Thursday, January 16, 2020

Care for the Elderly Essay

AIM/PURPOSE The purpose of this study is to address to family members or family carers for older people with dementia a range of perspectives, as understanding perspective of those affected. For the purpose of giving them an idea of knowing the early signs and symptoms of dementia and the suggested care by the experienced staff involved in this study. To know and identify the problems of the person having dementia, and as carers, to know how to respond to these problem. Thus, the older people would meet their needs and will be looked after. INTRODUCTION The definition of dementia is fairly simple. Dementia is a group of diseases that cause a permanent decline of person’s ability to think, reason and manage his own life. Dementia is caused by biological processes within the brain that damage brain cells. They cause a person to have impaired memory, forgetfulness and an inability to retain new information. To lose the ability to speak and be understood by others and the ability to understand written or spoken language. To lose the ability to plan, make good judgements and carry out multi-step tasks. To lose the ability to process and understand visual information. These losses mean that a person with dementia cannot manage his own day-to-day and personal care. The implications for a person with this diagnosis and her family can be staggering. Dementia, regardless of its cause, is a progressive condition. It is distressing and frightening illness for individual and heartbreaking for family members. The course of the illness may be gradual and sometimes subtle, as in classically seen in Alzheimer’s disease. It may be abrupt and  can be characterised by sudden episodes of deterioration as the case of Vascular Dementia, also known as multi infarct dementia. In Lewy Body Dementia, the course of the illness maybe punctuated by episodes of confusion, hallucinations, and delusions and in fronto temporal dementia by insidious personality or behavioural changes. Today there are more than thousands of people with dementia here in Ireland. If this current demographic trends to continue, this number is likely to rise substantially in the coming years. In the older population, dementia is the most frequent reason for long term care. Because most form of dementia cannot be cured, the aim of this treatment is to delay the disease progression And to maintain functioning and quality of life. The purpose of this research is to conduct a study to understand the perspective of those affected is crucial prior to the development of care people with dementia and the impact on all those affected, for example, the person with dementia,carers and family members. To understand the manifestation application in day to day life. DEMENTIA AS A DISEASE Dementia is a syndrome due to disease of the brain, usually of a chronic or progressive nature, in which there is disturbance of multiple higher cortical functions, including memory, thinking, orientation, comprehension, calculation, learning capacity, language and judgement. Consciousness is not clouded. The impairments of cognitive function are commonly accompanied, and occasionally preceded by deterioration in emotional control, social behaviour, or motivation. The syndrome occurs in Alzheimer’s disease, in cerebrovascular disease, and in other conditions primarily or secondarily affecting the brain. There are a number of different reasons – some neurological and others environmental – why people with dementia may exhibit challenging behaviours. Some behaviours, for example, are caused by a chemical imbalance in the  brain and may be directly related to the dementia but others may be precipitated by a myriad of psychosocial and environmental factors such as room temperature (too hot or too cold), the person’s fatigue or malaise, he or she being in pain, bored or frightened being surrounded by unfamiliar faces. Agitation, aggression, wandering and repeated questioning, for example, may be an expression of unmet need. The big paradox in dementia care is that people with dementia need much time. If you have dementia, or you are looking after someone who does, you will experience a range of practical issues. People with dementia can feel vulnerable as their condition progresses and they increasingly rely on other people to do things for them. It is important that people who have dementia feel reassured and supported, while retaining some level of independence. Although some symptoms are common to many people with dementia, each person’s experience of the disease will be different. When a person with dementia finds that their mental abilities are declining, they’re likely to feel anxious, stressed and scared. They may be aware of their increasing clumsiness and inability to remember things, and this can be very frustrating and upsetting for them. If you are looking after someone with dementia, you can help them feel more secure by creating a regular daily routine in a relaxed environment where they’re encouraged and not criticised. Involving the person you look after in everyday tasks may make them feel useful and improve their sense of self-worth. They could help with the shopping, laying the table or sweeping leaves in the garden, for example. As the illness progresses, these tasks may become harder for them to manage independently, and you may need to give them more support. How can we be help to people with dementia? Offer support sensitively and try not to be critical of their attempts. It can be very important for them to feel that they’re still useful. In the early stages of dementia, memory aids can be used around the house to help the person remember where things are. For example, you could put pictures on cupboard doors of what’s inside, such as cups and saucers. This may help to trigger their memory and enable them to retain their independence a little  longer. Keeping up hobbies and interests when someone has dementia Many people with dementia will still enjoy their hobbies or interests. For example, if they like cooking, they may be able to help make a meal. Going for a walk or gardening can provide exercise and fresh air. Or they may prefer listening to music or playing a board game. Caring for a pet cat or dog can bring a lot of pleasure to some people. If the person you care for was very sociable and outgoing, or if they have a large family, they may really enjoy visits from one or two family members or friends. But remember that they may struggle to keep up with conversations if they have a lot of visitors at the same time. Maintaining good health and nutrition in someone with dementia It’s important that the person you care for healthy foods and gets some exercise. The longer they stay fit and healthy, the better their quality of life will be. If the person you care for doesn’t eat enough or eats unhealthy food, they can become susceptible to other illnesses. People with dementia can become more confused if they get ill. Common problems for people with dementia include: not recognising foods forgetting what food they like refusing or spitting out food resisting being fed asking for strange food combination How can we help? Involve the person you care for. For example, if you feed them, you could put the cutlery in their hand and help guide it to their mouth. You could also involve them in preparing food if they are able to.Try to stay calm. If you feel stressed at mealtimes, the person you care for will probably be stressed too. Make sure you have plenty of time for meals so you can deal with any problems that arise. Try to accommodate behaviour changes. It’s  likely that the person you care for will change their eating patterns and habits over time. Being aware of this and trying to be flexible will make mealtimes less stressful for both of you. People with incontinence Incontinence can be difficult to deal with and can be very upsetting for the person you care for. It’s common for people with dementia to experience incontinence. A person with dementia may also simply forget to go to the toilet, or may forget where the toilet is. They may also have lost the ability to tell when they need the toilet. It’s important to be understanding, retain a sense of humour and remember that it’s not their fault. You may also want to try the following: Put a sign on the toilet door, such as a photo of the toilet Keep the toilet door open Make sure that the person you care for can access it easily make sure they can remove their clothes – some people with dementia can struggle with buttons and zips Look out for signs that they may need to go to the toilet, such as fidgeting and standing up and down. Helping someone with dementia with their personal hygiene People with dementia can become anxious about certain aspects of personal hygiene and may need help with washing. For example, they may be scared of falling when getting out of the bath, or they may become disorientated in the shower. The person may not want to be left alone or they may resist washing because they find the lack of privacy undignified and embarrassing, at which it is no longer safe to leave the person alone, and never leave the person alone in the bathroom. a).Coaching the person through each step of bathing, ex.: by asking him or her to hold a washcloth or shampoo bottle. Avoid asking the person to do a  task that is too difficult. †¢ Ask what time of day and what routine is best for  bathing given the person’s choices and previous   routines. †¢ Consider whether a person may be afraid of water  or have a depth perception impairment that may   make entering a bathtub frightening. †¢ Respect the person’s dignity by providing a towel  to cover his or her body throughout the process. †¢ Consider the frequency of bathing. It may not be  necessary for individuals to bathe every day. †¢ Be gentle. A person’s skin may be very sensitive.  Avoid scrubbing, and pat dry instead of rubbing. A hand-held shower may help to wash hard to   reach areas. †¢ Wash the most sensitive areas last, including the  head, face and perineal area. †¢ Washing the person’s hair may be the most People with dementia often experience disturbed sleep. They may wake up during the night or be restless. These problems may get worse as the illness progresses. People with dementia may also have painful illnesses such as arthritis that cause, or contribute to, sleep problems. Some medication can cause sleepiness during the day and interfere with sleep at night. Sleeping pills can be used with care in people with dementia. However, ‘sleep hygiene’ measures are best for people with dementia – for example, no naps during the day, regular bedtimes and avoiding alcohol or caffeine at night. DRESSING †¢ Others do not feel dressing up is important and this choice should be equally respected. Attempt to gather this information from family if the person with dementia is unable to communicate. †¢ Simplify clothing choices for the person according to his or her ability to choose. †¢ Give the person short, simple instructions while handing them an item such as â€Å"Put on your shirt.† Sometimes just handing the person an item of clothing (without saying anything) will facilitate dressing. †¢ Choose comfortable, simple clothing that easy to put on and take off. Consider cardigans, or other clothing that buttons in the front, rather than pullovers. Substitute snaps or zippers for buttons. Keep in mind that if you alter a familiar routine or method, the person with dementia may have difficulty learning something new, so try to follow  the same routine and use familiar fasteners for   as long as possible. †¢ Make sure the person has comfortable, sturdy non-slip shoe EATING AND DRINKING †¢ Dementia may lead to changes in eating or drinking (e.g. eating more or less) because those affected by it may not be able to prepare meals, remember to eat or drink, remember when they last ate, know or be able to say that they are hungry or thirsty, or smell and taste in the same way they did before. †¢ A person with dementia may not be able to initiate the task of eating, but if a spoon is placed in his or her hand, he or she may begin to eat. †¢ It may become more difficult for the person with dementia to swallow foods and liquids safely as dementia progresses. †¢ A person with dementia may refuse to eat or drink because of physical or emotional conditions at the end of life. . Help the person eat and drink what he or she likes, and provide food that meets dietary needs to promote health and safety. †¢ Help to make mealtimes pleasant and enjoyable; involve family when the person and family are amenable. Falls Falling is accidentally coming into contact with the ground or another surface, like a table. Falls may occur with or without injury and often result from a loss of balance. †¢ People with dementia have a greater risk of falling because they can have problems seeing, thinking, moving, and balancing. †¢ The cause of falls can be related to the person’s abilities or home environment. †¢ Personal risks include: history of falls, depression, vision problems, muscle weakness, fear of falling, multiple medications, being tired, blood pressure problems, incontinence, and being unable to move or having difficulty with movement. Environmental risks can include: †¢Confusing environment and clutter †¢Slippery footwear †¢Unsafe equipment †¢Lack of stable furniture or handrails †¢Surfaces (e.g. floor, stairs, or ground) that are uneven, slippery or have glare †¢Poor lighting, especially at night †¢ Weather conditions that may result in slippery surfaces, or heat exhaustion †¢Rugs and door mats Encourage safety and maintain a person’s ability to move within a living space by decreasing the risk of falls and related injuries. Encourage daily exercise to increase or maintain physical strength. Wandering Wandering describes the behavior of people with dementia who move about in ways that may appear pointless but often have purpose. Wandering, like all behavioral symptoms of dementia, happens for understandable reasons. It may occur as a result of an unmet need for social interaction or friendship, a noisy environment, pain or distress, boredom or other causes. Wandering is not necessarily a behavior that must be stopped. Wandering can help a person remain physically fit and in a better mood. It can help a  person sleep better at night. Wandering can be dangerous when a person leaves home alone or goes into unsafe areas. Physical problems, such as injuries, health risks agitation, or death Wandering may happen because of many things that the person with dementia cannot express, including: †¢ A need for food, fluids, exercise or the toilet †¢ Pain, a need to urinate, constipation, infection or medication effects †¢ A need for security or friendship †¢ Depression, anxiety, delusions or hallucinations HOW CAN WE BE OF HELP Help a person move about safely and independently and understand the difference between safe and unsafe wandering. †¢ Determine each person’s need and ability to move about †¢ Wandering patterns, such as time of day it happens, events or places that cause it †¢Other needs such as hunger, the need to go to the bathroom, or boredom †¢ Mental abilities, especially safety awareness and being impulsive by asking the person where is he/she at the moment, what is he/she doing in that place. †¢Vision and hearing, make sure he wears his hearing aid if applicable or eyeglasses. †¢Ability to move, do they need an aid for mobility like frame or stick. †¢Emotional conditions that may relate to wandering, such as anxiety or depression, or maybe substitute for another activity. †¢Environmental hazards such as poor lighting, throw rugs and uneven floors make sure all the surroundings are clear from having an injury. †¢The person’s footwear and clothing is safe for them, not too tight and not too loose or not too slippery. EVALUATION/ CONCLUSION This studies conducted to date does provide sufficient evidence of care or less costly care with effectiveness for any of the interventions or suggestions made of how can we be of help by knowing early signs and symptoms of dementia and that the carers would be more familiar with these if they have older people at home or relative. Most of this research studies and feed back from the participants, a nursing staff and a health care assistant, the implementations or help suggestions have a very positive effects in regards of the care for people with dementia. Therefore, we believe that most of the complex needs of the people with dementia and their family carers can be met by primary care services as well as community care services. However these services need to be individualized, comprehensive, accessible, flexible and delivered by competent well trained care provider. When we say community care, GP’s are the first point of contact for the individual and family members worried about the signs and symptoms of dementia. We believe that the sooner we identify the problem the sooner we respond to it thus preventing major problems could occur. Inevitably, some people with dementia would be unbearable for the family members, so some people might end up attending acute care or A&E care, or being admitted as in patients to these hospitals. Dementia care hence being implemented by professional and well trained nursing staff or health care assistant. Thus, dementia care is being met in acute setting with extra cost. Or some might end up that the family members could not cope up at home and they are already burdened so older people are being handed over to the care of nursing homes Therefore, the development of a more positive view of older people and old age and the broadening of the view of older life to encompass more than the health needs and the development of the view of responsiveness to needs is the best way forward to look after the elderly. RECOMMENDATIONS In terms of the care for people for dementia, greater levels of resources are needed to augment the availability, accessibility and usefulness of person centred dementia specific services that support the abilities of people with dementia. Specific health and social care are needed or must be revised to counter dementia. Families and carers must be involved in regards of planning and development of dementia. BIBLIOGRAPHY Books, ForestKnolls, CA Feil, Naomi. 1933. The Validation Breakthrough, Simple techniques for Communicating with People with dementia. Planning Guide with Dementia care at home: A reference Tool for Managing Care. Elements of Nursing 1985.

Wednesday, January 8, 2020

Johari Window - 964 Words

JOHARI Window Workbook 1 JOHARI Window Known to Self Not Known to Self Known to Others Open/Free Area Blind Area Not Known to Others Hidden Area Unknown Area The name, JOHARI Window, makes it sound like a complicated tool. In reality, Joseph Luft and Harrington Ingham created the memorable name for their model by combining their ï ¬ rst names, Joe and Harry. It was ï ¬ rst used in 1955 and since then has become a widely used model for understanding and training in a variety of self-awareness dependent activities such as: personal development, communications, interpersonal relationships, group dynamics, team development and inter-group relationships. The JOHARI Window provides a useful format for representing personal†¦show more content†¦5 JOHARI Window Worksheet Known to Self Open/Free Area Not Known to Self Blind Area Known to Others Hidden Area Unknown Area Not Known to OthersShow MoreRelatedJohari Window4902 Words   |  20 Pagesquadrants: - †¢ Open/free self †¢ Blind self †¢ Hidden self †¢ Unknown self âž ¢ The Johari Window Applied to Group Interrelations âž ¢ Principles âž ¢ Objectives âž ¢ View points by Will Philips †¢ Assumptions †¢ Initial phase of group interaction âž ¢ Training with Johari Window âž ¢ Uses of Johari Window âž ¢ Case study âž ¢ Feedback âž ¢ What we learn from Johari Window âž ¢ Bibliography Introduction Good leaders are often recognized for their qualities of genuinenessRead MoreJohari Window3579 Words   |  15 PagesJohari Window model diagrams and examples - for self-awareness, personal development, group development and understanding relationships The Johari Window model is a simple and useful tool for illustrating and improving self-awareness, and mutual understanding between individuals within a group. The Johari Window tool can also be used to assess and improve a groups relationship with other groups. The Johari Window model was developed by American psychologists Joseph Luft and Harry Ingham in theRead MoreA Reflection On The Johari Window1181 Words   |  5 Pagesthe Johari Window is a useful leadership tool for elucidating and improving self-awareness and understanding between leaders and followers, and interpersonal relationships between groups (Hersey, Blanchard, Johnson, 2008). Thus, the Johari Window model is often used by many organizations for understanding and training in self-awareness, personal development, improving communications, interpersonal communications, group dynamics, team development and inter-group relationships (Johari Window, 2016)Read MoreThe Johari Window Model2112 Words   |  9 PagesJohar i Window A model for self-awareness, personal development, group development and understanding relationship Adapted from,  © Copyright alan chapman 2003 The Johari Window model A simple and useful tool for understanding and training selfawareness, personal development, improving communications, interpersonal relationships, group dynamics, team development and intergroup relationships Developed by American psychologists Joseph Luft and Harry Ingham in the 1950sRead MoreJohari Window Reflection804 Words   |  4 PagesAs a pharmacy student, it is important for me to develop a deeper understanding of my own self-awareness. A way I was able to do so was by creating a Johari Window. The Johari Window exercise is designed to help people better understand themselves, as well as gain knowledge about what others think about them. This exercise consists of a person looking at a list of about fifty positive adjectives and fifty negative adjectives, and choosing five of each that best describe them. The person then hasRead MoreThe Johari Window Theory1345 Words   |  5 Pagesyourself? Most people would answer yes, but in fact they are not correct. Joseph Luft and Ha rrington Ingham developed a theory named the Johari window in 1984. This theory portrayed the different views of our self-awareness and self-disclosure. It revealed that there are four quadrants that contribute to them; Open, blind, hidden and unknown self. Everyone has a Johari window and each one is unique, therefore each relationship you have will be different and differ in dynamics. As we all have different relationshipsRead MoreOverview of The Johari Window600 Words   |  2 PagesOB Topic: Serpico The Johari Window is an interesting concept. It frames communication between individuals in terms of knowledge, specifically who has and does not have it. The authors present a number of insights as to how the window can be used to enhance interpersonal communication. Feedback is described as a tool that can be either positive or negative, but that depends on the person receiving the feedback. One lesson in the Johari window relates directly to the feedback process, and that isRead MoreSwot Analysis And Johari Window1750 Words   |  7 Pages Swot Analysis and Johari Window Guggula, Amarender Reddy California University of Management and Sciences Dr. Bernard Grenway SWOT ANALYSIS: †¢ Swot Analysis is a technique that empowers a team or individual to move from regular issues and traditional procedures to new prospective. †¢ Swot analysis helps us analyze the strengths and weakness, and the opportunities and threats of a particular business organization. †¢ The Swot Analysis system is a very important and helpful toolRead MoreJohari Window Analysis Essay2607 Words   |  11 PagesLeadership skills and JoHari Window Analysis Keuka College Huicong Chen MGT-510-MI004 Leadership Professor Yang Zhao 12/09/2012 Table of contents Introduction---------------------------------------------------------------------------------3 Knowing themselves is the first step of leadership-------------------------------4 JoHari Window Analysis-----------------------------------------------------------------5 Open area--------------------------------------------------------------------------------5Read MoreThe Johari Window Concept of Communication Essay1090 Words   |  5 PagesThe Johari window is a great communication concept to build trust with others and improve understanding between people. According to (Satterlee, 2013, p. 134), â€Å"communication is a process that is vital to transmitting and understanding information†. However, communication is set forth as goal-oriented; the end result for the communicator is to achieve that set goal in order for the message to be considered effective. According to (Darling Beebe, 2007, p. 76), â€Å"communication is the primary way in

Monday, December 30, 2019

Ted Tracy Is A Hardworking Man - 1455 Words

â€Å"When you live for a strong purpose, then hard work isn’t an option, it’s a necessity† Steve Pavlina. This quote is the very definition of Ted Tracy and his zeal for life. He knows that in order for life to go as he would like it, solid labor is an essential element. Ted Tracy is a hardworking man. Whether he’s at work, home, or somewhere else, he is usually hard at work. In the summer time, when the sun is blistering and the air shimmers from heat, it would seem to be a good time to hibernate somewhere cool. Though in Ted’s mind, there’s work to be done. So, he can be found outside doing a variety of chores, anything from pulling weeds at the base of the hundreds of trees that line his property, to rototilling the hard ground for†¦show more content†¦Those same black rimmed glasses, though scratched, taped, broken and crooked, finished out his senior year with him. The memory of those glasses and how they made him feel, affected his attitude for his future. He was determined to be able to afford the necessities for himself and his future family. This started him on his path to plan and work for a college degree, a stable employment, and the opportunity to provide more than the basics for his family. The balance between working hard and becoming a workaholic can be a thin line. Ted struggles with this stability. If there is something to be done, he feels the responsibility of it until it is finished. Often, he will not ask others for assistance so that he will not inconvenience them. The monetary burdens are heavy as well, since his desire is to provide well financially, which goes hand in hand with working hard. Because of his work habits, it has isolated him from some of the things he loves, specifically his family. One particular Friday night, years ago, Ted was getting ready to go home for the weekend. A critical computer system went down, and he was the only one that was concerned about it. His coworkers knew someone else would take care of it, and left for the weekend. Ted had already worked his normal 10 hour day, but chose to stay there. To get the system fixed and running again, he worked throughout the night, the next day, and a portion of the next night.Show MoreRelate dStephen P. Robbins Timothy A. Judge (2011) Organizational Behaviour 15th Edition New Jersey: Prentice Hall393164 Words   |  1573 PagesIndiana University, Kelley School of Business Erin Hayes, George Washington University Tom Head, Roosevelt University Douglas Heeter, Ferris State University David Henderson, University of Illinois at Chicago Scott Henley, Oklahoma City University Ted Herbert, Rollins College Susan Herman, University of Alaska Fairbanks James Hess, Ivy Tech Community College Ronald Hester, Marymount University xxxii ACKNOWLEDGMENTS Patricia Hewlin, Georgetown University Chad Higgins, University of Washington

Sunday, December 22, 2019

The American Revolution Or Devolution - 1591 Words

Trinity Colter Mrs. Blau United States History 11 May 2017 Revolution or Devolution? The American Revolution was the rebellion of British colonists against England, however, the cost of liberty may very well have been far too high due to the economic crisis which ensued and the inadequacy of the newly formed government, although the freedom to worship as they pleased was gained yet not everyone even benefited from the Revolution. It was an enormous win for the American revolutionaries, as were the budding ideas of liberty and equality for all which would be the catalysts later on for many other movements regarding freedom, including the Civil Rights movement and the Women s Rights movement. The British did not grant the colonists†¦show more content†¦Although the newly independent Americans won their representation, their taxation also was negatively impacted. Farmers and civilians led by Daniel Shay protested against the state and local enforcers in attempt to put a stop on taxation of goods. Poor lower class people experienced struggle before the war and even worse after the war. While the wealthy upper class citizens were taxed as well, they still had their property so they were not as severely impacted as the poorer citizens. It was tremendously difficult for the newly founded government to bounce back from the colossal amounts of debt that needed to be paid. The government slowly but surely worked to improve and create a fair economic system that favored everyone, not just the wealthy upper class, though it proved strenuous. The new democratic republic formed from the Revolution was not very experienced in governing itself without aid from the British, other than during wartime, therefore the government was unable to make it s own effective legislation to maintain law and order. In 1776 the triumphant thirteen colonies voiced their newly founded democratic nation. The Americans fought in battle for almost two years before â€Å"July 4th, [when] the continental congress voted to adopt the Declaration of Independence†¦Ã¢â‚¬  (â€Å"American Revolution History† 2009). The Articles of Confederation can easily be seen as a failed attempt because legislation was notShow MoreRelatedFundamental of Constitutional History797 Words   |  4 Pagesï » ¿ Fundamentals of Constitutional History - Notes Refer to Table 1-1 of The American Democracy, and in 100 to 150 words, identify and explain America’s 3 core political ideals and the 3 rules of American politics. America’s 3 core political ideals are; Liberty, Equality and Self-government. Liberty – individuals should have the freedom to act and think the way they want, as long as it is within reason and it doesn’t interfere with the freedoms of others. Equality – all individuals shouldRead MorePrison Industrial Complex And Its Interrelationships1734 Words   |  7 Pagesfears, the rise of the prison industrial complex and the politics of surveillance and security are interrelated in different ways. The ways in which they are interrelated is caused by the overlapping nature of the American cities. In order to make the overlapping nature of the American cities to be effective, there should be an elaborated reinforcement system which is multi-layered. This system ensures that there is social control and it should take into consideration the political nature of theRead MorePolitics Essay1160 Words   |  5 Pagesconstitution is uncodified which is a unwritten document where as in the majority of countries there is a codified constitution which is a single document an example of this would be the American constitution, drafted around 200 years ago, which is written down on a piece of paper and lays down the rights of American c itizens and also the powers of her government. 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A narrow majority of votes were cast in favor of change, but this had no effect due to a requirement that the number voting Yes had to exceed 40% of the total electorate. No further constitutional reform was proposed until the Labor Party returned to power in 1997, when a second Scottish devolution referendum was held. HoweverRead MoreNew Issue Of New Federalism1682 Words   |  7 PagesWith this concept, many laws were made in order to enforce this New Federalism: the Unfunded Mandates Reform Act of 1995 disallowed Congress from passing federal programs or services without consulting states on how they would be funded. The Devolution Revolution in 1994, a movement led by for mer House Representative, Newt Gingrich, and by republicans who desired to scale back the federal government though campaigning. Overall with this time period, including now, we see how Ronald Reagan wanted to

Saturday, December 14, 2019

It 460 †Unit 2 Project Free Essays

Running head: UNIT 2 PROJECT Session 1 Part 4 IT Consultant Firms 1. Gatesix Inc. Gatesix Inc. We will write a custom essay sample on It 460 – Unit 2 Project or any similar topic only for you Order Now is based in Phoenix, Arizona. They handle everything from web development, productivity solutions, and marketing applications. They are considered am all inclusive company that handles all your IT needs. They consider themselves no nonsense and will work within a budget. They have a broad range of services which include but are not limited to: †¢ Web Development – Custom development of web-based software, content management, custom applications, e-commerce. Interactive Marketing – SEO strategy analysis, search engine marketing, paid search marketing, and ongoing SEO support.†¢ Software Development – Business applications, business process automation, web-based applications, client extranets, employee intranet, and E-commerce applications. †¢ Interactive Design – Website design, flash and multimedia design, and graphic design. Network Support – network analysis and design, office cabling and networking, remote monitoring and support, desktop support, server setup and management both Microsoft and Linux platforms, VPN setup both Microsoft and Cisco, managed support, onsite and offsite backups, after-hours help with moves, server migrations and upgrades. †¢ Staff Supplementation – System architects, project managers and technical leads, internet marketing consultants, graphic and web designers, software engineers, and both onsite and offsite resources. 2. IBM Services The next company I found is IBM.Obviously they are a well known company who has offices and service throughout the world. They are definitely competition whom can offer all IT services and are well recognized. IBM can offer everything from communication services to training. †¢ Business continuity and resilience – Disaster recovery service, information protection, managed resilience, and resilience consulting. †¢ End user services – Client virtualization (workplace optimization consulting), device deployment and management (platform integration and development, software platform management), and help desk ervices. †¢ Integrated communication – designing, implementing and managing communications and networking environments to optimize. Integrated business communications.†¢ IT strategy and architecture – Analyze and develop a plan to provide a business-driven infrastructure, identify cost reduction opportunities and improve quality. †¢ Maintenance and technical support – Hardware and application maintenance (24/7). †¢ Middleware – Service-oriented architecture (SOA) integration, IT lifecycle management, information on demand infrastructure, and infrastructure optimization. Security and privacy – Threat mitigation solutions, data security, and integrated security program. †¢ Server services – Server optimizer, integration, management, and server products. †¢ Site and facility support – data and facility strategy, IT assessment, design, and construction. They also help with IT consolidation and relocation. †¢ Storage and data – Storage optimization and integration, lifecycle management, data mobility, storage and data products, and storage and data management. †¢ Training – They offer a wide variety of training from software to administration and applications. 3. MIT Consulting MIT Consulting is located in Toronto, Ontario. They have long standing relations with many manufacturers which helps they provide up to date consulting and services. MIT Consulting is a well rounded company that can offer consultant services for all aspects of business and IT needs. They have a wide range of backgrounds that make up their team. †¢ Business consulting – Consulting for planning, training, financing, market research, and promotion/advertising. †¢ Hardware and Software (sales and service) – They offer a variety of hardware and software products from Microsoft to Lenovo.They also provide service for all the products they provide. †¢ IT relocation – they help with all relocation of a company IT resources. †¢ Technical support – For all aspect of IT emergency problems. They can restore the entire system or individual aspects or elements. †¢ Web development – Design and development of new website or single features. †¢ Web Hosting – Web hosting services. †¢ Disaster Recovery – Hardware planning, backup solutions, data recovery, and off-site storage. †¢ DVR Systems – Premises monitoring via internet recording using digital video recorders. Wifi – Building and deployment of company wireless network. Session 2 Part 3 Project Scope Statement Training Information Management System (TIMS), the project scope is to allow users to track instructors, students, courses and grades. TIMS must be completed in six months and must allow the functions listed above. TIMS must also link with the accounting system for accurate pricing for courses and accounting financial interaction. TIMS should be able to track credits earned toward IT industry certification requirements. The new system may also allow students to register for courses online.Session 2 Part 4 Interview and Questions The following is the list of employees at SCR who I wish to interview and the accompanying questions for each employee or group of employees. SCR training group: Jill Martin Questions: 1. What is the cost benefit of this training group program? 2. How long do the courses take? Is there a standard or are all the courses different? 3. Will these courses be non-stop and on-going? Or will it just stop after a year or so? 4. What is your vision for these courses? 5. How much improvement from the employees are you looking for? 6.How much will each of the courses cost? 7. Is it free for employees who want to update themselves in information technology? 8. How do you know it will work at the end of the course? 9. Will there be pretesting for the participants who are taking the courses? 10. What will be the system requirement for this training program? Executive Committee: Gary Smith and Nan Wheeler (Executive Assistant) Questions: 1. How would you like the TIMS program to benefit SCR Associates? 2. Is there anything specific that you would like to see implemented? 3. What is the proposed budget for this program/project? . What are you trying to achieve with this new training program? 5. Do you feel the students will have the necessary skills to be successful in the Information Technology sector after completing these courses?6. Do you feel this training program will be profitable for SCR? Systems Group: Jesse Baker (Manager) and Robert Newman, Marge Clark (Programmers) Questions: 1. Have you ever worked with any system similar to TIMS? 2. Are there any obstacles or restrictions that you foresee in this project? Network/Web Group: Tamisha Spencer (Manager) Questions: . How would you like to see the system designed in terms of being accessible to everyone, i. e. through the intranet or internet? Administrative Support Group: Janet Gannon (Human Resources Specialist) Questions: 1. Can you go through the process of staff training from start to finish with me? 2. Currently what are the problems associated with staff training? 3. From a HR perspective how do you see this benefiting staff training? Business Solutions Group: Lynn Chou (Manager) Stephanie Greene (Business Analysts) Meg Harris (Corporate Trainers) Questions: . How can this be designed to be used in your department?References Gatesix (2008) Gatesix Inc. Retrieved February 8, 2009 from http://www. gatesix. com/. IBM (n. d. ). IBM Services. Retrieved February 7, 2009 from http://www. ibm. com/technologyservices/us/en/. MIT Consulting (2009). MIT Consulting Services. Retrieved February 8, 2009 from http://www. mitconsulting. ca/index. php? ref=services. SCR Associates (n. d). SCR work sessions and intranet. Retrieved February 6, 2009 from http://oc. course. com/sc/sad7e/scr/intranet/index. cfm. How to cite It 460 – Unit 2 Project, Papers

Friday, December 6, 2019

Effects of Pediatric Acute Lymphoblastic Leukemia

Question: Discuss about the Effects of Pediatric Acute Lymphoblastic Leukemia. Answer: Introduction Managing emotional reaction in patients and families is a very complex situation for the nurses. Serious disease and acute illness are the source of great distress for the patients and family members. When the patients are children, stress of the family members increases. Family members can experience many negative emotions, when the patient is being treated in the intensive care unit (ICU). Most of the families are involved in providing some level of care to the patient, but the role of nurse is very important. This paper will focus on the case study of a 12 years old child, suffering from acute lymphoblastic leukemia. Emotional reaction while providing care to children is very obvious. This emotional reaction could be momentary for the nurse, but is very important for effective care delivery and patient satisfaction. With the help of Gibbs reflective cycle, During my placement in the pediatric cancer center, I was working under the supervision of RN to provide care and support to 12 years old boy suffering from acute lymphoblastic leukemia (ALL), his name as John (pseudonym). He had been admitted to the hospital after his condition got worsened and he was not able to different physical activities. The diagnosis of the cancer was very overwhelming for the parents. Parents were always present with the boy to take care of him. I found that parents and child were frightened with the treatment. John was admitted to the hospital for the purpose of chemotherapy. Central venous catheter was inserted and parents were concerned about the pain and discomfort of their child. I inserted the central venous catheter under the supervision of the RN. Doctors regularly visited the patient and I was assigned to provide closed and patient centered care. John was very young to go through this problem and I had emotional concern about his condition. His parents were always worried for him and have queries about chemotherapy. Emotional and behavioral problems can be seen in the children with such aggressive treatment and similar problem was noticed in the case of John. Acute lymphoblastic leukemia has become one of the most frequent malignancies in children. According to the study of Nazari et al (2014) ALL can influence the psychological state of the children and can result in involuntary change in the attitude of parents. One day when he was in his room with his parents, and RN had just left the room after regular checkup, John started crying and displayed aggressive behavior. John also tried to remove his central venous catheter. Parents tried to control him and I rushed immediately towards him. I controlled him with great difficulty and tried to pacify him with emotional support. I also comforted the child and explained him that everyone there is to help him and make him feel better. I also informed him that his condition can be regulated and he must support towards the treatment. The result of this situation was that during the aggressive behavior John wounded his left hand from the side table, but after providing him comfort and emotional support, he a pacified and ensured not to repeat it further. Before this situation I was little confused and anxious, as this was the first time I was providing close care to the child with sever life threatening disease. I felt that I may not be able to handle the situation very well in the absence of my supervisor. I was alarmed with this situation that this situation could have caused great harm to the patient. His parents were also emotionally disturbed and were unable to control him. I felt that the negative emotions displayed by the patient were due to fear of the treatment, anxiety about his condition and frustration about not being able to live a normal life (P?aszewska-?ywko Gazda, 2012). All these disturbing and difficult situations have resulted in the mental consequences in the child. I was concerned that he may try to do such things again and may harm himself. Parents were also devastated by the incident. They felt emotional disturbed and helpless. They required emotional and psychological support, so that they could provide bett er care to their son (Firoozi, Besharat, Boogar, 2013). However, after the situation I felt emotionally concerned about the child and also confident that providing appropriate support at the time of emotional reactions patient and family members of the children with serious illness require more comprehensive support from the professionals (Duchoslav, 2010). Currently, I believe that depression and aggressive behavior are common in children with severe conditions and their family members are also vulnerable towards providing appropriate support to their child (White, 2015). Therefore, as a practice nurse, it is my duty to support individuals for improving patient outcomes and adherence to treatment. I also felt that some children can talk about their feelings, while others could not. In order to connect emotionally it is important that nurse should become an empathetic listener and supporter towards children and family members (Cantrell, Ruble, 2011). This incident was extremely challenging for me, as this was my first experience of providing nursing care to children in acute care setting. The most positive aspect of this incident is that it helped me to enhance my nursing practice and displayed the importance of emotional support. Coping with stress can be very difficult for the children with serious illness. Therefore, it was also important to apply the secondary coping style which includes accepting the situation and the stressors (Compas et al, 2012). Another positive aspect of the situation was that, I learned that providing emotional support and managing the emotional reactions in family members helped the child in passive coping (White, 2015). I found that children undergoing cancer treatment are less physically and psychologically capable than other healthy children (Duchoslav, 2012). This incident was very important in brining changes to mu nursing practice. I learnt that emotional closeness to the seriously ill children is very important to control their behavior. The nurses in the acute care settings are mainly focused towards reducing the physical symptoms of the patients and the emotional factors are often neglected (P?aszewska-?ywko Gazda, 2012). The realistic hopes of the cure in the palliative care for children come through providing emotional support (Waldman Wolfe, 2013). Palliative care is to support child as well as families that should be consistently applied regardless of the status of the disease. The negative situation about the incident was that child hurt his hand. However, I hold his hands and asked him to keep calm. Parents of the child also reported that daily functioning is more stressful for them as well as their child than uncertainty of the childs condition (Compas et al, 2012). Research has demonstrated that providing emotional closeness and support to the patient can be very stressful and nurses may feel emotionally unprepared to care for such patients (Ek et al, 2014). Different care giving is required for the patient with serious condition. Such patient and their family members are emotionally demanding. Family care givers may feel helpless, distressed and guilty (Ek et al, 2014). Effective response to emotional demands of the patient and family members can reduce the physical suffering of the patients. Oncology staff must play the significant role in providing emotional, physical and spiritual care to the patients with serious illness. Strong therapeutic bonds can work as an appropriate approach to control aggressive behavior and emotional reactions of the children suffering with cancer. It was found that primary control measures were effective in increasing coping efforts in the patient (Cooper Brown, 2015). Looking back at the incident I feel that emotional support and coping skills development in the case of John should have been applied earlier. Children are the most vulnerable patients. Serious illness like cancer can be a great barrier to their development (Firoozi, Besharat, Boogar, 2013). Such children and their families require more support and care. If any such situation will occur in future, I believe that it would be important to clarify the emotional concern of the parents. They will be informed about their childs condition and will also be educated about various psychological, social, and emotional problems that child might undergo. Empowering the parents is very significant part of providing emotional care to the children. Parents will also be encouraged to ask questions, as they might have many emotional queries. Managing the emotional reactions of children and their family members significantly requires support of the nursing professionals. Conclusion Paper is based on providing the reflection of a clinical experience. The incident is about the 12 years old John, who is suffering from lymphoblastic leukemia. Incident covered in the paper is about the aggressive behavior of the child. Gibbs reflective cycle is used to analyze various aspect of this experience. Gibbs reflective cycle helped to understand the various aspects of the clinical incident and how it can be controlled in futures. Emotional reactions are common in cancer patients and their family members. Therefore, quality nursing practice requires focusing on childs needs and empowering parents to help their children in coping. References Cantrell, M. A., Ruble, K. (2011). Multidisciplinary care in pediatric oncology.Journal of Multidisciplinary healthcare,4(1), 171-181. Cooper, S. L., Brown, P. A. (2015). Treatment of pediatric acute lymphoblastic leukemia.Pediatric clinics of North America,62(1), 61-73. Compas, B. E., Jaser, S. S., Dunn, M. J., Rodriguez, E. M. (2012). Coping with chronic illness in childhood and adolescence.Annual Review of Clinical Psychology,8, 455-480. Duchoslav, R. L. (2012). The Effects of Pediatric Acute Lymphoblastic Leukemia on Social Functioning: An Investigation Into the First Year of Treatment. Duchoslav, R. L. (2010). The effects of pediatric acute lymphoblastic leukemia on social competence: an investigation into the first three months of treatment.Graduate Theses and Dissertations, 549. Ek, K., Westin, L., Prahl, C., sterlind, J., Strang, S., Bergh, I., ... Hammarlund, K. (2014). Death and caring for dying patients: exploring first-year nursing students' descriptive experiences.International journal of palliative nursing,20(10), 509-515. Firoozi, M., Besharat, M. A., Boogar, E. R. (2013). Emotional regulation and adjustment to childhood cancer: role of the biological, psychological and social regulators on pediatric oncology adjustment.Iranian journal of cancer prevention,6(2), 65. Nazari, S., Koupaei, M. T. S., Shafiee, A., Kashani, Z. H. G., Bahraminia, E., Ansari, M., Alipour, A. (2014). Emotional/Behavioral problems in children with acute lymphoblastic leukemia: a case-control study.International journal of hematology-oncology and stem cell research,8(2), 14. P?aszewska-?ywko, L., Gazda, D. (2012). Emotional reactions and needs of family members of ICU patients.Anaesthesiology intensive therapy,44(3), 145-149. Waldman, E., Wolfe, J. (2013). Palliative care for children with cancer.Nature Reviews Clinical Oncology,10(2), 100-107. White, L. (2015).An exploration of the value of reflective practice for child care and family support service provision(Doctoral dissertation).

Friday, November 29, 2019

Alls Quiet on the Western Fro essays

All's Quiet on the Western Fro essays Alls Quiet on the Western Front Lewis Milestones Alls Quiet on the Western Front, based on Erich Remarques novel, is an incredibly disturbing and effective anti-war film. The grainy black and white film is still not outdated and carries a breathtaking initial impact. The prologue that introduces the film gives its anti-war intentions immediately and beautifully. This story is neither an accusation nor a confession, and least of all an adventure, for death is not an adventure to those who stand face to face with it. It will try simply to tell of a generation of men who, even though they may have escaped its shells, were destroyed by the war... Alls Quiet on the Western Front includes a series of vignettes and scenes that portray the senselessness and futility of war from the point of view of young German soldiers in the trenches in the Great War who found no glory on the battlefield, meeting only death and disillusionment. The film brilliantly portrays the war with no enemys, just people and relationships. It is the story of friends, Paul Baumer (Lew Ayres) and his friends joining the war through propaganda, and leaving through death. The most unforgettable scene is the final moments of the film, just before the "all quiet on the western front" armistice and with all of his comrades gone, soldiers are bailing water out of a dilapidated trench. The faint sound of a harmonica can be heard. Paul is sitting alone, daydreaming inside the trench on a seemingly peaceful, bright day. He is exhausted by terror and boredom. Through the gunhole of his trench, he sees a beautiful lone butterfly that has landed just beyond his reach next to a discarded tin can outside the parapet. He begins to carefully reach out over the protection of his bunker with his hand to grasp it, momentarily forgetting the danger that is ever-present. As he stretches hi ...