An Emergency Room Visit For Elderly - 1757 Words

Every year, 1 in 3 adults over the age of 65 years will fall at least once. According to Williams, Szekendi Thomas (2013), â€Å"A fall is defined by the National Database of Nursing Quality Indicators as an unplanned descent to the floor or extension of the floor with or without injury to the patient† (p. 19). Falls are the leading cause of death or reason for an emergency room visit for elderly. Research has shown that physicians recognize the prevalence, and can identify risks of falls, yet they are not regularly administering some form of fall risk assessment to their patients (Smith et al., 2015). So where is improvement needed? What is being done to reduce the incidents of falls within the healthcare facility? With the rising medical costs associated with falls and the injury it is posing to the patients, the safety of patients and prevention of falls has become a leading research target. Throughout this paper the three more common causations to falls will be addr essed, along with the three top preventions and interventions the health care facilities are focusing on in order to decrease the rising number of falls. There are many risks associated with falling, some intrinsic and some extrinsic. Age, gender, medical history, history of falls, environmental factors, ambulatory aids, mobility impairment, and medications are some of the main contributors. Upon entering a health care facility, the nursing and staff are responsible for addressing the chief complaint ofShow MoreRelatedEssay1135 Words   |  5 PagesColchester, Connecticut is a quaint small town in New London County. It borders another county, Middlesex County. A very family oriented town, Colchester has a population of 16,000 in a 49-square mile area. The elderly (over 65 y.o.) represent 10% of Colchester’s population. Considered suburban, Colchester is mostly rural living with many farms and two villages, Westchester and North Westchester. The Center of Colchester has a town green with a gazebo and hosts events year-round. The center is wellRead MoreKey Aspects Of The Canadian Health Care System1221 Words   |  5 Pageshe avily relied on the public sector. One of the major issues the health care system is currently facing the over crowded emergency departments and extremely long waiting times. . In this paper I will discuss the issue of overcrowded hospitals as a results of the rising population of the elderly. Many of our hospitals are over crowned, there are long waiting time, and the elderly are not provided with sufficient care. Overcrowding will place an increasing amount of burden on the hospital by delayingRead MorePaper On Emergency Room Caretakers982 Words   |  4 Pagessuicidal thoughts within their elderly loved ones. Being able to recognition signs and behaviors related to suicidal thoughts and actions is an important skill that people should learn. It becomes especially more difficult to recognize the signs of sever depression and suicidal thoughts when the individual is elderly. It is hard to distinguish between normal realizations and reactions to the ageing process and being suicidal. This puts an added strain on Emergency Room physicians because a good majorityRead MoreElderly Essay799 Words   |  4 PagesThe Precarious Nature Of Elderly Dental Care: How To Avoid Emergencies Or Address Them When They Do Arise The elderly in general face many health concerns that can be difficult to take care of, but teeth are often the last thing to be treated when insurance, finances and other obstacles stand in the way. Oral health, though, should not be ignored or put off until the last possible minute, because dental emergencies are very serious matters. If you know and care about an elder caught in these circumstancesRead MoreHealth Partners Free Clinic Is An Agency That Can Help These Individuals948 Words   |  4 PagesPeople are living longer and the elderly population is gowing by leaps and bounds. In the years to come, this age group will face chronic illnesses. These individuals will need teaching on how to self-manage the sickness. Diabetes medications can cost a person up to $1,379 which is a lot of money for someone on a limited income. Twenty percent of people age 65 and older conveyed taking less prescriptions over the past couple of years (Bennett Flaherty-Robb, 2013). Health Partn ers Free ClinicRead MorePain Management935 Words   |  4 Pagesmanagement often leads to repeat visits to the hospital seeking adequate pain control. Delayed recovery due too inadequate pain management often is a source of lost wages and productivity for the patient that ultimately has a trickle down economic effect. Another area of care that has a high rate of inadequately controlled pain management complaints is Emergency Room. According to a study conducted in the United States patient presenting to the emergency room complaining of pain reported aRead MoreThe Health Care Industry And The Impact Of Technology1518 Words   |  7 PagesChanging the Home Healthcare Industry, by the year 2020 the elderly population of the United States will make up about 17% of the total population (2013, p. 1). Couple that with the increasing overall population, and decreasing number of primary care providers, it is more than traditional hospital settings are able to handle. In emergency room settings alone, the number of elderly patients has doubled in the last ten years (Friedlander, 2015). Elderly patients (65+) are more likely to become ill in a hospitalRead MoreExecutive Summary. Problem Statement. What Actions Can950 Words   |  4 Pagesamong the worst in areas of health care access and health care pre vention and treatment. Limited health carriers, primary care practitioner shortages, and emergency room overuse prevent Texas from offering a better health care delivery system. Options Option One-Texas would be able to identify super-utilizers, reduce their emergency room visits, and direct them to outpatient care services through a hot-spotting initiative. Option Two-Through Integrated Practice Units, patients with complex healthRead MoreHealth Promotion Through Prevention And Wellness874 Words   |  4 Pagescreated by physical therapists is a wellness and prevention program for the elderly. In order to create a comprehensive and complete wellness and prevention program for the elderly, physical therapists should collaborate with other health care providers such as dieticians, nurses and other clinicians. Physical therapists can provide information and create an exercise program for the elderly. Nurses can educate the elderly about medication side effects and if they need to take certain medicationsRead MoreThe Emergency Room Narcs Intuitive ( Erni )1232 Words   |  5 PagesIntro Emergency Departments (ED) overcrowding in Canada has become an epidemic. ED overcrowding has been defined as â€Å"a situation in which the demand for emergency services exceeds the ability of an (emergency) department to provide quality care within acceptable time frames† (Ontario Ministry of Health and Long Term Care, 2014). This has been an ongoing problem across Canada. Ontario has developed an initiative to reduce ED wait times by implementing a variety of strategies. This paper describes

A Doll s House Feminism Vs Humanism Essay - 1068 Words

A Doll’s House: Feminism vs Humanism A Doll’s House by Henrik Ibsen was originally considered by critics and scholars as a play about feminism. This is a believable idea as the play’s protagonist, Nora, goes through a personal journey where she realises that she is an independent woman and that she does not need a husband, especially like Torvald, to live. Nevertheless, many people believe that the play is more humanist than feminist. According to Ibsen, he wrote the story with a humanist eye. This point can be challenged by saying he certainly thought he was writing in a humanist eye, while instead, he was actually focussing on feminism, which is often considered a form of humanism. It is clear because he is solely focussing on the feminist aspects of humanism, rather than incorporate ideas of race, age or religion. Therefore, the play is surely feminist. This idea can be highlighted by talking about how Nora slowly acts more and more out of her gender role, how Mrs. Linde lives her life and how Nora has a complicated relationship with her children. Nora starts off the play essentially as Torvalds toy. She is obedient, she is cute, she rarely goes against his wishes, and she is nothing without her â€Å"owner†, Torvald. The reader, however, discovers early on that all is not what it seems to be. Nora is actually a very rebellious woman who enjoys going against Torvald’s wishes. There are scenarios where she does this out of the sheer enjoyment she gets. Nora loves macaroons.

North Carolina as a colony Free Essays

North Carolina is one of the thirteen colonies established by England around 1650. The  territory was called Carolina in honor of Charles the First.  Queen Elizabeth I of England granted Sir Walter Raleigh a charter for the establishment of a  settlement in North America. We will write a custom essay sample on North Carolina as a colony or any similar topic only for you Order Now Sir Raleigh and the Queen planned to establish a colony to be able to  explore for treasures and to scout for a strategic location where they can raid loaded Spanish ships. Based on these reasons, an expedition was sent in 1584 to explore for a suitable location and also  bring samples of the nature’s bounty on the area. After the successful exploration, the group  returned to England. In 1585, the first group of colonists was organized and they arrived at the north  end of the Roanoke Island. Ralph Lane with seventy-five men was left in the island while Sir  Richard Grenville, leader of the expedition returned to England to get additional food supplies and  additional men. Friction with the natives occurred when the settlers attacked a village in response to  the stealing of a silver cup by the natives. By April 1586, relations with a neighboring tribe had  degraded to such a degree that they attacked an expedition led by Lane to explore the Roanoke River.1 There was still no sign of Grenville’s fleet and due to hardships encountered, the settlers  accepted the offer of Sir Francis Drake to return to England.  Ã‚  The second group was led by John White and they arrived in June 1587. White tried to  reestablish friendly relations with the neighboring natives. At first, the natives were hostile and  aloof. But gradually the English gained their confidence by offering glass beads and dolls as signs  of friendships (Hale 128). But the aggrieved tribes whom Ralph Lane attacked were still unfriendly  to the new colonists and shortly thereafter, one colonist was killed by these natives. Fearing for their  lives, White was elected to return to England to inform of their situation and ask for help.   Two  significant events occurred shortly after the colonists’ arrival: two â€Å"friendly† Indians were baptized  and a child was born. Virginia Dare, as the baby was named, became the first child bor n to English-  speaking parents in the new world.2 But White was delayed in coming back to the colony because  of the following reasons: the vessel was not in good condition to travel back home and in crossing  the Atlantic Ocean; the refusal of the captain to sail back to the colony during winter time and then  the war with the Spanish Armada was imminent   and all the able ships were tasked to fight. He was  able to return in the spring of 1590 and found only the remnants of what was once a settlement. There were no signs of life, only the word â€Å"CROATAN† carved on a nearby tree.3   The second  failure can be attributed by factors beyond the control of the settlers. Although Sir Raleigh was  given a charter to colonize, attention was focused on the war with Spain. Cole and Warren  concluded that, â€Å"because England was so completely involved in fighting the Spanish Armada in  1588, no supplies were sent, nor any communications maintained with the settlements†. (403) The  colonization might have been successful if the expedition was fully equipped with farm implements,  food supplies and able manpower who are trained to do hard work in cultivating the soil. They  should have establish friendly relations with the natives to preserve their lives as well as with the  natives’. The impact left by Ralph Lane and John White on the area was that they had spread Christianity and English language to the new world.   It is ironic that Stuart Monarch James I rather than the visionary Elizabeth succeeded in  finally planting the British flag on the American shores. (Garraty and Gay 663) In 1607, three  shiploads arrived at Jamestown sent out by the London Company of Virginia. Captain John Smith  imposed a semi-dictatorial attitude to his men to check their incompetence and lack of initiative. His  edict, â€Å"He who does not work shall not eat† (Cole and Warren 406) was effective that they soon  cultivated crops especially staple crops and tobacco. By 1610, more settlers arrived and by 1612,  there were exportation of tobacco to other places. Significant too were the introduction in 1619 of  representative government – important to the Englishmen who contemplated migration to the New  World – and the beginnings of Negro servitude – important despite its inhumanity, to the economic  future of North America.(Garraty and Gay 665) Reference List Cole, Fay-Cooper, and Harris Gaylord Warren. An Illustrated Outline of History of Mankind. Grolier Incorporated: New York, 1963. Garraty, John A., and Peter Gay. The Columbia History of the World. Harper and Row: New York, 1972. Hale, John R. Age of Exploration. Time-Life International: Nederland, 1974. â€Å"Historical Highlights of North Carolina †.The State Library of North Carolina. 3 April 2006. 14 Nov. 2006.http://statelibrary.dcr.state.nc.us/nc/history/history.htm â€Å"Roanoke Island†. Wikipedia: The Free Encyclopedia. 14 Nov. 2006. 15 Nov. 2006. http://en.wikipedia.org/wiki/Roanoke_Island How to cite North Carolina as a colony, Essay examples

SCFA and Gut Microbiota & Types of Bacteria †MyAssignmenthelp.com

Question: Discuss about the SCFA and Gut Microbiota Types of Bacteria. Answer: The human colon is colonized by a dense and diverse population of microorganisms commonly referred to as the gut microbiota that exert significant influence in health through production of a wide range of metabolites. Fermentation of the carbohydrates and proteins inside the colon is carried out by these gut microbiota which act as chief source of energy for cells lining the colon alongside generation of short chain fatty acids (SCFAs). SCFAs are termed as 1-6 carbon volatile fatty acids and commonest ones that are produced inside the gut by this microbiota are acetate, propionate and butyrate. Maintenance of metabolic homeostasis inside the colonocytes and protection from external harm is rendered by the SCFAs. They also potentiate the anti-carcinogenic and anti-inflammatory properties thereby accounting for good health through conferring of protection from various pathological conditions (van der Beek et al. 2017). Research has revealed that the productions of SCFAs are dependent u pon factors such as that of nutritional intake of the host and diet mediated alterations that occur inside the gut microbiota. SCFAs also act as novel sources of energy and facilitators of the various host induced signaling cascade mechanisms that represent distinguished physiological functions necessary for maintenance of the gut environment. Foods enriched with high content of dietary fibers are capable of producing SCFAs sufficiently that are effective in combating digestive disorders like diarrhea as well as other inflammatory bowel diseases. Lab based animal studies have also showed effectiveness of SCFAs to offer protection from colon cancer besides treatment and prevention of obesity. Reduction of inflammation in addition to prohibition of cholesterol synthesis has also been speculated to act in favor of decreasing the risk of cardiovascular diseases (Ros-Covin et al. 2016). Biological effects of SCFAs have been found to result in emanating certain beneficial changes that inc lude decrease in the luminal pH that in turn causes reduction of the pathogenic microorganism with concomitant rise in the absorption of certain nutrients. Thus, SCFAs have been recognized to be important mediators that has the ability to link nutrition with gut microbiota, physiology and pathology. Mammalian energy metabolism has been found to be dependent on the production of SCFAs and exercise potential benefits from such yield through adequate uptake by the host. Appropriate findings have also suggested that exercise serves as an adjuvant therapy for ameliorating conditions related to diminished microbial diversity thus accounting for the satisfactory production of SCFAs through increase in the richness of the gut microbiota (den Besten et al. 2013). Further, researches have indicated that the fermentation of the dietary fibers by the anaerobic intestinal microbiota lead to the synthesis of SCFAs inside the gut of humans. Among the microbiota, obligate anaerobes are the prominen t and abundant ones belonging to the genus Bacteroides, anaerobic gram positive cocci like that of Clostridium sp., Peptostreptococcussp., Lactobacillussp. and Eubacteriumsp. Other commensal bacteria have been identified to carry out gut immune homeostasis by causing limitation of the inflammatory responses through regulation of the regulatory T (Treg) cells of the immune system. Butyric acid and Propionic acid have been reported produced due to fermentation of starch by Bacillus subtilis and Propionibacterium sp. respectively (Arpaia et al. 2013). Thus, SCFAs are found to be important contributors to the maintenance of good health due to the actions exerted by the gut microbiota. References Arpaia, N., Campbell, C., Fan, X., Dikiy, S., van der Veeken, J., Liu, H., Cross, J.R., Pfeffer, K., Coffer, P.J. and Rudensky, A.Y., 2013. Metabolites produced by commensal bacteria promote peripheral regulatory T-cell generation.Nature,504(7480), pp.451-455. den Besten, G., van Eunen, K., Groen, A.K., Venema, K., Reijngoud, D.J. and Bakker, B.M., 2013. The role of short-chain fatty acids in the interplay between diet, gut microbiota, and host energy metabolism.Journal of lipid research,54(9), pp.2325-2340. Ros-Covin, D., Ruas-Madiedo, P., Margolles, A., Gueimonde, M., de los Reyes-Gaviln, C.G. and Salazar, N., 2016. Intestinal short chain fatty acids and their link with diet and human health.Frontiers in microbiology,7. van der Beek, C.M., Dejong, C.H., Troost, F.J., Masclee, A.A. and Lenaerts, K., 2017. Role of short-chain fatty acids in colonic inflammation, carcinogenesis, and mucosal protection and healing.Nutrition Reviews,75(4), pp.286-305.