The Symptoms Of Dementia Health And Social Care Essay

The Symptoms Of Dementia Health And Social Care Essay Dementia is a group of symptoms affecting intellectual and social abilities, severely enough to interfere with daily functioning. It is caused by conditions or changes in the brain. Dementia is the loss of mental functions such as thinking, memory, and reasoning that interferes with a persons daily life and activities, Different types of dementia exist, depending on the cause. Alzheimers disease is the most common type. Dementia is a loss of the mind, it could be static which results from global brain injury or it could be progressive which results in long term decline in cognitive function (Hopkins). Dementia indicates problems with at least two brain functions, such as memory loss along with impaired judgment or language. Dementia has never been known to be a disease but a group of symptoms that causes diseases and conditions, some symptoms are changes in personality, mood, and behavior. Dementia can make someone confused and unable to remember the names and important people in the ir lives like the name of children, husband, sisters and brothers. Some cases of dementia can be treated or cured because the cause is treatable, like dementia caused by substance abuse e.g. street drugs, alcohol, controlled substances, dementia caused by severe depression. This is known as pseudo-dementia (false dementia) and is treatable. In most cases, a true dementia cannot be cured, because of some causes that are curable and partially treated; doctors must be thorough in making the decisions so as not to miss potentially treatable conditions. The frequency of treatable causes of dementia is believed to be about 10 % (WebMD 2010). Dementia is classified as cortical or sub cortical depending on the area that is affected. Cortical dementia affects the cerebral cortex or the outer layer of the brain; the cortex is a sheet of neural tissue that is outermost to the cerebrum of the mammalian brain. It plays a key role in memory, attention, thinking, awareness, consciousness and langu age.it could lead to problems with memory, thinking, and language, difficulty comprehending written or spoken material. Subcortical dementia results from dysfunction in the other brain areas below the cortex; it is the portion of the brain immediately below the cerebral cortex, this is a categorized dementia which can also bring about memory loss, degradation in thinking ability as well as changes in movement and emotions (Hopkins 2010). There are some related Dementia; Mild cognitive impairment is a transition stage between the cognitive decline of normal aging and the more serious problems caused by Alzheimers disease. This disorder can affect the language, writing and reading and could probably cause memory loss. Vascular dementia is the form of dementia that the condition is more than one; it is a group of syndromes relating to different vascular mechanisms. It is preventable and the early detection and an accurate diagnosis are important. Mixed dementia is a condition in which Alzheimers disease and vascular dementia occur at the same time, Dementia with Lewy body is a progressive declined disease or syndrome of the brain with several diseases, especially with two common diseases of older adults, Alzheimers and Parkinsons. Parkinson disease is a degenerative disorder of the central nervous system that often impairs the sufferers motor skills, speech, and other functions, Huntington disease, it is a genetically p rogrammed degeneration of nerve cells in certain areas of the brain. This degeneration causes uncontrolled movements, loss of intellectual faculties, and emotional disturbance. Creutzfeldt-jacob disease Creutzfeldt-Jakob disease is a rare, degenerative, neurological disorder that is invariably fatal and incurable. Normal pressure hydrocephalus is a condition in which there is too much cerebrospinal fluid in the ventricles. This occurs when the natural system for draining and absorbing extra cerebrospinal fluid does not work right. Wernicke-korsakoff syndrome is a neurological disorder that could be acute or chronic which is caused by the deficiency in the B vitamin thiamine, Frontotemporal dementia is a degenerative condition of the part of the brain it is a clinical syndrome caused by degeneration of the frontal lobe of the brain and may extend back to the temporal lobe, It is one of three syndromes caused by frontotemporal lobar degeneration. Dementia has lots of symptoms and all varies depending on the cause, the common ones are memory loss, difficulty in performing activities of daily living, inappropriate behavior, aggitation, personality changes, difficulty with coordination and motor function. Dementia can be diagnoses in different ways; the doctor determines the kind of test, it is important for the doctors to rule out the curable dementia, like depression, normal pressure hydrocephalus, or vitamin B12 deficiency which can cause the same symptoms. Early diagnosis and treatment is important for the patient. The different ways of diagnosing is autopsy to confirm or refine the clinical diagnosis of Alzheimer disease, the patient history so as to help the doctor rule out some conditions, physical examination to help the doctor rule out the treatable and curable cause of dementia and identify some other illness in the body which and coincide with dementia, neurological examination to assess the sensory neuron and motor neuron, especially reflexes to determi ne if the nervous system is functioning and to determine a movement disorder or stroke that may affect the patients diagnosis, lab test to rule out some symptoms like kidney failure that could contribute to the cause of dementia, the test includes complete blood count, urinalysis, blood glucose test, cerebrospinal fluid analysis etc. Brain scan to detect abnormalities of the brain the size of 5 mm and larger, it can also be used by doctors to identify stroke, tumor or other problems that causes dementia, there are different kinds of brain scan which are, computed tomography (CT) which combines special x-ray equipment with complicated computers to produce multiple images or pictures of the inside of the brain. These images of the area being studied can then be examined on a computer monitor, printed or transferred to a CD and magnetic resonance imaging (MRI) used in radiology to visualize detailed internal structure and limited function of the body. Psychiatric evaluation used to det ermine there is depression including sad, hopeless or worthless, or another form of psychiatric disorder which may be contributing to the symptoms of dementia, and presymptomatic testing is used when no treatment available stands in contrast to genetic testing done for the diagnosis of the dementia (White). There is no specific treatment for dementia; the treatment is to treat the cause. Patient with dementia needs to be under the supervision of medical care to focus on the quality care, medication and treatments such as therapy, and family members to help in activities of daily living, and to help the patient cope with many challenges. The goal of treatment is to control the symptoms of the disease; some patient might be hospitalized for a short period of time. The available drugs that the Food and Drug Administration (FDA) approved to determine the treatment of behavioral disorder in patient with dementia is antipsychotic medication which includes, Risperdal, Seroquel, Zyprexa and Abilify, they are used to reduce the psychotic symptoms of dementia and allow the patient to function effective and appropriately (FDA 2005). Drugs for treatment of dementia should be avoided unless they are really necessary, before any of these drugs are prescribed doctors make sure the patient is physicall y healthy, comfortable and well taken care of. Some symptoms that also be treated is when patient is pain, have problems with sight and have difficulty hearing, all this can make patient more confused and increase their vulnerability. It is essential for patients to take the drugs exactly as prescribed to make it effective, but if the symptoms are not controlled the doctor may refer the patient to a specialist for further advice. There are some possible side effects of these drugs that may worsen the symptoms which are muscle stiffness, tremor, anemia, depression, heart failure, infection, nutritional disorder, hypoxia and abnormal movements, which must be listed on the drug guide. The doctor usually starts the medication with low dose and gradually increase the dose until the desired outcome is achieved. It is important to inform the doctor about any other drug that the patient is taking to avoid contraindications and once treatment is established it is important to review it regul arly. In most cases these drugs should not be prescribed for more than three months and patient should not assume that if the has been proved to be effective does not mean it is going to be effective on them. There are some more drugs that can be prescribed which are mood stabilizer (citalopram, fluoxetine, and imipramine), stimulant (methylphenidate) and serotonin affecting drugs (trazodone, buspirone), information on how to take this drugs must be provided by the doctor or pharmacist. What is Alzheimer? Alzheimers disease is a brain disorder named after German physician Alois Alzheimer, who first described it in 1906 Alzheimers, it is irreversible, slowly progressive disease of the brain that is characterized by impairment of memory and eventually by disturbances in reasoning, planning, language, perception memory and thinking skills, and even the ability to carry out the simplest tasks. It is cited as number one mental health among people age 60 and the risk goes up as you get older. The risk is also higher if a family member has had the disease. Alzheimer is a progressive disorder that starts in the brain in the area that involves thought, memory and language. It is characterized by the stage of increasing impairment and dependency (alz.org2010). People with Alzheimer disease may have trouble remembering things that happened recently or names of people. The earliest sign of Alzheimer disease is behavior such as suspiciousness and a thought process heavily influenced by anxiety or fear, often to the point of irrationality and delusion, angry, outburst, withdrawal. Over the time the symptoms of Alzheimer gets worse, they tends to forget how to speak, write, read, brush their teeth, comb their hair and even forget family members this might make them aggressive, wander around, and get stressed. The cause of Alzheimer disease is unknown but lots of factors have been explored. There is no single test that can detect Alzheimer but the disease is diagnosed by some symptoms, some findings on neurological examination and some result from diagnostic test. The tests show the possible sign and symptoms. The pathological hallmark associated with Alzheimers disease is amyloid plaque and neurofibrillary tangles, amyloid is found between nerve cells in the brain. Amyloids are insoluble fibrous protein aggregates sharing specific structural traits that the body produces normally, in an healthy brain the amyloid are broken and diminishes but in an Alzheimers disease the amyloi d form hard and insoluble plaques. Neurofibrillary tangles are also found in the brain of Alzheimer disease patients, this is the accumulation of twisted protein filaments within neurons of the cerebral cortex; a characteristic pathological feature found in the brains of Alzheimers disease patients. In Alzheimers disease, there is an overall shrinkage of brain tissue and theories have proved that there is no cure for it. The part of the brain called sulci are widened while the part called gyri shrunk. The ventricle that contains the cerebrospinal fluid is enlarged. The disease Alzheimer is affecting over 5.3 millions of Americans; it cost over $148 billion annually to take care of an Alzheimers patient (Alazraki). In the early stages of Alzheimers disease, the short-term memory begins to fade, when the cells in the brain begins to diminishes, the ability to perform routine tasks declines. As Alzheimers disease spreads through the cerebral cortex judgment declines, emotional outbursts may occur and language is impaired. As the disease progresses, more nerve cells die, leading to changes in behavior, such as wandering and agitation. In the final stages of the disease, people may lose the ability to recognize faces and communicate; they normally cannot control bodily functions and require constant care. Physicians discuss with the patient and family which tests are most appropriate to establish the correct diagnosis but there is no test that diagnose Alzheimer disease, but the disease is diagnosed by the symptoms, firstly patients have to complete a physical examination to rule out some symptoms, the patient the patient mental status and neuropsychological will be assessed to determine which thinking and memory function may be affected. The patient may have a psychiatric assessment to rule out some mental illness and depression. The patient may be asked to do a brain scan (MRI, CT scan, and PET scan) to help detect signs and symptoms of stroke that can bring changes to the structure of brain associated with thinking. Blood test may be ordered to check for infection, kidney and liver function, electrolyte level, thyroid disorder and other factors that can cause memory loss. Other tests that sometimes provide important diagnostic information include electroencephalogram (EEG), urine t ests, and tests on cerebrospinal fluid (CSF) obtained by a lumbar puncture. The possible drugs approved by the Food and Drug Administration (FDA) are tacrine which should be taken on an empty stomach, one hour before, or two hours after meals. If stomach upset occurs, it may be taken with meals; however, food can decrease tacrine blood levels significantly. The possible side effect of this drug is diarrhea, nausea, vomiting, muscle ache and loss of appetite. Donepezil is expected to delay the onset of Alzheimer disease for about one year in people suffering from mild cognitive impairment; it belongs to a class of drugs called cholinesterase inhibitors, it inhibits acetylcholinesterase, an enzyme responsible for the destruction of one neurotransmitter, acetylcholine. The possible side effects associated with this drug include headache, generalized pain, fatigue, nausea, vomiting, loss of appetite, weight loss, dizziness, muscle cramping, joint pain, diarrhea, insomnia, and increased frequency of urination. Namenda was actually prescribed for moderate to severe stage Alzheimer disease but now is being prescribed even in earlier stages of the disease, Namenda is an orally active receptor antagonist that regulates the activity of glumate in the brain. Cholinesterase inhibitors are used to treat cognitive functions and behavioral symptoms in Lewy body disease. Clonazepam is a benzodiazepine derivative with anticonvulsant and muscle relaxant, it is generally considered to be among the long-acting benzodiazepines and Opiate drugs used to relieve pain. Antipsychotic drugs not approved by FDA are sometimes used to treat agitation include, Risperidone Benzodiazepines and drugs such as Olanzapine , Quetiapine , Ziprasadone .The drugs increase the risk of death in elderly patients and the side effects include sedation, confusion and increased muscle tone. CITATION Charles L. White, Autopsy for dementia 2010 Croft, Harry. Psychiatric medication medication for mental illness http://www.healthplace.com/otherinfo/psychiatric-disorder-definations/medication. 5 may 2010 Alazraki, Melly. Nothing you can do will help daily finance 5/01/10. 11.00am http://www.dailyfinance.com/story/nih-on-alzheimer-much/19460466/mellyalazraki Hopkins, John. Special Report. 7thth ed. New York: new York Times, 2009. Print. Kesner, Julian. Three new dementia fighters. Prevention Jan. 2009: 104. Professional Collection. Web. 04 May, 2010 Webmd.com 2010

My Feeling as a Filipino Essay

I am very proud to be a Filipino! From the centuries that passed, a lot of nations have admired the Filipino people, for being industrious, brave, talented, resourceful, these are only a few of the traits that a lot of other people and nations admired the Filipinos for. But although we have been complimented in many fields, none of us or only a handful of us are well known for it. We as a people never stop and think â€Å"what can I do for this country†. There have been notable personalities that have done this but a lot of us have always taken it for granted. One other notable Filipino trait is ingenuity; we have had a lot of inventors that have blossomed in the Philippines, one such inventor that is well known around the world is Agapito Flores, the inventor of the fluorescent light. This invention, should it have been recognized by the government would have been one of the best ways that we could have paid our national debt and would have increased the status of the Philippines as a nation, if it was manufactured here in the Philippines, but the government took it for granted. Another field that we really should have exceeded in is agriculture. A lot of the Asian countries have learned their agricultural knowledge from the Philippines, yet we keep importing these goods from them, one such country is Thailand; they are very proud to say that they learned their agricultural knowledge from the Philippines, one notable goods is the Thai Rice, that specific breed of rice was made in the International Rice Research Institute (IRRI) in Los Baà ±os, Laguna, yet we are the one importing that specific rice crop from that country to ours. So my question is †¦ Why is it that our government seems to be a reactive kind of government and not a proactive one? Why is it that the Filipino, as a people, seems to practice, what I call the â€Å"I† syndrome? Why is it that we put ourselves on top of everything else rather than a part of a nation? Why is it that other nations and or people recognize what we have and we don’t? Why is it that we turn a blind eye to the problems of our society? Why is it that we are so caught up with what â€Å"I† want and what â€Å"I† need that we fail to see what’s really happening to us as a nation? I AM  PROUD TO BE A FILIPINO and I still believe that we can make it as a nation, but I’m afraid that if we don’t change our outlook of ourselves as a people, we will succeed as an individual but fail miserably as a nation.

Corporate Governance In Public Sector Undertakings In India Finance Essay - Free Essay Example

Sample details Pages: 4 Words: 1345 Downloads: 5 Date added: 2017/06/26 Category Finance Essay Type Analytical essay Did you like this example? Today, in many industrialized nations, policy makers, economists, corporate executives and academicians are debating over the issues of corporate governance. The discussion focuses on the policy formulation and corporate structure by board of directors to improve executive behaviour and management oversight. According to literature, corporate governance refers to the set of mechanisms that influence the decisions made by managers when there is a separation of management and control. Don’t waste time! Our writers will create an original "Corporate Governance In Public Sector Undertakings In India Finance Essay" essay for you Create order The monitoring mechanisms can be board of directors, institutional shareholders and operation of the market for corporate control. Recently, global corporate governance debate has grown manifold with political, social, emotional and evolutionary forces fuelling the controversy. Corporate governance: A prominent issue in global perspective In the past two decades, corporate governance has emerged as a crucial issue in the wake of worldwide wave of privatization and a series of global corporate failures and scandals. In order to understand the relevance of corporate governance in public sector organizations, the historical roots of corporate governance and the rising importance are worth discussing in detail. The world-wide privatization wave The privatization wave started in the UK, which was responsible for 58% of OECD and 90% of European Community privatization proceeds in 1991. Since then, privatization has been an important phenomenon in Latin America, Western Europe, Asia and the former Soviet block. With privatization, issues regarding ownership and control of newly privatized corporations also grew to a large extent . In certain countries, part of the agenda was to create Shareholder Democracy (Biais and Perotti, 2002) while other countries were more biased towards larger shareholders and their con cerns. The rise of governance issues was the next step where the state assumed the new role of public shareholder in private corporations and led to the emergence of corporate governance practices worldwide. The protection of small shareholders was another significant aspect as stock markets gained importance and frequent public offerings were made diluting the ownership and control. Mergers and takeovers There was an era of massive MAs taking place as a consequence of globalisation and next came a hostile takeover wave first in USA in the 1980s and then in Europe in the 1990s (Marco Becht, Patrick Bolton, Ailsa RÃ ¶ell, August 2005). These hostile takeovers counter-attacked the corporate policies and revolutionised the way regulation of domestic and international deals is carried out. Deregulation and capital market integration During the 1990s, a lot of integration activities started taking place in the global capital markets as the equity capital grew particularly in Eastern Europe, Asia and other emerging markets. This helped in rekindling the interest in regulation and governance issues. Scandals and failures at major corporations Many scandals and failures have started surfacing on a global platform. The reasons for most of them can be attributed to accounting irregularities through which firms started floating their earnings. Many of these failures get highlighted during downturns and recessions. India: Historical roots of public sector At the time of independence, India was left with high income disparities, poor infrastructure scenario and insufficient technological resources. There was an acute requirement for widespread development in fields like telecommunication, power, steel etc. and improvement in countrys infrastructure. However, private sector was not encouraged to enter such fields since they required huge investment outlays with low and delayed returns. Since private sector had to part with its commercial interest, public sector came into being. However, with time the government proved inefficient in managing the public sector enterprises in various fields and de-licensing and deregulation eventually followed. Nevertheless, public sector has transformed itself when it emerged least affected during the credit crisis phase. The market capitalisation of the listed PSUs also nearly doubled over the last four years signifying the success of disinvestment process. Corporate Governance in Public Sector Over the past few years, government has expressed strong desire to improve the transparency and accountability levels within PSUs. For all unlisted PSUs, the corporate governance norms meant for Central Public Sector Enterprises (CPSEs) were made mandatory. The government now wants to focus on their implementation in order to tackle key issues like PSUs failing to comply with clause 49 of SEBI listing agreement, autonomy of PSUs etc. Issue 1: Current Standard of corporate governance in PSUs vis-Ã  -vis private sector Ideally PSUs should lead the way by setting in right policies for accountability and transparency in the corporate governance structure rather than following the private sector. To start with, Maharatna, Navratna and Miniratna PSUs should implement this by adopting the voluntary guidelines set by MCA. Many agencies like Central Vigilance Commission, the Public Enterprises Selection Board, the Department of Public Enterprises, and the Standing Conference of Public Enterprises have been discussing the mechanisms for implementing reforms in corporate governance structures in PSUs. Currently, it has been made mandatory for all CPSEs to follow the corporate governance guidelines formulated by Department of Public Enterprises. Private sector has projected an ongoing quest to improve their policies and generally score over public sector in their functioning and disclosure norms. Moving ahead, government should also formulate well defined strategy for each PSU to ensure its effici ent functioning and propose stringent corporate governance practices for the unlisted PSUs as well. Issue 2: Balancing commercial and managerial autonomy Well established theory says there is high positive correlation between autonomy and accountability. Same stands true for autonomy and enterprise performance as well. Indian government has granted various levels of autonomy to its public sector enterprises. However, the formal control by government is highly extensive over various areas of activities of PSUs strangling their decision making, limiting their autonomy and hence, impairing their day-to-day performance. Currently it is very important to delink managerial autonomy with board composition as according to present norms, autonomy granted to PSUs is directly dependent on the number of non-executive members present in their board of directors. As PSUs are unable to fill up their vacancies of non-executive directors again due to government interference, these norms have resulted in a mockery of their autonomy. Again, PSUs should be kept immune from political and bureaucratic involvement in matters of executive compensatio n, approval of projects and performance management systems barring matters of national interest. Issue 3: PSU board structures and independent directors The government should bring in norms to appoint competent professionals as board members who have a good understanding of the business and the sector. Large shareholders should also be allowed to nominate their representatives to Board. Any political affiliation should be limited and board members powers should be made independent of the executive management. The non-executive directors on PSU boards play a vital role in its governance and designing strategic priorities and providing a risk oversight. Their selection is very crucial in these aspects and CMDs should be thoroughly consulted which currently doesnt happen. The process can be initiated by PESB by short-listing eligible candidates from the private sector and PSU boards and CMDs contributing in board succession planning. These directors should also be adequately compensated at par with their private sector counterparts Issue 4: Ensuring compliance with the SEBI Listing Agreement Many listed Navratna and Miniratna PSUs are lagging behing in complying with minimum requirements stated in Clause 49 of SEBI listing agreement (KPMG India June 2010). This directly hampers the future prospects of India Incorporated when the Ministry of Corporate Affairs is emphasizing strongly on the implementation of corporate governance guidelines. The corrective action can be to make proper disclosures within directors and corporate governance reports and ensuring accountability. Also implementation of corporate governance norms for CPSEs, both listed and unlisted, should be supervised consistently. Issue 5: Government as the Promoter The government needs to constantly monitor the performance of its Board of directors in cases where it acts as a promoter and a majority shareholder of the PSU. Without mitigating the independence and other powers of board of directors, it should clearly provide the strategic layout for tackling various issues. According to the Organisation for Economic Cooperation and Development (OECD), the government should develop and issue an ownership policy that defines the overall objectives of state ownership, the states role in corporate governance of state-owned enterprises and how this policy is likely to be implemented.

Technology And Its Impact On Society - 915 Words

History has witnessed have technological advances helping mankind out of different time periods into today’s world. One common theme is prominent throughout the development of technology, and that is the need for the cooperation of others in order to efficiently maintain a state of protection and security. Society values divides among groups to create superfluities that enabled mankind to live on and grow. Although neutral by itself, the manner in which technology is structured reflects the ideals of society which is self-preservation through the division of labour. By observing the work structures based on a global scale, discrete scale and gender, it can be shown how the coevolution of society and technology reflects the past ideals of based on the division of resources such as labour and people. For every action, there is an opposite and equal reaction however, so what will also be discussed is the negative impacts of this coevolution. Although it is clear that there is a link between technology and society, there have been countless debates on how they are related. It cannot be based on utopian or dystopian theoretical perspectives and according to Theoretical Perspectives and Technology, the relationship most likely lies in between, where there is a constant interaction between man and machine (Quan-Haase, 2012). According to social informatics viewpoints, technology should not be seen as an external force but as something that is integral in mankind. It is anShow MoreRelatedTechnology And Society : Impact Of Technology On Society1511 Words   |  7 PagesIntroduction Technology has impacted people, businesses and society as a whole. The roles that technology has played on communication, business and education have been more than impactful. As the power of computers continue to increase with help from databases, social networking and businesses, it adds an increase to office productivity compared to using typewriters, and filing cabinets. Although there are plenty of good things about technology, the way we use it determines if it impacts are positiveRead MoreImpact Of Technology On Society : Technology1281 Words   |  6 PagesImpact Of Technology On Society Technology, without a doubt has an impact on society. As a matter of fact, we experience this impact in our daily lives. The evolution of technology has dramatically changed the way we think, with the rapid new advancements being made with each passing day, to the tremendous opportunities it provides us with. It has an effect on the growth of our culture, living standards and our economy. At the end of the day technology plays a significant role in almost all fieldsRead MoreTechnology And Its Impact On Society1302 Words   |  6 Pages Technology Dominates Society How has technology affected the everyday life of society today? Is society as social as it use to be before everyone had access to an abundance of technology? Many people believe that the answer to those questions are that society is less social and technology has had a negative impact on humans today. As technology progresses bounteously society begins to rapidly decline. The ways society is negatively impacted socially mentally and emotionally will be analyzed. Read MoreThe Impact Of Technology On Society1291 Words   |  6 PagesSociety has always been impacted by technology. Each invention has affected how people relate to one another and how cultures have expanded or ended. Technology impacts how cities grow, where people live, and who owns what. 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Humans have lived for thousands of years without any technology in small hunter gatherer communities, but now we have all of this technology and the population on Earth has exploded and will not stop anytime soon. â€Å"Society seems enthralledRead MoreTechnology And Its Impact On Society1596 Words   |  7 PagesSociety has become dependent on technology and it now plays an important role in many people’s lives. Try imagining your life without technology. If the internet, mobile devices, and games were taken away from us, how would we feel? Many people would feel like a part of their lives are missing due to technology now being a necessity in their everyday life. It would be very different from what we are comfortable with today. 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