Case studies: Developing solutions

2.2 Solutions¹Screen reader users, this is a numbered heading.

Organisational culture was the major issue identified at HealthCo²Screen reader users, this is the identified issue.. This culture was expressed through poor communication between management and staff, as well as the leadership and management of the company. Potential solutions to improve HealthCo's communication issues could include:³Screen reader users, this is the proposed solution.

2.2.1 Flatten the management structure of the organisation¹

Advantages¹

Removing some levels of management from the company structure would encourage more direct communication between the CEO, management and frontline staff. Streamlining and flattening the structure would benefit HealthCo in terms of cost savings in management salaries. Other benefits would include more direct contact with customers by management and the CEO and more immediate feedback from frontline staff (Rossi, 2021). These actions would allow HealthCo to respond more efficiently to their members, creating greater customer satisfaction and improving competitiveness.

Disadvantages¹

Large organisations require a hierarchical structure to operate efficiently. Fewer managers would have more staff reporting to them and this could actually decrease communication between staff and management. In addition, management have strategic responsibilities in their roles which may be lost if they are working directly with customers alongside frontline staff.

2.2.2. Timetable regular staff meetings¹

Advantages¹

... etc.

Disadvantages¹

... etc.

Management of Ulcerative Colitis (UC)¹Screen reader users, this is a sub-heading.

Ulcerative colitis (UC) is chronic inflammation of the lining of the large intestine, affecting the lower part of the colon and rectum (Paraskeva & Paspitis, 2024). The condition is incurable and can have a ignificant effect on a patient's physical, social and psychological self as it is characterised by cycles of exacerbations and remissions, as Mr Rogers has experienced (Lichtenstein, 2014).

Drug Therapies¹Screen reader users, this is another sub-heading.

Drug therapies aim to induce and maintain remission periods of the disease (Lichtenstein, 2019)²Screen reader users, this is the topic sentence.. Patients with mild to moderate UC are usually initially treated with 5-ASA agents including sulfasalazine, mesal/hlamine, balsalazide and olsalazine (Lichtenstein, 2019). Mr Rogers was prescribed Vedolizumab, a monoclonal antibody used for severe UC, as more conventional corticosteroid treatments, such as oral budesonide, and probiotics failed (Adelborg et al., 2023)³Screen reader users, these are solutions for treatment therapies.. While side effects caused him to discontinue this therapy, he has had some relief using mesalazine ⁴Screen reader users, this is an example from the case. (Paraskeva & Paspitis, 2024). However, other corticosteroids such as Prednisone have proven to benefit patients by reducing inflammation and maintaining periods of remissions (Lichtenstein, 2014). This therapy could be used alongside other antibiotics or immunosuppressants such as Azathioprine 6-MP or Methotrexate as these can be used at low doses and have few recorded side effects (Lichtenstein, 2019). A combination of drug therapies to treat the effects of UC as well as treatments to reduce anxiety or relieve pain can be effective in managing the condition (Love, 2022)⁴Screen reader users, these are solutions for treatment therapies..In conjunction with diet, a more complex drug therapy treatment is likely to provide the best outcomes for patients in the management of their UC.⁵Screen reader users, this is the linking sentence.

Diet Therapies¹Screen reader users, this is another sub-heading.

Diet therapy treatment of UC, in conjunction with other drug treatments, can contribute to ...⁶Screen reader users, this is the following paragraph's topic sentence.