Tuesday, December 31, 2019

Social Media Has Become A Political Outlet For Civilians...

With the advancing globalized society that we live in, social media has become a political outlet for civilians of the interconnected world. Through this technological circuit, citizens are able to speak freely about the issues that concern them, giving them the ability to connect with others who share the same perspective. Looking through a development perspective, it is evident that social media outlets, for example twitter, have lead to major political uproar, such as the Arab Uprisings of 2011, or as popularized by the Western media, â€Å"The Arab Spring†. At this time, the demands of the protestors in the Arab region indicated their desire for greater social and economic justice and were made as a response to the growing concern regarding the Egyptian economy’s tie into the capitalist world market (Haynes, 2013). The Arab Spring was not solely a revolt against authoritarian regimes but also expressions of a crisis caused by the imbalanced social order brought upon by neoliberal policies (Bogaert, 2013). During this time, citizenry relied heavily on social media to spread information and promote insurgent agendas. Globalization and the technological facets of our hegemonic society have allowed for regular civilians to become part of the political system as exemplified through the use of social media during the Arab Spring. December 2010 was the commencement of a milestone in the Middle East, as resentment towards the lack of freedom, unemployment, and declining wages led toShow MoreRelatedSSD2 Module 4 Notes Essay28478 Words   |  114 Pagesthe ways of perceiving, feeling, and thinking acquired growing up in a particular group of people Ethnocentrism Ethnocentrism is the attitude held by the members of a culture that theirs is the only true, right, and best way to view and act in the world. Cultural relativism Cultural relativism is the idea that human behavior, ideas, and emotions must be understood in the context of the whole culture in which they occur. Culture shock Culture shock is the feelings of alienation, hostility, heightenedRead MoreElectronic Media vs Print (Thesis Paper)13276 Words   |  54 PagesElectronic Media VS. Print Where America Gets Its News Table of Contents Abstract†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.†¦3 Introduction†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.......................†¦4 Premise Statement†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦4 Personal Limitation†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.......................†¦5 Methodology†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.†¦Ã¢â‚¬ ¦5 Section 1: Birth of Electronic Media and its Popularity†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.†¦Ã¢â‚¬ ¦6 Radio†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.†¦6 Humble Beginnings†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦......6 From Navigation toRead MoreOne Significant Change That Has Occurred in the World Between 1900 and 2005. Explain the Impact This Change Has Made on Our Lives and Why It Is an Important Change.163893 Words   |  656 PagesStory of Reo Joe: Work, Kin, and Community in Autotown, U.S.A. Van Gosse and Richard Moser, eds., The World the Sixties Made: Politics and Culture in Recent America Joanne Meyerowitz, ed., History and September 11th John McMillian and Paul Buhle, eds., The New Left Revisited David M. Scobey, Empire City: The Making and Meaning of the New York City Landscape Gerda Lerner, Fireweed: A Political Autobiography Allida M. Black, ed., Modern American Queer History Eric Sandweiss, St. Louis: The EvolutionRead MoreMarketing and E-commerce Business65852 Words   |  264 PagesFahlgren Project Manager Team Lead: Judy Leale Project Manager: Karalyn Holland Operations Specialist: Michelle Klein Creative Director: Blair Brown Sr. Art Director: Janet Slowik Cover Designer: DePinho Design Cover Image: Shutterstock VLADGRIN Media Project Manager: Lisa Rinaldi Full Service Project Management: Azimuth Interactive, Inc. Composition: Azimuth Interactive, Inc. Printer/Binder: Edwards Brothers Malloy Cover Printer: Lehigh-Phoenix Color/Hagarstown Text Font: ITC Veljovic StdRead MoreEssay on Silent Spring - Rachel Carson30092 Words   |  121 PagesCritical Overview, Criticism and Critical Essays, Media Adaptations, Topics for Further Study, Compare Contrast, What Do I Read Next?, For Further Study, and Sources.  ©1998-2002;  ©2002 by Gale. Gale is an imprint of The Gale Group, Inc., a division of Thomson Learning, Inc. Gale and Design ® and Thomson Learning are trademarks used herein under license. The following sections, if they exist, are offprint from Beachams Encyclopedia of Popular Fiction: Social Concerns, Thematic Overview, TechniquesRead MoreStrategic Marketing Management337596 Words   |  1351 Pagesedition 1997 Reprinted 1998, 1999, 2001, 2003 Third edition 2005 Copyright  © 1992, 1997, 2005, Richard M.S. Wilson and Colin Gilligan. All rights reserved The right of Richard M.S. Wilson and Colin Gilligan to be identified as the authors of this work has been asserted in accordance with the Copyright, Design s and Patents Act 1988 No part of this publication may be reproduced in any material form (including photocopying or storing in any medium by electronic means and whether or not transiently or incidentallyRead MoreManaging Information Technology (7th Edition)239873 Words   |  960 PagesIntelligence Journey CASE STUDY II-4 Mining Data to Increase State Tax Revenues in California CASE STUDY II-5 The Cliptomaniaâ„ ¢ Web Store: An E-Tailing Start-up Survival Story CASE STUDY II-6 Rock Island Chocolate Company, Inc.: Building a Social Networking Strategy CASE STUDY III-1 Managing a Systems Development Project at Consumer and Industrial Products, Inc. CASE STUDY III-2 A Make-or-Buy Decision at Baxter Manufacturing Company CASE STUDY III-3 ERP Purchase DecisionRead MoreProject Mgmt296381 Words   |  1186 PagesText Topics Chapter 1 Modern Project Management Chapter 8 Scheduling resources and cost 1.2 Project defined 1.3 Project management defined 1.4 Projects and programs (.2) 2.1 The project life cycle (.2.3) App. G.1 The project manager App. G.7 Political and social environments F.1 Integration of project management processes [3.1] 6.5.2 Setting a schedule baseline [8.1.4] 6.5.3.1 Setting a resource schedule 6.5.2.4 Resource leveling 7.2 Setting a cost and time baseline schedule (1.3.5) [8.1.3] 6.5.2.3

Sunday, December 22, 2019

The Government Should Not Suspend Civil Right For National...

Throughout Canadian history, the issue of whether or not the government has the right to suspend civil right for national security has been debated by many citizens. Some people believed that the government is justified to hold off basic individual liberties is reasonable for the safety and protection of all Canadians. However, other believed that the government should not suspend civil rights for the sake of national security. Through careful analysis of the Japanese-Canadian Interments, the FLQ crisis and the Ukrainian-Canadian internment, it can be shown that the government showed unlawfulness in suspending individual rights and liberties. Some people has argued that the government justified its action for the protection of Canadians. During times of war, Canadians have feared for their safety and therefore, decreases their quality of life. For instance, news about the bombing and Pearl Harbour has spread throughout Canada, and the likeliness of Japan’s attack on Canada had increased. The government could not take risk, therefore they took aside the rights of a group of persons for the protection of all Canadians. This was not only acceptable, but also necessary for Canada to survive. Also, the FLQ fighters murdered an innocent government official and posed a threat to many citizens in Quebec. In addition to this, it is stated in the Canadian Charter of Rights and Freedoms only apply to reasonable limits. Lastly, Ukrainian Canadian were considered enemy aliens, a hugeShow MoreRelatedHabeas Corpus Essay1566 Words   |  7 PagesHABEAS CORPUS TERESA WATSON AMERICAN NATIONAL HISTORY PROFESSOR BRENT SCHINDLER FEBUARY 4, 2013 Habeas Corpus in its most familiar form has played an important role in â€Å"Anglo American history as a safe guard of individual liberty. It is defined as being a writ directed by a judge to some person who is detaining another, commanding him to bring the body of the person in his custody at a specified time and a specified place for a specified purpose. In contemporary practice, the writRead MoreThe Rights Of Habeas Corpus956 Words   |  4 Pagesthe writ of habeas corpus amid intense political instability was necessary. In order to give legal advice with substance to Her Excellency President Dove, the counsel remained very objective and impartial on her actions within the period of time the civil war lasted. The counsel is reviewing Madame Dove’s actions on three folds, 1, is her action to wage war constitutional? 2, is her action violate the constitution check and balances of powers? 3 is her action completely unconstitutional? These are theRead MoreThe Aria of War: Justifications for the Pursuit of National Security at Any Price1434 Words   |  6 PagesIntroduction The end of the Cold War and attacks of 9/11 dramatically altered the landscape of United States national security endeavors. Gone was the singular, nearly tactile threat as presented by a major superpower, and in its place was the â€Å"amorphous nature of a terrorist opponent,† (Snow, 2014, p. 112). This novel threat defied easy definition or identification, and attacked in ways to which the U.S. had grown unaccustomed. Phrases like â€Å"asymmetrical warfare† and â€Å"war on terror† were usedRead MoreHabeas Corpus and the War on Terror Essay1307 Words   |  6 Pageshistory of habeas corpus and how it came to be. 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Saturday, December 14, 2019

Dementia to Elderly in Uk Free Essays

Abstract Dementia is characterized by evidence of short term and long term memory impairment with impaired abstract thinking, impaired judgment, disturbances of higher cortical thinking, and personality changes. It is basically a progressive decline of cerebral utility such as logic, remembrance, language, problem solving, or concentration. This disease greatly harms the day by day performance of a person and is seen more in older people, however, is not a normal part of aging. We will write a custom essay sample on Dementia to Elderly in Uk or any similar topic only for you Order Now . INTRODUCTION 1. 1. Aim The aim of this dissertation is to analyze the effects of dementia in older people and to suggest possible solutions for its prevention and treatment. 1. 2. Objectives Primary objective of this research is to see how effective the health care management systems are for the diagnosis, treatment and prevention of dementia syndrome specially keeping in view the population of UK. 1. 3. Dementia defined The International Dictionary of Psychology (Sutherland, 1989) defines it as â€Å"an impairment or loss of mental ability, particularly of the capacity to remember, but also including impaired thought, speech, judgment, and personality. It occurs in senile dementia and in conditions involving widespread damage to the brain or narrowing of the blood vessels†. In the preceding definition, Sutherland introduced a different term, senile dementia. Senile is derived from the Latin adverb senex pertaining to age or growing old. This shows that some dementias occur at later or older ages for reasons not known. Definition of senile dementia as per The International Dictionary of Psychology is that it is â€Å"a progressive syndrome starting in old age with no clear cause, in which intellect, memory, and judgment are impaired; it is often accompanied by apathy or irritability† (Sutherland, 1989, p. 397). 1. 4. How common is dementia? In England only, there are approximately 570,000 people living with dementia. It is expected that this number would double in the coming 30 years (Barberger-Gateau, 2007). Generally dementia arises in people who are 65 years of age above. The chances of developing it are more as one gets old as compare to young people. Roughly, it is anticipated that dementia occurs in: †¢1. 4% of men and 1. 5% of women aged between 65 and 69, †¢3. 1% of men and 2. 2% of women aged between 70 and 74, †¢5. 6% of men and 7. 1% of women aged between 75 and 79, †¢10. 2 % of men and 14. 1% of women aged between 80 and 84, and †¢19. 6% of men and 27. 5% of women aged 85 or over. 2. LITERATURE REVIEW In the preceding paragraphs, we will discuss in detail the different kinds of dementia that occur to people at older age along with a number of causes that lead towards this syndrome. . 1. Types of dementia Following are the different types of dementia recognized so far (Davidson, 2005): †¢Alzheimer’s disease, where tiny clusters of protein, known as plaques, start to build up around brain cells. This upsets the regular workings of the brain. †¢Vascular dementia, where troubles with blood distribution re sult in uneven supply of blood and oxygen to certain parts of the brain. †¢Dementia with Lewy bodies, where irregular structures, known as Lewy bodies, grow inside the brain. †¢Frontotemporal dementia, where the two parts of the brain, frontal and temporal lobes, start to shrink. Not like other types of dementia, frontotemporal dementia typically grows in people who are below 65 years of age and is very rare than other types of dementia. 2. 2. Different Kinds of Dementia Different kinds of dementing disorders exist. One way of classification is according to parts of the brain being affected. Some frequently used classifications are as follows: †¢Cortical dementia: This type of dementia damages the brain particularly affecting the brain’s cortex, or outer layer. Problems such as memory, language, thinking, and social behavior results due to this disoder. Sub cortical dementia: It affects parts of the brain below the cortex and causes changes in emotions and movements along with damaging memory. †¢Progressive dementia: It gets worse with the passage of time, thus interfering more and more with cognitive abilities. †¢Primary dementia: This denotes to that form that does not result from any other disease such as AD. †¢Secondary dementia : This type of dementia occurs due to some physical disease or injury. †¢Treatable Dementia: About 10 percent of conditions that cause dementia are treatable. With treatment, the dementia can either be upturned or at least halted. Instances of conditions that cause treatable cases of dementia comprise of the following: ?Normal pressure hydrocephalus ?A brain tumor or brain cancer ?Hypothyroidism ?Vitamin B12 deficiency ?Neurosyphilis ?Reactions to medications ?Poisoning. †¢Non-Treatable Dementia: Types of dementia that currently have no cure include: †¢Lewy body dementia †¢Binswanger’s disease †¢Frontotemporal dementia †¢Corticobasal degeneration †¢Certain conditions that can cause childhood dementia †¢HIV-associated dementia Other infections within the brain, such as Creutzfeldt-Jakob disease †¢Huntington’s disease and other rare hereditary dementias †¢Head trauma, such as dementia pugilistica (also known as boxer’s syndrome). Several types of dementia fit into more than one of these classifications. For instance, AD is considered both a cortical as well as progressive deme ntia. 2. 3Causes 2. 3. 1Alzheimer’s disease It is the most common cause of dementia, affecting around 417,000 people in the UK. German neurologist Alois Alzheimer first described Alzheimer’s disease. According to him, it is a physical disease affecting the brain. All through the course of the disease, plaques and tangles develop in the brain, thus leading to the loss of brain cells. Shortage of some important chemicals in the brain also results due to this disease. These chemicals are concerned with the spread of messages within the brain. 2. 3. 2Vascular dementia Vascular dementia is the second most common form of dementia after Alzheimer’s disease. It is caused by problems in the supply of blood to the brain. There are a number of conditions that can cause or increase damage to the vascular system. These include high blood pressure, heart problems, high cholesterol and diabetes. This means it is important that these conditions are identified and treated at the earliest opportunity. 2. 3. 3Dementia with Lewy bodies Dementia with Lewy bodies (DLB) is a form of dementia that has characteristics similar to both Alzheimer’s and Parkinson’s diseases. It makes around four per cent of all cases of dementia in older people. Lewy bodies, named after the doctor who first identified them in 1912, are tiny, spherical protein deposits found in nerve cells. Their presence in the brain disrupts the brain’s normal functioning, interrupting the action of important chemical messengers, including acetylcholine and dopamine. Researchers have yet to understand fully why Lewy bodies occur in the brain and how they cause damage. 2. 3. 4Fronto-temporal dementia The term ‘fronto-temporal dementia’ includes conditions such as Pick’s disease, frontal lobe degeneration, and dementia associated with motor neurone disease. All these are due to damage to the frontal lobe and/or the temporal parts of the brain. These areas are responsible for our behaviour, emotional responses and language skills. . 3. 5Korsakoff’s syndrome Korsakoff’s syndrome is a brain disorder usually linked with heavy alcohol utilization over a long period. Sometimes it is referred to as ‘alcohol amnestic syndrome’ ? ‘amnestic’ meaning loss of memory ? although in rare cases alcohol is not the cause. Although Korsako ff’s syndrome is not strictly speaking a dementia, people with the condition suffer loss of short-term memory. 2. 3. 6Creutzfeldt-Jakob disease Prions are contagious agents that onslaught the central nervous system and then occupy the brain, causing dementia. Known prion disease is Creutzfeldt-Jakob disease, or CJD. It was first reported by two German doctors (Creutzfeldt and Jakob) in 1920. 2. 3. 7Aids-related cognitive impairment Individuals with HIV and AIDS occasionally develop cognitive impairment – particularly in the later stages of their sickness. AIDS (acquired immune deficiency syndrome) is caused by the presence of the human immunodeficiency virus (HIV) in the body. HIV attacks the body’s immune system, making the person affected more susceptible to infection. HIV-related cognitive impairment can be caused by: ? The direct impact of HIV on the brain Infections (called ‘opportunistic infections’) that take advantage of the weakened immune system. 2. 3. 8Binswanger’s disease Binswanger’s disease is a unusual form of vascular dementia in which harm occurs to the blood vessels in the deep white matter of the brain. Symptoms of Binswanger’s mostly occur in people over the age of 60 and it is usually linked with long-term hypertension. The disease chiefly affects memory and mental abilities such as thinking and learning. The individual may also experience mood swings, tremors, seizures and problems with walking. 2. 3. 9Huntington’s disease Huntington’s disease is a progressive inherited disease. It typically becomes obvious in adults in their 30s, even though it can occur earlier or later. There is also a puerile type of Huntington’s, which affects children. The route of the disease varies for each person, and dementia can occur at any stage of the illness. 2. 4Diagnosis Diagnosis of dementia is based on the following: †¢History †¢Physical exam †¢Tests The process of identifying dementia is made only if two or more brain functions such as memory and language skills are extensively damaged without loss of consciousness. An early and precise dementia diagnosis can help in early treatment of dementia symptoms and maybe reversing the dementia or stopping its development, if the cause of dementia is reversible (such as normal pressure hydrocephalus, a brain tumor, or B12 deficiency). †¢Patient History History taking is a very important step in identifying dementia. It is important to know how and when symptoms developed and about the patient’s overall medical condition. Is there any risk factor involved or there is any family history of similar symptoms along with any medication the person is taking. Physician also try to evaluate the patient’s emotional state and the degree of day to day actions being affected in spite of of the fact that patients with dementia frequently are ignorant of or in denial about how their disease is affecting them. Typically the family members also deny the reality of the disease because they take this in the beginning as a usual procedure of aging. Therefore, additional steps are necessary to confirm or rule out a dementia diagnosis. †¢Physical Exam: A physical examination can help in the following: ?Rule out treatable causes of dementia Classify signs of stroke or other disorders that can add to dementia ? Identify indications of other illnesses, such as heart disease or kidney failure that can be related with dementia. A thorough neurological assessment is performed to evaluate the balance, sensory function, reflexes, and other functions of the patient and to spot signs of conditions that may have an effect on the diagnosis of dementia. †¢Tests Used in Diagnosing Dementia Tests that are used to diagnosis dementia include the following: ?Cognitive and neuropsychological tests (Mini-Mental State Examination (MMSE) ? Brain scans (MRI or CT scan) Laboratory tests ?Psychiatric evaluations ?Pre-symptomatic testing. †¢Cognitive and Neuropsychological Tests for Dementia Tests are done to measure memory, language skills, math skills, and other abilities associated to mental functioning to help them analyze a patient’s condition precisely. A test called the Mini-Mental ® State Examination (MMSEâ„ ¢) is used to judge cognitive skills in people with assumed dementia. This test examines: ? Orientation ?Memory ?Attention Doctors also use a diversity of other tests and rating scales to categorize explicit types of cognitive problems and abilities. †¢Brain Scan Tests for Dementia Brain scans are carried out to recognize strokes, tumors, or other problems that can result dementia. A brain scan may also demonstrate cortical atrophy (the progressive loss of neurons causes the ridges to become thinner and the sulci to grow wider), which is the deterioration of the brain’s cortex (outer layer) and is frequent in many forms of dementia. Brain scans can also spot changes in the brain’s organization and function that would propose Alzheimer’s disease. †¢Computed Tomography Scan or Magnetic Resonance Imaging The most general types of brain scans are computed tomography (CT) scans and magnetic resonance imaging (MRI). A CT scan of the brain frequently suggested in a patient with suspected dementia. These scans, which use x-rays to detect brain structures, can show evidence of: ?Brain atrophy ?Strokes and transient ischemic attacks (TIAs) ?Changes to the blood vessels ?Other problems (such as hydrocephalus and subdural hematomas). MRI scans use magnetic fields and focused radio waves to detect hydrogen atoms in tissues within the body. They can detect the same problems as CT scans but they are better for identifying certain conditions, such as brain atrophy and damage from small TIAs. †¢Electroencephalograms (EEGs) Electroencephalograms (EEGs) are another tool to assist in inspecting people with suspected dementia. In an EEG, electrodes are placed on the scalp over several parts of the brain in order to detect and record patterns of electrical activity and to check for abnormalities. This electrical activity can indicate cognitive dysfunction in part or all of the brain. Many patients with moderately severe to severe Alzheimer’s disease have abnormal EEGs. An EEG may also be used to detect seizures, which occur in about 10 percent of people with Alzheimer’s disease. It can also help diagnose Creutzfeldt-Jakob disease. †¢Other Brain Scan Tests Several other types of brain scans allow researchers to watch the brain as it functions. These scans, called functional brain imaging, are not often used as diagnostic tools, but they are important in research and they may ultimately help identify people with dementia earlier than is currently possible. Types of functional brain scans include: ?Functional MRI (fMRI): It uses radio waves and a strong magnetic field to measure the metabolic changes that take place in active parts of the brain. ?Single photon-emission computed tomography (SPECT): It shows the distribution of blood in the brain, which generally increases with brain activity. Positron emission tomography (PET): This scans can detect changes in glucose metabolism, oxygen metabolism, and blood flow, all of which can reveal abnormalities of brain function. ?Magneto encephalography (MEG): This can show the electromagnetic fields produced by the brain’s neuronal activity. †¢Laboratory Tests for Dementia Doctors may use a variety of laboratory tests to help diagnose dementia or rule out other conditions, such as kidney failure, which can contribute to symptoms. A partial list of these tests includes: ?A complete blood count (CBC) Blood glucose test, which measures sugar levels in the blood ? Urinalysis ?Drug and alcohol tests (toxicology screen) ?Cerebrospinal fluid analysis (to rule out specific infections that can affect the brain) ? Analysis of thyroid and thyroid-stimulating hormone levels. ?A doctor will order only the tests that he or she feels are necessary to improve the accuracy of a diagnosis. †¢Psychiatric Evaluation The healthcare provider may recommend a psychiatric evaluation to determine if depression or another psychiatric disorder may be causing or contributing to a person’s symptoms. Pre-Symptomatic Testing In most cases, testing people before symptoms begin in order to determine if they will develop dementia is not possible. However, in cases involving disorders such as Huntington’s where a known gene defect is clearly linked to the risk of the disease, a genetic test can help identify people who are likely to develop the disease. Since this type of genetic information can be devastating, people should carefully consider whether they want to undergo such testing. 2. 5Treatment For about 10 percent of conditions that cause dementia, treatment is available that can help reverse or at least slow down its progression. Some examples of these treatable causes of dementia include: †¢A brain tumor †¢Normal pressure hydrocephalus †¢Hypothyroidism. For most cases, treatment does not exist to reverse or halt the disease’s progression; however, this does not mean that nothing should be done. People with dementia can benefit to some extent from such things as medications and cognitive training. There are also options for the family to help them cope. 2. 6Risk Factors Scientists have found a number of risk factors for dementia that affect the likelihood of developing one or more kinds of dementia. While these are not causes of dementia, they may increase a person’s chances of developing the symptoms referred to collectively as dementia. Some dementia risk factors can be treated or controlled and some cannot Some of these risk factors for dementia are modifiable, while others are not.. Also, certain risk factors are more likely to increase the risk for certain types of dementia. For example, the risk of vascular dementia is strongly correlated with risk factors for stroke. Finally, the more dementia risk factors you have, the greater your chances of having dementia. An example of risk factors for dementia that you cannot change involves getting older (the risk of dementia tends to increase with age). Other dementia risk factors you cannot control include having: †¢Age †¢A family history of dementia †¢Down syndrome †¢Mild cognitive impairment †¢History of a stroke. Dementia risk factors that you can control include: †¢Hypertension †¢hypercholesterolemia †¢Diabetes †¢Atherosclerosis †¢Smoking †¢Heavy alcohol use. †¢Homocysteine levels in the blood. There are also things that can be controlled that increase your risk for developing diabetes, atherosclerosis, and other conditions that may increase your risk of developing dementia. These include: †¢Being overweight or obese †¢Lack of physical activity †¢Unhealthy diet. ?Age Age is the utmost risk aspect for dementia. Dementia influences one in 14 people over the age of 65 and one in six over the age of 80. However, Alzheimer’s is not limited to aged people: in the UK, there are 15,000 people under the age of 65 with dementia, although this figure is likely to be an underrated. ?Genetic inheritance Several people fear that they may become heir to Alzheimer’s disease, and scientists are presently exploring the hereditary background to Alzheimer’s. In most of the cases, the effect of inheritance appears to be minute. If a parent or other family member has Alzheimer’s disease, probability of developing the disease is only a slight elevated than if there were no cases of Alzheimer’s in the direct family. ?Environmental factors The ecological factors that may add to the onset of Alzheimer’s disease have yet to be discovered. Not many years ago, there were concerns that revelation to aluminum might cause Alzheimer’s disease. Nevertheless, these fears have largely been discounted. ?Other factors Because of the dissimilarity in their chromosomal structure, people with Down’s disorder who live into their 50s and 60s may develop Alzheimer’s disease. People who have had stern skull or whiplash wounds also come out to be at increased risk of developing dementia. Boxers who get frequent blows to the head are at risk too. Study has also revealed that people who smoke, and those who have elevated blood pressure or sky-scraping cholesterol levels, augment their risk of developing Alzheimer’s. 2. 7 Care of people with dementia People with moderate and advanced dementia typically need round-the-clock care and supervision to prevent them from harming themselves or others. They may also need assistance with daily activities such as eating, bathing, and dressing. Meeting these needs requires patience, understanding, and careful thought from the person’s caregivers. For people involved with dementia care, there are some important things to consider. These include such things as: †¢Making the home safe †¢Helping to reduce stressors †¢Providing mental stimulation. Good dementia care always involves the issue of driving. One of the hardest things to do is to take away a person’s independence that comes with driving. However, for a number of reasons that we will explain later, people with dementia should not drive. 2. 7. 1Dementia Care and the Home A typical home environment can present many dangers and obstacles to people with dementia, but simple changes can overcome many of these problems. For example, sharp knives, dangerous chemicals, tools, and other hazards should be removed or locked away. Other safety precautions include: †¢Installing bed and bathroom safety rails †¢Removing locks from bedroom and bathroom doors Lowering the hot water temperature to 120 °F (48. 9 °C) or less to reduce the risk of accidental scalding. People with dementia should also wear some form of identification at all times in case they wander away or become lost. Caregivers can help prevent unsupervised wandering by adding locks or alarms to outside doors. 2. 7. 2Reducing Stressors People with dement ia often develop behavioral problems because of frustration with specific situations. Understanding and modifying or preventing the situations that trigger these behaviors may help to make life more pleasant for the person with dementia as well as his or her caregivers. For instance, the person may be confused or frustrated by the level of activity or noise in the surrounding environment. Reducing unnecessary activity and noise (such as by limiting the number of visitors and turning off the television when it’s not in use) may make it easier for the person to understand requests and perform simple tasks. Caregivers may also reduce confusion in people with dementia by: †¢Simplifying home decorations †¢Removing clutter †¢Keeping familiar objects nearby †¢Following a predictable routine throughout the day. Calendars and clocks also may help patients orient themselves. . 7. 3Mental Stimulation as Part of Dementia Care Caregivers should encourage people with dementia to continue their normal leisure activities as long as they are safe and do not cause frustration. Activities such as crafts, games, and music can provide important mental stimulation and improve mood. Some studies have suggested that participating in exercise and intellectually stimulating activities may slow the decline of cognitive function in some people. 2. 7. 4Is Driving Safe? Many studies have found that driving is unsafe for people with dementia. They often get lost and they may have problems remembering or following the rules of the road. They may also have difficulty processing information quickly and dealing with unexpected circumstances. Even a second of confusion while driving can lead to an accident. Driving with impaired cognitive functions can also endanger others. Some experts have suggested that regular screening for changes in cognition might help to reduce the number of driving accidents among elderly people, and some states now require that doctors report people with Alzheimer’s disease to their state motor vehicle department. However, in many cases, it is up to the person’s family and friends to ensure that the person does not drive. 2. 7. 5How the local authority assesses need Local authority social services departments are the main providers of care and support services. If a person with dementia or their carer is in need of support, they should contact the local social services department to explain. The department will then carry out an assessment of the person’s needs and identify what services would be appropriate to meet those needs. This is known as a community care assessment If the department assesses a person as being in need of certain services, it has a duty to provide the services that fall within their eligibility criteria (locally set rules on what type of needs the local authority will meet). The person may have to contribute towards the cost of these services. Local authorities can provide services directly themselves, or may make arrangements for private or voluntary-sector organizations to provide care on their behalf. Services ary from area to area, but range from those that allow someone to remain independent in their own home (such as meals on wheels, day care, equipment and home adaptations) to residential care. The views and preferences of the person receiving the service should always be taken into account. 2. 7. 6Care plans If, after assessing the person’s care needs, the social services department agrees that certain services should be provided, it will give the person a written care p lan outlining these services. This applies whether the person lives at home or in a care home. Care plans should be reviewed regularly and as needs change. If a review has not been carried out recently, or if one may be necessary, the person or their carer should contact social services and ask for a review. In addition, care homes must provide an individual care plan for each resident. This must be regularly reviewed to take account of changing needs. 2. 7. 7Thinking through the options Once the social services department has confirmed what services the person is eligible to receive, the person and their carer can begin to think through the options. Even if the assessment concludes that the person’s needs are not yet urgent enough to receive help from social services, or if some services are not available under the local authority’s eligibility criteria, an assessment will give everyone clearer information about the situation and the kinds of help available from other sources. The person or their family or carer could arrange services themselves, or through a voluntary organization or private agency. A key decision is whether the person can remain in their own home, or whether they would prefer to move into sheltered housing or a care home. If they stay in their own home, there are many additional support options available. It is also important to consider the financial implications of the options available. Social services should be able to give an idea of how much the person will have to pay towards the costs of the various services that are arranged through them. Services provided by the NHS, such as community nursing, are free. Anyone who is arranging services themselves, whether through a voluntary organisation or a private agency, will need to make their own enquiries. It is important not to rush into a decision. It might help to also talk to friends and relatives, other carers and your local Alzheimer’s Society branch. Local voluntary organisations are a source of further information, advice and practical help. Below is some guidance about what to consider when you are thinking about the kind of care the person in question needs. 2. 7. 8Understanding and respecting the person with dementia It’s very important that people with dementia are treated with respect. It is important to remember that a person with dementia is still a unique and valuable human being, despite their illness. If you can understand what the person is going through, it might be easier for you to realise why they behave in certain ways. When a person with dementia finds that their mental abilities are declining, they often feel vulnerable and in need of reassurance and support. The people closest to them – including their carers, health and social care professionals, friends and family – need to do everything they can to help the person to retain their sense of identity and feelings of self-worth. 2. 7. 9Helping the person feel valued The person with dementia needs to feel respected and valued for who they are now, as well as for who they were in the past. There are many things that the people around them can do to help, including: †¢trying to be flexible and tolerant †¢making time to listen, have regular chats, and enjoy being with the person †¢showing affection in a way they both feel comfortable with †¢finding things to do together. Our sense of who we are is closely connected to the names we call ourselves. It’s important that people address the person with dementia in a way that the person recognises and prefers. Some people may be happy for anybody to call them by their first name or nickname. †¢Others may prefer younger people, or those who do not know them very well, to address them formally and to use courtesy titles, such as Mr or Mrs. Make sure you explain the person’s cultural or religious background, and any rules and customs, to anyone from a different backgroun d so that they can behave accordingly. These may include: †¢respectful forms of address †¢what they can eat †¢religious observances, such as prayer and festivals particular clothing or jewellery that the person (or those in their presence) should or should not wear †¢any forms of touch or gestures that are considered disrespectful †¢ways of undressing †¢ways of dressing the hair †¢how the person washes or uses the toilet. Many people with dementia have a fragile sense of self-worth; it’s especially important that people continue to treat them with courtesy, however advanced their dementia. †¢Be kind and reassuring to the person you’re caring for without talking down to them. †¢Never talk over their head as if they are not there – especially if you’re talking about them. Include them in conversations. †¢Avoid scolding or criticising them – this will make them feel small. †¢Look for the meaning behind their words, even if they don’t seem to be making much sense. Whatever the detail of what they are saying, the person is usually trying to communicate how they feel. †¢Try to imagine how you would like to be spoken to if you were in their position. †¢Try to make sure that the person’s right to privacy is respected. †¢Suggest to other people that they should always knock on the person’s bedroom door before entering. If the person needs help with intimate personal activities, such as washing or using the toilet, do this sensitively and make sure the door is kept closed if other people are around. †¢Everyone involved – including the person’s friends, family members, carers, and the person with dementia themselves – reacts to the experience of dementia in their own way. Dementia m eans different things to different people. There are lots of things you can do to help the person with dementia feel good about themselves. This factsheet offers some suggestions. When you spend time with someone with dementia, it is important to take account of their abilities, interests and preferences. These may change as the dementia progresses. It’s not always easy, but try to respond flexibly and sensitively. Dementia affects people’s thinking, reasoning and memory, but the person’s feelings remain intact. A person with dementia will probably be sad or upset at times. In the earlier stages, the person may want to talk about their anxieties and the problems they are experiencing. †¢Try to understand how the person feels. Make time to offer them support, rather than ignoring them or ‘jollying them along’. †¢Don’t brush their worries aside, however painful they may be, or however insignificant they may seem. Listen, and show the person that you are there for them. †¢Make sure that, whenever possible, you inform and consult the person about matters that concern them. Give them every opportunity to make their own choices. †¢Always explain what you are doing and why. You may be able to judge the person’s reaction from their expression and body language. †¢People with dementia can find choice confusing, so keep it simple. Phrase questions so that they only need a ‘yes’ or ‘no’ answer, such as ‘Would you like to wear your blue jumper today? ‘ rather than ‘Which jumper would you like to wear today? ‘ †¢Avoid situations in which the person is bound to fail, as this can be humiliating. Look for tasks that they can still manage and activities they enjoy. ive plenty of encouragement. Let them do things at their own pace and in their own way. †¢Do things with the person, rather than for them, to help them retain their independence. †¢Break activities down into small steps so that they feel a sense of achievement, even if they can only manage part of a task. Our self-respect is often bound up with the way we look. Encourage the person to take pride in their appearance, and compliment them on how they look. Make sure that anyone involved in caring for the person has as much background information as possible, as well as information about their pr esent situation. This will help them see the person they’re caring for as a whole person rather than simply ‘someone with dementia’. It may also help them to feel more confident about finding conversation topics or suggesting activities that the person may enjoy. 2. 8How effective is heath care management? Health care management involves several techniques to cater the needs of the patient. It should be kept in mind that patient is not responsible for the disease and therefore should not be ignored or avoided. With the advancement in technology, different techniques can be used to look after the suffer of this disorder. However, these techniques and ways could only help the victim survive a bit since. Those kinds of dementia which are treatable and such patients have a different perspective and outlook of life as compared to those who are the victims of the untreatable ones. So the care also varies with these two kinds of patients. Effectiveness of the present day health care management system is satisfactory but as said earlier it cannot bring back the life of the victim, however could let him or her survive for few more days with a happy face. 3. DEMENTIA IN UK Following statistics give a clear cut idea about the ratio and proportion of dementia patients in UK: †¢There are currently 700,000 people with dementia in the UK. †¢There are currently 15,000 younger people with dementia in the UK. †¢There are over 11,500 people with dementia from black and minority ethnic groups in the UK. There will be over a million people with dementia by 2025. †¢Two thirds of people with dementia are women. †¢The proportion of people with dementia doubles for every 5 year age group. †¢One third of people over 95 have dementia. †¢60,000 deaths a year are directly attributable to dementia. †¢Delaying the onset of dementia by 5 years wo uld reduce deaths directly attributable to dementia by 30,000 a year. †¢The financial cost of dementia to the UK is over ? 17 billion a year. †¢Family carers of people with dementia save the UK over ? 6 billion a year. †¢64% of people living in care homes have a form of dementia. Two thirds of people with dementia live in the community while one third live in a care home. 4. LIVING WITH DEMENTIA People with dementia have become increasingly involved in the work of the Alzheimer’s Society since 2000. Through a national programme called ‘Living with Dementia’, people with dementia have been sharing their experiences and knowledge, and raising awareness of dementia at local and national levels. This contribution is crucial to ensure that the Alzheimer’s Society develops appropriate information and support for people with dementia. It ensures that people with dementia can influence the work that the Society carries ut on their behalf. On a natio nal level the Living with Dementia programme consults with people with dementia in support of the Alzheimer’s Society’s work of influencing government policy. †¢People with dementia in action People with dementia are involved in the Alzheimer’s Society in a variety of ways: ? Giving presentations and raising public awareness. ?Organising the unique UK wide convention of people with dementia. ?Lobbying MPs and commenting on government legislation. ?Being interviewed by national press and television. ?Recruiting and inducting new staff at the Alzheimer’s Society. ?Helping to make the website easier to use. Developing information for other people with dementia and their families. ?Participating in the national consultative body, the Living with Dementia Working group. These are just a few examples. There are many opportunities in the Living with Dementia programme †¢Living with Dementia Programme Various initiatives in the Alzheimer’s Societ y have focused on ways of supporting people living with dementia. Many started as two year pilots in 2001 and 2002, but are now established as a core part of the Alzheimer’s Society activity. Examples of current initiatives are listed below: †¢West Kent Computer project Started in 2001. It supports people with dementia using computer equipment, to find new ways of communicating, pursuing interests and have fun. †¢Living with Dementia presentation skills training For people with dementia. Everyone affected by dementia has their own unique story to tell. Personal experiences and views are a powerful way of raising awareness about dementia, making issues come alive. Training people with dementia to share their experience on TV, press and at meetings, helps to reduce the misunderstanding that surrounds dementia and offers hope to people facing the same situation. Providing key skills enables people to undertake publicity work with confidence. †¢Helpcard for people with dementia Developed in 2007 by people with dementia and piloted by people with dementia. The helpcard enables people with dementia to feel confident, not alone and able to ask for help at anytime. It is very useful in emergency situations, and is an effective communication tool that informs others of a person’s circumstances. There are three different designs, with three different options for describing particular situations. †¢National conference for people with dementia The Alzheimer’s Society has hosted three conferences for people with dementia in London, Newcastle and Birmingham (Thompson, Nanni Schwankovsky, 1990). The latter two involved members from the Living with Dementia Working group and the Scottish Dementia Working Group, making them the only UK wide events for people with dementia. In Newcastle the ‘Improving Our Lives’ feedback included: ?Get out and enjoy life ?Laugh! Confidence ?Remaining the same person after diagnosis ?Open positive communication ?Speak up – have your voice listened to ?Speak to your MP Being denied treatment – medication because of a ‘cost cutting’ exercise – it’s a disgrace ? Set up an email group ?Done more since having dementia – living my life to the full 5. RESEARCHES Currently, scientists are conducting research on many different aspects of dementia. This research promises to improve the lives of people affected by such symptoms and may eve ntually lead to ways of preventing or curing the disorders that result in dementia. Some areas of focus for dementia research include: †¢Causes and prevention †¢Diagnosis †¢Treatment. Researching the Causes and Prevention of Dementia Research on the causes of Alzheimer’s disease (and other disorders that are causes of dementia) includes studies of: †¢Genetic factors †¢Neurotransmitters †¢Inflammation †¢Factors that influence programmed cell death in the brain †¢The roles of tau, beta amyloid, and the associated neurofibrillary tangles and plaques in Alzheimer’s disease. Some other dementia research scientists are trying to determine the possible roles of cholesterol metabolism, oxidative stress (chemical reactions that can damage proteins, DNA, and lipids inside cells), and microglia in the development of Alzheimer’s disease. Current research on dementia prevention and causes includes the following: †¢Research to better understand the role of aging-related proteins (such as the enzyme telomerase) in the development of dementia. †¢Studies of abnormal clumps of proteins in cells. Researchers are trying to learn how abnormal clumps of protein in cells develop, how they affect cells, and how the clumping can be prevented. †¢Studies that examine whether changes in white matter — nerve fibers lined with myelin — may play a role in the onset of Alzheimer’s disease. Myelin may erode in Alzheimer’s disease patients before other changes occur. This may be due to a problem with oligodendrocytes, the cells that produce myelin. †¢Work being done by scientists to search for additional genes that may contribute to Alzheimer’s disease. These researchers have identified a number of gene regions that may be involved in the development of Alzheimer’s. Some researchers suggest that people will eventually be screened for a number of genes that contribute to Alzheimer’s disease and that they will be able to receive treatments that specifically address their individual genetic risks. However, such individualized screening and treatment is still years away. †¢Studies on insulin resistance. Insulin resistance is common in people with Alzheimer’s disease, but it is not clear whether the insulin resistance contributes to the development of the disease or if it is merely a side effect. †¢Several dementia research studies have found a reduced risk of dementia in people who take cholesterol-lowering drugs called statins. However, it is not yet clear if the apparent effect is due to the drugs or to other factors. Therefore, more research is being currently being done be better understand this possible relationship between statins and dementia. †¢ A 2003 dementia research study found that people with HIV-associated dementia have different levels of activity for more than 30 different proteins, compared to people who have HIV but no signs of dementia. The study suggests a possible way to screen HIV patients for the first signs of cognitive impairment, and it may lead to ways of intervening to prevent this form of dementia. Research in this area continues. Research Involving Diagnosis of Alzheimer’s Disease Improving early diagnosis of Alzheimer’s disease and other disorders that may cause dementia is important not only for patients and families, but also for researchers who seek to better understand the causes of dementia and find ways to reverse or halt them at early stages. Improved diagnosis can also reduce the risk that people will receive inappropriate treatments. †¢In some research, scientists are investigating whether three-dimensional computer models of positron emission tomography (PET) and magnetic resonance imaging (MRI) can identify brain changes typical of early Alzheimer’s disease, before any symptoms appear. This research may lead to ways of preventing the symptoms of Alzheimer’s disease. †¢One study found that levels of beta amyloid and tau in spinal fluid could be used to diagnose Alzheimer’s disease with an accuracy of 92 percent. If other studies confirm the validity of this test, it may allow doctors to identify people who are beginning to develop the disorder before they start to show dementia symptoms. †¢This would allow treatment at very early stages of the disorder, and may help in testing new treatments to prevent or delay symptoms of the disease. Other researchers have identified factors in the skin and blood of Alzheimer’s disease patients that are different from those in healthy people. They are trying to determine if these factors can be used to diagnose the disease. Treatment Research †¢Researchers are continually working to develop new drugs for Alzheimer’s disease and other causes of dementia. Many researchers believe a vaccine that reduces the number of amyloid plaques in the brain might ultimately prove to be the most effective treatment for Alzheimer’s disease. In 2001, researchers began one clinical trial of a vaccine called AN-1792. The research study was halted after a number of people developed inflammation of the brain and spinal cord. †¢Despite these problems, one patient appeared to have reduced numbers of amyloid plaques in the brain. Other patients showed little or no cognitive decline during the course of the study, suggesting that the vaccine may slow or halt the disease. Res earchers are now trying to find safer and more effective vaccines for Alzheimer’s disease. Researchers are also investigating possible methods of gene therapy for Alzheimer’s disease. In one case, researchers used cells genetically engineered to produce nerve growth factor and transplanted them into monkeys’ forebrains. The transplanted cells boosted the amount of nerve growth factors in the brain and seemed to prevent degeneration of acetylcholine-producing neurons in the animals. †¢This suggests that gene therapy might help to reduce or delay symptoms of the disease. Researchers are now testing a similar therapy in a small number of patients. Other researchers have experimented with gene therapy that adds a gene called neprilysin in a mouse model that produces human beta amyloid. They found that increasing the level of neprilysin greatly reduced the amount of beta amyloid in the mice and halted the amyloid-related brain degeneration. They are now trying t o determine whether neprilysin gene therapy can improve cognition in mice. †¢Since many studies have found evidence of brain inflammation in people with Alzheimer’s disease, some researchers have proposed that drugs that control inflammation, such as NSAIDs, might prevent the disease or slow its progression. Studies in mice have suggested that these drugs can limit production of amyloid plaques in the brain. Early studies of these drugs in humans have shown promising results. †¢However, a large NIH-funded clinical trial of two NSAIDs (naproxen and celecoxib) to prevent Alzheimer’s disease was stopped in late 2004 because of an increase in stroke and heart attack in people taking naproxen (Aleve ®, Naprosyn ®, Anaprox ®, Naprelan ®), and an unrelated study that linked celecoxib (Celebrex ®) to an increased risk of heart attack. Some research studies on dementia have suggested that two drugs, pentoxifylline and propentofylline, may be useful in treating vascular dementia. Pentoxifylline improves blood flow, while propentofylline appears to interfere with some of the processes that cause cell death in the brain. †¢One research study is testing the safety and effectiveness of donepezil (Aricept ®) for treating mild dementia in patients with Parkinson’s dem entia, while another is investigating whether skin patches with the drug selegiline can improve mental function in patients with cognitive problems related to HIV. . CONCLUSION An appropriate cost effective workup of dementia includes a complete history, a complete physical examination (including a neuropsychiatric evaluation), a CBC, blood glucose, serum electrolytes, serum calcium, serum creatinine, and serum thyroid stimulating hormone (Whitlatch, Feinberg Tucke, 2005). Other tests should be done only if there is a specific indication for e. g. vitamin B12 and folate if macrocytosis is present (Wilkinson Lennox, 2005). A CT or MRI should be considered if the onset of dementia is before the age of 65 years, symptoms have occurred for less than 2 years, there is evidence of focal or asymmetrical neurological deficits, the clinical picture indicates normal pressure hydrocephalus, or there is a recent history of fall or other head trauma. If a patient has a history of cancer or is on anticoagulation therapy, then neuro imaging should also be considered. Thus to conclude, it is sufficient to say that dementia, though a dangerous disorder, having not much cures, can be prevented by undergoing certain precautionary measures as illustrated above. How to cite Dementia to Elderly in Uk, Essay examples

Friday, December 6, 2019

Information on Floristry Products and Services

Question: Discuss about the Information on Floristry Products and Services. Answer: Introduction: This discussion is entitled to a lay foundation of work system that comes under the statutory function in florist industry. The relation system has paved employer to provide minimum standards and regulations over a range of employment and industrial matters (Gaul, 2014). Many key features have framed that supply nationally for certain industries and occupations. Many government bodies have their grants to industrial relation system. In case of awards and wages, they put minimum standards for remuneration decision, reviewing and determining the rate of pay (Gwabu, Benny Wei, 2014). Whereas few national employment standards include flexible working arrangements, community service leaves, public holidays termination notice, record keeping, and other monitoring compliances. People in florist industry are safely aware of working practices (Gaul, 2014). The Occupational Health Safety (OHS) measures indicate supporting the bodies prevent dangerous accidents and illness. It maintains hous ekeeping, helps to change repetitive jobs, deals with harassment, spotting out poisonous plants, manual handling and caring for the health and hygienic standards. Under the OHS laws, the administrative body performs functions in relation to power and authority specific to duties assigned with shared responsibility and complying with health and safety legislation (Gwabu, Benny Wei, 2014). Again through fair trade practices clients are satisfied so spam and unsolicited call practices are avoided. Floral Merchandisers keep track of inventory and provide product customer service. As a retailer, they are found in supermarkets and garden centres and listen closely to their customer's wishes and suggesting that are relevant to purchase and close sales. References Gaul, E., 2014.Sustainability: An Examination of Trends in the Floral Industry(Doctoral dissertation, California Polytechnic State University, San Luis Obispo). Gwabu, C., Benny, D. and Wei, S., 2014, August. How can the growth of infant floriculture industry in Papua New Guinea be enhanced?. InXXIX International Horticultural Congress on Horticulture: Sustaining Lives, Livelihoods and Landscapes (IHC2014): 1104(pp. 417-422).

Friday, November 29, 2019

Kindergarten free essay sample

1. What is the profile of the respondents in terms of: a. age b. gender c. mother tongue d. gross family income e. educational attainment of parents f. early childhood education g. availability of educational materials at home 2. What is the level of mother tongue based-reading readiness skills of the pupils in terms of: a. noting similarities of shapes and forms b. recognizing similar/different words c. telling the missing parts d. classifying objects e. building vocabulary f. matching pictures 3. What is the correlation of the mother tongue based-reading readiness skills of pupils when grouped according to: a. age b. gender c. mother tongue d. gross family income e. educational attainment of parents f. early childhood education g. availability of educational materials at home Hypothesis of the Study There is no significant correlation between the reading readiness skills and the profile of Kindergarten pupils. Significance of the Study This study will be beneficial to the following: 1. We will write a custom essay sample on Kindergarten or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page School Administrators This study may point out the need to evaluate the school reading program which serves as guide in guiding teachers improve reading instruction and consequently, the reading abilities of pupils. Administrators perform crucial roles in the attainment of objectives specified in their academic programs. 2. Curriculum Writers and Instructional Materials Developers Findings in this research may likewise be utilized by them as bases in the preparation of curriculum and instructional materials such as teacher’s guides and learners’ materials. 3. Teachers Results of this study may provide an assessment of the reading readiness of pupils for teachers to be guided in the planning, preparation and administration of reading instruction and programs for the pupils. 4. Parents Parents will be able to monitor their child’s reading progress and help in the remedial reading instruction at home. 5. Pupils They are the ultimate beneficiaries of this study as whatever findings will be the basis for improving reading instruction and reading program. This study will quantify not only their strengths, but also their weaknesses in reading readiness and be able to remediate them. Conceptual Framework Effective classroom instruction in the early grades is key to creating strong, competent readers and to preventing reading difficulties. When a child enters school, it is the teachers role to provide effective reading instruction. Although many others share responsibility for creating a supportive learning environment, it is the teacher who has the greatest opportunity and most direct responsibility for providing the instruction that inspires and enables the child to become a lifelong reader. The foundations of good reading are the same for all children, regardless of their gender, background, or special learning needs. All children use the same processes in learning to read. Some will need more help than others and may need more instruction in one reading skill than another, but all children must ultimately master the same basic skills for fluency and comprehension. Education is empowerment and language is the means to gain access to education. Studies show that quality education occurs most effectively when the mother tongue, the learner’s first language, is used for learning at the start. The first language is by far the easiest way for children to access the unfamiliar world of formal school learning. As a language of learning, the familiar language reinforces the value of the children’s home culture, worldview, and knowledge structures, as well as provides them with the foundational ability to learn to use language to learn. But when the language of learning and the language of instruction do not match, learning difficulties are bound to follow. To discard the use of the L1 in favor of an unfamiliar language upon the children’s entry into grade school is tantamount to displacing or disconnecting their foundational knowledge from the learning process and concepts confined in the classroom. When this happens, learners lose interest in their studies, drop out of school, or lose sight of the long term goal of getting educated, thus becoming underachievers. The Philippines is a multicultural, multiregional, multiethnic, and multilingual nation. It has around 170 different native languages. Deploying all these languages as learning resources is a formidable task. However, the enormity of the problem is lessened by the fact that 15 of these languages are already spoken by 95 percent of our population (Nolasco, 2010). From the 15 dominant languages, 11 mother tongues will be used as sole languages of instruction. They are Cebuano, Iloko, Tagalog, Bikol, Hiligaynon, Waray, Kapampangan, Pangasinense, Maranao, Maguindanaon, and Tausug . These MTs were chosen because they are the most widely spoken languages in the country (Isagani Cruz, 2010). Paradigm of the Study INPUTPROCESSOUTPUT 1. F E E D B A C K METHODOLOGY Research Design This study is descriptive in nature. This study attempts to measure the mother tongue-based reading readiness skills of kindergarten pupils and correlate the results to their profile. This employs the descriptive correlational design of research which attempts to describe the relationship between two or more variable. Research Locale This study will be conducted to the Kindergarten Pupils of Cabatuan East Central School in Sampaloc, Cabatuan, Isabela. Cabatuan East Central School is a public elementary school established since 1951. It offers complete elementary in multi-grade setting under the Kto12 Curriculum of the DepEd. It has been offering kindergarten since 2011. The school is located within the poblacion catering to pupils from the semi-urban barangays of Sampaloc, Centro and Saranay. Majority of its pupils are from Ilocano speaking communities where major economic activity is centered on agriculture. Cabatuan is a third class municipality in the third congressional district of Isabela. Respondents/ Sampling Target respondents of this study are the 58 kindergarten pupils of Cabatuan East Central School enrolled for School Year 2013-2014. Because of the limited size of the population, total enumeration shall be employed. Statistical Tools For Problem 1, simple frequency and percentage will be used. For Problem 2, the Likert Scale (weighted mean) will be used. For Problem 3, Chi-Square Test (significance relationship) will be used. End of THESIS PROPOSAL Questionnaire

Monday, November 25, 2019

The History of California Essay

The History of California Essay Free Online Research Papers The History of California Essay The Native American population in California flourished in the years leading up to the Spanish and Mexican periods in California. Hunting, fishing, and fertile land were very abundant and the Native population was growing steadily; however the European colonization upon Native Americans during the Spanish and Mexican periods forever changed the lives and cultures of the Native Americans. The Native American populations were ravaged by displacement, disease, warfare, and the European’s attempt to dissolve all aspects of Native American life. As the Native Americans encountered the European explorers and mission Padres the first effects of colonization began to corrode the Native American life. The impact of the European colonization is evident in the drastic decline in the Native American population in California during the Mission period. It has been estimated that there were about 310,000 Native Americans that inhabited California during the beginning of the Mission period, however the missions created a high death rate and low birth rate, due to several devastating factors that were introduced to the Native population with the building of the missions. Native Americans died daily of disease, infection, and starvation. By then end of the Mission period there were only 150,000 Native Americans estimated to be still living in California. The Native American’s society was impacted dramatically by this loss of nearly half of the Native American population in California. Such a dramatic loss in a societies population can disrupt their ability to rebuild their population, which creates difficultly in passing on their culture to future generations. Without a strong population to protect their culture, European colonization was hard to resist and the Native American society did not have the population to successfully resist the European colonization. The Native American culture was not encouraged by the Europeans, who forced the Native American’s to convert to Christianity and leave their Native beliefs and culture behind, making it very hard for the Native American’s to preserve their own beliefs and culture. The massive decline in the Native American population has been explained by some authors that have written about the California Missions and the Native Americans, each with very different view. Sherburne F. Cook, who expressed his belief that the Native Americans were primitive persons that were â€Å"stupid and ignorant,† explained that it was the Native Americans stupidity and ignorance forced the â€Å"authority at the top [to] exercise force, moral or physical, to obtain essential effort on the part of the mass.† Any group that is conquered is not going to adapt successfully to a foreign way of life, especially when it is forced upon them. Cook’s ideas on the Native American’s illuminates the Europeans feelings towards the Native Americans of California and why the Europeans felt that it was necessary to convert the Native Americans. The Native Americans could have never imagined the changes that lied ahead with the arrival of their white neighbors. The Native Americans were made to work for the missions that were created to convert the Native Americans in to God-fearing Christians and to labor the mission fields. While in the missions, the Native Americans were persuaded by hard labor, beatings, starvation, and the stripping of their culture to convert to Christianity and to abandon their former religious beliefs. The Native Americans religious beliefs had deep roots in the land that they lived on. There were spirits for the land, and food that they used. The Native Americans found it very hard to watch the land that was important to them for food, shelter, and religious matters, taken away. In the missions the Native Americans were no longer allowed to hunt and gather their food like they did prior to the arrival of the Europeans. Some Native Americans would try to escape from the missions to hunt deer and other game to feed their starving families that resided in the missions. However, most escapees were caught and then whipped for their disobedience. The missionaries whipped the Native Americans, according to Francis Guest, because â€Å"whipping played a significant role in Spanish culture in the eighteenth and early nineteenth centuries.† Guest suggests that the missionaries were welcoming the Native Americans into their culture and trying to make them part of the Spanish culture. The missionaries would apply the same discipline to themselves. In the end one can say that the whipping was just, but only when looking at the mission period from the viewpoint of the Spanish. Examining the mission period in today’s modern society, people would find the beating of the Native Americans by the mission Padres as unjust and even bizarre. People might see the Padres whipping as extreme and brutal today, since this is not normal behavior in modern society. The Native American’s had the highest respect for the land that they lived on and from. Native American’s were very good at using every part of an animal that they killed during a hunt. When the Europeans came to California with their firearms in search of wealth, the new foreign settlers began to destroy the Native American way of life that depended on the untouched wild land that they lived on. The settlers would not use the entire animal. Animals would be found with only their skins taken, leaving the meat of the animal to rot. The Native American’s soon found that the animals that they regularly hunted were being driven away by the new settlers. The Native Americans did not corral or fence any game that they hunted. When European settlers arrived they put up fences to claim their portion of land. The fences became an issue with the native animals that would get stuck in the fences or were displaced due to the fences. The Native Americans resorted to hunting a ny animals that they found. The Native American’s â€Å"fittingly saw cows and horses grazing upon their lands as legitimate quarry for their subsistence.† This would later create more hostility between the Native Americans and the new settlers. After the Mission period the Native Americans were drawn to the rancheros that the Californios ran. The Californio society meant the transfer of economic resources from the missions to the Californios and then to the mostly white settlers. Life on the ranchero was not as harsh as mission life, however they were still laborers. Douglas Monroy explained that, â€Å"life on the ranchos did not require the discipline characteristic of the missions; labor on the ranchos was hard, but not consistently demanding, and no one worked very diligently anyway. For their labors they received food, clothing, or perhaps a few hides, which they so often traded for drink.† The Californios’ rancheros took over more of the Native American land and drove more of the wild game away. It was not only the Californios rancheros that were threatening their land, it was the settlers that began to squat on the open land. These new settlers that came from the Eastern states and foreign lands would shoot any animal that was not theirs on their property, including any man, woman, or child they saw as trespassers. The new settlers that were moving in to California from the east came to California in search of a fresh start and wealth. These city settlers did not look upon the Native American nicely. The settlers believed that they were better people than the Native Americans, more civilized. With the increased foreign population in California the Native American’s found themselves at the bottom of the social ladder with a population that was rapidly declining and struggling to keep their true culture alive. Bibliography Cook, Sherburne F., The Conflict Between the California Indians and the White Civilization. Berkeley: University of California Press, 1943. Guest 0. F. M., Francis F. â€Å"Cultural Perspectives on California Mission Life,† Southern California Quarterly. 65, Spring 1983. Monroy, Douglas. The Creation and Re-creation of Californio Society. In Contested Eden: California Before the Gold Rush, edited by Ramà ³n A. Gutià ©rrez and Richard J. Orsi. Berkeley: University of California Press, 1998. Research Papers on The History of California Essay19 Century Society: A Deeply Divided EraThe Effects of Illegal ImmigrationWhere Wild and West MeetResearch Process Part OneAssess the importance of Nationalism 1815-1850 EuropePETSTEL analysis of IndiaHip-Hop is ArtEffects of Television Violence on ChildrenQuebec and CanadaThe Relationship Between Delinquency and Drug Use

Thursday, November 21, 2019

Selecting a Disciple-Maker's Message Essay Example | Topics and Well Written Essays - 1000 words

Selecting a Disciple-Maker's Message - Essay Example These are tradition, observation, participation, and inspiration (Servants of Grace, The Disciple-Maker’s Message). To further discuss these points that the author made, tradition was used to pertain to the teaching and doctrines God relayed to his disciples when he was still alive. This source is a basis of credibility that needs to be established by any evangelist to ensure that the message truly came from God and is not any person’s own understanding or interpretation of God’s word which is subject to error. Also, in being able to cite certain scriptures from the Bible that directly came from God’s word would mean the avoidance of false teachings or prophecies. Observation, the second source to which a disciple-maker should shape his or her message from is also very significant in such a way that one is able to know how to approach one’s audience. People who still do not have any knowledge of God’s word would take a spiritual message diffe rently because of what they were taught, where they came from, what they are currently going through and etc. With this said, being able to shape an effective message that would open their hearts to God would entail knowing which among God’s promises in Bible to highlight. ... This will not only give them hope but also make them realize that no matter what kind of past they have, it is never too late to get to know our loving God. The final source is inspiration, which for me, means praying and allowing the Holy Spirit to speak through you. This for me is also a very important reminder that what you are doing is for God’s glory and not your own. When it comes to the forms of a disciple-maker’s message, Mitchell suggests tackling forms such as the subject matter, environment, life experiences, and one’s own life as a model (Servants of Grace, The Disciple-Maker’s Message). The subject matter is the main message that the disciple wants to convey. Being able to choose a specific topic is key in being able to convey a simple and yet clear message your audience can easily understand and absorb. Environment pertains to one’s choice of audience, where knowing their behavior and experiences can be very helpful in shaping an effec tive message. The third & fourth form, which is life experience & the communicators’ life/message are basically a sharing of testimonials to help the audience know how to apply God’s word into real life which is at most tricky for all of us and yet is a very good source of inspiration that despite the impossibility of living a Christian life, our loving and forgiving God gives us the grace to do so. 2 With all these said, I could see so many teachings in the Bible that corresponds to the points Mitchell made in shaping an effective evangelical message. According to 1 Corinthians 2:6, â€Å"We do, however, speak a message of wisdom among the mature, but not the wisdom of this age or of the rulers of this age, who are coming to nothing† (Bible Gateway, 1

Wednesday, November 20, 2019

Research and statistics Essay Example | Topics and Well Written Essays - 1500 words

Research and statistics - Essay Example This study would require a random probabilistic sample of patients. Those eligible for participation would be receiving treatment for only one form of cancer, such as breast cancer. The less homogeneity of the IV (i.e. cancer) would help control for a normal population, as well as allow for wider generalisation of the results. The first two items are on Likert scales to provide an indication of the strength of the response. The third item is categorical, and although the level of measurement is low, the data will provide control variables when items 1 and 2 are correlated. Finally, the open question will show patients that their opinions and experiences are valued, and allow them to write in an un-restricted manner. The investigator will have two RAs analyse the texts to determine key themes, and their conclusions will be analysed using inter-rater reliability. The investigator will then draw conclusion from the final themes selected. A random probabilistic sample would be used to recruit the 80 students from a given university. All undergraduates in medicine degrees would be eligible to take part, across genders, ethnicities and ages. The sample will also be stratified by activity habits, with those who regularly take part in 30 minutes or more of structured exercise a day in one group, and those who don't in another. However, to be recruited each student must meet the selection criteria: they do not experience a heart condition; they are not asthmatic; and they are physically able to navigate eight flights of stairs without assistance. Materials A heart rate arm-cuff, which will be calibrated after each participant had had his or her pulse rate recorded. An isolated stairwell

Monday, November 18, 2019

Rites of Passage of the Maasai Community of Kenya Research Paper

Rites of Passage of the Maasai Community of Kenya - Research Paper Example Maasai are directly related to the Turkana of western-central Kenya. Oppong J. and Oppong E. point out that â€Å"they are a traditional pastoral people who are semi-nomadic and who practice a communal system of sharing with one another† (61). Today, their way of life is being threatened and is changing every minute. Large areas of their grazing land are today included in Kenya’s national parks. They consider this a threat because according to their traditions, no land should be enclosed. Rather, it should be owned communally and nobody ought to be denied access to resources such as water and land. Their diet is comprised of meat, milk, and blood from cattle. They hold the belief that utilizing the land for crop farming is a crime against nature. Once one cultivates the land, its suitability for grazing is lost. But more recently, the Maasai have moved from this belief and changed to being â€Å"dependent on food produced in other areas such as maize meal, rice, potato es, and cabbage† (Oppong J. and Oppong E. 61) (which they have always believed is goat leaves). 3. Rites of Passage of the Maasai Community Even with the changes that occur in the day to day activities of the Maasai community, a lot has not changed. ...These rites of passage concern men more, while women initiations focus on circumcision and marriage, though circumcision is being eroded with time. Unlike the men, women have no age-sets and are hence recognized by those of their husbands (Oppong J. and Oppong E. 63). The following are the rites of passage among the Maasai: Enkipata (pre-circumcision ceremony) This ceremony is organized by fathers of the new age-set. The boys in this age-set are aged between 14 and16 years. The boys usually travel across their section of land for about four months, declaring the formation of the new-age set. A group of elders guiding the formation of the new age-set usually accompany the boys. In order to initiate the boys away from the rest of the families, thirty to forty houses are built for this purpose (Maasai Association. â€Å"Maasai Ceremonies and Rituals†). The location of the houses for the initiation ceremony is usually chosen by the Maasai prophet. Emuratta (circumcision) This is the most important rite of passage among the Maasai community. Circumcision was for both boys and girls according to culture, though in this century, girls do not undergo it. Circumcision takes the boys to the other stage of manhood. This initiation is performed shortly after puberty. The actual process takes place shortly prior to sunrise where cold water is poured on the boy to make him numb. The process is performed by an elder who has experience in this job. During the process, the boy must be very brave because the process is not pleasant and there are no pain relief drugs, such as anesthesia. No boy is allowed to flinch an eye because one is considered a coward, which is not a good trait for the young man.

Saturday, November 16, 2019

Student Giving Intramuscular Injections

Student Giving Intramuscular Injections This paper particularly focuses on my experience of learning from reflection on giving intramuscular (IM) injections, using Gibbss (1988) reflective model. I demonstrate how practice anxiety, as a student nurse, can be dealt with through effective mentoring. I chose the seminal theory of Gibbs reflection on practice, as it illustrates six significant stages; description, feelings, evaluation, analysis of the incident, conclusion and an action plan Ghaye and Lillyman (1997). Gibbs cycle is used throughout the process of reflecting on the incident to help me make sense of my practice and understand what l could do differently to enhance good practice. I use my experience from a placement simulation as I could not be on actual placement due to unforeseen circumstances. Reflection is a process through which healthcare practitioners and students can learn from experience and use the knowledge to inform and improve practice Schon, (1983). The ability to reflect on ones actions is particularly imperative in clinical practice and discourse. As Jarvis (1992) asserted, there is no consensus on the definition of reflection as it is a broad concept. Reid (1993, p305.) define reflection as; a course of action reviewing an occurrence of practice to describe, analyse, evaluate and so inform learning about practice Schon (1983) identified two types of reflection which are; reflection in action, which takes place during the event where the practitioner may not be aware that it is happening and reflection on action, which takes place after the event. Jasper (2003) concluded upon the vitality of reflecting on action, as it transforms experience into knowledge which enhances good clinical practice. Description During my first placement simulation, I practised giving intramuscular injection, is the best tolerated form or injection, and the safest way of injecting medication into a patient Shepherd, (2002). Within the first week of my placement simulation, I was offered the opportunity to practise administering an injection on a dummy. However, as a student, I was cautious and anxious, feeling that I was not competent enough. I discussed my concerns with the lecturer who was empathetic and helped formulate a plan to conquer my doubts. The plan involved a step-by-step conversation of the procedure of administering intramuscular medication, preparing the medication on numerous occasions and practising the injection technique on a dummy. Throughout these stages I was given the opportunity to discuss any questions, feelings or concerns that arose. Once confident enough to do so, under the supervision of the lecturer, I administered an IM injection to a dummy. I recorded my intervention in a refl ective journal. After giving the injection, I was given feedback and the opportunity to discuss my feelings which was valuable and of significance. Feelings As a novice, I never really enjoy giving injections, but after my second practise, good compliments from colleagues and lecturer my confidence increased. Most importantly, l kept thinking, if l gave the injection to an unwilling patient, how awful would I feel? I reminded myself, ethically, what is it like to carry out a therapeutic procedure that inflicts pain on another human being? All these challenges came to my mind before giving the injection. I began to feel quite anxious and nervous, wanting to delay the procedure for as long as possible hoping my anxiety would decrease. I believe the build up of nervousness beforehand is common, particularly for beginners like me. I prepared the injection using the necessary mathematical calculations, picked the right syringe and the right injection for the procedure. I then administered with my lecturer observing my technique, confidence and competence. Evaluation My preliminary anxiety about administering the injection was normal but as a student nurse, I ought to learn the technique and procedure of IM injections. This anxious behaviour could be explained in relation to the Joharis Window (Luft 1969). As in Joharis window, before being confronted with having to administer injection, I experienced an unknown area, whereby my fears and anxieties were anonymous to me and to others [my lecture]. Because I lacked self-awareness regarding these anxieties, I was unable to begin addressing my anxieties around administering the injection. This made me continue to avoid this area of practice, and as a result I did not develop this clinical skill before this incident. By the end of the incident, my feelings were known to me and others [my lecturer]. By disclosing my anxieties and fears to my lecturer and receiving feedback, my awareness of these issues increased. My lecturer commented on what l did right, wrong and what l could have done differently. R esultantly, I was able to address my feelings, areas of strengths, weaknesses and begin to develop the skill of administering injections. Analysis Department of Health (2008) identified lecturers as qualified nurses, who facilitate learning and supervise students. Mentoring also involves the assessment of the student in the practice setting NMC (2008). The interaction between mentor/lecturers and students is answer to minimise practice anxiety and professional intervention is often required to reduce any anxieties. This was resonant in my experience with my mentor while carrying out this procedure. Critically reflecting and understanding my feelings around giving the IM and after the procedure makes me think and evaluate what l ought to do differently in the future. This will enhance my technique and practice while also benefiting patient care. I am now aware of my competence as my mentor highly commended on my confidence, technique quality and the communication that l maintained with her throughout the procedure. Conclusion The description given in this paper is a general and subjective one that attempts to address my feeling and experience of giving the IM. It also aims at indentifying patterns and schemes in the experience of individuals in a similar context of giving IM for the first time. I believe, my experience will help educators to better understand the meaning of the anxiety that is observed as students undertake the act of giving their first injections. It will also help other students reflect and come to understand the meaning of that experience and not feel overwhelmed by this crucial initial experience. Action Plan I created an action plan to improve my practice and set out a course of action should a similar incident occur? Recording an entry in a reflective journal enabled me to record areas of practice that I want to develop and will allow me to track my progress regarding the administration of IM injections (Jack and Smith 2007).I also developed listening skills. Stickley and Freshwater (2006) argue that effective communication, which involves active listening, is an essential nursing skill, because of its beneficial effects on the patients experience. Word Court: 1100

Wednesday, November 13, 2019

Character Identification: Hiding from a poisoned memory (Circle) :: miscellaneous

Character Identification: â€Å"Hiding from a poisoned memory† (Circle) Characters from different sources of literature can often be linked together and seem to have the same feelings, background, moral standing, or struggles. They may experience the same hardships, driving them to suffering, which other characters in literature encounter. In the book Jasmine by Bharati Mukherjee, the main character was told from the age of seven the hardships she would encounter in her lifetime (Mukherjee 3). Pecola, from The Bluest Eye by Toni Morrison, experiences rape by her father and the miscarriage of their child. The main character in â€Å"Barn Burning,† by William Faulkner, deals with a father that ruins his life and the struggle to stop his father from burning buildings. These character experience hardships throughout their lives. They live with the rejection their lives have given them and try to survive in the world of injustice by themselves. Each story starts with the character’s family and group identity. Jasmine lives in India with her parents at the beginning of her life. She later moves to the United States to escape hardships. Sarty from â€Å"Barn Burning† lives with his poor and rejected family moving from place to place. His family has been rejected by society because his father would not stop burning buildings when he got mad at the people he worked for. Pecola lived with her poor family as well. Her mother was gone most of the time and her father would get drunk almost every night before coming home. She was moved out of her house for a little while until her family could pull themselves together and provide a suitable place from her to live in. In each piece of literature, the character starts with family, a place to call home, people who accept them, and a place of the same race and nationality. As the stories progress, each character experiences their own desire for better; they have found something that will better their lives. As they struggle to gain their prize, hardships string into place to hinder their path. Jasmine must overcome the death of her husband to get to America. She must also find her way illegally into the country and settle somewhere suitable. When a man helps her into the country, she is very grateful, but the man rapes her. She kills the man, â€Å"the human form beneath it grew smaller and smaller† (Mukherjee 119), and escapes to finish the job she had set out for. Character Identification: Hiding from a poisoned memory (Circle) :: miscellaneous Character Identification: â€Å"Hiding from a poisoned memory† (Circle) Characters from different sources of literature can often be linked together and seem to have the same feelings, background, moral standing, or struggles. They may experience the same hardships, driving them to suffering, which other characters in literature encounter. In the book Jasmine by Bharati Mukherjee, the main character was told from the age of seven the hardships she would encounter in her lifetime (Mukherjee 3). Pecola, from The Bluest Eye by Toni Morrison, experiences rape by her father and the miscarriage of their child. The main character in â€Å"Barn Burning,† by William Faulkner, deals with a father that ruins his life and the struggle to stop his father from burning buildings. These character experience hardships throughout their lives. They live with the rejection their lives have given them and try to survive in the world of injustice by themselves. Each story starts with the character’s family and group identity. Jasmine lives in India with her parents at the beginning of her life. She later moves to the United States to escape hardships. Sarty from â€Å"Barn Burning† lives with his poor and rejected family moving from place to place. His family has been rejected by society because his father would not stop burning buildings when he got mad at the people he worked for. Pecola lived with her poor family as well. Her mother was gone most of the time and her father would get drunk almost every night before coming home. She was moved out of her house for a little while until her family could pull themselves together and provide a suitable place from her to live in. In each piece of literature, the character starts with family, a place to call home, people who accept them, and a place of the same race and nationality. As the stories progress, each character experiences their own desire for better; they have found something that will better their lives. As they struggle to gain their prize, hardships string into place to hinder their path. Jasmine must overcome the death of her husband to get to America. She must also find her way illegally into the country and settle somewhere suitable. When a man helps her into the country, she is very grateful, but the man rapes her. She kills the man, â€Å"the human form beneath it grew smaller and smaller† (Mukherjee 119), and escapes to finish the job she had set out for.