Dementia Nursing Care Plan and Analysis Essay Example | Topics and Well Written Essays - 2000 words

Dementia Nursing Care Plan and Analysis - Essay Example Also, the evaluation methods for each assessment have been set. The plan has been prepared based on the review of relevant literature on dementia, Alzheimer’s disease, and practices for the provision of care. Bill has displayed symptoms of Dementia of Alzheimer’s Type (DAT). Early features of DAT include impaired memory, difficulties in problem solving, preoccupation with long past events, decreased spontaneity, impaired speed and accuracy of response. Individuals try to avoid unfamiliar activities, and disorders of perception and language may appear. During late stages of Alzheimer’s disease, physical and cognitive effects are marked and disorders in gait, paresis and paralysis of extremities, seizures, peripheral neuropathy, extrapyramidal signs, and urinary incontinence may be visible. Often, the patient is no longer ambulatory, and is mute, bedridden and is in decorticate posture. Sometimes myoclonus occurs in some individuals. Progression of Alzheimer’s disease is slow and could render the patient to a state of complete helplessness in eight to ten years. A distinct possibility is affective disturbances. The most effective tools to diagnose Alzheimer’s di sease are a good family history, physical examination, and laboratory and radiographic tests for ruling out other causes of dementia (First & Tasman, 2004). According to Access Economics (2006), over 200,000 Australians were suffering from dementia in 2005, which was about 1 percent of the population. Alzheimer’s disease, caused by abnormal changes in brain tissue known as ‘plaques and tangles,’ has been attributed to be the most common cause of dementia, accounting for 50-60 percent of all cases. The number of Australians with dementia in 2050 has been projected to 730,000, about 2.8 percent of the population, and a four fold fold increase from 2000 levels. In 2005, there were 52,000 new dementia cases, and the number has

Michelangelo Merisi da Caravaggio The Calling of Saint Mathew Research Paper

Michelangelo Merisi da Caravaggio The Calling of Saint Mathew - Research Paper Example It is understood that a painting is incomplete without knowledge of its background. Further, interpretations of a painting vary between people and with time and it is the contradictory interpretations in paintings that makes the painting interesting and often lend an element of mystery towards it. The painting discussed in this paper is also not without its special context and interpretations. Discussion The painting, The Calling of Saint Mathews is a masterpiece that was commissioned by the church to be hanged within the Contraelli Chapel located inside the Church of San Luigi Dei Francesi. The chapel was meant to be an ode for Saint Mathews and for this Caravaggio was selected when the first choice of the church, Cavalier D’Arpino became busy with the royal patronage. This was probably the biggest church commission that Caravaggio got at that time. Therefore, he put all this time and energy into the creation of this masterpiece along with two others painting, the Martyrdom o f Saint Matthews and The Inspiration of Saint Mathews. The painting till date hangs with other paintings depicting important moments in the life of Saint Mathews. The painting was completed in 1600. We have to understand that this was a time when the church was in power. It had the money to fund biblical paintings. The Calling of Saint Mathews is a painting representing an important biblical sense. The painting takes reference from Luke 5:27-28, which reads: ‘And after that He went out and noticed a tax collector named Levi sitting in the tax booth, and He said to him, ‘Follow me’. And he left everything behind, and got up and began to follow him’ (Benner, 124) The painting, quite like many produced in the same era, is full of religious symbols. The painting, primarily, symbolizes the difference between Christ and Matthews. In this respect, the picture can be divided into two parts: one part showing Christ and Peter while the other depicting Mathews and his companies. Both these parts are in stark contrast with each other. Christ and Peter represent spirituality. They do so through their simple clothing and the fact they do not wear any shoes. The absence of footwear reflects on the fact that these men are down to earth without any love for material objects. Mathews and his companions reflect the worldly life. This is apparent in the way they dress: fashionably in the attire that was trend during the time period when the painting was created. Also the presence of the coins and the preoccupation of some companions with the coins reflect on the worldly life enjoyed by Mathews and his companies (Benner, 129). Another symbol apparent in the painting is the way the painting has been divided into two parts. Here Caravaggio uses his typical style of chiaroscuro where he paints a stark contrast of light and dark in the painting (Cunningham and Reich, 360). Between Christ and Mathews, Caravaggio has painted a dark area and the hand of Christ e xtending towards the dark spot. The light in the picture comes from the side where Christ is standing. This play of light seems to be intentional on the part of the painter as he depicts Christ as a beacon of hope and light for Mathews while taking him away from a life of materialistic love and wastage. Also the dark spot between the two important figures symbolizes the fact that before Christ, people were left in darkness with no way to reach

Opening a new sport shop Essay Example | Topics and Well Written Essays - 3000 words

Opening a new sport shop - Essay Example Scott McPherson is starting out as a small-scale businessman, testing his market and value chain before going full blast into an entire chain of stores. McPherson must therefore start out with a single store and expand gradually after that after gaining a stronger foothold on the business. The choice of a business should be one that has a quick cash cycle that would turn over sales at a relatively fast pace, but which has the potential of growing to a chain of store catering to retail sale of consumer goods. For this purpose, a sports retail business would be a good enterprise for McPherson, whose twenty years as secondary school teacher would have kept him abreast of the various sports events at least in the school level. The appeal and demand for sports and outdoors gear and equipment has a stable market because of the strong interest in sports and fitness. An image attaches to being associated with a healthy lifestyle, even if it be conveyed by one’s clothes or footwear. Fi nally, sports activity is usually complemented by a desire for healthy and nutritious A comprehensive analysis of the sports retail sector follows: SWOT ANALYSIS The SWOT analysis is a helpful tool for formulating the strategic plan of a business. It identifies the strengths and weaknesses of the firm and juxtaposes this against the opportunities and threats in the environment, maximizing strengths for opportunities and minimizing weaknesses to avoid the threats. The SWOT analysis for McPherson’s store chain follows: STRENGTHS A source of strength is the familiarity of McPherson with secondary schools’ sports programs, and his contacts with sports teachers and program directors in the different schools. It should be recalled that McPherson’s twenty year history as a secondary school teacher would have created friendships that would be useful for his business, from a relational point of view. Another strength of McPherson’s business would be its financial stability, having skipped the period of economic crisis which had ruined or weakened the finances of many small (and large-scale) businesses. OPPORTUNITIES A good number of schools and universities located in the South England area provide a lucrative market, which could still expand and absorb additional supply despite the existence of other stores. Retail customers are in constant search of new shops which may provide better product offerings, or better terms of sale. A further opportunity presenting itself is the growing interest in new media sports, where indoor digital sports consoles games enable persons interested in keeping fit but without the

Genesis 1-11 is structured in such a way to reflect certain Essay

Genesis 1-11 is structured in such a way to reflect certain distinctive Israelite articles of faith. Discuss - Essay Example and as, it introduces not only the beginnings of the world but specifically, the formation of Israel as God’s chosen people giving them a sense of religious identity (Gooder 2000, p. 2). The book of Genesis, which in Hebrew is ‘Bereshit’, generally translated as ‘In the beginning’ (Zucker 2005, p. 31), can be divided topically into two parts: the Primeval History (1-11) and the Patriarchal History (12-50) or genealogically into 11 parts: general creation (1:1-11: 3), man’s creation (2:4-4:26),Adam-Seth’s generation (5:1-6:18), Noah-Shem’s generation (6:9-9:29), Noah’s sons’ generation (10:1-11:9), Shem’s generation (6:10-11:26), Terah- Abraham, the chosen seed (11:27-25:11), Ishmael’s generation (25:12-25:18), generation of Isaac-Jacob, chosen seed (25:19-35:29, Esau’s generation (36:1-37:1) and generations of Jacob-Joseph, chosen seed (37:2-50:26); or according to general subject analysis: generation (1-2), degeneration (3-11), and regeneration (12-l); or into its 2 major divisions: Human Race History (1-11) and Israel’s – the chosen nation’s history (12-50) (Evan s 2009, pp. 11-14). Generally, seven major themes characterise the Book of Genesis: origins, order/meaning in history, blessing, covenant, punishment, sibling conflict, and test of faith. It is filled with various tensions that essentially centre on individual survival: ‘fertility and barrenness’; antagonistic sibling rivalry; hostile interfamilial struggles; jealousy; wives competing for attention from the same husband; starvation; ‘incest, rape and murder;’ threatened and real total destruction; ‘love and exile’. (Zucker, 2005, p. 32-33) For the Israelites, the Book of Genesis stands out from the rest of Torah, and between its topical parts, its Primeval History (Gen 1-11) provides the very foundation of the Israelites monotheistic religion. Genesis 1-11 sets Judaism apart from all other religions with regards to its belief in one omnipotent, omniscient,

What has been the thinking of scholars on beard's thesis 100 years Essay

What has been the thinking of scholars on beard's thesis 100 years later - Essay Example An economics and history argument, Beard’s thesis was vastly controversial during the early 1900s. Numerous academics have debated over the thesis, its meaning, and eventually questioned its legacy. In this thesis, Beard says that the process of forming the constitution succeeded over the interests of citizens. This is because the drafters of this constitution comprised mostly of federalists, large property owners, bankers, traders, capitalists, and creditors, whom Beard noted as substantial owners of â€Å"personality.1† In contrast, United States citizens largely constituted of farmers, debtors, small property owners, and people of moderate riches. This population demographic still holds almost entirely true a hundred years after the publication of Beard’s thesis. As a result, Beard’s proof for his thesis has not primarily overturned the claim despite criticisms that have collectively deteriorated it. Scholars like Harold Faulkner committed two sections to a discussion about the geneses of this war in his 1943 work â€Å"American Economic History.† Here, Faulkner says the impacts of the Civil War on America’s industrial, financial, and trading history were great2. According to scholars Sparrow and OBrien, Beard does not seem to overdo his hand in his argument about the founding fathers and the constitution of the United States. Rather, Beard underemphasizes his argument in the sense that he abandons the inferences that ensue from his inadequate focus on American citizens, who are largely average property holders3. Economics academic Roger Ransom says Beard exempted the wisdom and commitment of America’s founding fathers from his history. Ransom says the founding fathers overpowered their shallow self-interests to generate a masterful document for a whole nation. Using Robert Morris and Nathaniel Gorham as examples, Ransom says

Staffing Process Case Study Example | Topics and Well Written Essays - 500 words

Staffing Process - Case Study Example The main role of the staffing coordinator entails the presentation of the best employees to the managers for review ensuring that the right personnel is selected for a particular job. Finding the appropriate personnel for a task is a monumental task that needs extensive knowledge of the industry and resources to elicit the expected results. The coordinator is tasked with the responsibility of setting up interviews with the personnel as well as conducting reference and background checks. Other roles include making staff schedules, handling staffing emergencies, scheduling vacation times for the employees, ensuring employee and customer satisfaction as well as being involved in training and employees orientation. KSAOs skills include having organizational skills, human resource planning knowledge, interpersonal and analytical skills, as well as consultative and problem-solving skills. With this in mind, coordinators ought to be referred to as recruiters, retention specialist as well as managers (Cascio & Aguinis, 2008). Effective reward systems are important to ensure that the organization is competitive, retains its employees thus reduce the employee’s turnover. It the source of motivation and enhances the organization brand name (Gong, 2003). Individuals in this position are considered part of the management team since the coordinating is responsible for the staffing needs of the organization. Managers ought to trust their work to interview the candidates and make hiring decisions. Therefore, the coordinator needs to have a strong attention to details as well a good communication and computer skills. They also need to be flexible and patient since they help shape employees careers. For cycle days, days to start and offer ratios, the order of the recruitment process is from the highest to the least effectiveness. I.e. employee’s referral followed by the employment agency and newspaper recruitment methods.

Smoking Should Be Completely Prohibited From College Campuses Essay Example for Free

Smoking Should Be Completely Prohibited From College Campuses Essay This paper focuses on why smoking should be completely prohibited from college campuses. It explores the effects of smoking and tries to give the rationale for prohibiting it. It also explores the views of those who support smoking. This topic has attracted a number of heated debates and a consensus has not yet been reached on whether or not smoking should be prohibited in college. The diversity of opinion can almost be equated with the number of people who comment on the topic. Even those who agree that it should be banned; their reasons are so varied. Ayn Rand argues that smoking cigarettes signifies the power human beings have over nature1. Others feel smoking is morally wrong and the government ought to prohibit it. For some, smoking would be wrong and self-destructive, for other it would not be the case. Actually, a moderate degree of smoking is morally unobjectionable. Here, morality comes in and this makes the argument against smoking a subjective one. What is morally acceptable to one individual may be objectionable to another. A focus on the moral persuasions of the majority reflects that they see no big deal in tobacco smoking itself but have a problem with smoking in college. Majorities also agree that smoking, for instance of bhang and cocaine should be prohibited be it in college or in the wider society: this is because of the moral difference between smoking tobacco and the rest. However, it is not obvious for one to find a moral justification in this and we can only question the moral leanings of the majority. Some argue that in the ethics if virtue, there is the moral imperative to care for one’s health one should use his mind. They should ask themselves if smoking is justice/injustice to self? But then, a number of issues may trigger neglect of personal health, inter alia; sports, and career. Such things may subject their health and lives in serious risk. Is this morally right? Is smoking one such risk? What is the ultimate goal of smoking? For pleasure? If yes, is pleasure the highest good there is? Yet it is not uncommon for people to take reasonably serious risks to celebrate life, for instance, to attend sport, or a wedding an accident is possible. Human beings would have to live morally disputable lives if we were to consider all risks taking to be morally objectionable. We will agree that we are responsible to live well. Man is a rational creature and should be able to make his own decision. â€Å"Human nature is characterized by reason and tolerance†2 John Locke argued. One can argue that if one wants to smoke, he should go a head but remember that he will bear the consequences dearly. Rigid rules to prohibit man from doing this and that do not allow him to live best. Spontaneous regulation and restraint would make him live better. Our conduct should always and pari passu be monitored and supervised by reason. Some people consider it essential to encourage independent decision making on the part of their, say adolescent children, who then decide to smoke, this could be seen as no less morally justifiable than encouraging them to play ice hockey for enjoyment. But are such parents doing a morally acceptable thing? Lets consider the effects of two substances (smoking).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Smoking tobacco has both short-term and long-term effects. The nicotine in tobacco causes a short-term heart rate, blood pressure and possibly increases in the flow of blood from the heart. It has the devastating effects of making the arteries narrow. The oxygen-holding capacity of the blood is undermined by carbon monoxide. â€Å"We think smoking is widespread and too little has been told about its danger.3† It is documented that smoking tobacco can cause coronary heart diseases, cancer of the lungs, esophagus, bladder, mouth, cervix, kidney among others. Research findings reveal that there are more than 40 chemicals in tobacco that cause cancer in both animals and humans. It is argued that smoking tobacco does increase the likelihood of almost every other pregnancy-related health risk to both mother and child, and is the single most preventable causes of illness and death among mothers and infants in the developed world.4Then, why accept to be haunted by a problem that we could easily fling into the dustbins of forgetfulness? Are we morally justified in legalizing something that is fatal to ourselves? We have lost or deformed loved ones because of this very monster! Environmental tobacco smoke (ETS) adversely affects nonsmokers â€Å" each year, exposure to ETS causes as estimated 3,000 non-smoking American to die of long cancer and causes up to 300,000 children to suffer from lower-respiratory-tract infections† says American heart association (AHA) centers of disease control and prevention. Smoking of tobacco may cause accidental fires in school residential halls usually linked with careless smoking of tobacco treated with chemicals to allow it to smolder indefinitely. This list of the downsides of tobacco smoking is reminiscent of the real harm that tobacco slaps on its users. With all these downsides, the authorities should not turn a deaf eye on those who bemoan its smoking. Others argue that smoking (tobacco) has some beneficial effects, which can be identified especially on certain medical grounds and are thought to emanate from the biological effects of nicotine5. For instance, because most patient with Alzheimer’s diseases are likely not to have smoked, this is interpreted to mean that smoking protects against the disease6. But research hasn’t proved anything so far so specialists are at odds with such a conclusion. They term it erroneous as some studies show the reverse. Research findings depict that tobacco smokers are only half as likely as non-smokers has a protective effects of current smoking increases the risk of Crohn’s diseases, a form of inflammatory bowel diseases7. Some preliminary data from 1996 suggested that reduced incidence of uterine fibroids but overall the evidence is unconvincing. One would argue that if it were true that tobacco prevents some diseases, we have no rights in preventing anyone from smoking it as it would be no difference between this and preventing one from using any other preventive medicine. Cocaine has both short-term and long-term effects. Short-term effects include dilated pupils, increased heart rate, blood pressure, irritability and constricted peripheral blood vessels. Cocaine has an immediate euphoric effect, which affect energy and mental clarity. Cocaine’s effects are short-lived and once the drug leaves the brain, the user experiences a ‘coke crash’ that includes irritability and depression. Cocaine too has long-term effects. It is believed that high doses and/or prolonged use can trigger paranoia-it can produce particularly aggressive paranoid behavior in users. Prolonged snorting can result in ulceration of the mucous membrane of the nose.8 It is documented that smoking has been associated with suicidal tendencies. College students who are daily smokers are more than five times more likely to have either seriously thought about or attempted suicide than non-smokers (Halperin and Eytan). Mental health disorders have been strongly associated with smoking, especially among adolescents and young adults. College students who smoke are more likely to participate in the risky behaviors that pose some of the greatest health threats to18-24 year olds. Smokers have lower grade point averages (GPA) than nonsmokers. The Harvard College Alcohol Study found that smokers are 27.0% less likely than nonsmokers to have an above B grade average (Rigotti, 2000). Lower individual performance among students results in lower academic overall standings for colleges. Of the 15 million college students in the United States today, it is estimated that 1.7 million will die of smoking-related illnesses, most prematurely (Halperin, 2002). That amounts to over 10.0% of current college students. Smoking is addictive therefore denying students sober time to learn; may also cause conflict in college as students become unruly and may lead to larceny and arson in colleges. Then, Allowing smoking in college would adversely affect learning as it undermine the college administration’s effort to provide both security and learning environment that is conducive to the students. Why permit smoking while studies evidence that 20% of all US deaths are due to smoking. From such statistics, one can conclude that the number of the deaths, which were caused, can easily be compared to casualties of genocide or a war 9. Therefore if we permit smoking, we have no reason in not accepting genocide.   However, the government may not want to control everything man does especially if it does not put at risk any one’ safety. If one wants to eat a monkey or live like one he should go ahead and do it. One person is quoted saying: Protecting me from myself is not the governments job. Protecting me from others is, however, the governments job.10 From the overview of the effects of both tobacco and cocaine, their devastating effects compel anyone to challenge both the legality and morality of accepting smoking. Well it’s almost universally agreed that life-preserving acts are superior to life destroying ones but mankind has failed to agree on smoking as a life-destroying act. Again, one would successfully argue that smoking of bhang and cocaine makes people to rape, kills, and steals despite the fact that those things are illegal. If the government goes ahead and legalize, inter alia, cocaine, bhang it would not make any difference in not legalizing those behaviors in college. Tobacco may not drive one into these but instead it has more risk on one’s health. Permitting tobacco again is no different from allowing suicide for it is a means of killing one-self. Whoever permits smoking is at least morally guilty of causing it ailment and effects? For sure, J.Rousseau was right when he said, â€Å"man is inherently good but become corrupted by the evils of the society†. Work cited Rand A, Atlas Shrugged (New York: Random House, 1957 p61 Locke, J. An Essay Concerning Human Understanding. Ed. Roger Woolhouse.   New York: Penguin Books (1997), 307 Schwartz, S.M Marshall, L.M, Baird, D.D Epidemiologic Contribution   To Understanding An Etiology Of Uterine. Leiomyota. Eviron Health Perspective 2000,Oct’ 108 Sopp15: 821-7 P.M 11035989. 4.Maternal and infant health smoking during pregnancy. (www.drugfree.org/partal/drug-guide/tobaccohtml) Accessed online on 29th Nov.2007.12: 45: 35 GMT Barron JA, Benefits Effects Of Nicotine And Cigarette Smoking: The Real, The Possible And The Spurious. Br Med Bill, 1996 Jan 52(1): 58-72 PMID 6..Almeida, O.P, Hulse, G.K., Lawrence. And Flicke, L Smoking As A Risk Factor   For Alzheimer’s Diseases, Contrasting Evidence From A Systematic Review Of Case Control And Cohort Studies: Addiction 97: 15.   2002 Mahid, S.S. Et Al. Smoking And Inflammation Bowed Diseases: A Meta-Analysis. Mayo Clin proc. 2006. Nov 81 (11): 1462-71 PMID 17120402 8.National institute on drug abuse.   www.drugfree.org/portal/drug-guide/cocaine. Corbett, B. Contemporary moral problems, 2001   www.webster.educarbetre/philosopy/moral/contemp/smokinghtml Accessed online on 27 Nov 2007 at 16:23:45.GMT Legalize Pot (Canada only) http://forum.quoteland.com/75095 as retrieved on 31 Oct 2007 05:58:57 GMT. 11. Rigotti, (2000) and Halperin and Eytan,(2002) were gotten from http://www.ttac.org/college/facts/top/negative.effects/html