Physical Restraint Use on People with Dementia Essay

Physical Restraint Use on People with Dementia - Essay Example (Koch Susan and Lyon Cheryl, 2001) Purely clinical emergency necessitating medical care on dementia patients does not pose any problem for the attending health staff and nurses. Dementia patients at this juncture are either passive or unconscious. Use of physical restraints on these types of patients does not arise. When the patients turn aggressive, the progress of medical attendance is blocked. This prompts the nursing staff to use physical restraints on the patients. Immediate attention towards reducing the aggression of the dementia patients dilutes the emergency in the atmosphere. Dementia patients suddenly turn hostile towards the attending nurses and agitate for reasons not known to the staff and not expressible by the patients. Agitation refers to a range of behaviors associated with dementia, including irritability, sleeplessness and verbal or physical aggressions. Often these types of behavior problems progress with stages of dementia, from mild to more severe. Pilot resear ch studies designed to measure how agitation manifested, to measure the severity of agitation and to identify the nursing practices used to manage and their outcome revealed in the past that nurse actions triggered the majority of most highly rated episodes of agitated behavior in dementia patients. Three databases CINHAL, PROQUEST, AMERICAN JOURNAL OF GERIATRIC SOCIETY and BLACKWELL SYNERGY were searched using search terms 'dementia', 'physical restraints', and 'emergency'. On viewing the guidelines for using the physical restraints a book by Noreen Cavan Frisch is also found apt. Findings: On pressing the contents of the papers through the sieve of two main views extracted it is found that emergency arising out of aggressions of dementia patients is differently perceived by nurses and other beholders and safety related dilemma in nursing staff is due to the double sided pressure from both statutory enforcement and clinical guidelines for procedural therapy. EMERGENCY ARISING OUT OF AGGRESSIONS IN DEMENTIA PATIENTS: Gerry Farrel (2005) analyzed 28 aggression management-training programs and found that use of restraints on patients of mental health department is obligatory. Since the concentration of the research was mainly on industrial and other professional fields wherein aggression management programs are conducted, the stress of the same in mental health area is minimal although the authors made a mention that many of the AMPs did not address psychological aspects. (Gerry Farrell, Katrina Cubit, 2005) Some of the greatest challenges of nursing staff with the dementia patients are the personality and behavior changes that often occur. The nurses are given training to meet these challenges by using creativity, flexibility, patience and compassion. Before thinking of the decision to use physical restraints on the dementia patients so that treatment can take its smooth course, it is obligatory on the part of attending nurses to tactfully handle the troubling behavior of the patients. Trying to change the person

MARKETING ASSIGNMENT Essay Example | Topics and Well Written Essays - 500 words

MARKETING ASSIGNMENT - Essay Example e strategies to address those needs, and development of long-term association with the customers by providing them with the products and services they required. â€Å"The Marketing concept resulted in a separate marketing department in organization and today we can see many organization have structured themselves as marketing organization where every employee is contributing towards customer satisfaction whether or not he’s a marketing person† (â€Å"What is Marketing?†). The marketing concept depends to a large extent upon the research conducted by the organization to identify the particular segments of customers, and their individualistic and collective needs. Marketing teams can achieve the satisfaction of their customers by identifying the target market and adopting the right marketing mix to achieve their objectives. The main marketing concepts are the identification of the customers’ needs and ways to fulfill them, assessment of the changing environment and the modifying needs of the customer with it so that not only the present needs of the customers can be addressed, but also measures can be taken to satisfy the expected needs in the future. It is very important for the organizational personnel to realize that marketing of the product or service an organization makes is not entirely the responsibility of the marketing department, but every department as well as individual in the hierarchy of organizational structure has a responsibility towards it. I have had personal experience of working with a firm in which the entire responsibility of marketing was limited to the marketing department, and other firm in which the responsibility was equally distributed among all departments so that the whole organization was structured into a marketing organization. I felt a lot of difference between the effectiveness of marketing between the two firms. Limitation of the marketing responsibility to the marketing department in the first organization was the