Sunday, November 17, 2019
Listening awareness between a Man and Woman Essay Example for Free
Listening awareness between a Man and Woman Essay Itââ¬â¢s a learning experience to discuss communication variances between men and woman, but society must also forget, even for a brief moment that, ââ¬Å"Men are from Mars, Woman are from Venusâ⬠. Everyone shouldnââ¬â¢t ponder how a woman or men would act, without knowing the self-esteem factors of listening can do. Donââ¬â¢t we ponder why woman are so easily give up in asking for directions, while men tend to not give up easily and try find there way out of an unknown town. Currently, society is just the beginning to understand the true differences between men and women. Besides the obvious physiological differentiations, there are also differences in the way men and women think, speak, behave and sharing listening factor variances that will help guide the way women and men can help communicate without it having any effect on oneââ¬â¢s self-esteem. Non-verbal communication, because actions may sometimes speak louder than words ââ¬Å" Women are more spontaneously emotionally expressive yet also have less ability in controlling their emotions, while men are more direct minded and straight to the pointâ⬠(Jeff Thompson, Psychology Today Article). Body language is becoming for as a significance tool to identify any mixed signals, warning signs or welcoming behaviors between a man a woman, and this can lead to a low or high self-stem as well. Such as, people are enjoying more quiet moments, and just using welcoming body language or positive non-verbal communication, and simply the other person would listen by responding back with a sincere smile, hug, etc. Another aspect of non-verbal communication, it can send of the varied vibes of male dominance, men tend to have a more closed approach, while woman will show more affiliate body movement and response to a non-verbal reaction. Listening with reactions, and no verbal can leave men and woman having a dissimilar outlook, such as when woman touch there selfââ¬â¢s too much, it may be identified as flirting, while the woman is seeing the man as squeamish or impatient. To say you are listening would be reinforced by eye contact and position of the body, facial expressions is a huge key factor for listening nonverbal communication. Therefore, nonverbal communication is important to resolving conflict, enjoying each others company, meaningful conversation and increasing trust between a man and woman. Another listening skills that will help improve men and woman self-esteem is active listening. Active listening will help improve empathy, build trust, and teach a person listen as much as he or she would speak during conversations. ââ¬Å" Unfortunately, most people focus more on the speaking than they do on the listeningâ⬠(Susan Cross, Psychology Today Article). If a women or man were to sit back an listen to what is happening, they would learn more and be able to think of a greater and responsive answer in a conversation that is happening. The problem that most people have is becoming a poor listener, because they are not actively listening or fully engulfing what is happening around they, and will is not only be perceived as rude but that they miss out on important knowledge of any given conversation, speech, for both sexes. Active listening is becoming extinct; because of modern day technology of social media is becoming more and more of a distraction. Using active listening, it will help a person understand any speaker, because the more that is being heard, the more the person and respond and reflect how the other person will be feeling. Active listening involves sensing, processing, and responding in empathic ways. Sensing, the man or woman would be able to take all that he or she is hearing and dissect a great response. Processing, is putting the pieces of the puzzle together, and responding after the active listening is to show a non-verbal response, giving a clue to the speaker that active listening is happening. In other wordââ¬â¢s, men and woman alike should defiantly wait before they speak, a moment too soon may seem rude, not responding will leave a bitter reaction to the other person, so listen wisely with open ears and mind. A countless tool for men and women to comprehend, and learning what may affect the outcome of any given outcome, is reflective listening. For example, with active listening being used through text messages, emails, social media than a modern day phone call, reflective listening is becoming more critical to oneââ¬â¢s communication. Various of incidents of miscommunication happens, because one person may not quietly understand a personââ¬â¢s reaction, were as reflective listening must be used to either help clarify what he or she is saying, or further create another question to have a more clarifying and direct response. ââ¬Å"Empathy is surprisingly difficult to achieve. We all have a strong tendency to advise, tell, agree, or disagree from our own point of view.â⬠( Dalmar Fisher, Communications in Organization Article). Roughly, people want acceptance, and men tend not to reflect or show a response when accepting and agreement, and men also wonââ¬â¢t show any acceptance when itââ¬â¢s disagreement. Woman will easily overuse emotions, rather it be acceptance of positive or negative news. Both sides should lean towards personal and reflective stories, than what is impersonal, distant or may push the opposing person away. If a woman or man canââ¬â¢t fully understand what the speaker is saying, just reiterate and clarify what just happened, verses driving the speaker with questions and turning the speaker into the listener. Reflecting listening, both sides will be able to show acceptance and empathy, not with indifference, cold objectivity, or fake actions that can lower the speakerââ¬â¢s or person dignity. Possibly the most significant, the reflective listener will try and respond to feelings, and not just to content, but with feelings. The speaker, rather is be a man or woman is often not looking for the solution of the surface problem, but rather for a way to deal with the emotional ramifications, and when it comeââ¬â¢s to knowing how to communicate with a man or womanââ¬â¢s self-esteem, were all human beings. The outcome of non-verbal communication, active listening and reflective listening with men and woman will cause relationships to develop and learn to accept empathy, increase trust with one another. Having both sides listening, it is encouraging for both sides to discover and solve problems easier; people automatically believe they are naturally born listeners. Both men and woman, ten to listen for what we want to listen, than really listen to what the speaker is saying. Great relationships, rather is be friendship, spouses, workplace are only happening with knowing what good listening skills can be brought to all ends of the table. Communications is a key factor when it comes to listening between a man a woman, if it doesnââ¬â¢t happen or itââ¬â¢s built up between both sides, it would eventually fall apart and unable to rebuild. For both sides to appreciate what is current, and with woman that tend to hold on to past, just learn from it, rather than holding on to a distant memory. Furthermore, listening does buildââ¬â¢s lifelong foundation between people, the foundation just needs to be up kept, and for both sides to speak up, but not forgetting to listen.
Thursday, November 14, 2019
Recognizing Depression Essay -- essays papers
Recognizing Depression Going to college is a new chapter in a studentââ¬â¢s young life. They will face greater academic demands, financial responsibilities, exposure to new people, and being on their own in a new environment. Someone that already has difficulty dealing with the daily stresses of life may become overwhelmed with new challenges and become depressed. People who have problems with depression have both mental and physical symptoms (Frye, 1942). Some mental symptoms that a person may carry include guilt, low self-esteem, and feelings of worthlessness and inadequacy (NMHA, 2001). The physical symptoms include over eating as well as not eating enough food. Someone may also have problems with sleeping and may find it difficult to become interested in daily activities. Those with depression may also have little energy throughout the course of a day. College students have to deal with minor to serious problems every day of their lives. Two common problems that students face are deadlines for research papers and studying for exams. Both of these problems can create serious stress for a student, especially if that particular student is not capable of handling that pressure. If a particular person is mentally strong then they will be able to handle the situation accordingly (Anderson, 1993). However, if a student is having serious problems and cannot control the situation that surrounds them, many different solutions pop into their heads. One solution that one in 10 U.S. college students think of is suicide (Powledge, 2000). According to the National College Health Risk Behavior Survey, 463 students out of 4,609 strongly considered taking their own lives. Unfortunately, young adults from the ages of 15... ...iligenstein, E. (1996). Depression and academic impairment in college students. Journal of American College Health, 2(45), p. 59. Retrieved November 1, 2001 from Masterfile/EBSCO database. Hall, G. College Students and Depression. Retrieved December 1, 2001, from http://campusblues.com/stud_depress.html Kale, Kelly (2001). Lost on the campus. Time, 2(151), p.51. Retrieved November 1, 2001 from Masterfile/EBSCO database. Oââ¬â¢Connor, E.M. (2001, September). Student mental health: Secondary education no more. Retrieved November 1, 2001, from http://www.apa.org/monitor/Sep01/stumental.html Powledge, T.M. (2000, April). Study: 10% of College Students Consider Suicide. Retrieved September 30, 2001, from http://www.apbonline.com.safetycenter/campus/2000/04/07/collegesuicide0407.html This reference discusses how suicide is linked with depression.
Tuesday, November 12, 2019
Powerful institutions such as the mass media, the police and judiciary label social groups as deviants and/or criminals
Labelling is present in many areas of sociology, and crime and deviance is no exception. It involves a ââ¬Ëlabel' or categorisation being applied to someone or to the social group of which they belong, either rightfully or wrongfully, which can have detrimental or positive effects. Various institutions label social groups, some believe it is done predominantly by the police, mass media and judiciary system. By exploring aspects like moral panics, arrests, and laws passed by the judiciary, we will establish to what extent these institutions do label these social groups as deviants and/or criminals. Labelling theory is a theoretical approach derived from symbolic interactionism, which looks at the consequences of having a particular social typing or label placed on an act, group or person. What the labelling theory alerts us to is the way in which the whole area of crime is dependent upon social constructions of reality ââ¬â law creation, law enforcement and the identities of law breakers are all questionable. The media composes a key element of creating these social constructions. When considering reports of crime on television for example, they are thought to help create or inform people's perceptions of crime, and of which social groups are deviants and/or criminals. There is also a problem when defining ââ¬Ëcriminal' and ââ¬Ëdeviant' because it depends on the individuals own perceptions, there is no universal definition. The relationship between the media and crime when concerning labelling theory is emphasized by a concept known as a moral panic. The idea of a moral panic can be defined as outrage stirred up by the media in reaction to a particular social group or issue. Sociologist Stan Cohen in his study of the ââ¬Ëmods and rockers' first adopted the term. Since the media had a lack of new stories around that time, they caused these two groups to be classified as ââ¬Ëfolk devils', meaning that they were the subjects of the moral panic and seen as troublemakers. Due to the extensive media coverage, young people were classified or ââ¬Ëlabelled' as either ââ¬Ëmods' or ââ¬Ërockers', and some internalised the label and were actually violent. Consequently, this helped to create the violent stereotype that the ââ¬Ëmods' and ââ¬Ërockers' were supposedly famous for. This confirmed the media's image that they were troublemakers to the public. Becker examined the possible effects upon the individual of being publicly labelled as deviant. It is a ââ¬Ëmaster status'. The youths were stigmatised and given this label by the media as deviant troublemakers, so eventually come to see themselves as being deviant ââ¬â their master status. All other qualities become unimportant, and they person is responded to solely in terms of their master status. If someone is labelled as criminal for example, this largely overrides their status as parent, neighbour, friend etc. nd others only respond in terms of the label. The police may also target the youths on once this moral panic occurs, so the may change their behaviour to avert punishment or stigma. Discussion of the area concerning the police's role of applying these deviant labels to social groups is also an interesting one. Since there are significantly higher rates of imprisonment of blacks than their proportion in the population, the issue is important when considering race. The Metropolitan police, for example, reported that 37% of those stopped were from ââ¬Ëethnic minorities', where as they form 20% of London's population. There are higher rates of stop and search among black and Asian youth than among white youth. Arrest rates of alleged offenders were also significantly higher for those of Afro-Caribbean origins than whites. A study by Walker suggests that, although there may well be police bias in stops and arrests, statistically the difference in arrest rates is so high that the only way this could explain the discrepancy in the figures would be ââ¬Ëto arrest black people more or less at random and charge them falsely'. Blom-Cooper and Drabble argued that black defendants are likely to be charged with more serious crimes than white defendants when the actual offences committed are similar. For example, black defendants are more likely than other groups to be remanded in custody. Stephen Lawrence is an example, of a black person being treated unjustly by the criminal justice system. Four white people were accused of his murder, but were not found guilty. There was a lot of controversy surrounding the case, as the Metropolitan police were accused of tampering with the evidence so it was inadmissible in court. The question is, had it of been four black people murdering a white person would the case have had the same outcome? In reviewing this evidence, it seems that the treatment of black people in the criminal justice system is very unsatisfactory. It seems the police are labelling the blacks as deviant, concentrating policing in the inner city areas where the majority are. The judiciary system already has preconceived ideas about blacks, and this affects the amount that are arrested, prosecuted and put on trial in the courts. Some would say that black youths have even developed their own subcultures, as a form of resistance to capitalism and negative labelling. From a Marxist perspective, youth are the social group that are under the least control by the bourgeoisie. They do not pay taxes or have mortgages, like the working-class do. Since the youth then find it hard to legitimately achieve the high societal goals, they develop ââ¬Ëmagical solutions' via youth subculture. In the same way, blacks have found themselves marginalized from white society, and in response have developed their own subculture resisting capitalism and often turning to crime. They are essentially ââ¬Ëdriven underground' by the labels the media and police apply. Another social group that the media and police can be seen to ââ¬Ëdrive underground' is the subculture of drug-takers. This is a good example of how the police label this social group as deviant and a problem to society. In a study by Parker, he found that the drug-takers regarded their activity as being wholly innocent and consisting of just ââ¬Ëhaving fun'. Another interesting aspect is that the drug-takers come from backgrounds that just do not fit the media's stereotype of a deviant criminal. Parker discovered in his study that drug-takers are mostly middle-class, in full time work or further or higher education. Furthermore, there is little if any violence and most clubbers were reported to feel ââ¬Ëcompletely safe'. It is thought that the media and police's labelling of this social groups is a little extreme, and is resulting in the culture being driven further underground. Another instance of this media labelling surrounds the case of the death of Leah Betts, when she died after taking an ecstasy tablet on her 18th birthday. The media claimed she was ââ¬Ëpoisoned' by the drug, called for tougher legislation and their was a lot of outrage stirred up by extensive media coverage. After various tests, it was then revealed that the pill she had taken was virtually pure and she had kidney failure from drinking too much water. It seems that sadly, the only person responsible for her death was herself, and the pill was perhaps just there at the wrong time. It was also revealed it was not the first ecstasy pill she had taken. After the moral panic and the way the media amplified the situation, it turns out there is little supporting evidence for their claims. Perhaps this subculture is not as deviant as the media make out, even classifying drug-taking as a subculture is questionable since millions of ecstasy pills are sold each year and their use if widespread. A confidential survey of pupils' behaviour in a representative sample of 20 fee-paying schools showed 43 per cent of pupils in the lower sixth form (aged 16-17) reported experimenting with drugs and one in eight said they were regular users. Illegal drug taking is no longer limited to a disaffected and rebellious few. It is part of the culture of teenagers. They do not believe it is as dangerous as we say it is. Even where they recognise the dangers, they are not deterred believing that most enjoyable activities involve some risks,â⬠the Headmasters and Headmistresses Conference (HMC) said. A 19-year-old who left a private sixth form college last summer, and was previously at a fee-paying boarding school in London, talks about drugs and school. He says ââ¬Å"From the age of 14 upwards, about 50 per cent of us were smoking marijuana at lunchtime. And I can't think of anyone from my sixth form who hasn't tried drugs. â⬠There have been many other moral panics as well as drug takers that have le to the stigmatization of various groups by the media and police. One such case that stigmatized young people was the murder of James Bulger. Two 11-year-old boys in Liverpool from a shopping mall abducted James Bulger. He had massive injuries inflicted upon him, which resulted in his death and he was left on a railway line. The deviant act committed by the children dominated newspaper headlines and stirred up public outrage. The murder was portrayed by the media as a horrific act, which symbolized the degeneration of modern British society, despite the fact that statistically such murders were extremely rare and the UK, though not unique. When Mary Bell aged 11 years old murdered two toddlers in 1968 there was no such moral panic, and seemed to be largely ignored by the press. The media used the Bulger case to symbolise all that was wrong with Britain, they focused on the difference between innocence and evil and why we as a society had allowed it happen, it suggested the increase of public indifference, lowering family values and increasing isolation. It generated massive public guilt, and since predicted a breakdown of societal values and cohesion. There was a significant focus on child crime, as people searched for answers to this tragedy. The group's stigmatization was further fuelled by polices claims that juvenile crime was on the increase and young people were out of control, breaking the law due to insufficient penalties for their delinquency. This prompted demands for tighter controls, curfews for young people and stricter laws. However, other statistics showed that juvenile crime had indeed dropped, these were dismissed by the authorities because claiming the figures a misrepresentation and only appeared so due to a reduction in numbers in the juvenile population. There were also calls for stricter controls on violent films as it was reported by the media that the boys may have been influenced by the film Child's Play III though there is little evidence in place to support this argument. Overall, it seems the police; mass media and judiciary do label social groups as deviant and/or criminals. From the above examples, we can see cases where this happens with a resulting effect of alienating or categorizing a social group in a negative light. When the powerful institutions do seem to label, it does however largely depend on one's definition of criminal or deviant, but the powerful institutions can be seen to play a part in creating this definition.
Sunday, November 10, 2019
Mgt/420 Week 1 Role of Stakeholder
Role of a Stakeholder Paper Janice Horton MGT/420 November 26, 2012 Thomas Ach Role of Stakeholders The stakeholder representation of excellence as obtainable challenge to include the growing requirement for organization to act in response to the requirements and prospect of more and more assorted cluster at the same time as unmoving distributes shareholder value. Countless of the ideology and the practice of superiority organization have been eager with the requirements and potential of meticulous groups that have been approved for an extended time as part of the conventional decision-making replica (Freeman, 1984).These include collections such as clientele, staff, and dealers. The stakeholder model offers a hypothetical good reason and theoretical structure within which the excellence characteristic of associations with other, more varied, collection can be openly measured and lectured to in a holistic method. The stakeholder replica of quality can be consequently seen as basicall y different from replica that have come earlier than. Without a doubt, it is so different, it can be seen to symbolize an up-and-coming third age bracket of eminence that increasingly will substitute those that came former.Its focal point is motionless on excellence but the way in which superiority is lecture to be different. Three main stakeholders in Engro corporate hierarchy in Pakistan are the people who suggest and propose areas of improvement for enhancing the efficacy of quality management processes. The Board of directors plays an integral role to evaluate quality management processes throughout the life cycle of various projects while preserving and enhancing the image of the company.This resultantly improves quality in the management processes. Company employees are the stakeholders who gave candid feedback on the vision, progress, and evaluate the policies and highlight the areas of improvement. That is why a company like Engro has a policy that allows people to ââ¬Å"Sp eak their Hearts out. â⬠which allows their opinions and concerns to be heard. This tool also gives companyââ¬â¢s many of ideas to improve upon their management style and processes.Various customersââ¬â¢ feedback surveys and surveys regarding knowing the voice of customers play an important role to give suggestions and opinionated ideas to add value to their systems and management processes. This brings definite value and quality in it. Another company like Agritech (Pak American Fertilizers Limited) in Pakistan arranges sessions with its major stakeholders during different times of the year. Customers, farmers, and dealers speak and help company improve upon their quality and processes.Sessions with Banks, suppliers, board of directors and employees are another toll to get 360 degree feedback on systems, quality, and processes to get ideas to build further upon them to improve management and quality in all aspects of their operations and systems of management. References Svendsen, A. (1998), The Stakeholder Strategy: Profiting from Collaborative Business Relationships, Berrett Koehler San Francisco http://www. cmqr. rmit. edu. au Wheeler, D. and M. Sillanpaa (1997). The Stakeholder Corporation. London, Pitman http://engro. com/our-businesses/engro-fertilizers-limited/
Thursday, November 7, 2019
My Greatest Source of Motivation and Inspiration Essays
My Greatest Source of Motivation and Inspiration Essays My Greatest Source of Motivation and Inspiration Essay My Greatest Source of Motivation and Inspiration Essay My mom has always been my flexure to look up to. She has Inspired me to be the person I truly want to be. My mom is a strong, kind-hearted, and successful woman who has always been there for me. She gives me her strength and love during everything. She is my idol, a woman who has taught me to stay true to myself and become the adult I want to become. Back when I was in grade 6, I was one of those kids who didnt really care about school and never really bothered to do homework. I thought to myself What was the mint in learning things like the history of Canada if we are never going to apply it in real life? Why was I learning about art if Im not planning to be an artist? But then my mom taught me an unforgettable and valuable lesson. She taught me that even though we might not use all the knowledge we learn from school in real life, education is still important. I need to have a good education to be successful in the future. If I do well In school and get Into an honorable university I can learn the things I enjoy and have my choice of work. I would be able support my family and be happy with my Job. She always tells me that I am considered lucky to be even able to have an education because kids elsewhere who yearn to have an education wont be able to get one as they are unable to afford one. I shouldnt think that school is boring and useless and instead think of it as a rare opportunity to learn. Whenever Im not doing well In school, my mom would always motivate me to keep working hard and trying my best for my future. She said that I may not enjoy school but in the end I would regret not learning more. One Sunday evening, a conversion, one that I vividly remembered occurred during inner. We were at home and it was Just my mom, my sister, my dad, and l. We had dinner and there were some of my sisters favorite dishes. Our topic of discussion was what we planned to do for our future. In my family, I have always been the one that doesnt know what to do for my future. My sister already knew what her plans were; she wants to become a pharmacist. L, on the other hand. Didnt know what I wanted. Sure I had a general idea; something in computers, engineering, or mechanics. So not very narrow, but at least an idea. At this time I hated this line of discussion. My sister could say something, but I had nothing to bring to the table. I wanted to make sure the career I chose would be one that I would be comfortable about. This one night before I went into my comforting bed, my mom came in my room and for the first time I told her that I wanted to go Into computer science. She was glad and proud that I finally found something that I want to do. She supported and agreed with my preferred line of work as long as I am happy about it. She encouraged me to continue to work hard and accomplish as much as I can in school so I can go to a amendable multiversity Ana nave my cream career. Nee also toll me auto near past during her education. My mom was also like me when I was a child. She didnt try her best and in result she didnt do really well in school. After she graduated high school she was only able to go to a satisfactory college. After a year in college, she made one of the biggest decisions that she regretted in her lifetime. She quit college be cause she thought it was too difficult and she hated it. This made it really hard for her to find an adequate Job which also made her life a lot harder. My mom has always shed if she could go back in time and remake her decision so she could learn more and may have been more successful. Through the years, my mom has shown me a glimpse of how to be successful, prosperous and to be capable to support my family in the future. School may have been harsh and boring to me when I was a child. But through my moms teachings I have learnt how meaningful a good education is. She is my hero, my guide, who taught me how to stay strong and become what I want to be. She is my inspiration and her strength allows me to continue to do my absolute best in school.
Tuesday, November 5, 2019
GDP Expenditure Categories
GDP Expenditure Categories Gross Domestic Product (GDP) is generally thought of as a measure of an economys aggregate output or income, but, as it turns out, GDP also represents aggregate expenditure on an economys goods and services. Economists divide the spending on an economys goods and services into four components: Consumption, Investment, Government Purchases, and Net Exports. Consumption (C) Consumption, represented by the letter C, is the amount that households (i.e. not businesses or the government) spend on new goods and services. The one exception to this rule is housing since expenditure on new housing is placed in the investment category. This category counts all consumption spending regardless of whether the spending is on domestic or foreign goods and services, and the consumption of foreign goods is corrected for in the net exports category. Investment (I) Investment, represented by the letter I, is the amount that households and businesses spend on items that are used to make more goods and services. The most common form of investment is in capital equipment for businesses, but its important to remember that households purchases of new housing also counts as investment for GDP purposes. Like consumption, investment expenditure can be used to purchase capital and other items from either domestic or foreign producer, and this is corrected for in the net exports category. Inventory is another common investment category for businesses since items that are produced but not sold in a given time period are considered as having been purchased by the company that made them. Therefore, the accumulation of inventory is considered positive investment, and the liquidation of existing inventory is counted as negative investment. Government Purchases (G) In addition to households and businesses, the government can also consume goods and services and invest in capital and other items. These government purchases are represented by the letter G in the expenditure calculation. Its important to keep in mind that only government spending that goes towards producing goods and services is counted in this category, and transfer payments such as welfare and social security are not counted as government purchases for the purposes of GDP, mainly because transfer payments do not directly correspond to any type of production. Net Exports (NX) Net Exports, represented by NX, is simply equal to the amount of exports in an economy (X) minus the number of imports in that economy (IM), where exports are goods and services produced domestically but sold to foreigners and imports are goods and services produced by foreigners but purchased domestically. In other words, NX X - IM. Net exports is an important component of GDP for two reasons. First, items that are produced domestically and sold to foreigners should be counted in GDP, since these exports represent domestic production. Second, imports should be subtracted out from GDP since they represent foreign rather than domestic production but were allowed to sneak into the consumption, investment and government purchases categories. Putting the expenditure components together yields one of the most well-known macroeconomic identities: Y C I G NX In this equation, Y represents real GDP (i.e. domestic output, income, or expenditure on domestic goods and services) and the items on the right-hand side of the equation represent the components of expenditure listed above. In the US, consumption tends to be the largest component of GDP by far, followed by government purchases and then investment. Net exports tend to be negative becauseà the US typically imports more than it exports.
Sunday, November 3, 2019
Management Essay Example | Topics and Well Written Essays - 1500 words - 5
Management - Essay Example He subsequently underwent a partial hip arthroplasty to repair his hip damage and allow him to regain mobility. He is hypertensive and is taking medications to maintain his blood pressure. He also has gouty arthritis and is slightly overweight. 2. Pathological changes a. Limitations on his mobility. Despite the hip replacement procedure, the patient would still likely experience limited mobility. He would have difficulty moving from one place to another; he would have difficulty sitting up, sitting down, standing, walking, and carrying out his activities due to his physical limitations. He would also have difficulty in going to and from the bathroom; and he would likely need assistance in moving about the residential facility. He would also undergo painful rehabilitation exercises and physical changes in his life. b. Depression. Having been recently widowed after the death of his wife of more than 50 years, he is also being forced to face the fact that he would spend the twilight yea rs of his life without his wife. With his recent mishap, he is also likely to feel despair from his condition and such depression and despair would likely affect the success (or lack thereof) of his rehabilitative process. Depression is a major setback during the rehabilitative and recovery process for any patient. Ronald manifests symptoms of giving up, and of not trying hard enough to help himself recover and to improve his physical condition. This depression is also attributed to his recent loss and his advancement in age. Many elderly patients have to deal with this condition as they are brought face to face with the possibility of dying, of not being able to contribute anything to society, of losing a partner, and of being alone. c. Gouty arthritis. His arthritis is a major limitation to his mobility. Before his fracture, there were already deformities seen in his joints due to his gouty arthritis. Inflammation of his joints attributed to his arthritis caused much pain and diff iculty in walking and in moving about. After the fracture, his arthritis has slowed down his rehabilitation; it is impacting on his mobility, making it difficult to move about and to carry out the physical therapy and occupational therapy exercises. 3. Nursing care needs a. Patient/resident specific care needs: Total hip replacement The patient underwent partial hip replacement after his hips were fractured. It is a procedure meant to remove and replace the acetabulum or the femoral neck. This surgery is an inpatient procedure, therefore the proper preoperative care must be carried out in behalf of the patient. He must be informed that he needs to prepare for a 3 or 4 day hospital stay. After the surgery, the patient is immediately started with his physical therapy (Gilbey, et.al., 2003). This includes transfer training and walking. The nurse would assist the patient and the physical therapist in his transfers and in his walking (Hol, et.al., 2009). This initial training would inclu de the use of a walker in these transfers. After such training, a transition to crutches or canes may be made. The nurse must assist the patient in the proper use of the crutches or canes (Hol, et.al., 2009). The nurse must also ensure that there are no physical barriers which would interfere with the patientââ¬â¢s use of these assistive walking devices. Regular exercises to strengthen muscles must be carried out with the patient; the nurse would help encourage the patient to carry out these exercises. Such methods help ensure that the patient would eventually and safely regain his mobility and independence (Gilbey, et.al., 2003). The nurse would also have to teach and work with the patient in order to perform his activities of daily living. These
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