Case Management Plan (Nursing) Essay Example | Topics and Well Written Essays - 2500 words

Case Management Plan (Nursing) - Essay Example Case as an organizer of care delivery and research has been commonly used in practice settings, and this is often person centred. This is one systematic approach to the presently advocated holistic paradigm of nursing care. Before going to present the assessment, analysis, and care plan based on the case management approach, it is important to know why it is important. The idea is to improve the ability of the health care systems to respond efficiently to the demands or needs of the older people like Mrs. Chang. It has greater implications than are apparent. Studies have indicated that most elderly people despite considerable debility prefer to stay at home, while the models of cost-effective care are shortening the lengths of hospital stay. Care in the community has, thus, gained significant importance. Case management approach may be the first step towards successfully achieving this (Brown et al., 2005, 1-32). Mrs. Chang is an elderly woman with 82 years of age with late stage parkinsonism. She is thin and frail. On the baseline, she has late stage parkinsonism, although the exact clinical features are not highlighted in this case study. This condition is characterized by gradual slowing of voluntary movement, muscular rigidity, stooped posture, and distinctive rigid gait. Over and above that, she has evidence of rheumatoid arthritis of both hands. As indicated in the history, she tripped and fell in the bathroom; this impairment of mobility may get accentuated with her rheumatic disease. Although not highlighted in the case history, a thorough examination of all her joints is mandatory to indicate the status of age-related osteoporosis and osteoarthritis, which would further aggravate her problem of mobility. During this admission, she was admitted since she sustained a fall at home in the bathroom, and she has been admitted to the hospital for observation and further evaluation. Her cur rent medications have not been mentioned, but she has been on ibuprofen. This indicates her baseline chronic pain, which may further compromise her mobility. The impaired mobility is further accentuated by the fact that at home, she stays with her husband who is older than her by 4 years, who himself may be frail enough to be insufficient to help her out in these activities at home. The patient will express feelings of increased comfort, decreased pain and will be able to perform activities of daily living within the confines of the disease and will maintain joint mobility and range of motion while exhibiting adaptive coping behaviour. Improvement in muscle strength and endurance would be the goal (Burgess-Limerick, 2003, 143-148). An impaired nervous system can manifest in many ways, from subtle weakness to drastic loss of

Globalization and the Society Essay Example | Topics and Well Written Essays - 1250 words

Globalization and the Society - Essay Example (Pros and Cons of Globalization, 2012) Most of the time globalization is used to refer to a particular specific aspect- economic integration throughout the world. This essay will examine the term of globalization, how it has been achieved, what benefits and drawbacks it brings to peoples’ daily life. Based on these facts and arguments, this essay will finally consider from different points of view whether globalization is good for society or not. Globalization began along with the time of the industrial age. Industries produced goods in a mass quantity without any specific market orientation; therefore they started to sell products across the board. Export became more efficient for business, so they wanted to replace production to a place with more affordable labor and cheaper production cost. Thus, replacing production location allows businesses to produce more at a cheaper price in a market where demand is higher. Free Trade Agreement allows free moving to industries among d ifferent countries; therefore it brings welfare to all countries for several reasons. First of all, globalization provides an opportunity for finance. Before globalization, businesses were limited only to domestic sources of finance from investors. But today, countries become closer therefore limitations on finance sources fall. In a global economy, entrepreneurs have an opportunity to gain investment form any country. For example, a company based in Mexico, can easily get investments from the US, Canada, Europe or Asia. This practice is becoming more common globally. This opportunity is available not only for developed countries, but also for developing countries. For example, African countries can gain funds form countless international sources like Kiva International, an organization that provides funding to poorest, allowing them to turn ideas into businesses (Faiola, 2009). Economic integration with foreign countries makes economic growth more constant and faster than those cou ntries that try to dissociate itself from all. China is a great illustration of international integration. To become a globally active nation, China has broken traditional principles of being individual and ignoring other countries. As a result, it could not be unnoticed that China is the fastest growing nation in the world nowadays. According to statistics, an open economy has a rate of growth of 2.5% higher than in a closed economy due to the process of globalization (Dreher, 2006). An open economy in this case has been achievable due to the globalization process that has taken place around the world allowing for different countries to financially interact with one another for mutual benefit. Business across the borders has proven to be a sustainable practice that allows the countries that practice to access markets that would have previously been inaccessible due to their location (Vujakovic, 2010). The open market has served to increase the financial wealth of a country as it ha s provided more opportunities to conduct business besides the local industries that are available. Globalization has enhanced the relationships that exist between countries thanks to their interaction with one another that has allowed them to get along and in the process reducing the prospect of war between countries (Scholte, 2005). Globalization has enhanced the bonds that exist between countries as they work together to enhance their financial and political strength meaning that there is little opportunity for them to come up with reasons for disagreements as they are in the process of working together for the common good of both of their nations. Improved relationships