Essay about Falls and their Impact on the Elder Population

-Introduction: Aging affects the musculoskeletal , respiratory, cardiovascular, and nervous systems, as well as posture and gait, which all lead to a decrease in activities of daily living, fitness ability, and falls (Nitz hourigan, 2004).Falls may have significant devastating effects on the elderly population including pain, reduced confidence to return to normal mobility, becoming dependant on relatives and other people, premature transition to care homes, and most importantly injuries (NICE guideline, 2004) .The World Health Organisation (2012) reported falls as being the 2nd main cause of unintentional injury leading to death. In the UK falls are likely to increase as the population are expected to live longer. The number of†¦show more content†¦Different studies have classified the risk factors into different categories. Most of them classified the reason for elderly persons to fall into intrinsic factors which are factors related to age and extrinsic factors also known as environmental factors. It’s possible to reduce or remove some risk factors, which are often called modifiable risk factors. -Modifiable risk factors: A systematic review and meta-analysis conducted by Moreland, Richardson, Goldsmith, Clase,(2004) to investigate Muscle Weakness and Falls in Older Adults, looked at studies between the period of January 1985 to March 2002. Thirty studies were selected using strict criteria (follow up is over one year, and is sufficiently complete, making sure that reliable assessment tools were used, and evaluators were blinded).They found that muscle weakness , specially the lower extremity is a modifiable risk factor and a statistically significant risk factor for falls. People’s homes could be the cause sometimes and a contributing factor towards falls Lord, Sherrington, Menz, Close, (2007) have referred to it as an environmental risk area for falls, although they have included not only patient’s homes but also the outdoors. Some of the factors they included indoors were slippery surfaces and floors, little rugs, inappropriate chair and bed heights, foot wear and clothing, lack of h and rails for stairsShow MoreRelatedIsolation : A Strong Link On Social Relationships And Health848 Words   |  4 PagesResearch indicates the effects of isolation exhibit a strong link concerning social relationships and health in the general population. One particular article demonstrates the impact of isolation using as an example the captor and captive relationship. Under this scenario, the captor uses isolation techniques as a form of torture in their attempt to extract vital information. 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Unique Challenges of International Staffing Free Essays

HR managers are responsible for staffing operations globally. There are three main ways of staffing internationally. First, the company can send people from its home country. We will write a custom essay sample on Unique Challenges of International Staffing or any similar topic only for you Order Now These employees are often referred to as expatriates, or home-country nationals. Second, it can hire host-country nationals, natives of the host country, to do the managing. Third, it can hire third-country nationals, natives of a country other than the home country or the host country. Expatriates cost companies, on average, $1 million over a three year period. This can be three to five times what a domestic assignment cost. This is very costly for the company and a disadvantage for a company. There has been a trend with companies in the recent years to send expatriates for only two – twelve months. There are three main advantages to this: 1. Hiring local citizens is generally less costly than relocating expatriates. 2. Since local governments usually want good jobs for their citizens, foreign employers may be required to hire locally. 3. Most customers want to do business with companies (and people) they perceive to be local versus foreign. HR departments must also be aware of cultural, political, and legal environments when recruiting internationally. Also, HR manager’s need to make sure that work permits and visas are applied for early in the relocation process. There are so many aspects of hiring abroad that it is nearly impossible to be perfect at making all the arrangements, especially the language barrier to overcome. Also, finding ones with core skills for the assignments is very hard. Training ones to have these skills can take a longer time than it should at times. Hiring local citizens with certain qualifications could be very difficult especially if it is in a poor country that is not used to working with certain qualifications. How to cite Unique Challenges of International Staffing, Papers

Poem Analysis of Lady Lazarus by Sylvia Plath Essay Example For Students

Poem Analysis of Lady Lazarus by Sylvia Plath Essay Poem Analysis: Lady Lazarus In American culture, suicide is considered to be one of the darkest taboos. It has the particular quality of being equally gripping and repulsive. Although suicide is seen as overtly morbid, gruesome and disturbing, it has made many people famous. Sylvia Plath, the illustrious 20th century poetess, is one of them. Sylvia Plath was born on October 27th, 1932 of two parents in a middleclass household in Boston. At a very young age, she demonstrated great literary talent and a hardworking attitude, publishing her first poem at the age of eight and maintaining a straight A record throughout all of her studies. A few days after she turned eight, her father deceased of diabetes. This event in her life is what most specialists believe to have triggered her depressive tendencies. It has also been known to have caused the poet to hate her father for the pain his death inflicted on her. Twenty-year-old Plath committed her first near-successful suicide attempt after a whole month of not being able to sleep, write or eat properly. She recovered from her nervous breakdown and met her to-be husband, renowned poet Ted Hughes, three years later. However, after having their first child, their relationship started to go stale, and finally adultery on both their parts caused their painful separation. Soon enough, Sylvia returned to her old suicidal habits. During this feverish period of her life, Lady Lazarus and other poems of that genre were written. Lady Lazarus conveys a message about her own life, obsessions, weaknesses, and feelings. In recording her previous suicide attempts, she makes comparisons that are not always obvious to decipher or to understand without the right background information. The poem serves as a metaphor that retains a morbid sensation through its description of the author’s psychological journey. This poem has always fascinated me in terms of the figurative language and the ever-precise vocabulary that is used. In light of her suicidal tendencies, while gathering the information necessary and using a decorticating method, I believe to have been able to make an estimated guess of the message Sylvia Plath intended to render when writing this poem. Take note that the entire Lady Lazarus poem can be found at the end of this essay. Upon reading the title, a first impression is made. Plath creatively uses biblical allusion to connect the title of her poem, Lady Lazarus, to the book of Johns Lazarus of Bethany. As Lazarus was resurrected from the dead, so is Plath, or Lady Lazarus, reincarnated after each suicide attempt. There is also a hint of her feministic side present in lady, a word that projects an image of a powerful woman. I have done it again. One year in every ten I manage it— This first stanza acts as an introduction to the poem. It introduces the idea of suicide and death. The first verse demonstrates this. I have done it again could be translated as I have tried to kill myself again. When Plath declares One year in every ten / I manage it, she refers to the equal repartition of her near-death experiences, one per decade and one being premeditated at this stage. She specifies these later on in the poem. A sort of walking miracle, my skin Bright as a Nazi lampshade, My right foot A paperweight, My face a featureless, fine Jew linen. For the tim es when Plath was resurrected from the dead, she refers to herself as A sort of walking miracle, which reflects the meaning of the title; Lady Lazarus is miraculously raised from the dead. She then uses the gritty and powerful comparison Bright as a Nazi lampshade to describe her skin, which designates the suicidal tyrant that lives within her, and ends up contrasting this image with the softer more subdued metaphor, a featureless, fine / Jew linen, to depict her face, which is the victim in a state of deterioration and weakness. These references to the holocaust are her way to demonstrate how she imposes, like the Nazis, her will to commit suicide on her body, which withers beneath her willpower, like the Jews. She is two different personas in this poem: the Nazis and the Jews, the strong and the weak. Between these comparisons, there are the subtle verses, My right foot / A paperweight, which are rather ambiguous. They might mean that she cannot escape these archetypes that live in her given that she feels as if she were nailed to the ground, too heavy to move or act against these. Moreover, I noticed that these objects to which she compares herself may as well be things that were on her desk or within her eyesight when she wrote this: a lampshade, a paperweight, linen clothing. Peel off the napkin O my enemy. Do I terrify? — The nose, the eye pits, the full set of teeth? The sour breath Will vanish in a day. These stanzas mark the beginning of the crude sarcasm the author uses throughout Lady Lazarus. Plath dares her enemy to Peel off the napkin. Although she is speaking to one distinct person in the poem, this is an invitation to everyone who wants to observe her with all the awe and disgust this performance inspires. She does, though, mention later that there is a charge to watch her, as if she were a freak show. To the enemy and to those who are willing to watch, she asks the rhetorical question, Do I terrify? We know as the reader, the audience, that the answer is yes. Most of us are terrified by such a sight, by suicide. She also wants us to look at her face especially, which she had characterized as the victim earlier: The nose, the eye pits, the full set of teeth? The speaker’s appearance is infallible evidence to her condition; death emanates from her face and bears a certain walking dead quality. Although her face is now wan and drained, she is not beaten yet. In the last two verses, she reassures us derisively that she can get over that within a day, restoring her original beauty, strength and healthy state of mind. Soon, soon the flesh The grave cave ate will be At home on me Online Dating : A Way Of Life For Millions Of People Around The World examples EssayIt really goes. As she is resurrected, the crowd is in awe and entertained but completely indifferent to the fact that she is alive still. Theyre watching a magic trick being performed: A miracle! They are amused by the fact that death nearly took her from them. She is a martyr, unattainable and expensive as she needs to charge them For the hearing of heart or her naked psyche. This kind of business really goes, says the author. Plath, here, makes a connection to the fact that the holocaust business has become a highly profitable entertainment industry over the years. And there is a charge, a very large charge For a word or a touch Or a bit of blood Or a piece of my hair or my clothes. So, so, Herr Doktor. So, Herr Enemy. In these stanzas, Plath portrays herself as a parody while the people treat her as if she were a martyr, like Jesus or such personages. This unserious depiction is found in the following sardonic verses: And there is a charge, a very large charge / For a word or a touch / Or a bit of blood // Or a piece of my hair or my clothes. They very crudely ridicule the commercialization of Jesus, religious entities and even the holocaust, as I mentioned. Subsequently, there are other holocaust-related elements, such as the usage of German terms, Herr and Doktor, which mean mister and doctor respectively. She turns away from the audience to address a single person, the Nazi Doktor, which turns out to be the enemy from the beginning of the poem. She taunts and pokes fun at him using mock movie talk. The enemy, thus far unspecified, is either a German male figure of authority, a scholar like Otto Plath, her father, who thinks of the speaker as his pure gold baby or she may simply be referring to doctors in general who keep reviving her after each fruitless attempt. I am your opus, I am your valuable, The pure gold baby That melts to a shriek. I turn and burn. Do not think I underestimate your great concern. Still addressing herself to the Doktor, she is defining what she represents for him. Otto Plath may be whom she’s talking to, as she says she is his valuable, / The pure gold baby. Or yet still, the typical doctor may see he r as an opportunity to receive gratitude, to become locally famous, or to do a good deed in bringing her back to life. In her ironically pretentious way, the image Plath creates of herself is overblown as usual. Whether she is the daughter or the patient, she is either one’s masterpiece, an opus, a pure gold baby, and this exhausts her to a point where she melts to a shriek, turn and burn. Finally, with more diplomacy, she reassures him that she knows he’s trying to do what he thinks is best for her: Do not think I underestimate your great concern. However, this polite impression fails when we take into consideration the sarcastic tone behind it. In reality, she does not want anyone to save her or to have pity on her. Ash, ash— You poke and stir. Flesh, bone, there is nothing there— A cake of soap, A wedding ring, A gold filling. In this passage, she is growing vengeful as her tone becomes grittier. Plath is revolted by her own dehumanization and she would love to triumph over the enemy after she dies. She has burnt and reduced herself to ashes and nothingness in the first stanza shown here. This may allude to the use of an oven perhaps, as this would hint to the method by which she would try to kill herself in the future. Although nothing much remains of her at this point, she knows the enemy will be profiting from her death. She expresses this as if she were going to be made into merchandise, which once again efers to the Nazis, who manufactured their victims’ hair, skin, bones, rings and fillings. Historians are not certain that Nazis made cakes of soap with them, but they did, however, make wedding rings and gold fillings. Herr God, Herr Lucifer Beware Beware. Out of the ash I rise with my red hair And I eat men like air. In an access of anger and grandiosity, she warns the great powers from above and below: Herr God, Herr Lucifer / Beware / Beware. Additionally, she acknowledges no power greater than herself, as Plath accomplishes her own resurrection, unlike the biblical miracle of Lazarus of Bethany. We can clearly see how she grows stronger by the end of the poem as she rises Out of the ash like a phoenix with red hair. Finally, with her concluding and blatantly feministic verse, I eat men like air, she declares that she has defeated all her enemies, all the men in her life: the doctors who kept reviving her, the businessmen who sold her body to the crowd, and perhaps her father. In concluding this poem, Sylvia Plath finally has triumphed as her own puppet and puppet master. On February 11th, 1963, a few months after having written Lady Lazarus, Sylvia Plath committed suicide successfully by inhaling the gas from her stove. In the process, she immortalized herself and became extremely popular after her death with her collection of poetry Ariel, which was written within the last few months of her life and published two years after her death. The famous poem Lady Lazarus, that had made a valid prediction of her destiny, can be found in this collection. Although she was never truly acclaimed as a writer during her lifetime, her much-anticipated compilation of poetry, Collected Poems, was finally released in 1981 and in 1982 won a rarely posthumously-awarded Pulitzer

Knights of Forty Islands. Boy and the Darkness. Lord from the planet Earth Review Essay Example

Knights of Forty Islands. Boy and the Darkness. Lord from the planet Earth Review Paper Essay on Knights of Forty Islands. Boy and the Darkness. Lord from the planet Earth For each of the books in this collection is necessary to speak separately! Each of them in their genius! Start with (in my opinion) the best product Lukyanenko Knights of forty islands. Foreword to the book is the statement of one of the writer (the name can not remember): Adults always killed the adults, children always killed adults happened that adults killed children, but the children never killed children, they have not gone mad! narrated on behalf of the boy. He enters the world inhabited by the same children. This world is an archipelago composed of forty small islands. On each island the children live! All of them are participants of the terrible game victory in which promises to return home! The game has only one rule you want to win kill! I admit that in the last pages I always weep! The book is written in a unique style Lukyanenko, behind the screen of a fantastic story hiding acute social problems! I recommend to read ALL! Its no secret that this affair has brought the author fame! We will write a custom essay sample on Knights of Forty Islands. Boy and the Darkness. Lord from the planet Earth Review specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Knights of Forty Islands. Boy and the Darkness. Lord from the planet Earth Review specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Knights of Forty Islands. Boy and the Darkness. Lord from the planet Earth Review specifically for you FOR ONLY $16.38 $13.9/page Hire Writer The Boy and the Darkness, a novel that is not always true enemy is visible at once, and this other not so easy to find, and even harder to keep! Lord from the planet earth Here everything is easy! Nice to read a novel (space opera as the author calls it) in three acts! The plot is standard for this genre (prostoyparen-love-devushkainoplanetyanka-stranstviyavdrugiemiry-villain pobedanadzlodeem-torzhestvodobra). By reading recommend, but do not decide that all the books written by the author as well! This is clearly not the most powerful of his work, but you can read at your leisure!

Take Off That Mask Essays - English-language Films, Boxing Films

Take Off That Mask Essays - English-language Films, Boxing Films Take Off That Mask Take Off That Mask As sad as it seem first impressions often dictate the way people feel about one another. In most cases the way a person looks doesnt at all reflect on their personality. This stigma of the way a person looks goes far beyond being pretty and ugly. All to often people are assumed mentally retarded because of a facial deformity when in fact that person is as able or in many cases more then able to perform and task they are asked to perform. Ironically in this modern society where such stigmas exist, some movies are able change our thinking if not remove the stigmas altogether. The film Mask is a perfect example. This movie shows the stigmas for what they are and at the same time changes our impression of facial deformity. This movie enables anyone who views it look at a person and see them for who they are and not what they look like. The film Mask we see the story of Rocky Denis, played by Eric Stoltz, is a teenage boy dealing with the effects of craniodiaphyseal dysplasia. Craniodiaphyseal Dysplasia also known as Lionitis, is a life shortening disease that causes calcium to accumulate in the skull. The calcium make the head grow to twice the normal size. Rocky obviously does not look like the average teenager. This is an observation we can see right away. Outside of the way Rocky looks his lifestyle is also slightly different from most teens. His mother Rusty, played by Cher, is affiliated with a gang of bikers. She drinks and uses drugs, and although she seems to try and hide these things from Rocky he is well aware of what his mother is doing. The movie is quick to bring some of the stigmas about Rockys disorder to our attention. In two scenes we see how people outside of Rockys immediate family treat his disorder. First we see how the principal of the local public junior high school views Rocky. He tells Rocky and Rusty that, There are special schools for children like Rocky, the principal upon looking at Rocky immediately thinks he is mentally retarded. Rusty shows him this is far from the truth by giving the principal his grades from lower levels of schooling. She then threatens to sue the school if he does not enroll Rocky. Rocky shows the principal a thing or two when he goes on to graduate with awards for excellence in almost every academic subject. The principal also shows Rocky a little surprise when he offers him a job at a summer camp for blind children. The second scene is particularly disturbing because it takes place in a hospital. In this scene a doctor that is not familiar with Rockys case tries to explain to Rocky and Rusty the unfortunate truth of his life expectancy. Rocky and Rusty deal with the situation by pretty much brushing off everything the young doctor says. The reason this scene is disturbing is because the doctor inadvertently makes himself no better then a common person misjudging Rocky. The one place you would think Rocky can be free from these stigmas seems to be worse then the outside world when a doctor gives off the emotions of a person seeing Rocky for the first time. The film again captures the view of Rockys face and the first impression people have when Rocky goes to his first day of school. At the junior high school the students see him and make their impression and Rocky carries on as he always has. The students seem to overlook the fact that a biker from the gang dropped Rocky off at the school. In most junior high schools a student that is dropped off by a biker would get the full attention of bystanders. In this case all they notice is Rockys facial deformity. As time passes the students like the principal accept Rocky for who he is. The acceptance of who he is is a very important theme that constantly comes up in the movie. At one point Rocky gets in an argument with his mother in which he asks her Dont you get it, its girls?

Civil Service Essay Example | Topics and Well Written Essays - 500 words

Civil Service - Essay Example From this study it is clear that   there are people who are dedicated enough to work tirelessly without thinking of the appreciation and rewards coming their way. Indeed such federal employees deserve all the accolades for being devoted to their respective jobs and demonstrating professionalism on an out and out basis. These federal employees find it easier to satisfy their conscience more than anyone else and this remains a much debatable aspect related with civil service nonetheless. The need is to understand how civil service could prove to be a positive force behind the nation’s perceptive regimes. The answer lays in the fact that accountability and hiring of dedicated staff could actually solve the anomaly with the issue at hand. This study outlines that the recognition and appreciation aspects of the federal employees come about when they do something extraordinary. However they are not given much credit when they do their work in a responsible manner, for the sake of the public. Indeed the fault lies within the public itself which fails to recognize the true talent of the civil service and the people who work within these areas – the federal employees. The state should also enact certain policies which ask of the people to give feedback with regards to these federal employees so that betterment within the relevant fields could be achieved. The civil service is indeed a domain of the government in one way or the other and hence the government should be accountable for the mistakes that these federal employees commit.  

Unit 5 IP Introduction to american court system Essay

Unit 5 IP Introduction to american court system - Essay Example Government, n.d.) and on common and â€Å"statutory law† (Ponzetto & Fernandez, 2008). Normally a criminal code will comprise offences which are acknowledged in the jurisdiction, penalties which might be imposed for these particular kinds of offences and some general provisions. I, recommend that, the case concerning Jones February 6, 2005 in the Sedgwick County, Kansas needs to be filed in the district court under state law on the premise that his assistance facilitated adequate evidence on Smith and Thompson to obtain convictions. Based on two prior convictions of Jones for possession of cocaine, it would be appropriate to file his case in federal court, where the highest sentences are available. On the other hand, because of his cooperation, it may be better to file the case in the Sedgwick County, Kansas, and district court under state law. Jones has been found to have possessed more than 50 grams of drug as the Probation Department contends and his level of offense would have been 32, which, with category of III of the criminal history, would result in a sentencing range of 151 to 188 months. â€Å"After a jury trial at which Jones was found guilty of unlawfully possessing more than five g rams of a substance containing cocaine base (commonly known as â€Å"crack†  844(a).  cocaine) in violation of 21 U.S.C.  §Ã¢â‚¬  (United States Court of Appeals, Second Circuit, 2012). The case against Smith can be file under the federal law. In this case, Smith has sold cocaine to undercover agents on two occasions: July 12 and August 3, 2005. However, no previous offences have been recorded against his, though he seems to have engaged in selling drugs to his friends and acquaintances for a while. Drug selling is the one of the gravest crimes that affect the society in the present day. Anybody engaging in such nefarious activities needs to be awarded the maximum punishment for the crime. maximum punishment. Cocaine comes