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

The Black Cat - Symbolism Essay -- essays research papers

Symbolism in Edgar Allan Poe’s "The Black Cat" In Edgar Allan Poe’s "The Black Cat," symbolism is used to show the narrator’s capacity for violence, madness, and guilt. "The Black Cat," written by Edgar Allan Poe serves as a reminder for all of us. The Capacity for violence and horror lies within each of us, no matter how docile and humane our disposition might appear. In this story, the narrator portrays a man who is fond of animals, had a tender heart, and is happily married. Within several years of his marriage, his general temperament and character make a radical alteration for the worse. He grows moodier, more irritable, and more inconsiderate of the feelings of others. This change for the worse caused by alcohol, ends in the narrator’s waiting on death row for the murder of his wife. The symbolism of the first black cat (Pluto), the second black cat, and the white spot illustrate the narrator’s expanding capacity for evil and perverseness. The most important symbol of the story is the first black cat. The first black cat is symbolic of the narrator’s evil heart and there are many ways one can prove this. Black cat one started out in the story as the narrator’s favorite pet and playmate named Pluto,which is the name of the God of the Underworld. And one night, after returning home much intoxicated the narrator’s love for the pet seem to fade away. That night in which the narrator is...

Advantages for Having a Dog.

Dogs, simply put, are a man’s best friend. These animals are extremely loving and loyal. Both humans and dogs are happier when they are around each other. A lot of dog owners make their dogs part of their family, treating them as one of their children. Numerous benefits come to owners: responsibility, companionship, mental health benefits. The top reason people adopt or bring a dog into their lives is for companionship. When I had a dog, I came home from school to find him waiting by the front door, wagging his tail in the most happy fashion.I did not know if he was so animated because he had done something in the house or he really needed to go outside to relieve himself, but it made me happy knowing he was there. Being with my dog, I never felt alone; in fact, just walking from room to room in my house, I was always followed. In a funny way, my dog was like my very own stalker or sidekick. The loyalty of dogs is amazing; they always want to be by your side, even when you hav e had a bad day or are just feeling down. When you bring a dog into your life, you also take on commitment and the responsible tasks of chores for your dog.My Dad always told me that in addition to playing with him, I had to learn to take responsibility for walking, feeding, and grooming our dog. Teaching me this early in my childhood showed me the importance of caring for and taking care of my belongings, as well as a living creature. Taking my dog to the park is a great ice breaker with women, since seeing that I take care of my dog shows that I can take care of my own life. When I took that step to own a dog, it affected my mental and emotional well-being.I never had that feeling of being alone, with that I was always grateful for having my companion along with me. I researched the health benefits of having a dog as a pet and being alone all the time can lead to depression by having a dog, can help cure the depressed state that you may experience. Also medically the brain release s serotonin and dopamine hormones which give moments of pleasure and calmness. I felt happier in which gave me a better mental wellness, but who wouldn’t want a lower stress level in their lives.If you are not ready to commit to taking care of an animal like a dog because it is too expensive or it is just too big of a commitment, then perhaps this is not the best plan for you. Making the decision to bring a dog into your home is life-changing, and has to be one you are ready for, like buying a new car or finding a new girlfriend. Dogs are calming, accepting animals that offer unconditional love and kindness, as well as many health benefits. So, if bringing a dog into your life is what you want, you will not regret it at all.

The Importance of Stem Cell Research Essay - 2451 Words

â€Å"The greatest risk to scientific progress is to stop taking risks†. Dr. Elias Zerhouni from the National Institute of Health gave this quote during an interview to a reporter in 2007. He was referring to Stem Cell research, a controversial medical issue of today. Louise Brown of Manchester, UK owes her life to scientists and doctors taking risks and exploring the world or Stem Cells. In 1978 she became the first baby to be born via in-vitro fertilization, a process where a woman’s egg is harvested and mixed with male sperm to become fertilized. After doctors fertilized Louise’s mothers’ egg, and let it develop in a lab for about five days they then implanted the zygote in Mrs. Brown’s uterus where it successfully started to grow into a†¦show more content†¦For most, the issue is determining when life begins. Does life begin at the moment of fertilization or when a baby exits the womb and appears in the real world? If one considers the moment an egg is fertilized and develops into a fetus the point when life starts, then harvesting cells from human embryos could be considered murder. For those who don’t believe life begins the moment the sperm and egg unite, hESC research isn’t an as much of an ethical issue. Most religious groups view destroying an embryo as murder, because they believe that when a baby is conceived it develops a soul. Harvesting stem cells is beneficial to more than just women looking to get pregnant via in-vitro. Research has and can be done further on diseases, and for genetic disease screening. As Dr. Zerhouni put, there must be risks to make progress. The risk of destroying an embryo to potentially save many human lives is one experts are willing to take. In reality, it all comes down to individuals’ personal beliefs and deciding what comes first in their priorities. Using a fetus that has been aborted by personal choice, or by using a miscarried fetus could start a breakthrough in medical science and possibly solve an incurable or untreatable disease. The government has gone back and forth many times on what is acceptable and what is not in hESCShow MoreRelatedThe Importance Of Stem Cell Research1278 Words   |  6 Pagespaper, there has always been a lot of controversy surrounding stem cell research and the ethically rights researchers have obtaining it, let alone experimenting with it. Therefore, it is no surprise that before RCT with stem cells on humans were approved and accepted, trials were done on mice and rats. While it is not ideal and in no way similar to the effects on humans, experiments done during this phase were useful in viewing how stem cells actually alter and impact osteoarthritic joints. In an experimentRead MoreThe Importance Of Stem Cell Research805 Words   |  4 Pageshereditary altering. In stem cell research, â€Å" An isogenic human iPSC cell line precisely corrected by the CRISPR-Cas9 system was recently constructed, despite the handling difficulties associated with gene editing of human stem cellsâ €  (Kim, â€Å"CRISPR-Cas9: a promising tool for gene editing on induced pluripotent stem cells.†) iPSCs, which are fundamentally the same as embryonic stem cells, are pluripotent cells with a high self-reestablishment rate that can separate into all cell sorts; be that as itRead MoreThe Importance Of Stem Cell Research812 Words   |  4 Pagesscientists has recognized a vital regulator of hematopoiesis, the process of making new blood cells after bone marrow transplants, bone marrow injury, and during systemic infection, creating new blood cells, including immune cells. This regulator is a protein known as the Del-1 (developmental endothelial locus–1). Researchers have deemed that focusing on Del-1 will be an effective way to upgrade stem cell transplants for both donors and recipients. It is also determined that there could be also methodsRead MoreThe Importance of Stem Cell Research Essay1649 Words   |  7 Pagessuch as above kill off important cells that reproduce rapidly to help the body function normally. Well, what alternatives does one have to turn to when the time clock runs out for all cells, resulting in death. Stem cell usage is a second chance given that doesn’t set death as an essential from these fatal diseases. Stem cell research is an unaware issue to society that could possibly be the antidote to saving lives, and to others who are familiar with the research is a controversial issue on howRead MoreEssay on The Importance of Stem Cell Research1060 Words   |  5 Pagesaccomplished through stem cell therapy and cell d ifferentiation. Stem cell therapy is like an intervention, in which new cells are introduced into the body or tissue in order to treat a disease or injury (Haldeman-Englet, Chad). Cell differentiation is the process in which a cell has the potential to become physically/fundamentally and functionally different from one another Also meaning they are pluripotent (Smith, S.E). These special cells have many uses, thus the nickname â€Å"The Golden Cell.† ScientistsRead MoreThe Importance of Stem Cell Research Essay examples1503 Words   |  7 Pagesmedical research of scientists improves, new treatments are found that enable people to have a longer lifespan and live healthier. Medical researchers continue to discover new medicines that help people overcome fatal diseases and allow them to achieve a more sustainable life. As scientists research the potential of treatment for diseases, there is a promising future in stem cells that offer a possible treatment for a wide variety of diseases. Scientists discover the capabilities of stem cells throughRead MoreThe Importance of Stem Cell Research Essay example1686 Words   |  7 PagesOver the last decade the use of stem cells has been a controversial and heated topic. Debates have exploded over every aspect of stem cell research. It has been speculated by scientists that stem cell research may have the potential to cure harmful diseases or even regrow organs. However some find that the health issues seen in earlier attempts to use stem cell transplants and ethical controversies involved with extracting stem cells, make it very dangerous to further investigate. In actuality theRead MoreStem Cell Research in America: A Perfect Storm of Ideology, Politics, Science, and Religion1818 Words   |  7 Pagesï » ¿Stem Cell Research in America: A Perfect Storm of Ideology, Politics, Science, and Religion By: Me March 30, 2012 Abstract This paper discusses the recent history of stem cell research in the United States, tracking the controversies, politics, and promise of new technology that comes with a moral price. Starting in August of 2001, with President Bushs request that Stem Cell Research not be paid for with federal funding, the battle of science against religion began. (Rosenburg, 2001) DespiteRead MoreThe Expanding Field of Stem Cell Research744 Words   |  3 PagesStem cell research is one of the most widely expanding areas of scientific research being conducted all over the world today. In basic terms, stem cell research is the research of stem cells; however in actuality is much more complicated. A stem cell is a cell with the ability to develop into any of the cell types that make up the tissues and organs of the body. This makes these cells highly useful and provides limitless potential in the field of regenerative medicine. There are two expansive linesRead MoreResearch Essay : Stem Cell Research961 Words   |  4 PagesBiology Research Essay Erica Ford In recent years, there has been a lot more talk about stem cell research than ever before. The idea of stem cells arose in the 1960 s, with the first successful bone marrow transplant in 1968. Now, stem cell research is a widely known topic in biotechnology and shows a substantial amount of scientific promise. The future of stem cell research and the impact it could have follows with many questions on people s minds, as well the simple curiosity of what

United States Government Should Implement A Single Payer...

A nation that does not provide the opportunity, for the flourishing of health among its citizens, is inherently flawed. A country like the U.S is no exception to this assertion. The United States government should implement a single payer universal health care system. The Modern U.S health care is allowing its citizens to rack up vast amounts of medical debt, in addition, large amounts of its population to remain uninsured. The U.S lags behind an idea, which, many other countries have accepted and that is health care is a human right. A plethora of positive reasons stand behind the notion of a single payer universal health care system, like the ones in other countries. However, the system in place now, has many systemic problems that are hurting citizens, particularly the lower and middle class. Recently there has been a movement to fix these issues in the system to help the lower and middle class. This movement spawned Obamacare or the Affordable Care Act. The program itself is built around two simple goals: giving Americans better access to affordable, quality health insurance and reducing the growth of health care spending in the United States (Tamara Thompson 2). These ideas are inherently humanitarian ones, which, are the same ideas other countries value and used to develop their healthcare systems. The ACA is also implementing programs that are similar to a single payer system, offering â€Å"Consumers who meet certain income requirements can have their monthly premiumShow MoreRelatedHealthcare Should Be Treated As A Right Or A Privilege1164 Words   |  5 PagesRoosevelt’s 1944 State of the Union address, a list of proposed economic rights to which the president believed all Americans were entitled was enumerated in what is now popularly referred to as the â€Å"Economic Bill of Rights† (Roosevelt). Among the rights listed was â€Å"The right to adequate medical care and the opportunity to achieve and enjoy good health,† (Ibid). Seventy-one years on, this proposed right is rather poorly guaranteed, if at all. Even after the implementation of the Affordable Care Act, theRead MoreThe United States Health Care System1449 Words   |  6 PagesThe United States health care system is the most expensive in the world. It spends more than 16% of its gross dome stic product (GDP) on health care, (the highest per person in the world), but ranks behind most countries on many measures of health outcomes, quality, and efficiency. In 2012, over 47 million people were un-insured and millions were under-insured⠁ ´. The cost of health care is rising at least twice as fast as the rate of economic growth. Major companies are passing more of the cost ofRead MoreModule 2 : Professional Development1728 Words   |  7 Pagesmedical care culture that supports high technology solutions rather than prevention, the impact of financial solvency on the health care system and resistance to a single payer system in the United States Keywords: high technology health care, financial solvency, single payer health care system Module 2: Professional Development The purpose of this paper is to address the three questions posed in the second professional development module. Characteristics of High-technology Driven Health Care SystemsRead MoreThe Issue Of Health Care1674 Words   |  7 Pagesthe government s help, or is it a problem that will plague the world for its entirety? When you get down to it, it becomes a simple question: Socialism or Capitalism? I’ll let the facts speak for themselves, but first let us hear the backstory. The US federal government would not and did not finance or provide healthcare to the American populace through the 18th and 19th century. [1] In the early 20 century, things started to change when a debate arose on whether or not health care should be aRead MoreThe Right Healthcare Path For The United States2043 Words   |  9 Pagesresources came to mind. One could argue that the people of the United States are very much a resource that are needed in order for this country to function. Without a reliable healthcare system, America’s resources (its population) will likely suffer greatly. It seems that for the last few years there has been a constant debate on what the right healthcare path for the United States is. There is no doubt a problem with unfairness in the current system. It does not cater to the needs of the majority of AmericansRead MoreBreaking News: The President Addresses The American People973 Words   |  4 Pageslegislation proposing that all employers are r equired to offer health insurance. The United States of America is the leading nation of the free world. We have the moral obligation to take executive actions to take care of our citizens by providing health care access to all. From the late 1800s to the present day the delivery of health care in our country has been an issue of debate, and the campaign for some form of universal government-funded health care has stretched for nearly a century (Julie Pease, M.DRead MoreShould All Americans Have a Right to Health Care Coverage3650 Words   |  15 PagesShould All Americans Have a Right to Health Care Coverage? Regardless of Socioeconomics Lois Pullum Ashford University SOC 120 Professor Fandl April 05, 2013 Should All Americans Have a Right to Health Care Coverage? Regardless of Socioeconomics Introduction The United States has the most expensive health care system in the world and some 45 million Americans are uninsured under the current health care system, and these numbers continue to grow. However with universal health careRead More Universal Healthcare Essay1997 Words   |  8 PagesIntroduction Universal Healthcare is a system under which basic health needs can be paid by a single government payer. Basic health care needs include treatment for urgent, emergent, preventative, reconstructive, routine, and chronic care. The United States is the only wealthy and industrialized country that does not universal health care, however, does have a publicly funded government health care program for the elderly, disabled, military service, and veterans. Programs like these only coverRead MoreSingle Payer Healthcare : The Health Care System Essay1877 Words   |  8 PagesSingle-payer Healthcare: The Health Care System That America Rejected While campaigning for the 2016 presidential election, Senator Bernie Sanders of Vermont proposed that America should adopt a single-payer health care system. In Sanders’s plan, there would have been only one insurance program that would have covered everyone in the United States; in effect, other programs such as Medicaid, Medicare, and especially private insurance would be discontinued (Holahan, 2016, p. 1). If Sanders’s proposalRead MoreInternational Healthcare Comparisons1741 Words   |  7 Pageschallenge of providing adequate healthcare services to all their citizens. The United States spent approximately 17.6% of its GDP on healthcare in 2010, which could escalate to close to 19.6% in 2021 if cost containing measures are not put in place to control healthcare spending (The Commonwealth Fund, 2012). Even with this large amount of healthcare spending, the U.S. has almost 50 million residents without health insurance and 29 million who are underinsured (The Commo nwealth Fund, 2012). Tanner