I Forget That I Have Alzheimer’s disease Essay Example for Free

I Forget That I Have Alzheimer’s disease Essay Alzheimers disease is a familiar sight to me. I had a sad experience during my work as a nurse in my country Colombia and Spain with Alzheimer disease patients. Day by day I came to know each patient’s story because every day they were living the moment without remember the last minute. This is also what happened to Lisa Genova’s novel Still Alice. The protagonists is a 50 year old woman, a very well organized, efficient, highly-educated, and smart Harvard professor, wife of a successful man, and the mother of three grown children, who has diagnosed with early-onset Alzheimer’s disease. People have learned about the progression of Alice’s disease through her reactions, so feeling what she feels- a slowly building terror, the big changes with her family, professional life, and her identity, but we also have started to understand how Alice finds positive aspects in all this, she started to enjoy more of her family, she also began to take more time for her, about how she can remember the things without help. When a patient is diagnosed with Alzheimer’s disease, the relation between the patient and his/her family suffers big changes. With Alice, is the negative aspects start when she becomes dependent on her family members and in need of certain care. The impact on Alice’s home is visible in the new habits, routines, roles and functions within the family dynamics. All of her family members suffer as a result of the disease to a lesser or greater extent. Her husband’s life is affected because he has less time to do his work and other activities, as he needs to take care of her. He also loses his patience because Alice behaves out of the ordinary, and that can become annoying in some ways. An example, when Alice forgets her cell phone at home and he said: â€Å"Then duct tape it to your head, I don’t care, I’m not going through this every time you forget you’re supposed to show up somewhere. † (Genova 99). On the other hand, her children feel anxiety, fear, and rejection with regard what is happening with their mother. All the members of her family in some way want to take care of her. While helping her looks like an obligation, the positive aspect is that Alice has more attention from her husband and children. She and her husband try to renew their affection to each other. Her husband and children are supporting her at some moments, especially the youngest daughter, who feels love, compassion, and empathy for her mother. The second important aspect of Alice is life that is affected her professional life as an important professor. â€Å"Today, I have the honor of introducing you to our first colloquium speaker of the year. Dr. Alice Howland is the eminent William James Professor of Psychology at Harvard University. † (Genova 9). In spite of her achievements and all the important and recognized things about her profession, the career is coming to an end. She gradually loses the ability to follow a conversation thread, the story line of a book, or to recall information she heard just moment before. She is losing her respect of her students because they cannot trust in someone who is sick. She is unable to do the work because every day she loses the capacity to remember everything she needs to know at the moment. She loses prestige because she cannot represent any more in her life as a professional. The positive point is that she cannot want to give up all years of work in a second. She wants to be a supported at any moment by any person who needs her. She continues to attend meetings and seminars. She is trying to leave a positive impression on each person who has met her. The third and the most important aspect with Alice and her Alzheimer’s disease is a big change in her identity. At the beginning she is angry and depressed with herself because she is forgetting everything that she needs to remember every day, such as a simple and common word. Her emotional changes also affect her relationships with others and her own feelings, because she has a negative behavior with others when she yells or says a word of anger. I think is the way how she shows that she is trying to avoid what is happening in her life with an incurable disease that changes the direction of her life. She feels frustration about her memory problems because gradually she has a restriction of freedom that means she loses privacy and independence in each activity she wants to do. We cannot imagine what she is feeling when she is losing everything she learned, all the way back to basic activities such as the skill to walk, eat, or even use the bathroom. Alice feels frustrated about what she is living, because it is a way to say she is stigmatized with this disease as though she were already dead. On the other hand, and in a positive way, she begins to enjoy her life when she shares more time with her family. She feels curiosity about a future of her children and grandchild, and then she wants to live to enjoy everything, despite she would â€Å"be incapable of remembering and executing this kind of plan. † (Genova 118). She creates a simple test and games to remember simple things of her life, and she can self-administer every day. She also tries to create a support group with people who have the same conditions as her, sharing experiences and to know that she does not alone in all this. This is a story where a woman forgets that have Alzheimer’s disease because she continues to do her life normally, she forgets that the things that she makes normally, now she does not make. Alice can find in her husband and children some way of support of each one of them, and then she can understand the positive things about her disease. The surprising is how the Alzheimers disease can advance very quickly, as affect relationships, families, professional jobs, and the identities of each patient. â€Å"Unfortunately, this is a progressive, degenerative disease with no cure. It gets worse, despite any medication we have right now. † (Genova 245). This is a sad end for each person who had a wonderful and successful life. In my experience, I only knew and lived with my patients their final phase of the disease. I also admire anyone going through this disease, their family, friends, those who care for them and those who continue to research for this cause. The hope is the patients and the people who live around them can find the positive aspects during the disease, they can enjoy more time together and help each patient try to find a good way to endure their disease. Work Cited Genova, Lisa. Still Alice. New York, London, Toronto, and Sydney: Gallery Books, 2009.

Enternal and Parenteral Nutrition in the Critical Care Setting Essay

Enteral and Parenteral Nutrition in the Critical Care Setting Management of patient nutrition has long been a topic of controversy. Questing of timing, route of administration and composition of feeding solution constituents are several variables that share a lack of consensus.   Ã‚  Ã‚  Ã‚  Ã‚  There is a 50% rate of malnutrition cited in hospitalized patients.   Ã‚  Ã‚  Ã‚  Ã‚  Many states associated with critical care admissions have altered metabolic rates. Some examples of increased catabolism are multiple injury trauma, sepsis, organ failure (CHF, ARF, RF), and ventilator dependent status. It is important to assess for a history of such hyper- or altered metabolic states like Diabetes Melitus, Alcoholism, Renal Failure, and COPD.   Ã‚  Ã‚  Ã‚  Ã‚  Over feeding is associated with: immunosuppression, hyperglycemia, liver dysfunction and refeeding syndrome. Enteral  Ã‚  Ã‚  Ã‚  Ã‚  No associated immune suppression, no associated infection complications, easier to maintain electrolyte balance. Parenteral  Ã‚  Ã‚  Ã‚  Ã‚  Immune suppression (the converse is also true- malnutrition also causes immune suppression), fatty liver, potential for pneumothorax, line infections, loss of gut barrier, hyperosmolality, refeeding syndrome Feeding tubes – great option, if the gut works, use it. Prealbumin (2-3 day t1/2) Transferrin (8-10 day t1/2) Albumin (14-20 day t1/2) Nitrogen balance studies can aid in the clinica...

Related Local and Foreign Literature Essay

Local Literature An article from The Philippine Star dated August 7, 2012 by Louella D. Desiderio entitled â€Å"Businesses urged to use Internet to push products†. It shows that businesses are advised to use the Internet for promoting their products and services as more consumers are going online to research before making purchases. Companies should consider using online advertisements for the products and services they offer as more and more people are using the Internet to research goods they plan to buy before making the purchase. It also states that in the Philippines, the study showed that around 70 percent of consumers first make a research of their purchases online even if they purchase offline. This trend shows the potential of growing the business by going online.It is related to the study because it informs businesses that online advertising is very effective. It also shows that whether small or big businesses, they can easily have the benefits of online advertisements of reaching users at a time of relevance anywhere Local Study A research study conducted by Jean Louisse Villanueva Concha and Jossa Kristine Cruz Soler from University of the Philippines Diliman on April 2012 entitled â€Å"The Rise of Online Advertising and its Impact on the Future of the Philippine Newspaper†. The researchers conclude that online activity has reached an unprecedented rise owing to the popularity of social networking sites and the easier accessibility to computers and the internet for more people. As such, and with more methods of interactive and efficient advertising available online. The rising online presence causes advertises to invest more online advertising rather than newspaper advertising and the dwindling of newspaper readership causes advertisers to flee from the newspaper as another advertising medium has taken place. It is related to the study because online advertising is really popular to business and to audience or customers because it’s more easy to spread online ads than newspaper which will be more helpful to businesses also. Foreign Literature An article from Web Designer magazine dated 2013 by Steve Jenkins entitled â€Å"Pay As You Go Advertising†. It shows that for most types of advertising, advertisers pay for people to see the ad. With Google Adwords, the advertiser only pays when someone clicks on the ad and visit the website of  the business. The advertiser have complete control of adjusting or customizing the ad campaigns like how much to spend, who sees the ad, and where and when the customers see it. It is related to the study because it tells about Google Adword which will be of much help to advertisers and the business itself. It also shows that it is easy for advertisers to make an ad campaign of the business because they have the complete control and also help the business to be popular. Foreign Study A research study conducted by Shuai Yuan, Ahmad Zainal Abidin, Marc Sloan and Jun Wang from Cornell University of Ithaca, New York on June 2012 entitled â€Å"An Interplay among Advertisers, Online Publishers, Ad Exchanges and Web Users†. The researchers conclude that Internet advertising is a fast growing business which has proved to be significantly important in digital economics. It is vitally important for both web search engines and online content providers and publishers because web advertising provides them with major source of revenue. Its presence is increasingly important for the whole media industry due to the influence of the web. For advertisers, it is a smarter alternative to traditional marketing media such as TVs and newspapers. As the web evolves and data collection continues, the design of methods for more targeted, interactive, and friendly advertising may have a major impact on the way our digital economy evolves, and to aid societal development. It is related to the study because Google online advertising is one of the internet advertising in which it helps lots of businesses. Since Internet advertising is a fast growing business, it also help the economy. Local Literature An article from Adobo Magazine dated February 3, 2013 by Sanserif, Inc. entitled â€Å"Online Advertising to Surpass Print and TV in 2013†. It shows that online advertising has continued to grow, achieving 10% year on year growth recording $813.25 million for the three months ending September 2012. The results of the Online Advertising Expenditure Report (OAER) by IAB Australia, compiled by PricewaterhouseCoopers (PwC), show that while the general advertising market is softening, online advertising is on track to surpass both newspaper and TV advertising in 2013. It is related to the  study because it shows how effective is online advertising to businesses that it became on track to surpass both newspaper and TV advertising in 2013. It also shows that online advertising is continuously growing and becoming more effective to advertisers and businesses. Foreign Literature An article from HBS Working Knowledge dated August 17, 2009 by John Quelch entitled â€Å"Quantifying the Economic Impact of the Internet†. It shows that Businesses around the advertising-supported Internet have incredible multiplier effects throughout the economy and society. Ironically, online advertising and the commercialization of the Web achieved important goals of the resisters mostly to preserve the Web as a medium for free publishing and communications. The Advertising-Supported Internet also helps the economy by fostering innovation, entrepreneurship, and productivity. It is related to the study because it represents the impact of advertising in the economy by stressing how effective is online advertising and how online advertising helps the economy. Advertising through internet also has given lots of benefits to businesses and also our economy. Foreign Study A research study conducted by Matthew Duncan from Elon University in North Carolina, United States on November 18, 2011 entitled â€Å"Identifying different types of web advertising and its impact on consumer buying behavior†. The researcher concludes that since the explosion of Internet, web companies have invested an abundant of money into online advertising. Other forms of advertising such as in-store ads, print ads, and television and radio ads are still important but online advertising is growing significantly. Even with this explosion of online advertising, there are many different forms of advertising that is used on the Internet. Increasingly innovative types of advertising are coming into existence as the Web matures. The major types of online advertising are banner ads; text ads, interstitials, pop-ups ads, opt in mailing, HTML ads, and rich media ads. It is related to the study because it represents that internet is rapidly growing instead of other forms of advertising. Because of online advertising, lots of companies or businesses have grown and became more popular since advertisements were advertised globally and can be seen by lots of people because of the web. A dissertation conducted by Bharat Vyas. Nanduru from University of Westminster in London, United Kingdom on August 30, 2012 entitled â€Å"Measuring the Effectiveness of Online Media Advertising†. The researcher concludes that Advertising resources assigned to internet media have grown dramatically over the past few years. This growth is suggestively driven by search and performance. Measuring online advertising effectiveness is a very intricate process particularly in an ever changing environment where new resources are constantly developed every passing day. It is related to the study because online advertising like Google Adword have grown and help businesses to deliver more information to the potential customer at a relatively low cost. A research study conducted by Minchul Kim from University of Wisconsin-Milwaukee, United States on August 2013 entitled â€Å"The Effects of Online Advertisements and News Images on News Reception†. The researcher concludes that in recent years, a growing number of people have considered the Internet to be their major source of news. In contrast, the number of subscribers to traditional newspapers have decreased drastically so has the advertising revenue for the newspaper industry. The decrease in adverting revenue for the industry increases the dependency of online news services on online advertising revenue which perpetuates the symbiotic relationship between the newspaper and advertising industries for audiences’ eyeballs in the era of the Internet. It is related to the study because online advertising is one way of attracting new customers and to spread advertisements easily. Google Online Advertising and other online advertising program became useful nowadays because a lot of people were using the internet. http://repositorio.ucp.pt/bitstream/10400.14/15268/1/Tom%C3%A1s%20Alves%20-%20Thesis.pdf local lit http://technology.inquirer.net/36111/three-important-truths-in-online-search-and-advertising http://business.inquirer.net/14495/se-asia-consumers-lead-in-online-ad-acceptance http://technology.inquirer.net/40582/targeting-why-online-ads-work

The Principle of Persuasion Essay - 1308 Words

According to the text , Social Psychology, â€Å"social psychology is the scientific study of how people think about, influence, and relate to one another†(pg. 4) this is viewed in a variety of social topics incorporating group behaviors, attitudes, conformity, obedience to authority, stereotypes and peer pressure. Outside factors can have a positive or negative affect our view of ourselves and each other. These outside factors are used to persuade and influence group behavior. Persuasion is defined as â€Å"the process by which a message induces change in beliefs, attitudes, or behaviors† (Myers, 2010, pg. 230). The principles of this process of persuasion according to researchers, Robert Cialdini and Thomas Davidson, are attractiveness and†¦show more content†¦A perfect example of this social proof phenomenon is the laughing tracks added to sit-coms. Since there is laughter in the background we assume it must be funny so we laugh. Everyone else is laugh ing so must we. Consistency is defined as the conformity in the application of something which is necessary for the sake of logic, accuracy, or fairness. Accoring to Persuasion is a Science, by Peter Wilby, people that appear to be an expert and trustworthy are more likely to be followed. Cialdini is quoted in this article as saying, â€Å"People then listen differently to the next thing you say. They open their ears and minds. So, when recommending someone for a job, mention a weak spot before you rhapsodise about their brilliance† (Wilby, 2007, para. 5). Authority is closely related to credibility. If someone has authority, people tend to be willing to be persuaded by them because they believe in them and they recognize them as an authoritative figure. Doctors are percieved to have authority on medical issues therfore we, as their patients, are inclined to listen (or be persuaded by) their advice as to our health problems. Scarcity is another principle of persuasion. Often times we are pulled into deals in the retail industry because ‘it’s a one time offer’. â€Å"The act of limiting access to a message causes individuals to want to receive it more and to become more favorable to it† according to Davidson (para. 42). The biggestShow MoreRelatedThe 6 Principles Of Persuasion979 Words   |  4 PagesDefine and discuss the 6 principles of persuasion. SIX PRINCIPLES OF PERSUASION 1-PRINCIPLE OF RECIPROCITY This principle is born out of societal norm and culture. It is a principle whereby people do things for you in expectation that you will do something for them. What they expected you to do might just be verbal or physical action. 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The whole point of any marketing ploy is to get the audiences attentionRead MorePrinciples Of Influence And The Psychology Of Persuasion1045 Words   |  5 PagesGoal: re-write/re-word the article so it is unique from a google duplicate content, and copyright perspective. around 1000 words Word Count in this Document: 1044 Title: Principles of Influence and the Psychology of Persuasion Have you ever pondered on why you buy the useless odds and ends sitting in your junk drawer? What made you purchase the tread climber that you collects dust in the corner of your living room? Why did you get the Instyler when your straightening or curling iron works justRead MoreAnalysis Of Cialdini s Principles Of Persuasion973 Words   |  4 Pages1 Generally speaking, it is a human nature to adapt to different conditions and manipulate different circumstances for their own benefit. 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It is important toRead MoreThe Central Tension Within The Republic Of Plato990 Words   |  4 Pagesguardians. Through persuasion, those qualified to rule, similar to Adeimantus and Glaucon, are more adequately educated to lead a city than through compulsion. Within this essay, the defining important principle of persuasion that will be explained are listening, exhortation and dialectic. By examining Platos understanding of the importance of persuasion in education, it can be determined that qualified individuals are more adequately educated through an emphasis of persuasio n over compulsion. ThroughRead MorePersuasion Is An Act Or Process Of Appealing863 Words   |  4 PagesAccording to McLean (2010), persuasion is an act or process of appealing to reason or presenting arguments to induce your audience to do something or to change their beliefs or values. Motivation, on the other hand, is the force or stimulus to influence your audience to consider your arguments and adopt your position (McLean, 2010). In short, persuasion is the process and motivation is the stimulus to bring about the change. For example, when you want to pitch a sale, persuasion involves presenting goodRead MorePersuasion Is An Act Or Process Of Appealing860 Words   |  4 PagesAccording to McLean (2010), persuasion is an act or process of appealing to reason or presenting arguments to induce your audience to do something or to change their beliefs or values. Motivation, on the other hand, is the force or stimulus to influence your audience to consider your arguments and adopt your position (McLea n, 2010). In short, persuasion is the process and motivation is the stimulus to bring about the change. 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