Heart Condition Case Study

Heart Condition Case Study Samantha O’Shea Course: Healthcare Support Module: Human Growth and Development Introduction I got permission from Ned to do my assignment on him. Some of his information has been changed for confidentiality reasons. Ned is sixty and the oldest of nine children. Ned has heart condition which is hereditary in his family. His mother had an enlarged heart which the never knew till after she died. Both his father and younger sister also have a heart condition. His father died from the heart condition over twenty years ago. She died at the age of forty two years of age, five years after giving birth to Ned’s younger sister. She also had eight of her children at home which included a set of twins. Ned had a heart attack about ten years ago while he was in. He found it hard to breath and pains in his chest but didn’t realise he was taking the heart attack. When he was brought to the hospital there was test done and the discovered that he had suffered a heart attack. Ned had a second one year’s later. Before Ned had the heart attack he an unhealthy diet and a heavy smoker. He worked full time in a hotel but now is only working part time. Ned enjoys working as he gets to meet other people and it keeps him busy. A heart attack is when arteries become blocked or damaged. Plaque builds up in the arteries causing a blood clot. The muscles become damaged or die which cause the heart attack. Symptoms are: Chest pain which is most common. Shortness of breath Upper body pain i.e. jaw, back and arms Weakness Tiredness To diagnose a heart attack is getting an Electrocardiogram (ECG). Can be done in a hospital or you’re local GPs. (Irish Heart Foundation 2015) Physical, Intellectual, Emotional and Social (P.I.E.S) of development during late adulthood Late adulthood is from the age of sixty-five plus. Their development is completed. Physical People in this age group will be going through different physical development caused by aging, their walking be getting slower. In some cases people will get lose some of their fine motor skills such as writing or open a door. Also some people’s ears grow. By 65 a lot of people will have grey hair, wrinkles, their muscles weakening and skin will losing or not as flexible. Also their bones will get weaker. According to Erikson’s, he believes that people in the 65+ age have more health problems when they get older. Examples off health problems such as diabetes, refluxes, heart condition dementia and motor neuron (MN). Intellectual A lot of people will be fully developed. In some cases some people will lose their memory from dementia or their thinking will start to slow down. Some people won’t be quick enough to remember stuff e.g. birthdays. People won’t be quick enough to solve problems. According to Cliff Notes older people will learn work or information a bit slower than other people or even to remember any work. Their memory won’t be as good as a younger person. But believe that they can still learn as much as a younger person. (Cliff Notes 2014) Emotional Some people could be upset because they are losing people around them such as friends and family. They could be upset because they have to retire. They could be used to working and they don’t want to be sitting around doing nothing which could cause a person to become depressed or lonely. Some people could be emotional because of an illness they have or they could be dying According to Kubler – Ross a person has to go through the different stages of dying. There are five different stages which are Denial, Anger Bargaining, Depression and Acceptance. A person will go through a lot of different emotions from an illness or dying and will go through Kubler – Ross theory. (Cliff Notes 2014) Social A lot of people at this age will have a lot of people around them such as family and friends. If they are retire the can spend a lot more time with people by doing activities or even some lunch. Another side of retiring people will become anti social because the fell that they have know one around them, which can cause people to become depressed. According to Erikson’s Integrity VS Despair 65 + a lot of older people recall on their past. They look back at their pride and their dignity. Erikson believes that people in this age category accept death. He then believes that elderly people start isolating themselves from peer groups. They start looking back at their achievements, mistakes and/or missed opportunities. He often believes that people at this age will start isolating themselves from others. Physical, Intellectual, Emotional and Social (P.I.E.S) of development of individual as well as your own personal prejudices, fears and anxieties Ned’s Physical, Intellectual, Emotional and Social (P.I.E.S) didn’t change much throughout his late adulthood from the heart attack Physical Before Ned had his heart attack he lived an unhealthy lifestyle which included unsociable working hours and he was a heavy smoker. He only works part time now. After having the heart attack he became more tired and he wouldn’t be able to do much work. Ned does certain jobs and he can become weak or breathless. Intellectual Ned has his full senses in his age. He has great memory and is able to solve problems. Ned is able to interact with other people. Ned’s intellectual development didn’t change. Emotional Ned is nervous because he is retiring in a few years. He is used to working because he is working since he was fourteen or fifteen so he has been working for over fifty years. After Ned having the heart attack he was upset because he was going through a difficult time but now he is fine. Social Ned has a good social life. He sees his family regularly and also his friends. He enjoys going to occasions such as weddings to have a good time. Also he enjoys going to his sibling’s house for dinner and a chat. He also has a good relationship with some of his work mates They all started in one of the factories in town and then got the job in the hotel. My own personal prejudice, fears and anxieties on Ned’s Hearth Condition. I am worried that Ned will take another heart attack that would affect his development. It could affect him physically by getting weaker and he mightn’t be able to return to work. Intellectual it could affect him by him losing his memory which wouldn’t be good for Ned. Emotionally and socially it could affect him by being depressed by not able to work if he has another heart attack. Ned could become anti sociable and depressed. Variations/Factors affecting the individual at this stage of life Ned at this stage is still working part time and is enjoying it as is working since he was young. Ned’s health doesn’t affect him that much, unless he is doing something that is making his heart over work such as lifting something to heavy or rushing. It could make him tired or breathless. If Ned does something to put straining on his heart it could affect him by having another heart attack. A way he could manage it is by not lifting anything to heavy or eating unhealthy food which will help his heart. He could go for little walks to keep fit. Another thing that could affect Ned is if he over does something like too much exercise, pushing something he can’t. Ned would be putting too much strain on his heart which could leave him breathless, tired or even in hospital. Ned could do some light exercise. When Ned hits retirement his routine will be out because he won’t be working. Ned won’t be able to interact with as many people because he won’t be working and also he is a single man. He won’t have anyone to talk to. Another way is that Ned stops or cuts down on smoking as it affects his health. Recommendations to respond confidently to needs of person I would recommend Ned to start getting involved with age action so that he can get involved with other people. He won’t become isolated or non sociable with other people. He can meet up with people for an hour or two a week for a chat and a cup of tea. I also recommend that Ned gets involved with the day care centre the days he isn’t working. He can interact with other people and also get his dinner there for little as five euro. In the day care centre they provide activities. I recommend he joins the Active Retirement Association Tullamore (T.A.R.A). This is on one day a week for people over the age of 55. The get to go on trips over Ireland, have social gatherings, exercise and creative opportunities. Another organisation Ned could join is the Arden View resource centre. It allows the people to meet up and socialise with other people, go on day trips, and get to do activities. Ned could do any of these organisations that won’t be too stressful or to harmful on his heart. Ned will get to interact with other people and become more sociable. He would enjoy the activities and socialising with other people because he likes talking and getting involved. Also these would help Ned to get used to being in organisations because he will be retiring in the next year or two. If he starts now he will get used to being in organisations and where as if he leaves it to the last minute he mightn’t have the confidence to join. Conclusion From doing this assignment I learnt that Ned’s family heart condition is genetic in his family. His family should be getting themselves checked for heart condition because the could be affected. I also learnt more about a heart disease and what it’s physical and mental affects are on someone. I learnt that it could kill of some of your heart and I learnt more on the signs and symptoms such as the upper body pain. Bibliography Book Creative Training Book 2015 Web sites Cliffs Notes (2014) Development in Late Adulthood [online], Available: http://www.cliffsnotes.com/sciences/psychology/psychology/developmental-psychology-age-13-to-65/development-in-late-adulthood [accessed 30th March 2015] Cliffs Notes (2014) Intelligence and Memory age 65 [online], Available: http://www.cliffsnotes.com/sciences/psychology/development-psychology/physical-cognitive-development-65/intelligence-and-memory-age-65 [accessed 30th March 2015] Irish Heart Foundation (2015) Heart Attack [online], Available: https://www.irishheart.ie/iopen24/heart-attack-t-7_19_61.html [accessed 29th March 2015] 1 5M4339Samantha O’Shea

Surviving the Cold War

When America dropped a bomb on Japan in 1945 it marked the end of World War 2 and the beginning of the Cold War. The government urged citizens to be prepared for the worst; an atomic bomb. It was a time of extreme fear. It was a time to take measures in your own hands to protect your family. As head of my household during the cold war it would be hard not to fall pray to the constant propaganda of the day. Since any above ground post atomic attack survival strategies would be futile; efforts would be made for an underground or bunker survival. I would build a shelter at least four levels deep underground. The engineering behind this structure would have to be well thought out. Things like radiation resistant paint would be carefully considered. Every minor detail would be planned out before taking on construction. The creation of a survival plan would be part of the essential strategy. This would be rehearsed on a regular basis so in the event, things would operate smoothly. Each member of the family would be charged with specific duties, to avoid any confusion and chaos. It would be practiced routinely so that it becomes second nature. In order to survive extended periods of time in a confined space your basic requirements must be met. The storage of water and food would be priority. I would try to build a tank that could hold at least a thousand gallons of water; as for food as many dried and can goods as possible. There would be no such thing as too much. My goal would be to have enough resources to last a year. I would make sure we had adequate power supply with back up generators and batteries for a year. Having an extensive first aid kit would be fundamental, in case of minor injuries and exposure to hazardous materials. Another key strategy would be secrecy. Information about the family bunker and supplies would not be shared with neighbors or any other non family members. I feel this is imperative for our survival. If the news of our location was shared with people our survival would be compromised because of having to share our resources and limited space. Finally the need for information would be a central motivator for reading the paper and watching the news reports about nemy operations and threats against the homeland. Keeping abreast of the news would let me know if it is safe to go outside or not. If we are expecting anymore bomb treats and generally what’s going on in the world around us. In any society that lives under fear, it is extremely important to be informed. Being prepared as best as possible would be your only chance for survival. Throughout history mankind have engaged in wars and I firmly believe that like them, we too; are resilient and can survive with the right preparations.

Children Stay at Home for Entertainment Essay

The twenty first century held many changes for our life . This changes are different and multifarious . as well as this covered all aspects of life. The most effect was on the children that changed their life completely different rather than previous generation . Those children become spend a large amount of time inside their homes , playing computer games and watching television , rather than playing games and sport outside . This phenomenon is disturbing many people, therefore they ask what are the benefits , and what are the drawbacks in this case. This essay will talk about these views. To begin with ,there are two reasons may be most advantages for the children spend a large of time inside their home. Firstly , It is clear that children who spend more time at home for entertainment will be more safe from those who spend time outside, which may causes for them risk of theft or assault. Secondly , Children sit at home a long time help them to avoid many bad practices such as smoking or drug. On the other hand , there are many drawbacks in this instance , firstly , children who spend bulk of time inside their home, that means they will disappear from the sun for a long time, it may result in they have deficiency in vitamin D , which the sunlight is natural source for it , â€Å"kids tend to stay indoor more days and play on their computers instead enjoying the fresh air . This mean their vitamin D levels are worse then previous years â€Å"(S.Peace 2010)[1]. Consequently it lead to some diseases such as rickets , which this practice blamed for increasing numbers of children suffer from it . As well as these figures dismayed some scientists as well according to professor T Cheetham from Newcastle university[2] . Secondly, stay a long time in front of screen lead to fitness that the most common diseases among children. In conclusion can the children of new century enjoying with a new technologies , but they should not ignore the healthy practice which protect them from diseases . In fact I think the generation of this century is more lucky than their ancestors ,particularly if I compared him with our generation.

Towton - Battle of Towton - Wars of the Roses - Edward IV

Towton - Battle of Towton - Wars of the Roses - Edward IV Battle of Towton: Date Conflict: The Battle of Towton was fought on March 29, 1461, during the Wars of the Roses (1455-1485). Armies Commanders Yorkists Edward IV20,000-36,000 men Lancastrians Henry Beaufort, Duke of Somerset25,000-42,000 men Battle of Towton - Background: Beginning in 1455, the Wars of the Roses saw a dynastic conflict erupt between King Henry VI (Lancastrians) and the out-of-favor Richard, Duke of York (Yorkists). Prone to bouts of insanity, Henrys cause was chiefly advocated by his wife, Margaret of Anjou, who sought to protect their sons, Edward of Westminster, birthright. In 1460, the fighting escalated with Yorkist forces winning the Battle of Northampton and capturing Henry. Seeking to assert his power, Richard attempted to claim the throne after the victory. Blocked from this by his supporters, he agreed to the Act of Accord which disinherited Henrys son and stated that Richard would ascend to the throne upon the kings death. Unwilling to let this stand, Margaret raised an army in northern England to revive the Lancastrian cause. Marching north in late 1460, Richard was defeated and killed at the Battle of Wakefield. Moving south, Margarets army defeated the Earl of Warwick at the Second Battle of St. Albans and recovered Henry. Advancing on London, her army was prevented from entering the city by the Council of London which feared looting. Battle of Towton - A King Made: As Henry was unwilling to enter the city by force, negotiations began between Margaret and the council. During this time, she learned that Richards son, Edward, Earl of March, had defeated Lancastrian forces near the Welsh border at Mortimers Cross and was uniting with the remnants of Warwicks army. Concerned about this threat to their rear, the Lancastrian army began withdrawing northwards to a defensible line along the River Aire. From here they could safely await reinforcements from the north. A skillful politician, Warwick brought Edward to London and on March 4 had him crowned as King Edward IV. Battle of Towton - Initial Encounters: Seeking to defend his newly won crown, Edward immediately began moving to crush the Lancastrian forces in the north. Departing on March 11, the army marched north in three divisions under the command of Warwick, Lord Fauconberg, and Edward. In addition, John Mowbry, Duke of Norfolk, was sent to the eastern counties to raise additional troops. As the Yorkists advanced, Henry Beaufort, Duke of Somerset, commanding the Lancastrian army began making preparations for battle. Leaving Henry, Margaret, and Prince Edward at York, he deployed his forces between the villages of Saxton and Towton. On March 28, 500 Lancastrians under John Neville and Lord Clifford attacked a Yorkist detachment at Ferrybridge. Overwhelming men under Lord Fitzwater, they secured the bridge over the Aire. Learning of this, Edward organized a counterattack and sent Warwick to attack Ferrybridge. To support this advance, Fauconberg was ordered to cross the river four miles upstream at Castleford and move to attack Cliffords right flank. While Warwicks assault was largely held, Clifford was forced to fall back when Fauconberg arrived. In a running fight, the Lancastrians were defeated and Clifford was killed near Dinting Dale. Battle of Towton - Battle Joined: The crossing retaken, Edward advanced across the river the next morning, Palm Sunday, despite the fact that Norfolk still had not arrived. Aware of the previous days defeat, Somerset deployed the Lancastrian army on a high plateau with its right anchored on the stream of the Cock Beck. Though the Lancastrians occupied a strong a position and had a numerical advantage, the weather worked against them as the wind was in their face. A snowy day, this blew the snow in their eyes and limited visibility. Forming to the south, the veteran Fauconberg advanced his archers and opened fire. Assisted by the strong the wind, the Yorkist arrows fell in the Lancastrian ranks causing casualties. Replying, the Lancastrian archers arrows were hampered by the wind and fell short of the enemys line. Unable to see this due to the weather, they emptied their quivers to no effect. Again the Yorkist archers advanced, gathering up the Lancastrian arrows and shooting them back. With losses mounting, Somerset was forced to take action and ordered his troops forward with a cry of King Henry! Slamming into the Yorkist line, they slowly began pushing them back (Map). On the Lancastrian right, Somersets cavalry succeeded in driving off its opposite number, but the threat was contained when Edward shifted troops block their advance. Details pertaining the fighting are scarce, but it is known that Edward flew about the field encouraging his men to hold and fight. As the battle raged, the weather worsened and several impromptu truces were called to clear the dead and wounded from between the lines. With his army under severe pressure, Edwards fortunes were bolstered when Norfolk arrived after noon. Joining Edwards right, his fresh troops slowly began to turn the battle. Outflanked by the new arrivals, Somerset shifted troops from his right and center to meet the threat. As the fighting continued, Norfolks men began to push back the Lancastrian right as Somersets men tired. Finally as their line neared Towton Dale, it broke and with it the entire Lancastrian army. Collapsing into full retreat, they fled north in an attempt to cross the Cock Beck. In full pursuit, Edwards men inflicted severe losses on the retreating Lancastrians. At the river a small timber bridge quickly collapsed and others reportedly crossed on a bridge of bodies. Sending horsemen forward, Edward pursued the fleeing soldiers through the night as the remnants of Somersets army retreated to York. Battle of Towton - Aftermath: Casualties for the Battle of Towton are not known with any precision though some sources indicate they may have been has high as 28,000 total. Others estimate losses around 20,000 with 15,000 for Somerset and 5,000 for Edward. The largest battle fought in Britain, Towton was a decisive victory for Edward and effectively secured his crown. Abandoning York, Henry and Margaret fled north to Scotland before separating with the latter ultimately going to France to seek aid. Though some fighting continued for the next decade, Edward ruled in relative peace until the Readeption of Henry VI in 1470. Selected Sources HistoryNet: Battle of TowtonUK Battlfields Resource Centre: Battle of Towton

Differences And Difficulties In Description In Mil Essays

Differences And Difficulties In Description In Mil Essays Differences And Difficulties In Description In Milton What is it about the human imagination that allows one to conceptualize the deepest, darkest hell yet makes it difficult to envision heaven? Even Milton had his problems with the descriptions of God and heaven in Paradise Lost as opposed to the relative ease he had with Satan and hell. William Blake said, The reason Milton wrote in fetters when he wrote of Angels & God, and at liberty when of Devils & Hell, is because he is a true Poet and of the Devils party without knowing it. (The Marriage of Heaven and Hell, 1790) Why exactly were the descriptions of God, and heaven limited, and how are the same fetters not applicable when Milton was dealing with Satan, and hell, and why does this appeal to the reader more? From the beginning, Satan and hell have the advantage when being described verbally. In a Judeo-Christian viewpoint, evil lends itself much more readily to physical description than its counterpart because of its inherent association with the material world. On the other end of the spectrum, it is challenging to describe God or heaven with any degree of detail without referring to the corporeal world, and in doing so, committing impiety. Milton could not give, or even allude to the dimensions of God or heaven without being accused of blasphemy. As a result, God and heaven becomes intangible, or is described in vague metaphors of light and goodness. It is much easier to describe Satan with his spear that was equal to the tallest Pine/ Hewn on Norwegian Hills or his shield that Hung on his shoulders like the Moon (Book I, line 287) than to describe a God of infinitely larger proportions. Likewise, it is much less cumbersome to raise Pandaemonium in our imaginations with its Doric pilla rs overlaid/ With Golden Architrave (Book I, line 714-15) than to describe heaven. Therefore, the descriptions of God or heaven are sparse in comparison to the heavy description of Satan and hell. Yet another reason why Miltons voice falters when describing God or heaven is that the human imagination longs for strife. The dynamic is more captivating than the stationery. Satan is in the thick of it all. He has just been flung from heaven, and is in deep turmoil while God is enjoying his eternal rule. Hell is a newborn in contrast to the established institution of heaven. Satan and his devils in hell are the more active characters in the poem with little to lose, but much to gain with Satans venture out of hell. Much of the diabolical description in Paradise Lost is narrated in animated realistic detail whereas the heavenly descriptions are through Satans nostalgic speeches. Satans speeches give the reader a greater sense of the contrast between heaven and hell. Heaven is idealized and denied through Satans unreliable voice, which renders hazy, and imprecise images. In turn, this makes hell and its struggle more vibrant in the readers imagination, and therefore, more appealing t han heavens steady maintenance. There are many things in heaven that do not lend easily themselves to our human minds yet so much in hell that comes naturally. It is humanitys love for the volatile that makes the drama of Satans struggle so much more absorbing than the monotony of Gods stability. It is the physicality ingrained in our minds that allow us into hell, yet disengage us from heaven. It is because we are human that we readily hear the hiss of the forked-tongue, and it is because we are human that heavens universal hum often falls upon deaf ears.

Book summary Essay Example | Topics and Well Written Essays - 500 words

Book summary - Essay Example Kracha is not hitherto focused to lead an American life. During his search he meets Zuska ,a young married woman and falls in love with her. Unfortunately he spends all his money on her birthday by buying her whiskey but does not win her love. His extravagance nature forces him to proceed the rest of the journey on foot. At White Haven, he meets his brother and a Slovak Immigrant Puskin and Dubik respectively. Dubik develops a strong relationship and become best friends. As a result he is Dubik’s best man during his wedding.Even after Dubik moves to Andrews steel mill he encourages Kracha to join him. Kracha emulates the American lifestyle of power and money as he despises his wife-Elena consequently; ignoring her existence for over two years with the hope of winning Zuska’s love .Kracha ignores Elena’s feeling and declares Zuska as her second wife prompting the Americans to retract from purchasing from Kracha’s butcher shop. As a result the business falls and resolves to drinking revealing showing his incompetence in the business as opposed to what is expected in the US .Kracha ends up losing everything including his second wife. In contrast the second immigrant, Mike Dobrejcak is educated and is more accustomed to the Americans way of life. However mike falls in love with Kracha’s daughter, Mary .At that time she was working for an American family that resides near the beach. The two marry and live a happy life. Unlike other immigrants Mike’s education equips him with the necessity of making his family to live the best life and consequently the luxuries that come with it. However, his job does not support his desire. Unfortunately his mysterious death prompts a series of difficulties as the wife has to take care of their daughter. Thereafter his wife and daughter suffer influenza and she could not visit the sanatorium as

Enterprising management ( food care ltd-quality caterer must cut a Essay

Enterprising management ( food care ltd-quality caterer must cut a bigger slice of the profits cake) - Essay Example Another ploy used by rivals is the offer of other services unrelated to catering to suggest as a bundle of services to customers who prefer to devolve these to a single party for sake of convenience and overall lower costs. Yet another worry for FCL is the rumour that it is likely to be taken over by a larger rival. This puts off the prospective or existing customer in the belief that their quality will be affected adversely. This also affects the workforce as they feel threatened by these takeover prospects. There are three issues that need to be dealt with. (1) A definitive business strategy needs to be designed to take the business forward; (2) Profitability has to increase from the present low of 2%; and finally the (3) Self-esteem, especially of the workforce, has to be boosted. Strategy can be planned by understanding the nature and need of competitive advantage; increase in profits requires a business plan; and raising self esteem in the workforce requires motivation. (1) Business strategy has to revolve around acquiring and then maintaining customers. This has special application in the catering business where the customer is retained for very long periods. In such organisations the orders are repetitive and require tailor made executions that must continue to satisfy the customer. Customer satisfaction rests on the principles of quality, price and service. The customer has to be convinced that quality will mean long-term health and nutritious value of the meals supplied. Price has to be competitive and for this the strengthened supply chain will ensure lowest costs. Still some price escalations may happen and it is here that the element of strong service comes into play. Service can include some peripheral services like running of the catering centre from the customer premises or providing some extras to augment tastes and preferences. These services must however relate to the core competency of the organisation as it is here that they will be