Wednesday, September 2, 2020
Conventional Skills in Career and Technical Education Vocation and Technical Educators Employ a Variety of Strategies for Teaching Generic Skills The Secretary's Commission on Achieving Necessary Skills (SCANS) distinguished the general abilities that most work environments require, in this manner giving a premise to programs that plan understudies for business. Change projects, for example, Tech Prep and High Schools that Work endeavor to fuse these nonexclusive aptitudes as they offer understudies a thorough scholarly foundation, mechanical education ability advancement, and learning encounters that are arranged with regards to certifiable conditions (Pucel 1999). Incorporated scholastic and CTE programs and logical learning endeavors offer comparable chances to advance the learning of conventional aptitudes by connecting them to explicit work environment and social practices. Working environment learning encounters are another method of featuring conventional ability improvement by putting understudies in work circumstances where these nonexclusive aptitudes are utilized in blend with word related or specialized abilities. In spite of the fact that the United States has embraced an assortment of procedures for the instructing of nonexclusive aptitudes, it isn't the main nation to do as such. Canada, Australia, and the United Kingdom have started comparative projects to address nonexclusive expertise advancement. In Australia, incorporated educational plan that injects proficiency into explicit professional courses has served to outline the need of contextualized, numerous skill levels (Searle et al. 1999). Contextual analyses to Advance Skills and Employability, an undertaking directed at the Universities of Northumbria and Newcastle, underlined the improvement of employability aptitudes inside the scholarly educational program (Holmes and Miller 2000). The relevant mix of employability abilities into educational program has become an ongoing pattern in Canada and the United Kingdom (Overtoom 2000). In spite of the fact that there is proof that conventional aptitudes are being educated in schools, there is incredible uncertainty about what they are. Numerous terms have been utilized to depict them: key abilities, center aptitudes, transferable abilities, individual transferable aptitudes, and employability aptitudes. The rundown of abilities characterized by whatever term is being utilized changes across nations; in any case, most records incorporate relational abilities, relational and social aptitudes, association and arranging abilities, critical thinking abilities, innovative reasoning, education, and innovation aptitudes. The Australian key abilities include social comprehension as a nonexclusive expertise (Werner 1995). Most endeavors to characterize nonexclusive aptitudes all the more intently have brought about a plenty of cursorily comparable however regularly essentially various records (Drummond, Nixon, and Wiltshire 1998, p. 20). Cunning (2002) battles that meanings of conventional abilities are grounded in the multifaceted nature of relationship that they infer, which thus coordinates how the aptitudes are being educated.
Posted by Israel Lemon at 10:01 AM
Saturday, August 22, 2020
Framework Analysis - Essay Example Use cases can be utilized for pretty much every sort of undertaking for the explanation that they are agreeable in giving data about arranging related issues and prerequisites of the task. Hence, in the start of a venture the dominant part use cases ought to be characterized, anyway as the task continues greater limit ends up being observable. In straightforward words, the fundamental reason for use case graph is to perceive the significant components and strategies that make up the framework. These significant components are perceived as on-screen characters and the techniques are known as use cases. In this situation, the utilization case chart shows which on-screen characters relate with each utilization case (Braun et al., 2011) and (Chitnis et al., 2003). Use Case Diagram of WBF Ltd rental framework B-Use case portrayal The way toward characterizing the general use case alongside principle parts of associations between the framework and the clients is known as use case depiction . In the situation of framework improvement, the principle reason for use case portrayal is to clarify in general strategies notwithstanding perspectives those are shown in the chart with the goal that the watcher can have better diagram of the connections and procedures (Sommerville, 2004) and (Pressman, 2001). Rental Process Use case portrayal Use case Description This utilization case depicts the procedure of film rental for client. In this situation a client puts a solicitation for the film. In the event that film is accessible then client gives his own subtleties. In the wake of recording client subtleties framework stores the framework film rental data and procedures installment data. After installment handling framework conveys the receipt to the client. Precondition/s In request to process film rental solicitation there is a precondition for the accessibility of the film in stock. In the event that the necessary film is accessible in the film stock, at that point the framewo rk forms the film rental solicitation. Post condition/s For the effective culmination of the general rental procedure, there is a need to actualize a legitimate methodology for handling the installment of client. Subsequent to accepting installment from the client, framework completes the rental demands just as gives it by sparing client and film data and conveying the installment receipt. Steps I have sketched out underneath a portion of the primary strides for the general procedure of film rental case: Customer demands for leasing a film Customer chooses the ideal film Customer gives individual subtleties Customer pays the necessary expense of film he needs to take on lease System spares data System conveys receipt Assuming that the client has picked the film and it is accessible to lease, produce a bit by bit use case portrayal for the utilization case Ã¢â¬ËCheck out FilmÃ¢â¬â¢ in WBF Ltd rental framework utilizing a fitting layout/position that ought to include: C-Role of cl ass chart Class graphs are the establishment of item situated structure and investigation. Class charts show the classes of the fundamental framework that we will create, their inclusions (containing conglomeration, legacy just as relationship), and the qualities and procedures of the classes. Besides, class graphs are utilized to do a wide scope of capacities, for example, together area/theoretical demonstrating and far reaching plan
Posted by Israel Lemon at 11:03 PM
Email ADDRESS: [emailprotected] com To the responsible party in question, Dear Sir/Madam, I am a University of Nairobi graduate, conceived, brought and educated up in Kenya. I have worked In 2 NGOs over the most recent 3 years. (The first was as a volunteer in the ICL ABC Project Abstinence, Being Faithful and Condom as a Peer Education Supervisor). This has been with young people, individual youth in organizations of higher learning and urban ghettos (Dandora and Mathare). Subsequently I have gained unassuming however important abilities on venture the board (Monitoring and Evaluation). I am imaginative, inventive and eachable. I know about the BCC model and improvement of EC materials. I am accessible to begin immediately. I worked with I Choose life Africa, a main NGO associated with Peer Education as a task official in the High School Project and subsequently I worked with the Ministry Of Education in Carrying out a study (on Sexual regenerative Health) with the point of improving the secondary School Curriculum among different obligations. We will compose a custom paper test on My Biography or on the other hand any comparative theme explicitly for you Don't WasteYour Time Recruit WRITER Just 13.90/page As an understudy I chipped in for more than two years with ICL in arranging and overseeing Behavior change intercessions at the University of Nairobi. I picked up involvement with working with grown-up and youth conduct change techniques and their application to HIV/AIDS. I have led various trainings on Life Skills in peer instruction. I was likewise responsible for the Leadership and administration venture which I helped plan. In this task, the friend instructors we train offer back to their networks via preparing their kindred youth, doing effort and topical occasions. A year ago, I helped the understudies set up an update to the Committee of Experts on protected issues. This was given to Mr. Bobby Mkangi during one of our administration and administration discussions. I was a piece of the group that built up a site named Chuo which is planned for interfacing youth to different chances and data arrangement. I had a place with the Customer viewpoint and proposition groups. I have obtained aptitudes in venture structure, usage and Monitoring and assessment. Working with you will be valuable to me. This will be another test and an incredible open door for me to learn, offer, enter and develop. Anticipating working with you. Yours dependably,
Posted by Israel Lemon at 3:19 PM
Friday, August 21, 2020
Katherine Mansfield shows in the story the hero Miss Brill as a moderately aged ladies with no family that accepts she has a public activity, which comprises of watching others communicate with one another. Mansfield matches Miss Brill with the hide she keeps enveloped with a crate until Sunday. She shows a powerful character that gets a rude awakening from the Ã¢â¬Å"realÃ¢â¬ world where she has a place as opposed to in a fanciful world she made up. Mansfield makes a vivid character who represents her old, worn hide and comes up short on the truth of the outside world. MansfieldÃ¢â¬â¢s parallelism between Miss Brill and her hide shows the peruser that Miss Brill remains in a crate in a dull storeroom until Sunday when she Ã¢â¬Å"actsÃ¢â¬ in the play of the outside world. Mansfield portrays the furÃ¢â¬â¢s eyes asking Ã¢â¬Å"what has happened to me?Ã¢â¬ as Miss Brill needed to Ã¢â¬Å"rub some life again into its diminish little eyes Ã¢â¬ after it sat in the crate for some timeframe. Much the same as the hide Miss Brill stays contained in enclose her condo until Sunday when she goes to watch the band play. Both the hide and Miss Brill have matured and don't leave their border until Miss BrillÃ¢â¬â¢s sign to enter the phase of the world. The outside world assists with chiseling Miss Brill into a powerful contract. The acknowledgment of the outside world and her view change on her general surroundings permits her to marry the name of a unique character. Miss Brill frames her very own universe that she survives. She sees the entirety of the individuals she sees as Ã¢â¬Å"just originating from dim, little rooms or even-even organizers. Ã¢â¬ truly Miss Brill is the one that conceals in the cabinet from the outside world until Sunday when she frees herself from the dull room. She carries on with her public activity through the lives of the individuals around her. She accepts she communicates with the outside world and that she had a fundamental job in the play that the world experiences. Miss Brill before long discovers that her essence doesn't greatly affect her friends as their quality does on her. During the exhibition of the band Miss Brill gives more consideration to the discussions of the individuals she sits close to then the presentation. As she ease dropped on a youthful couple she over heard them deriding her. Miss Brill understands that she doesn't have a similar significance to them as they do to her. Her illusory world blasts as she gets presented to this present reality and the acknowledgment ofÃ¢ her significance. The understanding of this present reality has a serious significance to Miss Brill. In the event that Miss Brill didn't go to an acknowledgment of the outside world she would follow the strides of Willy Loman from A Death of a Salesman. Willy Loman needed acknowledgment of this present reality similarly as Miss Brill did. His capricious conduct and absence of association with this present reality lead to his self destruction. On the off chance that Miss Brill didn't comprehend her illusion of the world she may have arrived in the grave similarly as Willy Loman had. The hero Miss Brill faces the enemy of the real world. She fathoms that she has lived in a dreamland that spun around her having a similar effect on everybody as they do on her. In the event that she didn't go to an understanding she would have followed in the strides of the preposterous Willy Loman who ended it all. Mansfield matches Miss Brill and her hide on the grounds that both have matured and don't leave their containers until Sunday. The story educates the peruser that occasionally old and desolate individuals live in accomplished up world and when invited back make some hard memories cooping with it.
Posted by Israel Lemon at 8:45 PM
Inventive Human Resource Practices : Global Perspective. Ã¢â¬Å"Any organization thatÃ¢â¬â¢s going to make it in the 1990Ã¢â¬â¢s and past must figure out how to draw in the psyche of each and every worker. In the event that you are not contemplating making each representative progressively important, you donÃ¢â¬â¢t get an opportunity. WhatÃ¢â¬â¢s the other option? Squandered personalities? Uninvolved individuals? A work power thatÃ¢â¬â¢s furious or exhausted? That doesnÃ¢â¬â¢t bode well. Ã¢â¬ Ã¢â¬ Jack Welch Decidedly corresponded with the financial change is the fortifying and expansion of human asset the board rehearses, a split away from the more conventional, however incredibly testing fields of Personal Management and Industrial Relations. The development of different enterprises in India has likewise observed a development in the manner the different players approach their human asset the executives. One phenomenal model is that of BPO Industry. In the first place it was just intended to deal with non-center exercises like finance the board and so forth ut as the business developed it saw the section of different players thinking of vital center assistance bolster like NAD, RR&D and so on. This prompted a more grounded center around HRM. What's going on in India today is like the encounters of financially created countries through a few past decades; and will occur in least created nations as well, in times to come. Henceforth, it is judicious to discuss present day human asset rehearses in a progressively broad, I. e. , worldwide system. Obviously, relevant quirks will just serve to advance our insight pool. However, the primary thing we have to clear Ã¢â¬ both at a calculated and at a phrased level Ã¢â¬ what we are searching for. The fundamental assignment is to locate a typical meaning of Ã¢â¬Ëinnovative practicesÃ¢â¬â¢, a definition that the greater part of us could concur upon so as to abstain from clashing translations or mistaken assumptions, Ã¢â¬Å"Innovative practices are unique, praiseworthy, effective, versatile, new arrangements picked up from experienceÃ¢â¬ . Without a doubt, the Ã¢â¬Å"Innovative PracticesÃ¢â¬ when considered are huge in assortment. They run from the acquaintance of new advancements with the task of new obligations to the expansion in skills, they test new authoritative models, and they present inventive apparatuses of social and political administration at a neighborhood level. Present day working environments are very mind boggling circumstances in which all the components: the nature of the activity, the qualities of the representative, the structure of the association/authoritative sub-unit just as the techniques and points of oversight are amazingly differing as well as liquid. What's more, as a reaction, have developed, a wide assortment of inventive HR rehearses. The main component regular is the requirement for development and experimentation, which are required so as to adapt to the adjustment in the part as workforce around the globe, has experienced a genuine change. Changing segment designs, salary levels, desires and desires have offered ascend to an all the more requesting and mindful work power. LetÃ¢â¬â¢s take the case of a BPO where so as to hold workers, industry is embracing new and inventive ways. The accompanying model encourages us to see how the business is pulling in individuals. Ã¢â¬Å"MSR labors for four days consistently and gets the opportunity to rest for the remainder of the week. MSR is a piece of a 20-part group at a main BPO, WNS Global Services. While the organization asserted each representative followed a five-day week, an insider said that the new four-day framework has been presented as a pilot venture for a US protection firm. The safety net provider obviously offers a comparative choice to its call community workers in the US. Laborers settling on the four-day framework get an ordinary end of the week off and another occasion mid-week. Nonetheless, they need to labor for 11 hours on typical workdays contrasted with nine hours that their partners following a standard week put in. The compensation is the same either. MSR says that she discovers this agreeable as she is in the workplace for a large portion of the day or night. It doesn't make a big deal about a distinction in the event that she remains on for another couple of hours making it 11 hours every day. However, she is glad to have an entire three day weekend that gives her more opportunity to be with her family. Ã¢â¬ Just like previously mentioned model numerous BPOs are following different inventive practices as new HR motivations. They have attempted numerous motivators, for example, urging individuals to get their family to work in a similar spot or making recreational chances. A senior teacher of authoritative conduct at XLRI, India saw that after a point, cash would not make any difference and individual life turns out to be significant. Organizations are attempting to lessen the hole between authentic life and individual life. They are attempting to deal with employeesÃ¢â¬â¢ individual life however much as could be expected. That is the reason the businesses are attempting to make the association a pleasant work environment, offering offices like rec center, sauna and games. A few organizations likewise mastermind to deal with tasks, for example, taking care of power and phone tabs to help the representatives lessening their own outstanding burdens. LetÃ¢â¬â¢s take a gander at a portion of the issues calling for increasingly imaginative human asset rehearses: 1. Innovation, Change and Resistance to Change. Obviously, one major player is Technology. Hard innovation made distance among laborers and it keeps on doing as such in milder symbols. The presentation of astonishing new advances have sped up at which different associations will duplicate your accepted procedures so it is important to accelerate the pace of development in everything in business. To put it plainly, advancement is the final upper hand in business Ã¢â¬ and HR and selecting are not absolved from this reality. Maybe this statement will show the speed where organizations are required to advance: Ã¢â¬Å"Innovation is what is at the establishment of the U. S. economy. Just to give you a basic case of my companyÃ¢â¬ ¦ around 90 percent of December income originates from items which were not there in January. That kind of development, which is an all out turnover of our income consistently, is demonstrative of what advancement intends to us. You miss a pattern of advancement, your income vanishes. Ã¢â¬ Ã¢â¬ Craig Barrett, CEO of Intel Witness the continued worker opposition, secret or plain, to innovation presentation. In prior decades, laborers opposed motorization inspired by a paranoid fear of employment misfortune. Nowadays, computerization endeavors are given the boot as it requires new learning. Again witness the extremely high usage Ã¢â¬ disappointment paces of what were once thought of as panacea for every authoritative sick: Enterprise Resource Planning (ERP) frameworks. What really fizzled was the best possible coordination of the Human layer with the Technological one. What's more, presently the flipside-Technology enables associations co-to ordinate the mind boggling undertaking of human asset the board. Human Resource Management arrangements (HRMS) are accessible in adaptable, electronic modules like: Ã¢â¬ Employee Performance Management (counting eAppraisal, Trainning and Development, Goal allotment and Tracking, Multi-Rater Feedback, Performance Linked Bonus and so on ). A great deal of organizations/HR specialists get custom programming worked for the reason on Oracle, however the usefulness is comparable, which channels and web support and so on. A portion of the product that help different HR Functions are : Instant HR Software 2. 0. 94 (Manage HR, work force records, leave and advantages. , ERP Flex Ã¢â¬ HR 1 (Manage nitty gritty data of your representatives, different assessments, and trainings. ), The Garuda Preference Profile 2. 1 (Analyze, portray, and measure fundamental capabilities, insights and occupation prerequisites. ) and so on Ã¢â¬ Human Capital Management including Employee Database (HRIS), Employee Self-Services, Payroll Manager, Online Compensation Planning and so forth. ) Ã¢â¬ eRecruitment ( including Recruitment entryway, Transfer Management and so on ) Ã¢â¬ Strategic HR Tools (counting Organization Alignment, Succession Planning, Manpower Planning, Leadership Effectiveness Surveys, and Employee Satisfaction Surveys and so forth. 2. The Gen-Y gauntlet: Ã¢â¬ËChallenge me; Develop me; Pay meÃ¢â¬â¢ All over the world, and particularly in demographically youthful nations like India, the workforce has come to share certain normal highlights: youthful age, elevated levels of insight just as training, an open to childhood, exceptionally high optimistic levels and high versatility ( physical as well as enthusiastic). Coupled these with a relative lack of concern towards chain of importance, administration, titles and rewards and the HR chief has a genuine maintenance and inspiration issue within reach as these youngsters are extraordinary. Their inspiration, their specialized modernity, and their interest for regard and duty are leaving many organization administrators to ponder: Ã¢â¬Å"What would it be advisable for us to do with Generation Y? ItÃ¢â¬â¢s clear that tackling the intensity of these youngsters is an issue numerous organizations have begun to address. Age Y is inventive and innovative. They try to have any kind of effect and need to deliver something beneficial. Organizations that donÃ¢â¬â¢t figure out how to outfit that vitality rapidly are likely going to miss out. Age Y is likewise eager; they anticipate speed and change and wonÃ¢â¬â¢t endure circumstances that donÃ¢â¬â¢t sound good to them. Innovation headways are to some extent answerable for the generationÃ¢â¬â¢s need to keep moving. This age is associated every minute of every day. Their rich, fretful style might be baffling to more established administrators who excuse Generation Y as unpracticed. At work, Generation Y flourishes with adaptability, having space to investigate, and the chance to seek after new difficulties. They hope to be regarded for their thoughts and bits of knowledge from Day One, and they think acknowledgment and corporate governmental issues are an exercise in futility. TheyÃ¢â¬â¢d additionally prefer to remain with one organization Ã¢â¬ if that organization of
Posted by Israel Lemon at 1:01 PM
Tuesday, June 30, 2020
For many years, a score of 700 on the GMAT represented the threshold that aspiring MBAs targeted to be competitive applicants to business school. This score served as the proverbial goal post for many applicants seeking admission to top programs, as well as a way to better position themselves for post-MBA employment opportunities in feeder industries like consulting and investment banking. As applicationsÃ to top MBA programs around the world have become increasingly more competitive, standards for admission have also risen, with the brunt of this competitionÃ being felt through rising GMAT scores. Over the last five years, top programs like Stanford, Kellogg, and Wharton have reported record GMAT scores, with some programs even experiencing double-digit growth in a single year. This GMAT arms race from top business schoolsÃ has accentuated the race for top talent that is currently underway in the competitive world of business school admissions GMAT scores play a huge role in MBA rankings, which probably is the driving force behind this trend. As this paradigm shifts, applicants must shift their expectations, as well. For many of the top programs, the former targetÃ score of a 700 is now almost 30 points lower than the averageÃ GMAT score of these same schools today a change that has occurred in less than ten years. The GMAT remains just one piece of the admissions puzzle, albeit an important one, with other aspects of an applicants profile holding considerable weight, as well. As such, it would be wise for aspiring MBAs to align their expectations with the new GMAT world order. Keep in mind that when it comes to GMAT averages, some people will score below the average and some will score above the average for each school, so there is certainly wiggle room hereÃ (in fact, most top programs still have 80% ranges that include the old 700 benchmark). As you create your target school list, make sure you are identifying programs that not only align with your development needs, but also match up with your candidate data points. Applying to business school? Call us at 1-800-925-7737 and speak with an MBA admissions expert today, or take our free MBA Admissions Profile EvaluationÃ for personalized advice for your unique application situation! As always, be sure to find us onÃ Facebook,Ã YouTube,Ã Google+Ã and Twitter. Dozie A.Ã is a Veritas Prep Head Consultant for the Kellogg School of Management at Northwestern University. His specialties include consulting, marketing, and low GPA/GMAT applicants. You can read more articles by himÃ here.
Posted by Israel Lemon at 4:02 PM
Tuesday, May 26, 2020
Worldwide, forty-eight million people have been diagnosed with Alzheimers, a chronic neurodegenerative disease, resulting in 1.9 million deaths just in the year 2015. (Khyade, Khyade, Jagtap, 2016) There are medications that reduce symptoms for some patients, but these medications only work for a short-term period of time, at which point the patient reverts to the cognitive level they would currently be at had they never taken the medication and there are no medications that reduce the risk of getting the disease. There is no cure for Alzheimers. Ultimately, everyone with the disease requires round the clock care at some point, but there are limited options, which forces families into crisis as the disease progresses. It is for this reason that I chose to do my research project and job shadowing on the population of Alzheimers patients in long-term skilled nursing care. The term Alzheimers disease originated in 1906, when psychiatrist and neurologist, Dr. Alois Alzheimer, met Auguste Deter, a fifty-one year old woman suffering from an unknown mental illness causing unusual behaviors and increasing short-term memory loss. Her condition became his obsession. Following her death, he performed a brain autopsy and discovered a shrunken cortex, clumps, now know as amyloid plaques, and tangles of fibers, now known as neurofibrillary tangles, in her brain tissue. These conditions were distinctive enough to diagnose a new form of dementia, which became known as Alzheimers disease. During the next five years, eleven similar cases were reported in medical literature, interchangeably using the term pre-senile dementia, a subtype of senile dementia due to the age of the patients. (Khyade, Khyade, Jagtap, 2016) Studies later concluded that pre-senile and senile dementia were the same, differentiating the diagnosis of Alzheimers disease and recognizing that age did not play a part in the diagnosis. This early version of the disease is now called early on-set and affects patients under the age of sixty-five. Eventually, Alzheimers disease became a blanket term to describe people of all ages exhibiting the same symptom patter, disease course and neuropathology. Alzheimers is one of the most expensive diseases in the United States. There are currently more than five million Americans with Alzheimers disease, absorbing twenty percent of all Medicare costs. The annual cost of caring for Alzheimers disease varies from $42,049 for institutionalized patients to $12,572 for patients living in the community, (Dharmarajan, 2009) not including the lost wages of a caregiver. On average, the cost of care is $330,000 in a patients lifetime. As the baby boomers age, it is anticipated that the rate of diagnosed seniors will grow dramatically, causing a very large social problem and economic burden. There are some medications on the market that have shown symptomatic benefit, and ultimately, any reduction of behavioral disturbance and cognitive decline reduces the needs of a caregiver, showing and economic benefits, but research is still under-funded and limited. Today, Alzheimers is a primary topic of biomedical research. The cause and cure for the disease remains unknown. Because no sample from any given case study is the same, results have varied widely and made it difficult to come to a resolution. The Alzheimers Disease Neuroimaging Initiative was collaborated in 2003 to share data across the world. This data includes brain imaging, clinical, cognitive and genetic data and is available for physicians and researchers to immediately access, strategically utilizing research funding by limiting duplication of studies. Alzheimers is normally diagnosed through the amalgamation persons medical history, narrative history from caregivers, and behavioral observation. In general, the symptoms of Alzheimers disease include progressive memory loss, increased difficulty concentrating, a steady decrease in problem-solving skills and judgment capability, confusion, hallucinations and delusions, altered sensations or perceptions, impaired recognition of everyday objects and familiar people, altered sleep patterns, motor system impairment, inability to maintain activities of daily living, agitation, anxiety, and depression. Ultimately, the dementia sufferer enters a complete vegetative state prior to death. (Martin, 2018) No brain scan, blood test or physical test alone can definitely diagnose the disease. A neuropsychological test is administered to determine what areas of cognitive function are impaired and what areas remain intact. Because patients often underreport or go to great lengths to conceal symptoms, the diagnosis is typically made over a minimum of sixth months to confirm to the physician that the condition is progressive. A brain scan using computed tomography (CT scans) or magnetic resonance imaging (MRI) is typically performed to rule out conditions that may mimic Alzheimers and they may also show loss of brain mass and atrophy of the hippocampus, which are telltale signs of the disease. Diagnosis is made by symptoms and it is only through autopsy that a definitive diagnosis is made. (Martin, 2018) Fortunately, diagnostic technology is continuously improving, making the tricky task of diagnosing the disease more feasible. There are many factors that play a role in the maintenance of Alzheimers, however, the life expectancy remains between three and nine years after diagnosis. Acetylcholinesterase inhibitors have shown effectiveness in temporarily slowing the progression of the disease. (Martone Piotrowski, 2013) While they may temporarily slow symptoms, they become ineffective and the body rapidly displays symptoms that would have been shown had the patient never taken the medication. Because the brain may become inflamed, non-steroidal anti-inflammatory drugs may also improve symptoms. The treatment for Alzheimers remains primarily palliative through exercise, diet, engaging activity, cognitive therapy and surrounding the patient with familiar items to reduce distress. Different factors will determine which care options are pursued for a loved on with Alzheimers disease. In the early stages of the disease, families often choose to provide home care through minimal safety adjustments so that their loved one can maintain as much independence as possible. When is becomes unsafe for the patient to be alone, home care can be supplemented with home health aides, companion services or adult day centers. Adult Day centers offer structured to socialize the patient and most also offer meals and transportation to relieve some of the care burden. Assisted living is a good fit for those that need assistance with daily living activities, socialization and minimal medical management. Caregiver guilt and crisis play a key role in making the change to a higher level of care. Who would you call when your loved one elopes from home while you are at work? For many, the answer is 9-1-1, but the fact is that they cannot hold your loved one in the hospital simply because they are an elopement risk. Most cannot take indefinite time off of work to provide care for they loved one, so they turn secure memory care units. Special memory care units offer staff that has received specialized training in caring for those with cognitive impairment, activity programming, and extra safety measures such as secured exits. Unfortunately, even specialized care units have limitations such as inability to care for those with dementia with lewy bodies and behaviors such as chronic agitation and aggression. It is typical for a patient to move from the secure unity into traditional long-term, skilled care once they become physically unable to elope. During my job shadowing experience, I was able to see first-hand the duties of the Memory Care Facilitator, Lisa Peasley. I was able to sit in on assessments of patients cognitive level of function, which gave me insight on the progression of the disease. I was also able to observe and practice taking notes on patient behaviors and family interactions. These notes are used to track abnormalities in the patients behaviors. The activity I felt was most significant during my research hours was attending care-plan meetings with the medical staff and family. It was following one of these meetings that I was able to interview the Cheryl Martin, daughter of patient, Betty Hamilton. Betty has been a resident of Beech Grove Meadows for six years and her daughter is still struggling to accept the progression of the disease and the care recommendations of the clinical team. Lisa was able to counsel her on local support groups to cope with the changes as well as provide insight as to why each r ecommendation was made in relation to an event that had taken place with her mother. As a whole, it seemed to me that American Senior Communities is dedicated to progressive memory care. Their Augustes Cottage model exhibits many care aspects that are unique and designed to promote the comfort and interaction of each patient as well as give staff and families a comprehensive understand of where the patient is staged in the progression to queue care-giving needs. Staff education leaves a lot to be desired. The staff was not shy in expressing their frustration that the promised training upon hire would take place anywhere form six to nine months after working with patients. There was also a lot of friction between the memory care unit and they rest of the skilled care unit; they seemed like two separate entities rather than one cohesive continuum of care. The staff member in charge of occupancy was overly pressured to maintain a full unit, despite the need for some patients to seek psychiatric care or progress to long term care, which caused friction with the Memory Ca re Facilitator who felt her staff could not meet the needs of some of the patients. Resources for activities are limited and upkeep of the physical unit did not seem to be a priority, which left me with several safety concerns. This shadowing experience opened my eyes to the social stigma surrounding Alzheimers disease. I was disgusted and saddened by some of my observations. Staff members called patients exhibiting abnormal behavior crazy and family and friends became distant from their loved ones because they did not know how to properly respond to changes in personality and behavior. I would like to believe that providers offering memory care have the best of intentions, but the care offered leaves much to be desired. Each family and patient has a unique story and set of needs and it is important to approach them as so, rather they expecting them to fit a mold. The care of patients with Alzheimers is always evolving and education is key. Most importantly, through this Human Services journey, I learned that honesty and genuine apology go a long way. The need for competent Alzheimers care is in high demand in my community. Hospitals are overrun with patients needing placement in a secure unit for safety, but many cannot afford private pay, and there are many hoops to jump through in order to obtain insurance coverage and guardianship. For a person in crisis, there isnt enough time to meet all of the requirements, and the hospitals are pressured to discharge them due to cost, which can result in catastrophe if a patient is sent home to unsafe circumstances. I learned that there are care gaps, but most of them involve financial burden, which no one wants to assume and this issue is only going to increase as the baby boomers come of age. Alzheimers and other dementias are the top cause for disabilities later in life and each individual leaves loved ones affected by the disease progression. With no cure in sight, this means that the likelihood of a Human Services professional encountering the disease or someone coping with a loved ones diagnosis in a professional setting will increase monumentally in years to come. It is important to be aware and educated on the subject so we may best serve our communities.
Posted by Israel Lemon at 11:53 PM