Student Accommodation Tends to Be Less Volatile than Other...

Focus of the real estate sector has shifted towards the student accommodation sector because of the shift in the demand of the land market in the UK. Shortfall is present and international demand is increasing because of the international students. Analyst suggests that this is a counter cyclical, but in this case the yields come when the crisis in credit is present. This sector is the strongest asset sector in the UK today. This is the safest investment opportunity in the country. OECD countries have been receiving more students than they send abroad for the tertiary education. The citizens of the OECD countries are studying abroad. 83% of the students are enrolled in G20 countries. 77% of the foreign students have enrolled in the OECD countries. These proportions have been static during the past few decades and this figure is increasing with the passage of time (Mok, 2013). Geographic areas are the most promising feature that attracts foreign students to enrol in European countries, especially the UK. The figures represent that 48% of the students enrol from North America. With this figure, another important aspect is present that explains how America only enrols 22% of the international students and 48% of the local citizens of America prefer to study in other European countries. The internationalization of universities has helped in attracting more international students in the countries. The UK has a promising feature that explains that the students will have a higherShow MoreRelatedUnited Arab of Emirates Country Notebook18844 Words   |  76 Pagestemperatures in January and February are between 10 and 14  °C . During the late summer months, a humid southeastern wind known as the Sharqi makes the coastal region particularly unpleasant. The average annual rainfall in the coastal area is fewer than 120 mm (4.7 in), but in some mountains areas annu al rainfall often reaches 350 mm (13.8 in). Rain in the coastal region falls in short, torrential bursts during the summer months, sometimes resulting in floods in ordinarily dry wadi beds. The regionRead MoreUnited Arab of Emirates Country Notebook18844 Words   |  76 Pagestemperatures in January and February are between 10 and 14  °C . During the late summer months, a humid southeastern wind known as the Sharqi makes the coastal region particularly unpleasant. The average annual rainfall in the coastal area is fewer than 120 mm (4.7 in), but in some mountains areas annual rainfall often reaches 350 mm (13.8 in). Rain in the coastal region falls in short, torrential bursts during the summer months, sometimes resulting in floods in ordinarily dry wadi beds. The regionRead MoreBanking Concepts and Practices39548 Words   |  159 Pages | EVOLUTION OF BANKING A. MEANING OF BANKING: Banking was first associated only with the lending activity. The idea of accepting deposits from the public in order to lend it to others on credit developed much later. Modern banks have gone way beyond traditional banking and have added fee based financial as well as ancillary services to banking which are very much within the limits of their expertise. A1. DEFINITION: DictionaryRead MoreCons and Pros of Internet16245 Words   |  65 Pagesmeans Europe’s adoption of IFRS is a leap of faith, it also means it is a Brave New World for commentators on IFRS, myself included. I therefore caution that the following views are informed more by basic tenets of economics (and some limited evidence) than by a robust, directly-relevant body of research. 2.3. Some thoughts on the role of mandatory uniform accounting standards IFRS boosters typically take the case for mandatory (i.e., required by state enactment) uniform (i.e., required of all publicRead MoreForeign Market Entry Strategy - Four Seasons in Brazil23037 Words   |  93 Pagesconclusion that acquiring a local luxury hotelier while utilizing its business resources like a partner, is the best mode of entry for Four Seasons. Fasano’s grandiose local brand recognition as a world-class hotelier and partnership with Brazilian real-estate developer, JHSF, makes it an ideal ca ndidate for Four Seasons’ market entry strategy. Exceptional personalized customer service, an integral part of Four Seasons’ brand image and strategy, is standardized and will be directly transferred whenRead MoreCase Study148348 Words   |  594 Pagessites. ISBN: 978-0-273-73557-1 (printed) ISBN: 978-0-273-73552-6 (web) All rights reserved. Permission is hereby given for the material in this publication to be reproduced for OHP transparencies and student handouts, without express permission of the Publishers, for educational purposes only. In all other cases, no part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise withoutRead MorePest Analysis of an Educational Institution19905 Words   |  80 Pagesto fully exploit the advantages of integrated capital markets. * Sound public finances. A number of countries achieved an impressive consolidation of public finances prior to the launch of the euro. On average, deficit-to-GDP ratios fell by more than 5 percentage points during the 1993-1998 period. Consolidation was fostered, in particular, by lower interest rates and by the stability-oriented EMU fiscal framework. * Low interest rates. A number of EMU-related factors (low inflation, credibleRead MoreCase Studies67624 Words   |  271 Pagescases provide active learners with opportunities to use the strategic management process to identify and solve organisational problems. Thus, by analysing situations that are described in cases and presenting the results, active learners (that is, students) become skilled at effectively using the tools, techniques and concepts that combine to form the strategic management process. The cases that follow are concerned with actual companies. Presented within the cases are problems and situations thatRead MoreExploring Corporate Strategy - Case164366 Words   |  658 PagesPage 599 Guide to using the case studies The main text of this book includes 87 short illustrations and 15 case examples which have been chosen to enlarge speciï ¬ c issues in the text and/or provide practical examples of how business and public sector organisations are managing strategic issues. 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Skills Inventory - 1014 Words

COMM 1001 Final Project Part 1: Skills Inventory Worksheet Directions: This worksheet can be filled in as you complete each week of this course. You will turn in your final worksheet during week 6 as the first part of your final project to the proper submission link designated for this worksheet in the Week 6 Project area. This worksheet contains 4 sections, each sections asks a question about the 6 academic skills. In Question one, you need to answer the question for each skill. But for questions 2-4 you need only choose two skills to answer the question. You should type your answers in the boxes provided. Question #1: Why are these skills important personally and academically? |Please write a few sentences (25-50 words) for†¦show more content†¦| | |Writing ____/2pts. | | |Academic Integrity ____/2pts. | | |Time Management ____/2pts. | | |Library ____/2pts. |______/15 pts. | |Tech/Computer ____/2pts. | | |Social Networking ____/2pts. | | |Did each skill have a coherent sentence to explain the reasoning for each skill? ____/3 pts. | | |Instructor Comments: | | Question #2: What upcoming classes in your degree program will best help youShow MoreRelatedQuestions On The Skills Inventory1116 Words   |  5 Pages âž ¢ Skills Inventory: The questionnaires that utilized in this part are highly reliable and valid. Also, helping me to understand how my leadership skill and what my skill might be. The score of this survey will give me a sense of my own leadership abilities. Moreover, it will show which area is stronger than others, which will help me to know where I need to improve myself. According to Northouse (2016), â€Å"the skills inventory is designed to measure three broad types of leadership skills: technicalRead MorePersonal Skills Inventory1070 Words   |  5 PagesPersonal skills inventory COMMWK6Proj: RobersonI Face-to-Face and online communication skills: The most important skill in life is learning how to communicate effectively. Working in the business industry communication is important factor in the success of the business and daily tasks such as giving employees’ feedback, writing reports, giving presentations, conducting interviews and sending emails. How we communicate varies among each individual as well as how we perceive our own personal communicationRead MoreWriting Skills Inventory Of English 219991 Words   |  4 PagesEnglish 219 I have really enhanced and gained many skills. Most of which I did not realize until we did the writing skills inventory. For the writing skills inventory we took a survey during the first week of classes and then again during the last week of class. The survey was very helpful in actually showing me what skills I have improved on from the beginning of the semester to now which is the end. One result from the writing skills inventory that really shocked me was a question regarding privat eRead MoreAnger Response Inventory To Evaluate The Effect Of Shame And Guilt On Interpersonal Communication Skills746 Words   |  3 PagesOomen, J., Rhea, D.J., Wiginton, K. (2004). Using the anger response inventory to evaluate the effect of shame and guilt on interpersonal communication skills. American Journal of Health Education, 35(3), 152-157. DOI: 10.1080/19325037.2004.10603631. Introduction/ Purpose: We know that positive interpersonal skills are good and teaching those skills is important (Joint Committee on Health Education Standards, 1995). Shame is related to negative reactions in interpersonal conflicts (Balcom, 1991)Read MoreEssay on Brs Mdm3 Tif Ch121696 Words   |  7 Pagesï » ¿ Managerial Decision Modeling w/ Spreadsheets, 3e (Balakrishnan/Render/Stair) Chapter 12 Inventory Control Models 12.1 Chapter Questions Use this information to answer the following questions. A bakery buys sugar in 15-pound bags. The bakery uses 5000 bags of sugar each year. Carrying costs are $20 per bag per year. Ordering costs are estimated at $5 per order. Assume that the bakery is open 250 days a year and its daily demand is estimated at 20 bags. It takes 5 days for each orderRead MoreCase 1-1 Ribbons and Bows1593 Words   |  7 PagesThe major issue however, was that Carmen had spent more cash on the sewing machine, rent, employee wages and inventory, when compared with starting cash and the revenue that the business had generated (Appendix I: Income Statement). Carmen Diaz had encountered what has been described as â€Å"one of the most severe problems in microenterprise cost management† and that is the management of inventory (Datar, 2009). DESCRIPTION OF ALTERNATIVE SOLUTIONS According to Datar (2009), â€Å"access to financial capitalRead MoreWhy I Should Be A Supply Chain Manager953 Words   |  4 Pagesplanning, purchasing of goods, producing, inventory, customer service and more. I want to work as a supply chain manager at Hewlett Packard in three to five years. It will be extremely hard to get a job in there. I should study harder and effort more. This is five steps that I should be done before submitting a resume at Hewlett Packard. To getting this career job, first of all, I need study much harder than now to get better grade in school. I know my English skill is bad, and it is my weakness. SpeakingRead MoreAdvantages And Disadvantages Of Inventory Management1147 Words   |  5 Pagesplans of major customers. Allowing the local office to control and manage their inventory levels fosters a sense of ownership and control that can be desirable. On the negative side, with decentralization, local personnel may lack well developed inventory management skills and operate on a highly subjective basis, even when sophisticated tools are available. Local personnel without a global view may try to manage inventory by discretion rather than by formula. There can also be a tendency to overreactRead MoreA Note On Leadership And Management Essay961 Words   |  4 Pagesonly needs to be professional in the field, but also needs to balance the relationship between all team members. A good leader needs to succeed the following qualities: Strong independent working skills The ability to withstand the high working pressure Responsibility and patience Good communication skill The ability to listen and understand members? opinion The ability of judgment and the ability to teach the staff The ability to energize members What?s more, the manager can adopt the following measuresRead MoreOperation Control755 Words   |  4 Pagesin a master production schedule Aggregate planning Strategies 1. Use inventories to absorb changes in demand 2. Accommodate changes by varying workforce size 3. Use part-timers, overtime, or idle time to absorb changes 4. Use subcontractors and maintain a stable workforce 5. Change prices or other factors to influence demand Capacity Options †¢ Changing inventory levels o Increase inventory in low demand periods to meet high demand in the future o Increases costs

The World Of Social Media Essay - 1313 Words

Welcome to the marvelous world of social media –where today youth live in a creative identity to an audience who have also promoted a different personality. Were young peoples’ are living and growing up with a global society’s culture changing what they do and who they are. Adolescence are learning to construct their ideal self. These devices compel teenager to a whole new world state of the self, devices and apps becoming part of young people lives. A generation were checking in and posting the location of their next citation, taking pictures of their meal, or most common snapping a selfie, is most important that the moment. These devices are shaping and expressing the revision of teenager identity and where they stand in the society global culture. The device one carries around promotion and presentation a person differently. Who we are is often different than who we really are on the internet. Teenager are creating the ideal self, what they believe is appro priate according to the societal standpoint. Promoting our self what we want others to see. â€Å"I believe who we are on the Internet is not a true showing of who we are actually are as a person â€Å"added Greg Cistulli. When a person promotes their self ideally their bragging who they are and what they want others to be jealous of. Tending to promote their self creates a representation of who they want to be. Creating a sense of belonging to the social media world. Their adaptingShow MoreRelatedThe World Of Social Media Essay1388 Words   |  6 PagesI AM FEMEN. This popular phrase scattered across the global technological world of social media to convey Femen’s message. It’s safe to say that when Millennials envision Ukrainian women, we automatically hit our default button and imagine prostitutes in consideration of popular cinematic movies portray them in this way. The nation then came to an abrupt stop while scrolling through trendy media outlets, such as Twi tter or Facebook, to see pictures of topless young women wearing painted word artRead MoreThe World Of Social Media Sites981 Words   |  4 PagesThere are many similarities and differences the world of social media sites. The top trending social media sites are Facebook, Instagram, Vine, and Twitter. All of these sites come together and out due each other with the use of Hashtag, Likes, Revines, and adding filters to photos. Instagram is a mobile social media app; Instagram can only be downloaded from the IOS market or the android market. IG short for Instagram is a way to take photos and share your moments from your phone. Instagram allowsRead MoreSocial Media And Its Impact On The World Essay1502 Words   |  7 Pages1990’s, many people across the world truly believed that Jan. 1, 2000 would bring the end of the world with it. While this was far from true, the ease of access to information that came with the turn of the century still brought upon unbelievable changes to the world as many people had known it to be. One of the biggest changes is the evolution of advertising from print and TV, to now include audiences across the internet through the use of social media marketing. Social media has truly had an immenseRead MoreSocial Media And Its Impact On The World849 Words   |  4 PagesSocial media has advanced throughout the years emerging into many lives in differing ways. When I think about social media all the apps on my phone come to mind such as Instagram, Facebook, and YouTube. On a daily basis I access these sites a multiplicity of times as everyone else in the world do as well. No matter where we are in the world, one thing we are for sure united by is the strength of social media that brings us all together. YouTube is a huge platform that has content uploaded from allRead MoreUse Of Social Media On The World1721 Words   |  7 Pagesyour family, it is silent, and you are thoroughly intrigued in your Twitter feed. You decide to take a snapchat, instead of being present in the moment. You argue through text with your best friend, instead of meeting and talking it out. In our world today, technology is a necessity. Smartphones have given people the ability to connect globally, through apps, allowing us to connect to those we could not before. It may seem hard to believe, but technological communication was only apparent afterRead MoreSocial Media And Its Impac t On The World875 Words   |  4 PagesIn a world where the majority spent their time on social media to communicate, gather news, view/post videos, and post images. Twitter is one of the most used social media platforms in which people use to interact with the world. In allowing people to post 140 characters, videos, and images gives power to the users to spread their thoughts around the world. Having the ability to reach people all round the world makes news of sports, world, and entertainment. On November of 2014 the greatest catchRead MoreThe World Of Internet And Social Media2396 Words   |  10 PagesDespites their advantages can the Internet and social network be misused to exert political violence? Does and or should it make a different in what political system this is taking place? Introduction There has been a new world created out of technology and that world is now affecting and dictating the functionality of our entire world. This new world is called the world of Internet and social media. The world of Internet and social media has now created a new form of citizen who are called usersRead MoreSocial Media And Its Impact On The World Essay2144 Words   |  9 PagesMillennial spends 18 hours a day consuming media in general (National Archives). Suffice to say, the modern world is a highly-connected world involving endless likes, followers, hashtags, and Facebook Live videos. Among the top users are those of today’s generation, or Generation Me. Social Media has become a constant part of everyday life, and as the Millennial Generation begins to approach adulthood and starts becoming more involved in the workforce, the way the world operates will change drasticallyRead MoreSocial Media And Its Effects On The World Essay1114 Words   |  5 Pages Let’s fa ce it, Facebook is one of the most used social media sites in the world. Everywhere you go, people are scrolling and scrolling down their phones, and now you want to know what that means. Setting up a Facebook account is simple and the result can be rewarding. Before you get started, you will need to make sure you have the proper tools to accomplish your goal. You need to have either a computer or phone with internet access or Wi-Fi. Just a few reminders, Facebook does require that the userRead MoreMark Zuckerberg : The World Of Social Media1502 Words   |  7 Pagesimagine a world without the ability to constantly update your status, download pictures, and â€Å"check in† to the places you visited while being virtually connected to your thousands of â€Å"friends?† Well thanks to Mark Zuckerberg’s creation of Facebook we will never have to. Mark Zuckerberg a CEO, technology innovator, internet mogul, and philanthropist created a virtual world unlike no other w hich single handily changed the world of social media. He has come to represent the new face of social media and he

Trade Protectionism Is A Policy That Restricts The Imports...

Trade protectionism is a policy that restricts the imports of goods. The purpose of protectionism is to protect domestic industries from imports , the products coming into the country , increase exports ,products coming out the country ,and improve the countries economy . One of the most effective method of protectionism is the tariff. The tariff is a form of taxation on imports ,it increase the price of imports and is taken in the receiving country, for example if the goods coming by the sea , the tariff will be taken in the port on the country . Other forms of protectionist include five major non-tariff barriers (NTBs) such as quotas, subsidies , currency control , administrative regulation and voluntary export restrains. Quotas is a trade restriction that limits and regulate the number and value of imported goods in specific period of time. For example strawberries, during the winter season we don’t see as much of them in the market, however if you happen to find some t he value of the produce significantly increased. Another NTB is subsidies, the government provides money to new industries to become competitive in the global market. This include depreciation allowance , cash grants , and tax holidays (p.110) to help reduce cost and improve their position. For instance if a company is too small and is unable to to compete int the global market , the government would offer them financial aid for them to get back in business. Currency control is used to limitShow MoreRelatedInternational Trade Policy And Economic Development776 Words   |  4 PagesIntroduction In today s world economy, international trade policy plays an important role in national economic growth and economic development, it has become an important part of the international trading environment. Based on the historical research, free trade policy and protectionism are the two main catalogues of international trade policy. Free trade is a system in which the trade of goods and services between or within countries flows unhindered by government-imposed restrictions and interventionsRead MoreAnalysis of Arguments For and Against U.S. Trade Protection Essay1039 Words   |  5 PagesIn this paper I will summarize the arguments for and against trade protection for United States industries. Among the measures that can be used to restrict foreign trade are tariffs and trade quotas. Industries can also get nontariff barriers, miscellaneous legislation which give domestic products an advantage. In general, experts agree that restricted foreign trade benefits workers and domestic businesses, while under free trade consumers have a greater quantity and quality of choices availableRead MoreEconomic Growth and Public Policy of the Uk: Does the Protectionism Help?2525 Words   |  11 PagesEconomic Growth and Public Policy of the UK: Does the protectionism help? Introduction The effects of globalization have touched all the aspects of life and business today. One aspect is the trading policies between countries. Since the late nineteenth century, the collision started between domestic and foreign industries, which ask governments for measures that could protect local industries, without discouraging the country’s trade relations. The term ‘Protectionism’ was thus introduced inRead MoreThe Impact Of Foreign Policy On International Trade Essay1494 Words   |  6 Pagesinternational trade, many people have posed their opinion about what the role of government should be in it. Different factors are involved when it comes to deciding what this should be. It impacts a lot of people, so in order to do that, trade policy must be properly defined, identify what the roles of government currently are, and their involvement in it, and then analyse what should be their role. Trade policy is how a country carries out trade with other countri es (Commercial Policy, n.d). EvenRead MoreThe Speakers Speech on Trade Issues1454 Words   |  6 PagesSpeaker of the House: Speech on trade issues Give me jobs...or give me cheap, imported goods from China? It is this question that an increasing number of the American population fears that it is facing, regarding the US-Chinese trade deficit. America and American jobs are perceived as falling prey to what is called the Wal-Mart effect. This so-called Wal-Mart effect refers to the fact that when consumers are delighted at the cheap prices they can obtain at big box retailers, they are unintentionallyRead Morefree trade and protectionism1169 Words   |  5 Pagesï » ¿Free trade and protectionism Free trade: It takes place between countries when there are no barriers to trade put in place by governments or international organization. Good and services are allowed to move freely between countries Pros Cons Protecting domestic employment Protecting the economy from low cost labour Protecting an infant (sunrise) industry To avoid the risks of over-specialization Strategic reasons To prevent dumping To protect product standards To raise government revenues Read Morecustoms and trade957 Words   |  4 Pagesï » ¿Customs and Trade Much of the history of international relations and trade concerns efforts to promote free trade among nations. The 17th century saw the growth of restrictive policies that later came to be known as mercantilism. The mercantilists held that economic policy should be nationalistic and should aim at securing the wealth and power of the state. Governments were led to impose price and wage controls, promote exports of finished goods and imports of raw materials, and prohibit the exportsRead MoreImpact Of Trade Relations On International Trade1485 Words   |  6 Pagesdependant on international trade and the government plays a big role in this through forming their trade policy (Miller, 2010). In the past smaller countries have relied on trading with bigger nations, but in the mid-1960’s a lot of countries looked to pursue independence in their foreign policy. Even though we live in this new technological and global age, forming trade relations is vital to our economy. Every countr y has different trade policies which determine how trade occurs between themselvesRead MorePA 315 Final study guide Essay1288 Words   |  6 Pagesï » ¿Question 1 Which of the following arguments states that a country should restrict trade to protect industries that provide social usefulness, such as domestic RD? Spillover effects Question 2 World Bank primarily loans money to countries that need short-term credit to shore-up their economies. False Question 3 One form of protectionism is to place limit on the amount of an incoming product. This is called Import quota Question 4 Neoliberalism refers to a political movement thatRead MoreGlobalization Of The United States1513 Words   |  7 Pagesdoes this stand true. As of March 10,2016 Pope stated that, â€Å"the trade deficit in goods was approximately $930 billion, or 1.3 percent of gross domestic product† (Pope, 2016). This trade deficit that we are experiencing is of course business as usual. Specifically, this deficit has occurred since 1975 (Pope, 2016). However, the United States can highlight certain industries that we are positively growing well in. These specific goods are within the technology intensive industries (high-tech metals

Sun Downing Syndrome And Elderly Dementia - Myassignmenthelp.Com

Question: Discuss about the Sun Downing Syndrome And Elderly Dementia. Answer: Sun Downing Syndrome (SD) is a highly prevalent condition that is associated with individuals with dementia occurs during the middle stages of mixed dementia or Alzheimers disease (Ferrazzoli, Sica and Sancesario 2013). This is called late-day confusion creating agitation and confusion in the late afternoon and evening being less pronounced during the day. There is no exact reason for this behaviour although it is aggravated due to low lighting, fatigue, increased shadows, internal clocks disruption, infections or separating reality from dreams. It is syndrome associated with nocturnal delirium and form of Behavioural and Psychological Symptoms of Dementia (BPSD) affecting around 10% to 25% patients in nursing care residents and 66% dementia dwelling patients (Yevchak, Steis and Evans 2012). Structuring of environment, meeting psychological and physical needs, scheduled activities of daily living, enhanced social activities and preventing loneliness can reduce SD symptoms (Venturelli et al. 2016). It is hard to distinguish sundowning as it has an unclear diagnostic criteria and definition. Therefore, the following essay involves the discussion of sundowning syndrome as a nursing issue and critical appraisal of current evidence associated with it. During my clinical placement, I was working at dementia ward in nursing home where I was assigned to look after sun downing syndrome patients with dementia. I found it challenging to look after them during my shift and planned to research syndrome. A literature review was conducted to explore this condition, describing what it is, why it occurs and its prevalence with proper management and treatment in reducing agitation being a major nursing issue. Sundowning has entered the common parlance of aged care nursing and dementia caregivers questioning whether it is common syndrome as assumed associated with demented individuals or not (Ferrazzoli, Sica and Sancesario 2013). However, it is not a formal form of psychiatric diagnosis in the Diagnostic and Statistical Manual of Mental Disorders (DSM-MD). Moreover, the lack of consistent definition and diagnostic criteria are the man contributing factors to the conflicting and challenging interpretation of research findings particularly for nurses in terms of treatment outcomes (Nelson and DeVries 2017). The treatment guidelines are also not specific for SD in the major dementia treatment. Apart from lack of consensus, the hypothesis that symptoms (agitation) occur during late afternoon and evening is quite burdening for the nursing staffs and caregivers questioning the existence of SD (Ferrazzoli, Sica and Sancesario 2013). Therefore, it is important to have an insight into the current literature evidence related to SD and relevant to aged care nursing discussed in the subsequent section. Khachiyants et al. (2011) conducted a systematic review on epidemiology, etiology, differential diagnosis risk factors, prognosis and prevention of SD. The results depicted that SD is the second most common disruptive behavior form in institutionalized patients with dementia appearing endemic after wandering. 12.4% of elderly patients in nursing homes stated that cognition status disruption occurs during late afternoon. This data suggests that it becomes impossible for aged care nurses to carry out a validated comparative analysis about SD prevalence in different populations like non-institutionalized or institutionalized (Martins and Fernandes 2012). Moreover, the frequently observed abnormalities in behavior of demented patients with late afternoon exacerbation at late evening or night pose a significant burden to the nursing staffs and caregivers triggering challenges (Ferrazzoli, Sica and Sancesario 2013). However, the paper presented limited data in the prevention of SD as the c urrent literature lacked effective methods description. Canevelli et al. (2016) in their paper illustrated SD is a challenging manifestation and relevant to dementia in large number of affect individuals posing burden to aged care nursing and economic burden. There is lack of evidence regarding disentangling and clarifying the multifaceted and complex pathophysiological bases of SD phenomena. There is also lack of validated tool and screening for SD in the routine clinical practice especially outpatient settings. These factors pose future developments and research regarding SD in dementia for aged care nurses emerging as an issue in the nursing specialty. Cipriani et al. (2015) published a paper explaining that SD is a poorly defined entity that lacks accurate understanding of clinical characteristics, treatment and management. The study stated the role of suprachiasmatic nucleus (SCN) in hypothalamus for the generation and synchronization of behavioral and physiological rhythm. SCN is biological clock that control melatonin production suppressed by dark and light alterations. They stated that sundowning is based on cortical activation or arousal reaction depending on cortex cholinergic differentiation where sleep disruption is the prime contributor. They also established correlations between noise, amount of light, staff fatigue and shortages. According to Blais, Zolezzi and Sadowski (2014) non-pharmacological interventions like music therapy, bright light therapy and aromatherapy may be of some benefit, however, pharmacological therapy provide minimal benefit only associated with safety concerns. The use of antipsychotics and melatonin showed evidence, however benzodiazepines are not recommendable as there are adverse side effects in elderly patients. This shows there is poor management of SD and quality of evidence supporting treatment is weak. As non-pharmacological interventions are safe, they are first line of SD treatment and require further development of SD management strategies. According to Gnanasekaran (2016) the clinical phenomenon of sundowning syndrome is known as early evening disruptive behavior. The paper suggested that there is limited medical literature regarding definition criteria and consistent diagnosis. The current understanding about this syndrome is greatly incomplete with limited justification. The literature is scarce and there is lack of comprehensive understanding of SD with studies failing to realize the basic existence of this syndrome. However, this study is perceived during evening hours creating stress and fatigue among nursing staffs in long-term care facilities. According to Zhou, Jung and Richards (2012) the antipsychotic medications given for dementia causes sleep disturbances or irregular circadian rhythms in the patients that may be a reason for the sundowning syndrome associated with this condition. Night awakening due to SD in patients is distressing for both patients with dementia and caregivers especially clinical depression among nurses and caregivers. From the above discussion, it is evident that there is limited literature available suggesting that some demented patients display sundowning, although, it is a prevalent syndrome among elderly population. Due to this reason, nurses and caregivers are unable to provide accurate treatment and management of the condition. Moreover, the agitation that occurs during the late evening or night is also a matter of concern. At that time-frame, there is shift change or fatigue that occurs among nurses and caregivers also causes poor diagnosis and management of SD among dementia patients. Therefore, future studies are required to have a clear definition, understanding and differential diagnosis of SD in demented individuals. References Blais, J., Zolezzi, M. and Sadowski, C.A., 2014. Treatment options for sundowning in patients with dementia.Mental Health Clinician,4(4), pp.189-195. Canevelli, M., Valletta, M., Trebbastoni, A., Sarli, G., DAntonio, F., Tariciotti, L., de Lena, C. and Bruno, G., 2016. Sundowning in Dementia: Clinical Relevance, Pathophysiological Determinants, and Therapeutic Approaches.Frontiers in medicine,3. Cipriani, G., Lucetti, C., Carlesi, C., Danti, S. and Nuti, A., 2015. Sundown syndrome and dementia.European Geriatric Medicine,6(4), pp.375-380. Ferrazzoli, D., Sica, F. and Sancesario, G., 2013. Sundowning syndrome: A possible marker of frailty in Alzheimers disease?.CNS Neurological Disorders-Drug Targets (Formerly Current Drug Targets-CNS Neurological Disorders),12(4), pp.525-528. Gnanasekaran, G., 2016. Sundowning as a biological phenomenon: current understandings and future directions: an update.Aging clinical and experimental research,28(3), pp.383-392. Khachiyants, N., Trinkle, D., Son, S.J. and Kim, K.Y., 2011. Sundown syndrome in persons with dementia: an update.Psychiatry investigation,8(4), pp.275-287. Martins, S. and Fernandes, L., 2012. Delirium in elderly people: a review. Frontiers in neurology, 3. Nelson, R.J. and DeVries, A.C., 2017. Medical Hypothesis: Light at Night Is a Factor Worth Considering in Critical Care Units.Advances in Integrative Medicine. Venturelli, M., Sollima, A., C, E., Limonta, E., Bisconti, A.V., Brasioli, A., Muti, E. and Esposito, F., 2016. Effectiveness of exercise-and cognitive-based treatments on salivary cortisol levels and sundowning syndrome symptoms in patients with Alzheimers Disease.Journal of Alzheimer's Disease,53(4), pp.1631-1640. Yevchak, A.M., Steis, M.R. and Evans, L.K., 2012. Sundown syndrome: a systematic review of the literature. Research in gerontological nursing, 5(4), pp.294-308. Zhou, Q.P., Jung, L. and Richards, K.C., 2012. The management of sleep and circadian disturbance in patients with dementia.Current neurology and neuroscience reports,12(2), pp.193-204.

Me, Myself and I Essay Example For Students

Me, Myself and I Essay I am a teenager. Being a teenager is about being cool, being free, and staying young. I love being a teenager because of those reasons. I describe myself, as a teenager, as being active, friendly, and daring (bold). This essay will explain these identities and connect the identities to my life. To begin, being active requires lots of physical motion. Being active also engages and ready’s people to engage in physically energetic pursuits. Running while playing football, for instance, is an active pursuit because the image shows activity and activity requires movement. Human activity benefits the health of our bodies. Also, I face some challenges when it comes to being active. First of all, being active is easy but staying active is hard. I always try to stay active and always do something, but sometimes it just gets tiring and I get sick of being active so I take a break or rest. Another challenge that I face is that I can get distracted. Being a teenager, there are many distractions such as TV, cellphones, and friends. Sometimes, these things can make you be lazy and get distracted. In addition, active people like to be around friends and in order to have friends, you must be friendly. This quality of a person comes from their personality and shows character within someone. A simple handshake can demonstrate just how friendly someone is. Friendliness is being sociable and not being shy. A way that I carry friendliness out is talking to people and listening to people. That seems very simple but it is the very best thing for becoming friends with someone and being friendly to your original friends. A challenge that I face with being friendly is laziness. Teenagers get lazy all the time, and for me, I get lazy just about every day. Laziness causes me to become unsocial and unfriendly, but when I wake myself up and snap out of it, I become more social and friendlier. Another challenge that I face with being friendly is bad days. Having a bad day causes me to become sad and it makes me quiet and not social and upbeat. But when that day is over, I soon become more upbeat and friendlier towards others because that’s just how I am. Third of all, being friendly will encourage people to step out and be more bold and daring. Being bold and daring shows the lack of fear in people’s lives. It also creates an adventurous passion within someone. For instance, jumping off a cliff displays boldness and courage at its core because it tackles the idea of being fearless and adventurous at the same time. Being bold and daring helps me grow as a person and it helps me overcome things. For instance, fear is a big struggle for most people and most teenagers. When I face my fear, though, I do those bold and daring things and I tackle fear head on. Being courageous is really what matters and that’s what I try to strive for in every adventurous obstacle I face. Knowing that being active, friendly, and bold helps me grow as a teenager, I more free and courageous. These traits help other teenagers grow, as well. Teenagers should adopt these traits into their everyday life, that way they will grow as I grew. All in all, these traits define my life and my personality in a way that helps me grow as a teenager.