...Alzheimer’s disease is a form of dementia that causes an individual to have trouble with thinking, memory, and certain behaviors. More than 50 to 80 of people in the U.S. who have been diagnosed with Alzheimer’s disease. Currently no cure is available. But over the last 15 years, much has been discovered about Alzheimer’s that has helped researchers to understand the affects it has on the brain. As a result of these findings there has been much progress with the approach and treatments that help prevent or minimize the effects of Alzheimer’s (alzheimer’s.org 2011). Since so many elderly Americans suffer from this disease, organizations like the Alzheimer Association were developed to provide those affected with support and education on the disease. The mission of the Alzheimer’s Association is “to eliminate Alzheimer disease through the advancement of research; to provide and enhance care and support for all affected; and to reduce the risk of dementia through the promotion of brain health” (alzheimer’s.org 2011). The Alzheimer Association is the largest private and not for profit funder of Alzheimer research with a vision of “A world without Alzheimer’s”. The mission and vision of the Alzheimer’s Association suggests that the organization follows ethical practices and has core values. The association is an advocate and is dedicated to serving the community and the many Americans who suffer from the disease by fighting for research, initiatives for care, and prevention...
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...University of Wollongong Research Online Faculty of Informatics - Honours Theses (Archive) University of Wollongong Thesis Collections 2005 Ethical Issues arising from the Real Time Tracking and Monitoring of People Using GPS-based Location Services A. Mcnamee University of Wollongong Publication Details This thesis was originally submitted as McNamee, A, Ethical Issues arising from the Real Time Tracking and Monitoring of People Using GPS-based Location Services, Bachelor of Information and Communication Technology (Honours), University of Wollongong, 2005,71p. Research Online is the open access institutional repository for the University of Wollongong. For further information contact the UOW Library: research-pubs@uow.edu.au Ethical Issues arising from the Real Time Tracking and Monitoring of People Using GPS-based Location Services Abstract The Global Positioning System is a constellation of 24 satellites which have the ability to calculate the position, time and velocity of any GPS receiver. Ethical concerns arise when a person carrying a receiver has their location transmitted to second party. This type of tracking has a wide variety of applications including tracking dementia sufferers, tracking parolees and law enforcement. A literature review found that the ethics of GPS tracking has not been thoroughly assessed. This paper investigates the ethical issues arising from the real time tracking of people using GPS-based location services. Usability...
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...RESEARCH PROPOSAL Identification of Research Topic Over the past five years while working in a residential care home for people with dementia, the researcher has observed that incidents of violence and aggression both physical and verbal towards health care staff happened regularly. The incidents of aggression affected staff mentally and physically but the majority of incidents went unreported. The nursing staff, registered nurses and nursing assistants in this environment both acknowledged the seriousness of this on-going problem to them. However the reluctance to report the aggression is because they considered the aggression to be part of the job despite them acknowledging it as a problem. England is an ageing society and as the population ages, health care providers, government, communities and families are faced with the burden of caring for people with dementia (Cubit, 2010). According to Access Economics (2005), dementia is becoming increasingly predominant to the aging population worldwide. A survey of over 15000 care homes in England and Wales found that 78% of residents were cognitively impaired (Bowman et al, 2004). In addition the Alzheimer`s Society (2007) reported that there are around 750 000 people in United Kingdom with a dementing illness. A more recent survey by the Alzheimer`s Society (2009) reported that around one third of older people with dementia in UK live in residential home care settings, representing 200 000 individuals. According to Leonard...
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...Protection of Human Life in Law and Public Policy: Research Paper Topic Issue Statement: What are the moral, ethical, and legal implications associated with end of life care for individuals suffering from Alzheimer’s and other forms of dementia? Sources: I will use a variety of articles, case law, and relevant statutes and regulations that deal specifically with end-of-life care. Sources I have already located: * Late stage and end-of-life care: Caregiving in the Final Stages of Life * http://www.helpguide.org/elder/alzheimers_disease_dementia_caring_final_stage.htm * A Christian Response to “End-of-Life” Decisions By Bert Thompson, Ph.D and Brad Harrub, Ph.D * http://www.apologeticspress.org/apcontent.aspx?category=7&article=58 * Decision Making at the end of life: Patients with Alzheimer’s or other dementias * http://content.lib.utah.edu/cdm/ref/collection/uspace/id/3461 * Ethics Conflicts in Rural Communities: End-of-Life decision-making * Taken from the Handbook for Rural Health Care Ethics: A Practical Guide for Professionals (PDF Download) * The Euthanasia Debate: Understanding the Issues * From the Christian Research Journal * Euthanasia Arguments-Christian Research Institute * http://www.equip.org/articles/euthanasia-arguments/ * Views on Euthanasia * http://www.equip.org/articles/views-on-euthanasia/ * Active and passive euthanasia * http://www.bbc.co.uk/ethics/euthanasia/overview/activepassive_1...
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...In analyzing Mr. J’s situation it is important to consider nursing-sensitive indicators and how this is an indicator of quality patient care. It is also important to note how this creates an ethical issue and to learn from the situation companywide. Many situations like Mr. J’s happen every day and are swept under the rug. Patient care should always involve patient needs along with cultural considerations while maintaining consistency with evidence based medicine practices. Nursing sensitive indicators assist to identify potential issues related to quality that may come about during patient care. Identifying nursing sensitive indicators allows nurses to improve the quality of patient care which results in increased patient satisfaction and improved patient outcomes. The American Nurses Association (ANA) is a great resource and wealth of information to assist in identifying specific indicators to apply to patient care. Nursing sensitive indicators bring light to specific patient needs. In the case of Mr. J several nursing sensitive indicators can be identified; his recent fall resulting in a hip fracture, he has dementia, cultural and religious values, immobility, pressure ulcer risk, the use of restraints, and pain management techniques. The diagnosis of dementia identifies that Mr. J is unable or has limited ability to reason with sound judgment along with the added use of pain medications. All of these indicators can lead to quality patient care if nursing applies them...
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...Ageism. In this assignment I will discuss my learning outcome from the group discussion and the collaboration of the poster and mind mapping, I will also critically analyse and discuss the public attitude, and my personal perception towards ageism. To gain knowledge of different relationships and how ageism affects society, I will also discuss key concepts in relation towards the inequality and discrimination expressed towards this group of the population. I will examine how the health service and social care professionals conduct themselves towards care of the elderly, and the actions they take to resolve discriminatory practices to reduce social inequality in respect of the elderly. Patch1 After reflecting on my own attitudes regarding my understanding of the elderly, I found that I held similar views in that once an elderly person had reached a particular age they can be easily disregarded as a useful member of society, however my views were not based on any known facts or any valid experience that I had encountered, but rather on my personal interpretation and general stereotype towards the elderly, after our group discussion and after reading relevant literature concerning ageism my opinion has changed. Ageism was introduced by Robert Butler (1969) suggesting it was a process whereby an older person was systematically stereotyped with prejudicial attitudes directed towards them. This was deemed as discrimination. According to (McGlone...
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...University of West London 1 Theoretical Assessment Submission by TurnItin NOTE TO ALL STUDENTS: Please complete section 1 of this form as indicated. Please ensure that all relevant boxes are completed, otherwise assignments cannot be processed efficiently. Section 1 (Student to complete) Please type clearly in the boxes provided |Assignment Title | |Protection of Vulnerable people | | | |2 | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | ...
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...nutrition for individuals who are unable to achieve adequate nourishment orally because of various medical problems. However, the delivery of nutrients by tube feeding can cause ethical dilemmas in cases where the effectiveness of tube feeding diminishes and medical complications increase. The decision to tube feed is often influenced by regional and cultural preferences, as well as the high cost of providing mealtime assistance. The effectiveness and appropriateness of tube feeding has been the subject of much debate as it applies to those with severe cognitive impairments and those who are in a persistent vegetative state (PVS). Recent research shows that in these vulnerable populations, tube feeding alone does not necessarily prevent malnutrition and risk of infection or improve functional status and comfort. While advanced directives allow an individual to make decisions about his or her care at the end of life, court cases and religious doctrine examine the individual’s right to autonomous decision making in opposition to preserving the sanctity of life. As long as the outcome of this debate is largely undecided, the process of dying may be prolonged for those who can no longer advocate for themselves. Keywords: Enteral feeding, tube feeding, ethics, persistent vegetative state, dementia, palliative care Introduction Nutrients are introduced into the body in two ways: by enteral feeding through the digestive tract, and by parenteral feeding through a tube inserted...
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...Alzheimer’s Association What are the organization’s goals? How are they tied to its ethical principles? Describe the role and importance of the corporation’s ethical values. The Alzheimer’s Association’s goals are the same as any other organization to raise awareness of the disease and provide anyone interested in the disease with a large amount of valuable and reliable information. A larger goal of the association is to one day end Alzheimer’s their vision is “A world without Alzheimer’s” (alz.org, 2011) The Associations mission is “to eliminate Alzheimer’s disease through the advancement of research; to provide and enhance care and support for all affected; and to reduce the risk of dementia through the promotion of brain health.”( alz.org, 2011) The association has a very informed website that provides things to help such as knowing what it is; 10 signs; stages; treatments; diagnosis and risks of the disease all related to their goal of raising awareness. All the information being sent out is obviously useful and a large part of their awareness goals but their ultimate goal of one day curing Alzheimer’s is more important. Their “Walk to End Alzheimer’s” it is a walk around the country that helps raise money for the research of the disease that is the sixth most leading cause of death. The problem that these goals may reflect on the organization could interfere ethically they cannot give any confirmation to anyone if they might have Alzheimer’s they make it aware and even...
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... PSY 326 Research Methods Instructor: Keisha Keith 11/23/2015 Schizophrenia Introduction Schizophrenia is a serious brain disorder that gives a misleading or false account of the way a person thinks, behave, communicate their feelings, realize or understand, and relates to others. Schizophrenia has been considered as one of many chronic and disabling conditions for people that suffers with a major mental illness. People with schizophrenia often have problems fulfilling a task in the general population, at work, at school, and in relationships leaving an individual not wanting to communicate with other people and frightened. Schizophrenia suffers will live with it the rest of their life, it cannot be cured but treatments are available and controllable with proper and advance treatments. Contrary to popular belief, schizophrenia is not a split or multiple personality. Schizophrenia is a psychosis, a type of mental illness in which a person cannot tell what is real from what is imagined. In writing this paper on Schizophrenia I will show how popular belief, has an antithesis of what is really Schizophrenia? Is it really a split or multiple personality or a psychosis considered by popular belief? I will introduce why Schizophrenia was chosen as my research topic, and the field...
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...(2009) is ‘A state, quality or manner worthy of esteem or respect; and (by extension) self-respect’. Adopting dignity in practice should generate an environment that supports and promotes self-respect, allowing it to flourish by the maintenance of autonomy and informed choice, NMC (2008). The 2006 Commission for Social Care Inspection (CSCI) publication ‘Living well in later life’ highlighted the lack of dignity and respect for older people in acute hospitals as a major area of concern citing that 45% of NHS resources are spent on older people and this accounts for the greatest use of acute hospital services This discussion will identify the specific needs of the older person from a bio-psychosocial perspective incorporating complicit ethical issues. The role of the nurse in the provision of quality and comprehensive care delivery will of course be examined, integrating theory and practice and exploring the implications for inter-professional working. This personal reflection will develop personal knowledge and self-awareness, which is an essential prerequisite to maintaining patient (Marks-Maran and Rose 1997). Theory from previous modules on the pre-registration nurse-educators programme will be integrated with particular emphasis on the holistic delivery of quality care due to a comprehensive care-planning process. An...
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...CLINICAL ISSUES Acute care management of older people with dementia: a qualitative perspective Wendy Moyle, Sally Borbasi, Marianne Wallis, Rachel Olorenshaw and Natalie Gracia Aim and objectives. This Australian study explored management for older people with dementia in an acute hospital setting. Background. As the population ages, increasing numbers of older people with dementia are placed into an acute care hospital to manage a condition other than dementia. These people require special care that takes into account the unique needs of confused older people. Current nursing and medical literature provides some direction in relation to best practice management; however, few studies have examined this management from the perspective of hospital staff. Design. A descriptive qualitative approach was used. Method. Data were collected using semi-structured audio-taped interviews with a cross section of thirteen staff that worked in acute medical or surgical wards in a large South East Queensland, Australia Hospital. Results. Analysis of data revealed five subthemes with the overarching theme being paradoxical care, in that an inconsistent approach to care emphasised safety at the expense of well-being and dignity. A risk management approach was used rather than one that incorporated injury prevention as one facet of an overall strategy. Conclusion. Using untrained staff to sit and observe people with dementia as a risk management strategy does not encourage an evidence-based approach...
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...association is to one day end Alzheimer’s their vision is “A world without Alzheimer’s” (alz.org, 2011) The Associations mission is “to eliminate Alzheimer’s disease through the advancement of research; to provide and enhance care and support for all affected; and to reduce the risk of dementia through the promotion of brain health.”( alz.org, 2011) The association has a very informed website that provides things to help such as knowing what it is; 10 signs; stages; treatments; diagnosis and risks of the disease all related to their goal of raising awareness. All the information being sent out is obviously useful and a large part of their awareness goals but their ultimate goal of one day curing Alzheimer’s is more important. Their “Walk to End Alzheimer’s” it is a walk around the country that helps raise money for the research of the disease that is the sixth most leading cause of death. The problem that these goals may reflect on the organization could interfere ethically they cannot give any confirmation to anyone if they might have Alzheimer’s they make it aware and even give advice on how to go talk to your doctor. Ethically the organization cannot be prejudice against age or gender the disease can affect anyone. The importances of the corporations’ ethical value are staying away from personnel issues and simply provide the facts and information. alz.org. (2011). Alzheimer's Association. Retrieved from...
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...of nurse sensitive indicators is as follows: “Nurse sensitive indicators reflect the structure, process, and outcomes of nursing care. The structure of nursing care is indicated by the supply of nursing staff, the skill level of the nursing staff, and the education/certification of nursing staff. Process indicators measure aspects of nursing care such as assessment, intervention, and RN job satisfaction. Patient outcomes that are determined to be nursing sensitive are those that improve if there is a greater quantity or quality of nursing care (e.g., pressure ulcers, falls, and intravenous infiltrations)” An understanding of nurse sensitive indicators by anyone on the nursing staff or anyone involved in patient care would help identify issues that could interfere with patient care in the future. These are measured in healthcare by monitoring, surveying, and tracking of pressure ulcers, patient falls, restraint use, skill mix, and bloodstream infections. It can also consist of patient satisfaction ratings, pain management, staff satisfaction with job, and total number of nursing care hours per patient, per day. At the facility where I work I am a Nurse Supervisor. We monitor to gather data (problem), analyze using root cause analysis (fix problem), and education to get the information out to the staff. We use flow sheets...
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...Module Title | Research Evidence and Practice | Assessment wordage (if applicable) | 3,000 word assignment – no more than 3,300 words | Submission deadline (Date and Time)**The assessment must be submitted prior to this deadline to avoid penalty | Date: 11th December 2015Time: 9am(If the submission is via drop box, the time must be 9am) | To be completed by the student prior to submitting assessment | Assessment Title- please specify the question you have chosen | People experience distress in different ways and so attempting to measure it Is pointless | Banner ID number(this is an 8 digit number, preceded by the letter ‘B’, e.g. B00123456) | B00188060 | Have you been granted a formal extension? | YES Audrey Cund Revised submission deadline for extension: 18th DEC 15 | Contents page Page 2 Introduction Page 3 Literature search Page 5 Critical Appraisal of a Quantitative Study Page 8 Critical Appraisal of a Qualitative Research Study Page 10 Conclusion Page 12 Appendix 1 Page 15 Appendix 2 Page 18 Appendix 3 Page 21 References Critical Appraisal of Quantitative and Qualitative Nursing Research Introduction Contemporary nursing continues to not only strive for evidence based practice, which according to the Nursing and Midwifery Council (NMC) 2008 Code of Performance and Ethics should be part of nurse’s professional responsibilities but the nursing profession should look to develop this knowledge further. Nursing research allows nurses...
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