Gerontological Case Study Essay Example | Topics and Well Written Essays - 3000 words

Gerontological Case Study - Essay Example Dis-engagements make them withdrawn from their social environment. This withdrawal may be by choice or forced. If it is forced individual feels hopeless about future may develop depressive pathology. Health-Perception & Health Management: 66 years old retired male contacted to the psychiatrist as an outpatient. Since last six months he was feeling unwell. His chief complaints were- feeling of sadness most of the time, palpitation, loss of appetite, unable to enjoy pleasurable activities, lack of sleep, depressed mood persist about half of the time, decreased will to share/ interact with almost every time. Before consultation to psychiatric OPD (Out patient Door) the client has contacted physician and other specialists' viz., cardiologists, neurologists etc. He also has gone through different medical examination but except arthritis he has not having any organic dysfunction. When he became fade up with medications, he asked to his consultant doctor about his illness, the doctor advised/ suggested him to contact a psychiatrist and psychologist both for the betterment of his mental health. He admitted that his problem is more mental than physical, but due to social stigma initially he avoided to contact a mental health professional. The client was puzzled about his illness as his problem was affecting his daily routine activities badly. He as well as the informant (his wife) was complaining that he is slowed up in his daily activities, can't be able to concentrate in most of his activities. He was feeling that life is not worth living. He was taking an antidepressant, but was unable to manage and follow the routine activities to maintain his health. No current history of alcohol use but use to enjoy beetle nut with tobacco. Nutritional Metabolic Pattern: As described earlier that due to loss of appetite, his diet was poor. He used to take less diet, as he doesn't have the feeling of hunger. Since last six months gradually his diet deteriorated and very often he skip his meal. Elimination Pattern: Initially he didn't complain any of the bowel/ bladder change. But in the second session he came with complain that he feels frequent urination as compare his early age. Due to this frequent urination he has to get up many times in night that obviously disturbs his sleep and make him worried about his health status. Till now he was not having any history of use of any devices/ aid for bladder pattern. Activity / Exercise Pattern: As the patient was already complaining that he is overwhelmed with his routine activities, he was not able to correspond actively with his day-to-day activities. His wife said that even for brushing/ bathing she has to take some strict actions Otherwise he use to laid down on the bed saying "I'll do' Please leave me alone." Sometimes forcefully he use to do his exercises like: walking and deep breathing but not regularly. Sleep/ Rest Pattern: His sleep pattern is also disturbed in comparison to normal days. Presently the patient actual need for sleep is decreased, and having disturbed sleep. When he was at work (before retirement) he was having a sound sleep. Although most of the time he feels to be on bed but complaining that he cannot sleep properly. His sleep is not refreshing enough. For his sleep initially he tried some relaxation exercise

Analyzing Enterprise Operations Essay Example | Topics and Well Written Essays - 1000 words

Analyzing Enterprise Operations - Essay Example The complementary nature of the inter departments makes the analysis and integration amongst them, an essential study. Enterprise integration is an improvement concept, as are total quality and error-free performance and these concepts have proven to be very difficult to implement successfully because the desired degree of improvement is difficult to achieve (Nell, n.d.). As in case of all improvement strategies whether in small scale or a small scale, the change must be gradual. Expectations have to be satisfied in the long term basis as the human factor is the most significant aspect of the analysis and integration. On the other hand, some businesses have invested to overcome integration barriers, and have achieved their integration, cost, and quality goals and there was enormous improvement (Nell, n.d.). The result was an optimal process where the products were produced with the desired result of timely manufacturing, and cost reduction so immensely that eliminated the need to jus tify the old system. The organization – Automobile industry, in present times, is one of the most competitive industry which has escalated owing to the purchasing power of the urban mass. Today’s customer, when purchasing a car, is not only attracted by the money factor but is also swayed by performance, design , brand name and other factors, making the industry , immensely competitive. BMW is German automaker primarily involved in manufacturing cars for the luxury class. It manufacturers BMW, MINI and Rolls-Royce Motor Cars. Sales and Marketing, Finance, Operations, Quality, Human Resource, Research and Development are some of the main departments that comprise the organization setup. An Enterprise Resource Planning (ERP) system has been installed for a smooth and effective flow of cross functional information. Sales and Marketing is one of the major contributors to the financial growth and profitability for the company. Under the Sales and Marketing department there are sub departments which are responsible to for specific jobs. For any sales person, the best way to learn about the business in to witness the direct sale of a car in the showroom. The showroom is furnished with the model cars and is connected to the central portal for the ERP. The location of the showroom is discussed in the department as the customers are limited to the upper strata of the society. The department is responsible to liaise with the operations and the management for the allotment and early delivery of the vehicle. The process – For high end car manufacturers like BMW, front end customer interaction is important. The rationale behind choosing the below process is to assess the journey of the line of interaction to the line of visibility that a customer embarks after he enters a BMW showroom. This is place where the initial relationship is established. One of the core process in the Sales and marketing department is the proper information flow of the booking o rders that are being assigned in the showroom. These orders comprise customized options by the customer (a new feature launched by the company where the customer can choose the interiors, accessories etc.) This is an important introductory concept as it gives the premium customers a flexibility to personalize the car. The specifications are entered in the system that is connected to t

Intelligence Analysis Question 2 Essay Example | Topics and Well Written Essays - 500 words - 1

Intelligence Analysis Question 2 - Essay Example Different professionals have come up with theories on the upcoming threats to the United States and going through the views of George Roger and Bruce James is effective in that it assists in understanding their viewpoint and the actions that the country ought to take in preventing actual occurrence of the risks. The two professionals mentioned are actual officers of the law where one of them, James works for the Central Intelligence Agency while Roger is also a member of the high leagues in terms of intelligence. According to George, the biggest threat that faces the United States both currently and in the future is regarding intelligence. Intelligence is critical information that a government accumulates and stores in its agencies that ought to assist the government run its operations and protect the citizens of the country1. George further states that the concept of hacking was the initiator of this problem and this is because the fact that people had the ability to access information and actual private date belonging to people made the trend famous to a point people started challenging one another. According to Roger, the issue is not quite rampant and this is because of the strict rules incorporated by the government where anyone that carries out this type of behavior faces strict legal action. This action has been a positive factor in ensuring that the number of these people reduces to a point that the concept of hacking stops completely. However, with the advent of more sophisticated internet technology, there are hackers that have come up with skills that they cannot be located. These hackers have the ability to hack into government systems and still critical information that has different implications on both the government and the content subject. Over the past few years, these critical hackers have had the ability to hack into systems such as that of Russian

Of Paradise and Power by Robert Kagan Essay Example | Topics and Well Written Essays - 500 words

Of Paradise and Power by Robert Kagan - Essay Example They self-identify as tough. In the end, Kagan claims America is much more technologically advanced and that it can attack safely other countries because it has the means to do so with technological warfare. However, as has been seen over the last few years in Iraq, American military power can get very tied up and may not always be very effective; it can sometimes limited in its ability to reshape a society or political system or deal with an intractable ethnic conflict. That said, I really do believe that Kagan’s argument more or less makes sense and that the Europeans need to take a more proactive, robust role in the world today in order to help solve all the problems and conflicts. This theory has inspired me to potentially work as a diplomat in the future. I started out thinking about conflict in an idealistic way, but now am much more realistic about these sorts of things. It’s important to ask the question when thinking about conflict and politics, What is power? Kagan suggests it is purely military force. The US is the lone power in the world with the ability to conduct expeditionary warfare on multiple fronts across the globe whenever it wants to. As was demonstrated in the Balkans in the 1990s, Europeans aren’t able to project a credible military force even within Europe. Therefore the Europeans resort to the only thing they have for managing international conflicts, international institutions such as the UN. The success of European integration and solving the "German problem" has a lot of Europeans.

The MacLeod Report (2009) claims that engagement strategies are Essay - 1

The MacLeod Report (2009) claims that engagement strategies are desirable for organisations and employees. With reference to aca - Essay Example 5). Engagement strategies aim at the establishment of mutual respect for what employees can be and what they can do in the organization given the right context that is beneficial for all stakeholders including the organizations, the consumers of services, and the employees themselves. Although engagement strategies are desirable for all organizations, yet they are not desirable for all employees, though for a considerable population of employees, engagement strategies are desirable. Although engagement strategies are generally desirable for the organizations, yet the same cannot be generalized for all employees. These days, many employees keep looking for employment opportunities elsewhere that would offer them better salary and job privileges rather than wanting to stay in the same organization for a very long time particularly when they are not content with their salary and/or job benefits. In the present age, there is scarcity of jobs in many industries in a vast majority of count ries around the world. In such circumstances, employees tend to avail any opportunity that they get irrespective of whether or not they are being offered sufficient salary and meanwhile, keep looking for better employment opportunities. Hence, to say that engagement strategies are desirable for all employees is not logical. According to mspb.gov (2012, p. 2), there are three components of employee engagement for the federal government, namely employees’ discretionary effort to give goal-directed performance, commitment to the organization, and employees’ satisfaction with the organization. The Corporate Leadership Council (2004) defines emotional engagement as â€Å"the extent to which employees derive pride, enjoyment, inspiration, or meaning from something or someone in the organisation. While rational commitment is defined as the extent to which employees feel that someone or something within their organizations provides financial, developmental, or professional re wards that are in their best interests† (Corporate Leadership Council, 2004). This can be stated without doubt that employees’ satisfaction has been and continues to be one of the biggest challenges in front of the management in any organization. Accordingly, the desirability of engagement strategies for the employees is limited. According to Macleod and Clarke (2009, p. 66), there are four main factors that serve as barriers to effective engagement in an organizational context; firstly, leaders either do not know what employee engagement is, what its usefulness for the organization is or they are not aware of its importance. Secondly, leaders may be interested in engagement strategies but may lack the knowledge required to address the issue. Thirdly, leaders and managers may not consent upon the idea of employee engagement. While the leaders might emphasize upon engagement strategies, managers might be ill-equipped to implement them. Consequently, the organizational cu lture cannot deliver effective engagement. Finally, leaders that do emphasize upon engagement strategies vary in their perception of and commitment to it. Many leaders tend to underestimate the potential of employee engag

Human biology and nutrition Essay Example | Topics and Well Written Essays - 1000 words

Human biology and nutrition - Essay Example The model deals with the alleviation of the health condition of the individual. The social model of health entails how determinants other than the absence or presence of a disease affect the health of individuals. Some of these determinants include the culture, beliefs of the individuals as well as the level of income, housing and education. Moreover, the political, socio-economic and the environmental conditions that the person is exposed to can have an impact on health. The social interactions of the people also influence their health (CDHN). The model deals with the alleviation of the health condition of the individual. The model helps to bring down the rate of deaths and early death. The physician will study the various pathological aspects of diabetes and the organs that it is involving. This includes the heart, kidneys, brain, liver and blood vessels as well as the extremities of the body. The model would help the person from his or health condition by considering the social determinants of health. The doctor will make an analysis of the genetic linkage of the disease as well as the intake of sugar in the diet of the person. If the person is overweight the doctor will make an analysis of the income of the patient and the dietary habits. Disadvantage: The doctor can do little or nothing about the health condition of the patient if irreversible damage has been done. However the patient can be advised on the management of the health condition. The physician makes an assessment of what is wrong with the body and accordingly fixes that part of the individual. In the case of heart disease, it is the heart that is the most affected. Other organs maybe affected as a consequence the inability of the heart to pump correctly. For instance, inability of the heart to achieve a normal stroke output can result in pooling of blood in the ventricles, and subsequently the atria. If blood pools up in the left atrium, it

Jeremy Bentham and Immanuel Kant on Suicide Essay

Jeremy Bentham and Immanuel Kant on Suicide - Essay Example Whether this number of suicide cases is reasonable or not, it is assumed that when the act was committed and even only at that point, an individual had considered suicide as the most reasonable means of surviving the situation, and that the number of people who accept such an idea may in fact be increasing. The 18th century philosophers Jeremy Bentham and Immanuel Kant constructed ethical principles that determined the rightness or wrongness of suicide. The act of suicide is not moral based on the ethical principles authored by Jeremy Bentham and Immanuel Kant. Bentham’s philosophy is defined by the value of the action in terms of utility, which roughly translates as human benefit, and so suicide does not give a person any material benefit in the long run for it almost always results in death. For the British philosopher, the moral basis of an action is how much utility it affords the individual. This translates as pleasure and avoidance of pain according to â€Å"its intensi ty, its duration, its certainty or uncertainty, its propinquity or remoteness† (Perry & Bratham 485). Most people would contend that suicide may bring the individual peace and freedom from any more physical pain as he dies. However, committing suicide is also through pain itself, which is never a benefit to the individual. The intensity and duration of the act of suicide must be equivalent to the intensity and duration of pain that the person will experience. ... After all, there is no guarantee that there is no more spiritual pain and torment in the afterlife even if death meant the cessation of all physical pain. Thus, suicide is not moral because it does not truly give the guarantee that one is freed from pain just because one dies. After all, there is no authentic proof that the afterlife is a life of eternal goodness and pleasure. Moreover, suicide is not moral because it is followed by undesirable circumstances. For Bentham, an act is moral also if it is followed by sensations of the same kind, which is known as fecundity, or if it is not being followed by sensations of the opposite kind, which is known as purity (485). In terms of fecundity, no one can really be sure about suicide as its usual consequence is death. However, based on Bentham’s definition of fecundity, the sensations of pain from suicide may actually be followed by more pain in the afterlife or in the physical life if the person did not actually die. On the other hand, when it comes to purity of action, even if the suicide were painless, there is no guarantee that there is no more pain for the individual in the afterlife. Moreover, there must even be a lot of pain that he would leave in the physical world. There is therefore no escape from pain when it comes to suicide, thus it is not a moral act. Suicide is also not moral because it negatively affects many people. For Bentham, one last basis of the morality of an act is its â€Å"extent† or the number of people who are affected by it (485). This means that the person who dies from suicide leaves behind family members and friends who would grieve his death or who would suffer in this world because of him. For example, if he were a doctor