Living With Dementia in Nursing Home Dissertation

Living With Dementia in Nursing Home - Dissertation Example ENGDAHL (2013) explains dementia as a kind of illness that is caused by brain disorder. It is caused by failure of some parts of the brain to function properly. The actual cause of failure of the brain functioning is not yet established by the scientists. There is not specific cure of dementia, while its severity intensifies with age. Victims of dementia have problems with thinking and remembering things clearly. Communicating and day to day chores among the victims is also a problem. As elaborated by ELSEVIER (2015) in the book - Confusion and dementia, people living with dementia are also prone to depression, mood swings and cases of aggressiveness. Due to the aspect of forgetting, people suffering from dementia may easily get lost or forget direction, hence going wandering. Over the years, scientists have been studying on the actual cause of the disease, but all in vain. Lack of the appropriate cure of dementia has been a major challenge in the health sectors. However, nursing department has created hope to the issue. The home nursing department has come up with various ways that can be implemented to mitigate the effects of dementia to the victims. These can be summed as living well with dementia in nursing home (CLARKE 2011). The nursing department explains how these patients worsen with age, and the need for personal care and close monitoring of the victims to ensure that their lives are not endangered.

Public Administration and Apply Behaviorist Theory to a Work Issue Essay

Public Administration and Apply Behaviorist Theory to a Work Issue - Essay Example Each of these concepts describes the change in a person’s behavior and the reason for such changes. The conditioned response relates to an activity that results due to a different incident. The next concept of behaviorist theory is aversive behavior. (Plaud, 1998). A person might exhibit a certain kind of behavior in response to a particular situation. This might be due to the disinterest towards the situation. Reinforcement aims at controlling the negative consequences of a behavior which helps in improving a person’s behavior. Consequences are one among the most important concepts of the behaviorist theory. A consequence generally arises from a particular decision or an action. Consequences generally turn out to be positive or negative depending on the behavior of the person. (Dewey, 1999). The situation too plays a major role in deciding the consequence of an action. These key concepts are generally applied to almost all the problems in varied areas. But these concep ts would perfectly suit an organization that deals with more number of problems and issues related to every single department of its. When comparing the other problems, the issue relating to the company’s production. The most common issue is the decline in the quality of the product a company manufactures.

American poet Jack Kerouac Essay Example for Free

American poet Jack Kerouac Essay American poet Jack Kerouac has been classified as the originator of the Beat Generation. He is known for his spontaneous confessional style, as well as his connection to Buddhism, Allen Ginsberg, and American self actualization. His rejection of mainstream 1950’s society is his trademark, and the core ideal behind the beat-nick culture he helped spawn. Jack Kerouac was born Jean-Louis Lebris de Kerouac, to French-Canadian parents, in Lowell, Massachusetts. Kerouac was raised fluent in French, and didn’t start learning English until he was six years old. While attending Boston College and Columbia University, he demonstrated extraordinary athletic ability in the game of football, until he broke his leg. After losing his football scholarship, Keroauc moved to New York. There he met the makeup of the group that would later be known as The Beat Generation poets. This group consisted of: John Clellon Holmes, Allen Ginsberg, Neal Cassady, William S. Burroughs and Herbert Huncke. He left the company of these men to join the United States Navy in 1943, from which he was discharged during WWII, for the psychiatric measure of having an indifferent disposition. This is suspected by many to be the spark that inspired him to write his first work The Town and City, as well as On The Road. Many of Kerouac’s works were often rejected upon first submission to publishers. He was often overlooked, due to his experimental style, and socially conscious views. Not to forget, his excessive tendency towards drinking. This obsession with alcoholism is eventually the cause of his death in 1969, when he dies of internal hemorrhaging due to cirrhosis. Jack Kerouac has a very distinct and original style. Upon first evaluation of his style, his work might be deemed as cliche, or showy self loathing libation; but it must be remembered that, Kerouac was one of the first to adopt his free flowing form of poetry. He is also noted for connecting his poetry to the beat-nick poets. Kerouac is most commonly referred to as the King of the Beats and the Father of the Hippies. This is largely due with the fact that his poetry is most immediately inspired by Jazz music, specifically bebop by Thelonius Monk, Dizzy Gillespie, and Charlie Parker. He compiled this Jazz influence with a love of Buddhist studies, specifically Gary Snyder. The name he dubbed his new found form is Spontaneous Prose. It is often compared to the literary technique known as stream of consciousness, which is often deemed as a literary mirror of a writer’s thought process. While writing, Kerouac took the first thought or line that came to his mind and went with it. This technique is most recognizable in his novels Visions of Cody, Big Sur, Visions of Gerard, On the Road, and The Subterraneans. The core concept this method revolved around is a breathing technique very similar to that of Jazz, or Buddhist meditation. It is most evidently represented by a dash mark in place of a period. The practice of improvising words based on implied or inherently inferred meanings was another aspect of Spontaneous Prose. . The core concept this method revolved around is a breathing technique very similar to that of Jazz, or Buddhist meditation. In his statement on Belief Technique For Modern Prose, in his top five pieces of advice Kerouac says, 1. Scribble secret notebooks, and wild typewritten pages, for yr own joy 2. Submissive to everything, open, listening 3. Try never get drunk outside yr own house 4. Be in love with yr life 5. Something that you feel will find its own form (Kerouac) This is more the literary technique of an experimental thinker than actual literary scholar, or poet, during this era. Despite this, his style later becomes the format taught to most contemporary writers aspiring to be professional. Kerouac never really edited his poetry. In fact, the majority of his work was edited by fellow Beat Generation pioneer Donald Merriam Allen, who also served as an editor for Ginsberg. Acclaimed photographer Robert Frank made a short film personifying many Beat ideals called Pull My Daisy, in which Kerouac is scene reading his work in the films opening. The film itself is also based a play written by Kerouac. The Beat Generation is an uprising that formed mostly on some of America’s best-known college campuses in the mid to late 50’s. It influenced students in the early 60’s to seek hard hitting answers to some of the complex questions posed to their generation. Addressing ideas like the coexistence of wealth and poverty, along side with racial prejudice resulted in the beat-nicks forming what would be considered the American New Left. An example of this is the Students for a Democratic Society (SDS); which founded at the University of Michigan in 1960, it became one of the key organizations formed in reaction to Beat ideals. The core belief of this student body was that Americans should practice direct democracy as apposed to representative democracy. This stemmed largely from the strict nature of Universities during that time in which students felt they were just numbers in a system dictating their existence. These students were also known for being supporters of the Black Power movement. These groups are also historic for being the most visible resource for developing protests against the Vietnam War. This New Left was the child that the Beat Generation gave birth to, and its influence on American culture can be credited for many of the sociological changes in our society today. Jack Kerouac, along with the rest of the beat-nick poets, can be credited as well. They were the flame that sparked this generational chain reaction. In sum, when I read Kerouac’s work, I can’t help but notice that many ways his style has been adopted by American culture. The ideal of the creative minded young artist bathing in libation and pondering death and social inadequacies is the main image adopted by the majority of Rock n Roll groups today. The majority of these bands probably don’t even know of Jack Kerouac. I’m not saying he was the first poet, or artist, to get drunk and create; but, I do acknowledge the ability of his free will to inspire so many others around him to create the cause to social change. He is pioneer and a leader, because he is fallowed beyond the grave. Work Cited Anderson, James C. Robert Frank. Microsoft Encarta 2006 [CD]. Redmond, WA: Microsoft Corporation, 2005. Jack Kerouac. Wikipedia, The Free Encyclopedia. 30 Jan 2007, 22:03 UTC. Wikimedia Foundation, Inc. 2 Feb 2007 http://en.wikipedia.org/w/index.php?title=Jack_Kerouacoldid=104426491

Prevalence of Inappropriate Behavior With Schizophrenia

Prevalence of Inappropriate Behavior With Schizophrenia Sexuality is basic human need. This need is present at every developmental stage and as age increases, it become more dominant. According to Freud if person fixated at one stage or its needs repressed then in later life it comes in his behavior (Townsend, 2006). According to Muslim Public Affairs Council (1996) sex and sexuality are consider taboo subjects in Pakistan. Our culture also doesn’t allow talking about these issues openly before marriage and consider legal to satisfy sexual desire only after marriage. Religion also doesn’t support to discuss these matters openly. It is important to discuss on this topic in mental health because if we don’t discuss on sexuality, the patient may start expressing his thoughts in unacceptable manner which is against our norms of society and it is called as â€Å"sexual disinhibition†. The study uncovered that 26.7% of persistent schizophrenic patients had huge obsessive enthusiastic indications, with a high prevalence in the age set underneath 35 years. Obsessive habitual side effects were more serious in patients with term of sickness more than 5 years. The obsessive impulsive indications were more common around paranoid schizophrenics (Hemrom et al, 2009). A 33 yr. old female admitted in Karwan-e-Hayat with complain of schizophrenia. On assessment I found her depressed and prepared to give teaching on coping mechanism. While giving teaching to her on coping strategies she suddenly started telling her sexual thoughts, desire and feelings to have a sexual intercourse. Even she was ready to have an intercourse with his divorced husband and wanted to get married. When she was telling this I was quiet, anxious, uncomfortable, and not confident to discuss. Once I thought that I was not able to assess her problem for which she needed help. In schizophrenia obsessive compulsive symptoms that of being contamination, sexual, and aggressive thoughts is the positive sign. In a research it has been found that 10% of schizophrenic patient had these obsession symptoms (Hemrom et al, 2009). Sexual obsession is common in schizophrenic patients and relates the DSM-IV criteria of schizophrenia and OC (Bancroft, 2008). Who encounter such a sort of unadulterated fixations (i.e., fixations that are regularly portrayed by the absence of unmistakable impulses) assess unpleasant considerations as unsafe and excessively significant and, hence, fight to control their beliefs (Dell’Osso et al, 2012). The patient was suffering from schizophrenia so having sexual obsession could be the part of her disease process as Turkcan et al. (2007) reported that 16% of patient had obsessive compulsive symptoms with schizophrenia. According to Freud (1961), psychoanalytic theory describes formation of personality through five stages of psychosexual development. Fixation of libido (sexual drive or instinct) at any stage of development certainly results in psychopathology (Townsend, 2006) and fixation at any stage will also influence the behavior of person in later life (McLeod, 2008). As in case of my patient, she was divorced due to which her sexual desires were repressed and unable to fulfill them. It results in fixation of sexual needs due to which her sexual needs are at extreme level that, she have intense feeling to have intercourse and have sexual thoughts, which may change into behavior at any time. On the other hand, literature shows that some antipsychotic drugs induce sexual disinhibition which includes risperidone and quntipien (Lam et al, 2007). Risperidone side effect is that it increases sex drive and also decreases sexual function in some cases. Some cases have been reported which shows the effect of risperidone in increasing the sexual obsession compulsive thoughts (Basil et al, 2002). So, my patient was also taking risperidone it may be one of the factor for having compulsive thought. Whereas, there is also literature support for medication that decreases sexual desires such as one of the late study evaluate that second generation antipsychotic i.e. risperidone, olanzapine, quntipien, and haloperidol is the biggest study to date to assess sexual dysfunction and reproductive side effects (Kelly Conley, 2004). Therefore, it is important to take alternative medications to treat these symptoms. Whereas various late medicine studies and narrative case reports have indicated an adjunctive particular serotonin reuptake inhibitor (SSRI) may be a convincing medications to treat OC in schizophrenia. Patients getting clozapine and other atypical antipsychotics as their support medicine ought to be thoroughly screened for new onset or compounding of prior OC indications (Hwang et al, 2006). Although my patient had intense thoughts and desires to have intercourse, so with the pharmacological management it is important to do cognitive therapy because patient only have thoughts, but her thoughts can be change into behavior. It is important to change her thoughts through cognitive therapy. There are different strategies through which inappropriate behavior of patient can be change and these are discussing below. Cognitive therapy helps dependent upon perception, and all the more particularly, the particular judgment evaluation by a single person of an occasion, and the feelings or practices that come about because of that examination. Cognitive techniques include identifying and modifying repeated thoughts (thinking errors) and schemas interior values (Townsend, 2006). The goal of cognitive therapy is to change irrelevant beliefs, faulty way of thinking, and negative self- statements that cause behavioral problems (Stuart, 2013). Cognitive therapy focuses on controlling and reducing obsessive compulsive behaviors by behavioral strategies for managing symptoms, thoughts, beliefs and feelings are perused and examine for relevance and validity. Behavior modification system is dependent upon the precise examination and requisition of fortification. Support is the procedure by which new reactions are obtained and existing ones are fortified (Jessor, 2013). Moreover, motivational interventions can be done to develop patient’s motivation to change. By asking open-ended question can help to identify patient agenda. Affirming, reinforcing positive statements, and hopeful can emphasize that change is possible and it will also increase the self esteem of patient which will help him and motivate to change (Stuart, 2013). Role modeling can be done to teach the behavior. Lifestyle change to help an individual identify high-risk situations, change cognitive distortions or faulty thinking, and cope with stressful or high-risk situations that may trigger relapse (Townsend, 2006) Furthermore, nurse role is important in recognizing these issues in mental health. As, in my patient scenario it was my lacking that I was unable to recognize patient needs correctly so as nurse it is important to asses patient needs rightly and to do interventions accordingly. For this nurse should be competent in communication skills, confident to talk on this sensitive topic. She should have complete knowledge about the topic, positive approach and effective communication style can greatly improve the interaction. An approach that rises strengthening and self-governance ought to be utilized and the suitable health-advancement messages through consultation for individual client (Gott et al, 2004). All in all, prevalence of inappropriate behavior with schizophrenia is high; therefore as nurse it is important to asses patient needs and play the role of counselor, advocator, and as a care giver in giving awareness to families about patient disease process. Family and health care support also helps patient to cope his situation. In mental health it is important to modify the behavior of client according to needs through required techniques.

Close reading of the Poem Casey at the Bat :: essays research papers

1) Poetics: a. & b. Rhyme/ Rhythm A/14 A/14 B/14 B/14 C/14 C/14 D/14 D/14 E/14 E/14 D/14 D/14 F/14 F/14 G/14 G/14 H/14 H/14 D/14 D/14 I/14 I/14 D/14 D/14 J/14 J/14 K/14 K/14 L/14 L/14 M/14 M/14 N/14 N/14 O/14 O/14 P/14 P/14 Q/14 Q/14 R/14 R/14 S/14 S/14 T/14 T/14 U/14 U/14 V/14 V/14 W/14 W/14 c. No Real Meter d. Title: The title is linked to the figurative meaning because it shows the hope the team has of Casey. e. 4 lines per stanza f. 13 Stanzas with 4 lines each g. No italics h. No Bold i. There are quotes on lines 32, 35, 40, and 41 that just explain what people are saying literally j. The tone is reminiscing 2. Literal Meaning The Mudville team was predicted to lose They were losing without much time left Two players named Cooney and Barrows are out at first The crowed went quiet A few people in the crowed leave The rest stay with hope for the losing team The crowed thinks Casey is the last hope The team is gaining hope and confidence in Casey But before Casey was Flynn and jimmy Blake After casey came Lulu and the next player wasn?t very good There was a loosing feeling about There was no hope that Casey would ever get to bat Flynn hits a single every one is shocked Even though Blake wasn?t liked he hit the ball hard After the dust lifted the other team saw what happened Jimmy was on second and Flynn on third The crowed went wild The roar was so loud it was heard from far It Rang off the mountain and in the flat lands Because Casey was now at bat Casey seemed calm as he stepped up to bat He was very proud and showed a smile He tipped his hat as a response to the cheers Every one knew that is was Casey at bat The whole crowds eyes were on Casey as he rubbed his hands in the dirt They crowed watched as he wiped his hands on his shirt The pitcher rubbed the ball against his hip Casey sneered at the pitcher The ball was pitched Casey stood proudly watching the ball The ball sped past Casey Casey said ?that ain?t my style? and the umpire said ?strike one? The crowed roarded Like the roar of the ocean A person from the crowed exclaims Kill the umpire And the might have if Casey didn?t raise his hand Casey?s face showed a Christian like smile He quieted the crowed and let the game go on He signaled to the pitcher and the ball was thrown But Casey didn?t swing taking a second strike The crowed is unhappy with the call Casey looked at the crowed sternly and they were silenced His face grew stern and cold and his muscles tight Casey would swing at the next pitch Casey sneered and clinched his teeth He hit his bat against the plate The pitcher held the ball and let go

Representations of Women in Ike Oguine A Squatters Tale :: Squatters Tale Essays

Representations of Women in A Squatter’s Tale Women can be perceived or looked at in many ways. They are depicted not only as mothers, but also as friends, companions, and even prostitutes. Today’s society has a variety of images of what they feel women should be and what they actually are. Likewise in Ike Oguine’s A Squatter’s Tale, women are portrayed through various roles such as mothers, girl friends or companions, and prostitutes to reflect the society. First, mothers are backbones of the family. When hard times are experienced, they are the ones who keep the family together. Women provide more than financial support to the family. They are the sense of hope and encouragement to keep the household running smoothly. In A Squatter’s Tale, Obi’s mother is the one who, even in hard times, keeps holding on trying to get through the difficulties. The love she has for her family is what gives her the strength to give all she can to her family. When Obi’s family move from their Yaba house to a three-bedroom flat in the outer reaches of Isolo, as a result of the sudden retirement of Obi’s father, their struggles for survival increase. Obi’s mother would drive everyday from Isolo to her shop in Yaba. The drive she endures everyday is very long and tiring. Obi knows his mother is enduring a lot for the family as Oguine establishes this sense of hardship by stating in Obi’s words, From our new home my mother had to do a hellish drive to her shop in Yaba every morning (leaving behind two disabled men – my father and me – brooding in the living room all day in front of the shiny black Sony Trinitron 21† TV I bought when I was treasury manager in BTF) and another hellish drive back every evening through the most chaotic traffic in the whole of Lagos. (113-114) The struggle of the drive alone is hard for Obi’s mother. When her car breaks down after ten years, the battle against hardships is about to be lost, because, in addition to working extremely hard, she is being put through hell. Obi realizes what the struggle is doing to his mother the day she comes home after her car has broken down.

Business Valuations

Q1. Which of the following is the correct formula for Market Capitalization? (MCQ)Previous share price Ãâ€" Number of issued sharesCurrent share price Ãâ€" Number of issued sharesPrevious share price Ãâ€" Number of issued preference sharesCurrent share price Ãâ€" Number of issued convertible shares(2 marks) Q2. Statements given below relate to asset-based valuation for equity. Select appropriate types of asset-based valuation. (HA)Historic Cost Values are easily available BOOK VALUE NET REALISABLE VALUE REPLACEMENT BASISMaximum Cost to be paid for assets by a buyer BOOK VALUE NET REALISABLE VALUE REPLACEMENT BASISAsset Stripping BOOK VALUE NET REALISABLE VALUE REPLACEMENT BASIS(2 marks) Q3. Given below is summary of Vento Co.'s balance sheet: Assets $m Financed by $mNon-current assets 8 $1 Ordinary shares 1Net-current assets 4 Reserves 6- – Loan notes 5Total 12 12Non-current assets include Bulldozer which cost $7m when it was purchased five years ago when it had a useful life of ten years. The company's depreciation policy is on a straight-line basis. These assets were valued $2m by a professional. What is the value per share using NRV basis? (MCQ) $5$5.25$5.5$5.75(2 marks) Q4. Following statements relate to asset-based valuation. (HA) It ignores intangible assets DRAWBACK USEFULNESSIt ignores cash flows from the assets DRAWBACK USEFULNESSTo set a minimum price in an event of a takeover DRAWBACK USEFULNESS(2 marks) Q5. A Target company's dividend per share is $0.3/share ; its competitor has a dividend yield of 8%. Calculate the target company's share price? (FIB)4114804699000$ (2 marks) Q6. Dosed Co has an earnings yield of 17%. Calculate the value of the Dosed Co. based on the present value of the expected earnings? Using the following information given below: (MCQ)Year 1 2 3 4Earnings ($m) 3.4 3.9 4.1 4.5$26.47m$45.9m$62.5m$68.625m(2 marks) Q7. Cato Co. has been open for bidding and it currently has earnings of $3.5m and has 1 million shares in issue & Cato Co. has a current share price of $11 in the market. Calculate the earnings yield of Xerox Co, a business in the same industry sector? (MCQ)3.5%11%31.8%35.3%(2 marks) Q8. VV Co. has price/earnings ratio of 15 and it's industry competitor Kato Co. has an earnings yield of 20%. If assumed, a share price of $1. When comparing VV Co. to Kato Co, which of the following is correct? (HA)Earnings Yield HIGHER LOWERPrice/Earnings Ratio HIGHER LOWER(2 marks) Q9. Ivo Co has made an offer to buy two of its every three shares of Rico Co. Due to this merger, there is a chance that earning after deduction of tax will increase by $10m per year. Assuming that Ivo Co share price increases by $0.5 after its merger and Ivo issues new shares as consideration. What will be the price/earnings ratio of the group using the following information to nearest two decimal places? (FIB)Ivo Co. Rico Co.Profit after Tax $150 $40Market Share Prices $2.5 $1.2Number of shares 200m 60m901702476500(2 marks) Q10. Which TWO of the following are the problems relating to Price/ Earnings ratio? (MRQ)Quoted companies with similar business activities are difficult to findNot applicable for those who do not prefer paying dividends Represents historical costListed company's capital structure might differ from unlisted company's(2 marks) Q11. Yugo Co is acquiring Lotto Co. Yugo Co cost of acquisition at the time of acquiring Lotto Co.'s 20,000 shares will be $400,000. The cash flows are as follows: Year 20X3 20X4 20X5 20X6Cash flow ($) 170,000 235,000 200,000 85,000The weighted average cost of capital for the company is 10%. Calculate the share price of Lotto Co using discounted cash flow? (MCQ)$7.5$7.84$8.20$8.61(2 marks) Q12. Hath Co. has a future dividend forecast: In the current year and the first year, there will be no dividend paid. In year two a dividend of $0.36/share will be paid. In year three a dividend of $0.75/share will be paid and it will grow at 2% every year. If the cost of equity is 8% what will be Hath Co. current share price to the nearest $? (FIB)3613152286000$ (2 marks) Q13. Bitola Co is financed using equity only. The company has just paid the dividend of $80m and the earnings retained and invested were 55%. The investment returns 27% and cost of equity is 18%. What is the market value of the company? (MCQ)$2,917m$3,023m$3,487m$3,716m(2 marks) Q14. Dividend growth model takes many assumptions into account. Select the assumptions from the given statements? (MRQ)The estimates of future dividends and the cost of capital are accurateAll investors are homogenous Influential factors of the market are incorporated in the share price The dividend grow constantly or not grow at all (2 marks) Q15. Which of the following statements is a disadvantage for dividend growth model? (MCQ)The growth rate in the market is equal to the growth used in dividend growth model The cost of equity used is an estimate of a capital asset pricing modelThe method is applicable to all companies even if they don't provide dividendsThe dividends paid by the company are perpetual (2 marks) Q16. A firm has an issue 15% preference shares with a nominal value of $1 each. Currently, the required return of preference shareholders is 25%. The corporation tax is 30%. What is the value of a preference share? (FIB)3714753873500P0 (2 marks)144653070104000 Q17. Jorum Co has issued irredeemable loan notes with a coupon rate of 8%. If the required return of investors is 2%, what is the current market value of the debt? (FIB)Market Value ($) (2 marks) Q18. B4U Co. has 11% redeemable bonds in issue having a cost of debt of 16% before tax. The tax rate in the market is 27%. If the bonds are redeemed in six years' time at a premium of 6% above the par value. Calculate the market value of the bond? (MCQ)$69.35$76.12$84$103.2(2 marks) Q19. Curry has in issue 12% bonds with total nominal value $100,000 and a total redemption value $90,000, with interest payable quarterly. The cost of debt on the bonds is 12% annually. The bonds are redeemable on 31st March 20X2 and it is now 31st December 20X0. Calculate the market value? (FIB)14770102159000Market Value ($) (2 marks) Q20. A 6% redeemable loan note in Voltage Co is due to mature in four years' time at a premium of 10%. It can be converted into 15 ordinary shares at the same time. Voltage Co pays a tax rate of 25%. Its current share price is $4.65 and growth is expected at 8%. If the shareholders require 10% return what is the market value? (MCQ)$51$75.13$94.15$110(2 marks)