Student college essays
Refutation In Argumentative Essay
Thursday, September 3, 2020
Life Span Perspective Free Essays
The procedure of human advancement begins as ahead of schedule as the undeveloped stage and keeps on advancing all through life. These progressions have been analyzed by driving scholar in the Psychology field who were hoping to set up core values and ideas. There have been various formative speculations that try to clarify the inquiries that we have identified with human turn of events. We will compose a custom paper test on Life expectancy Perspective or then again any comparative theme just for you Request Now I will look at these speculations, just as, give foundations to the most compelling scholar for each. I will likewise look at the life expectancy point of view and how heredity and the earth impact the human turn of events. One of the most driving speculations of human advancement is the psychoanalytic hypothesis. Numerous contemporary speculations of directing or psychotherapy are augmentations, varieties, or reactions against psychoanalytic hypothesis. Psychoanalytic hypothesis looks at the components that propel conduct by concentrating on the job of the oblivious. Sigmund Freud and Erik Erikson are instances of scholars who bolster this methodology. Freud was a pioneer, his psychoanalytic hypothesis of character and his psychosocial position hypothesis lead to his predecessorsââ¬â¢ advancement of their own ways of thinking. Erik Erikson developed Fraudââ¬â¢s speculations from various perspectives and made his own hypothesis of psychosocial improvement. ââ¬Å"Psychoanalytic theoryââ¬â¢s quality lies in its attention to oblivious inspiration and the significance of early encounters on improvement. â⬠(Rounds, 2010) Since there is an absence of solid proof to help the cases of psychoanalytic hypothesis, analysts turned out to be progressively keen on building up an increasingly logical methodology. So as to do this, a few analysts started to concentrate just those things that could be estimated and evaluated. This prompted the start of learning hypotheses. Learning speculations center around how conduct is found out. Ivan Pavlov was a Russian researcher who found the term great molding. Exemplary molding is a learning procedure that happens through relationship between an ecological boost and a normally happening improvement. Pavlov directed his examination by utilizing warm blooded animals, he watched the stomach related procedure in hounds and the connection among salvia and food. His examination was amazingly persuasive in setting up triggers (molded reactions) that invigorated the salvia when taking care of the pooches. He name to understand that the canines started to salivate when they saw food as well as when they saw the researcher in sterile garments. The mutts related food to the white sterile garments which set off the salvation. He additionally led an investigation with the utilization of a chime. He would ring a bell when the time had come to eat and in this manner the equivalent molded reactions were invigorated and the mutts responded in a similar way as in the sterile garment test. His improvements affected American analyst John Watson investigate a multi month old child named Albert. He needed to demonstrate that exemplary molding deal with people also. His celebrated investigation for this was known as the Little Albert Experiment in which he hypothesized that youngsters have three essential passionate responses: dread, fierceness, and love. He needed to demonstrate that these three responses could be falsely molded in youngsters. Watson utilized Albert to test his hypothesis. He over and again introduced Albert a rodent related to an abrupt, boisterous clamor to traditionally condition dread of the rodent. He proceeded to demonstrate that people can be molded too. His worked shaped thoughts that would turn into an entire part of brain research called behaviorism. (Watson, 1913) Behaviorism works on the rule f upgrade reaction, the subject whether human or warm blooded creature can have his/her conduct molded through positive or negative fortifications. Behaviorism presume that any being can be prepared to play out any errand, accordingly inward improvement, for example, hereditary foundation, character attributes, and inside considerations are no-factors while thinking about this way of thinking. Numerous pundits of behaviorism contend that it is, a one dimensional way to deal with human conduct. Many state that it comes up short with regards to different factors, for example, unrestrained choice and inside impacts like temperaments, considerations, and emotions. Life expectancy point of view is in relationship with human turn of events, and is deep rooted. This investigation inside brain research is ceaseless. Life expectancy viewpoint has three formative areas. These spaces are physical area, psychological space, and social area. Physical improvement alludes to the development of the body, organs, physical frameworks, indications of maturing, change in engine capacities, and every single physical change (Salesman Rider, 2009). The following advancement has critical thinking, mental procedure, memory, discernment, language, and gaining from the intellectual turn of events. The last formative stage is psychosocial stage; this stage interminable the individual and relational part of advancement. The formative viewpoints for psychosocial are: feelings, character characteristics, relational aptitudes, intentions, family jobs, connections, and society. Life expectancy improvement additionally has five attributes valuable for seeing any period of human turn of events (Berger, 2008). Multidimensional attributes represents alter in each course, as change doesn't need to be in an orderly fashion. Inserting in lives of people setting can incorporate limitations, family designs, and chronicled conditions this trademark offers to multi-logical qualities. The remainder of the five formative qualities is pliancy, which expresses that each individual has attributes that can be adjusted anytime throughout everyday life, and change is progressing (Berger, 2008). Taking everything into account, human advancement is consistently changing its rules and standards. As we advance so does the methods and formative hypotheses. The human character can be prepared and developed to be whatever the influencer wants. We have additionally discovered that the effect from the earth just as heredity assumes a significant job in each individualââ¬â¢s life expectancy advancement. Step by step instructions to refer to Life Span Perspective, Essays
Saturday, August 22, 2020
Factory, Industry, and Plant
Production line, Industry, and Plant Production line, Industry, and Plant Production line, Industry, and Plant By Maeve Maddox An ESL speaker requests a conversation of the things processing plant, industry, and plant with regards to the accompanying: ââ¬Å"mineral water factory,â⬠ââ¬Å"mineral water industry,â⬠and ââ¬Å"mineral water plant.â⬠production line A previous importance of processing plant was ââ¬Å"the work, office, or position of a factor.â⬠A factor, as in the word cornfactor, is ââ¬Å"an specialist who purchases and sells, or executes different business, in the interest of someone else or company.â⬠With regards to assembling, a production line is ââ¬Å"a building or scope of structures for the production or get together of merchandise or for the preparing of substances or materials.â⬠The soonest OED reference of this importance of processing plant (1618) alludes to an office for the printing and production of books. industry The thing business has a few implications. The important definition in this conversation is this one: A specific structure or segment of gainful work, exchange, or assembling. In later utilize additionally more for the most part: any business action or endeavor. Additionally with altering word showing the kind of movement or head item: banking industry, vehicle industry, film industry, substantial industry, administration industry, traveler industry, and so on. plant The thing plant has various implications, however with regards to assembling, plant is frequently an equivalent word for plant: the premises, fittings, and hardware of a business; a manufacturing plant, a spot where a mechanical procedure is done. In expanded use: the laborers utilized at a business, establishment, or plant. ââ¬Å"A mineral water factoryâ⬠can depict a spot ââ¬Å"for the preparing of mineral water.â⬠Perhaps more regularly, such an office is called ââ¬Å"a packaging plant.â⬠The expression ââ¬Å"mineral water industryâ⬠hints all the business action that goes into the procurement, arrangement, and offer of mineral water. Need to improve your English quickly a day? Get a membership and begin accepting our composing tips and activities day by day! Continue learning! Peruse the Vocabulary class, check our famous posts, or pick a related post below:Based in and based out ofHow to Punctuate Descriptions of Colors75 Synonyms for ââ¬Å"Hardââ¬
Friday, August 21, 2020
Aging Working Force Raising Retirement Age Essays - Free Essays
Maturing Working Force Raising Retirement Age Essays - Free Essays Maturing Working Force: Raising Retirement Age Presentation As of late, the birth rate is diminishing quickly in Hong Kong. We are confronting a maturing populace issue and the work power structure is lopsidedness. Whats more, the administrations retirement plan is a disappointment as it doesn't give enough money related help to them, both by openly and secretly oversaw arrangement. The older can't manage the cost of the living after retirement by their private investment funds and protection. We emphatically propose the legislature to set an unmistakable guideline and stretching out the retirement age to cure the issue. We will explore different nations which are confronting a similar maturing issue and their choices on broadening the retirement age. Besides, there are loads of different approaches to take care of the issue. We will talk about three of them and look at the advantages and disadvantages on every other option. Reason of the proposition Hong Kong has one of the universes most minimal birth rates0.9 per lady of kid bearing age, far underneath the substitution pace of 2.1. The city's older reliance proportion is set to ascend from 161 for every 1,000 out of 2003 to 428 for every 1,000 of every 2033. That implies all the more older wards should be bolstered by a littler working populace. Glance before; we could see that there is a pattern of expanding reliance proportion. As indicated by the report of segment slants in Hong Kong, the Elderly reliance proportion is expanding quickly from 97 to 168 during 1981 to 2006. The middle age is expanding from 26.3 to 39.6. In any case, the level of Aged 014 is diminishing from 24.6 to 13.7. These figures propose that the populace is maturing, together with a low birth rate the reliance is expanding in Hong Kong which makes a weight to the working power. In Figure X (Appendix 1), we can see that the longest bars of the diagram is bunch 45-54, which has a populace of 1400000. Following 20 years this gathering of individuals will be upheld by the individuals in the classifications with shorter bars of which the hole in the middle of is very enormous. The contrast between the number of inhabitants in the age gathering of 45-54 and 15-24 is almost 350000. That implies following twenty years, it will be more earnestly for the significant working work power pay to help the older living. Additionally, in the coming future, we accept that the state of the chart will turn into an up-side-down triangle rather than a ringer shape due to the low birth rate and demise rate. This shows the reliance proportion for example pressure on the working power will be higher. In any case, we accept that the dark populace can give profitability to the general public also. From the information of work power, we can see that the age gathering of 45-64 is developing from 32%to 38% from 2005 to 2010. Additionally, the work power support pace old enough gathering 45-64 and 65 or above is expanding these years. This shows the senior laborers are getting progressively imperative to Hong Kongs improvement, for example emerging retirement age ought to have the option to energize a higher GDP also. Figure y (Appendix 2) shows that the GDP is expanding in a moderate way. We accepted that one explanation would be absence of stirring power to support up the figures. This would influence the advancement on innovation and different perspectives, for example, instruction and social. From the review of the administration, we can see that almost 90% of people in the objective gathering view that the soundness of execution of moderately senior representatives is steady and d oesn't have any distinction when contrasted with those of different ages. They even believe that senior representatives have better on the focus on work. Moreover, almost 40% of people in the objective gathering apparent that working experience is the primary rule considered by bosses in business related issues while just around 6% of them feel that age is a principle model in business related issues. The larger part have a conviction that age doesn't influence workers exhibitions. Along these lines, raising the retirement age can help taking care of the issue of high reliance proportion and give additional profitability to the general public and thus add to higher GDP. Singular Perspective Escape clause of Elderly Retirement Policies presented by Government Maturing populace with low birth rate
Saturday, June 20, 2020
Nursing Staff Shortage and its Impacts - Free Essay Example
In this essay, I would like to Cover my experience in regard of Staff Shortage and its impact on patients safety quality of care and factors contributing to shortage and its consequences on Nurses, as a Paediatric Oncology haematology and BMT nurse for 14 years in tertiary care setting in Middle East, and how this topic will explain my professional career. The organization provides the highest level of specialized healthcare in an integrated educational and research setting. The setup have 34 bed capacities designated to Paediatric Haematology, Oncology, Immunology and Bone Marrow transplant, as the services shows it is high dependency and well demand facility and nursing staffing play crucial roles in such aptitude.. Nursing: Nursing is a profession, where nurses utilize their acquired knowledge and skills for the benefits of other individual to help them to go through smoothly during health issues and well-being. Florence Nightingale (1860) defined nursing as ââ¬Å"The act of utilizing the environment of the patient to assist him in his recoveryâ⬠. Shortage: Oxford English dictionaries (2018) define shortage as noun that ââ¬Å"A state or situation in which something needed cannot be obtained in sufficient amountsâ⬠. Nursing makes the largest body of employees in health care system. Nurses are a fundamental part of healthcare and make up the major section of the health profession. Nursing staff shortage is not something new; the issue has affected global public from decades. According to the World Health Statistics Report (2013), there are approximately 29 million nurses and midwives in the world, with 3.9 million of those individuals in the United States. Estimates of upwards of one million additional nurses will be needed by 2020. According to Bureau of Labour statistics from monthly labor review (United State department of labor 2015), Healthcare support occupations and healthcare practitioners and technical occupations are projected to be the two fastest growing occupational groups, adding a combined 2.3 million jobs. The combined share of employment for these two groups is projected to increase from 8.3 percent of all jobs in 2014 to 9.2 percent of all jobs in 2024. ANA estimated by 2022, there will be extreme registered nurse jobs existing than any other profession, at more than 100,000 per year. With more than 500,000 seasoned RNs anticipated to retire by 2022, the U.S. Bureau of Labor Statistics projects the need for 1.1 million new RNs for expansion and replacement of retirees, and to avoid a nursing shortage. The report released from, The United Kingdom (UK) nursing Labour Market review (2018), indicated the warning that nursing shortage to be continues as nursing and Midwifery Council showing that more people are exiting than joining Nursing register. This is driven by ââ¬Ëperfect storm ââ¬Ëinter related issues affecting recruitment and retention. Staffing Industry Analysts (SIA) reported in (January, 2018), Nursing staff are in high demand in European countries with the high number of job vacancies increasing for the UK, Netherlands, Germany, France and Belgium, from 2016 to 2017. The data showed that the UK has a shortage of nurses with 790 nurses per 100,000 inhabitants, the lowest number of the five countries surveyed. This is compared to 990 nurses per 100,000 inhabitants in France, 1,050 for the Netherlands, 1,080 for Belgium and 1,330 for Germany. Further records from Job feed revealed that the increase in nurse vacancies between 2015 and 2017 has grown for all five countries surveyed. Germany showed the biggest increase at 26.2%, followed by Belgium (18.0%), UK (17.2%), Netherlands (16.9%) and France (2.9%). In Netherland, Dutch hospitals force themselves to briefly stop patient entry due to lack of staffing. Providi ng quality health care involves a secure and suitable supply of health-care professionals. Throughout my professional career so far, I witnessed nursing staff struggling due to insufficient work force available as per patientsââ¬â¢ demand, as there are many contributing factors associated to this shortage. Recently on (03 Nov 2018) there was news aired about one of the biggest NHS trusts (King George hospital, London) will cease providing chemotherapy, from 12 November because four of its nurses have quit and two others have gone on maternity leave, left few specialist cancer nurses to staff the unit. Impact on patient care: There have been many studies on the effect of under staffed nursing units and departments; here is the overview of some of the findings. The influence is on safe patient care, caused by prolonged hospital stays, high numbers of readmission rates, rising morbidity and mortality rates, increased infections, as compared to sufficient amount of qualified nurses where such consequences may be less. Moreover, with population growth worldwide and increasing number of health concerns when left to lower number of qualified personnelââ¬â¢s may result task not done, it may lead to dissatisfied customers, poor quality of life and possibly serious outcomes. Infections: Several multicenter studies using large records showed linked between understaffing and high incidences of nosocomial infections. Some opinions says that if thereââ¬â¢s lack of qualified nurses the work burden may increased which chances using short cuts rather than following evidence based practices as per organization policies, for example, hand washing may not be practised or done improper way may lead to increase nosocomial infections. Studies identified some common infections like, Pneumonia, Urinary tract infections. Infections added to long course of antibiotics which leads to prolong hospitalization, contributed to risks of acquired infections and greater the cost. Staffing is a key element of healthcare-associated infection in critically ill patients. Assuming causality, a significant proportion of all infections could be avoided if nurse staffing were to be maintained at a higher level. Consequently, cross-transmission rate might be sensitive to compliance t o infection control measures and to workload. Failure to Rescue: Some evidences found in relation of lower nurse staffing can influence failure to rescue, which probably caused of complications and chances of deaths increased. Although not as strong, some evidence exists regarding the impact of nurse staffing levels on failure to rescue (death within 30 days among patients who had complications) and mortality. A study using administrative data from 799 hospitals in 11 States revealed that a higher number of hours of RN care per day was associated with lower failure to rescue rates.13 In a study of 168 nonfederal adult general hospitals in Pennsylvania, Aiken and colleagues10 found that each additional patient per nurse was associated with a 7 percent increase in the likelihood of mortality within 30 days of admission and in the likelihood of failure to rescue. An earlier study found that hospitals that had more RNs per admission had lower mortality rates. Medication Errors: Nurses plays final role in preventing wrong medications administration to the patients. When responsibility done under stress due to workload, nurse may avoid performing right direction it might cause of error. Attentive nurses are often step between the patient receiving the wrong medication or incorrect dose prescribed by a physician and pharmacist. One report stated that extra shift work and work under stress contributed to nursing related medication administration errors. Patient outcome: There is strong evidence in the literature that nurse staffing levels significantly affect several nursing-sensitive patient outcomes. Several studies have been performed to investigate the association between staffing issues or increased workload and health-care-associated adverse events, such as mortality, patient length of stay, costs postoperative complications, medication errors, decubitus ulcers, delayed weaning from mechanical ventilation. In addition to that if patient queries not answered in specific time frame, or left unanswered due to short staff, therefore paid to dissatisfied customers and organizations may lose customer trust. Contributing factors of nursing staff shortage: Nursing shortages can ignite a wide range of challenges for healthcare organizations, solving the problems of nurse shortages and high vacancy rates can be difficult for most healthcare organizations. From the review of literature the reasons are identified for shortage as categorized staff related factors and organization and customersââ¬â¢ related factors. Customers related factors are Population Growth, Ageing, expectations, demand and level of understanding. In addition, todays consumer is more informed, and with the cost of health care rising, the consumer has greater expectations of the health care delivery systems ability to provide high-quality, compassionate, and professional health care. While organization elements are ageing faculty/nurses, limited resources, cost of nursing schools, lack of job based motivation, less support system, behavior of the leadersââ¬â¢ lack of opportunities of professional development, work en vironment and deficient incentives. However personal issues like; job dissatisfaction, work related fatigue and exhaustion, work and family balance, work place safety, seek for betterment and immigration etc. might put nursing staffing in vulnerable edges. Every efforts needs to be done to save the profession in general in terms of measurement of workload, Identification of work system factors that contribute to workload, Evaluation of the impact of workload on outcomes, development of strategies for reducing workload, Evaluation of barriers to improving nursesââ¬â¢ work system. Impacts on Nurses: While the nursing shortage presents opportunities for nurses, there are potential negative implications, too. Having the right number of appropriately qualified, competent and experienced nurses protects both the public and the nursing profession. Nurses often need to work long hours under stressful conditions, which can result in fatigue, injury, and job dissatisfaction. Through increased pressure, nurses practicing in these environments are more predisposed to making mistakes and errors, with patient quality care suffering. For these reasons and more, ANA is dedicated to improving the workplace safety for all nurses. Job Dissatisfaction: Many studies conducted have shown relationship between nursesââ¬â¢ working conditions, such as high workload and job dissatisfaction. Lack of satisfaction can lead to low self-esteem, absenteeism, turnover, poor job performance and potentially threaten patient care quality /safety and organizational effectiveness. Job dissatisfaction can start when nurses are expected to perform non-professional tasks such as delivering and retrieving food trays; housekeeping and maintenance duties; transporting patients; and ordering, coordinating, or performing auxiliary services. Nurses professional job dissatisfaction remains correlated to organizational issues such as inadequate staffing, increased use of overtime, inadequate support system, and salary compression. Other factors like; Work environment and design also contribute to job strain and emotional stresses. Exhaustion: which interfere with the essence of nursing, a heavy nursing workload can lead to distress (e.g., doubt, anger, and emotional exhaustion) and burnout. Nurses experiencing stress and burnout may not be able to perform efficiently and effectively because their physical and cognitive resources may be reduced; this suboptimal performance may affect patient care and its safety. One of the survey done by Royal Collage of Nursing (2017), one of the older peopleââ¬â¢s nurse saying ââ¬Å"I work hard to provide a high standard of care; however, when I canââ¬â¢t do my job due to staffing issues, I feel my profession is being undervalued. I expect to provide exceptional care every day, not just sometimes. All my patients deserve the best care I can provide; unfortunately this is not always the case, which is something I struggle with.â⬠Not able to meet patient required amount of care demotivate nurses which increase stress level end up to emotionally and physically ill staffing further create negative impacts. Conclusion: A more stable nursing workforce will reduce the direct and indirect costs associated with staff turnover. Reduced nurse staffing levels have been linked to poorer outcomes for hospital patients, when compared with higher levels of nurse staffing. These poorer outcomes are measured via an increase in mortality rate, infection rates, length of hospital stay, drug error rates and accident rates. Therefore an increase in nurse retention rates will increase staffing levels, reduce the rates of poorer health outcomes for consumers and reduce the costs associated with staff turnover. As a potential solution to the skilled nurseââ¬â¢s shortage, many countries are recruiting immigrants. The nursesââ¬â¢ turnover may be attributed to their dissatisfaction with the quality of care rendered in an institution; autonomy; type of supervision; professional interpersonal relationships; salary; workplace safety; staffing; career development opportunities; hours of work/shift work; mission and pur poses of the institution; availability of workplace resources and location of the facility (rural or urban). Todays competitive health care environment has heightened the importance of achieving positive patient outcomes and excellent customer satisfaction. To remain competitive and fiscally responsible, health care organizations must adapt quickly to ever-changing regulatory requirements, quality improvement initiatives, and customer expectations.
Monday, May 18, 2020
Probability and Distributions in Qualitative Analysis
Probability and Distributions Quantitative analysis can be a very complex undertaking, but a little understanding can go a long way. Before any statistical analysis or in-depth investigation of quantitative data is attempted, one should at least build an understanding of some of the basic elements of probability. The following paragraphs provide a definition and explanation of the two basic laws of probability and an examination of two types of probability distributions, and while this will not allow for truly meaningful quantitative analysis to take place it will provide a foundational understanding that anyone can utilize to begin investigating probability and statistics. The two basic laws of probability are, as their basic nature implies, relatively simple to understand, despite the fact that they might not seem simple or easily approachable when concisely stated. The first rule is that the probability of any event must be between zero and one, inclusive, and the second (and very highly related) rule is that the sum of the probability of all events must equal one. Though this might seem foreign to one not used to dealing with numbers, it is actually quite simple, and it is from these two basic laws that simple probabilities (and thence more complex probabilities) can be established. Take the flip of a coin as an example: there are two possible outcomes, each of which must have a probability between zero and one and the sum of which must be equal to one. If there isShow MoreRelatedRisk Control Techniques, Limitations And Challenges1052 Words à |à 5 Pageswith uncertainties, which always indicate a potential loss. Therefore, risk analysis and management have played an increasingly important role in business decisions. As the demands arise, risk analysis techniques are gradually improving and perfecting. Various tools are also developed to support data analysis and provide decision-making suggestions. This blog is aimed to introduce the cutting edge techniq ues of risk analysis, as well as reveal its limitations and challenges. Read MoreAnalysis1340 Words à |à 6 PagesAssignment Week 1 Answer the following questions: 1. Describe the rationale for utilizing probability concepts. à For practical reasons, variables are observed to collect data. The sampled data is then analyzed to elicit information for decision making in business and indeed in all human endeavors. However, sampled information is incomplete and not free from sampling error. Its use in decision-making processes introduces an element of chance. Therefore, it is important for a decision-makerRead MoreRisks Management : Risk Management1144 Words à |à 5 Pagesand risk thresholds. Project Risk Management is the processes of conducting risk management planning, identification, analysis, response planning, and controlling risk on a project. (PMI, 2013, p. 555). The PMBOK Guide lists six processes of Project Risk Management as ââ¬Å"Plan Risk Management, Identify Risks, Perform Qualitative Risk Analysis, Perform Quantitative Risk Analysis, Plan Risk Responses, and Control Risksâ⬠(PMI, 2013, p. 309). Risk management planning has been identified as an importantRead MoreProbability and Distr ibutions1165 Words à |à 5 PagesProbability and Distributions Abstract This paper will discuss the trends and data values and how they relate to statistical terms. Also will describe the probability of different actions to the same group of data. The data will be broke down accordingly to qualitative and quantitative data, and will be grouped and manipulated to show how the data in each group can prove to be useful in the workplace. Memo To: Head of American Intellectual Union From: Abby Price Date: 3/05/2014 Read MoreBusiness Decision Making Project, Part 21065 Words à |à 5 PagesBusiness Decision Making Project, Part 2 The business problem at UnitedHealth Group is the high turnover of employees because of lack of recognition and management of manpower. In part one, it was determined that I use qualitative data. This methods chosen allows us to group the data into the necessary categories. I determined that the research variable is recognition and this would solve the issue of the high turnover rate. Identify the types of descriptive statistics that might be best for summarizingRead MoreThe P Value As A Measure Of The Evidence Against The Null Hypothesis1279 Words à |à 6 PagesThe p-value is a measure of the strength of the evidence against the null hypothesis. The p-value is the probability of getting the observed value of the test statistic, or a value with the even greater evidence against Ho, if the null hypothesis is actually true. The smaller the p-value, the greater the evidence against the null hypothesis. If we have a given significance level, then we reject. If we do not have a given significance level, then it is not as cut-and-dried. If the P-value is lessRead MoreResearch Aim And Objectives Of Risk Management Essay2170 Words à |à 9 Pagesand Strategies of risk management: 9 9 Risk identification: 10 Qualitative risk analysis: 11 Risk ranking: 11 Risk mitigation: 12 Risk monitoring and follow up: 12 Abstract: No construction project is free from risk; the purpose of project risk management is to obtain better project outcomes, in terms of schedule, cost and operations performance by reducing risks and capturing opportunities. Risk management is the process of analysis, identification and responding to the project risk. All this processRead MorePsy 201 Research Methods And Statistics738 Words à |à 3 Pages Question 1. Research, no matter what field, is often conducted and analysed in accordance with two basic approaches: quantitative and qualitative. The quantitative approach aims to test a hypothesis and examine the relationship through generating numerical data or other information that is than converted into numbers, whereas the qualitative approach is more exploratory, aiming to gain a deeper understanding of the research subject. Through breaking down and examining the key featuresRead MoreDefine contract. Explain any four element of a contract1726 Words à |à 7 Pages44 37 45 41 9 39 36 36 40 45 23 35 27 35 39 45 24 18 32 32 41 30 26 25 28 38 39 29 35 27 40 8 8 40 25 41 48 40 42 26 43 a. Form a frequency distribution having 9 class intervals b. Form a percentage distribution from the frequency distribution (from part a) c. Form a histogram, frequency polygon and frequency curve of the frequency distribution (from part a) Ques.3 Compute the mean, standard deviation and Coefficient of variation of the following data and comment on the result Size 12.5 13Read MoreEvaluation Of A New Product Development1021 Words à |à 5 PagesManagement Techniques Each likely and unlikely event has its own probability of occurrence. Risk is a measure of probability of occurrence of an unlikely event. Early in design phase the amount of uncertainty is high for all events. Assuming those uncertainties in the beginning of the design phase will help mitigate risks or even avoid those risks throughout the development of the product [11]. Ways of analysing risks: 1. Quantitative Analysis: Find factors affecting the process. Assign costs to each
Wednesday, May 6, 2020
Pre- Contact. For This Interview I Selected Evelyn C....
Pre- Contact For this Interview I selected Evelyn C. Chandler a senior who lives in Mc.Givney ââ¬âBethune senior Apartments next to the Marygrove College. I had heard so much about the Mc.Givney- Bethune apartment and how much the seniors like to be involved with the Marygrove college students. Therefore, I decided to visit the apartments and spoke to the manager for the reason I was there. The manager mention that the only thing I was able to do was for me to leave my name and phone number and she would speak to the seniors to see who would be interested for the interview. Hence, two days later I received a phone call from Mrs. Chandler to inform me that she was interested on the reason and the purpose of the interview. Over the phone Iâ⬠¦show more contentâ⬠¦While speaking to Mrs. Chandler it seemed as if she was a little nervous at the beginning, however when I started to get a little bit more personal I realized that I had to make her feel more comfortable and I did by showing her that I really cared about what she had to say. Therefore, Mrs. Chandler starting feeling more comfortable when I asked her more questions because she started responding in full details about herself. In my position as the interviewer, I also felt a bit nervous because I did not what to mess up the interview and say something wrong. Finally I started to get in my comfort zone and started to feel confident when asking her the question For instance, the questions that I asked to her started to open up into real conversations for the both of us to feel more comfortable. Summary Content When I stated the interview I greeted Mrs. Chandler by thanking her for taking some time of her schedule for this interview. She responded with a smile, and an okay. Some of the major key questions I asked in the interview that impacted Mrs. Chandler were for example, when I asked her about her environment? Mrs. Chandler explained that she really loves her environment. However, she mentioned how she decided to be in the environment she is in right now. She than mentioned Thomas who she had madeShow MoreRelatedStephen P. Robbins Timothy A. Judge (2011) Organizational Behaviour 15th Edition New Jersey: Prentice Hall393164 Words à |à 1573 PagesOrganizational Behavior This page intentionally left blank Organizational Behavior EDITION 15 Stephen P. Robbins ââ¬âSan Diego State University Timothy A. Judge ââ¬âUniversity of Notre Dame i3iEi35Bj! Boston Columbus Indianapolis New York San Francisco Upper Saddle River Amsterdam Cape Town Dubai London Madrid Milan Munich Paris Montreal Toronto Delhi Mexico City Sao Paulo Sydney Hong Kong Seoul Singapore Taipei Tokyo Editorial Director: Sally Yagan Director of Editorial Services:
Nursing in Dementia-Free-Samples for Students-Myassignmenthelp
Question: Discuss about the Nursing in Dementia. Answer: Dementia is a chronic or persistent disorder of the mental processes that mainly takes place in the old age. This mainly occurs due to brain disorders or any sort of brain injury. These are mainly marked by loss of memory and cognitive skills, impaired reasoning and others. Hence the quality of life is compromised and the patient has to live with dependency on others for his regular activities of life (Jutkowitz et al., 2016). Ability to focus and paying attention to particular matter cannot be handled by the patients. Person centered care is therefore found to be extremely helpful in treating dementia patients as the interventions are designed accordingly to the needs of the patients (Kales, Gitlin Lyketsos, 2014). The following essay will depict how a nurse with her critical analyzing skill can find out the real causes of distress in such patients and accordingly plan interventions that will help in the providing a quality life to the patients and making her comfortable in the acu te care settings. Mrs. Patricia Smith has been suffering from dementia for the last eight months. Dementia is often considered to be a general term that had led to the decline of mental ability of a person to such an extent that it interferes with the daily activities of the patient. a wide range of symptoms are experienced by a patient of dementia. This mainly includes loss of memory and developing language difficulties. Moreover, the patients also face issues with understanding, disorientation, hallucinations, delusions as well as wandering behaviors (Acharya et al., 2015). They often face changes in their moods, behaviors as well as personalities. In the case study, it is seen that the patient used to be extremely independent in her life performing all her activities by her. Her chronic aliment of dementia had impacted heavily on her as it had made her lose her physical ability and mental stability (Husebo et al., 2014). Due to the loss of independency, her self esteem has lowered and herself image had been hurt. Therefore, her belief that she is dependent on the nurses who assists her with her regular activities is giving her a tough time to accept the fact that she is dependent. Therefore it had led to the development of frustration in her which is often seen to be expressed by her by her shouts on the nurses. Moreover, it has been seen that she was admitted to the healthcare ward after about forty years and therefore it is natural for her to find it difficult to adapt to the new environment. There are many important stressors that result in dysfunctional behavior in the patients. These are fatigue, changes in routine, alteration of the environment, change of caregiver, demands that cross functional capacity, different competing stimuli, anger, pain and many others. All these make the patient anxious and stressed those results in triggering of the dysfunctional behaviors. Hence, such behaviour was exhibited by the patient. The altogether new environment to which he had been not accustomed was an initiator of aggression in her (Powell et al., 2014). A patient remaining aloof from hospital environment for such a period of time would face difficulty to accept it. Her family who is accustomed to seeing her independent may develop depression in seeing her dependent on nurses failing to perform the activities that she used to perform jovially at a particular time. Researchers state that family members often feel guilt when such patients are taken to hospitals feeling that they have not cared for them successfully. Development of grief and sense of loss also affects the families seeing their closed one suffering. Her husband would develop similar feelings at the loss of the person whom he used to know and seeing her suffer so much at the tender age (Stinton et al., 2015). Developing a person centered care mainly involves tailoring the care for the person according to the interest of the patients, their history as well as with their personality. These make the patient feel included in the treatment and help them in participating in different activities which they can enjoy. Researchers have often suggested that such a care is very much effective in the prevention as well as in the management of different behavioral as well as psychological symptoms of dementia. The patient is very nervous due to her admission to the hospitals which is entirely a new environment. Moreover she has not visited such environment for 40 years. Therefore this condition of her, need to be critically analyze. Moreover, being dependent after being independent throughout life is very difficult for her to accept which had depressed her and also made her frustrated (Gotovac et al., 2016). Hence, the main key points that the nurse should incorporate in her practice are treating the person with dignity and respect and develop a strong bond with her based on trust and transparency. The second point that the nurse should incorporate is the proper development of the history, culture, lifestyle as well as preferences. These would include likes, dislikes, hobbies as well as interests. Thirdly, the nurse should develop the ability to look at the situations from the point of view of the Patricia so that she can understand what Patricia is feeling and ten initiatives which can make her calm and relieved. Besides, enveloping different interventions for Patricia according to her needs, she should also provide the patient with enough opportunities to develop conversations and maintain relationships with every people (Duxbury et al., 2013). As Patricia likes to be independent, the nurse should provide her with scopes that will make her participate in activities and enjoy her independency. She should be allowed to try new things and take part in different activities which u sed to be her hobby. While developing person centered care, family members and carers of her should be included. Researchers suggest that the knowledge as well as the understanding of family members about their patient often provided valuable information which provides huge benefits in developing person centered care for the patient (Madhusudonan Ting, 2014). Patricia is feeling restless in the acute care setting and she is constantly calling and shouting on the nurses. Her cause of aggression has to be understood by the nurse in order to develop her nursing care plan and develop ways to manage her behavioral and psychological symptoms. It has been already explained that her loss of independency and also admission to a new environment are the main reason that has resulted in her aggression. This aggression has mainly risen from the frustration and lack of self independent feeling leading to depressed state. She is not being able to adjust with the new surrounding and hence her behaviour has become rude (Power, 2016). The nurse should first take initiatives to develop and create a calm environment mainly by the removal of any stressors. The nurse may take her to a safer as well as quieter place and offer her a security object. Giving her scope for rest and privacy will help soothing her mind. With the help if the family members, the surrou nding environment of the room would b altered according to her homely atmosphere which make her feel at home. Any kind of environmental triggers like noise, glare and any background distraction should be avoided. The nurse should monitor personal comfort which would include constant checking for her pain, thirst, hunger, fatigue, full bladder as well as skin infection and skin irritations. Moreover, she should also assure that the rooms are comfortable and monitor whether she is suffering from fear, misperceived threat and being sensitive to her frustrations and wants. Simplifying the tasks and routines as well as providing opportunities for exercise would help in relieving her frustration (Garay et al., 2016). Although she is not complaining of her dependency, but this attribute is clear from her rude behavior that she is depressed as well as frustrated about it. Hence the nurse should be careful and listen to her frustrations and analyze the reason of the agitation. After that, sh e should provide her with reassurance about being on her side always in every of her difficulty. The nurse should also try to involve her in exciting activities so that her behavior can be altered. The nurse should also find outlet for her energy by accompanying her in the activity she wants to do. The nurse should be very careful in not losing patients, and raising her voice as it will be disadvantageous for her relationship with the patient (Rayfield, Thomas Borovicka, 2014). The patient is suffering from dementia and therefore besides, the above mentioned interventions for developing her behavioral and psychological symptoms, other interventions are also conducted. Avoiding stressful situations, assessing fall risk managements, not forcing the patient to do anything, maintain her mealtimes are some of them. Moreover, keeping items in definite spaces without any alterations, properly anticipating what the client is wanting to say, helping her with words if she is unable to remember it, being tolerant to her are some other steps to be included. Allowance of performance or skills as long as they are safe will also keep her engaged (Soto et al., 2015). Maintaining the familiar, social, mental as well as physical and work activities is the duty of the nurse. Needful safe objects should be kept in close vicinity and harmful objects should not be introduced to her. Recent researchers are of the opinion that music therapy, art therapy, light therapy, aromatherap y are extremely helpful and should be provided as long as the patient is staying in the acute care to develop her condition. Two important assessments can be conducted to develop an understanding of the level of impairment for the Patricia. The first one is called the memory impairment screening or the MIS. It consists of six important steps that the nurse needs to conduct. The patient would be first given four words on a piece of paper. Then four categories would be given and the patients would be told that each word belongs to each category. After identification of the four words, the patient would be asked to memorize them. Then the patient would be distracted by allowing her to engage in different tasks. The fifth step called the free call would be to ask the patient to tell the four words up to five tries. The sixth step is called the cued call where the nurse would provide cues such as mention the categories to make the patent remember the actual word. If the score is given to be 5 to 8 it will result in no cognitive impairment and if the mark is less than 4 then there is cognitive impairment. This w ill help the nurse to develop an idea about the patients cognitive power and accordingly develop interventions (Corbett et al., 2014 The second assessment tool is called the Mini-Cog. It would be also conducted to assess the cognitive ability of the patients. It is a three minute instrument that helps in the detection of cognitive impairment of Patricia. It mainly consists of a three item recall test for testing the memory of the patients along with a simple clock drawing part. The step one consists of the three word registration along with the step two drawing procedures. The step three consists of three word recall. A total scoring of word recall and clock recall is given and this score helps the nurse to develop idea about the level of cognitive impairment and what interventions should be taken. The patient named Patricia had been admitted to the emergency department due to respiratory distress and was suffering from dementia for last eight months. The patient had been suffering from immense frustration due to lots of her independence. Moreover, being admitted to the new environment of a hospital was difficult for her and she had to issues to adjust. Her depression and frustration mainly resulted in the form of aggression on the nurses. Therefore the nurse has to identify the real causes of the frustration and thereby develop her person centered care. This type of care will help to address the main symptoms of the nurses and will provide her care according to dignity and autonomy of the patient with respect to her choices and wishes. Important interventions need to be taken in order to develop her behavioral and psychological symptoms and accordingly develop the plans of treating. Such a person centered approach is believed to provide not only relief to the patient from her severe condition but would also help her to lead a quality life References: Acharya, D., Harper, D. G., Achtyes, E. D., Seiner, S. J., Mahdasian, J. A., Nykamp, L. J., ... Davidoff, D. A. (2015). Safety and utility of acute electroconvulsive therapy for agitation and aggression in dementia.International journal of geriatric psychiatry,30(3), 265-273. Corbett, A., Husebo, B. S., Achterberg, W. P., Aarsland, D., Erdal, A., Flo, E. (2014). The importance of pain management in older people with dementia.Br Med Bull,111(1), 139-48. Duxbury, J., Pulsford, D., Hadi, M., Sykes, S. (2013). Staff and relatives' perspectives on the aggressive behaviour of older people with dementia in residential care: a qualitative study.Journal of psychiatric and mental health nursing,20(9), 792-800. Flo, E., Gulla, C., Husebo, B. S. (2014). Effective pain management in patients with dementia: benefits beyond pain?.Drugs aging,31(12), 863-871. Garay, R. P., Citrome, L., Grossberg, G. T., Cavero, I., Llorca, P. M. (2016). Investigational drugs for treating agitation in persons with dementia.Expert opinion on investigational drugs,25(8), 973-983. Gotovac, K., Perkovi?, M. N., Pivac, N., Borove?ki, F. (2016). Biomarkers of aggression in dementia.Progress in Neuro-Psychopharmacology and Biological Psychiatry,69, 125-130. Husebo, B. S., Ballard, C., Cohen-Mansfield, J., Seifert, R., Aarsland, D. (2014). The response of agitated behavior to pain management in persons with dementia.The American Journal of Geriatric Psychiatry,22(7), 708-717. Jutkowitz, E., Brasure, M., Fuchs, E., Shippee, T., Kane, R. A., Fink, H. A., ... Kane, R. L. (2016). Care?Delivery Interventions to Manage Agitation and Aggression in Dementia Nursing Home and Assisted Living Residents: A Systematic Review and Meta?analysis.Journal of the American Geriatrics Society,64(3), 477-488. Kales, H. C., Gitlin, L. N., Lyketsos, C. G. (2014). Management of neuropsychiatric symptoms of dementia in clinical settings: recommendations from a multidisciplinary expert panel.Journal of the American Geriatrics Society,62(4), 762-769. Karlin, B. E., Visnic, S., Shealy McGee, J., Teri, L. (2014). Results from the multisite implementation of STAR-VA: A multicomponent psychosocial intervention for managing challenging dementia-related behaviors of veterans.Psychological services,11(2), 200. Madhusoodanan, S., Ting, M. B. (2014). Pharmacological management of behavioral symptoms associated with dementia.World journal of psychiatry,4(4), 72. Powell, A., Flynn, P., Rischbieth, S., McKellar, D. (2014). Managing severe aggression in frontotemporal dementia.Australasian psychiatry,22(1), 86-89. Power, K. (2016).Experiences of aggression and violence across dementia and adult acute psychiatric facilities(Doctoral dissertation, University of Warwick). Rayfield, A., Thomas, C. J., Borovicka, M. C. (2014). Management of behavioral and psychological symptoms of dementia: the role of mood stabilizers.Mental Health Clinician,4(4), 177-182. Soto, M., Andrieu, S., Nourhashemi, F., Ousset, P. J., Ballard, C., Robert, P., ... Rosenberg, P. B. (2015). Medication development for agitation and aggression in Alzheimer disease: review and discussion of recent randomized clinical trial design.International psychogeriatrics,27(02), 181-197. Stinton, C., McKeith, I., Taylor, J. P., Lafortune, L., Mioshi, E., Mak, E., ... OBrien, J. T. (2015). Pharmacological management of Lewy body dementia: a systematic review and meta-analysis.American Journal of Psychiatry,172(8), 731-742.
Subscribe to:
Posts (Atom)