The organizational structure of an Alzheimer’s nursing home Essay Example for Free

The organizational structure of an Alzheimer’s nursing home Essay INTRODUCTION   Pathophysiology   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Alzheimer’s disease (AD), also known as dementia, is a chronic, progressive, degenerative disease that accounts for 60% of the dementias occurring in people older than 65 years of age. It may also be seen less commonly in people in their 40s and 50s, which is referred to as early dementia, Alzheimer’s type, or presenile dementia. It is characterized by loss of memory, judgment, and visuospatial perception and by a change in personality. Over time, the client becomes increasingly cognitive impaired; severe deterioration takes place and death occurs as a result of complication and immobility. Administration and organizational structure   Imagine being in a large room with 40 or so people who are wandering, talking to themselves or talking gibberish, yelling, crying, staring into space or sleeping. Some are looking for their parents; some ask how to get home; one person, who appears to be lost, is repeatedly hollering keeps trying to stand up and sets off a chair alarm. The television is on. Nursing staff is in and out of the dayroom, to ensure that everyone is safe, telling residents to sit down, and calm down taking some to the bathroom or comfort room, passing medication or just observing. An activities aide is trying to hold the attention of a few residents who can cut and paste decorations for the unit. Other residents are sitting at tables with unopened magazines in front of them. This is a typical dementia unit. Coping with restlessness and wandering.   The Alzheimer’s disease Association estimates that almost two thirds of clients will wander and become temporarily lost in the community.   The client should always wear an identification badge or bracelet when at home. The badge should include how to contact the primary caregiver.   In an inpatient setting, the client is checked frequently and placed in a room that can be monitored easily.   The room may need to be close to the nurses’ station ( if the noise level in the nurses’ station can be managed ) and away from exits and stairs.   Some health care agencies place large stop signs or red tape on the floor in front of exits.   Others have installed alarms systems to indicate when a client is opening the door. The Federal Nursing Home Reform Law (OBRA 87)   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The Federal Nursing Home Reform Law of 1987 (OBRA 87) requires that each nursing home â€Å"care for its residents in such a manner and in such an environment as will promote maintenance or enhancement of the quality of life of each resident.† This requirement emphasizes dignity, choice, and self-determination for residents. Every nursing home is also required by law to â€Å"provide services and activities to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident in accordance with a written plan of care which†¦is initially prepared, with participation to the extent practicable, of the resident, the resident’s family, or legal representative.† This means that a resident should not decline in health or well-being as a result of the way a nursing home provides care. At its heart, culture change is about changing the culture of nursing homes so that they fully reflect these requirements. The culture change movement aims to de-institutionalize the environment of nursing homes.   It involves the transformation of nursing homes from the traditional model to a more resident-centered model. Culture change nursing home structure look like. Care is truly resident-centered: tailored to each resident to meet his/her needs as an individual, based on the individuals needs and preferences; Care is delivered by caregivers who have a meaningful and valued role in the residence; The environment is truly home-like, with residents having privacy of their own room and bathroom and the functioning of the nursing home such as nurse stations, resident lounges and dining rooms being small in scale and close in proximity to the residents room; Residents truly participate in life at the nursing home, making decisions for themselves regarding dressing, dining, bathing and partaking in activities, taking part in the functioning of the nursing home to the extent they wish to be involved, etc Conclusion:   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   When the client can no longer be cared for at home, referral to an assisted-living or long-term care facility may be needed. Early in the course of the disease, advise the family that placement might be needed in the late stage of the disease. This allows the family to begin the search process for an appropriate facility before a crisis develops and immediate placement is needed. A number of facilities specialize in the care of the clients with AD and other dementias. These units generally have a high staff- to-client ratio and architecturally design to meet the special needs and attention of this type of client. Reference: Cummings, J.L., (2002). Guidelines for managing Alzheimer’s disease, American Family Physician Nussbaum, R.L., (2003). Alzheimer’s disease and Parkinson’s disease. New England Journal of Medicine Rowe, M.A (2003). People with dementia who became lost, American Journal of Nursing http://www.princeton.edu/~ota/disk1/1992/9234/923407.PDF

evilmac Variety of Evils in Macbeth Essay -- Macbeth essays

Variety of Evils in Macbeth      Ã‚  Ã‚   The tragedy Macbeth by William Shakespeare manifests a rich variety of evils, not only by the main characters of Macbeth and Lady Macbeth, but also by the witches.    Clark and Wright in their Introduction to The Complete Works of William Shakespeare interpret the main theme of the play as intertwining with evil:    While in Hamlet and others of Shakespeare's plays we feel that Shakespeare refined upon and brooded over his thoughts, Macbeth seems as if struck out at a heat and imagined from first to last with rapidity and power, and a subtlety of workmanship which has become instructive. The theme of the drama is the gradual ruin through yielding to evil within and evil without, of a man, who, though from the first tainted by base and ambitious thoughts, yet possessed elements in his nature of possible honor and loyalty. (792)    Roger Warren states in Shakespeare Survey 30 , regarding Trervor Nunn's direction of Macbeth at Stratford-upon-Avon in 1974-75, how the witches represented the evil force of   black magic:    Much of the approach and detail was carried over, particularly the clash between religious purity and black magic. Purity was embodied by Duncan, very infirm (in 1974 he was blind), dressed in white and accompanied by church organ music, set against the black magic of the witches, who even chanted 'Double, double to the Dies Irae. (283)    Fanny Kemble in "Lady Macbeth" asserts that Lady Macbeth died as a result of her evil acts:    Lady Macbeth, even in her sleep, has no qualms of conscience; her remorse takes none of the tenderer forms akin to repentance, nor the weaker ones allied to fear, from the pursuit of which the tortured soul, ... ...nk. "Macbeth." The Riverside Shakespeare. Ed. G. Blakemore Evans. Boston: Houghton Mifflin Company, 1972.    Knights, L.C. "Macbeth." Shakespeare: The Tragedies. A Collectiion of Critical Essays. Alfred Harbage, ed. Englewwod Cliffs, NJ: Prentice-Hall, Inc., 1964.    Lamb, Charles. On the Tragedies of Shakespeare. N.p.: n.p.. 1811. Rpt in Shakespearean Tragedy. Bratchell, D. F. New York, NY: Routledge, 1990.    Mack, Maynard. Everybody's Shakespeare: Reflections Chiefly on the Tragedies. Lincoln, NB: University of Nebraska Press, 1993.    Warren, Roger. Shakespeare Survey 30.   N.p.: n.p., 1977. Pp. 177-78. Rpt. in Shakespeare in the Theatre: An Anthology of Criticism. Stanley Wells, ed. England: Oxford University Press, 2000.    Wilson, H. S. On the Design of Shakespearean Tragedy. Toronto, Canada: University of Toronto Press, 1957.

Doublespeak: Nineteen Eighty-four and George Orwell Essay

The definition of language is expressing our wants or needs to other people. Whether we realize it or not, language is a very important part of our everyday lives. Through our body language, eyes, tone or volume of our voice, words, or appearance, we can communicate things that we want (or sometimes not want) to other people. Unfortunately, language can sometimes be confusing and open to misinterpretation. One instance of this is doublespeak, a vague type of speaking that deliberately shields the meaning of the word, or making the word nicer without ruining its true meaning. Wherever doublespeak is used, ignorance and chaos is sure to follow. Doublespeak is often used by people in power such as senators, presidents, CEOs, and prime ministers. Typically, the speaker may use more complex words which the general public might not know the meaning of. It pretends to communicate, when in reality it leaves the intended audience with little to no idea of what was said and the public becomes ignorant. The term was inspired by George Orwell’s dystopian novel, Nineteen Eighty-Four. Nineteen Eighty-Four takes place in a totalitarian world where the public has become limited to the thoughts of serving The Party, and only The Party. It has become so restricted to the point where a new language has been created in order to stifle the thoughts of its people. This language, Newspeak, is a diminutive version of the English language generated to prevent its oblivious nation with coming up with such foreign concepts as freedom, love, and resistance. The district of Airstrip One is plagued by never ending war, constant surveillance by a being called â€Å"Big Brother,† which is never clear if he actually existed or just a symbol to represent The Party. The Party also used excessive amounts of doublespeak. For example, at one point, the protagonist Winston remembers the chocolate ration to be forty-three grams a week, only to hear the woman on the newsreel inform him that chocolate rations had gone up to twenty-three grams. While this novel is a bit more extreme, there are many similarities to the world that George Orwell created, and our own, the most notable being the excessive amount of doublespeak. William Lutz uses multiple examples of doublespeak used in real life in his essay The World of Doublespeak. He describes an incident in 1978 where an airplane had crashed in Pensacola, Florida, airport where twenty-one people got injured and three people died. The plane was also destroyed in the incident. Because the plane’s insured value was better than the book value, National Airlines received a tax insurance benefit of 1.7 million dollars on the accident. Later in their annual report, they claimed that the 1.7 million dollars was due to an ‘involuntary conversion of a seven-twenty-seven,’ which explained the money effectively without even mentioning the deaths of the three people or the crash in general (Lutz, 179). He also mentions that â€Å"the U.S. navy didn’t pay $2,043 apiece for steel nuts; it paid all that money for ‘hexiform rotatable surface compression units† and that â€Å"the U.S. Air Force paid $214 apiece for Emergency Exit Lights, or flashlights.† Both examples use complex words. While the authors of each example might be trying to compose each statement with the greatest intentions, they both come off stale. In his essay Politics, Propaganda, And Doublespeak, George Orwell states â€Å"people who write in this manner usually have a general emotional meaning- they dislike one thing and want to express solidarity with another- but they are not interested in the detail of what they are saying. A scrupulous writer, in every sentence that he writes, will ask himself at least four questions, thus: What am I trying to say? What words will express it? What image or idiom will make it clearer? Is this image fresh enough to have an effect? And he will probably ask himself two more: Could I put it more shortly? Have I said anything that is avoidably ugly?† (Orwell, 170) If the authors of the examples had asked themselves such, what they were trying to say might have been a bit clearer to the average member of the public. Sadly, the authors probably did not have these intentions in mind, for this type of doublespeak is purposely meant to mislead. This is the same type of doublespeak that keeps people ignorant, like in Nineteen Eighty-Four. Some aspects of the novel are already upon us. Doublespeak can intentionally and successfully deceive the general public with its vague tendencies. If it continues to be used in excess, we can very possibly end up with a world very similar to Nineteen Eighty-Four- full of chaos and ignorance. Doublespeak is a misuse of language and abuse of communication by those who are in control, and it must be eliminated.

How Personality Traits and Leadership Styles Influence...

Introduction of findings Researchers correlate effective organizational leadership with certain characteristics. McHugh (2009) stated that â€Å"there may be no other feature of American life that contains as much bias toward extroversion as leadership.† This means that debate still exists whether or not introverts may be effective as leaders compared to extroverts. Some researches would argue that introverts are more reserved and prefer to work alone without the aid of anyone else. Introverts are also believed to appear helpless and have a tendency to be submissive (Costa McCrae, 1992, as cited in Bernerth, Armenakis, Field, Giles, Walker, 2007). Furthermore, because of an introvert’s desire for independence, this would indicate that†¦show more content†¦This, on turn, makes a transformational leader a more efficient and effective leader (Felfe, Tartler, Liepmann, 2004; Schiro, 1999). Although there has been much research on personalities and leadership with an emphasis on extroversion, the trend is changing. More developments are proving that effective leaders need not be extroverts (McHugh, 2009). This means that organizations are using other methods in search of their next transformational leader. The findings will indicate that as times are changing, so are our expectations and outcomes. A different kind of leader is emerging. Personality Traits Studies have been done that resulted in the development of several different personality tests that would indicate a person’s primary traits and characteristics. Jung’s work on psychological types based a person’s personality on eight different preferences. Myers and Briggs further developed Jung’s work and developed a combination of these preferences resulting in 16 different personality types that would indicate how a person perceives themselves and their awareness of other things, people or ideas. These preferences include orientations of energy (extroversion, E and introversion, I), processes of perception (sensing, S and intuition, N), processes of judging (thinking, T and feeling, F) and attitudes towards dealing with the outside world (perceiving, P and judging, J) (as cited in Hautala, 2006). Another common testShow MoreRelatedThe And Transformational Transactional Organizational Theories Of Leadership1735 Words   |  7 Pa gestransformational-transactional organizational theories of leadership. The strategic literature highlights leadership style as an especially important influence on organizational innovation (Garcia-Morales, Jimenez-Barrionuevo, Gutierrez-Gutierrez, 2012). Contingency Theory Contingency theories are based upon the current leadership situation and are subject to change depending on the goal to be achieved (Waters, 2013). 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