Saturday, February 29, 2020

Case study of a man with parkinsons disease

Case study of a man with parkinsons disease Mr Henderson has arrived in hospital after a history of falls at home and has just commenced a new medication regime. It is very possible that he may be anxious, worried, frightened as a result of falling at home which also may result in loss of confidence. He may also be apprehensive about his new medication regime. Having been diagnosed with Parkinson’s for 5 years, he more than likely knowns the importance of getting his medications on time, in reducing the symptoms allowing him to maximise his independence. However, it is not for the nurse to presume this and she/he must sit down, talk to him, allowing him time to talk and express his worried and anxieties. This was help to establish a relationship and Mr Henderson will understand that you are there to support him throughout his journal of care. The nurse should also make sure that all members of the multidisciplinary team are aware of Mr Henderson’s condition and if they are not aware of the importance of getting medication on time out with ‘normal’ drug rounds then they should be informed of its importance and understand the significant consequences resulting from not getting the drugs on time such as reduced independence and prolonged hospital stay. As medications are a large part in maximising independence and mobility and it may be suggested that Mr Henderson receives his medications before getting out of bed in the morning. This will allow time for the drugs to work and therefore enabling him to get out of bed more easily. ‘Freezing’, a symptom of Parkinson’s’ disease can be distressing for patients. It affects gait initiation, turning and moving through small spaces, such a doors and busy areas. Anxiety can exacerbate freezing and it is vital that the nurse can firstly recognise anxiety, this may be achieve through effective communication and listening skills and secondly developing strategies to reduce anxiety levels such as allowing him time to talk, listening and taking on board his expressions allowing for a trusting relationship to be developed, helping him to build in confidence and preparing him psychologically for going home. Various strategies have been suggested to assist with ‘freezing’. Alexander, Fawcett and Runicnan (2006) suggest cognitive techniques in breaking down movement. They suggest breaking down the task of getting out of bed in the morning and describe that patients should bend their knees so that feet are flat on the mattress and they the patient should swing knees in the direction that he wants to turn. The next stage involves clasping both hands and lifting them straight up, straightening the elbows, then turning the head and swinging the arms in the same direction as the legs. Finally the patient can grip the edge of the mattress and adjust his position until comfortable. When Mr Henderson is mobilising then it is important that he does not have any distractions and the nurse or othe r members of staff should not disturb or interrupt if at all possible as this could lead to ‘freezing’. The Parkinson’s Disease Society describe cueing strategies as external meaning visual, auditory or preprioceptive or internal meaning cognitive.

Thursday, February 13, 2020

COSTS OF PRODUCTION Essay Example | Topics and Well Written Essays - 750 words

COSTS OF PRODUCTION - Essay Example To understand the concept indivisibility of some factor inputs, we can look at some examples from the Tropical Smoothie cafà ©. Some of the indivisible inputs include the business idea, entrepreneurial skills, and the skills of individual workers among others. In this  case, it is  clear that not all inputs all divisible. Therefore, the indivisible inputs should be utilized efficiently to avoid wastage. There exist several characteristics or features of a competitive market structure. For instance, there are no barriers to entry in the market. In this regard, firms are free to penetrate or exit the market on their own pleasure. As a result, there are many small firms that serve the entire market such that no firm has sufficient power to control the market (Dwivedi, 2006). Therefore, the price of commodities in such a market are determined by the forces of demand and supply. In essence, the firms have to set prices that are in line with the existing market price. Generally, it can be argued  that the firms in such a market are price takers. Van & Camesasca (2001) state that a perfectively competitive firm offers identical products to that of competitors. In this regard, the consumers can switch from one firm to the other since all products are close substitutes. Actually, the products serve the same customers’ needs and wants and, therefore, firms are forced to devise unique means of surviving the competition. In essence, the homogeneity of products in perfectively competitive markets creates a cut-throat contest among the firms in the competition. Perfectly competitive firms operate with resources that are easily transferable from one industry to another. In essence, the firms are flexible to changes and, therefore, can fit in more than one industry. Studies have shown that most perfectly competitive firms do not operate in one industry for their entire life of

Saturday, February 1, 2020

Public Perceptions and Mentality of the Society Essay

Public Perceptions and Mentality of the Society - Essay Example In Australia, the high-profile attacks of Indians in this country have become an international event and a highly sensationalized issue. In Sydney as well as in Melbourne, Indian students have been bashed and attacked due to their race and nationality. Most of the alleged perpetrators are youths or young adults. Many of the Indians attacked are foreign students coming to Australia to study and benefit from the higher education available in this country. It is estimated that foreign students studying in Australia account for more than $13 billion annually to the economy and Indian students comprise the second largest foreign student body. Higher education is Australia’s third largest export earner, ahead of wool, wheat, copper, tourism and even gold. Importantly, government figures estimate that fully 17.8% of all foreign students in Australia are Indian-born. International students represent the 3rd most lucrative export for this country and Australia can ill afford to lose th e international students who come here each and every year to pursue their studies. Recently, the Indian government has threatened to put out a travel advisory out against Australia thus restricting the flow of Indian students to this country. The high profile bashings raise many important questions for the general public, questions which increase in voracity around the national holiday, Australia Day. Is Australia a racist society? Can we deal with the ramifications of a multicultural society in the twenty-first century? These questions and much more are raised when high profile attacks by young people make headlines around the world (Marginson, 2006; Australian Bureau of Statistics, 2008; (Soutphommasane, 2010).