Sunday, January 26, 2020

Relationship Between Hearing Loss and Ageing

Relationship Between Hearing Loss and Ageing For several years hearing loss has been related that come with aging. It is thought that as we age our auditory perception conventionally commences to fail. Health care professionals thought that failure was a product of our individual age, such that as we grow old our auditory perception ability lowers. It defines as â€Å"Presbycusis (age-related hearing loss) is the loss of hearing that gradually occurs in most individuals as they grow older. Hearing loss is a common disorder associated with aging and is ranked as the third most prevalent chronic condition in elderly people after hypertension and arthritis.† (Shemesh, 2010) Deafness is a â€Å"heterogeneous condition with far-reaching effects on social, emotional, and cognitive development.† (Fellinge,2012). In socio-cultural context, social and medical model both advises that deafness also has cultural and social meaning and that the negative effects of deafness is due to sociocultural problem, such as discriminatio n and barriers to access, as well as physiological disorders. Alternative ideas of deafness are available and can help the client to change positively to the diagnosis and later therapeutic and educational approaches. Deaf culture has a long history of domination and downgrading; its strength as a social network derives from deaf people having been thoroughly excluded from hearing culture, from education and professions. (Garden, 2010). In my client evidence who are deaf or hard of hearing capability difficulties such as communication stress, and unsupportive supervisors, which isolate them from community. The reason for selecting this topic is that being a nursing student, my client has listening problem and this may affect her psychological health so that she is associated with depression, social isolation, poor self-esteem, feelings of loneliness, and frustration . (Dewane, 2010) (American Academy of Audiology). That client also difficulty in explaining and sharing their problems. This paper will clarify ethical issues regarding hearing loss, its impact on patient’s mental health, interventions during hearing loss and alternatives. However, in our culture, nurses are expected to respect patient’s rights and treat them with dignity. During the clinical at St Vincent Nursing Home, I encountered an 83 year old female patient. She has a comorbid of angina attack, hypertension, and diabetic. She done only inter because her father was an engineer and migrate from place to place. She has 4 children, 2 sons were expired due to medical illness and 1 daughter is an abort and one son is also. She was a teacher in past. She has a problem for hearing (unilateral). When first day I sit with my client so she said to me that I never get socialized because all people talk very softly so I am not able to listen. She also stated that I feel embarrassed when I ask the questions again and again. So it’s better to sit in a room rather than disturbing others. I have also a problem for sharing my feeling to others. I spend more time in reading short story as well as religious books. I play cards and talk my son and daughter once a week. From the analysis of the scenario, in ethical issue that characterizes the topic is beneficence, nomaleficence, autonomy; fairness, integrity, and respect are found in the ethical codes. While these professional and legal fundamentals can detailed as sometimes to look severe and in practice they do not cover all situations. Nomaleficence (don’t harm) discusses to avoid injuring, distressing, hurting, harming, or causing a negative outcome. The opposite, beneficence (do good) are most possible to be helpful and to lead to a good effect. Autonomy (self-determination) is a really important consideration for clients, including informed consent and lack of pressure. Justice indicates that professionals treat clients fairly and do not engage in. Fidelity (faithfulness concern) is a symbol of the professional relationship. In general, mental health work with deaf people involves the same ethical principles. Ethical problems and possible solutions may affect deaf clients differently t han hearing clients. (Gutman, 2005). The theoretical framework used was Mishels theory of uncertainty in illness is a good theory to use in order to prevent uncertainty by using a good communication. These theories is a part of communications and caring and Swanson as well as Kolbaca is discussing important things about comfort and caring which is actually connected to communication. (Mattjus, 2012). In people with specific needs (refer appendices A). Occasionally hearing loss effects on mental health like depression and other disorder can occur. Inability to hear can result in feelings of shame. It is embarrassing to unable to behave according to appropriate social rules. The feeling of shame related to hearing from older adults unconsciously reacting in untimely and socially unacceptable ways, such as answering to a misunderstood question in an incorrect manner. Many elders with hearing loss take responsibility for ineffective communication and blame themselves for misconstructions caused by the hearing loss. Various feel apologetic about perpetually asking for others avail to understand what is being verbalized and when theyre unable to participate in convivial events (Dewane, 2010). In my case same point of view of my client misunderstanding creates problem. Persons with hearing loss to have impaired on ADLs. An important aspect of everyday life, can be seriously impaired with hearing loss. These difficulties with communication could lead to a perceived reduction in quality of life. (Dalton Cruickshank’s, 2003) Furthermore, if hearing loss is occur in patient should get high-quality nursing care, first do assessment (refers appendices B). Interview people with disability like hearing loss client (refers appendices C). Ability to communicate well and maintain good eye contact. Reduce the anxiety of a client. It is important that patients with hearing disabilities could express their needs, desires, feelings and opinions in communication with health care professionals. (Hornakova Hudakova, 2013). Listen the client actively and provide a moral support. When speaking to the client, increase volume of the voice, but don’t increase the pitch and don’t shout in front of client. Speak into the â€Å"good† ear, being to stay at a distance of 2 to 3 feet. Articulate words carefully, speak slowly, and rephrase if necessary. (Meiner Lueckenotte, 2006). Reduce background noise by turning off the radio or television. Write the words in note pad if client is not understanding throug h verbal. Sign language or speech reading may be used with impaired hearing. (Roach, 2001). People with hearing loss use of hearing devices, such as hearing aids. (WHO, 2014). They can also benefit from speech therapy, aural rehabilitation and other related services. (WHO, 2014). Enhance the client activity as well as sit with client in group and remove the isolation and depression fear towards her problem which I had done my clinical rotation. In the conclusion hearing loss in older age people is common because of increase in age. Reduce the anxiety fear towards loss of hearing power. Family and society should accept that client. It is recommended that respect and dignity of clients should remain paramount at all times. As a health care professional, we should encourage the client to get socialized. We tried to find out whether the future health care professionals successfully handle the difficulties of professional communication with deaf patients. The focus has been placed on a successful and effective communication with the client.

Saturday, January 18, 2020

To Kill a Mockingbird Essay – Explain How 2 Characters Changed over the Course of the Book

To Kill A Mockingbird Essay Introduction: * Thesis: In To Kill A Mockingbird, characters such as Calpurnia and Boo Radley are not who they are made out to be in the beginning of the play to both the readers and Scout. * Point 1: Jem and Scout learn that Calpurnia, their housekeeper, is not who they thought she was. * Point 2: The Finchs and the people of the town realize that Boo Radley is not the same man they thought he was. Scout and Jem is not the well-spoken servant they made her out to be all these years in their house.Her role is the household is much different compared to other families. Calpurnia has pretty much taken the role as the â€Å"mom,† in the house. This one time, she disciplined Scout at the dinner table when they had Walter over for dinner and Scout made a rude comment. However, Scout’s and Jem’s view of Calpurnia changed when they went to church with her when Atticus could not take them. When they arrived at the church, Calpurnia was confron ted by Lula for brining â€Å"white chillun† (Lee 119) in a black church. They heard Calpurnia use slang and words they had never ever come out of her mouth.This newly discovered side of Calpurnia confused the children. They could not understand how their well respected and well-spoken housemaid could be so â€Å"dirty. † When Scout questioned her about it later on, Calpurnia explained herself â€Å"folks don’t like to have somebody around knowin’ more than they do. † It aggravates ‘em. You’re not gonna change any of them by talkin’ right, they’ve got to want to learn themselves, and when they don’t want to learn themselves there’s nothing you can do but keep your mouth shut or talk their language. (Lee 126) Calpurnia’s explanation really answered Scout’s question as to why she had to â€Å"talk nigger-talk. † (Lee 125) The people of Maycomb do not have the right perspective of Boo Radle y. The rumor that have surrounded him and his family have caused him to stay within the confines of his home. The rumors say that he killed his mother and stabbed a family member with a pair of scissors. Over the summer, the kids (Scout, Jem, and Dill) acted out the story of Boo Radley and his family over the summer.Also, when Jem and Dill rolled Scout down the hill in the tire, they refused to help Scout get out since she had landed in his (Boo Radley’s) property. However, the children have it all wrong. In the beginning of the book, Jem and Scout start finding gifts in the hole of the oak at the edge of his land which he had been placing there. Another instance where they were proven wrong was when he gave Scout a blanket during the fire that took out Miss Maudie’s home. Again, no one had any idea he had done this.The biggest reason as to why everyone has made out Boo Radley all wrong was when he saved Jem and Scout from Mr. Ewell. Conclusion: * Thesis: In To Kill A Mockingbird, characters such as Calpurnia and Boo Radley are not who they are made out to be in the beginning of the play to both the readers and Scout. * Point 1: Jem and Scout learn that Calpurnia, their housekeeper, is not who they thought she was. * Point 2: The Finchs and the people of the town realize that Boo Radley is not the same man they thought he was.

Friday, January 10, 2020

Idolization of Elvis Presley After Death

Elvis Presley was the first rock and roll star. He was born January 8, 1935, in East Tupelo, MS. Presley was the son of Gladys and Vernon Presley, a sewing machine operator and a truck driver. He and his parents moved to Memphis, TN in 1948 and Elvis graduated from Humes High School in 1953. Elvis Presley is one of the world’s most famous singers and icon of music and pop culture. His talent, good looks, sensuality, charisma, and good humor endeared him to millions, as did the humility and human kindness he demonstrated throughout his life. Elvis was a very kind man. He did everything he could for people around him. In 1975, he purchased a poor black East Memphis woman an electric wheel chair and picked her up and personally sat her in it. The woman’s teenage daughter told Elvis she liked his car. He gave it to her and even gave her boyfriend a job. Studies show that Presley was bullied at school. Classmates threw things at him, rotten fruit and stuff, because he was different, such as quiet and he stuttered and he was a mama’s boy. All of this showed him that he had to change his attitude and become someone that he was not. Presley was more popular than ever and one of the biggest personality cults in modern history was taking hold. When Presley was off stage he suffered self doubt, poor management, and a basic dissatisfaction with his life. With these thoughts he turned to drugs to solve all of his problems. Elvis’ musical influences were the pop and country music of the time, the gospel music he heard in church and at the all-night gospel sings he frequently attended, and the black R&B he absorbed on historic Beale Street as a Memphis teenager. He put together music from both sides of the color line. Elvis performed this music with a hip swiveling sexuality that made him a teen idol and a role model for generations of cool rebels. He was always dismissed vulgar, incompetent and bad influence. Teenage girls became hysterical over his sexual movements; particularly the one that got him nicknamed â€Å"Elvis the Pelvis†. Television cameras were not permitted to film below his waist. Presley had a versatile voice and had unusually wide success with other genres, including gospel, blues, ballads, and pop. To this day, he is the only performer to have been inducted into four music halls of fame. People today still think that Elvis was the greatest person in the world and he was not. Of course he made good music and had accomplished things that people still haven’t been able to do to this day but he also did a lot of bad things also. He was a prescription drug abuser and even led many women on to think that he really liked them instead of just telling them all the truth. Elvis Presley died on August 16, 1977 in the bathroom at Graceland. Studies show that he died of cardiac arrhythmia, which means that the heart was beating irregularly and in this case, finally stopped. While that is so true he also overdosed on many different prescription drugs. These drugs included codeine, valium, morphine, and Demerol. These were the drugs that were said to be Presley’s depressants. Now that Elvis has been for 31 years, he still has many people talking and seeing him as he is still alive. People still praise him after his death. That is so against the Christian religion. The Christian bible says that you shouldn’t idolize any other person but the Almighty above. You will be punished for idolizing any other person other than God. Okay I can understand leaving his house up for public show but having old pork chops and pajamas all on the floor is uncaused for. People just take it overboard and then for him to have been dead for so long, why do people keep saying that he is still alive. It just doesn’t make any sense for them to be saying that and they know that he is buried behind his Graceland home in Memphis. Since Elvis’ death, his Memphis home Graceland has become a shrine for millions of followers worldwide. Graceland was purchased by Presley in March 1957, it was a former church and he converted it into a twenty three room mansion. Graceland visitors come from all walks of life, all ages, all musical tastes, all income levels, all educational backgrounds, and all parts of the world. Over half of Graceland’s visitors are under the age of 35. I am 19 years old and would ride pass Presley’s house everyday and would care less what’s in his house. You can see how it looks from the streets. People even gathered twice a year to celebrate his birthday and mourn on his death date. I think that that is the craziest thing ever. These are people that know nothing about this man and have only listened to his music and do stuff like this. I mean Elvis Presley Blvd will be backed up for miles because people are out worshipping this man and he is nobody. Yes he may have given Memphis a good name but he did nothing for the city itself. We had B. B King and many others and you barely hear anything about them. When you hear of Memphis it’s all about Elvis Presley and he did nothing. Presley’s home Graceland is the second most popular private tourist attraction in the United States after the White House, and is estimated to bring in $150 million to the city itself each year. I just can’t believe that because Memphis has streets that need to be fixed, need new schools, and more. Memphis is not a perfect city at all and if we’re getting that much from Graceland then we should be close to perfect. Presley’s family or daughter is getting that money and it makes me upset to see them say that Memphis is getting a percent of that money and we not seeing a dime of it. In conclusion, Elvis has brought a lot to Memphis and has given us a good name. Elvis was one of the best artists alive but he is gone and people should treat him as such. He lived as a good man or so they say but he gone now. It is fine to leave his house up for attractions but do something with the money to help the communities around Memphis and to better it. Idolization is not right and should not be practiced. It doesn’t matter who it is. Nobody amounts to God and nobody should be compared or treated as God is.

Thursday, January 2, 2020

A Cross-Cultural Research on Intimate Partner Murders in...

The people who hurt us the most are often our loved ones. That is why spousal murder is not a new phenomenon. Since the beginning of time, humans have had a nature of violence and have acted that violence out against another, especially the ones we love the most, like family. This is not surprising. Everyone has had some personal experiences with family violence or has witnessed it at the expense of others. In U.S. society, when a husband or wife is killed, the first person that law enforcement turns to is the spouse. The married partner automatically becomes a suspect. It is also common to assume that the perpetrator, if the couple is not married, could be the boyfriend or girlfriend. What is appalling is the fact that intimate†¦show more content†¦This information will be gathered due to culture, laws, and other actions of that country. A country that has a high rate (higher than the U.S) of intimate partner murders is Russia. According to Gorshkova and Shurygina (2003), in seven regions of Russia, a study was conducted on male-to-female violence using 1,000 women participants. The study showed that 41% of the women had been hit at least once by their husbands and 27% of those women had been beaten repeatedly. (Stickley, Kislitsyna, Timofeeva, Vagero, 448) This is the only percentages that could be obtained through a study, when the numbers are much larger than those because the Bureau of Democracy, Human Rights, and Labor (2005) says that many partner violence crimes in Russia go unreported. This is due to the fact that, like the United States, family violence is viewed as a private matter. They do not want people getting involved in their personal relationships. Most people do not like to â€Å"air their dirty laundry†. According to Horne (1999) the reports that are received are usually dismissed due to bribery from the perpetrator to the law enforcement or disbelief. (488) This just shows that the number of women who are abused is much more than this statistic figures. It also just mentions abuse, but abuse can lead to death. Russia has experienced many deaths each year. In fact, support for Russia having a higher percentage of IPM is that Gondolf and Shestakov (1997) found that Russian women areShow MoreRelatedDomestic violence Essay examples7765 Words   |  32 Pagesin marriage or cohabitation. Intimate partner violence is domestic violence against a spouse or other intimate partner. Domestic violence can take place in heterosexual or same-sex relationships. Domestic violence can take a number of forms including physical, emotional, verbal, economic and sexual abuse, which can range from subtle, coercive forms to marital rape and to violent physical abuse that results in disfigurement or death. Globally, a wife or female partner is more commonly the victim ofRead More One Significant Change That Has Occurred in the World Between 1900 and 2005. Explain the Impact This Change Has Made on Our Lives and Why It Is an Important Change.163893 Words   |  656 PagesD421.E77 2010 909.82—dc22 2009052961 The paper used in this publication meets the requirements of the American National Standard for Information Sciences—Permanence of Paper for Printed Library Materials, ANSI Z39.48-1992 Printed in the United States of America 2 4 6 8 9 7 5 3 1 C ONTENTS Introduction Michael Adas 1 1 World Migration in the Long Twentieth Century †¢ Jose C. Moya and Adam McKeown 9 †¢ 2 Twentieth-Century Urbanization: In Search of an Urban ParadigmRead MoreStephen P. Robbins Timothy A. Judge (2011) Organizational Behaviour 15th Edition New Jersey: Prentice Hall393164 Words   |  1573 Pages Organizational Behavior This page intentionally left blank Organizational Behavior EDITION 15 Stephen P. Robbins —San Diego State University Timothy A. Judge —University of Notre Dame i3iEi35Bj! Boston Columbus Indianapolis New York San Francisco Upper Saddle River Amsterdam Cape Town Dubai London Madrid Milan Munich Paris Montreal Toronto Delhi Mexico City Sao Paulo Sydney Hong Kong Seoul Singapore Taipei Tokyo Editorial Director: Sally Yagan Director of Editorial Services:Read MoreFundamentals of Hrm263904 Words   |  1056 PagesAccount Manager Training and implementation support www.wileyplus.com/accountmanager MAKE IT YOURS! Fundamentals of Human Resource Management Tenth Edition David A. DeCenzo Coastal Carolina University Conway, SC Stephen P. Robbins San Diego State University San Diego, CA Tenth Edition Contributor Susan L. Verhulst Des Moines Area Community College Ankeny, IA John Wiley Sons, Inc. Associate Publisher Executive Editor Senior Editoral Assistant Marketing Manager Marketing Assistant