Thursday, February 13, 2020

What Intergenerational Communicationand Aging means for my own life, Essay

What Intergenerational Communicationand Aging means for my own life, now, and in the future - Essay Example h this course and analyzing related materials, I learned the importance of changing mindsets and communication and relationship goals, so that I can treat and interact with the elderly with respect and recognize and respond to their needs for autonomy and social support, and so that I can pursue a model for successful aging that balances physical and psychological needs and aspirations. Through Comm 119 lectures and various other reading materials, as well as my analysis of my own interactions with the elderly, I realized that social stereotypes about aging and the elderly contribute to the self-fulfilling prophesy of these ageist stereotypes. Cuddy and Fiske (2002) described the various stereotypes of older people that I also practiced in the past, including the grandmotherly and severely impaired stereotypes. I am quite ashamed that I thought that older adults are like babies by focusing on their childish behavior, such as being hard-headed when instructing them to follow proper nutrition practices. I realize now that they are childish (if they are) because of how society treats them. In one of our lectures, the Dallas Morning News (2002) reported that people’s attitudes, and not aging per se, present obstacles to feeling fulfilled during old age (as cited in Giles, 2014a). I agree because I also had the mindset that the elderly, though not all, are the on es making health and social problems by being aggressive in opposing lifestyle or emotional and attitudinal changes that can improve health and social conditions. I would say: â€Å"They can be so hard-headed because they are already old.† By saying this, I frame aging in terms of blaming older people of their health and social issues and aging as the worst phase of mental and psychological development. This kind of framing under-analyzes the needs and goals of the elderly and perpetuates ageism. Besides personal ageist stereotypes, I learned about social institutions that promote ageism and that I must

Saturday, February 1, 2020

Patient care in inadvertent hypothermia Assignment

Patient care in inadvertent hypothermia - Assignment Example Perioperative hypothermia had a potential for morbidity and mortality. The patients who had perioperative hypothermia had a chance for surgical site infections especially in patients with colorectal surgery (Hart et al, 2011). The guidelines of Surgical Care Improvement Project encouraged the decrease in incidence of this illness. Human beings required internal body temperatures to be constant for the multiple organs to function optimally. The situation changed when the patient entered the operation theatre. The temperatures of the operation rooms were kept below 230C. Almost all the surgeries required this temperature for maintenance of normothermia for the reason that the operation theatre staff found the temperature for normothermia slightly warm for work. This caused the maintenance of lower temperatures in the theatre. Actual heat loss was governed by room temperature as the temperature gradient determined the heat loss. Surgeons and other staff could not withstand the warmth be cause of the stress of surgery and the layers of clothing they wore and the lead aprons. Prevention of perspiration was essential to avoid the problem of sweat polluting the surgical site. Staff could generally become lethargic with the higher room temperature hindering their vigilance which was critical in the operation theatre. However patients commented about the cold room. Inadvertent hypothermia is the aspect of care that has been selected by this researcher for study. Information on the issue of hypothermia was gathered from review of literature beginning with the study by Hart et al (2011). The review of literature provided plenty of basic information that could help readers to understand this topic of management of inadvertent hypothermia better. This researcher has carefully selected articles most recently published from the Pubmed Central site. Analysis of current evidence base Perioperative hypothermia Perioperative hypothermia of below 360C was experienced by 20% of pati ents (Kurz, 2008). Anaesthesia rendered a patient devoid of many defensive mechanisms for becoming warmer in the instance of hypothermia. Behavioural modification was eliminated so that patients became colder. Thermoregulatory mechanisms did not function so unwarmed patients became hypothermic. Perioperative hypothermia produced adverse effects like elevated loss of blood during surgery, a higher rate by 20% of allogeneic transfusions and an increase of surgical site infections by three times (Hart et al, 2011). Prevention of hypothermia had guidelines instituted by the Surgical Care Improvement Project (SCIP) for operative and post-operative patients. Perioperative normothermia was to be maintained by warming devices. Staff providing the warming support was to be knowledgeable about the mechanisms of temperature regulation, perioperative hypothermia and the methods to prevent or manage hypothermia. Temperature monitoring Temperature monitoring became an essential component of perio perative care. Oral temperature measurement was the best technique according to the American Society of Perianesthesia Nurses (ASPAN). The same method of measurement needed to be maintained throughout perianaesthesia (Hart et al, 2011). The temperature at the depth of the thoracic, abdominal and central nervous systems was the core temperature. It was more consistently controlled and was 2-40C higher than skin temperature. The measurement was made at the distal end of the oesophagus, from a bladder with good urine flow, the nasopharynx and the pulmonary artery in general anaesthesia patients. The core temperature was the most reliable indicator of the thermal status (Sessler, 2008). Near-core temperatures were taken from the axillary area, rectum, bladder with low urinary flow and