Sample Essay on Nursing

Sample Essay on Nursing Essay on â€Å"The Nursing Homes or Home Care Dilemma† Introduction Living in the developing world force young generation to face the dilemma of putting their elder relatives, parents, or people they are familiar with into the nursing houses or take care of them at homes. Traditionally, it is believed that all those mentioned must be taken care of and looked after at homes. However, the modern way of life shows that the younger generation is now more concerned and busy with their own daily routine, private life, education, job and entertainment they have the right for. This leaves too little time and resources to focus on the issues of their elder relatives and care of them by their own. However, home care not always can be provided as it is necessary because of the lack of facilities or equipment needed. For that very reason, the dilemma of the nursing houses and home care is of great importance and gains a huge attention of all those people who have the problem of the kind. This essay will aim to discuss the burning issues related to the dilemma of the nursing homes and home care. Also, it will highlight the arguments of both the nursing homes and home care for elder relatives. The current existing problems of the nursing homes in the United States Being a volunteer in one of the campuses in Virginia, I was lucky to meet Jim. Sitting in his wheelchair, he seemed to me one of the most cheerful and interesting 60 years old persons Ive ever met in my life. That is why I believe this acquaintance had all the right to be identified as a lucky chance. Jim was a local resident, and an experienced pilot in the past. I noticed a small sticker on his wheelchair titled something like â€Å"Treat your kids in a nice manner. They are the ones who choose a nursing home for you†. I was surprised and asked him about that stuffed. I was told that he had been nice to his children, which is why he was a resident of the best nursing home he could dream of. The thing is that his â€Å"kids† had no choice but put him in the nursing house to be looked after. But before they did it, there appeared to be an issue after a long research – most nursing houses are not fully appropriate and equipped with all the necessary thing to place the elder people and provide them with the healthcare they need (Sakauye KM, 1992). Not all of them are staffed appropriately and abuse their patients and a disservice to them. Such negative aspect of a poor quality the nursing home industry has, boosts to the question: is it rational to put the relatives in the nursing houses and to find a way out if there is a need to do it. Conversation with Jim pulled me to the answer: one should make a proper research before choosing a new â€Å"shelter† for the one you love when you have no opportunity to take care of them at home. Today, almost all the existing nursing homes are understaffed, which is currently one of the biggest problem. Thus, the residents are not provided with the service they need and their needs are not taken care of. In 2001 Reuters Health made a survey among the nurses in the United States. It showed that 5,000 of the nurses out of more than 7,000 surveyed admitted the decline in quality of the nursing care in the nursing homes. The statistic revealed some shocking facts. 34 residents of the nursing home have only one licensed nurse and 12 residents are assisted by only one nursing assistant per day. HCFA (Health Care Financing Administration), which is an organization aimed to regulate the quality of assistance and care in the nursing homes shared the information that â€Å"average staffing time of nurses was 3,5 hours a day† (Harrington in Nursing Home Residents†, 12). The other issue that influences the quality of assistance in the nursing homes has a lot to do with hiring temporary nurses. This reveals another problem hidden in the way the nurses are trained. The thing is that the nursing homes inform all the residents that the assisting staff is trained properly indeed when in reality it isnt so. So, the nursing homes are satisfied when there are no complaints about it. However, the issue of improperly staffed of such organizations must be revealed by a careful previous research before putting relatives in the nursing homes (Hertzberg A, 2003). However, the major problems of the nursing care industry are not limited by all those mentioned above. The United States Department of Health and Human Services identified nursing home physical abuse as an even more frightening argument for monitoring the right home before making a choice. Up to seven categories of such abuse were revealed, including physical and emotional neglect, which is a real problem because in reality all the nursing homes promise a good service as if the residents are taken care of at homes, where they are loved. Putting older people into the nursing homes. Pros and cons of living beyond home. The aging population class is regarded as the major consumer of the resources provided by healthcare. Thus, the nursing homes are required to have the necessary drugs available just like the appropriate staff to take care of the nursing home residents. The lack of both resources causes difficulties in making decision whether put the old relatives into their â€Å"new homes† or not, while it is believed that the healthcare houses are much better places for living than the families. As a matter of fact, before planning to put old people into the nursing homes one must do a research to take the right decision for the beloved ones. This fact gives all the grounds to reveal pros and cons related to this question. Following are the facts considered as pros for the nursing homes care. Again, with the increase of the elderly population, most of us can face with the challenge to provide the members of our family with the nursing assistance in communities or stay beside them at our home. The decision itself may appear to be stressful. It is said that the nursing homes have the highest levels of service and all the appropriate equipment and resources, including a trained staff, to look after the residents. Some of them do really provide custodial care as it is required, which includes help related to getting out of bed, dressing up, feeding and bathing. This mens that the nursing staff is available for the patients around the clock and are always ready to help in case of need and giving drug therapy as required. Adequate healthcare, drug therapy and rehabilitation is promised and followed, while home care is not always possible in an appropriate way. Though, all the existing cons of the nursing homes must be paying even much more attention to make sure that old people are taken care of at the promised level. One should note again that nursing assistance offered in the community must meet all the daily needs of the residents and help them in various activities. All that mentioned relates to the medical assistance for the patients who suffer from diseases, and meeting the needs with eating, bathing, toileting, dressing, walking around, etc. These types of so called services can be provided by a very skilled and experienced personnel, which turns out be not enough as promised by the hospital care management. Or, the staff working there is not appropriately trained to cope with the problems they face with on practice. Again, as mentioned sometimes the residents may be abused by the nurse assistance in terms of moral principles, or even physically. From the one hand, the government is obliged to organize more funds that would observe the existing problem and develop more programs for the patients who receive healthcare or any other assistance in the nursing homes. Currently, many of the communities may not have facilities available for the separate situations occurred because of illness that may be possibly carried by the patient and the urgent attention might not be paid in due course just for the reasons of understaffed homes. Moreover, the fact that there are too many old people left alone who has no sponsorship provided by their relatives is also must be taken into account. On the contrast, home care appears to be the alternative for the nursing homes, which also has both its advantages and downsides. On the whole, home care permits patients stay home and get an assistance in recovering from illnesses, after serious medical surgery activities or to those who are disabled to living a normal life in terms of the aging or disease as well. Most of the patients that are taken care at home also receive all the types of treatments and services from their homes offered by healthcare facilities. These services are covering the main needs in cooking and delivering food, various works about the house like laundry and help involving washing the hair, bathing, dressing or getting out of the bed. All these services may be donated or provided for free by the government programs that cover the costs for the home care. For that very reason, most of aging people give preference to aging at their homes and staying with people they know and love. The surveys revealed that it is much easier and adoptable for aging people to be looked after at homes, which makes them much happier to be in the circle of the family members. Even though, the positive arguments in favor of home care are met by the downsides. Globally, the rapid rise of the aged population is met by the young generation rather than negatively. Since the young people tent to rise their own families and living happy life, taking care of their oldest relatives seems too inconvenient. For that very reason most of the aging people feel lonely and have all the symptoms of depression and mental disorders (Gaugler JE, 2004). Currently, most families do not tend to spend too much time together in a warm circle of relatives and the aging members will need help from the retirement homes and nursing homes. Conclusion With the aging population issue being currently one of the most significant for the children who are looking for an appropriate nursing home for their parents or relatives, it is becoming a vital question for them. Viewing both negative and positive sides of care provided in the nursing homes and at homes by the family, one may conclude theres no univocal answer. However, the facts gathered with the help of surveys signify that home care is far better than the one provided in the understaffed nursing homes. I am deeply convinced that there is no better place for the aging population than their home with those who love them. Sources used Murphy E. A more ambitious vision for residential long-term care. International Journal of Geriatric Psychiatry 1992, 7 (x), 801-802. Sakauye KM, Camp CJ. Introducing psychiatric care into nursing homes. Gerontologist 1992, 32 (6), 849-852. Gaugler JE, Anderson KA, Zarit SH, Pearlin LI. Family involvement in nursing homes: effects on stress and wellbeing. Aging and Mental Health 2004, 8 (1), 70-75. Hertzberg A, Ekman SL. â€Å"We, not them and us?†: Views on the relationships between staff and relatives of older people permanently living in nursing homes. Journal of Advanced Nursing 2003, 31 (3), 610-615. Shinoda-Tagawa T, Leonard R, Pontikas J et al. Resident-to-resident violent incidents in nursing homes. JAMA 2004, 291 (5), 590. Cohen-Mansfield J, Deutsch LH. Agitation: subtypes and their mechanisms. Seminars in Clinical Neuropsychiatry 1996, 1 (4), 320-330.

Walking Across Egypt - 943 Words

Mattie Rigsbee is the main character in Clyde Edgerton s southern style novel, Walking Across Egypt. Mattie is a seventy-eight year old widow with two middle-aged children. Living alone in a small house, she makes sure that everything is taken care of. She cooks, cleans, mows the lawn, and takes up numerous responsibilities with the church. She is a very caring person with many friends and a family that loves her dearly. At the time this novel takes place, Mattie is at a turning point in her life. Confusion disturbed her, because the things that people are telling her are not the words that she is ready or willing to hear. Although begins to display some signs of aging, and her family is trying to convince her to slow down her lifestyle,†¦show more content†¦She even is laughing about falling through the bottom of the rocking chair even though she was worried about injuring herself at the time it happened. And she sends her children through a loop when she decides to raise t he juvenile, Wesley, in her home. Her family is totally against her decisions, but she seems to be rather confident in how things have turned out, and has made some large plans for her future. She seems to feel that God has kept her for a reason, and she must give every effort to fulfill His wishes and give aid to Wesley in his time of need. Although she is beginning to display some signs of aging and her family tries desperately to have her slow her life down, Mattie Rigsbee has a strong character that is prohibiting her from becoming the stereotypical elder. She has made a decision in her life on which road that she will take to begin the rest of her life. She has not turned onto the dead-end road of reminiscence, disability and dependence, but rather onto the long, fulfilling road of life, happiness, and salvation. Life isShow MoreRelatedEssay about Analysis of Walking Across Egypt by Clyde Edgerton950 Words   |  4 PagesAnalysis of Walking Across Egypt by Clyde Edgerton Mattie Rigsbee is the main character in Clyde Edgertons southern style novel, Walking Across Egypt. Mattie is a seventy-eight year old widow with two middle-aged children. Living alone in a small house, she makes sure that everything is taken care of. She cooks, cleans, mows the lawn, and takes up numerous responsibilities with the church. She is a very caring person with many friends and a family that loves her dearly. At the time this novelRead MoreAncient Egyp Gods and Godesses: From A to Z1331 Words   |  6 Pagesheavy your heart is compared to a feather. Bastet was the goddess of warfare in lower Egypt, before the unification. She is the goddess of joy, the home and the warmth of the sun. In modern day she is portrayed as a woman with the head of a cat. 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The Various Roles of the US President Free Essays

The US President is the head of state of the United States, the chief executive of the federal government, as well as the commander in chief of the US armed forces. As such he is probably the most powerful person in the world who wields considerable powers derived from the US constitution, the super-power status of the US, and the influence and prestige of his office. The office of the US Presidency has evolved over the years and is no more the same as envisaged by the country’s founding fathers; the powers of the President now depend as much on the constitutional provisions as on historical precedents, the nature of the times, and the qualities of the president himself. We will write a custom essay sample on The Various Roles of the US President or any similar topic only for you Order Now This essay briefly describes the various roles of the US President with specific reference to the presidency of George W. Bush. 1.Expanded Role of the Presidency: From the time of the first US President (George Washington) to the end of the 19th century, the presidency had a limited role restricted mainly to the execution of policies made by the Congress. As the US became a world and industrial power in the 20th century, a stronger presidency was required for managing the country’s foreign policy and its growing domestic economy. The Great Depression of the 1930s and the Second World War saw a further expansion of the President’s role-a role that persists to date. Apart from the force of circumstances-industrialization, war, depression, terrorist attacks etc., certain strong presidents, e.g., Abraham Lincoln, Woodrow Wilson, and Franklin Roosevelt helped to expand the powers of the office by the force of their personalities and decisive actions at appropriate times. (Greenberg and Page, 355-359) 2.Ceremonial Role: The President of the United States is the head of the government as well as the head of state, unlike in most other democracies in which the two duties are usually shared by a monarch and a prime minister or a president and a prime minister. Hence the US president also fulfills a ceremonial role such as attending funerals, celebrating anniversaries etc. otherwise reserved for the head of state. (Ibid. 360) 3.Executive Role As chief executive of the federal government, the US President is invested with broad executive powers to run the day-to-day affairs and working of the government. He does so mainly by issuing executive orders that carry the force of law, to the heads of federal agencies for directing their operations. Other types of executive orders may be national or homeland security directives issued by the President. Under the executive powers, the President nominates, and the Senate confirms, the heads of all executive departments and agencies, together with hundreds of other high-ranking federal officials. For example, one of the first executive orders of President G.W. Bush was the nomination of John Ashcroft as the Attorney General in December 2000.1 Other types of executive orders issued by the US President include implementation of important policy matters, especially in times of national emergencies. For example, Franklin Roosevelt ordered the internment of japanese-Americans during WW2 through an executive order; Presidents Johnson and Nixon used executive orders to lauch the affirmative action programs, and President Bush established the Office of Homeland Security in the wake of the 9/11 attacks. (Ibid., 371) 4.Legislative Role: Although the US Constitution gives the powers of legislation exclusively to the Congress, the President has come to play an important role in this sphere too. Much of the legislation is drafted by the Congress at the initiative of the President who gives his proposals through his annual State of the Union Address, or through special messages to the Congress. The President’s powers of persuasion, plus his ability to influence public opinion are critical in getting his proposed legislation passed by the Congress. In addition, his veto powers-he can veto any act of the Congress that stands unless the two-thirds majority of both houses over-ride the veto- is also gives a substantial say in the making of laws. (â€Å"Powers of†¦Ã¢â‚¬ ) If the same Party as the President’s controls the Congress, as at present, the requirement of veto seldom arises as the Congress endorses most of his proposed legislations.2 For example, President Bush has been able to get the PATRIOTS Act passed comfortably despite its controversial curtailment of the American citizens’ civil liberties. 5.Foreign Policy Leader and Commander-in-Chief: Article II of the US Constitution grants a lead role to the President in the foreign policy domain and his position as the commander-in-chief of the armed forces further consolidates that role. US Presidents have complete powers to formulate the country’s foreign policy and do not require endorsement of the Congress in the area. For example, Roosevelt and Nixon did not need any permission, for recognizing the governments of communist Soviet Union and China respectively, even though their acts were reversal of long-standing US policies (Greenberg Page, 364). Similarly, President Bush has introduced a policy of ‘pre-emption’ as opposed to the long-standing US foreign policy of containment without the need of endorsement from any other agency. 6.Economy One of the key responsibilities of the President in the domestic area is the management of the country’s economy. Such a role has become obligatory for the President since the Great Depression of the 1930s, when the government started to play a greater role in the regulation of the economy. President Bush’s policy of major tax cuts and increased defense expenditure has resulted in record budget deficits but inflation still remains low. 7.Judicial Role The US President has the constitutionsl powers of nominating federal judges including those of the Supreme Court, subject to confirmation by the Senate. He can also grant pardon to anyone breaking a federal law. Most Presidents have used these powers to appoint judges of like political thinking, e.g., conservative/ Republican Presidents appoint conservative judges to the Supreme Court while liberal/ Democrat Presidents do the opposite. For example, President George W. Bush has nominated John Roberts Jr. as Chief Justice to the Supreme Court and Samuel Alito as Associate Justice of the Supreme Court. (â€Å"George W. Bush† Wikipedia) How to cite The Various Roles of the US President, Essay examples

Against Abortion free essay sample

Against Abortion Abortion has been one of the many controversial topics being an issue in America, and it has been in some parts of world today. People say that abortion is big business, meaning that today it can give America lots of money for all the young girls getting pregnant and making them abort. Teenpregnancy. org, a site managed by the National Campaign to Prevent Teen and Unplanned Pregnancy, says that there are 750,000 teen pregnancies annually in America. Some of these pregnancies occur because either there was a rape, peer pressure, or because of television influence.All these cases make abortion hard to resolve, and make people be on one side of the issue according to what they have experienced or heard. Pro-choice people, people that are for abortion, give many reasons why abortion is a good choice. They say that if a girl was raped and left alone, meaning that there will be no â€Å"father† and she is immature, irresponsible, and of coarse inexperienced why would there be a reason to let her have the child. We will write a custom essay sample on Against Abortion or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page The child will be born in a place with no love, and it will suffer because it will not receive the attention it wants or needs.They also say that a woman has the right to do whatever she wants to her body. If a girl gets pregnant and does not want the child she is â€Å"free† to do go ahead and abort it, it’s her choice. People that support abortion also say that the fetus is not a â€Å"human† yet until it is almost born. Pro-choice women, who have committed abortion, say that the reason why they did it was because the pregnancy was an accident; and that she is not ready to take care of a child. They usually state this, â€Å"†¦parenting is a hard important job and must be voluntary. They also mention that they have rights in choosing when to get pregnant, and when not to. There is a quote from doctor John Parson â€Å"The pro-life movement is having a negative impact on abortion. Sometimes women change their mind while being in the operation table, and we loose money! † He says that women have the right to abort, because it’s what he believes and what he practices. Pro-life people believe that abortion is a crime. Doctors that do abortions don’t have a good heart, all they think is about money. Like doctor Parson, many doctors are in the same line. They don’t care what people say, all they care is for the money and that women don’t change their mind. Pro-life women know the â€Å"fetus† is not a cartilage bone doll, but it is a true human being. According to GravityTeens. com, Nina Whitten chief secretary at an abortion clinic in Dallas, Texas says that she was trained to do telephone merchandise. When a young girl will call for help she will convince her to abort at their clinic, and try to prevent from the girl from changing her mind on aborting. People against abortion say that the â€Å"fetus† is a baby and not a non-human. Dr. Randall says in October’s New Dimensions magazine that women are not aloud to view their ultrasounds because they will see the heartbeat of the child and would change their minds on aborting. This people don’t see or don’t hear, so they lack this information. When the woman is pregnant and wants to get rid of, she is thinking of what she did, and how to solve it. Abortion looks like it is the answer to this problem she got into, but she does not see that she has life in her womb. A doctor at KMC in Bakersfield, Dr. Mark Amin says that at 7 days of pregnancy the blood of the mother flows into the so called fetus and starts to make it function.The blood starts to circulate in the fetus and out to the mother and so on. There is a testimonial of a girl that responded to an article that said that if we that are against abortion were to be raped, we would support abortion. She responded by saying that she her self was raped, and considered abortion. She later changed her mind and now she forgave the person that raped her, and she loves the twin boys that she had. She takes care of them and both are now two years and a half. She mentions that she is glad that she considered not aborting, because her conscience will follow her forever reminding her of what she did.Not only do abortion kills a little human, but also it messes up the mind of the woman. According to Prolife Answers To Prochoice Arguments by Randy Alcorn, teens have a tendency to have fun, not looking at the consequences and the hard choices to come. Sex is fun, but they don’t want the responsibilities that come after the fun is over. Alcorn mentions that teens are â€Å"blinded†, because they think that the world circles around them. This means that teenagers think they know it all, and don’t need advice or people telling them what is right or wrong.This thought blinds the young woman and not only gets her in trouble, but it makes her make a choice that will mess up her entire life. There is more than just killing the baby, and that is tormenting it inside its mother’s womb. Abortion doctors don’t feel what the baby feels when getting its body parts cut off, but they feel the good feeling of the check he or she is about to receive. Not all doctors agree with this opinion, Garson Romalis a Canadian abortion doctor does what he does because of the bad memories of women who suffered because they could not abort. He attended Cook County hospital in Chicago were all these nightmares were waiting for him. He remembers the women that were really stressed because they were going to die giving birth. He gave them a comfortable, and quick â€Å"operation† that saved their lives. He ends his article with a story of a young woman that was being a second year medical student and wouldn’t accomplished that if this doctor wouldn’t have done the abortion on her. This story does move our hearts, but it wasn’t the baby’s fault to die in the place of the mother.The mother is achieving her goals, and the baby paid the price for what the mother chose on getting pregnant. Maybe it was a rape, but it is not the baby’s fault to die, neither to come to this world. Pro-life people say that there is still a murder, taking place because the woman giving birth is going to die. They say that it is better to kill the fetus, and let the mother live. The mother should have a little love for the child and be willing to die for what happened, instead of letting the child take her place. Even though there are pro and cons for abortion, there is a truth that both pro-life and pro-choice people recognize.That truth is that women are the ones to choose about their pregnancy, whether to abort or keep the child. It is the abortion clinics and the against abortion programs that influence women all around the world. People that support the abortion clinics are the ones who don’t care for the advice and comments given, all they care is sex, happiness for everyone, and peace. People that supports against abortion programs know that it is wrong, and want to stop it. Sadly, people that are against the good will are winning, because corrupt leaders are being elected that support all these corrupted issues.