Gerontology Case Study Essays

Gerontology Case Study Essays Gerontology Case Study Essay Gerontology Case Study Essay Comprehensive Scholarly Paper Gerontology is the scientific study of old age, the process of aging, and the particular problems of old people. With maturation the elderly suffer from age- related changes that effect their overall health and day to day living. Even those these changes provide limitations that can be lived with, these changes can also exacerbate many medical conditions. The elderly client I decided to evaluate, H. J. is a 76 year old african american female, that has a past medical history of chronic heart failure, myocardial infarction, hypertension, asthma, and renal mass. H. J. also has a past surgical history of a left mastectomy. She is retired and lives at home by herself and has one daughter. Some of her medical conditions are definitely effected by age as well as lifestyle. With age the heart and blood vessels undergo many changes. In the heart with age the SA node loses some of its cells, this may result in a lower heart rate. Abnormal rhythms such as atrial fibrillation, these arrhythmia are often due to heart failure. Hypertension in the elderly is also common. With an increase in age the systolic blood pressure can increase up to 20 mmHg on its own. : The baroreceptors become less sensitive with aging. This may explain why many older people have orthostatic hypotension. With all of these heart changes it is important that the elderly are educated about lifestyle changes. While H. J was a patient in the hospital she ordered a heart healthy diet, which helps control blood pressure and cholesterol. The patient also had a history of a stroke, which also has to do with lack of blood flow to the brain. The prevalence of all these medical conditions increase with age when the elderly are not properly taking care of themselves. It is important to be eating a healthy diet, exercising, and refraining from the abuse of substances. By this client being a previous intravenous drug abuser she is even more exposed to complication. Drug abuse can, cause cardiovascular conditions ranging from abnormal heart rate to heart attacks. Injected drugs can also lead to collapsed veins and infections of the blood vessels and heart valves. There are many considerations when it comes to medications and the elderly. Age-related changes often affect the action and availability of the medications in the body. Many of the elderly are also non-adherent to medication. For example although H. J was administered several medications in the hospital such as lovenox, protonix, Plavix, bactroban, methadone, and multivitamins, there was no list of medications in her file for reconciliation and I am almost certain it is because she refuses to take them. Just in that day I witnessed her refuse several medications as well as labs, while in the hospital. Following her many hospital visits she has been ordered several medications to be continued at home, but does not want to take them for her own ersonal reasons. There are many factors that can contribute to non-adherence which include; depression, cognitive impairment, isolated living conditions, finances, beliefs, adverse effects and knowledge deficit. It is likely this patient did not want to about how much the medicine could help her if she did take it. The medicine she was sure to take was her methadone. Methadone is mainly given to patients who suffered from a drug dependency and causes irritability when in between doses. Drug users who are struggling with a dependency definitely have a cognitive impairment and are ot often thinking with a clear head. Polypharmacy is also a issue with the elderly because of drug interactions. The elderly are more at risk for medication-medication interactions due to the fact they are prescribed so many medications. H. J did not have many functional limitations documented on her chart. She was able to feed herself without assistance, but did require assistance getting to the bedside commode. Since she is unable to get to the restroom alone in the hospital, it is a wonder how she maintains living at home alone. With her ambulation problems he is definitely at risk for falls at home. Each year, one in every three adults age 65 and older falls. Falls can cause moderate to severe injuries, such as hip fractures and head traumas, and can increase the risk of early death. It is important to teach older adults who live at home alone how to decrease the risks of falls. They must remove tripping hazards such as rugs, improve lighting, and add grab bars where needed. Instrumental activities of daily living would be even more difficult to complete for H. J. Assessment of her functional status in the hospital showed that some level ssistance would be necessary at home to complete tasks such as medication management, transportation, and bathroom assistance. Upon assessment I did observe some cognitive impairment which I believe was due to the effects of medication. Prior to the administration of methadone H. J was very uncooperative and unable to answer basic questions related to pain rating and orientation. She did not want to be bothered or assessed at all. About an hour and a half later following her medication administration she was much more talkative playful and willing to answer any questions I had to ask. She was also even willing to explain why she refused her MRI which was due to claustrophobia. Elderly people are more likely than younger patients to develop cognitive impairment as a result of taking medications. This reflects age- and disease-associated changes in brain neurochemistry and drug handling. The client felt very relaxed and at ease when her daughter came to visit. H. J was even more lively and at ease when her daughter came to visit. Family support is very important to the elderly. Without family visits or attenti on, the elderly may fall into a depression, or feel all alone. A big part of any elder care program is to give emotional support. Studies show that this can improve life expectancy by several years, and create a more positive and optimistic environment for the aged. H. J lives independently at home, but with the amount of assistance she requires in the hospital setting revealed that assistive devices such as a cane or walker may be necessary. After observation I also think it would be a excellent idea for her to move in with a family member or live in a assisted living facility if someone in the family is unable to provide care. Many elderly people will live without assistance until it is offered or they are hurt. Transitioning from independent living to assisted living can be difficult. It is important to remind the client that they are not being stripped of their independence. include educating her. Most of her issues, such as refusal of medication stem from not being educated on how medication and lifestyle changes can help with her overall health. Many elderly clients are set in there ways and are not educated about modern methods of treatment. None of the nurses really explained to her why he should get the MRI or take lovenox when she refused them. Sometimes a personal relationship needs to be built, so that a client can understand you genuinely have their best interest at hand. Physical therapy would also be a recommendation. Physical therapy is a non-medicinal method to increase strength, flexibility, range of motion, endurance and alleviate pain. Falling is such a big risk for the elderly, physical therapy puts patients at a lower risk for falls. People often are unsure about physical therapy because of the financial aspect, but some Medicare nd Medicaid plans cover the costs. I would also recommend another type of housing option. A continuing care retirement community or assisted living facility would be good options. They both offer nursing home care, however a assisted living community would go a little further and offer meals, social activities. Having elderly clients transition from a independent home setting to an assisted living facility can be difficult and also is sometimes associated with a negative image, but it is important to explain to the client how much safer it is. Their are many myths about age. People believe that with age decline is inevitable, but it is important to remember that regardless of age every elderly person should have the right and opportunity continue to live a safe, comfortable, and enjoyable life. And even with decline there are many options out there to make sure there is good quality of life available to patients that are suffering. References Aging changes in the heart and blood vessels: MedlinePlus Medical Encyclopedia. (2012, September 4). U. S National Library of Medicine. Retrieved December 9, 2013, from nlm. nih. ov/medlineplus/ency/article/004006. tm Aging changes in the kidneys and bladder: MedlinePlus Medical Encyclopedia. (2012, November 10). U. S National Library of Medicine. Retrieved December 9, 2013, from http:// www. nlm. nih. gov/medlineplus/ency/article/004010. htm Falls Among Older Adults: An Overview. (2013, September 20). Centers for Disease Control and Prevention. Retrieved December 9, 2013, from cdc. gov/homeandrecreationalsafety/ falls/adultfalls. html Feature, W. (n. d. ). Physical Therapy a Boon for Seniors. WebMD. Retrieved December 9, 2013, from webmd. om/healthy-aging/features/ hysical-therapy-benefits-for-seniors Miller, C. A. (20122012). Nursing for wellness in older adults (Sixth ed. ). Philadelphia: Wolters Kluwer/Lippincott Williams Wilkins. Moore, A. (1999, July 15). Result Filters. National Center for Biotechnology Information. Retrieved December 9, 2013, from ncbi. nlm. nih. gov/pubmed/10459729 The Importance of Family Support for Elderly Well?„ Being. (2011, April 27). San Diego Home Care. Retrieved December 9, 2013, from http:// homehealthcaresandiego. wordpress. com/2011104/27/the-importance-of-family- support-for-elderly-well-being/

Fruitadens - Facts and Figures

Fruitadens - Facts and Figures Name: Fruitadens (Greek for Fruita tooth); pronounced FROO-tah-denz Habitat: Woodlands of North America Historical Period: Late Jurassic (150 million years ago) Size and Weight: About two feet long and 1-2 pounds Diet: Probably omnivorous Distinguishing Characteristics: Exceptionally small size; bipedal posture; possibly feathers About Fruitadens It happens more often than you think, but the fossil specimens of Fruitadens languished for over two decades in museum collections before being meticulously examined. What these paleontologists found made headlines worldwide: a tiny (one or two pounds max), late Jurassic dinosaur that fed opportunistically on any bugs, plants, and any small critters that happened across its path. Fruitadens has proven difficult to classify; it has now been pegged as an ornithopod, and is believed to have been a close (albeit much smaller) relative of the different-toothed dinosaur Heterodontosaurus. (By the way, the name Fruitadens is often mistakenly translated as fruit tooth, but this wee dinosaur was actually named after the Fruita region of Colorado, where its fossil specimens were excavated in the late 1070s.) How could a dinosaur as tiny and inoffensive as Fruitadens survive in late Jurassic North America, home to giant, multi-ton sauropods like Brachiosaurus and fierce predators like Allosaurus? Logically enough, this tiny ornithischian probably adopted a similar strategy as the comparably sized mammals of the Mesozoic Era, scurrying through the underbrush (perhaps at night) and, just possibly, climbing trees to stay out of the way of larger dinosaurs. (In case you were wondering, as tiny as it was, Fruitafossor isnt the smallest dinosaur in the fossil record; that honor belongs to the four-winged Microraptor of early Cretaceous Asia, which was only about the size of a pigeon!)

An operation management (ASDA -UK company) Essay

An operation management (ASDA -UK company) - Essay Example The intention of this study is ASDA as one of the biggest retailing companies in the UK and it is the major subsidiary corporation of Wal-Mart. It deals with several merchandise products comprising food, grocery, housing, and entertainment goods in their retail stores. In the year 2004, ASDA had almost 259 retail outlets and 19 storehouses throughout the UK. It captures significant amount of share of the market of the UK. As a major supermarket, ASDA confronts with numerous supply chain issues which need to be rectified in order to gain competitive advantage. Few problems were identified in the process of operations management of the company ASDA. One of the problems increasingly witnessed by the company was regarding the procedure of reverse logistics. The company has been stated to deal in a varied range of products, most of which entails consumable products. With regard to the kind of business that is conducted by the company, it can be understood that the concept and the process of reverse logistics form an integral part. The company was encountering certain problems in the management of the procedure with regard to the return of goods and products that are received from the customers to the suppliers as well as the manufacturers. ASDA was learnt to witness increased volumes related to returns of electrical products owing to the moderate returns guidelines. Thus, with the intention to deal with such returns in an effective, suitable and cost efficient method, the company requires to concentrate on a competent strategy related to reverse logistics. ... Understand the solutions to deal with the issues identified in ASDA Company Background ASDA is one of the biggest retailing companies in the UK and it is the major subsidiary corporation of Wal-Mart. It deals with several merchandise products comprising food, grocery, housing, and entertainment goods in their retail stores. In the year 2004, ASDA had almost 259 retail outlets and 19 storehouses throughout the UK. It captures significant amount of share of the market of the UK. As a major supermarket, ASDA confronts with numerous supply chain issues which need to be rectified in order to gain competitive advantage (Corporate Watch UK, 2004). Problem Number 1 Reverse Logistics Few problems were identified in the process of operations management of the company ASDA. One of the problems increasingly witnessed by the company was regarding the procedure of reverse logistics. The company has been stated to deal in a varied range of products, most of which entails consumable products. With r egard to the kind of business that is conducted by the company, it can be understood that the concept and the process of reverse logistics form an integral part. The company was encountering certain problems in the management of the procedure with regard to the return of goods and products that are received from the customers to the suppliers as well as the manufacturers. ASDA was learnt to witness increased volumes related to returns of electrical products owing to the moderate returns guidelines. Thus, with the intention to deal with such returns in an effective, suitable and cost efficient method, the company requires to concentrate on a competent strategy related to reverse logistics. The reverse logistics plan of the company would require controlling the flow related to the products

Consumerism Essay Example | Topics and Well Written Essays - 250 words

Consumerism - Essay Example Because of increased intensive production of numerous, this heightened living standards of the English as well as other people belong from the same caste. People enjoyed the experience of acquiring material possessions, which where once prized for their durability over fashionability. This also led to the emergency of more sophisticated designers majoring in trendy products (Mackendrick, Brewer & Plumb 2). Based on my opinion, I think current US designers’ ideas are highly valued in production of new items in the market aimed at satisfying the consumer. For instance, the newly graduates from universities and colleges who have studied fashion designs courses (Mackendrick, Brewer & Plumb 5). Inventing more advanced manufacturing industries, to cater for increased customer’s demands world wide such as textile industries. In addition, a manufacturer notifies customers online, in the newspapers, magazines or social media about new products in the market through internet, local and international newspapers. Issuing of trade cards to individual clients, so buying and selling be more advanced by giving out special printed cards to customers like business cards (Mackendrick, Brewer & Plumb

Are We Addressing The Needs Of Our Schools? :: essays research papers

There are many problems that need to be addressed in the public schools today. What factors are causing these problems in the schools? The main causes are absence of prayer, the many pressures of school, lack of dress code, and insufficient numbers of caring teachers, faculty, and students.When I say lack of prayer in the schools, I don't mean lets make everyone one religion and every morning at school we can pray in that one religion. Instead there should be a moment of silence. Not to take up time but to let everyone have a moment to pray to whomever or however they wish. For the kid who's grandpa died and has to go to school because they need their two points for this six weeks. And the ones who wish not to pray can take that moment to just think. Lord knows we as high school students don't have much time to just stop and think. There are many pressures in the public schools. All of a sudden in high school everything changes. Everyone takes that first merger into "the real world". As a junior there is much more pressure put on the students. One minute a sophomore thinking "Yeah I'm going to college". While the next as a junior thinking "How on earth am I going to get to college". Now that we are juniors we are suppose to be grown up. Everything from "Where am I getting my gas money?" to "Where am I going to college?" is going through our minds all of the time, and yet some how we are supposed to come out calm and prosperous. All of this pressure and many of young adults do not get a chance to let it out. It is like tossing a human body in to outer space with no protection. It's a vacuum that just tears it apart piece by piece. Could this have been what caused the Columbine shooting? Perhaps there was so much pressure put on those two boys to be in the "in crowd" that one day they just couldn't take it anymore. A small element in all of this is the dress code. How sad is this? There is a shooting at least every year in a school, and administrators and teachers are worried about whether our shorts are too short. The office complains of girls wearing shorts that are too short when there are rather larger girls running around with an extra layer of skin.

Change Insight Analysis Paper Essay

Managing change is an ideal process in organizational management and greatly helps in realization of organizational goals and objectives. In business, change insight management is analyzed by different theoretical models that are essential in business process. As a result, this paper analyzes the three basic change models theories. These are discussed as follows: The Kotter’s 8-Step Change Model, The Marvin Weisbord’s Six Model and the Linda Ackerman Anderson’s 9 Phase. The three theoretical models on change management discuss the various strategies of managing and coping with organizational change. In particular, the strengths and weakness of each model are analyzed. Further the application of each theoretical model on change management in an organizational setting is discussed. Kotter’s 8-Step Change Model See more: analytical writing In business change is the only constant. John Kotter, a change expert and a professor of Harvard business school and a renowned leadership and management guru. In his book, leading change, Kotter discussed the 8-Step Model to change management as follows: The first step is creation of urgency. In order for change to happen, the whole organization must be in dire need of the organizational change. Thus, the leadership and management must develop the need for change among the members of the team. In administering change in an organization, the management is expected to identify the potential threats to develop scenarios that indicate the possible projections on what can happen in future. The other step in management of change involves the formation of a powerful coalition. This is attained by convincing people that change is necessary and important. This must take strong leadership efforts and activities to implement. To achieve this, the leadership and management team must ask for emotional commitment, work with the team building in change coalition as well as evaluating the team for weak areas to enhance a good mix for of different people from different departments. The third step in the Kotter’s Model of change management involves creation of vision for change. At this point, the leadership management must determine the values that are essential for change, create a short summary and have a strategy that is applicable in attainment of the expected changes. Communication for buy in is the next  step in achieving organizational change, others step include and not limited to the following: Empowering action, creation of short term wins, do not let up and make the change stick. The Applicability of the Kotter’s 8-Step Change Model The Kotter’s change model is applied in all top-down change processes. For instance, for the projects that have been identified and decided, at the top level of the organizational management. Indeed, the United States Army used the model to prepare their soldiers at the war. The Strengths of the Kotter’s 8-Step Change Model This theoretical model on change management is characterized by the following strengths: First, it is easy to understand, it can well fit into the culture of classical hierarchies, it is well successful when all the steps are applied and exercised. Further, the model focuses on the employee buy in as it focuses on success. The Weaknesses of the Kotter’s 8-Step Change Model To start with, the model is too linear to an extent of leading to wrong assumptions. Second, it is difficult to change the directions of the model when action has already started. Third, the model can result to frustration among the employees when the initial stages of grief and the needs of individuals are not taken care of. The Marvin Weisbord’s Six-Box Model The six-box model of managing organizational change is a leadership and management framework that was developed by an American business analyst Marvin Weisbord with the main aim of assessing the organizational functioning. Its key generic framework in management of organizational change is intended for use and application in a variety of different organization. The Model has its key basis on the assumptions and techniques of the field organizational change and development. The Six-box Model constitute of the following boxes: Purpose that includes a clear definition of the business that an organizations in, structure that explains on the dimension of dividing work among employees, relationships that encompass the techniques of managing all the possible changes in relationships, rewards that constitutes of the definition on incentives and what needs to be done,  leaderships that involves selection of change managers who will help in keeping the five boxes in balance as well as the he lpful mechanisms that are applicable in coordination of the technologies that are necessary in management and leadership. The Application of Marvin Weisbord’s Six-Box Model This model is applicable in organizations where there is a need to look or consider the organizational structures and designs in a specified way. Indeed, the model is applicable in areas of change management that needs planning, rewards, incentives, and the role of support functions that include international organizations, partnerships and standards of remunerations. In addition, the model is particularly useful at times when consultation have little time that is desirable for diagnosis or when a relatively less complicated organizational map is required for quick service. The Strengths of the Marvin Weisbord’s Six-Box Model The first strength of the model is attributed to the fact that the model is the most suitable in helping the change leadership development manager to effectively visualize the organization as a whole system without using key and strange change terminologies. The other strength that is associated with the model is in its easy application. Indeed, the model is easily understandable and can be well applied by any change manager who can actively engage in change development. The Weaknesses of the Marvin Weisbord’s Six-Box Model The Marvin Weisbord’s Six-Box model has the following weaknesses. First, the model is only applicable in organizations that are constituted by the six boxes. This mean that organizations that are not characterized by the above discussed components can not effective apply the model in management of change leadership. Moreover, the model is weak because it cannot be conveniently applied to manage organizational change in organizations with complex organizational structures. Linda Ackerman Anderson and Dean Anderson 9 Phase Model on Change Leadership Roadmap Methodology This is a model of managing organizational change that is mainly rooted in the change in leadership road map. The theoretical model is sidelined in the designation  and the implementation of the major organizational transformations. The main question analyzed by the model is on the availability of a roadmap that is needed by an organization in realizing change. The first phase of the model is preparation to lead the change. Here, the organizational leadership selects the leaders that are needed to change the organization in order to attain the organizational success. This is the most important phase because it addresses the key process of the decision making in the efforts of change administration. The main purpose of this phase is to prepare the leaders to lead the change in accomplishment of six main activities. The two basic activities out of the six main activities are outlined as follows: Staffing and starting up the change efforts with the use of change expertise in leadership, determination of the case for change and the exact scope of the change and the expected outcomes. The other phases of this model include creation of commitment, organizational vision and capability, assessment of situation in determination of design requirements, plan and design the implementation of the change activities, implement the required organizational change, celebrate and integrate the new state on change management as well as learning and course correcting the change. The Application of Ackerman Anderson 9 Phase Model This model is applicable in offering the specialized change leadership development as well as transformational leadership in organizations that are consulting on change. Indeed, the founders of the model are the owners of Being First, Inc., a company that has adopted the model to guide and advice Fortune 1000 companies, non-profit organizations, government agencies, and international change consultancies that are in need of assistance in change leadership management and transformational leadership. The Strengths of the Ackerman Anderson 9 Phase Model There are several strengths that are associated with the Ackerman Anderson 9 phase model. First, the model is useful in attaining favorable tangible results that a firm is after in administration of change. This is achieved faster will little or no costs in the business or people. In addition, the model helps in building an organization change skills and capabilities. This greatly helps to consistently realize the maximum benefits realized from a  successful change. Moreover, the model is helpful in transforming the organizational culture and the people in an organization. This is essential in attainment of the desired organizational change. Furthermore, the model is evidenced by its strengths in the development of the mangers and leaders to become competent in transforming the organization to realize the needed organizational change. Most important, the model is applied in the development of internal consultants to become an expert change consultants’. Notably, the Ackerman Anderson 9 phase model of change management in ensuring all the possible change strategy development and process planning. This is because change strategy development and the process of planning are essential for complex change transformation. The Weaknesses of Ackerman Anderson 9 Phase Model Irrespective of the numerous strengths of the model, its key weaknesses cannot be underestimated. These are described as follows: First, skipping a phase in the change leadership roadmap or a key decision leads to numerous impacts that can dismantle all the established changes. Moreover, failure to customize the change process can result to discouragement on the identity of the customers in respect to the best change practices. Conclusion Change insight analysis is essential in managing organizational change. This is because of the available theoretical models that play an essential role in leadership and transformational development. The essential three models include and not limited to the following: Ackerman Anderson 9 phase model, Marvin Weisbord’s Six-Box model and the Kotter’s 8 Step Change model. All the three models are applicable in different ways and each consists of its strengths and weaknesses.

The Necessity Of Graduating From College - 2917 Words

The Necessity of Graduating from College Name Subject Teacher Date Abstract Having a college degree is definitely better than not having one because of the many good opportunities in life that a college degree can offer. Graduating from college means having the necessary means of protection against tough economic times because college degree holders can land a job better than others. A college degree is also a guarantee to the stability of one’s career. Moreover, it is a means of better job satisfaction, a better quality of life and better circumstances not related to the academe such as better social skills, wisdom and emotional maturity. Despite the fact that some people believe that a college degree is not necessary for financial success or that colleges have higher tuition fees now, there is no changing the fact that acquiring a college degree is still the much better choice. The Necessity of Graduating from College Life is already difficult but it is indeed more difficult if one has not graduated from college. Despite the rising cost of college education and the tough financial times, the best way to survive is still through a college degree. It is necessary for anyone to graduate from college because only a college diploma provides one with many opportunities in life. Protection against Tough Economic Times Firstly, a college degree is a protection against tough times. According to a report from Stanford University, â€Å"Those with aShow MoreRelatedThe Importance Of Higher Education745 Words   |  3 Pagestwelfth grade. Going to school for these years is now becoming a necessity, but now so is college too. In order to make a career for ones self it is necessary for them to attend a university, so wouldnt you say one needs college in order to make a career for yourself. 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