Historical Narrative: Beacon In A Sea Of Darkness :: essays research papers fc

The day started as usual. I got out of bed. My eyes sore from lack of sleep. My feet hit the cold floor, sending a shudder through my spine. It's a shame. In the winter, the weatherman will tell you that tomorrow will be a warm one, but warm for winter in New York is still blisteringly cold (Weather 53). I looked at the clock. 7:50 AM. No time for breakfast. I had to get to work. In this business, either you were there on time to take someone's case or he went to another detective. I grabbed my coat and started running down the apartment stairs, trying to wave down a taxi. My landlord tried to nab me and complain about my late rent, but I had not time to trifle with him. I jumped into the first taxi I saw and told the driver to take me to the corner of 7th and Elm. Whin I got to the office, Rose, my secretary, was on the phone talking to her fiance ("Miss" 30). Her husband to be was a real sweet talker, but he was a Communist, which made my blood hot. Such a shame, a fine broad going to waste like that. She whispered goodbye to him and hung up the phone. "Any calls for me while I was out, Rose?" "No, Sam, the morning's been pretty quiet so far," she replied. "Here's the morning paper as you requested. The coffee should be hot and ready in just a few minutes." "You're a doll, you know that, Rose? I swear my morning would be a nightmare if it weren't for you. I've got a couple of tickets to the next Yankees game if you'd like to go out. I hear Mantle and Rizzuto are hitting pretty well" (Effrat 34). "Mr. Brock! Thank you very much, but I'm engaged. I can't go off on a weekend dating spree right before I get married. What would others think? They'd call me a floozy for sure!" "Well, I thought it was worth a try. Give me a holler if you change your mind. I'll be in my office if anything comes up." I walked into my office, about to shut the door, when I stopped myself. "Rose, what do you see in that guy anyway? Did he trick you into marriage or was he just the only guy left in the store?" "Despite what you may think of him, I find him very attractive.

Comprehensive Geriatric Assessment Essay

The geriatric assessment is a multidimensional, multidisciplinary diagnostic instrument designed to collect data on the medical, psychosocial and functional capabilities and limitations of elderly patients. Various geriatric practitioners use the information generated to develop treatment and long-term follow-up plans, arrange for primary care and rehabilitative services, organize and facilitate the intricate process of case management, determine long-term care requirements and optimal placement, and make the best use of health care resources. The geriatric assessment differs from a standard medical evaluation in three general ways: (1) it focuses on elderly individuals with complex problems, (2) it emphasizes functional status and quality of life, and (3) it frequently takes advantage of an interdisciplinary team of providers. Whereas the standard medical evaluation works reasonably well in most other populations, it tends to miss some of the most prevalent problems faced by the elder patient. These challenges, often referred to as the â€Å"Five I’s of Geriatrics†, include intellectual impairment, immobility, instability, incontinence and iatrogenic disorders. The geriatric assessment effectively addresses these and many other areas of geriatric care that are crucial to the successful treatment and prevention of disease and disability in older people. Performing a comprehensive assessment is an ambitious undertaking. Below is a list of the areas geriatric providers may choose to assess: †¢ Current symptoms and illnesses and their functional impact. †¢ Current medications, their indications and effects. †¢ Relevant past illnesses. †¢ Recent and impending life changes. †¢ Objective measure of overall personal and social functionality. †¢ Current and future living environment and its appropriateness to function and prognosis. †¢ Family situation and availability. †¢ Current caregiver network including its deficiencies and potential. †¢ Objective measure of cognitive status. †¢ Objective assessment of mobility and balance. †¢ Rehabilitative status and prognosis if ill or disabled. †¢ Current emotional health and substance abuse. †¢ Nutritional status and needs. †¢ Disease risk factors, screening status, and health promotion activities. †¢ Services required and received. The primary care physician or community health worker usually initiates an assessment when he or she detects a potential problem. Like any effective medical evaluation, the geriatric assessment needs to be sufficiently flexible in scope and adaptable in content to serve a wide range of patients. A complete geriatric assessment, performed by multiple personnel over many encounters, is best suited for elders with multiple medical problems and significant functional limitations. Ideally, under these circumstances, an interdisciplinary team — representing medicine, psychiatry, social work, nutrition, physical and occupational therapy and others — performs a detailed assessment, analyzes the information, devises an intervention strategy, initiates treatment, and follows-up on the patient’s progress. Due to the intricate nature of comprehensive assessments, many teams designate a case-manager or caseworker to coordinate the entire effort. Most assessments take place in medical offices and inpatient units over multiple visits. If at all possible, however, at least one member of the team (rarely the physician) will attempt to visit the patient at home. Despite the problem of low or no reimbursement, the typically high-yield of information from even a single home visit makes it an extremely efficient use of resources. Most geriatric assessments, performed under the constraints of time and money, tend to be less comprehensive and more directed. Although such modifications are best suited to relatively high-functioning elders living in the community, many practitioners find some version of a directed geriatric assessment to be a more realistic tool in a busy practice. Patient-driven assessment instruments are also popular among geriatricians. Asking patients to complete questionnaires and perform specific tasks not  only saves time, but also it provides useful insight into their motivation and cognitive ability. To the extent that patients are unable to complete the assessment themselves, practitioners resort to traditional patient interview techniques that frequently involve input from a family member or other caregiver. During your upcoming site visits, you will perform a directed geriatric assessment (DGA), ideally with the same patient, over two sessions. In the interest of education, most of your DGA instruments are student-driven, rather than patient-driven, and require relatively little information from caregivers who may or may not be available at the time of your visit. We have divided the DGA in two parts, each with three subsections. In Part I, you will perform an expanded medical interview covering the clinical history, nutritional assessment and a social evaluation. In Part II, you will perform neuropsychiatric, physical and functional examinations. What follows is a reproduction of the History and Physical (H&P) format that you will use in your Physical Diagnosis II course next semester. Although all geriatric practitioners do not use a standard assessment format (comprehensive or otherwise), most agree on basic content. The comprehensive geriatric assessment (history & examination) following the Physical Diagnosis outline covers the most significant content areas of a prototypical geriatric assessment. As you can see, it moves well beyond the standard H&P, which is precisely the point. We have designed it to correlate as closely as possible with the history and physical you will be learning later this year. It is to your considerable advantage to review this information before meeting your patients face-to-face on the site visits. The DGA instrument you will use during your encounter immediately follows this section.

Basketball Is A Popular And Beloved Sport Essay - 1405 Words

Basketball is a very popular and beloved sport that is still being played today. Michael Jordan, who played for the Washington Wizards and the Chicago Bulls once said, â€Å"Just play, have fun, and enjoy the game† (BrainyQuote 2016). Whether playing with friends for fun or by professionals for entertainment or simply watching from home, basketball is enjoyed all over the world. Beginning with a unique history, basketball has evolved over time from a simple idea into a professional career choice for those with the unique skill set. During the winter of 1892 in a town in Massachusetts a physical education teacher, Dr. James Naismith, at a YMCA school created a game where young men could play indoors apart from going outside in the freezing cold. To be prepared for the game, Dr. Naismith came up with some rules for the game, gathered two peach baskets for hoops, a soccer ball, becoming the first basketball game in history. The young men did not know how to play the game, but they still had fun doing it. The game only lasted thirty minutes with the final score being 1 point to 0 points. During this game, William R. Chase became the first person to ever score in a basketball game (Faurschou, 2016). Dr. Naismith came up with thirteen rules. While four out of the thirteen rules that he came up with, are no longer followed in today s version of basketball, the nine that are left were slightly modified and are still in use today. The original thirteen rules are as follows: The ball isShow MoreRelatedBasketball Is The Most Popular And Beloved Sports Essay1359 Words   |  6 PagesProfessional Basketball Basketball is one of the most popular and beloved sports that is played today. Michael Jordan who played for the Washington Wizards and the Chicago Bulls once said, â€Å"Just play, have fun, and enjoy the game† (BrainyQuote 2016). Whether playing with friends for fun or by professionals for entertainment or simply watching from home, basketball is a sport that is enjoyed all over the world. Beginning with a unique history, basketball has evolved over time from a simple idea intoRead MoreBasketball Is The Most Popular And Beloved Sports Essay1105 Words   |  5 PagesBasketball is one of the most popular and beloved sports that is played today. Michael Jordan who played for the Washington Wizards and the Chicago Bulls once said, â€Å"Just play, have fun, and enjoy the game.† (cite here) Whether playing with friends for fun or by professionals for entertainment or simply watching from home, basketball is a sport that is enjoyed all over the world. Beginning with an uni que history, basketball has evolved over time from a simple idea into a professional career choiceRead MoreBasketball Essay1317 Words   |  6 PagesSince its conception in 1891, the sport of basketball has always been a catalyst for excitement that never ceases to amuse its viewers. It not only excites those participating in the sport, but also manages to innervate those who watch from the comfort of their couch. This surge in energy continues to persuade even the most indolent individuals to join in a friendly game of basketball every once in awhile. Basketball has long been praised as an elegant sport because of its focus on accuracy, precisionRead MoreSports, Basketball, And Football975 Words   |  4 PagesSports. Some love them, some hate them, but even those who hate cannot deny their overwhelming popularity. America is home to many sports, basketball, and American football among the most popular. Spectators filling in thousands of seats at open stadiums, and hundreds of t housands more watching at home in front of their television. Both basketball and football have distinct, fundamental differences, however, they do not outweigh the similarities the two sports share. A franchise without their fansRead MoreEssay on Soccer is an Unappriciated Sport in North America1028 Words   |  5 PagesFootball is the most popular sport in the world. It is backed by a long history thats incomparable to other popular sports in the world like basketball, volleyball, and tennis. In fact, two of North America?s favourite sports in American football and rugby were created based on the game we call soccer. So why is it that the original game of football is not as nearly as famous as in North American than any other countries outside our continent? A real good reason for this is because soccer doesntRead MoreRussian And American Lives : Russia1044 Words   |  5 Pages† Russia is well-known for being an energetic country; it is recognized for its continuous power and triumph. The most popular sports in Russia are basketball, football (America’s soccer), volleyball, ice hockey, biathlon, skiing, gymnastics, and figure skating. Russia’s most belov ed game, Bandy (â€Å"Russian Hockey†), considered their national sport. Allegedly the rules of this sport were recorded in Britain. America is only the third biggest country in the world for its size. There are aroundRead MoreHow Basketball Has Changed The World Essay1324 Words   |  6 PagesBasketball is one of the most popular which is beloved sports that is played today. Michael Jordan, who played for the Washington Wizards and the Chicago Bulls once said, â€Å"Just play, have fun, and enjoy the game† (BrainyQuote 2016). Whether playing with friends for fun or by professionals for entertainment or simply watching from home, basketball is very enjoyed all over the world. Beginning with a unique history, basketball has evolved over time from a simple idea into a professional career choiceRead MoreThe Global Financial System Has Influenced By Three Pillars That Have Shaped Modernity1218 Words   |  5 PagesManchester with prestige and globalized supporters. Sports have an amazing way of bringing people from different backgrounds together believing in one entity. In modernity, modern sport has taken the same form of trans-national corporations. In this paper, I will argue how modern sport has been influenced by three pillars that have also shaped modernity. The global financial system, militaries, and nationalism have each helped to develop and spread sport throughout the modern world. Through interactionRead MoreCollege Athletes Receiving Compensation For Their Efforts1644 Words   |  7 Pageshis pockets. He must run with hope in his heart and dreams in his head.† This is relevant to the controversy that surrounds college athletes receiving compensation for their efforts in sports. College athletics have gained much attention and popularity over the past few decades. Due to these actions by sports fans across the United States, the National Collegiate Athletic Association (NCAA) is bringing in huge amounts of money year after year. It has been reported that the NCAA’s annual revenueRead MoreShould College Athletes Be Banned?1831 Words   |  8 Pag esfor players that is essentially paying players for playing college sports. Most division one programs are jumping on the ability to start paying their players because they do not want to fall behind the ability to bring in top athletes. The NCAA is still in the process of appealing the ruling to pay student athletes. One of the problems that O’Bannon is reaching out for college athletes is that the NCAA will sell a jersey of a popular student athlete with his/her number on it but not their name, then