Aggression in dementia

Aggression in dementia Introduction Aggression in people with dementia is a behaviour that can be evident is care environments where dementia care is given. This is a issue that is becoming a growing health concern (Jackson and Mallory, 2009: Alzheimer’s Society, 2014: Cipriani et al. 2011). This is an issue that is likely to keep growing and developing as the population continues to age. (Nguyen, Love and Kunik. 2008). This is an issue that needs to be managed well with good leadership and guidance from management and nursing staff and the input from all relevant members of the multidisciplinary team charged with caring for individuals who show signs of aggressive behaviour and this is critical in making this achievable and protecting patients and residents in long term care environments from potential harm. This piece of work will look at a practice situation from a clinical placement area that highlights how resident safety can be an issue within a care environment. This will explore the nursi ng leadership skills and management that where utilised to address this particular situation and how all care professionals within the multi-disciplinary team (MDT) were involved and the impact this had on all team members. Situation The situation developed whilst the student was on a first year placement in a nursing care home which specialised in the care of people with varying types and levels of dementia. The situation involved a male resident who was showing signs of aggression towards other residents, both male and female. The staff where as vigilant they could be, but due to limited staff. Aggressive incidents did occur where staff had to attend and separate the residents and try to diffuse the situation. This particular person was developing unusual behaviours that manifested in the individual was found over a period of time to have been getting into various female residents beds when the residents where in them sleeping. This was initially highlighted by the care staff to the nurse in charge when it was found that this person was found in resident’s rooms and subsequently in female resident’s beds. This was however not acted upon as the nurse thought that this may be a temporary issue and advised care staff to observe this person as much as reasonably possible. This situation however escalated when it was discovered that a female resident was found to be extremely upset and agitated and it was discovered that this was due to this individual in question being in the same bed as her and had woke her up. This resulted in an emergency meeting having to be arranged between the nurse in charge and members of the MDT team who were involved in the care of this individual and then trying to formulate a suitable strategy that would benefit the care environment, i.e. minimise the issues that had happened and to prevent further issues developing. The nurse in charge and the management also were aware this person still had to have a good quality of life within the environment and promote the safety of the other residents within this care environment.

International Finance Coursework Example | Topics and Well Written Essays - 3500 words

International Finance - Coursework Example ) Rate of return Weightage(?) Equity Shares 720,000,000 9.50% 68,400,000.00 Bank overdraft 169,800,000 6% 10,188,000.00 Redeemable bond 310,200,000 3.52% 10,905,381.42   Total 1,200,000,000 89,493,381.42 WACC 7.46% Current Debt to Equity ratio Debt 480,000,000 Equity 720,000,000 Ratio 0.67 The weighted average cost of capital of the company is the weighted average of the various sources of finance used by the company. Debt is cheaper than equity finance as it lower risk prone and there is always a tax incentive. Increasing amount of debt in the capital structure of the company has its disadvantages as well. Increasing level of debts increases the financial risk of a company which eventually increases the cost of equity as well. The weighted average cost of capital of highly geared company is higher as compared to the others. In the given case study, the company, vagabond plc, is not a highly geared company as against every ? 0.67 worth of debt, the company has ? 1 worth of equity. In order to calculate the weighted average cost of capital of the company, the market value of equity and debt instrument is need to be calculated. The shares of Vagabond plc are currently traded at 36 pence which makes the total market value of the equity to ?720 million. In order to calculate the cost of equity (ke) we use the formula as enumerated in table 1. In the mentioned formula Rf is the risk free rate of return where Rm is the current market rate. Rm-Rf represents the market premium. Beta measures the systematic risk (associated with the environment in which the entity operates) of the company in relation to the current market risk. The company currently has debt through two resources i.e. through bank overdraft and an issuance of redeemable debt bond. For bank overdraft the cost of debt is the rate on which the company pays interest. For the redeemable bond, the cost of debt can be calculated as mentioned in Table 2. Since interest (Coupon x Face value of the debt) is the only cash flow, the IRR of the cash flows is the cost of the debt kd. The weighted average cost of capital (WACC) of the company is calculated by considering all the sources of capital and their rate of return. b) The revised weighted average cost of capital for Vagabond Plc, after consideration of the project is as follows. Calculating the revised capital structure Current Debt to Equity ratio Debt 480,000,000 Equity 720,000,000 Ratio 0.67 Investment required ? 300,000,000 Let the investment raised through equity be 'x' Thus in order to maintain the current debt equity ratio, the company’s revised capital structure should be as follows (480 + x) / (720 + (300-x) = 0.67 Solving the equation, the value of 'x' is ? 121.5 million Revised Debt to Equity ratio Table 4 Debt ? 601,500,000 Equity ? 898,500,000 Ratio 0.67 Calculating Beta equity (Geared) of the project   Table 5       Beta (asset) = Beta (equity) x Equity/[Equity +Debt(1-tax rate)] Where    Beta (asset) of th e project is 1.9    Revised debt is 601.5 million    Revised equity is 898.5 million          Substituting all the values in the equation, Beta(equity) is 2.81 Calculating revised cost of equity      Table 6 Using the formula Ke = Rf + (Rm-Rf) * Beta

Comparing unacademic genre Essay Example | Topics and Well Written Essays - 750 words

Comparing unacademic genre - Essay Example This film indeed plays like real life events happening in a modern television network station. The main actor appears to reason with critics, something that gives him an edge to pass on his message that current journalists have more ways of speaking the truth to those in authority fearlessly. He goes on showing that, the modern journalist has been able to attract the attention even first-time viewers and consequently being able to engage the viewer to give an opinion concerning both public and private policies. The movie has portrayed news anchors and journalists as people who do feed viewers and readers with the right content but in between tilt it to favor their side of the argument. That way they have an upper hand of influencing public opinion about how the ruling class executes its policies. The film is quite interesting and captivating, with all characters coming out boldly and playing their roles interactively. The piece signifies the importance of working out in a calculative and composed way with the bigger picture in mind. From the movie, one can learn how to single out truth from fiction in the work of journalists and figure out how to make independent decisions instead of following their lead. As shown, that best way is to digest the question the journalist asks then give a reply based on that piece of the article without an analysis. The piece with analysis is meant to divert your vision to something similar to what the article talks of. The movie is about a female messiah-like figure (Jupiter) who is engaging King Lear family villain siblings in a bitter war to control the solar system. The villains play tough prompting Jupiter to seek assistance from baddies, who are members of another dynasty. The baddies immediately become interested in her and compel her to sign a property deed that shall allow them to harvest her eggs. These eggs contain energy of imprisoned people, so the buddies want to