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Pain in the Elderly and Dementia Patients, 2004.
This paper is a research proposal to evaluate methodologies to assess pain in the elderly and in dementia patients.
4,130 words (approx. 16.5 pages), 39 sources, APA, $ 110.95
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Abstract
This paper explains that care for the elderly and patients suffering from dementia has become a growing problem in the nursing and health care professions because of the patient?s inability to adequately communicate his or her physical and mental condition. The author believes that the facility to assess correctly levels of pain and discomfort will lead to more comprehensive pain management protocols and techniques. The paper states that a multi-dimensional research methodology will be followed, including the assessment of the ADD and PIS formats.
Table of Contents
Research Problem, Literary Review, Research Question
Introduction
Research Problem
Literature Review
Pain Assessment and Management
Ethics
Research Question
Research Method, Design/Proposed Method, Sample, Data
Proposed Outcome of the Study, Time Scale, Resources
From the Paper
"While there are many studies on the objective assessment and pharmacological treatment of pain in elderly patients in general, the emphasis in this proposed study is on Dementia. This implies that a more experiential modus operandi for assessment will have to be articulated to deal with the fact that communication is the main stumbling block to assessing patients? levels of pain and discomfort. Importantly for the criteria of this proposed study, the author of the above paper states that ?physical and affective pain in people with late-stage dementia are poorly assessed and inadequately treated."
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Social Groups, 2004.
A discussion of various social groups and their relationship with funeral homes.
1,728 words (approx. 6.9 pages), 4 sources, MLA, $ 55.95
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Abstract
This paper will provide an overview of social groups, different group roles, and social functions. Further, the paper examines the variety of social roles present with the organization of a funeral home. Finally, the funeral home is analyzed in the context of a bureaucracy.
Contents
Introduction
Social Groups
Funeral Home
Conclusion
From the Paper
"Many of the negative ramifications of operating within a bureaucratic structure can be overcome. The creation of an informal organizational process within the bureaucracy, while seemingly an odd fit, can help the organization to run smoothly by increasing communication and innovation within the organization. Further, programs like flextime, employee ownership, and employee participation can help to humanize bureaucracies."
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Elective Surgical Intervention in Older Adults, 2004.
This paper discusses that elective surgical intervention in the population over age 50, once considered to be a risk, is coming under new consideration.
1,165 words (approx. 4.7 pages), 5 sources, MLA, $ 40.95
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Abstract
This paper explains that, today, chronological age alone is not a limitation for undergoing any type of anesthesia due to a greater emphasis on the study of gerontology, as well as a population that is increasingly health-conscious; there is also a greater emphasis on the prevention of long-term disability and disease earlier in life. The author points out that older individuals have complex metabolic and physiological changes, which require special consideration in pre-, peri- and post-operative management. The paper stresses that it is important to remember that not only do these patients require close physical monitoring, but also psychological issues, fear, and pain must be addressed to improve long-term survival rates and improve outcomes for patients.
From the Paper
"Interestingly enough, more and more studies are being started that primarily investigate anesthetic practices in the elderly population. An interesting study performed at the Mayo Clinic actually followed the postoperative course of a group of patients over 100 years old who underwent both elective and emergency surgeries. The post-operative mortality rate was compared to that of similar patients with similar socioeconomic and physical conditions of the same age. It was found that these patients were more and more demonstrating that they were living productive and independent lives before they developed the disease or injury, which required the surgical intervention. It was felt that the risk of the age was not as significant as the impact of the indication for the surgery."
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New Problems Facing the Elderly, 2004.
Explores the problem of alcohol abuse and drug abuse among the elderly.
1,668 words (approx. 6.7 pages), 11 sources, MLA, $ 54.95
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Abstract
This paper explores the incidence of alcoholism and prescription drug abuse among the elderly. It examines why it occurs and how it is exacerbated. In addition, the paper explores things that are being done to try and treat the problem, both individually and as a society.
From the Paper
"Alcoholism and prescription medication abuse are increasing among the elderly. As isolation, health problems, and depression continue to affect this population the problem of alcohol and pill abuse will continue. Programs to educate the elderly and provide social stimulation for them are being used to combat the issues. Future studies will be able to determine their effectiveness and plan continued treatment."
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Nursing Home Abuse, 2004.
This paper discusses elder abuse in nursing homes. Elderly abuse refers to any knowing, intentional, or negligent act by a caregiver or any other person that causes harm or a serious risk of harm to a vulnerable adult.
1,485 words (approx. 5.9 pages), 7 sources, MLA, $ 49.95
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Abstract
This paper reports that 30 percent of nursing home facilities are cited for instances of abuse, and the majority of all instances are never even reported. The author points out that, to prevent this abuse in nursing homes, communities must enhance facility security, improve background checks of staff, establish systems to monitor rates, places, and times of death, and expand death investigations and autopsies. The paper states that many states have long-term care ombudsmen, who have the primary responsibility of advocating for residents' rights and quality care, educating consumers and providers, resolving residents' complaints, and providing information to the public about abuse, but much more must be done.
From the Paper
"Laws are also changing to support the patients and their families. In Florida, for example, the Supreme Court drew a clear distinction between medical and nursing home care by ruling that plaintiffs in cases alleging nursing home abuse and neglect can sue for wrongful death and negligence without meeting the state's requirements for filing a medical malpractice claim. The court noted that nursing homes employ a variety of workers and that the failures the plaintiff alleged "may have been caused by the nursing staff, by the nursing home in not having adequate staff, by the negligence of aides or other workers, or by a combination of the above.""
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Alzheimer's Disease and Aluminum, 2004.
Research paper studying the correlation between Alzheimer's disease and too much exposure to aluminum.
9,479 words (approx. 37.9 pages), 49 sources, MLA, $ 194.95
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Abstract
This paper attempts to determine from existing literature if there is a causal connection between aluminum (AL) and Alzheimer's disease (AD). The paper begins with a description of the symptoms of AD and an explanation of the physiological deterioration that AD causes. This is followed by a discussion of the reasons that hereditary causes have been ruled out, a review of the literature on AD, and the potential causal relationship to AL.
From the Paper
"One of the most distressing elements of the crippling Alzheimer?s disease AD is that patients have no way of determining if they are at risk for the disease, nor treating the disease once it begins to set into the brain. Patients are slowly robbed of the ability to remember small details of life, and then ultimately fail to be able to process even the simplest thoughts. Thus researchers are looking for elements which are connected to the onset of AD, and one of the most promising connections found to date is the connection between AD and the presence of aluminum (AL) in the body. Researchers do know currently know if AL is a causative agent, or appears in the tissues as a byproduct which is attracted from other parts of the body as a result of the neurological breakdowns."
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Ageing and Hydrotherapy, 2004.
A study of a program designed to ease the ageing process using a special hydrotherapy course.
4,358 words (approx. 17.4 pages), 38 sources, MLA, $ 114.95
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Abstract
This research paper specifically addresses the positive effects of water therapy-based exercise in the population of the elderly patients in Worthing Hospital. The National Department of Health has identified the need for elderly to engage in, and work toward, a physically healthy lifestyle through its National Service Frameworks. The water therapy program (WTP) consists of 6 visits for the elderly patient, during which physiotherapists work with their participation in a series of water-based exercises. This program is designed for elderly people who are experiencing muscular-skeletal difficulties, and it allows the participants to have a direct effect on their condition. In this manner, the participants are empowered to take control of their health and well-being as they are supervised and assisted thorough a wide variety of low impact, cardiovascular, aerobic exercises.
Contents:
Introduction
Purpose of the Research
Literature Review
Sociological Factors
Physical Factors
Emotional Factors
Sense of Control
Self-Esteem
From the Paper
"Unfortunately, the aging process hereafter referred to as ageism, can often affect the choices people are presented with, and their ability to affect the overall psycho social dynamics of health and wellbeing. If people believe that some of the "inevitable deterioration" due to the result of the aging process is a barrier which they cannot overcome, they are likely to succumb to a diminished quality of life, and the degenerative aspects of aging. On the other hand, when the elderly person is enabled to understand the onset of degenerative conditions as preventable, they are likely to be more active in their own self-care, and seek out options regarding the improvement of their overall health and well being. Consequently, confronting ageism by enhancing positive beliefs about aging, and providing empowering activities for the aging person to engage in order to improve their quality of life is a vital component of comprehensive health services, and the responsibility of the health services community. The following factors are those which have been identified in literature regarding the aspects of a comprehensive definition of ?quality of life.?"
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Succession Planning, 2004.
This study shows how governmental agencies face problems when employees retire and take with them the knowledge and know-how of their jobs.
33,803 words (approx. 135.2 pages), 10 sources, MLA, $ 249.95
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Abstract
This document concerns itself with the knowledge of governmental agencies and how those that retire from them often leave behind knowledge gaps that are not picked up by other individuals. This is a growing problem and one that must be addressed. A review of the literature indicates that there are ways to ensure that knowledge is transferred appropriately. Studying that literature and analyzing its contents shows that there are issues that must be addressed and ways of looking at them that have not previously been utilized, which will make the transfer of information much easier. A study conducted on various individuals in governmental agencies will also indicate the importance of succession planning.
Contents
Introduction
Statement of the Problem
Purpose of the Study
Importance of the Study
Scope of the Study
Rationale of the Study
Definition of Terms
Overview of Study
Review of the Related Literature
Methodology
Approach
Data Gathering Method
Database of Study
Validity of Study
Originality and Limitations of Data
Summary
Data Analysis
Summary, Recommendations, and Conclusions
Bibliography
From the Paper
"This transfer of information has become vitally important in recent years because the aging population of this country will be approaching retirement age very soon. Due to this, many individuals who have held a particular job for many years or have worked their way up through many vital government jobs will find that they are about to leave and have no one to pass this information on to. This is something that must be corrected before these individuals retire so that those entering into the jobs that these individuals are leaving will have the knowledge that they need to do their jobs correctly."
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Financing Long-Term Care, 2002.
Examines ways in which the United States is dealing with the cost of caring for an increasingly aging population.
2,738 words (approx. 11.0 pages), 15 sources, MLA, $ 81.95
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Abstract
Developing an adequate system for long-term care in the United States poses a serious problem. Chronic disability in the elderly comes from many sources: Alzheimer's disease, osteoporosis, heart disease, and stroke, to name but a few. The paper shows that concerns about anticipated demographic changes escalate the financing problem. Today?s Medicare and Medicaid solutions are not adequately equipped to face the future challenges of America's long-term care system. The paper shows that, as the Baby-boomer generation comes of age, the social and financial impacts on the United States' struggling economy could be devastating. The paper includes tables.
From the Paper
"We as a nation should step back and see the big picture regarding the current and future long-term care needs of our nation. At approximately eighteen percent of our Gross Domestic Product, the amount of capital that is delegated to health care is enormous. A very legitimate solution or way to go to resolve the escalating problem is to go to a single payer national health insurance program. It would basically resolve virtually all of the major problems facing our health care system today. The single payer insurance is commonly defined as ?a single government fund within each state, which pays hospitals, physicians and other health care providers.? This system would completely replace the current multi-payer system of private insurance companies and health plans and would provide full insurance coverage for the other millions of uninsured Americans."
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Elderly and Medicare, 2004.
An analysis of the increased life expectancy of senior citizens and the cost of drugs to maintain them.
770 words (approx. 3.1 pages), 4 sources, MLA, $ 27.95
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Abstract
This paper provides an overview of Medicare, a program of national health insurance setup in 1965 for persons who are over the age of sixty-five or seriously disabled. It looks at how many medical procedures of the 1960s have been replaced by drug therapies and how Medicare has never been updated to include outpatient prescription drug coverage, leaving senior citizens, many of whom live on fixed incomes, especially affected by this lack of coverage. It discusses how. with the baby boomer generation ageing fast, and advancements in medical science, the new challenge is now to ensure that those who were responsible for the above will be cared for in the new century.
From the Paper
"In 1998, the US spent a total of one hundred billion dollars on prescription drugs. According to a report published in June 2001 by the Washington Business Group Healthcare (WBGH) and the Financial Management Association (HFMA), the cost of prescription drugs shot up by 14.6% in 2000, after an 18% rise in 1999. (Arya, 2001) From 1992 to 1998, the number of prescriptions rose by 40%. The government is caught in a difficult position. On the one hand it needs to curb the spiraling costs, on the other it has to protect the interests of its pharmaceutical industry. Expanding the use of generic drugs would be one way of reducing costs, but this is unlikely to happen because of the billions of dollars spend by pharmaceuticals on research in an intensely competitive field."
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