Tuesday, May 19, 2020

Essay about Falls Among Older Persons with Dementia

â€Å"Fall may be defined as an unexpected event in which the person comes to rest on the ground, floor, or lower level† (Struksness, Lindstrà ¶m, Lord, Slaasletten, Johansson, et al., 2011). In older populations, falls are quite common, but with a mental illness such as dementia, the problem is worsened. This cross-sectional study showed that the most common causes of falls reported by nursing staff were individual factors like physical impairment and mental impairment. Background: Falls are a common cause of death for people over the age of 65. Following accidents, fall related mortality rate has relatively stayed constant over the last four decades. The dementia disorder continues to add an increase in fall-risk. Despite their knowledge†¦show more content†¦The confidentiality of the questionnaire responses was maintained by coding. (Struksness et al., 2011). This particular study was conducted in multiple nursing homes. The qualitative research method was used to conduct this study, due to the fact that questionnaires and responses from the responders were collected. For this study, nurses working with older people who had dementia, and who were permanent employees were selected to participate in this research. The permission to conduct this research was obtained from the section leaders of all the nursing homes in the local community. The samples used in this study were experienced nurses who worked in four nursing homes with older people with dementia (Struksness et al., 2011). The procedures were conducted using the format of questionnaires. The questions on the questionnaire were based on these four main areas: cause of falls, nursing staffs intervention in fall prevention, routines of documentation and report, and experiences and reactions of nursing staff related to fall incidents. The 64 questions were distributed into four different categories of people. The four different categories are registered nurse, enrolled nurses, unskilled nurses’ aid and other professions (Struksness et al., 2011, p.3 ). Out of the 64 questions, 7 were background questions. The other 57 questions were distributed among the four main areas of fall. 28Show MoreRelatedMild Cognitive Impairment And Women Essay1095 Words   |  5 PagesImpairment and Women in Old Age Home in Urban Mumbai: Prevalence and Patterns PART I - RESEARCH PROPOSAL a. The problem identification Older women are of special interest for me because of the fact that their numbers have outgrown rapidly in the global arena. The older population is predominantly female because women tend to live longer than men, older women outnumber older men almost everywhere. 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Throughout the class we learned a lot about different topics such as gerontology in hospital settings, the LGBT community, mental health issues, treatment options, and more. One of the interventions that I have learned isRead MoreAmerica s Elder Population Is Living Longer936 Words   |  4 Pagespopulation is living longer. Current data trends show that 46.2 million people living in America are age 65 and older (Millennials Outnumber Baby Boomers ,2015). Research shows the life expectancy of the average American woman is 81.2 years of age. Although advancements in medicine continue to evolve there remains one condition which impedes the quality of life for this growing population. Dementia, an Alzheimer s related condition which hinders the quality of life for 3.2 million woman in the UnitedRead MoreThe Significance of the Study of Stepping On, a Fall Prevention Program710 Words   |  3 Pagesthe study: Stepping On (fall prevention program) According to Clemson (et al 2004), falls amongst the elderly represent a serious psychological as well as physical threat. Because of older patients physical frailty (as a result of complaints due to osteoporosis or arthritis), a fall can result in a substantial compromise to patient mobility and also result in a blow to patient self-confidence. Falls among the elderly represent a major economic and social problem Falls themselves and the beliefRead MoreEvaluation Of Pharmacist Impact On Antipsychotic And Benzodiazepine Utilization During Veterans With Dementia1700 Words   |  7 PagesAbstract Title: Evaluation of pharmacist impact on antipsychotic and benzodiazepine utilization in veterans with dementia Purpose: It has been well established that use of Antipsychotics (APs) and Benzodiazepines (BZDs) in the elderly population is associated with increased incidence of adverse effects including sedation, falls, and cognitive impairment. The Veterans Health Administration (VHA) introduced the Psychotropic Drug Safety Initiative (PDSI) to improve evidence-based psychotropic drugRead MoreDeveloping a Regional Mental Health Hospital Which Offers A Therapeutic Environment 1317 Words   |  6 Pages From perspectives of the discipline of positive psychology or holism mental health may include an individuals ability to enjoy life and procure a balance between life activities and efforts to achieve psychological resilience. To determine if a person is in good state of mental health well being, he or she should possess the following characteristics; the ability to enjoy life, resilience, balance self-actualization, flexibility. Several factors affect the mental health of an individual which

Wednesday, May 6, 2020

Essay Exam PH103 - 2122 Words

1. Which of the following standards of thinking relates to how one might verify the truth of a statement or claim? (Points :1) Clarity Relevance Depth Accuracy Breadth Question 2. 2. Although Marquis had been working on research for a year, he listened to the other people at his company as they presented different conclusions after his presentation and examined their ideas in the hope of finding out new information. Marquis displayed which intellectual virtue? (Points : 1) Faith Courage Empathy Fair-mindedness Perseverance Question 3. 3. A stubborn view that is inflexible and not inquisitive is:†¦show more content†¦13. If we go to the movies, we will need to drive the minivan. (Points : 1) Proposition Non-proposition Question 14. 14. You are taking a quiz. (Points : 1) Proposition Non-proposition Question 15. 15. Go and give your brother a kiss. (Points : 1) Proposition Non-proposition Question 16. 16. Either I am a human or I am a dog. (Points : 1) Proposition Non-proposition Question 17. 17. The unexamined life is not worth living. (Points : 1) Proposition Non-proposition Question 18. 18. Michael Jordan was a great football player. (Points : 1) Proposition Non-proposition Question 19. 19. How many feet are in a mile? (Points : 1) Proposition Non-proposition Question 20. 20. Because the mind conditions reality, it is impossible to know the thing as such. (Points : 1) Proposition Non-proposition Question 21. 21. Joe must make a lot of money teaching philosophy, since most philosophy professors are rich. True or False: There is no conclusion in these two propositions. (Points : 1) True False Question 22. 22. Which of the following quotations represents an argument? (Points : 1) James is very interesting since he rides a Harley. James has been interesting ever since he started riding a Harley. It makes a lot of sense to ride a

Effect of Health Information Technology †Free Samples to Students

Question: Discuss about the Effect of Health Information Technology. Answer: Introduction: The case study presented in here highlights the issues pertaining to lack of systematic flow of healthcare information among the care system. The issues presented in the case study are multivariate. Firstly, the primary care physician carried out the pregnancy test with the similar test to that used by Jade at home, which is a urine test. Pregnancy diagnostic tests should have been carried out at the unit with advanced procedures that confirm pregnancy. Further, Jade was required to answer the assessment form for risk factors without the consultation of her mother. As a result she could not provide with the information regarding her familys reproductive history. It is crucial for providing the familys reproductive history for accurate risk assessment procedure in pregnancy. In addition, Jade was sent for undergoing blood tests in a nearby hospital as the polyclinic did not have provision for blood tests. This is of much inconvenience to the patient. The main concern lies in the fact that Jade had to repeat the registration process at te main hospital since there was no provision for direct flow of patient information between the two healthcare units. Due to lack of planning, Jade was unable to undergo the required procedure for cystic fibrosis test. Information and communication technology (ICT) is the convergence of networks for better transfer and storage of information. ICT can be applied effectively in the healthcare system for improving patient care through appropriate healthcare delivery. Through efficient applications, ICTs improve system efficiency (Manojlovich et al., 2015). In the present case, ICT is to be applied in the form of Electronic Health Record (EHR) that has gained immense popularity in the recent past due to its advantages. An electronic health record is the systematized collection of patient and population electronically stored health information in a digital format. The records containing the patients health information can be shared across the different healthcare settings. The use of enterprise-wide, network-connected information system can facilitate sharing of information. HER systems are used for designing storage of data in an accurate manner and capturing the patients state across time (Adler-Milst ein et al., 2015.). Further, use of telephones would have been appropriate in the present case for communicating between two healthcare professionals. Telephone communication between care providers is an important tool for improving access to care for patients. A telephonic connection between the receptionist at the polyclinic and the phlebotomist would be appropriate so that they can communicate regarding the planning of patient services. In addition, use of the internet, in the form of e-mail is useful for providing patients with assessment forms that they can fill up as per their convenience at their homes. This would promote better extraction of patient data within short span of time (Abdelhak et al., 2014). The benefits of using ICT in relation to EHR, telephonic system and e-mail would be significant. The most striking advantage would be the ability to develop and maintain systems for capturing, storing and organizing medical and peripheral data of the patient (Wager et al., 2017). The redesign outlined would promote time savings and reduction of efforts of the patients. Further, the financial benefits of the system would be huge as the costs for unnecessary delay processes would be reduced. With the help of HER, patient data can be directly transferred between care settings which are of convenience for the patient. The procedure would reduce the chances of incorrect information transfer. When telephonic communication takes place between two professionals such as the receptionist at polyclinic and phlebotomist, services can be arranged so that the patient does not need to suffer inconvenience (Silver, 2015). Patient accessibility is also an advantage in this regard. Patients can adhere to required care guideline in a proactive manner. Using applications such as e-mail would help in communicating maximal information to the healthcare professional. The patient can stay in contact with the professional and update on the further referral processes (Abdelhak et al., 2014). The potential of using ICT in healthcare is immense; nevertheless, the possible challenges in implementing the same are also relevant. The first challenge would be a point to point integration. Integration systems have to be custom built for the healthcare system that uses it, and thus a tangled web of connection might occur. The technical ability of the care professionals might pose a hindrance. The use of EHR might be expensive under certain conditions. Proper financial support is required in this regard. At the time of implementation, training is to be provided to the care professionals so that they become acquainted with the new system. This would require additional efforts and resources apart from time. Finding the expenses to invest in support, training and the physical infrastructure might act as a common barrier. The concern of information privacy also remains. The issues in this regard include loss of information, cyber hacking, and inappropriate use of patient information w ithout consent (Wager et al., 2017). References Abdelhak, M., Grostick, S., Hanken, M. A. (2014).Health Information-E-Book: Management of a Strategic Resource. Elsevier Health Sciences. Adler-Milstein, J., DesRoches, C. M., Kralovec, P., Foster, G., Worzala, C., Charles, D., ... Jha, A. K. (2015). Electronic health record adoption in US hospitals: progress continues, but challenges persist.Health Affairs,34(12), 2174-2180. Manojlovich, M., Adler-Milstein, J., Harrod, M., Sales, A., Hofer, T. P., Saint, S., Krein, S. L. (2015). The effect of health information technology on health care provider communication: a mixed-method protocol.JMIR research protocols,4(2). Silver, M. P. (2015). Patient perspectives on online health information and communication with doctors: a qualitative study of patients 50 years old and over.Journal of medical Internet research,17(1). Wager, K. A., Lee, F. W., Glaser, J. P. (2017).Health care information systems: a practical approach for health care management. John Wiley Sons.

Wednesday, April 22, 2020

Closely Watched Trains Essay Example

Closely Watched Trains Essay Movie Closely Watched Trains is a rather harsh criticism of the then current political situation of Soviet invasion in Czechoslovakia while investigating the isolation of Czech youth. Yet what makes this film so remarkable is its analysis of both human and social conditions without an ounce of pretension or overbearing agenda. Menzel s form is so light-hearted and simple that, despite the bleak subject matter and social critique, Closely Watched Trains not only loves life, it celebrates it amidst social turmoil.I pursued three fundamental issues recurring in the movie. (1) The issue of delayed responses, such as Milos development from boy to man, the locals understanding of war and occupation and the contemporary response (as of publication) of Czechoslovaks to Communist rule. (2) The issue of ongoing servitude, both as a theme in the movie and as an element of Czech history, and how that servitude has suddenly transformed in the past ten years. (3) The issue of ironic bad luck, seen everywhere in the movie (and a fundamental darkly humorous aspect of Hrabals writings), as well as a quirky element of Czech culture.The plot of this heavily symbolic, sometimes surrealist piece is rather difficult to sum up in a brief way. I spent some time on the symbolism in the movie, since its a dominant aspect. The story opens with a huge, dark wing floating over the town. Other symbols worth exploring: eyes watching from behind windows, ticking clocks (and snowflakes, watches, timetables, etc.), uniforms and uniformities, pigeon-keeping, the ventilator shaft, dead horses with their feet in the air, the bricklayer as God installing fire extinguishers, rubber stamps, striped pajamas, marching feet, furniture.The genius of the film is that it is deceptively innocent. Like the employees of the train station it depicts, Closely Watched Trains seems pretty disinterested with the Nazi activity passing through. Trains carrying ammunition and soldiers (the closely watched trains of t he title), as well as other Nazi supplies, roll through the humble train station but trainee Milos Hrma (Vaclav Neckar) is more interested in doing as little work as possible while developing his romantic manhood. (The significance of trains as a method of transporting the doomed to concentration camps is never explicitly mentioned, but the imagery is always there. Czechs talk about the cattle and other livestock crammed into train cars without any thought given to their well-being. Even though the film mostly has a light tone, the darkness is never far from the surface.)Seemingly belying its title, the films setting is a backwater station which trains nearly always skip as a stop. But gradually the real sense of this title becomes clear, referring to the German trains that were given priority passage through occupied Czechoslovakia to carry munitions and troops during World War II. And finally that meaning is in turn subverted: the last train is indeed closely guarded, leading to t he death of the central figure, but not before his own close surveillance is rewarded. Given his own family background, the heroism behind his act grows from what seems an unlikely base (right down to his grandfather who tried to stave off the German advance by hypnotizing a tank, which promptly flattened him). We see only lovable but bumbling Czech provincials in the film, who seem to have worked out a private arrangement of holding the War at a comfortable distance; old-world, charming people who are ultimately rather self-indulgent. But all this proves illusory, and were left with an unexpected act of heroism, which largely occurs off-screen. There is no Hollywood foregrounding of the individual here; instead the after-effects of the explosions resonate across the screen and through our own historical consciousness – this is what it took to disable the closely watched trains and the whole system that relied on them running on time.Closely Watched Trains has one of the most surprising endings Ive ever seen. Its surprising for many reasons. It seems to go against the style of the entire film up to that point. It is also played in such a matter-of-fact way that it actually magnifies what happens. This is a film of great humanity and the fate of Milos is strongly felt.Its also a very sensual film. You can almost feel the textures: The thick material of the uniforms, the leather of the furniture, the metal of the trains, skin, hair. Beautiful cinematography and lighting help create this atmosphere with a few simple details. The actors are natural and low-key, but the drama of their lives is real. The film has a wry, dry comedy but still there is suffering.The historical sweep implied by the film is suggested, but never documented, by its low key approach. Freshness of characterization is matched by turning the miniature mise en scà ¨ne and drama into microcosms of struggles on the world stage. Behind the visuals there is a magical world of wonderful tink ling, of flashing lights and seemingly self-generating signals, all reflecting the operation of the railroad, before their full significance is revealed. A further recurring sound effect is the lovely old clock, a vestige of bygone Hapsburg glory, which at the end almost operates as a metronome to the explosions, having bided its historical time. Just like the underground patriotism of the Czech people, in this strikingly understated film with its bitter-sweet humour, its earthy imagery, and its unassuming heroism.It would be a mistake to discredit the lyrical charm of Closely Watched Trains. The film is indeed enchanting in its loveably absurd situations. Unlike the existential and desperate tendencies of Swedish, Italian and even French cinema, the Czech New Wave portrayed what at first seems equally dire worldviews, but presents such ordinary characters in their humanity such that we can only laugh. Closely Watched Trains is the epitome of Czech New Wave in that, while portraying both social struggle of government upheaval and totalitarian invasion, as well as intense personal struggle to the point of (failed) suicide, it still obviously loves life.Unfortunately, the dark overtones of this comedy are broadened in the last part and Closely Watched Trains slowly turns into drama.Hubickas transformation from hedonistic womaniser into dedicated resistance fighter isnt quite explained. The subplot dealing with German ammunition train still provides good opportunity for a laugh or two. On the other hand, we have an unnecessary symbolism Milos sexual maturity as metaphor for his political self-awareness looks too much like similar cliches in many WW2 films made in former Yugoslavia. Menzel ends film rather abruptly, without proper epilogue and with the unusual, but rather realistic combination of tragedy and comedy. Even with the flaws that deprived CLOSELY WATCED TRAINS of being the true masterpiece, this is still a great film that truly deserved its Academy Awa rd. Those who would like to enter the magic world of Czech cinema should use it as starting point.

Monday, March 16, 2020

Map Projections essays

Map Projections essays Map Projection can be defined as the spatial relationship between features on the earths surface and their representation on a flat map. This compares and transforms the earths 3-D terrain to a flat 2-D surface. Map projections are created in a two step process. The first step is to assume that the earth has been mapped on a reference globe to fit the chosen scale for the flat map. The second step is to transform, mathematically, the reference globes surface onto a flat surface, point by point. When transferring the spherical surface to a flat plane, distortions will result. Area, Angle, Distance and Direction distortions are the most commonly occurring and are the ones that need to be fixed during transformation. In map projections, it is best to see what type of projections will be best used. Conformal projections are one type of map projection that cal be used. Conformal projections consist of Mercator, Transverse Mercator, Lamberts conformal conic projection with two standard parallels and conformal stereographic projections. Mercator projections are the probably the most famous map projection ever devised. Equal Area Projection is another form of Map Projection used; however, the choice to use an equal area projection is based on two processes. It is important to consider the size of the region involved and the distribution of angular deformation. In considering when Equal area projection to use, one might choose from Albers Equal are or Lamberts Equal area projection, both which are widely used today. Besides Equal Area Projections, there are World Equal-Area Projections. These can be consisted of cylindrical equal-area, sinusoidal, Mollweide or Goodes projection. Groups of Projection might be including Azimuthal, orthographic, simple conic, polyconic or space oblique Mercator projection. ...

Saturday, February 29, 2020

American Revolution vs. French Revolution

American Revolution vs. French Revolution From studying and learning about both revolutions, I guess you could say they had their similarities; they both had good intentions did they not? Both the Americans and the French people hungered for a new way of life, change is what they wanted. Change is indeed what they received. The American Revolution, to me, seemed more organized and well handled than the French Revolution. The Americans were tired of being under the British’s control, especially when the British tried forcing the American colonies to pay for the British army’s expenses in defending the colonists during the Seven Year War.The attempt to raise new taxes by the Stamp Act in 1765 led to riots and the law’s rapid appeal. The colonist disagreed with the British beliefs, that a single empire with Parliament as the supreme authority. The colonists were more comfortable with neither the king or Parliament interfering with their internal affairs and that no tax could be levied wit hout the consent of the people or their chosen representatives. The American colonists felt in 1776 that it was time to separate themselves from the Britain’s control.On July 4, 1776, the Second Continental Congress released a declaration written by Thomas Jefferson. The Declaration of Independence, a page of parchment, had started the war for American Independence. The Second Continental Congress then authorized the formation of the Continental Army under George Washington’s command. Washington was the best choice for the job because he had political experience and military experience in the French and Indian War. The French were eager to gain revenge for earlier defeats from the British, so they supplied weapons and money to the American colonies at the beginning of the war.Some French officers even fought along the Americans side against the British. I think at the time, this was the best alternative for the 13 American colonies. They achieved their independence as the United States of America; put together the United States Constitution, and the Bill of Rights. It seemed to have worked out for them at the time. The main cause of the French Revolution was the differences between the three social classes that existed in France at that time. There was a severe amount of injustice in the tax system.The third estate paid the highest taxes, while the first estate was exempted from paying the French chiefs taxes (taille). The second estate was excused from paying any and all taxes. The rent for the Third Estate was raised. Consumer prices rose faster than wages, enabling peoples economic ability to pay. Although the third estate made up most of the population of France, it owned less land than the first and second estate. An immediate cause of the French revolution was the near collapse of the government finances.French governmental expenditures continued to grow due to costly wars and royal extravagances. On the verge of complete financial collapse, the government called a meeting of the Estates-General. The Estates disagreed with how the Third Estate wanted to vote, therefore, the Third Estate voted to constitute itself a national assembly and decided to draw up a constitution. The results to this was finding themselves locked out of the usual meeting place, so they made the Tennis Court Oath that they would continue to meet until they produced a French constitution.These actions by the third estate were said to be the first step into the French Revolution. The king sided with the first and second estate but the common people came together with many uprisings in the summer of 1789, one in particular was the Fall of Bastille, an attack on a royal armory, which had also been a state prison. The National Assembly voted to abolish seigniorial rights as well as the fiscal privileges of nobles, clergy, towns, and provinces.On August 26, 1789, the assembly provided the ideological foundation for its actions and an educational device for the nation by adopting the Declaration of the Rights of Man and the Citizen. The king refused the decrees on abolition of feudalism and the Declaration of Rights, but after some Parisian women threatened the royal family, King Lou is XVI changed his mind. By 1791, the National Assembly completed a new constitution that established a limited constitutional monarchy. There was still a monarch: king of the French, but he enjoyed few powers not subject to review by the new Legislature Assembly.The Legislature Assembly would sit for two years; consist of 745 representatives chosen by an indirect system of election. The king attempted to flee, but was captured and brought back to Paris. Surrounding countries feared that the French behavior and rebellion would spread to their land, so those leaders planned to force the reestablishment of the monarchy authority in France. This just brought on more fire to the French. The political groups in Paris rose against the king and the Legislature Assembly.They organized a mob attack on the royal palace, took the king captive, and forced the assembly to suspend the monarchy and call for a national convention to decide on the future form of government. The first step the Convention took was to abolish the monarch and establish republic. They also passed a decree condemning Louis XVI to death. A nation in arms was put together, very quickly. It was a â€Å"people’s† war, the entire nation was involved in the war. I’m not even sure where or when the French Revolution ends, its ever-lasting it seems.

Thursday, February 13, 2020

Not sure Essay Example | Topics and Well Written Essays - 750 words - 1

Not sure - Essay Example Buddhism has a significant following in China since its introduction in the first century from India (Adler, 2002). It is based on the teachings, beliefs and practices of its founder, Siddhartha Gautama, widely known as Buddha. From its inception, Buddhism has existed under two main categories – the Theravada and Mahayana – and each had followers in different parts of Asia. Initially, Buddhism teachings and beliefs met a stiff resistance from the Chinese society due to its concept of monasticism and repugnance to social affairs. This beliefs and practices went against the traditional Chinese norms and standards. Buddhism was seen as retrogressive and barbaric practice that was a threat to the state authority; and that Buddhist monasteries were of no value to the economy of the state. As a way of making it appeal to the Chinese society, Buddhism concepts were matched to Taoism by the first Indian translators (Adler, 2002). Subsequently, it started to appeal to the elites and intellectuals, and a new genre of Buddhism was formed as an alternative to Taoism and Confucianism. Taoism is a belief and philosophical tradition that is based in living in harmony with Tao. Tao is a principle of â€Å"path† or â€Å"way† and is also found among other Chinese traditional religions and philosophies (Adler, 2002). ... This different schools are not institutionalized and do not forbid their followers from believing and practicing multiplicity of school’s of beliefs and philosophies including, Confucianism and Chinese folk religion. Chinese folk religions comprise of traditional beliefs system based on mythology that practice the worship of deities – clan, cities, national and cultural deities - and demigods. Folk religion in china has been classified with Taoism since mainstream Taoism has been trying to assimilate customary religions. Confucianism is a belief system based on ethics and philosophical teachings of Confucius. Confucianism has been the official state ideology of the country since the fall of the Qin dynasty (Adler, 2002). Traditional Chinese religions have been largely an individual focused beliefs and philosophy that never demand exclusive adherence of followers. Existence of religion in China before the influence of the West Religion in China existed in the form a beli ef systems developed by philosophers and other idealist based on the traditional Chinese folk religion. These belief systems were never forced upon the people and were adhered in order to realize high moral and intellectual understanding of life. Buddhism for instance, was introduced to china from India along the Silk Road region and to make it appeal to the Chinese society and political class, it had to assimilate traditional, folk practices (Adler, 2002). Some of the beliefs of traditional Chinese society fit the description of religious rites such as veneration of ancestors. This practice is aimed at showing a deceased family member respect and cements the family ties between the dead and