Support and Care for Geriatric Issues

Support and Care for Geriatric Issues TASK I- Identify and critically analyse the kinds of support and access to community support services in Kindly Residential Care Rest Home clients with these types of geriatric problems may need. You are required to prepare a report for the next board meeting. Elderly patients who have degenerative diseases, specifically dementia, have the right to be involved with the decisions about their care, like for instance the medical interventions, nursing interventions, the kind and amount food that are given to them, the ambulation, the routine care, and the hospice care. When you ask for a consent to do examinations and medical interventions, you have to bare in mind that that the patient is able to manifest their ability to account the advantages and disadvantages of the decision. Whether or not an individual has the capacity to assimilate information , make a decision and accountable for the consequences of the decision is a clinical evaluation; it is not a question of legal capacity. Furthermore, persons with mild-to-moderate dementia are to make some decisions. They may be able to participate in decision making but impaired memory recall might preclude their ability to demonstrate that they understand the treatment options (Moye et al., 2004). Consequently, it is always better to discover the patient’s authentic wants, needs and preferences rather than to immediately resort to significant others or other teams to take over for decision making. Patients whose cognitive status is unclear or fluctuates need protection from two types of mistakes: first, mistakenly preventing capacitive patients from directing the course of their healthcare; second, failing to protect incapacitated patients from the harmful effects of their decisions (Sherry A. Greenberg, PhD(c) MSN, GNP-BC New York University College of Nursing, 2012). There is no criterion for capacity determination. A Folstein Mini-Mental Status Examination score below 19 or above 23 is one proposed means to differentiate those with capacity from those who lack capacity for healthcare decision making (Karlawish et al., 2005). The patient’s ability to appreciate the consequences of a decision is a highly valued standard of decision making among healthcare professionals (Volicer Ganzini, 2003). However, there are also support organizations in New Zealand that caters health services to elderly with dementia. There are actually a lot of these organizations but I chose only 5 of them. The organizations are as follow: Alzheimers New Zealand Incorporated One of the non-for-profit organizations is the Alzheimers New Zealand Incorporated. It has 21 Alzheimers member organisations throughout the New Zealand which provides support, datas, learning programmes and services applicable within their affiliate environment. They intend to give information and recommend high standards of teaching and instruction for people with dementia, their carers and families and health professionals. They also look forward to the needs of the people with dementia with regards to their careers through provision of national advocacy and they also raise government awareness over them. In addition, they provide support to all member organisations, and most of all they give importance to the Treaty of Waitangi by developing a working relationship with MÄ ori in the provision of dementia services. SuperGold Card The SuperGold Card is like an ATM card as you can see it physically. It is not inserted through any machine but instead, this card gives discounts and concessions for veterans in New Zealand as a recognition of their contribution to the society. The SuperGold Card offers fa range of businesses like when you buy something in grocery stores, pharmacies or any other departments. This card also gives a reduced price for government privilege including public transportation and discounted services from local agency. Deaf Aotearoa The path to and promotion of New Zealand sign language is the main focus of this organisation. They promote awareness to elderly with hearing disability on how to use the accepted and universal sign language for them to communicate to other individuals. Deaf Aotearoa also helps impose the rights of deaf people. They also give the people the self-esteem to be an functional part of the general public. Deaf Aotearoa, like Alzheimers New Zealand Incorporated, is also a non-for-profit organisation. They are the only provider of services to Deaf people and gives information on a class of services, including legal counsel, learning opportunities and employment concerns in New Zealand. Service coordination, employment consultancy, equipment services, community relations and transition programmes are Deaf Aotearoa’s primary services. They also cater access to information and services, encourages Deaf New Zealanders to follow favorable circumstance that will enhance their lives, be self-reliant and to follow their dreams, facilitates ongoing scholastic analysis and provides measure for local and national government. They also boost for a better pathway to opportunities and services. 4. Age Concern Age Concern is dedicated to help or encourage individuals especially elderly to a better health and well being, their rights, admiration and nobility for aged people. Through a domestic office and a nationwide system of connection of 35 Age Concerns, they provide an act of helpful activity, facts and agency to older people in response to their needs. Their vision is to value older people and live in a comprehensive environment. This means that golden-aged people should be treated equally and that they live a quality of life where everyone is whole and benefit abundantly from the fullness of life. Though New Zealand hasnt achieved this yet, but they are doing their very best by conducting meetings and gatherings in order to uplift the standards of their organisation, as well as resolving some issues in connection with them. 5. Nelson Grey Power Association Nelson Grey Power is a hallway organization encouraging to promote the felicity and healthfulness of those people who reached 50 years old and above. Grey Power are publicized as â€Å"the voice of the over 50s† and have prosperously implemented to enhance the drivers licensing process for the senior citizens even those who aged 50 years old and above. In addition, Grey Power has enormous impact and influence in the Country (New Zealand) due to the countless number of senior citizens population. On the other hand, there are also service provisions that gives services and assists the elderly with dementia. Like for instance, the hospitals, hospices, nursing homes, independent living and early intervention. Hospitals all around New Zealand does not only cater help and remedy to those who are in pain, injured and sick. They also specialise and assist on some disorders like those who experiences dementia and other degenerative diseases that occur during aging. They have what they called dementia unit inside the hospital where they are being took good care of by the healthcare providers. These healthcare providers include the medical doctors who specialise dementia, nurses, healthcare assistants, medical technology and caregivers; all who keep in touch in course of managing the patients condition. These multidisciplinary team work hard to lessen the symptoms felt by the patient as this, dementia, really progresses badly. They treat every patient wholly and equally in any walks of life. Other establishments that provide services to the elderly are those in the Hospice. From the word hospice, it literally means a place that provides care for people who are dying. This is an adjunct or supplementary care given to those people whose living days can be counted by the fingers. Hospice gives patients and their significant support and care from an multidisciplinary team that includes experts in end-of-life care. Hospice interdisciplinary team are learned enough about common signs and symptoms that may happen in patients with severe Alzheimers disease. Nursing home is the common house for elderly in New Zealand. Due to various and loads of work for the productive-aged individuals, they tend to send their loved ones (ages 60 and above) to such nursing homes. Elderly sent at nursing home dont mean they are unable to do their daily routine. They are able but they need assistance of another person. That help can be done by their significant others or they can hire a caregiver at home, but, the setting inside the nursing home is very therapeutic to elderly most especially if they need other companions in their lives. The Early Intervention Service medical team gives central nationwide buildup and appointment to Tairawhiti, Hawkes Bay, Whanganui, Tairawhiti, Whanganui, Wairarapa and MidCentral, as well providing the medical services for District health board (Kapiti ,Wellington and Porirura) and Hutt District Health Board. The Early Intervention Service is an ‘Early Intervention in Psychosis’ assistance. This means that they helping young people who is experiencing psychosis. They also provide a assistance to people from aged 13 to 25 who are going through psychosis for the first time, or who have not received any treatment for such condition. Independent Living Service in New Zealand promotes self-worth for elderly. With this service provsion, they are being taught how to do their daily routine with some assistance. It is important that they are still able to do the activities of daily living so that they will feel how the world will value them, and that the community sees how vital their roles are in the society. TASK II- Identify the impacts on the relationships between these stakeholders provide alternative measures to support, minimise or remove the identified negative impacts. â€Å"Dementia; a Cancer?† Not all what you knew is true and correct. You know what dementia is, but you dont know the whole thing about it. Yes! you heard it right. There many mythical or unclear beliefs about the disease that produced into a Stigma. The way you treat a person with Dementia is so poor. It seems like a person is dying because he/she is having a Cancer. But that shouldnt be that way. There are some certain things you need to know about the disease. Due to these negative opinions that brought about by these normal people, it created a bad, big impact to those who are affected by such condition. Such stigma impacts are as follows: a. Social isolation of the individual and their family People who are affected with dementia should not feel isolated. They should be kept in touch with their loved ones and the world, especially with the community. Let them feel their self-worth thru giving them reasons why should they have to live in this world. Show to them how world and the community needs them and that you have valued a lot their contributions to our progressive country. b. Assumption of automatic lost of independence Elderly with Dementia should be treated fairly. They are not incapacity to treat them like a child. You can assist them with their daily activities in life like changing clothes, taking a bath or performing their necessities. Do not do everything on your own because they are still able, especially those who are in mild dementia and moderate dementia category. You can even assist them during decision making and determine their options so that you will know where to intervene. The first thing you have to remember when making a decision is always their safety and security. Unable to make decisions about own care When you say dementia, it has three categories. The mild, moderate and severe dementia. Elderly with mild and moderate dementia are able to make their own decisions but they should be guided. They are also trainable but you should always have an eye for them in order to be safe. d. Dissatisfying interactions with the medical community As normal individuals we should always have to remember that we are the functional system in the community as well as any other area we are. As a productive ones, we should always give favor to those who are not. Like the elderly with dementia, they are ill but they are still conscious about the environment. They are having hard times understanding about something but you should always bare in mind that you are there to assist them. As a healthcare provider, it is in your responsibility to be therapeutic to your patients. So you should remain to be in that way. No matter how bad the experience may be, you should always have to give them chance to interact with you. e. Uncertainty of support services and treatments Dementia is not a cancer and there are certain assistance, support and treatments to those who are affected by it. The notion of bring hopeless situation to those who are affected by it are just a hearsay. Never ever believe on it. You have to read more about dementia and you can merely conclude the truth about the disease on your own. One day you will realize that the the things you knew your good at might be wrong. Reading is a good hobby, and a hobby will become an excellent habit. The best teacher is ourselves alone; learn it from your experience and relate it with your intelligence. Recommendation â€Å"Prevention is better than cure† I would like to recommend this work to everyone since having dementia can occur in an early stage of life. To prevent such disease, we should always bare in mind the things that we are doing right now, if these things can contribute to this degenerative diseases and how can we, as individuals, prevent these degenerative diseases. I specifically recommend this to the secondary students, because this is the stage in life where the act of bullying is more common. This is to help them prevent such act and will also help them understand what dementia is really all about, and if they happen to see elderly in the community who wanders every time, they wont be that surprised to see it in actual setting. On the other hand, I also would like to recommend my work to the adults so that they will be knowledgeable enough about the disease. We are also going through the same pathway as our elderly have been before, and they may be experiencing such degenerative disease in the future. I also would like this to be read by health professionals like the nurses, healthcare assistants down to caregivers who are working in an establishments where heaps of patients are affected by such condition. Conclusion Generally speaking, Dementia can happen to anyone. It doesnt choose people. Even rich people can be affected by such disease as we aged. We have to be mindful of the things around us. We all have to work hand in hand for our treasures (elderly) in life. The better way to make life harmonious to live is to accept and love more our grandmothers and grandfathers. We have to take good care of them and respect them as much as we respect ourselves, so that we will receive the same amount and may be more about the things we want to receive in the future, as we aged. Bibliography WHO (1990). Dementia: a public health priority. Retrieved from http://www.who.int/mental_health/publications/dementia_report_2012/en/ Joan M. Erikson (1998). The Generational Link. The Life Cycle Completed Extended Version, pages 66-71 Alzheimers New Zealand (2012). What is Dementia?. Retrieved from http://www.alzheimers.org.nz/about-dementia/what-is-dementia

Andres Resendez “A Land So Strange” Essay

Thesis: The author posits that the derivative of a tragically unsuccessful colonization effort results with an epic ten-year odyssey of survival, assimilation, and revelation as the first Old World outsiders to athwart and live in the interior of North America. The culmination of the experiences of Cabeza de Vaca, man of influence, stranded in unexplored lands, encountering and existing with countless Native American tribes as guest, slave, trader, and healer engenders an atypical ideal of humane colonization and coexistence. Summary: Resendez retells the story of the ill-fated Narvaez expedition to Florida, placing the survivors story against the context of contemporary Spanish politics, culture, and power struggles associated with colonization amid the pre-contact Native American sphere. The stage is set with a brief description of the relationships of Velazquez, Narvaez, Cortes, and the Spanish court (15,17, 22). This background information clarifies the near impenetrability of ob taining a royal charter and the complicated, perfidious, and competitive maneuverings of the Spanish explorers (30-33). Cortes’ alleged treachery becomes heroic conquest slighting competitors Velazquez and Narvaez who after years of petitions receives an adelantamiento in the New World (73). The expedition, three plus hundred men and women, lead by Narvaez experiences a litany of encumbrances that resulted in the unrealized and in due course unpropitious landing at Tampa Bay, over nine hundred miles off course (77). A landing party of three hundred men, including Cabeza de Vaca, set out to find Panuco, encountered Native Americans that enticed the group to search for prosperous Apalachee further north (94). By this time the group was suffering severely from hunger, disease, and at the hands of Native Americans, driven by desperation rafts were built to carry the men along the coast of Louisiana, a tumultuous trek of starvation, drowning, and further Indian attacks, landed along the coast of Texas (134). Attrition claims all but four, deVaca, Dorantes, Castillo, and Moroccan Estebanico, whose lives over the next ten years are analogous to Homer’s Odyssey. Initially treated as guests, cared for and fed by local indigenous peoples, soon to become slaves of many itinerant tribes for six years (145). During captivity, the survivors learned native languages, cultures, intertribal repositioning (146), and in the case of de  Vaca became a thriving trader with autonomous travel privileges (149-151). The four escape their captors and implausibly achieve the status of healers, combining Catholicism and native traditions in their ministering, are then used by Native Americans leaders in a heal for profit scheme were passed from one tribe to the next, and achieved pseudo celebrity status (183). Contact with Spaniards and reintroduction to civilized life proved very difficult for the survivors after nearly ten years of aboriginal living and certainly suffered from culture shock, Cabeza d e Vaca mentions difficulties wearing western clothes again (215). Cabeza de Vaca, like Friar Las Casas twenty years earlier (21), shared an epiphany to defend and advocate for peaceful cohabitation and humane colonization of America, neither realizing this ambition (221). Critique: The author employs pertinent primary sources, including the narrative of Cabeza de Vaca, in chorus with reasonable speculative insertions of the conditions and behaviors to make a compelling and more authentic story. However, Resendez states that â€Å"they†, the four survivors, all left the experience with the epiphany to advocate for â€Å"humane† colonization. The author only provides direct evidence that supports this claim in the case of Cabeza de Vaca, not that for his three survivor companions.

David Hume- Aesthetics

David Hume is one of the most significant thinkers among the Enlightenment. He is motivated by the question what is beauty, and how certain responses to artwork reflect objectivity. Hume’s essay of 1757,â€Å"Of the Standard of Taste† elegantly describes examples of the tradition of aesthetic judgment The growth of scientific knowledge influenced a sense of general optimism among Enlightenment thinkers. This sense of optimism in result called for a more critical use of human intellect. By overturning long established dogmas, people scrutinized the very prerogatives of reason in relation to political and religious institutions.During this same time, theorists were trying to take account of all the various creative activities that were occurring such as poetry, music, dance, architecture, and sculpture etc. They generalized them into one category of â€Å"fine arts† or â€Å"beaux arts† assuming all activities were unified by the common function and purpose; pleasure. Hume devotes his aesthetic philosophy to describe and analyze art and taste within the field of criticism. clea Humes essay â€Å"Standard of Taste† is divided into four major parts. First part compares the two views of artistic values. He supports the idea of common sense what it comes to judging artwork.It seems from this philosophy that no response to artwork can be wrong because personal taste varies throughout people and therefore cannot be dismissed. Hume rejects the conclusion that beauty simply equates with the sentiment of pleasure received by the object or thing. This is because he says sentiment â€Å"exists merely in the mind† which makes no individual response more superior than another. The Second stage of Humes argument The third stage that Hume discusses in his essay (17 through 27) outlines what he believes constitutes a true judge of art and what may be required to improve ones own standard for judging art. Strong sense, united to delicate sentiment, improved by practice, perfected by comparison, and cleared of all prejudice. † These specific factors in his mind would result in an individual worthy of a true judgment of at least a certain kind of artwork. In the fourth and concluding stage Hume stems from the third in the concept of who is the true standard. While seeking this specific critic of beauty one has to also take into account peculiar circumstances that may effect the experience and overall judgment of works.Circumstances can arise from unavoidable prejudices, which even the best critics cant avoid. Factors of natural differences such as age can result in generational differences, as well as cultural biases. A critics moral outlook constitutes as another circumstance that may complicate the judgment of certain kinds of works. Moderate moralism, Hume advocates as the best position to view works in because it confine circumstances where a work will be blemished by improper moral attitudes. David Hume was born in Edinburgh, Scotland on May 7, 1711. He was a philosopher, historian, economist, and essayist.He is regarded as one of the most important thinkers of Western philosophy and the Enlightenment. He is known especially for his philosophical empiricism or sense derived knowledge and skepticism and also for his influence on another important thinker during the Enlightenment, Emanuel Kant. Hume constantly tried to describe how the mind works in regards to knowledge and how the mind works. Experience meant a lot to Hume because he thought it served as the basis of his theory of knowledge. Hume attended the University of Edinburgh at the extraordinarily young age of 10 or 12.At first his family and him thought that a career in law was what his future may entail due to a family tradition on both sides. Yet, later he had become inspired by the different pursuits of philosophy. After a nervous breakdown and a few years to recover in 1729, he tried a job in a merchants office in 1734. He then came to a turning point in his life where he retired to France to spend the majority of his time studying and writing. During this time spent Hume produced a writing which was separated into three books called A Treatise of Human Nature.These books was the first of Hume’s attempts at a full fledged philosophical endeavor. It was certainly his most thoroughly written product of his thoughts mostly explaining his theories about mans process of thought and knowledge. During his younger years, Hume was earning enough money to gain leisure for his philosophical studies. In this time he wrote, rewrote, and added to the book, Treatise. It was in this set of three books that Hume developed his mature thought about the nature of reasoning in regards to fact and experience.The growth of scientific knowledge influenced a sense of general optimism among Enlightenment thinkers. This sense of optimism in result called for a more critical use of human intellect. By overturning long es tablished dogmas, people scrutinized the very prerogatives of reason in relation to political and religious institutions. Hume was the first philosopher of the post medieval world to reformulate the skepticism of the ancients. (Cranston) His conclusion that man is more a creature of senses and practical sentiment or taste than that of reason guided many prominent philosophers to follow.Hume’s general analysis of measuring the aesthetic experience of an object or thing is generated from a personal taste. He believes that there is no wrong evaluative response to a work of art. No reaction or opinion can be dismissed simply because it maybe disfavored by the majority. If something is beautiful to someone then this fact cannot be argued or judged upon by another. Of course, this philosophy comes with certain limitations and specifications determining who is worthy of true judgment of works according to David Hume.In Hume’s essay he outlines what people can do to improve on e’s taste and what kind of qualities must be instilled to qualify as a true judge of at least some kinds of works of art. Five qualities, Hume says, would qualify for this job. â€Å"Strong sense, united to delicate sentiment, improved by practice, perfected by comparison, and cleared of all prejudice†. These conditions he believes need to be evident in order to achieve a more qualified personal taste towards a specific kind of work. Even with the best critics there can be certain complicating circumstances that can interfere with judgment.Hume believes these kinds of unavoidable prejudices come from a matter of moral outlook. Bias that comes from individual morality varies greatly and Hume thinks that this can be a huge flaw when it comes to a persons judgment of work. Hume advocates a position of moderate moralism when it comes to â€Å"the natural boundaries of vice and virtue†. This way the works being exposed to the individual judge will not be blemished by overt premonitions. When interpreting Hume’s essay about taste it is hard not to consider the possibility of contradiction because he recommends two very different standards.Hume seeks to find the true rule regarding how to measure sentiments of beauty in regards to personal taste. In doing so, the reader receives two sources of ideas from this search. The question now is whether a good critic defines good art, or good art in terms of good critics. Another aspect regarding Hume’s essay is the very idealistic vision of the most qualified judge of beauty. I find that this ideal critic couldn’t possibly exist because it is only natural for our different background of culture, morals, and religion to effect our opinions.Tastes in Hume’s context are the pleasures or displeasures that a person can take in the beauties of poems, paintings, and other artistic compositions. For Hume, taste is the capacity for one to react and conceive responses based on external stimuli. This ability to correspond external stimuli with an initial response or reaction is what we would call an â€Å"aesthetic experience†. When looking at works of art one can either accept it as pleasurable and attractive or disregard it as ugly or unpleasant. Both of these separate reactions require such experience to occur.In addition, the value judgments that occur in result indefinitely effect our value of taste. The position Hume holds in the essay is that some people who qualify as the â€Å"true† judges determine the good works of art. Hume discuss’ the receptive side of art criticism rather than the creative side that actually conceives and creates the art itself. The position Hume holds in the essay is that some people who qualify as the â€Å"true† judges determine the good works of art. For Hume, taste is the capacity for one to react and conceive responses based on external stimuli.This ability to correspond external stimuli with an init ial response or reaction is what we would call an â€Å"aesthetic experience†. When looking at works of art one can either accept it as pleasurable and attractive or disregard it as ugly or unpleasant. Both of these separate reactions require such experience to occur. In addition, the value judgments that occur in result indefinitely effect our value of taste. Hume contends that differences in aesthetic taste are too obvious and great to deny.It is the extent of these differences that indicate whether the reality of universal approval or disapproval effects an individuals taste. In almost every culture there will be a consensus or general analysis when evaluating certain works. Hume does not see a big difference between artistic and moral values. He corresponds the two as related and both a factor in the judgment of arts. Tastes are â€Å"sentiments† and opinions or â€Å"judgments†. While all sentiments coming from any individual could be considered right, only few judgments or opinions remain right.Taste is considered a sentiment and therefore subjective by all means. In relation things that exist such as beauty and deformity are also extremely subjective qualities. The sentiment therefore exist merely in the mind of the individual who contemplates them. Yet, this existence does not constitute a valid opinion or judgment based on what existing in the mind. Taste is irredeemably subjective, individual in scope, culturally and historically conditioned, therefore relativistic. It seems as if Hume is stuck between two different conclusions, relativism and objectivism. He mostly settles between the two

College Athletes Should Be Paid - 2238 Words

Some people would say that a person who works fifty to sixty hours a week without pay is being taken advantage of. For example, think of college athletes, and the labor they assert for no pay. College athletes spend massive amounts of time to dedicate themselves to their sport and their studies. They help the NCAA earn exuberant amounts of money, but see little in return. The only benefit college athletes receive today is scholarships, which sometimes do not even cover full-tuition or meal plans. In the opinion of former Ohio State cornerback Bradley Roby and many other players, a scholarship is not enough (Briggs). Players are often forced to struggle through college by taking out loans to pay for expenses that are not covered by their†¦show more content†¦This is nearly impossible, however, as being a student-athlete is a full time job in itself. Bradley Roby said, â€Å"How these colleges are running football programs now, it s just like the NFL. It s about results, it s about winning. That s what the game is about. Classes, working out, performing week in and week out† (Briggs). Roby’s point of view is one that is seen widely across college athletes. The expectations of the players have grown, but their reward for success has not matured at the same rate. Many of the student-athletes that go on to attend a university live at or below the poverty level growing up. Some people may think that this is less of an issue once the athlete is in college, as they receive tuition and housing free. This is obviously not the case, however, as those student-athletes sometimes struggle to get food to eat, and have to take out loans to cover their expenses. As Bradley Roby said, â€Å"You can still have a scholarship and not have food. Not everybody comes from a decent background† (Briggs). Students’ going into debt in college is also a legitimate concern. As another source said, â€Å"The average full-scholarship athlete accumulates $ 3,200 in debt for each year they re in school, according to a recent study, because meal plans and other incidentals often aren t fully covered† (Majorel). Athletes’ not having enough food to eat was an issue in the 2014 NCAA Men’s Basketball Tournament. University of Connecticut star Shabazz Napier