Geriatric Care Available in New Zealand

Geriatric Care Available in New Zealand Introduction Ageing population has out growth its number for years in many countries such as New Zealand that has a number of ageing population. Most ageing population are physically fit and have a healthy life style. But some of their numbers suffers from the most common geriatric problems such as dementia and Alzheimer which cannot be prevented due to their age, lifestyle factors they had when they were young and so as genetic factors. Thus, requires geriatric services in different delivery setting that will be able to help and support them to go on with their life as normal as possible. This geriatric services includes evaluation, treatments, recovery, support groups and includes support groups that are well knowledge in handling geriatrics needs. Abstract This report will identify and describe the different geriatric services that assisting the aged population here in New Zealand. That employees and people of our Rest Home will be well informed accurately of the other services that can also be offered to the clients and be able to know the proper care that aged people needs to be holistically cared of. The present discussion will embrace the reality, motivate and to promote quality geriatric health care services in our Rest Home with the services that is already available in the government services. There are different services that the New Zealand Government offers to the aged population to improve and protect their wellbeing. It is well stated by the Minister for Senior Citizen Hon Jo Goodhew (2013) that, â€Å"Our older population is becoming increasingly diverse, offering valuable knowledge, skills and experience. My vision for the future is a place where everyone lives life to the full. This is what we as New Zealanders want for our parents and grandparents, as well as ourselves and our children in years to come. People who lead full and successful lives in their younger years will take this success into their older years.† The government takes steps to focus the needs and improving the services that will ensure and protect the ageing population welfare and well-being. Health Disability Advocacy NgÄ  Kaitautoko This service supports people in making sure that their human rights are being valued. If in case of health and disability service complaints advocates takes side of complainants. This service is offered for people for free and advocates are willing to support in assistance to resolve complaints. Health and Disability Advocacy service is helpful for elderly and their family to ensure that they are well knowledge of what are their rights as consumers specially those who are living in a home care. In case like a member of a family felt that his or her love one is being neglected in a home care due to her illness such as dementia that we all know that is common to the elderly. The member can seek help and advice to the advocates to voice out their concerns in regards with the treatment and care. Advocates will be able to make arrangements for the both parties to resolve the complaint. Updated information can be access in Health Disability website (www.advocacy.hdc.org.nz) Age Concern He Manaakitanga KaumÄ tua Age concern is a non-profit organisation that offers useful help in the ageing population of New Zealand. They make sure that the whole walfare of every eldery is being respected and honored. Aged population over 65 years old can benefit in the services that the organisation offers they have a elder abuse and neglect prevention this service is available in majority cities in the entire country. The organisation can help elders that maybe physically, mentally, emotionally and monetary abuse by their family or other people due to their age or current state of health. More information can be access in Age Concern official site (www.ageconcern.org.nz) Alzheimers New Zealand A charitable institution that caters its service particularly for elderly with dementia and alzheimers. This institution helps provide support to people especially family with elderly that might be suffering or suffering from the illness. They give well rounded information regarding the early assessment and diagnosis of dementia, offer support to families to cope in caring with their love one who is diagnose with the illness and they organize programmes for the people who are diagnose with dementia and for the awareness of other people about the said illness. More up to date information and ongoing support can be seen in Alzheimers New Zealand (www.alzheimers.org.nz) HealthEd HealthEd, it is an online service that provides information to people regarding public health. They have array of up to date information that will boost people knowledge in taking care maintaining and improving of their present health condition. The website is designed to be easily use by everyone even the elderly they first have to register in order to save the article that they want to request and eventually use it as a future reference. Once the sign up is done the person may request or search from the resources the provider have. The articles maybe available in different formats like pampelts, books that can be borrow by individual who wants to learn more regarding on improvement of their health and their family. More detailed information can be access in HealthEd (www.healthed.govt.nz) Super Gold Super Gold card is a free of charge card and so as a privilege card for the eligible senior’s age 65 years and over and veterans in New Zealand. With this card elders can have general discounts in different business establishments. They can even have free ride on the government funded means of transportation like the buses and trains during the off-peak hours. This card also gives special discount on latest special deals that runs regularly which can be updated thru the website. Elders benefit a lot from this service for it helps them to lessen the amount of their daily expenses. Specific information is provided in the website of Super Gold (www.supergold.govt.nz) Geriatrics Service Provision Hospitals Hospitalsare one offew institution that provides service to aging populations that diagnose with illness that needs a completepatienttreatment and to be look after by specialised staff and equip with equipment that can be used to fully assess a patient. All level of care in related to assessments, interventions and managements care is available in a hospital setting. Hospital is composed of interdisciplinary team member that hand in hand helps patient to improve patient care and outcomes. Clinical set up provides elderlies the available, standardized and up to date treatments that they need to ensure quality of care. It have geriatric co management that have access to different specialist that will be able to properly assess the full detection of illness to decrease mobility and mortality rates. For dementia patient they are assessed more in this institution for it have all the equipment’s and specialist needed for them to be fully diagnoses with the illness. General Practitioner General practitionerprovides the first line of medicalcarein a community they assess, diagnose, treat acute non-life-threatening patient and referral to specialize doctor if necessary. But once patient requires more medical attention that is the time they are send to the hospital for further examination and treatment. Age related alteration such as dementia need to be fully assess in order for medical allied to set the appropriate interventions needed. Residential Care Residential care services has a different scope of related services for elderlies such as palliative care, rehabilitative services and other geriatric programmes. Residential care are composed of well trained, competence people who will provide supportive and full assistance in everyday aspect of care to the elders’. This people are full responsible in making sure that they provide holistic care to the elderlies specially those who are dependent to the care of others. There are different residential care that specialized in care for different geriatric problems such as dementia care, psychological challenged patients for they can surely provide proper care and attention to the client. Physiotherapists Age associated changes such a s loss of muscles mass and strengths, decrease of muscles force and other physiological changes have a negative impact in elders daily living. For a stroke patient after full assessment proper treatment most elders need to under series of rehabilitation to be able to cope with their daily life routine and to recover and increase their independence if possible. Interventions for functionality, mobility, gross and fine motor skills is being develop slowly in every session to increase, promote and to enhance elderly functionality for their daily activities to prevent falls and injury. Memory Services It is age related that neurological changes such as memory function and cognition of the aged population is being affect through time. Some elders cognitive process declines where some still able to sustain information and still have significant cognitive performance. For those who are diagnose with Dementia or Alzheimers’ disease can undergo treatments and lifestyle modification to be able to improve their cognitive function if not be able to be assess with their daily functional status to ensure their safety specially they are predisposed to accident such as fall and injuries. Dieticians Elders’ nutrition should be given one of the highest priority to promote and maintain good health. Aged people should have a proper balance of all their daily intake, dietician are experts to help to determine nutritional needs and health of an individual. Individual specially the elderly’s who are diagnose or predispose with diabetes should see a dietician to have their assessment, management and modification of their daily intake. As part of the Geriatric Health Care Specialist I have prepared a simple outline that can be use to help individual such as family members, staffs to understand and to take part in taking care of our elders and understanding the stigma geriatrics are facing specially dementia and Alzheimer patients. Our elders needs us specially the frail, known disability and those who have diminished their quality of life. Geriatric problems are not just centered to delirium, malnutirion, falls, incontinence that should be assessed and management. We should be able to recognize and address the every needs of the older people to be able to improve our care and their quality of life. To help reverse the stigma that elderlies facing due to their age and conditions mostly those who are diagnose with dementia. We will deliver quality care and collective interdisciplinary effort to protect our elders with some of the current stigma they are facing. Dementia patients faces social isolation from individual and their families Dementia patient may have cognitive decline unlike any other geriatric associate illness they still have emotion and they still need to feel the sense of belongingness and acceptance of their family and the society. This isolation stigma can be lessen if there will be enough knowledge regarding the illness. A health educator will be able to help with managing health education regarding the changes and what to expect as the illness affects the patient. With proper care, awareness and understanding will be beneficial to the patient and so as physical and social activities can be offer to maintain their physical, social and cognitive function. Family and friends can have a flexible time of visitation if the patient is settled in a rest home and bonding with family members must be encourage. Elderlies will be encourage to participate in scheduled physical activities such as routine exercise, indoor and outdoor activities to promote socialization with other patients and people around them. People’s assumption of automatic loss of independence of dementia patients Some people who are not well informed regarding dementia assumes that individual after by this illness loss their sense of independence. It may be true in some ways but it is only for the people around the patient can truly understand their needs. Family and care providers could be educated regarding the value of independence for elderly with dementia and it is highly recommended to increase functional activity. With simple routine of letting them eat in their own with care giver less supervision can help them to improve their independence. Family members and care providers should be given free education regarding the safety needs of the elderly in regards will falls, injuries and other common complication due to their health condition and to assure the safety as they move independently as much as they can. Dementia patients unable to make decision regarding their own care Cognitive impairment may be present in dementia and they may not be able to actively participate in making decision with their care but they still need to be advise of their present situation, care plan and treatment that they will be undergoing. They may not be directly involve with the care management family should be there to give care and be there to know the situation of the patient. But dementia patient capacity to secure consent should be and could be practice in making, adjusting and changing health care programme though they may not seemly understand and remember the situation the fact they were involve with the process it will give them the sense of individuality. Dissatisfying interaction with the medical community Dementia has an essential research topic for years as this is well labelled aged illness people became hesitant in seeking evaluation. Medical personnel or physicians may sometimes become hesitant in discussing dementia for the patient and family may have initial thought of it is total useless for them to know those vital information because the said illness is non curable and progresses to worst case scenario in time. But having it well explain in an easy manner that can be clearly understand and physician can give an clear insights of what to expect and what treatment can be offer can provide an opportunity to improve the quality life of the patient. Having uncertainty of support services and treatments As some think that dementia have no cure and highly prevalent to elders they become uncertain in seeking medical attention in regards with the illness. For they may think that what is the sense of having it manage if they is no evidence of progress. Support care like rest homes must to be a friendly and safe place of elders with handrails, good and adequate light source, wide doorways, hallways and other setting to ensure safety. Personnel’s and care givers must will be highly trained to deliver a friendly and non-threating physically, emotionally, mentally environment to dementia patients. Advice that family members and friends are highly advise to bring in patients familiar personal things to promote familiarization. If patient or patient family cannot afford medication or treatment be able to recommend alternatives where they can ask for help or further assistance. Conclusion All in all, Elderlies many challenges to their health and daily function as it is not inevitable. Relevant interventions is available in many ways as the government also supports and sees the needs of the aged population. It is the people surrounds and care for them that is responsible to make use of it for their good. As this interventions and practices will still acknowledge, maximize the older person’s capabilities and potential as an individual to function with and without assistance. That sick and well elders must be treated well, individuality is respected and their dignity must be maintain at all times. Elders must be given an opportunity to remain independent and be able to function in the situation as possible they may experience distressing situation but their support system must be evidence at all times. Recommendation Given the above information’s in this report improving the health care for the elderly in facing their geriatrics concern is a hand in hand contribution starting from the patient, family, friends, elderly institution and the government. Consistent action with all the parties involve will address the identified and the unknown needs of the elderlies to be able to live their lives the best way possible. The measure of the overall effectiveness of services provided to the elderlies will show minimum supervision from their caregivers in performing their daily activities and they will be fully accepted by the society the way they should be. With the support and contribution of the government aged care system will be more sustainable and affordable for the each and every individual well and sick. Be able to promote good, positive attitude and awareness towards patients who were diagnose with dementia or any illness and their rights as individual must be respected at all time in any situation. References Age Concern. Retrieved from http://www.ageconcern.org.nz Alzheimers New Zealand. (2012). Retrieved from http://www.alzheimers.org.nz Health Disability Advocacy. (2009). Retrieved from http://www.advocacy.hdc.org.nz HealthEd. (2011). Retrieved from http://www.healthed.govt.nz Office for senior citizen. (2013, October 01). Ministers foreword Hon Jo Goodhew. Older New Zealanders-Healthy, independent, connected and respected, 3. Retrieved from http://www.msd.govt.nz/documents/what-we-can-do/seniorcitizens/positive-ageing/older-new-zealanders.pdf Super Gold. Retrieved from http://www.supergold.govt.nz

Grade graduation speech

You know, I never expected to be standing up here but here I m, giving this speech and probably doing a terrible Job at It because If you couldn't tell, I'm pretty nervous. But thanks to NAMES, It pushed me out of my comfort zone and onto this stage In front of all you wonderful people. Succeeding from middle school Is no easy task, looking back It surprises me that I even made It this far. A famous author, Theodore Roosevelt, once said, â€Å"A man who has never gone to school may steal from a freight car; but If he has a collage education he may steal the whole rally road. Even though we have a while to get a collage education, we've made It here, to the end of 8th grade. Just like a rail road the train has to be set on a good track, just like our education. So far for this 8th grade class, our tracks have been fantastic ever since we first started our journey. Our first stop was 6th grade. New building, new people, and it were a whole new environment. New fears emerged and I reme mber feeling like a fish out of the sea.The year went by and our next stop was 7th grade, which the teachers have been preparing us for. We came back much more confident than the year before. We looked down at the 6th graders and asked ourselves, â€Å"Were we that short just last year? And by the end of 7th grade, we were on our way to 8th grade. The year started off at a sprint and it seems to have left many of us still trying to catch our breath but 8th grade is also the year we start becoming independent and learn to let go of our guardian's hands.From the moment we stepped foot into this building till the moment we walk out, this Journey has definitely been an unforgettable one for all of us. On this Journey, we have laughed, we have cried, we have argued, we have learned, and we are about to enter into another mile of our journey in a new place. Some of us will go one way, and others another, but at the ND of the Journey we will always have the memories of here, of this schoo l, the memories of our NAMES pride and traditions.As we say goodbye on the last day we sit together as NAMES students, we reflect on what has happened the past 3 years, but also look forward to yet another Journey coming up, high school. 8th grade graduation speech By Maintain-Tastes have been able to accomplish this much without their help. So today, in honor of all am, giving this speech and probably doing a terrible Job at it because if you couldn't tell, I'm pretty nervous. But thanks to NAMES, it pushed me out of my comfort zone and onto this stage in front of all you wonderful people.Succeeding from middle school is no easy task, looking back it surprises me that I even made it this far. A famous steal from a freight car; but if he has a collage education he may steal the whole rail road. † Even though we have a while to get a collage education, we've made it here, to the end of 8th grade. Just like a rail road the train has to be set on a good track, Just since we first started our Journey. Our first stop was 6th grade. New building, new we that short Just last year? † And by the end of 7th grade, we were on our way to 8th

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The Great Gatsby Chapter 4 Free Essays

Gatsby Chapter 4 essay How does Fitzgerald tell the story in Chapter 4? Throughout the chapter Fitzgerald uses a variety of different disciplines to tell the story of Gatsby, Nick and the other characters. In chapter 4, Fitzgerald uses narrative voice to portray Gatsby’s mysterious nature. Gatsby’s description of his background to Nick is a daunting puzzle—though he rattles off a seemingly far-fetched account of his grand upbringing and heroic exploits, he produces what appears to be proof of his story. We will write a custom essay sample on The Great Gatsby Chapter 4 or any similar topic only for you Order Now Nick finds Gatsby’s story â€Å"threadbare† at first, but he eventually accepts at least part of it when he sees the photograph and the medal, ‘He reached into his pocket, and a piece of metal, slung on a piece of ribbon, fell into my palm’ Nick also expresses his surprise at the validity in Gatsby’s story ‘to my astonishment the thing had an authentic look’. Fitzgerald has cleverly used symbolism to portray how Gatsby has to act in everyday life. Gatsby and Nick travel through the Valley of Ashes at ‘great speed’, symbolizing Gatsby’s reluctance to be left in the middle, to not be on top in the wealthy part of New York anymore, as last time he was left he lost Daisy . They are stopped by police officers, who when shown a card by Gatsby leaves them alone, ‘Sorry Mr. Gatsby sir’ this shows the height of materialism and how the rich can easily manipulate the law due to their wealth. Fitzgerald uses this to introduce another discipline, Themes, through corruption. In this Chapter Nick meets Gatsby ‘friend’ Meyer Wolfshiem, The luncheon with Wolfshiem gives Nick the impression that Gatsby’s fortune may not have been obtained honestly, ‘I handed the money too†¦Ã¢â‚¬â„¢ . Nick perceives that if Gatsby has connections with such characters as Wolfshiem, he might be involved in organized crime or bootlegging. In contrast to this when Jordan tells Nick of Gatsby’s ‘other life’ before his illegally obtained wealth she presents him as a lovesick teenager with maybe slight obsessive tendencies, ‘Gatsby bought that house so daisy would be just across the bay’. This adds an entirely new perspective for the reader as we now understand why Gatsby bought the house opposite the Buchanan’s and also why he was so interested in Nick when it appears they have nothing in common. This key feature in the chapter has been designed to evoke sympathy within the reader, a new emotion that has not yet before been presented in relation to the character of Gatsby. Now that Gatsby is a full-fledged character in the novel, the izarre inner conflict that enables Nick to feel such contradictory admiration and repulsion for him becomes known to us as Gatsby the lovesick soldier is an attractive figure, representative of hope and authenticity, Gatsby the crooked businessman, representative of greed and moral corruption, is the complete opposite. At the end of the Lunch when Nick goes to introduce Gatsby to Tom Buchanan, Gatsby has disappeared. Not only does this foreshadow the oncoming conflict that will soon arise between Gatsby and Tom is also adds to the mystery surrounding Gatsby as a character, ‘I turned towards Mr Gatsby, but he was no longer there’. A key symbolic feature in this chapter that reoccurs is the green light. Situated at the end of Daisy’s East Egg dock and barely visible from Gatsby’s West Egg lawn, the green light represents Gatsby’s hopes and dreams for the future. Gatsby associates it with Daisy, and in Chapter 1 he reaches toward it in the darkness as a guiding light to lead him to his goal. Because Gatsby’s quest for Daisy is broadly associated with the American dream, the green light also symbolizes that more generalized ideal. Also the fact that the light is green, which is usually associated with ‘go’ foreshadows that Gatsby’s reconciliation with Daisy is growing close. The green light is one of the most important symbols in The Great Gatsby. Like the eyes of Doctor T. J. Eckleburg, the green light can be interpreted in many ways, and Fitzgerald leaves the precise meaning of the symbol to the reader’s interpretation. Many critics have suggested that, in addition to representing Gatsby’s love for Daisy, the green light represents the American dream itself. This is representative of the key discipline that Fitzgerald uses throughout the novel, symbolism. Another discipline Gatsby uses in this Chapter is narrative voice, by having Nick narrate the story we gain a firsthand perspective whilst also understanding his opinions that our evolving about the other main characters. Throughout the chapter Nicks thoughts and views shape the novel. For example ‘ I was walking along from one place to another.. ’ To conclude this chapter is arguably the most important in terms of symbolic features and Fitzgerald presents them in a way that they are most cleverly undetectable. How to cite The Great Gatsby Chapter 4, Essay examples

Understanding International Market Environment Coca-Cola

Question: Discuss about the Understanding International Market Environmentfor Coca-Cola. Answer: Introduction One of the most noteworthy global trends is the rapid and continuous growth of international businesses(Cateora, 2008). Intercontinental integration of trade, investment, technology, and communication is bringing economies together. New technologies have increased the rate at which companies are becoming multinational. The understanding international market environment is the fine line that determines the success or failure of a global company(Mhlbacher, 2006). It involves acknowledging that people around the globe have different needs. Companies like Coca-Cola, Nike and Dominos are some of the organizations that have successfully adapted to the international market niche. Examples of SuccessfulUnderstanding of InternationalMarket Environment Coca-Cola is a global company that has adapted well to the global market environment. Good pricing, effective distribution network and promotion are some of the factors that have led to the success of the company. Coca Cola has a wide portfolio of beverages thus the pricing is done according to the market and geographic segment. Coca Cola is available all over the world since it has an effective distribution strategy that captures even the rural markets. Coca cola uses various promotional and advertising approaches to increase demand in the market by relating lifestyle with behavior and mainly focusing on value- based marketing. The organization appeals to the consumers emotions by using CSR as its marketing tool. It employs the both push and pulls strategies: promotions drive sales while advertising and campaigns pull customers (Czinkota, 2013) Nike marketing mix is one of the strongest and it mainly depends on the pull strategy. The company has established its hold as a market leader in shoes, apparel, and equipment (Fullerton, 2008).It focuses on producing high quality and a great variety of products including customizing shoes for every category of sports. For example, it designs cricket shoes to be 30% lighter than its competitors. It has adapted to new technology by making and selling products that have the capability to connect to iPod Nano and can evaluate the sportsperson performance. Nikeid an innovative sub-brand attracts a greater audience by allowing customers to design features of a product as per their desire and needs. Dominos is a widely known pizza chain because of its commitment to provide quality products and good service. Dominos localizes flavors to seize the market. It offers both vegan and non-vegan products. The company offers an option of whole-wheat crust which no other company is utilizing. It also uses specially designed boxes to keep food products fresh and hot and has an efficient delivery system. Dominos is famous for its quick delivery services; it is associated with fast delivery with excellent taste(Shah, 2013) Examples of UnsuccessfulMarketing Solutions The greater the empire the, the larger its capacity taking risks(Saxena, 2005). Investing in market research, advertising and campaigns can result in tremendous successes, but may as well lead to miserable failure(Alam, 2014). Microsofts Zune, Nestle and PepsiCo subsidiary Frito-Lay are examples of failed marketing as a result of having one bad aspect of marketing mix. Companies usually introduce new commodities in response to a rivals fruitful idea. However, such merchandises fail if they do not capture the customers attention or they cannot equipoise to the competition. Microsoft developed Zune in reaction to Apples successful products. Customer reviews of the product were harsh due to technical problems such as lack of an easy to use music store. Many froze as a result of software hitches making it difficult to contend with Apples reputable iPod. Microsoft invested millions in advertising without success. The company was forced to abandon the brand due to dismal results. Theme message plays a fundamental role in the success of a brand. Culture is one of the aspects to consider when formulating a theme message: it should be culture sensitive. Nestle was hit by a scandal in 1977 and still continues today when it decided to target poor mothers in developing countries. The company employed aggressive marketing and advertising tactics in Africa, South America, and Asia, advocating the view that its milk was more tasty and healthy than breastfeeding. The formula needed to be mixed with water, however fresh clean water was not readily available to their target demographic. The issue is not going away for Nestle because when infant diseases and death in underprivileged societies is discussed, a contributing factor is the elevation of formula milk and the dissuasion of breastfeeding. The product did not reflect on the message it was sending, the target demographic and power of international pressure groups (De Mooij, 2013) Brands emerge as solutions to problems by offering better products. To offer healthier and less fattening food, PepsiCos subsidiary Frito-Lay launched WOW! chips. WOW! Chips had a significantly small amount of fat since it was made using a fat substitute, olestra. However, olestra had a harsh effect on the body such as dysentery, abdominal pain, and incontinence. PepsiCo invested $35 million publicizing budget to counteract damaging views, nonetheless the sales failed miserably. The company faced lawsuits prompted by the absence of warning label. Conclusion By considering the various needs of people around the world and using the various aspects of the marketing mix, Coca Cola, Nike and Dominos are some of the organizations that have successfully adapted to the international market environment. Failure to consider factors influencing the market niche can lead to failure of a brand as illustrated in the examples of Microsoft Zune, Nestle, and Frito-Lays. References Alam, M. R. (2014). Product pisitioning strategy causing success or failure. International journal of research in commeerce and management. Cateora, P. (2008). International marketing. Tata McGraw-Hill Education. Czinkota, M. R. (2013). International Marketing. Cengage learning. De Mooij, M. (2013). Global marketing and advertising: Understanding cultural paradoxes. Sage Publications. Fullerton, S. . (2008). The four domains of sports marketing: A conceptual framework. Sport Marketing Quarterly. Sports Marketing Quarterly, 17(2). Mhlbacher, H. L. (2006). International Marketing: A global perspective. Cengage Learning EMEA. Saxena, R. (2005). Marketing Management. Tata McGraw-Hill Education. Shah, R. (2013). Impact of marketing mix elements on customer loyalty: A study of fast food industry. Prestige international journal of management and research, 6(2/1),54.