Health Assessment of a Geriatric Patient Assignment

Health Assessment of a Geriatric Patient - Assignment Example While performing a health assessment among the geriatric patients, a nurse should keep in mind the special considerations that the physiological process is unique in this age group of patients. There are illnesses and conditions related to the changing of the physiological functions resulting from an advancement in age. During the performance of physical examination, the nurse must equally avoid prolonged exposure of the patients as the geriatric patients easily loose head and are prone to hypothermia (Rosen & Reuben, 2011). Due to the multiplicity of conditions experienced by the geriatric patients, a thorough health history is essential in understanding the nature of the condition. In certain instances when the elderly cannot clearly express the condition, interviewing of the family members is essential in helping to understand the conditions. Additionally, during the assessment, the elderly must be treated with caution since these groups of people are accustomed to falls. The patients’ assessment should be done in an environment that is spacious enough but has for support appliances that will prevent the fall of the patients (Kenis et al., 2013). Kenis, C., Bron, D., Libert, Y., Decoster, L., Van Puyvelde, K., Scalliet, P., †¦ Wildiers, H. (2013). Relevance of a systematic geriatric screening and assessment in older patients with cancer: results of a prospective multicentric study. Annals of Oncology†¯: Official Journal of the European Society for Medical Oncology / ESMO, 24,

The Death of Artemio Cruz by Carlos Fuentes Essay

The Death of Artemio Cruz by Carlos Fuentes - Essay Example However, there is "una fuga de luces negras y circulos azules" (Fuentes 9) beyond his closed eyelids that forces him to open one eye and see, in turn, the fragmented reflection of his own face through the uneven sequins on his daughter Teresa's purse. "Trato de recordarlo en el reflejo; era un rostro roto en vidrios sin simetria, con el ojo muy cerca de la oreja y muy lejos de su par, con la nueca distribuida en tres espejos circulantes" (Fuentes 10). This encounter with his fragmented reflection is symbolic of his lived experience, which informs the reader's experience, throughout the novel; it is a startling encounter with the various fragments of the self, in addition to the fear, panic and ultimately, the truth that such an experience entails. Thus, it is not difficult to deduce that the three voices signify the fragmentation of the narrator. However, the reader is still left to wonder how the psyche has divided, what each voice means, and how the three are related. In some ways, the situation can be compared to the aftermath of the Civil War in the United States, where for decades Americans tried to see their fraternal conflict in perspectives of cause and consequence.

Strategic Planning Essay Example | Topics and Well Written Essays - 500 words

Strategic Planning - Essay Example Strategic planning may be one individual’s job, but it gets very risky when it is so. To make strategic planning practicable, it is imperative that teamwork is involved in this process. Strategic planning is based on cooperation among the team members that make it. Different people have specific skills and expertise in different fields. Strategic planning, particularly in the contemporary age, is based on the cooperation of experts having specific skills in distinct fields including technology, planning, and management. Coordination is fundamental to the success of strategic planning. Planning is made strategic when a team of experts from different origins and backgrounds and having association with different organizations, cultures, or subcultures are united at one platform and are told the objective that needs to be achieved. â€Å"†¦engaged leadership in the whole process of strategic planning including the implementation, particularly with regard to the three Cs is t he key to success† (Zomorrodian, 2011, p. 1130). Hence, the role and importance of the three C’s in the process of strategic planning cannot be overemphasized. Strategic planning can be understood as assessment of an organization’s needs for the advancement of its goals and missions in a particular time period. When collaboration is integrated into this process, it provides the organization with a way to exchange knowledge, skills, and competencies with different people participating in the process so that the goals can be modified and development can be ensued. This imparts the need to have enough resources as well as a culture that appreciates and encourages cooperation and teamwork. Cooperation plays the role of a catalyst when integrated in the process of strategic planning as it counteracts competition among the team members. Cooperation means development of

SIM #4 Essay Example | Topics and Well Written Essays - 250 words

SIM #4 - Essay Example Unfortunately, the destiny of the unproductive branches is fire. Thus, I will consider myself unproductive if I fail to convey the message about God to those who do not know Him. As a result of this, I will also be in a position to incur the punishment that will be imposed on me by God by proving unproductive. A church has also a role to play in enhancing the growth of productive souls. It does this by informing its audience on what they are obliged to do by God. A church also provides its audience with spiritual words as well motivational words as portrayed in the Bible in order to develop their faith. A church that enhances spiritual development and observance of God’s will correlates to the fruitful vine. However, some churches portray different pictures to the society. For instance, the dressing code, songs sung, and the mode of dancing in some churches show how believers have gone astray. Other churches are known also of using their services to generate money. In connection to the passage, churches that contribute to ungodliness among believers correlate to unfruitful vines and need to be

Drug Use Among African-American Adolescent Females Essay

Drug Use Among African-American Adolescent Females - Essay Example In addition, substance use and abuse leads to poorer performance in school, premature dropping out, legal complications, and poor employment opportunities. These are precisely the problems that a young African-American female is ill equipped to confront in a world where race and gender may already place them at a disadvantage. African-American adolescent females have made great strides in confronting drug abuse, yet there are still several risk factors that they are routinely exposed to. Substance abuse has been identified as the nation's number one health problem. It is critical to address the problem of teenage drug use as most users begin using AOD before they turn 15 years old (Lewis et al., 2002, p.15). For the purposes of this paper, an adolescent is a person attending school in grades 13 through 18 years old. Reaching and intervening into this age bracket is one of the keys to the success of stemming the tide of drug addiction. It is decidedly relevant to understand the scope of the problem as well as the triggers and stressors that may lead a young black female to use drugs or relapse after a treatment program. The economical cost to society makes it financially imperative to intervene at a young age. An untreated drug problem costs society almost four times as much as would be spent on a residential treatment program (Lewis et al., 2002, p.56). There is also a great personal cost attached to the abuser of AOD. Physical health suffers not only from the drugs , but also from poor eating habits and the stress involved with the stigma of drug use. The legal status of teen use of drugs can destroy a young girl's life by disrupting the educational process and exposing them to other criminal activity. While substance abuse is a major threat to our public health, it is one that the nation cannot afford to ignore. Stressors that raise the risk of drug use are often not gender or race specific, though there are some notable exceptions. In general, females in their teen years tend to use slightly fewer drugs than their male counterparts. Nearly 50 percent of men and women have tried an illegal drug by their senior year of high school, and alcohol is the most popular drug of choice followed by marijuana (Johnston, O'Malley, Bachman, and Schulenberg, 2007, p.115). However, marijuana is the drug that is most regularly used, with 1 percent of 8th graders smoking it daily, and 5 percent of 12th graders using the drug daily (Johnston et al., 2007, p.90). In contrast to the typical stereotyping of the media, African-American teens use fewer drug and less often than their Caucasian or Hispanic cohorts (Johnston et al., 2007, p.132-135). This misperception may be due to the strong correlation between poverty and drug use, and the over-representation of African-Americans in the nation's penal system. Howe ver, the statistics clearly indicate that adolescent African-American females are one of the lowest using demographic groups. There are several pressures that come to bear on young African-American women to begin using drugs. Having an opportunity beyond high school has a significant impact on a student's decision to postpone experimenting and using drugs. Marijuana use by 8th graders is 50 percent lower among the students who are planning on attending a 4-year college (Johnston, et al., 2007,

The potential impact of the current debt crisis in Europe on the U.S Essay

The potential impact of the current debt crisis in Europe on the U.S. finanancial market - Essay Example Thus major U.S. political allies could lose their positions, weakening consumer confidence in Euro zone. Europe is the major American exports market with 22.5 % of the total U.S. exports. This implies that U.S. exports will be hurt. Moreover, considering since 2008 government spending and exports have been the major U.S. economy drivers. The debt crisis will halt the recovery of the economy, thereby increasing the unemployment rate. In addition, according to FED Chairman Ben, U.S. has little financial exposure to the indebted countries. Financial markets in Europe and America are highly correlated. This implies that if the current debt worsens further, it will affect France and Germany, where major U.S. banks have significant exposure. This implies that due to the indebtedness of European banks, other banks will be hesitant to give credit on the fear of failure of payment. In case of extension of credit they would demand more security before credit maturity translating to enforced asset sales. This will drive the cost of borrowing high. This would drive down commodities prices and seize up of financial markets, another 2008 Lehman Brothers Scenario. In the financial market, debt crisis has led to great speculative trading. This is due to the uncertainties and recession fears in the market poised by the Euro zone debt crisis. This has translated to loss of major indices like the Dow Jones, stocks and variances in commodity prices. This is because many of the companies in United States have affiliates in Europe, leaving them exposed to the debt crisis. This has further translates to low investor confidence, and even shunning of financial markets. In the event of further debt crisis, it may result to the collapse of these markets (Trahan and Krantz, 2011). The market turmoil caused by the Euro zone crisis will negatively affect the U.S. household retirement and saving funds. This will amount to American household losing part of

The terms Race and Ethnicity Essay Example for Free

The terms Race and Ethnicity Essay The terms Race and Ethnicity are vastly different in meaning. Regardless of their historical definitions which can be lengthy and tend to run off on many tangents. Race to me simply is based on physical characteristics. The color of ones skin, the bone structure, eye color and shape, or texture and color of ones hair. The physical makeup of a person determines their origin of race, for example Black, White or Asian. Race is simply our biological composition. Ethnicity on the other hand is based in culture, where a persons ancestry developed, their national origin being foremost and then their learned culture and background over time becomes ones ethnic makeup. Examples of this are Hispanic, German, Scottish, English, Mexican, or Jewish. For instance I am White but also German, Irish and Dutch and through my family history there are cultural traditions carried on in each generation that have become part of my ethnicity and make me unique but also group me with people from my -specific ethnic background. Ethnicity means sharing cultural similarities such as language, cuisines, dress and traditions that are part of a national culture. As far as the ways these concepts are important to the United States society, there are many, however not all of them are positive. These concepts are important to the United States society because people are recognized for the diversity of their race and culture as represented by each individual group. In my opinion race has been and is still used to determine power in our society and always brings separation by the ways in which its distributed. Classes are formed and people are either lifted to a higher level of class based on their skin color or race of origin and others are suppressed and disallowed to climb higher in society by the same racial definitions. I believe the biggest importance in our society regarding both race and ethnicity is the way people are treated regarding healthcare and the glaring class separation. Whole sections of people can be made to feel alienated or be made to feel inferior if society fails to bring diverse groups together as one mainstream society. Ethnicity as I have seen it has brought groups closer in society. People of diverse nationalities seem to stick together and celebrate their diversity in close knit groupings, gathering at holidays to share cultural traditions. Choosing cohabitation in neighborhoods of common nationalities and cultures, forming alliances with similar fellowships and even encouraging social activities within cultural groups. Everyone can learn from anothers culture and bring their own knowledge to the table to share with others. Our country was founded on diversity and the common understanding that we are all different and all deserve the same respect for our individual values. In order to ensure success in the future of our country we need to broaden our thinking and teach tolerance and appreciation for our differences.