...solitary meal. After dinner she bathed and put on her warmest nightgown, then crawled under the electric blanket in the upstairs bedroom that had been her mother's. She picked up her mother's first journal, and soon found herself caught up in events that had occurred years before her earliest memories, seeing them vividly from her mother's point of view. She read of her own birth and her mother's first blissful, if tiring, days of parenthood. The early worries and joys of watching an infant take her first steps into childhood unfolded with the turn of the pages. It touched Ann deeply to realize those loving words had been written about her. Could this be the same woman who years later made transparent excuses to keep her daughter from coming home for semester breaks and holidays? Ann dozed off while reading, and the ringing of the doorbell wakened her. The bedside lamp was still on, and the journal she'd been reading lay open beside her where she'd dropped it. It was eight o'clock. She got up and put on her fleece robe and slippers and hurried down to answer the persistent ringing, brushing hair back from her face with her fingers as she went. Ann left the chain lock fastened and inched the door open. "Who is it?" she called against a gust of freezing air...
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...The Author David Laskin shares an informing and inspiring book that is an unforgettable true story of the Great War called “The Long Way Home: An American Journey from Ellis Island to the Great War” who shows the track downs of the lives of twelve men who were born in Europe who came to the United States seeking for freedom and many opportunities and become Americans by serving in the World War I. “ This is the story of twelve immigrants from Europe who served in the American armed forces during World War I. Of the humblest origins, these men and their families came to this country at the turn of the last century in search of freedom and opportunity” (Laskin, 2010, xi). Meyer Epstein was born in Uzda, Russia, and emigrated on the Lusitania...
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...Your book Lion - A Long Way Home has moved me. Towards the start of the book, Saroo described how he doesn’t get much food or money from begging, since there are so many other poor children also begging. Saroo describes how he says many food stall owners would shoo away the begging kids. This really moved me because I have been to India before and have seen kids who beg on the streets being hurt and shooed away. After I heard about what Saroo faced, I felt instant regret for not trying to help the poor homeless kids I saw on the streets. I also felt bad for not protecting the homeless kids from mean people who hurt and abuse them. I felt very bothered and disturbed when Saroo was put in a juvenile detention centre. Saroo told us in his memoir...
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...Long-term care home complaint process Swathilal Kaippampally Sambasivan 6657290 NURS8785-15S Mary Lou Walton 31July2015 At the time of admission to a long term care home, a person or their substitute decision-maker must also receive copies of the procedures for making complaints to both the home and the Ministry of Health and Long-Term Care. The ministry will respond quickly to urgent complaints in some cases, on the same day. For non-urgent complaints, contacting home directly is often the best and fastest way to address a problem. (long-term-care-home-complaint-process, 2015) Types of complaints The way you make your complaint depends on the type of complaint. There...
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...Professor Hollands English 104-992 28 September 2015 “Going Home” The place where a person grew up will always be part of that person like a home, but when he leaves and comes back, the return to the familiar becomes unfamiliar. In the poem “Going Home” by Maurice Kenny, a Mohawk descendant captures the emotion that goes along with returning home for Native Americans. It feels foreign and they feel foreign to those that have stayed. Kenny uses imagery and symbolism to portray thoughts of his home he no longer feels is the same. His words are very deep and make readers think about the experiences they have when going back to their birth place. Furthermore, in reality Kenny ran away from home to New York City at the age of sixteen because of his strict father. He stayed there for a while and eventually came back home. He portrays his experience and thoughts on his way back. Using imagery he describes his sights while on the way back, “The book lay unread in my lap; snow gathered at the window” (1-2). He uses more imagery to describe the sight of the field; creating a weary tone that is balanced with the beauty nature has provided. “to country cheese and maples; tired rivers and closed mills” (6-7). Along the way he makes the readers imagine his childhood memories, “home to gossipy aunts… their dandelions and pregnant cats” (8-9). Furthermore he creates an image of his birthplace, fruits of nature and rocky fields, “home to cedars and fields of boulders; cold graves under willows...
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...provide ways of giving five star medical help to outpatients. To provide professionals who can give special assistance to patients in areas related to their expertise. Their functions include addressing patient complaints, family concerns and working on different programs for the medical center in addition with providing on-call medical assistance to people. Ambulatory care starts at the moment the patient calls and gets a continuation in the hospital, where the patient continues getting medical assistance but on a regular base. Ambulatory care is an integral part of the work of medical establishments, because it is an express mean of communication between the nurse and the patient who is not well at home. There are millions of people who would have died without it. The effectiveness of the ambulatory care has grown a lot for the past 10 years. Another important fact is that there also has been noticed a growth of home care in USA. We consider home care to be a system of control in the first place over patients who always need medical nursing assistance and have no supervision. Home care agencies of various types have been providing high-quality, in home services to Americans for more than a century. And that fact has decreased the death rate, especially among the elderly. There is a significant growth of the number of home health care workers. The country is in a big need for people with professional nursing education to take care of people who need medical help at home. Nurses...
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...The Odyssey is an epic based on a long journey home from the trojan war back to Ithaca. Odysseus spent 15 long years trying to make his way home for his love Penelope and his son Telemachus. He faces many obstacles and hardships on his journey home including outsmarting a cyclops, having the god of the sea against him his whole way home trying to kill him because he blinded his son the polyphemus not even mentioning his 7 year set back at Calypso’s island. Someone who can get through hardships like this have to be extremely clever and intelligent and Odysseus was just that. He always had a well thought out plan and never gave up on his voyage home. After 15 long hard years he finally made his way home to his love Penelope and son Telemachus....
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...Reimbursement and quality, improvement in long term care systems, Medicaid has complained about reimbursements have been lower and if they become lower than quality car would suffer. However, if states set Medicaid nursing home reimbursement levels and the federal government make changes also think the quality of care will come down or suffer. The withdrawal of services will affect quality, if they are not covered or no longer funded than these services will no longer be provided. It seems that no matter what the reimbursement levels are it does not affect the quality of care given by the staff. The quality of care is still there, the options for seniors for long-term care types are independent living, retirement communities, care retirement communities, senior apartments, continuing care and nursing homes. Assisted living communities are for those seniors that can no longer live alone but do not need the care that nursing homes provide. These communities’ help with daily living, meals, medications and everyday living keep them living a normal life, but in a community that gives them help when needed. The nursing home long-term care provides round the clock skilled care....
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...adapted to changes and how he reacted when taken out of his first home. Taking a child of a home is hard but is way harder when being taken to a new family he has never met and has never been aware of. Mathee is able to write a well written novel by utilizing two important literary elements in order to display the the theme. In Mathees novel, fielas...
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...Are There Consequences to Having Career Focused Parents? In today’s fast paced society it is not abnormal to see a person working ten to twelve hour days and this does not include the commute time. It is also not abnormal in a family to find both parents working these long hours or even working two jobs. But are these now normal long days having a detrimental impact on today’s youth? Can having parents that appear career focused cause a negative impact on their children? Will not having a parent around for most of the day have a long term psychological impact on the children left waiting at home? Why do parents knowing that they are needed at home still continue to work so many hours instead of spending quality time with their children? The goal of this paper is to explore all of these questions to determine what if any risks are associated with being the child of a career driven parent or parents and insight into why parents continue to work such extreme hours. THE PAST Work is not anything new; it has been around as long as humans can remember. It has stemmed mostly from necessity, from foraging for food to building homes. But it also has at times been used as punishment or as a ways to achieve power such as the Egyptian pyramids years ago. But if you jump ahead to the early nineteenth century and compare it to current times you can see that work has seen some changes. In the early part of the nineteenth century it was often common to see a person...
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...Long-Term Care Long-term care is vital in the United States health care system. As the population ages, more people will need assistance to recover from illness or injury, and others will need end of life care to ease their passing. People who use long-term care are all ages. From young to old, people can receive it if they cannot care for themselves because of a condition, an illness, or an injury that requires assistance for a period of 90 days or more. The concern people face when looking at long-term care is the funding. Medicaid will likely be drained of funds long before the country’s aging population is past its peak and while there are some options of insurance coverage, not everyone may afford them. There has been development since the 1980s of government programs to assist those needing long-term care in locating the services that fit their needs best. A couple of centers created are the Administration on Aging (AOA), the Centers for Medicare and Medicaid Services (CMS), and the Aging and Disability Resource Centers (ADRC). The purpose of these centers is to help people of all ages, disabilities, and income levels to more easily access long-term services and support and transition among various sites of care, make more efficient use of care options, and maximize available services (O'Shaughnessy, 2011). These organizations help so that where ever people enter the system, they find direction to what services best meet their needs. These organizations are state run...
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...Odyssey is set in Ancient Greek times and the main character Odysseus took a long journey to get home to his wife Penelope. It's a similar case in Cold Mountain for Inman. Inman is a confederate soldier who is jaded of war and longs to be back with his girl, Ada, so took a long journey to his home Cold Mountain where Ada is In both the classics there are common traits, goals, and fates for the two heroes. To begin with in both of the classics there is common traits between the...
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...should communicate with one another about any quality issues that may arise. Quality management requires top management commitment and a flow down through all other employees of the organization. It is a planned, organized, and systematic approach to the improvement, monitoring, and analysis of an organization’s performance. Purpose The purpose of quality management is to help organizations improve their performance by eliminating poor quality of service rather than by trying to fix the results after the service has already been given. Quality management allows an organization to continually improve the quality of patient care and services provided and increase the outcome of the patient’s experience being desired and successful. In home health care uses quality control, quality assurance, and quality improvement to focus on the quality of the services offered as well as the means by which the quality is achieved. Focus on the customer by putting quality first and foremost, teamwork, and continuous...
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...1. Discuss the pathophysiology of asthma. The pathophysiology of Asthma includes inflammation of the airway. The way in which this works is from an irritant which can include dust, pollen, cedar, or cat hair. When a reaction occurs, the airways become inflamed and narrow. The narrowing occurs because once the inflammatory response is triggered by an irritant, histamines, immunoglobulin E antibodies, and leukotrienes are released. Because of this, mucous production occurs. Since the bronchioles are inflamed and narrow, breathing becomes difficult. Wheezing sounds can be heard due to the lack of air being able to easily move in and out of the narrowed bronchioles. 2. Discuss the educational points that should be included when implementing standard education for the asthma patient. The standard education points when taking care of an asthmatic patient would be the important of recognizing the symptoms of an asthma attack. This is important so the patient would know when to use their inhaler before the situation becomes too severe. The patient should be aware that tightness of the chest, feelings of difficulty breathing, and the sound of wheezes are all indicators of an attack and the need for an inhaler. Another education point would be what can trigger asthma attacks. The patient should be educated on how changes in elevation, weather, cigarette smoke, animals, and exertion of the body can all trigger an asthma attack. The patient should be told to always carry their inhaler...
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... In the year 2000, it was reported that 44% of residents were abused and 95% were neglected and also witnessed someone else being neglected. According to the National Center on Elder Abuse, elder abuse is common is in community settings such as nursing homes. These numbers are part of many reasons why others do not receive the proper health care that is needed. Not only is it absurd for these statistics to be high, but it also is absurd for these two statistics to be within the healthcare profession. With the baby booming population being at an all-time high, many of them turn to long-term living facilities. Being that nurses are more hands on with patients in any facility, but more importantly, being more involved with older patients in LTCF (long-term care facilities), it is crucial that we examine the reasoning behind these numbers. This is a representation of the lack of passion, integrity, and proper education regarding the profession of nursing. With the exception of not having anyone else to care for them full time, residents have no choice in how much they may depend on a nurse. Due to things such as chronic illnesses, mental disorders, and psychological deformities, the residents of rehabilitation centers and long term care facilities instills trust with the nurses. The humility of the resident leaves their vulnerability levels to be heightened in the nursing and resident relationship. Vulnerability within the resident opens up room for all different types of abuse...
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