Introduction Narrative discourse, or the ability to recall and tell an orderly and continuous account of an event or a series of events, is a vital aspect of social communication. Narrative discourse includes the ability to express imaginary stories, recount personal events, and describe instructions to execute a task. During the aging process, individuals often experience changes in their language abilities and executive functioning, or the control and regulation of cognitive actions and planning (Bakos et al., 2008). Despite these changes, most aspects of narrative discourse are well preserved during normal aging (Cooper, 1990; Estes, 2012; Ulatowska, Chapman, Highley, & Prince, 1998). More specifically, elderly individuals produced narratives …show more content…
Participants will be recruited from nursing homes and assisted living facilities within Murfreesboro. To be a participant in the study, an individual must be within the target age and have a cognitive impairment from a stroke or TBI. Most importantly, individuals have the cognitive capacity to consent to participate in the study. In individuals suffering brain damage due to a stroke, only individuals with a diagnosis of Broca’s aphasia, anomic aphasia, and right hemisphere aphasia will be allowed to participate in the study. The exclusion of individuals with Wernicke’s aphasia and global aphasia is due to the severe language deficits present in these disorders. Also, individuals with a concurrent diagnosis, such as a coexisting TBI and stroke injuries, will not be permitted to participate in the study. Approximately 20 to 30 individuals will be sought to participate in the study, and the sample will be balanced between …show more content…
This data will be collected as a method to assist the researcher in identifying individuals who meet the inclusionary and to provide demographic information of participants. Additionally, the participants’ demographic information will be used to determine if any factors, such as time since incident or therapy experience, could potentially skew the results of the study. The participants will complete the narrative tasks at their residence facility. All responses will be audio recorded. Participants will be asked to complete two narrative tasks, one using pictorial stimuli and one using personal stimuli, in one session. In order to counterbalance any effect of order, the order of the two tasks will be alternated between the participants with every other participant completing the picture description task
Nursing is definitely a great discourse community. But you’re probably wondering, what is a discourse community? Well John Swales, who is a professor of linguistics and co-director of the Michigan corpus of Academic Spoken English at the University of Michigan, wrote a book called “Genre Analysis” that explained what discourse community is and the characteristics for identifying what takes part as a discourse community. Swales defines discourse community as centrifugal; In other words, it tends to separate people into occupational or specialty-interest groups (Swales, John. “Genre Analysis” Writing about Writing. Wardle, et al. 220). So basically he’s saying that it is a group of people who communicate about similar interests that they have in common with each other. With that said, Nursing does count as a discourse community because it’s a field of people who share similar interests, value, and goals in their lives. Discourse communities takes place all around the world and plays an important role in communication. There is no way others can understand others without the use
Scott, K., & Debrew, J. (2009). Helping older adults find meaning and purpose through storytelling. Journal Of Gerontological Nursing, 35(12), 38-43. doi:10.3928/00989134-20091103-03
These variables were evaluated through self-report questionnaires and clinical interviews. The procedures ran as following: the participants must sign an informed consent after they were given a complete briefing on the purpose of this study. Once signed the participants were given 200 NIS, which is equivalent to $45. At the shelter, each participant was taken individually, and a trained b... ...
My interest in nursing first stemed when my grandfather was diagnosed with stage four prostate cancer. Hospice had come into their home, and I was amazed at how they coped with their job. The people who took care of the person I loved the most, were compassionate and caring. Most of all they helped all of us through a time of need. During that time I realized helping people in whatever way I could in the medical field, was the career for me. My grandmother was also a nurse. She would tell me stories of when she worked in different hospitals. When I heard all of her experiences, I wanted to make memories of my own in the nursing field. This past summer, I took a CNA course at Valley Falls/Holton, Kansas. When I enrolled in this course, I thought
...rden and stress induced by the individuals with aphasia as a result of stroke on their caregivers. This was mainly due to communication breakdowns and the extensive care they need to provide them over a long period of time. We need local data as the context of Malaysia is different with overseas where such research are carried out such as United States and United Kingdom. The stroke care system in developing countries such as China and Malaysia are sparse with quality and quantity of stroke care varies between regions of different income (Brainin, 2007). Some provide excellent care but some area are in severe need for rehabilitation service, depending upon patients' location, socioeconomic status, education, and cultural beliefs (Brainin, 2007). All these factors will results in different rehabilitation outcome and thus affecting the burden on the caregiver as well.
Jasmin, Luc. "Communicating with Someone with Aphasia." nlm.nih.gov. Ed. David Zieve. Medline Plus, 22 May 2012. Web. 12 Mar. 2014.
The blood-brain barrier breakdown has often been documented in patients with TBI which may also be used as a biomarker in the clinic and drug trials.[12] The blood-brain barrier ...
at the orphanage, I was able to help build a sidewalk and a garage for
I started my Nursing career in India and then I came to the United States and became an RN. I entered Nursing with the thinking that Nursing is a profession that will always allow me to have a job and all my patients will get better. However, from my experiences I understood that Nursing is more than just giving medications, and it requires clinical competence, cultural sensitivity, ethics, caring for others, and life-long learning about others and the evolving field of medicine. Florence Nightingale once said:
"My most valuable tool is words, the words I can now use only with difficulty. My voice is debilitated - mute, a prisoner of a communication system damaged by a stroke that has robbed me of language," stated A. H. Raskins, one of approximately one million people in the United States who suffer from aphasia (1), a disorder which limits the comprehension and expression of language. It is an acquired impairment due to brain injury in the left cerebral hemisphere. The most common cause of aphasia is a stroke, but other causes are brain tumors, head injury, or other neuralgic illnesses. Of the estimated 400,000 strokes which occur a year, approximately 80,000 of those patients develop some form of aphasia (2). Another important observation is that within the United States, there are twice as many people with aphasia as there are individuals with Parkinson's disease (2). Yet, what is so astounding is the lack of public awareness about aphasia. Aphasia attacks an intricate part of a person's daily life - the simple act of communication and sharing. The disbursement of such a tool deprives an individual of education learned through their life, often leaving the ill fated feeling hopeless and alone. In considering the effects of aphasia, a deeper analysis of the two most common forms of aphasia will be examined: Broca's aphasia and Wernicke's aphasia. While both forms occur usually as a result of a stroke in the left hemisphere of the brain, their particular site of impairment produces different side effects in an individual's comprehension and speech. These regions have been further studied through experimental researches such as positron emission tomography (PET). Moreover, although there is currently no cure for the disorder, there are treatments and certain guidelines to follow when encountering an aphasic.
McDonnell, M.N., Bryan, J., Smith, A.E., & Esterman, A.J. (2011). Assessing cognitive impairment following stroke. Journal of Clinical & Experimental Neuropsychology, 33(9), 945-953.
Narrative Therapy was developed to help people separate themselves from their problems. The idea is that this will help the person use the skills that they already possess to minimize the problems that exist in their everyday lives. The Narrative Therapy approach was developed by Social Workers Michael White (Australia) and David Epston (New Zealand) during the 1970s-1980s. “White proclaimed is work to be exclusively that of ‘rich story development’ “(Gallant).
Regardless of the specialty, the main focus of a nurse includes assisting doctors in treating patients and providing clinical and emotional support to both patients and ancillary staff. With the role of administrative nursing supervisor comes additional responsibilities and administrative roles, such as staffing, organizing, prioritizing, and ultimately ensuring safe and quality patient care.
To make good nursing decisions, nurses require an internal roadmap with knowledge of nursing theories. Nursing theories, models, and frameworks play a significant role in nursing, and they are created to focus on meeting the client’s needs for nursing care. According to McEwen and Wills (2014), conceptual models and theories could create mechanisms, guide nurses to communicate better, and provide a “systematic means of collecting data to describe, explain, and predict” about nursing and its practice (p. 25). Most of the theories have some common concepts; others may differ from one theory to other. This paper will evaluate two nursing theorists’ main theories include Sister Callista Roy’s
All living things age, it is an unavoidable process. It is associated with cognitive, emotional, and physical transformation (Sarma & Bhagawati, 2015). According to Sarma & Bhagawati (2015), there is an increase in the population of older adults worldwide. Very often they feel isolated and neglected from their own family and friends. As people get older they become more forgetful, many have dementia that made them loose their ability to comprehend the world around them. They live in their own reality and remembering the past may help boost their life satisfaction and decrease depression. Elderly tell the stories to younger generations, it is a tradition that has been around for a long time. By storytelling, older adults are able to connect to younger generations, and it helps the younger ones to understand the person that now cannot remember their own children. Reminiscence is remembering the past and bringing old memories back to life (Lindinger-Sternart, 2013).