Essay on "Understanding the Importance of Coordinated Care for the Older Australian Adult"

Essay 5 pages (1389 words) Sources: 8 Style: APA

[EXCERPT] . . . .

Coordinated Care for the Older Australian Adult

In the classic novel, the Lord of the Flies, William Golding traces the defects of society back to the defects of human nature. Golding uses the conch, Ralph and the Lord of the Flies to represent this symbolic dualism within human nature. The conch is obviously more than a symbol, rather it is used as an actual vessel of political legitimacy and democratic order. The conch represented all democracy, order and moral integrity that lay within the boys. The break of order results, though, when the conch crashes down, and all former individual liberty is lost. "The world, that understandable and lawful world, was slipping away" (82). But it is not necessarily the obvious symbols in the novel that epitomize the juxtaposition of conflicting attitudes, emotions and actions; instead, the character of Jack seems to focus the reader on the very nature of conflict. Indeed, it is Jack's evolving actions that express Golding's view of the natural defects in society -- the evil that resides within us all.

In Lord of the Flies, a group of British schoolboys have crashed upon a desert island while being taken away from a war which is destroying the world. The boys are lonely and forsaken, and enter a seeming paradise only to find that without structure, brutal primeval instincts remove every exterior of civilization. Leading this anarchy is Jack, an ugly little child who unfolds to become a fascist, power hungry tool of the devil, the Lord of the Flies. Jack progresses through the story at an incredible pace. His evolution backwards into the core of human nature starts in the first chapter, and escalates up to a mighty crescendo, stopped just
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short of committing his ultimate act of violence.

There are no parents to set limits on the island, and Jack seems to feel that adults are the only people worth paying any respect to, "...the fairheaded boy with the creamy shell on his knees [Ralph] did not seem to satisfy him" (20). Without the boundaries set by adults to sustain them, Jack and all of the other children are prone to forgetting the dynamic structures that have kept their world organized and intact. As they forget these rules, memories of the past conflict with realities of the present, and the obligations to their survival become all encompassing. This human nature, this capacity for anger and violence in the boys, is also conflicting. It is psychologically tearing the boys from their learned behaviors as civilized young men, to their innate, primitive selves -- their inner beast. For example, when Jack gets angry, the beast comes out in him and pushes him farther into his own savage being. When the book begins, Jack is known as "Merridew" since it's a name that makes him feel adult and in charge, one given to him by the English society. When he loses the election to Ralph, he becomes humiliated and angry. This is his first push by the beast, for after the election, he is no longer known as Merridew, but just as Jack.

From the outset, the reader is aware of Jack's violent tendencies, his rather Jekyll and Hyde conflicting nature. It is this dynamism that smolders from almost the opening pages that provides additional tensions for the character. For Jack, even without the help of the beast, is clearly evolving away from static orderly society. Perhaps this is why Jack was able to "give in" to the beast so quickly -- his inherent conflicts were moving towards the surface of his personality and he had increased momentum in which to digress than some of the other boys.

Jack marches through the story in militaristic (fascist) fashion, parading his band of choirboys up and down the beach -- order and control are the paradigm of the day. The first two signs of his descent into darkness are the manner in which he "maintains" the troops, and his reverence for his knife. The knife, as a symbol of both psychological power and dominance, is used for nothing but violent behavior or, with apologies to Freud, as an extension of his… READ MORE

Quoted Instructions for "Understanding the Importance of Coordinated Care for the Older Australian Adult" Assignment:

Assessment Item 3: Essay

Length: 1500 words APA STLYE.

Weighting: 60%(this is a very important essay it is 60% of my final mark)

MUST HAVE INTEXT REFERENCES AS WELL AS A REFERENCE LIST 6 OR MORE REFERENCES MUST BE USED

Assessment purpose:

For the student to:

1. gain a deeper understanding of the importance of coordinated care for the Australian older adult client

2. continue to develop scholarly information technology and written communication skills.

According to Nay and Garratt (2009) *****Primary and community care services need to be strongly focused on providing comprehensive, integrated and coordinated care for individuals and their families. They are essential to ensuring that older people can continue to live at home and participate in the community when they become frail, ill or disabled***** (p18).

Nay, R., & Garratt, S. (2009). Older people : issues and innovations in care (3rd ed.). Sydney: Churchill Livingstone Elsevier.

Discuss this above statement in reference to an older person you have previously nursed during a recent clinical experience, critically reflecting on the client*****s care and identifying the link between a coordinated approach to discharge planning and the achievement of optimum health outcomes for the older adult.

THIS IS THE STUDENTS EXPERIENCE:

(the clinical experience is a 78 year old male who lives alone. he fell at home and broke his hip. He was brought into hospital to have a hip replacement. His wife died a few years ago, and only has 1 son who lives a few hours away so he does not see much him.)

In writing your response you will:

1. Identify the patient and family goals for discharge planning

2. Discuss the coordination of a multiprofessional approach to care

3. Refer to the current nursing and health literature from 2004 onwards to support your discussion

These are some of the Australian community care teams and multiprofessional teams i have found for you. you can find themjust on goolge Australia search.

The coordinated care on discharging for this patient should involve the care of these teams: Community Aged Care Packages (CACPs) , Home care, home independence programs, , Extended Aged Care at Home (EACH), Home And Community Care services(HACC) . As well as local GP care, community nurse, meals on wheels and phisotherapy Occupational Therapry ect...... remember to also discuss the patient/family goals for discharge as there needs to be a patient centre focus to discharge.

here are the web sites i found for you.

1. Department of Health and Ageing - Home and Community Care Program ...

The Home and Community Care (HACC) Program...

www.health.gov.au/internet/main/publishing.../hacc-index.htm -

2. Aged Care Australia - help staying at home - Community Aged Care ...

www.agedcareaustralia.gov.au/internet/agedcare/.../CACP-1

3. Aged Care Australia - help staying at home - Extended Aged Care at ...

www.agedcareaustralia.gov.au/internet/agedcare/.../EACHD

HERE IS THE MARKING CRITERIA:

ESSAY MARKING CRITERIA (please follow this and answer the criteria questions along with the above response)

Criteria 1:

The nurse*****s role in Planning a coordinated Approach to client centered Discharge planning is Discussed with reference to The statement from Nay and Garratt (2009) and a recent clinical experience.The discussion is informed by current literature from 2004 onwards (it must by Australian nursing practices.) this section is worth 30 marks

Criteria 2:

Describes clearly and concisely one clinical placement example drawn from the student*****s experience and identifies where discharge planning can be improved. The discussion on improving the provision of a multiprofessional approach to care is informed from evidence drawn from current literature (2004 onwards) reflecting how best practice can be achieved. ((it must by Australian nursing practices.) this section is worth 20 marks

Criteria 3:

Demonstrates written scholarship in the construction and presentation of the Discussion. This section is worth 10 marks

THESE Resources MAY BE HELPFUL

Atchley, R. (2004). Social forces and ageing. An introduction to social gerontology (10th ed.). Australia:

Wadsworth.

Davis, S. (2008). Healthy ageing in rural Australia: Issues and challenges. Australasian Journal of Ageing,

27(2), 56-60.

Ebserole, P., Hess, P., Touhy, T., & Jett, K. (2005). Gerontological nursing and healthy aging (2nd ed.).

Philadelphia: Elsevier.

Ebserole, P., Hess, P., Touhy, T., Jett, K. & Luggan, A. (2008). Toward healthy aging: Human needs and

nursing response (7th ed.). St Louis: Mosby.

Giummarra, M. Haralambous, B., Moore, K., & Nankervis, J. (2007). The concept of health in older age: Views

of older people and health professionals. Australian Health Review, 31(4), 642-650.

Jamison, J. (2007). Healthcare for an ageing population. Sydney: Churchill Livingstone.

Miller, C. (2008). Nursing for wellness in older adults (5th ed.). Philadelphia: Lippincott.

Minichiello, V. (2005). Contemporary issues in gerontology: Promoting positive ageing. Crows Nest: Allen &

Unwin.

Redfern, S., & Ross, F. (Eds.). (2006). Nursing older people (4th ed.). London: Elsevier.

Recommended Websites:

Australian Government Department of Health and Ageing available from URL on the World Wide Web:

http://www.health.gov.au/internet/main/publishing.nsf/Content/ageing-whatnew.htm

Australian Institute of Health and Welfare (AIHW) (2008). Australia*****s health. Canberra: AIHW. Available from

http://www.aihw.gov.au/publications/aus/ah08/ah08.pdf

NSW Dept. of Health Policy Directives on Discharge Planning

http://www.health.nsw.gov.au/policies/pd/2007/pdf/PD2007_092.pdf

health at home

http://vuws.uws.edu.au/webct/urw/lc5116001.tp0/cobaltMainFrame.dowebct

I HAVE TRIED TO HELP AS MUCH AS I CAN. PLEASE EMAIL ME IF YOU DO NOT UNDERSTAND THEM.

*****

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