree?
- Does the VMOST tree contain all your current strategies?
- Are you aware of formal or informal strategies that have been left out?
- Might this be because they don't quite 'fit' with everything else?
Add a strategy for this objective:
To deliver this objective, you will need to work strategically.
For any objective, there will be obstacles and problems.
Your strategy should show that you understand the key problems, and know how to solve them.
Example: Establish a high-value exclusive brand to limit competition.
Tactics
You might need to add, remove or clarify tactics to execute each strategy.
Make some notes about how your tactics could be changed.
Will your tactics deliver your strategies?
Consider each Strategy together with the tactical projects for executing it.
- Are these the right things to do?
- Do all of the actions align with this strategy, or are some of them not really connected?
- Are enough things being done? Or do you need to take some extra actions to execute the strategy?
You might need to restructure your tactical projects to eliminate duplication and ensure that the outcomes contribute to strategy.
Make some notes about how your tactics should change.
Do all your tactical projects complement each other?
- Do all your tactical projects join up, or are there gaps or overlaps?
- Are there any areas where effort is being duplicated?
- Could these be streamlined to support more than one strategy?
YesNoOther
You might need to clarify your strategies to include other tactical activities, or maybe some of your projects are not aligned with strategy and should be dropped.
Make some notes about how your strategies or tactics should change.
Are all your tactical projects in the VMOST tree?
- Does the VMOST tree contain all your current tactical projects?
- Or have some projects been left out?
- Might this be because they don't quite 'fit' with everything else?
Add a tactic for this strategy:
To execute your strategy, it will break down into a number of tactical activities.
Tactics are practical projects that bring your strategy to life.
Example: Make a list of preferred areas and research the independent food retail outlets in each.
Tactic
Communication
What actions should you take?
How can you ensure that your staff are making decisions that are influenced by bigger goals?
Make some notes about how you will do this.
Does your VMOST drive decisions?
- If your VMOST is communicated, are your managers all working in alignment with it?
- Are they using it to help make decisions?
What action should you take?
You might need to ensure that everyone understands your plan.
Make some notes about how you will do this.
Are all your staff aware of your vision, mission, objectives, strategy and tactics?
It is not uncommon for those who are working on the tactics of an organization to be unaware of the strategy, objectives, mission, and vision behind them.
- How aware are your staff of the bigger picture?
- Do most people know understand it, or are some people working in the dark?
Entrevista
How should your objectives change?
You might need to add, remove or clarify objectives to achieve your mission.
Make some notes about how your objectives could be changed.
Are your objectives enough to deliver your Mission?
Review your objectives together with your mission statement.
- If you achieve these objectives, are they enough to deliver your mission statement?
- Do they all contribute to the mission? Or do some of them not really help?
- Might you need some more objectives to be certain of achieving your mission?
Add your answer
What should change?
You might need to review your objectives to ensure that they work as a group and support each other.
Make some notes about how your objectives should change.
História nutricional
Review all your objectives.
- Do they all fit together?
- Can they all be achieved without conflict?
- Will you need to make difficult choices between them?
- Do they overlap or duplicate effort?
YesNoOther
O tipo, a quantidade e a frequência das refeições são determinados. O paciente que se alimenta ≤ 2 vezes/dia corre o risco de desnutrição.
História de álcool, tabaco e uso de drogas
You might need to clarify your mission to embrace other objectives, or maybe your objectives are not really aligned with your real mission.
Make some notes about how your mission statement or objectives should be changed.
Observar: sinais de enfermidades ocasionadas pelo alcoolismo, que são pouco diagnosticadas no idoso. Tais sinais incluem confusão, raiva, hostilidade, odor etílico na respiração, diminuição do equilíbrio e da marcha, tremores, neuropatia periférica e deficiência nutricional.
O Short Michigan Alcohol Screening Test-Geriatric Version (ou SMAST-G)
História de fármacos
- Does the VMOST tree contain all your objectives?
- Are you aware of any others that your organisation is pursuing, that have been left out?
- Might this be because they don't quite 'fit' with everything else?
Natureza precisa de quaisquer alergias a fármacos
Motivo para a prescrição do fármaco
Prescritor
Horário de dosagem
Dose
Fármacos usados
História clínica
To deliver your mission, you will need a number of primary objectives.
These are major milestones, showing that you are achieving your mission. These should be written as SMART objectives, which means they are
- Specific,
- Measurable,
- Achievable,
- Relevant, and
- Time-bound
Example: To partner with 5 new organic food retail outlets this year.
Perguntar sobre as enfermidades mais comuns (p. ex., febre reumática ou poliomielite) e sobre tratamentos antigos (p. ex., terapia de pneumotórax para tuberculose ou com mercúrio para sífilis) ao interpelar o idoso sobre a história dos fármacos usados. Uma história de imunizações (p. ex., tétano, influenza ou pneumococo), reações adversas às imunizações e resultados de teste cutâneo para tuberculose é necessário.
Atenção
Distúrbios e problemas associados à idade
Os indivíduos com degeneração da função cognitiva podem ter problemas em descrever as dificuldades, impedindo a avaliação.
Medo
O idoso pode relutar em informar determinados sintomas pelo receio de ser hospitalizado, pois associa esse fato à morte.
Dificuldades em recordar
Não se lembrar com precisão de doenças passadas, internações, cirurgias e uso de fármacos; Devendo obter tais informações por meio dos membros da família, cuidador ou prontuários.
Declínio funcional como única manifestação
Ex .: Perguntas sobre a duração do declínio funcional ("Quanto tempo vou conseguir para fazer suas compras?") Podemos extrair informações úteis.
Manifestações incomuns de determinado distúrbio
As manifestações típicas de determinada doença podem estar ausentes. Em vez disso, o idoso pode apresentar sintomas inespecíficos (p. ex., fadiga, confusão, perda ponderal).
Relato incompleto de sintomas
Review your Vision statement:
Does your vision really reflect the values and beliefs that motivate you and your staff?
YesNoOther
Não relatar alguns sintomas por considerarem que fazem parte do envelhecimento normal (p. ex., dispneia, deficits auditivos e visuais, problemas de memória, incontinência, distúrbios de marcha, constipação intestinal, tontura, quedas).
Deficits sensoriais
In one sentence, describe the vision of your organization. Your vision should:
- Inspire your staff
- Say something about your values
- Say something about your beliefs
- Be something you can always work towards
Example: You believe that sustainable organic foods are better for people and the environment
Dentaduras, óculos de grau ou aparelhos auditivos devem ser usados, se for o caso, para facilitar a comunicação durante a entrevista. Iluminação adequada e eliminação da distração visual ou auditiva também ajudam.
Levantamento do histórico
Negligência ou abuso do cuidador
Medo inexplicável do cuidador no paciente.
Queimaduras peculiares;
Hematomas nas genitálias;
Hematomas por pressão no
membro superior;
Hematomas frequentes, especialmente em áreas menos visíveis (por exemplo, nenhuma coluna me fornece);
Diagnóstico tardio ou equivocado
Make some notes about how your Mission statement could be improved.
Normalmente, os primeiros sinais de distúrbios físicos são comportamentais, mentais ou emocionais.
Polifarmácia
Review your vision statement and mission statement together.
Does your mission statement bring your vision to life? Do the targets in your mission statement align with your vision?
YesNoOther
Com múltiplas doenças pode ser necessário o uso de muitas drogas.
múltiplas doenças
In one sentence, summarise your mission.
Your mission states how you express your vision - what you are aiming to do, to make your vision into reality.
Example: to be the leading supplier of organic foods in your area
O tratamento de uma determinada doença não deve ocorrer negligenciando-se outra.
