The complicated elderly trauma patient: a case study analysis

1993 ◽  
Vol 13 (3) ◽  
pp. 63-69
Author(s):  
C Rauen

SB validated many aspects of elderly trauma research and physiology. Although he had a prolonged length of stay and several complications, he survived multiple injuries and had a positive outcome. Exact causes for his complications and processes cannot be separated into degenerative or injury-related and are thus difficult to identify. With a review of aging physiology and SB's history, it is clear that his course and physiological responses to treatments were affected by his age and ability to respond to the demands placed on him. (See Table 5 for pertinent nursing diagnoses for SB.) There are physiological, psychological and sociological differences in caring for young and old trauma patients. Nursing, by virtue of its constant surveillance of patients, is in a unique position to help meet the special needs of the elderly trauma patient.

2003 ◽  
Vol 103 (3) ◽  
pp. 363-368 ◽  
Author(s):  
Catherine Paquet ◽  
Danielle St-Arnaud-McKenzie ◽  
Guylaine Ferland ◽  
Laurette Dubé

Organizacija ◽  
2009 ◽  
Vol 42 (5) ◽  
pp. 199-208 ◽  
Author(s):  
Franka Piskar ◽  
Armand Faganel

A Successful CRM Implementation Project in a Service Company: Case StudyCustomer relationship management - CRM implementations increased rapidly in Slovenia in the last few years, following the trends elsewhere. Studies reporting how the implementation project goes on before, between and after the implementation are scarce. We offer a thorough case study analysis of the CRM implementation with a positive outcome in a Slovene service company. Case study demonstrates that CRM implementation is a holistic and complex concept, which means that it is not merely an integration of new information technology, but everything that happens around the business processes changes. We recommend that the company has already established a process approach and the orientation toward customers. Study showed the need for efficient leadership, acquirement of resources and CRM strategy implementation control; trust to the software solution shouldn't be self-understood. Through implemented analytical CRM company can improve the relationship with customers, achieve larger information sharing between employees and accept better strategic decisions.


PLoS ONE ◽  
2014 ◽  
Vol 9 (10) ◽  
pp. e110940 ◽  
Author(s):  
Nathan N. O'Hara ◽  
Rodney Mugarura ◽  
Gerard P. Slobogean ◽  
Maryse Bouchard

2020 ◽  
Vol 23 (2) ◽  
pp. 145-154
Author(s):  
Ma. Mayla Imela M Lapa ◽  
Laurence L Garcia ◽  
Endrex P Nemenzo

There is an increasing share of people aged 50 years and over in the labor market structure and the rapid aging of the global workforce that supports the latter claim but with a little tank of information on qualitative research describing the experiences of a working octogenarian. An octogenarian is a person who is between 80 and 89 years old. This study aimed to investigate the experiences of a working octogenarian in her fieldwork through a qualitative case study analysis. From the interview, the following three themes were revealed: (a) Work as a legacy, (b) Work as an advocacy, and (c) Work as an opportunity. In the first theme, the participant described that she had a laden path and a mission. These had been sustained along with the desire to serve and make a difference. In work as advocacy, she presented the vision to make the lives of the elderly better by making the environment compatible with her aspiration extending beyond the confines of her organization. Considering every work that she took part in as an opportunity to explore and further her vision was the very core of the theme “work as an opportunity.” Working beyond 80 years old becomes possible when one dedicates the undertakings in the fulfillment of the individual’s vision and mission. Abstrak Bekerja di Atas Usia 80: Sebuah Studi Kasus Kualitatif tentang Arti Bekerja bagi Seorang Tenaga Kerja Octogenarian. Terdapat peningkatan jumlah orang yang berusia 50 tahun ke atas dalam struktur pasar tenaga kerja dan penuaan dini dari tenaga kerja global yang mendukung klaim terakhir, namun masih sedikit informasi tentang penelitian kualitatif yang menggambarkan pengalaman seorang oktogenarian yang bekerja. Seorang octogenarian adalah orang yang berusia antara 80 dan 89 tahun. Penelitian ini bertujuan untuk menyelidiki pengalaman seorang oktogenarian yang bekerja pada lapangan kerjanya melalui analisis studi kasus kualitatif. Berdasarkan wawancara, tiga tema berikut terungkap: (a) Bekerja sebagai warisan, (b) Bekerja sebagai advokasi, dan (c) Bekerja sebagai peluang. Pada tema pertama, peserta menggambarkan bahwa dia memiliki jalan yang sarat dan misi. Hal ini telah dipertahankan dengan keinginan untuk melayani dan membuat perbedaan. Pada tema bekerja sebagai advokasi, ia mempresentasikan visi untuk membuat kehidupan lansia menjadi lebih baik dengan membuat lingkungan yang sesuai dengan aspirasinya melampaui batas organisasinya. Mempertimbangkan setiap pekerjaan yang ia ambil sebagai kesempatan untuk mengeksplorasi dan memajukan visinya adalah inti dari tema “bekerja sebagai sebuah peluang.” Bekerja lebih dari 80 tahun sangat mungkin ketika seseorang mendedikasikan upaya dalam pencapaian visi dan misi individu. Kata Kunci: aging, gerontologi, octogenarian, pekerja, tenaga kerja


2020 ◽  
Vol 29 (4) ◽  
pp. 685-690
Author(s):  
C. S. Vanaja ◽  
Miriam Soni Abigail

Purpose Misophonia is a sound tolerance disorder condition in certain sounds that trigger intense emotional or physiological responses. While some persons may experience misophonia, a few patients suffer from misophonia. However, there is a dearth of literature on audiological assessment and management of persons with misophonia. The purpose of this report is to discuss the assessment of misophonia and highlight the management option that helped a patient with misophonia. Method A case study of a 26-year-old woman with the complaint of decreased tolerance to specific sounds affecting quality of life is reported. Audiological assessment differentiated misophonia from hyperacusis. Management included retraining counseling as well as desensitization and habituation therapy based on the principles described by P. J. Jastreboff and Jastreboff (2014). A misophonia questionnaire was administered at regular intervals to monitor the effectiveness of therapy. Results A detailed case history and audiological evaluations including pure-tone audiogram and Johnson Hyperacusis Index revealed the presence of misophonia. The patient benefitted from intervention, and the scores of the misophonia questionnaire indicated a decrease in the severity of the problem. Conclusions It is important to differentially diagnose misophonia and hyperacusis in persons with sound tolerance disorders. Retraining counseling as well as desensitization and habituation therapy can help patients who suffer from misophonia.


2011 ◽  
Vol 21 (1) ◽  
pp. 11-21 ◽  
Author(s):  
Farzan Irani ◽  
Rodney Gabel

This case report describes the positive outcome of a therapeutic intervention that integrated an intensive, residential component with follow-up telepractice for a 21 year old male who stutters. This therapy utilized an eclectic approach to intensive therapy in conjunction with a 12-month follow-up via video telepractice. The results indicated that the client benefited from the program as demonstrated by a reduction in percent stuttered syllables, a reduction in stuttering severity, and a change in attitudes and feelings related to stuttering and speaking.


2018 ◽  
Vol 28 (2) ◽  
pp. 213-232
Author(s):  
Rayna D. Markin ◽  
Kevin S. McCarthy ◽  
Amy Fuhrmann ◽  
Danny Yeung ◽  
Kari A. Gleiser

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