...Ernestine McCollum of the Maryland Home Economics Association and Beatrice Strouse, representing the Baltimore Section of the National Council of Jewish Women, started the first Meals on Wheels program in the Baltimore area. The year was 1960 and the kitchen site where meals were prepared was the current Levindale Hebrew Geriatric Center and Hospital. Thus began the organization we know today as Meals on Wheels of Central Maryland. (MOWCM, 2013) At its inception, Meals on Wheels served 10 homebound clients with a handful of volunteers. In FY 2012, 700,307 home-delivered meals were prepared and delivered to 2,939 clients through the coordinated efforts of Meals on Wheels staff and more than 2,000 volunteers. (MOWCM, 2013) Throughout the '60s...
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...INDIVIDUAL ASSIGNMENT THE ELDERLY POPULATION Niagara College NURS 1270 Amanda Sorrell The Elderly Population How old do you want to live? This is a good question considering that according to research done by Christiansen et. al. (2009), there has been a gain of about 30 years of life expectancy on average, in developed countries globally over the span of the 20th century and Canada is no exception. This increase in life expectancy is primarily due to improvements in health care; an understanding of how disease is transmitted and can be prevented, and a better understanding of the body and how to keep it healthy (Christiansen, et. al., 2009). However, it would seem this extra lease on life comes with some extra concerns as seen in the current overall health of the elderly population which is the vulnerable group I have chosen for this assignment. This is also the group I am working with during my clinical placement this term, which is another reason I have chosen it for this paper. The members within the elderly population, in part due to extended years of life, are a group that is at risk for diminished well-being and compromised health due to changes in the aging process both physically and mentally. Nutrition, mobility and personal safety also become issues in health maintenance as we age, as is the issue of poverty that affect our elderly who are living well past the age of retirement in Canada. When our elderly population are not able to maintain...
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...DEPTERVATION Healthy Sleep Julia Snell Saint Leo University Abstract This paper will address the need for sleep, and the benefits of a healthy sleep habits. Sleep is the one area of human life that most neglected. Sleep is a necessary neurologic that the body and mind expects. A pattern of sleepiness and wakefulness causes forgetfulness, fatigue, distraction, and drowsiness. Sleeplessness is the inability to sleep or the lack of getting the required amount of sleep for children, and adults. When an individual does not receive the adequate amount of sleep can and has in some cases, caused accidents, loss of job, and death. Alternatively, is natural order of substantiating healthy life? Sleep is the gateway for babies to grow, sleep for adults keeps their minds fresh and alert sleep is just as important as the air we breathe. According to the 2009 CDC’s “health Surveillance Study” determined that only 30% of U.S teen obtained the required amount of sleep (9 to 10 hours per night). In addition, CDC showed that some U.S adults experience inadequate sleep. Adult should get at least seven to nine hours of sleep per night, less than seven will cause drowsiness, will burden daily activities such as working efficiently, school, and other activities (Healthypeople.gov, 2012). Students in grade 9 to 12 should sleep on average of 9 hours a night. Because their bodies are still growing, and their minds are retaining information sleep is essential to retain and process information...
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...Marketing Strategies Abstract This work is composed of the entire marketing plan for a proposed business. It includes summaries that; analyze the marketing framework including the concepts of the 5Cs, STP, and 4Ps, evaluate the basis for market segmentation and approaches to segmentation, evaluate and target customer segments and positioning products within these segments, examine the different types of products in the marketing exchange process and create dynamic strategies for competing, develop branding strategies for existing and new products, develop pricing strategies and distribution channels for products, analyze integrated marketing communications and its relationship to advertising strategy. Design customer satisfaction evaluation processes and quality assurance measurements, evaluate marketing research tools involved in the marketing process and develop strategies to assess performance and achieve marketing goals. Mission Statement Our mission is to run a profitable business by providing high-end transportation services in a caring, upscale, professional environment. We offer mobile transportation with drivers in a variety of styles – traditional, upscale, Sporty, and special occasion. Our licensed drivers offer the superior customer service, timely drop off and pick up and guaranteed confidentiality. Our goal is to tailor the client’s experience based on initial customer provided information, as well as feedback during and after service, to ensure the client’s...
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...Semester 1999 Class Project: Home Delivered Meals Information System (HDMIS) Project Overview Allegheny County, like other American metropolitan areas, is facing the prospect of a “graying” population: the “baby boom” generation born in the middle 1940s – early 1960s is approaching retirement age and, while their parents’ generation is already retired, and the younger “baby bust” and “Generation X” cohorts are having fewer children than their immediate ancestors. In addition, Allegheny county, like most other metropolitan areas, is facing the “hollowing out” syndrome in which population has left the center city (in this case the city of Pittsburgh) for suburban areas as well as areas beyond the immediate Pittsburgh region. However, Pittsburgh, unlike most metropolitan areas, has also faced, and continues to face, stagnation in overall population growth: there are few in-migrants to replace those not born due to a low birth rate and those who leave for better opportunities elsewhere. Thus, the population of elderly is shifting from the city to the suburbs over time (see Figure 1 and http://www.hdm.heinz.cmu.edu). This information is quite relevant for one sector of the economy: that devoted to services for the elderly. As people age, they are more likely to be homebound and thus in need of home-delivered services such as physical therapy, home cleaning, full-time nursing care and home-delivered meals. It is the last home-delivered service that...
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...Case Study : Mumbai Dabbawala Padmini Prasun Fateh Amrit 1 Introduction 1890 1 Employee 2010 5000 Employee Caters to 2 Lakhs Customer A Day Meals On Wheels Presented By Amrit, Prasun, Fateh & Padmini 2 Why so Famous? 99.999% Error Free Service Six Sigma Certified Matchless Service Icon of Hardwork In The League Of GE, Motorola Presented By Amrit, Prasun, Fateh & Padmini 3 Supply Chain Inventory Inventory Management Management Purchase Purchase Process Process Marketing Marketing SUPPLY CHAIN Some of the major companies of the world fail to coordinate the activities of supply chain which are flawlessly managed by semi-litterate dabbawals,with accuracy of 99.999% Presented By Amrit, Prasun, Fateh & Padmini 4 Supply Chain Presented By Amrit, Prasun, Fateh & Padmini 5 Features of Supply Chain ● ● ● ● ● ● 0% Fuel 0% Modern Technology 0% Investments 0% Disputes 100% customer satisfaction 99.9999% performance Presented By Amrit, Prasun, Fateh & Padmini 6 Time Management 8-10.30 am Tiffin is collected from house 10.3011.30 Journey in local train after sorting 11.3012.30 Unloadi ng and sorting at destinat ion Presented By Amrit, Prasun, Fateh & Padmini 12.30-1 Tiffins are deliverd 7 Strengths of the Supply Chain ● ● ● High Stress on Human Capital Everyone is an Equal share holder of the firm Discipline ● ● Fined for non-conformity with rules May leave customer if he continuously...
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...genetic factor. Less than ten percent has been shown to be inherited in families. ALS begins with the client with muscle weakness, stiffness, eventually to paralysis, then death caused by respiratory failure. Dysphagia occurs at onset in about one third of case, although generally it occurs in later stage of the disease (Noh, 2010). The nursing diagnosis is risk for aspiration related to impaired swallowing. Intervention for the diagnosis includes positioning the client in a 90 degree angle while in bed, a wheel chair or a chair. There is no known cure for the disease, but symptoms can be treated. Riluzole is administered to slow the progression of the disease. Pathophysiology Amyotrophic lateral sclerosis is a neurodegenerative disease that begins with rapid, progressive muscle weakness. It attacks the neurons that are responsible for moving voluntary muscles. Once the person is diagnosed with the disease, the person will inevitably face death during the later stages of the disease. Respiratory failure limits survival to 2-5 years after disease onset (Noh, 2010). The etiology of ALS is unknown, but research shows that a small percentage is inherited in families. Only about 5 to 10 percent of all ALS cases are inherited in the family's genes (Shiel, 2012). It is common in the geriatric...
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...This can include nicotine patches prescribed by the family physician and also medications that can help decrease the desire to smoke and could eventually stop the smoking habit. A study conducted in 2013 showed results favoring smoking cessation medications. These results concluded that patients who used nicotine patches and medications were more likely to continue abstinence from smoking versus those who did not use any medications when trying to quit (Kasza et al., 2013). The family nurse can advocate for their patient, to the physician, to see about having the patient obtain some type of cessation medications. The nurse can also do their part by educating the patient and their family while caring for the patient. I believe visuals work best with this type of disease and most of the population would understand COPD better if shown what smoking does to the lungs. Studies have shown that visual pictures are easier to learn than by just using only words (Sankey, Birch, Gardiner, 2011). By presenting pictures of a healthy lung versus a lung of a smoker, the patient is able to get a visual of the harm that smoking is causing to their lungs. This can become a reality shock to them. By also showing them a lung of a person with COPD, they will be able to see why they have...
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...Community Health Survey Task 1 Kinita L. Evans Western Governors University Author Note This paper is being submitted on March 14, 2016, for C228 Community Health and Population Focused Nursing course. Community Health Survey Task 1 Hillsborough County is a county located in the state of Florida. As of the 2010 census, the population was 1,229,226, making it the fourth most populous county in Florida. Its county seat and largest city is Tampa. Hillsborough County is included in the Tampa – St. Petersburg – Clearwater, Florida Metropolitan statistical area. Hillsborough County was created on January 25, 1834, from Alachua and Monroe counties, during the US territorial (1822 – 1845). It was named for Willis Hill, the Earl of Hillsborough, who served as British Secretary of State for the colonies from 1768 to 1772. The counties 1834 boundaries were much wider and included eight of the present day counties: Charlotte County, Desoto, Hardee, Manatee, Pasco, Pinellas, Polk, and Sarasota County. The last significant change in Hillsborough County’s borders was the separation of its western section to create Pinellas County in 1911 (Wikipedia, 2015) On New Year’s Day in 1914, the St. Petersburg – Tampa Airboat line initiated the first scheduled commercial airline service in history, from St. Petersburg to Tampa. According to the U.S. Census Bureau, the county has a total area of 1266 mi.² of which 1020 mi.² is land, and 246 mi.² is water. There is approximately 158.27 miles...
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...Introduction Corporate Social Responsibility (CSR) has gained an increasingly high attention in recent years. CSR can be defined as the ways in which businesses align their values and behaviors with their various stakeholders such as employees, suppliers, customers, government and other societal interests on whom their operation may have an impact. The concept of corporate social responsibility (CSR) in Dubai government and the UAE has always been present from the earliest Islamic times, with people and organizations practising Islamic values, donating through philanthropy and Shariah compliant ways of commerce. In recent years, there have been worldwide initiatives to invest responsibly and focus on investing profits into community life and saving the environment. CSR addresses a company’s transparency or openness and considering its stakeholders’ expectations. This means that business does more than act out of self-interest and shows social responsibility (Juholin, 2004). Companies cannot operate any more entirely independently and need to consider the needs of society and welfare of the community. Organizations now realize that in order to survive and stay unique in business and obtain strategic advantages, they need to practice being socially responsible. Many larger organizations have already integrated CSR into their strategic plans as an important factor in order to have a sustainable business. Although larger enterprises have more impact on society today, SMEs are...
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...ADN VS BSN: Differences in Competencies Juline DiSilvestro Grand Canyon University Professional Dynamics NRS-430 V Monica Kidder RN, MSN May 11, 2013 ADN VS BSN: Differences in Competencies The complexity of modern healthcare and the patients of today mandate a higher level of academic preparation than in the past. Advanced critical thinking skills are a must. Nurses need to function independently, making clinical decisions, providing bedside care, case management, education to patient and family in regards to disease process, treatment, and how to adapt to a healthier lifestyle. As healthcare continues to evolve and become more complex, it is necessary to assure proper education has been achieved. Controversy among the nursing profession has existed for many years regarding what is the acceptable minimum education for nursing practice. The ADN program takes 2-3 years to complete. The ADN programs started due to a need for nurses during a nursing shortage brought on by WWII. The ADN program provided a shorter period of time to acquire the necessary minimal skill to obtain licensure, and practice safe entry level nursing without the emphasis on leadership, nursing theory and critical thinking. The focus of ADN programs has been to prepare the nurse with considerable clinical experience and technical nursing tools needed to provide patient care at the bedside (Cresia & Friberg, 2011). They do not have the education to perform research activities which becomes the basis...
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...better than many others. Well, yeah, isn’t it. ? But hold on, life wasn’t that easy. If you are reading this,” a new blogger’s post”, probably you are an avid reader, or have absolutely nothing to do, or maybe you are someone like me; fresh out from your dream world to reality. Life was copying assignments, bunking lectures, sleeping on the last bench (not to forget the talent to sleep on the first bench with eyes open), crazy dance nights at hostel with friends, love at first sight, friendships, relationships, break-ups, patch-ups, surprise birthday celebrations, birthday treats, one night studies, movies (especially horror movies watched at night in groups on laptops), discussions about novels, music and of course so many series,...
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...Hendricks County Promotion of Healthy Lifestyle with Nutrition and Exercise Faith N. Kirirah – 000328312 07/03/2014 HGT Community Health Practicum Western Governors University Assessment The fieldwork for this report is performed in Hendricks County in the state of Indiana, United States of America (USA). Community Hendricks County is located just west of Indianapolis, Indiana. This county boarders on Borne County to the north, Marion County to the east, Montgomery and Putnam Counties to the west, and Morgan County to the south. The county has a total area size of 408.78 square miles of which 406.91 square miles is land and the remainder is water according to 2012 United States Census Bureau. The estimated population of this county was 153,879 in 2013 with 90.4percent being Caucasians, 5.5percent Black/African Americans, 3.2 percent Hispanic/Latino, 2.3 percent Asians and the remainder covering other nationalities (Alaska Natives, American Indians, Native Hawaiian, Pacific Islanders, some other races and two/more races). This county benefits from easy access to the nearby cities and towns that it shares with the Indianapolis metropolitan area with. One major concern in this county is traffic that causes long travel times and congestion. Physical environment of this county is within acceptable standards according to the county health department. Several of the ditches in this county have been found to be contaminated with bacterium E. coli but with the increased...
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...Running head: SPINAL CORD INJURY CASE STUDY 1 SPINAL CORD INJURY CASE STUDY 2 Abstract This spinal cord injury case is about my 50 year old brother named Kevin that fell off our mother’s roof and fractured his vertebra at the T5-T9 level. He is now a paraplegic that has come to live with my family. What is his functional level to this day? What are the capabilities and functional limitations for someone with this paralysis? These are some of questions that will be addressed in this study. A person with a spinal cord injury needs some assistive devices to enable them to be somewhat mobile. A wheelchair and a new device...
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...Max Levin Individual Speech Imagine you are hunkered down behind an outcropping of rocks taking heavy enemy fire. Your world is being turned upside down and you cannot figure out where the shooting is coming from. You stay low and pray that you will not be struck by a bullet. Thankfully the shooting eventually stops and you escape with only a few minor wounds. You go back to camp and tell your comrades about your near-death experience. At this point you are still on edge and need help calming down. A drink of alcohol would do just the trick. However, you are just an 18 year old adult and not a 21 year old adult so you cannot legally consume alcohol yet. But don’t worry, you can still fight and die for your country. How can we possibly send 18 year olds to war, but not allow them to drink alcohol? To adults under the age of 21, alcohol is seen as a forbidden fruit. Since they cannot legally have it, they want it that much more. So when they are granted an opportunity to drink, they do so in a dangerous way. This binge drinking is where many alcohol related injuries come from, and what must be decreased. According to our laws, an 18 year old has enough maturity and judgment to drive a car, sign a legally binding contract, perform jury duty, and vote. Why shouldn’t they be able to decide if they want a drink or not? The drinking age should be lowered to the age of majority, which at this time, is 18. This decrease in the drinking age will allow young adults to safely consume...
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