Individual Assessment (Part 2) Assignment Example | Topics and Well Written Essays - 2250 words

Individual Assessment (Part 2) - Assignment Example Programming is the act of original formulation of processes and steps within the tendering process. The definition is applicable to both the private and public sector when it comes to tender submission. Programming is a process involved with identifying the mission, objective, procedures, rules, and the manipulation of human capital of an organization in the process of seeking success (Fischer-Hübner 2006, p. 10). In order for an organization to be effective, regardless of the situation, there must be effective channels of communication within all tiers. There should be enough human motivation and responsibility of actions. As such, the tender submission requirements do not subject management, being one of the tender aspects, into the manipulation of a mechanism (Fischer-Hübner 2006, p. 10). Tender management does not have to be viewed in an enterprise point of view alone. The main reason is that programming is an essential function that improves the existence of firms and ev en individuals. There are several factors that influence programming as an aspect of the tender submission. Per se, programming assists the two sectors when it comes to procurement requirements. As observed in the public and private sector, the process of submitting tenders is a process that does not occur in isolation. The process is related to the general flow of market awareness and the awarding process of the different organizations. There are several activities that are involved (Fischer-Hübner 2006, p. 11).

Malnutrition in the Eldery patient Essay Example | Topics and Well Written Essays - 5000 words

Malnutrition in the Eldery patient - Essay Example In a controlled study of 92 patients that underwent hip surgery, 27% of the 26 patients who had suffered from postoperative delirium were admitted to a nursing home within 3 months of discharge from hospital compared to 8% of the 66 non-delirious patients. McCusker et al .found no difference for admission rates to long-term care facilities between patients with delirium and a non-delirious control group (odds ratio 1.15; 95% confidence intervals 0.33-4.05). The odds ratio for admission to long-term care, however, increased to 3.18 (95% CI 1.19-8.49) for demented delirious patients. Also, in a study by Edelstein et al ,the 5.1% of 921 patients who became delirious after hip-fracture surgery were less likely to recover to their pre-fracture level of ambulation than non-delirious patients. In patients newly admitted to post-acute care facilities after discharge from hospital, persistent delirium symptoms were prevalent in 23% of patients, being associated with poor functional recovery. Cognitive decline is not only a predisposing factor for delirium, but it has also been shown that delirium independently worsens cognitive function. In both delirious and non-delirious patients who underwent hip surgery, the score on the Mini-Mental State Examination (MMSE) decreased significantly during hospital stay. In the delirious group, however, the average MMSE score decreased significantly more (from 23.06 to 20.44 points) than in the non-delirious group (from 26.74 to 25.83 points; P Diagnosis There is no evidence that the clinical picture of delirium in the elderly differs from that in younger patients, although symptoms of delirium may be more persistent and follow a more chronic course. In 193 medical inpatients aged 65 and over with delirium diagnosed at admission or during the first week in hospital, symptoms of delirium persisted up to 12 months after diagnosis, in patients both with and without dementia. Diagnosing delirium in demented patients may be hard due to the overlap in symptoms of delirium and dementia. Recently, malnutrition related syndromes were Dened such as sarcopenia, i.e. loss of muscle mass, and failure to thrive (FTT), i.e. involuntary loss of weight combined with functional decline. Both are also highly prevalent in geriatric patient and similarly caused by multiple risk factors, overlapping with malnutrition [6-8]. Malnutrition is a general term for the medical condition caused by an improper or insufficient ("undernourished") diet. An individual will experience malnutrition if the appropriate amount, kind or quality of nutrients comprising a healthy diet are not consumed for an extended period of time. An extended period of malnutrition will result in starvation. Malnutrition as the