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Alzheimer's Disease, 2005.
A look at this devastating, degenerative brain disease.
2,441 words (approx. 9.8 pages), 8 sources, APA, $ 74.95
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Abstract
This paper describes the symptoms, the research, and the diagnosis of Alzheimer's Disease. The paper explains the symptoms and stages of Alzheimer's, the medication available to Alzheimer patients which slows the onset, but does not cure the disease, the method of diagnosis, which is through the elimination of other possible illnesses rather than positive identification of the disease, and the ongoing research into Alzheimer's disease of which there is biologically-based research and a cognitive-behavioral approach to research.
From the Paper
"Alzheimer's Disease currently affects more than four million Americans. Alzheimer's is a disease characterized by the progressive degeneration of areas within the brain, resulting in cognitive and physical decline that will eventually lead to death. It is important to emphasize that Alzheimer's disease (AD) is not a normal part of aging. Although AD typically appears in those over sixty-five, it is a neurodegenerative disease, quite distinct from any aging-related cognitive decline. Because Alzheimer's is eventually fatal, and because the decline typical of an Alzheimer's patient is so devastating, much research is currently being done to investigate potential treatments. With the elderly population the fastest growing segment of North American society, Alzheimer's threatens to be an even greater health concern in the future decades. For patients exhibiting mild cognitive impairment, research is being done on ways to slow the disease's progression. The two main thrusts of Alzheimer's research are biological, which seeks to determine organic, systemic contributing factors to the disease, and cognitive-behavioral, which examines whether the disease can be held at bay by engaging the brain in novel functions. Pharmaceutically, there are a few drugs approved for the treatment of Alzheimer's. These drugs just postpone the dementia-related declines, however, they don't offer any cure."
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Old Age and Interpersonal Relationships, 2004.
A look at the effect of the process of aging upon the social fabric of the nation.
2,034 words (approx. 8.1 pages), 4 sources, MLA, $ 64.95
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Abstract
This paper discusses how middle-aged and senior individuals are increasingly beginning to appear as vibrant actors in society and culture, boosted both by the demographic change in the nation and the significant advances in gerontology that have so lengthened the senior years of life. It examines the question of whether people moving from middle age to old age reduce their number of interpersonal relationships and contacts with society in general or whether old age can be consistent with active participation in the creation of society.
From the Paper
"It would be absurd to suggest that aging follows the same processes in all cultures, or that it is even sociologically similar in various subcultures. The experience of a native man or woman growing into an elder of a tribal society is surely vastly different than the experience of an third-world industrial worker becoming elderly, which in turn is different than the experiences of our postmodern elderly in the information society that rules America. So this work will limit itself to discussing the phenomena of aging within mainstream American culture. Yet even within mainstream America, it appears that there are at least two distinct sorts of senior cultures, with distinct styles of aging."
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Aging Work Force in America, 2005.
Discusses the impact of an aging work force on the American economy, focusing on federal government employees.
3,854 words (approx. 15.4 pages), 10 sources, MLA, $ 105.95
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Abstract
The work force in America is rapidly aging. This rapidly aging work force creates challengers for organizations that must manage an aging work force. This paper explores the challenges of managing an aging work force within any given organization. It focuses on the fact that many older Baby Boomers are retiring, while others are choosing to work well passed the retirement age. Managers must devise ways to manage such a work force. Employers must understand the challenges that may arise, as an aging work force becomes part of the fabric of the organization. If employers do not attempt to understand and implement solutions for managing an aging work force, their organizations will suffer greatly. The paper begins by explaining why the aging work force is such an issue in the current work force.
From the Paper
"The organization that we will focus on during the course of this discussion is the federal government. Many employed by the federal government will either reach retirement age or be eligible for retirement. These retirements will create a huge disparity within the federal government and will bring into question how an aging workforce should be managed. As we all know, changes in technology and communications have created varying skill sets amongst the generations. For instance, many baby boomers came into the workforce when mainframe computers were the newest technology. On the other hand, today's generation is configuring wireless networks that can be accessed anywhere at any time. On the other hand, the aging segment of the workforce also has valuable work experience that cannot easily be replaced. They also possess managerial and leadership skills that the younger generation has not yet acquired. For this reason, many employers both federal and private have been attempting to keep and recruit retired persons or those close to retirement."
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Nutritional Status of Older Adults in America Today, 2005.
A look at the problem of poor nutrition among older adults in America.
1,690 words (approx. 6.8 pages), 5 sources, APA, $ 54.95
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Abstract
This paper discusses the problem and causes of poor nutrition among older adults in America in an effort to offer a better understanding of their plight and some of the complications associated with the issue. The paper describes the various risk factors that these individuals face, the causes of their lack of nutrition, and possible solutions to the problem.
From the Paper
"Low income and poor living conditions is but one of the difficulties that many of these older Americans face when it comes to proper nutrition (Sahyoun, 2002). Other factors include a lack of ability to prepare proper food, living alone, a lack of support from family and friends, and a lack of food that is deemed acceptable (Sahyoun, 2002). Some medications can also interact and cause a loss of appetite, which can lead to malnutrition (Sahyoun, 2002). In addition to these problems, senses such as taste and smell can be somewhat less sharp in older age, which causes older Americans to have less interest in the foods that they consume (Sahyoun, 2002). A further concern is oral health, as many older Americans have problems with their teeth and mouths that cause them pain, making it more difficult to eat many foods even if they are hungry (Sahyoun, 2002)."
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Financing Elderly Health Care, 2004.
This paper discusses the problems of financing elderly health care, one of the most foundational issues in our culture.
935 words (approx. 3.7 pages), 6 sources, APA, $ 33.95
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Abstract
This paper explains that limiting elderly health care is a substantial ethical question. The author points out that the current health system is based upon gaining profits by cutting corners on standard preventative care and by offering substantially overblown services to those who can afford to pay for them or who have no voice to say no. The paper urges that cost caps be set on new technology, pharmaceutical profits, administrative inefficiency, and the reduction in duplicate services.
From the Paper
"Within the debate, there are some foundational ideas associated with just how the costs for elderly care will be covered. The ideas are sound, even when argued by those who advocate severe restrictions for the care of elderly. Gleaning from this debate the actual meat of the problem and the solution can be difficult but the most reasonable summation of the issue is made by Alan Sager, who by the way advocates for guaranteed full access to health care by the elderly, "Priorities must be set democratically. Community representatives, patient advocates, organized workers, and other affected parties---not just physicians and hospital administrators---should make the difficult decisions about how to allocate resources...""
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The Prospective Payment System, 2004.
This paper examines the prospective payment system and its impact on the nursing home industry.
2,755 words (approx. 11.0 pages), 20 sources, MLA, $ 82.95
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Abstract
This paper explains that the prospective payment system has been used to offset the cost of care and to alleviate the complications faced by those who enter the nursing homes. The author points out that the prospective payment system has undergone criticism and scrutiny since its inception, but is still considered the most viable plan for the financial responsibility of those entering nursing homes. The paper states that the foundational objective of the prospective payment system is to reduce the rates of increase when it comes to Medicare inpatient payments.
From the Paper
"The Prospective Payment System has changed the way the practice admissions in 70 percent of the nursing homes across the nation. According to nursing home administrators the patient's medical history is scrutinized at a much more close range than they were before the implementation of the Prospective Payment System. "Most administrators state that they scrutinize patients' medical status to a greater extent than they did prior to the implementation of the prospective payment system. Medical condition has become more important in nursing home admissions decisions. Seventy-four percent of nursing home administrators report that a patient's medical condition has become a more important factor in admissions decisions under the new reimbursement system.""
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Spinal vs. General Anesthesia, 2004.
This paper discusses the effects of spinal vs. general anesthesia on the projected outcome for patients undergoing transurethral resection of the prostate (TURP).
1,455 words (approx. 5.8 pages), 5 sources, APA, $ 48.95
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Abstract
This paper explains that the majority of research indicates that anesthetic choice has little impact on the outcome of surgery for patients undergoing TURP and related procedures. The author points out that physicians should instead take into consideration the likelihood for increased overall morbidity and mortality rates in patients due to the nature of the surgery and increased likelihood that patients are coming into a procedure with increased complications prior to surgery. The paper states that general and spinal anesthesia both carry risks, and both carry adverse side effects; which side effects a patient is best equipped to handle should be the determining factor for the majority of patients undergoing TURP.
Table of Contents
Introduction
Literature Review
Implications to Practice
From the Paper
"There is research indicating that adverse effects may result from anesthetic choice during prostatectomy, or at least evidence indicating that in general this procedure is more risky and likely to result in a greater likelihood for poor outcome. The Department of Urology at Freeman Hospital in Newcastle, UK conducted a study that examined complications and morbidity resulting from prostatectomy in 1400 men. The patients were examined for a period of 8 months, with patients undergoing TURP examined from 12 separate institutions. Data was collected related to "factors potentially affecting mortality and morbidity" which included the American Society of Anesthesiologists co-
morbidity scores. Complications post-surgery included 8% of patients developing sepsis, with a large percentage of patients having a "significantly increased rate of deaths and complications" and emergent situations requiring re-admission to the hospital . The study concluded that due to the increased likelihood of complications, which were seen across population groups of varying ages, it is essential that care providers further examine potential increased causes for morbidity rates after prostatectomy. The increased likelihood of complications was not directly tied to anesthetic technique, but this possibility was also not ruled out."
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Pain in the Elderly and Dementia Patients, 2004.
This paper is a research proposal to evaluate methodologies to assess pain in the elderly and in dementia patients.
4,130 words (approx. 16.5 pages), 39 sources, APA, $ 110.95
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Abstract
This paper explains that care for the elderly and patients suffering from dementia has become a growing problem in the nursing and health care professions because of the patient's inability to adequately communicate his or her physical and mental condition. The author believes that the facility to assess correctly levels of pain and discomfort will lead to more comprehensive pain management protocols and techniques. The paper states that a multi-dimensional research methodology will be followed, including the assessment of the ADD and PIS formats.
Table of Contents
Research Problem, Literary Review, Research Question
Introduction
Research Problem
Literature Review
Pain Assessment and Management
Ethics
Research Question
Research Method, Design/Proposed Method, Sample, Data
Proposed Outcome of the Study, Time Scale, Resources
From the Paper
"While there are many studies on the objective assessment and pharmacological treatment of pain in elderly patients in general, the emphasis in this proposed study is on Dementia. This implies that a more experiential modus operandi for assessment will have to be articulated to deal with the fact that communication is the main stumbling block to assessing patients' levels of pain and discomfort. Importantly for the criteria of this proposed study, the author of the above paper states that "physical and affective pain in people with late-stage dementia are poorly assessed and inadequately treated."
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Social Groups, 2004.
A discussion of various social groups and their relationship with funeral homes.
1,728 words (approx. 6.9 pages), 4 sources, MLA, $ 55.95
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Abstract
This paper will provide an overview of social groups, different group roles, and social functions. Further, the paper examines the variety of social roles present with the organization of a funeral home. Finally, the funeral home is analyzed in the context of a bureaucracy.
Contents
Introduction
Social Groups
Funeral Home
Conclusion
From the Paper
"Many of the negative ramifications of operating within a bureaucratic structure can be overcome. The creation of an informal organizational process within the bureaucracy, while seemingly an odd fit, can help the organization to run smoothly by increasing communication and innovation within the organization. Further, programs like flextime, employee ownership, and employee participation can help to humanize bureaucracies."
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Elective Surgical Intervention in Older Adults, 2004.
This paper discusses that elective surgical intervention in the population over age 50, once considered to be a risk, is coming under new consideration.
1,165 words (approx. 4.7 pages), 5 sources, MLA, $ 40.95
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Abstract
This paper explains that, today, chronological age alone is not a limitation for undergoing any type of anesthesia due to a greater emphasis on the study of gerontology, as well as a population that is increasingly health-conscious; there is also a greater emphasis on the prevention of long-term disability and disease earlier in life. The author points out that older individuals have complex metabolic and physiological changes, which require special consideration in pre-, peri- and post-operative management. The paper stresses that it is important to remember that not only do these patients require close physical monitoring, but also psychological issues, fear, and pain must be addressed to improve long-term survival rates and improve outcomes for patients.
From the Paper
"Interestingly enough, more and more studies are being started that primarily investigate anesthetic practices in the elderly population. An interesting study performed at the Mayo Clinic actually followed the postoperative course of a group of patients over 100 years old who underwent both elective and emergency surgeries. The post-operative mortality rate was compared to that of similar patients with similar socioeconomic and physical conditions of the same age. It was found that these patients were more and more demonstrating that they were living productive and independent lives before they developed the disease or injury, which required the surgical intervention. It was felt that the risk of the age was not as significant as the impact of the indication for the surgery."
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New Problems Facing the Elderly, 2004.
Explores the problem of alcohol abuse and drug abuse among the elderly.
1,668 words (approx. 6.7 pages), 11 sources, MLA, $ 54.95
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Abstract
This paper explores the incidence of alcoholism and prescription drug abuse among the elderly. It examines why it occurs and how it is exacerbated. In addition, the paper explores things that are being done to try and treat the problem, both individually and as a society.
From the Paper
"Alcoholism and prescription medication abuse are increasing among the elderly. As isolation, health problems, and depression continue to affect this population the problem of alcohol and pill abuse will continue. Programs to educate the elderly and provide social stimulation for them are being used to combat the issues. Future studies will be able to determine their effectiveness and plan continued treatment."
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Nursing Home Abuse, 2004.
This paper discusses elder abuse in nursing homes. Elderly abuse refers to any knowing, intentional, or negligent act by a caregiver or any other person that causes harm or a serious risk of harm to a vulnerable adult.
1,485 words (approx. 5.9 pages), 7 sources, MLA, $ 49.95
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Abstract
This paper reports that 30 percent of nursing home facilities are cited for instances of abuse, and the majority of all instances are never even reported. The author points out that, to prevent this abuse in nursing homes, communities must enhance facility security, improve background checks of staff, establish systems to monitor rates, places, and times of death, and expand death investigations and autopsies. The paper states that many states have long-term care ombudsmen, who have the primary responsibility of advocating for residents' rights and quality care, educating consumers and providers, resolving residents' complaints, and providing information to the public about abuse, but much more must be done.
From the Paper
"Laws are also changing to support the patients and their families. In Florida, for example, the Supreme Court drew a clear distinction between medical and nursing home care by ruling that plaintiffs in cases alleging nursing home abuse and neglect can sue for wrongful death and negligence without meeting the state's requirements for filing a medical malpractice claim. The court noted that nursing homes employ a variety of workers and that the failures the plaintiff alleged "may have been caused by the nursing staff, by the nursing home in not having adequate staff, by the negligence of aides or other workers, or by a combination of the above.""
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Alzheimer's Disease and Aluminum, 2004.
Research paper studying the correlation between Alzheimer's disease and too much exposure to aluminum.
9,479 words (approx. 37.9 pages), 49 sources, MLA, $ 194.95
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Abstract
This paper attempts to determine from existing literature if there is a causal connection between aluminum (AL) and Alzheimer's disease (AD). The paper begins with a description of the symptoms of AD and an explanation of the physiological deterioration that AD causes. This is followed by a discussion of the reasons that hereditary causes have been ruled out, a review of the literature on AD, and the potential causal relationship to AL.
From the Paper
"One of the most distressing elements of the crippling Alzheimer's disease AD is that patients have no way of determining if they are at risk for the disease, nor treating the disease once it begins to set into the brain. Patients are slowly robbed of the ability to remember small details of life, and then ultimately fail to be able to process even the simplest thoughts. Thus researchers are looking for elements which are connected to the onset of AD, and one of the most promising connections found to date is the connection between AD and the presence of aluminum (AL) in the body. Researchers do know currently know if AL is a causative agent, or appears in the tissues as a byproduct which is attracted from other parts of the body as a result of the neurological breakdowns."
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Ageing and Hydrotherapy, 2004.
A study of a program designed to ease the ageing process using a special hydrotherapy course.
4,358 words (approx. 17.4 pages), 38 sources, MLA, $ 114.95
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Abstract
This research paper specifically addresses the positive effects of water therapy-based exercise in the population of the elderly patients in Worthing Hospital. The National Department of Health has identified the need for elderly to engage in, and work toward, a physically healthy lifestyle through its National Service Frameworks. The water therapy program (WTP) consists of 6 visits for the elderly patient, during which physiotherapists work with their participation in a series of water-based exercises. This program is designed for elderly people who are experiencing muscular-skeletal difficulties, and it allows the participants to have a direct effect on their condition. In this manner, the participants are empowered to take control of their health and well-being as they are supervised and assisted thorough a wide variety of low impact, cardiovascular, aerobic exercises.
Contents:
Introduction
Purpose of the Research
Literature Review
Sociological Factors
Physical Factors
Emotional Factors
Sense of Control
Self-Esteem
From the Paper
"Unfortunately, the aging process hereafter referred to as ageism, can often affect the choices people are presented with, and their ability to affect the overall psycho social dynamics of health and wellbeing. If people believe that some of the "inevitable deterioration" due to the result of the aging process is a barrier which they cannot overcome, they are likely to succumb to a diminished quality of life, and the degenerative aspects of aging. On the other hand, when the elderly person is enabled to understand the onset of degenerative conditions as preventable, they are likely to be more active in their own self-care, and seek out options regarding the improvement of their overall health and well being. Consequently, confronting ageism by enhancing positive beliefs about aging, and providing empowering activities for the aging person to engage in order to improve their quality of life is a vital component of comprehensive health services, and the responsibility of the health services community. The following factors are those which have been identified in literature regarding the aspects of a comprehensive definition of 'quality of life.'"
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Succession Planning, 2004.
This study shows how governmental agencies face problems when employees retire and take with them the knowledge and know-how of their jobs.
33,803 words (approx. 135.2 pages), 10 sources, MLA, $ 249.95
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Abstract
This document concerns itself with the knowledge of governmental agencies and how those that retire from them often leave behind knowledge gaps that are not picked up by other individuals. This is a growing problem and one that must be addressed. A review of the literature indicates that there are ways to ensure that knowledge is transferred appropriately. Studying that literature and analyzing its contents shows that there are issues that must be addressed and ways of looking at them that have not previously been utilized, which will make the transfer of information much easier. A study conducted on various individuals in governmental agencies will also indicate the importance of succession planning.
Contents
Introduction
Statement of the Problem
Purpose of the Study
Importance of the Study
Scope of the Study
Rationale of the Study
Definition of Terms
Overview of Study
Review of the Related Literature
Methodology
Approach
Data Gathering Method
Database of Study
Validity of Study
Originality and Limitations of Data
Summary
Data Analysis
Summary, Recommendations, and Conclusions
Bibliography
From the Paper
"This transfer of information has become vitally important in recent years because the aging population of this country will be approaching retirement age very soon. Due to this, many individuals who have held a particular job for many years or have worked their way up through many vital government jobs will find that they are about to leave and have no one to pass this information on to. This is something that must be corrected before these individuals retire so that those entering into the jobs that these individuals are leaving will have the knowledge that they need to do their jobs correctly."
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