Tuesday, December 31, 2019

Reagan s Social Views On President Reagan - 1231 Words

Reagan s Social Views President Ronald Reagan is known in the history of the United States as one of the notable presidents who transformed the country. He not only appealed to the Americans, but the rest of the world as well. The success enjoyed by President Reagan was mainly due to the leadership qualities that he possessed (Reagan, 2009). This paper will look at the leadership qualities that enabled Reagan to be successful with analyzing how his leadership was viewed by the Americans and the entire world. The paper will also look into some of the important social views surrounding his leadership as President of the United States. The leadership qualities that President Ronald Reagan possessed are perhaps the main reason he was so†¦show more content†¦Reagan’s solid commitment to the American values is one notable factor of Reagan’s leadership. This meant the sense of right and wrong, tolerance for risk, respect for citizens and the sense of obligation to neighbors, country, and community and compassion towards the less fortunate. The second most notable factor of Reagan’s leadership was his combination of political courage and integrity. He always dedicated to doing the right thing regardless of the impact it could have on his political career (Wirthlin Hall, 2004). In the eyes of the American public, Congress and the World, President Reagan at the time of his presidency was considered to be the most triumphant and well-connected president of the United States. He always had a good way of keeping touch with his countrymen and making sure that he was leading them towards the right direction. Many Americans and the rest of the world as well agree that Reagan was a very good president. However, President Reagan is mostly remembered as the leader who reversed the constant shift power to Washington. He did this by removing many federal programs, cutting down on others and forcing cities and states to assume even more responsibility. He was just the type of a leader that the American people needed at the time (Smith Tolbert, 2001). Reagan’s leadership is viewed from many perspectives. However, the social views

Sunday, December 22, 2019

Smoke and Alarms Essay - 1420 Words

Alarms were blaring, rebounding through the tiled halls. Cameras whirred, their mechanic brains trying to pinpoint the thief. I ran through the halls, my feet skimming on an expensive European rug. In my pocket was a diamond the size of my fist. I heard a crisp fluttering of wings behind my head, and I risked a glance backwards. There behind me was a pitch black raven, flapping its wings frantically, trying to catch up to me. In its talons was a sack. It was slowing it down considerably and the raven was descending at an alarming rate. â€Å"Hurry,† I hissed, not slowing my headlong pace down the hall. Up ahead I could see a grand staircase, putting on a bust of speed I took a deep rasping breath , preparing myself , and jumped onto the†¦show more content†¦I raced toward the window , behind me I could hear the leader yelling, â€Å"Im fine you fools, She getting away,† I was five feet away, now three, now two. Then crash. I fell hard scraping my chin on the wooden floor. Looking back I saw a young guard holding onto my ankle, my expression mustve been sour because his face turned frightful, feeling no pity, I brought my heel down hard onto his face. I felt the bones give way under my foot and scrambled to my feet. The guards were almost upon me, I leaped ontot the window and there I crouched. My head turned slightly toward the ranks of guards that had stopped two feet away, all knowing the inevitable outcome of this. My face was half in shadow and I gave them an impish grin. Only the leader moved. He lunged but nothing was there but a swirling mist. His hands grasped in the film of gray, as he stuck his head out the window. His face turned red and he bellowed, â€Å"I WILL GET YOU SMOKEï Å¸Ã¢â‚¬  I arrive on the corner of Elm st. and Main, a tiny corner that was often occupied by frantic shoppers and late workers. It was only one part of the bustling New York. I had changed my dark coat for my stylish tan, leather jacket, in one of my nearby hideouts. The best way to keep yourself from attracting attention is to be ostentatious. However I had never understood why these empty minded fools had found the gaudy orange and neon pink attractive. My black pants were exchanged for a pair of flashyShow MoreRelatedSmoke Alarms1556 Words   |  7 PagesSmoke Alarms Each year most people are in disbelief and doubt that something as critical as a fire could happen to them, this skepticism has led to more deaths and property damage than should have occurred. In the current generation smoke alarms are mandatory and advancements to the technology have been occurring rapidly. With the use of smoke detectors, firefighters have been more successful in the saving of lives and the protection of property. Even with smoke detectors getting more technologicallyRead MoreThe Red Cross And Home Fire Prevention Campaign915 Words   |  4 Pagespercent within five years. This is done by educating people about the risk of home fires and by installing free smoke alarms in their homes. â€Å"Since we are responding to fires after they happen, putting a lot of resources to respond to fires before they happen is a much better use of resources, Preparedness Manager Disaster Services with the Hawaii State Chapter Carole Kaapu said. Smoke alarms cut the risk of death from fire in half. â€Å"The fatalities are preventable. It s just like why is it importantRead MoreAnalysis Of Deep Belief Networks819 Words   |  4 Pagesapproach for smoke detection that employs Deep Belief Networks. The proposed technique is separated into three stages. In the pre-processing stage, the region of high movement is removed by background subtraction technique. During the next stage smoke pixel intensities are removed from the Red, Green and Blue and Luminance; Chroma: Blue; Chroma: Red colour spaces for foreground regions. Consequently, second characteristic which is based on texture is calculated for identifying smoke regions in whichRead MoreWireless Security Control System And Sensor Network For Smoke Fire Detection756 Words   |  4 PagesSensor Network for Smoke Fire Detection By Abdulrahman Alsaadi EE 548 Abstract – The project entails the design and engineering of a wireless smoke detector unit and network. The premise of the wireless network is to alert and set off all of the smoke detectors in the network if one smoke detector is set off. With our current progress we have enough equipment for two smoke detectors. The hardware modules include the PIC microcontroller (arduino), temperature sensor, and smoke sensor. In its completeRead MoreOvervie of CORE Methodology1580 Words   |  7 PagesFalse alarm Fire confirmed False alarm confirmed Sound the alarm Alarm is disengage Alarms Alarms The Fire Alarm System Viewpoint Source Input Action Output Destination FASAM Presence of a fire detected Notify manned control area Message Displayed ‘Fire Detected in a Zone [ ]’ Control Area Guard FASAM Confirms fire False alarm Nothing (Alarm is ignored) Fire is confirmed False alarm confirmed Confirm Fire Alarm is sounded Alarm is disengage Alarm is sounded Alarms Alarms AlarmsRead More How do deaf people use telephones? What about doorbells and alarm clocks?979 Words   |  4 Pages How do deaf people use telephones? What about doorbells and alarm clocks? nbsp;nbsp;nbsp;nbsp;nbsp;There are many everyday devises that we hearing people take for granted, among these are telephones, smoke alarms, doorbells, and alarm clocks. When we look at how members of the deaf community use these everyday items we must consider that members within the community have very different communication needs, abilities, and preferences. Hard-of-hearing people for example can use a standard telephoneRead MoreModule Three Writing Assignment : Worchester Cold Storage Fire1119 Words   |  5 PagesFranklin Street , reference Commercial Fire, at the Worchester Cold Storage. The responding Chief at the time of the incident overheard on the radio that a motorist had seen smoke coming from the roof division while driving and other factors such as it was an adbanded building for 10 years or so, went ahead and requested a second alarm within 4 minutes after dispatch. The Worchester Cold Storage was a commerical building, six stories high and was constructed in 1906. The building was a conjuction of TypeRead MoreThe Leading Causes Of Lung Cancer1350 Words   |  6 Pagesleading cause of death in women (â€Å"Lung†). Lung cancer can occur at any age, but it occurs primarily between the ages of forty-five and seventy-five (â€Å"Lung†). The four leading causes of lung cancer are smoking cigarettes, exposure to radon, secondhand smoke, and asbestos exposure. The first leading cause of lung cancer is smoking cigarettes. Tobacco contains nicotine, an alkaloid that is addictive and can have both stimulating and tranquilizing psychoactive effects. The smoking of tobacco, long practicedRead MorePrinciples Of Emergency : Service1491 Words   |  6 PagesPrinciples of Emergency Service By: Marcus Moxon Introduction December, 3rd, 1999, there was a fire Worcester, Massachusetts; that would ultimately change the fire service as they know it. The fire went from bad to worse, after the first alarm that went off, five more went as well; sending additional fire fighters out. Two firefighters from Rescue 1 who were first on scene got lost during the search when they were looking for two homeless people and for any fire extension. After more respondersRead MoreEmergency Services for the Deaf1373 Words   |  6 Pagesany emergency situation that may be occurring. Deaf and Hard of Hearing individuals are even at risk in their own homes if they are not aware of the services available to them, such as smoke alarms. Smoke alarms save thousands of lives every year, but that is only if you can hear the high-pitched sound of a smoke alarm going off. For those who are Deaf or Hard of Hearing, this high-pitched sound is of limited use to notify them of an emergency situation in their own home. This can be especially true

Saturday, December 14, 2019

The Negative Effects of Tobacco Free Essays

The nicotine can be consumed by chewing tobacco apart from smoking and sniffing . The article provides insight into the hazards of chewing tobacco . If you believe that only smoking is injurious, certainly not. We will write a custom essay sample on The Negative Effects of Tobacco or any similar topic only for you Order Now Any form of nicotine consumption is injurious. Tobacco is bad for health, no matter in what form you take it the ill effects are always there. Tobacco are leaves of plant that are used in dried form, they are high in nicotine and consequently addictive in nature. Tobacco can be taken in the form of: Chewing Snuff Smoking. The high content of nicotine makes it very addictive, once a person gets addicted to smoking, chewing or sniffing it becomes difficult to leave it. At times efforts fail and person goes back to taking tobacco. Chewing of Tobacco Chewing tobacco also known as smokeless tobacco is equally bad as smoking. It is a myth that chewing is not as harmful as smoking. Chewing tobacco is made of tobacco, nicotine, sweeteners and chemicals. The continuous chewing process gives a constant high to the person. This high leads gives temporary relief from stress and anxiety. Small temporary relief leads the person to use it frequently and before the person realizes he is addicted. Effects of Chewing tobacco leads to numerous side effects, which can be internal or external. The main harmful effects of tobacco are Erodes Tooth The ingredients of tobacco consist of gravels, sand, and other harmful chemicals that erode the enamel of tooth. Continuous chewing leads to early loss of tooth. Early Decay Of Tooth Chewing leaves small particles in tooth that forms bacteria and plaque, it harms enamel and gums, which leads to decay of tooth. Gum slump Chewing leads to decomposing of gums, the gums get infected and the grip on tooth loosens which exposes the sensitive area of tooth. Bad Breadth There is nothing as bad as bad breadth of a person, they are major turn off for people around them. The long-term habit of chewing and spitting is unacceptable and looks indecent. Affects Eating Habit Eating habit of people who chews tobacco tends to be unhealthy, continuous chewing affects the taste bud and the sensitivity of them decreases. This leads to an increase in intake of more salt, sugar and spices in food as he feels a bland taste in his mouth. The above effects of tobacco is just the beginning of trouble for people who chew, it has more deep rooted and life threatening effects. Chewing of tobacco has major or near to fatal effect on addicted people. The major areas where they proved to be fatal are: Damage to tongue, jaw and lips Lung Cancer Oral Cancer Damage to tongue, jaw and lips As mentioned above chewing leads to the early decay of tooth, bad breadth, damaged gums and falling of tooth. The addiction of tobacco affects the area around the mouth. The tongue and jaws face the following problems: Dis-coloring of lips and lip cancer Sore Throat Difficulty in movement of jaws and tongue Rashes or irritation on tongue Burning sensation on lips and tongue Oral Cancer Continuous chewing process leaves infectious juices on tooth and lips. These develop in white patches that can be considered as an early symptom of oral cancer. People who indulge in tobacco chewing have higher risk of oral cancer to people who take alcohol. The most infected area in oral cancer is the tongue and the area below the tongue. The cancer slowly spreads to cheeks and throat. Though it can attack any part lips, tongue, upper and lower mouth, the cheeks, or gums and esophagus. It is very important to go for early diagnosis as soon as one feels suspicious. Lung Cancer Chewing tobacco leads to oral cancer but it is not the end of it can spread the disease in lungs and linings of stomach. Reports show that 90% of lung cancers are cases of people who either smoke or chew tobacco. Destructive agents termed as carcinogens in tobacco injure the cells in the lungs. Over a period of time, these spoiled cells may develop into lung cancer. Dipping tobacco is a way to take nicotine into your system without smoking. It is in essence a smokeless tobacco. You do not chew on it, but rather a small pinch of the tobacco is placed between your gums and lips. While the dip tobacco sits in your mouth, your body produces saliva. This saliva takes nicotine into the arteries of the blood stream, giving the same effect as smoking a cigarette would. Often, excess saliva is produced which the user will spit out. Is It Chewing Tobacco? Many smokers wonder whether dipping or chewing tobacco is a better alternative to smoking. Others wonder if they are the same thing or not. Dipping tobacco is often confused with chewing tobacco. In fact, many people call dip â€Å"chew,† which is a common term used to describe chewing tobacco. It is not the same thing, however. The tobacco derivatives in chewing tobacco are entirely different than the derivatives in dip. Also, dip is not chewed, whereas chewing tobacco must be chewed to release all of the nicotine. Canadian Dip Versus American Dip. Both Canadian and American tobacco manufacturers make dip, but in different amounts and sizes. The Canadian tins are much smaller than the American tins. In fact, Canadian tins, which are fifteen grams, are less than half the size of the thirty-four gram American variety. Also, in Canada, users must pay quite a bit more for dip than users in the States. The United States tends to have a wider variety of dipping tobacco flavors than Canadian markets, and new flavors are usually released in the US first because of tobacco de-normalization laws in Canada. According to the U. S. Department of Health and Human Services, an estimated 23. 9 percent of people in the United States over the age of 12 were current cigarette smokers in 2008. However, the American Heart Association (AHA) reports that cigarette smoking is responsible for 440,000 deaths each year. MedlinePlus reports that both cigarettes (smoking tobacco) and chewing (smokeless) tobacco are bad for your health, and cause multiple and often fatal health problems. Cardiovascular Disease One negative effect that tobacco and nicotine addiction has on the health of the body is cardiovascular disease. AHA reports that cigarette smokers are two to three times more likely to develop cardiovascular disease than people who do not smoke. Also according to AHA, of the 440,000 deaths each year caused by cigarette smoking, 135,000 are due to smoking-related cardiovascular diseases. Nicotine in tobacco products causes an increase in blood pressure and heart rate, and a narrowing of the arteries. Carbon monoxide that is inhaled when tobacco is smoked decreases the amount of oxygen carried by the blood to feed the body’s tissues. The AHA reports that carbon monoxide and nicotine damages the artery walls, which leads to the deposition of fat and narrowing of arteries, which further increases blood pressure. Damaged vessels and high blood pressure are all risk factors for heart failure. Furthermore, smoking tobacco causes the blood to clot more easily, which may cause a heart attack or stroke. see survivor stories chat online with our oncology info specialists Cancer Another negative effect caused by smoking or chewing tobacco is cancer. MedlinePlus reports that cigarette smoking causes 87 percent of lung cancer cases in the United States. According to the American Lung Association (ALA) cigarette smoke contains 69 chemicals that are known to cause cancer. Smokeless tobacco is also a known cause of cancer, and is the leading cause of cancer in the mouth. Lung Disease A third negative effect of tobacco is lung disease, caused by the cigarette smoking. The ALA reports that smoking cigarettes are responsible for 80 to 90 percent of COPD (including emphysema and chronic bronchitis) deaths. Emphysema is a condition where the tissue in the lungs becomes stretched out and lacks the elasticity of normal lung tissue. This prevents breathing air from efficiently transferring oxygen into the blood stream. Long-term swelling of the tissue in the airways and an overproduction of mucus characterize chronic bronchitis. Both the swelling and the mucus make it difficult to breath, causing even normal activity to be difficult. Thus, tobacco and nicotine invariably lead to heart disease, cancer, and chronic lung disease. Even though these are very real threats, million of Americans find that nicotine addiction is hard to break. How to cite The Negative Effects of Tobacco, Papers

Friday, December 6, 2019

Therapeutic Alliance and Treatment Delivery †MyAssignmenthelp.com

Question: Discuss about the Therapeutic Alliance and Treatment Delivery. Answer: Introduction The assessment focuses on the evaluation of the person-centred interventions requiring administration with the objective of decreasing the frequency of falls in the demented people. Evidence-based research literature advocates the elevated risk of falls in demented patients. The disorders related to Parkinsons dementia and Lewy Body Dementia predominantly increase the likelihood of the affected patients in terms of experiencing falls while undertaking day-to-day activities (Aizen 2015). Limited evidence is available regarding the development of definitive strategies for reducing the frequency of falls and associated traumatic conditions in the demented people. Primary exercise approaches prove to be effective modalities that increase stamina and confidence of demented patients and reduce their risk of falls across the community environment. However, the method of their implementation for the target population remains debatable in the medical community. Evidence-based research literat ure advocates the pattern of dose-response relationship between the frequency of falls in demented people and the administration of psychotropic drugs (Jong, Elst Hartholt 2013). The increased administration of psychotropic medication results in the reciprocal elevation of the falling frequency in the demented people. Therefore, medical professionals require administering person-centred approaches to streamline the pattern of medication management for the associated reduction in falling frequency in the demented population. Gait deterioration and cognitive decline include some of the significant factors that evidently contribute to the falls in elderly demented people (Segev-Jacubovski et al. 2011). The administration of multimodal cognitive interventions with the systematic utilization of therapeutic communication is therefore highly warranted for controlling the frequency of falling episodes in the patients affected with dementia and associated mental manifestations (Jootun McGh ee 2011). The presented research paper effectively explores the implication of the therapeutic relationship on the pattern of person-centred care of demented patients with the objective of substantially reducing their falling risk in the clinical as well as residential settings. The improvement in patient outcomes through the utilization of therapeutic communication will provide a new paradigm to dementia care in the medical facilities. The literature review was undertaken with the objective of exploring the influence of therapeutic communication on improving the patient care outcomes in the dementia setting. Evidence-based analysis attempted to affirm the potential of an effective therapeutic relationship in terms of facilitating person-centred healthcare interventions requiring administration by medical professionals for reducing the falling frequency in the demented patients. The scientific databases including PubMed, CINAHL, Research Gate, Cochrane and ProQuest Central were researched with the objective of exploring the articles of interest while sequentially utilizing the search terms including therapeutic communication/Dementia/falls, therapeutic communication/cognitive/dementia/falls, dementia/trauma/therapeutic relationship, person-centred/dementia/therapeutic relationship and communication, nursing, dementia care and patient-centred dementia care. The factors including medications, footwear, assistive devices, home features, caregiver support, age related deterioration, cognitive defect, gait abnormality, sensory deficit and behavioural manifestations elevate the likelihood of falls and associated complications in the demented patients. Each demented patient experience at least one fall per year under the influence of mental manifestation and potential risk factors. The caregiver requires effectively modifying the immediate environment of the demented individual in a manner to facilitate the performance of daily activities including housekeeping, toileting and dressing (Phelan et al. 2015). Furthermore, administration of personal assistance for the safe undertaking of the personal care of demented people is necessarily required for reducing the risk of falling episodes. Medical professionals and rehabilitation experts require interacting with the demented patients for regularly monitoring their daily activities in the context of improving the pattern of their safety and associated outcomes. This interaction warrants the administration of therapeutic communication with the objective of evaluating the treatment challenges and individualized healthcare requirements of the demented people (Velea Purc?rea 2014). Demented patients affected with various co-morbid conditions require undertaking numerous treatment interventions under the recommendation of multiple healthcare professionals. Eventually, they might experience polypharmacy and other risk factors that could elevate the frequency of falling episodes and associated adverse manifestations (Hammond Wilson 2013). Utilization of dialogue and closeness interventions is required for evaluating the causative factors of the falling episodes among demented individuals (Struksnes et al. 2011). Medical professionals need to administer a questionnaire to the demented people with the objective of determining their environmental constraints as well as psycho-socio-somatic deficits contributing to the pattern of falling episodes. The questionnaire administration and collection of data require the systematic establishment of a therapeutic relationship with the demented patients in the context of motivating them for sharing their concerns and apprehensions regarding the falling episodes. The pattern of therapeutic relation also assists in mitigating the problematic behaviour of the treated patients in the clinical setting (Westermann et al. 2015). Furthermore, systematic documentation of patient concerns provides an insight to the medical professionals in terms of configuring patient-centred interventions for acquiring desirable healthcare outcomes (Struksnes et al. 2011). Rehabilitation professionals require undertaking horticulture interventions to facilitate the pattern of a therapeutic relationship with the objective of enhancing person-centred outcomes (Detweiler et al. 2012). Horticulture therapy advocates the utilization of gardening interventions and plants for enhancing the focus and attention span of the demented patients while concomitantly reducing the level of their agitation, stress and antipsychotic medication requirement. This eventually reduces the risk of falls and associated traumatic conditions in the demented patients. The effective configuration of socializing environments through protective parks increases the plant contact of the demented people that relax their minds and provide them psychosocial stability (Detweiler et al. 2012). These modifications substantially decrease the falling episodes of the demented individuals. The therapeutic alliance of the medical professionals with the demented patients across the natural surroun dings elevates their tactile and visual experience and motivates them for eating enhancement (Detweiler et al. 2012). The significant effects considerably improve the overall senses of the demented people that substantially decrease their risk of experiencing falls and associated adverse somatic complications (Detweiler et al. 2012). The pattern of therapeutic relationship improves the level of cortisol of the demented patients that resultantly improves their confidence and memory and reduce their predisposition towards the development of affective conditions and associated falling episodes. Practice change implementation for the demented people requires the systematic configuration of a proactive plan for the acquisition of the desirable patient-centred outcomes for the demented patients. The administration of the person-centred fall reduction interventions requires active collaboration between the clinicians, nurses, rehabilitation experts, physicians and other members of the healthcare team. Accordingly, the therapeutic alliance with the demented patients would require configuration for effectively decreasing the frequency of the falling episodes (Bunn et al. 2014). The establishment of the change process would require the systematic deployment of BEET (Building Effective Engagement Techniques) tool for controlling the elevated frequency of falling episodes among the demented patients. Undoubtedly, the deployment of effective patient-physician engagement interventions increases the quality and efficiency of patient-centred medical services in a matrix environment (IOM 2013). BEET tool is categorized into the following subsections. Puzzle and purpose include the research question (indicating the practice change requirement) and associated rationale. Evidence includes evidence-based findings that advocate benefits of the recommended practice change requirement. Context indicates the target population requiring the change intervention for the systematic acquisition of the patient-centred outcomes. It also includes the medical professionals who need to be part of the change process. Facilitation includes the recommended strategies warranting implementation for bringing the desirable change in the healthcare management of the demented patients. Puzzle and Purpose Healthcare professionals require using positive language with the demented patients and must not criticise them for their psychosocial deficits while extending therapeutic communication. The clinicians and nurses should not set any pre-condition while configuring the pattern of a therapeutic relationship with the treated patients. The following question is configured with the objective of acquiring the person-centred outcomes. How can we configure the therapeutic relationship with the demented people for implementing person-centred care and reducing their frequency of falls? The puzzle remains entirely positive in the context of improving the wellness pattern of the demented population. The puzzle does not hinder the administration of patient-centred care to the target population while imposing any constraint and does not define any pre-condition or assumes any predefined solution to the problem. The problem states the requirement of effectively engaging the nurse practitioners, physicians and rehabilitations experts and facilitating the process of mutual collaboration for improving patient communication and the resultant patient-care outcomes (i.e. risk reduction in relation to the falling episodes). The configured puzzle is framed in a positive format and does not invite criticism of any type because of the absence of pre-condition. The puzzle remains open in terms of acquiring a range of interventions warranted to improve the therapeutic relationship pattern for reducing the risk of falls in the demented patients. The straightforward answering (i.e. y es or no) cannot (objectively or subjectively) accomplish the requirements of the posted question/puzzle. These facts rationally indicate that the puzzle is configured in a manner to acquire innovative and comprehensive solutions with the objective of improving the person-centred care of the demented patients through improved communication pattern for reducing the length and severity of their adverse complications. Outcomes of the puzzle resolution would indicate the considerable reduction in the falling episodes and associated traumatic conditions of the demented people through the establishment of their improved cognition. The healthcare teams would find a range of evidence-based methods in the healthcare setting for improving the person-centred outcomes. The puzzle finally proposes the engagement of the healthcare professionals, demented patients and their family members in the process of their medical-decision making in the context of reducing their predisposition towards experi encing falling episodes. Indeed, substantial evidence is available in the clinical literature that advocates the requirement of undertaking the recommended practice change with the objective of improving the patient-centred outcomes in the demented people. The configuration of an effective therapeutic relationship would require the active engagement of nursing professionals, physicians, patients and their caretakers in the clinical setting. Nurse professionals must undertake informed decision-making and systematically involve the demented patients as well as their family members in the process of their medical care and treatment (Smebye, Kirkevold Engedal 2012). The multidisciplinary (i.e. team based) collaboration between the healthcare professionals and direct engagement of nurses in the process of patient communication will substantially decrease the scope of patient care errors and increase the pattern of compliance, satisfaction and trust of the demented patients on the recommended person-centred approaches (Wen Schulman 2014). Resultantly, the improvement in the healthcare outcomes will enhance the cognitive and somatic capacities of the treated patients. This will eventually reduce their falling episodes and associated traumat ic manifestations. The dynamic therapeutic alliance and elevated clinicians competence leads to improved patient care outcomes (Campbell et al. 2015). The shortage of nursing staff and their excessive workload might constrain them in terms of investing additional time in improving the pattern of interpersonal relationship with the treated patient while utilizing therapeutic communication (Alghamdi 2016). Eventually, this could impact the acquisition of the treatment outcomes and the demented patient might continue to experience falls and trauma at the same pace. The nurse professionals therefore, require developing transformational leadership skills in the context of effectively delegating their daily work requirements for reducing the level of their stress and additional time consumed in undertaking the daily job roles (Negussie Demissie 2013). The hospital administration must also consider the provision of financial incentives in the context of accomplishing additional patient requirements by the nu rse professionals. In this manner, nurse professionals will acquire motivation and enthusiasm with the objective of potentially configuring a therapeutic relationship with the demented patients for reducing the frequency of their falling episodes. An additional intervention for improving the desirable patient-centred outcomes includes the administration of counselling and training sessions to the registered nurses in relation to improving their work management skills in the clinical settings. This will substantially improve their capacity of utilizing therapeutic communication while handling dementia patients for the systematic accomplishment of the patient care goals. Indeed, BEET tool is an effectively modality for systematically engaging the medical professionals and the treated patients in terms of bringing the desirable patient care outcomes. The presented context requires the effective implementation of the Top-14 best practice recommendations with the objective of improving the therapeutic relationship of the demented patients with the treating clinicians for acquiring the goal-oriented patient-centred outcome (i.e. falls reduction) (Virani et al. 2002). These recommendations are sequentially provided in the attached appendix. These recommendations require encapsulated in the walls of the clinical setting in the context of motivating the nurse professionals, physicians, demented patients and their family members for practicing therapeutic communication and shared medical decision-making for systematic improvement in the psycho-socio-somatic outcomes. The configuration of interpersonal relationship with the demented patients through extended professional communication (while utilizing the practice recommendations will substantially reduce the risk of their prospective falls in the clinical as well as residential settings. The practice implications of the recommended Top-14 recommendations include the substantial reduction in the length of stay of the demented patients in the clinical settings and reduction in the additional cost incurred in treating traumatic complications that emanate under the influence of frequent falling episodes. The empathic and person-centred healthcare approaches will improve the pattern of self-sufficiency of the demented patients and increase their partnership in the process of medical decision-making. The systematic deployment of goal oriented dementia care approaches in the clinical settings will eventually reduce the development of co-morbid states and physical challenges that could potentially elevate the scope of falls and associated trauma. Conclusion The BEET tool was categorically explored for evaluating the scope of establishing a systematic transformation in the conventional practice methodology for the demented patients in the context of reducing their frequency of falls and traumatic conditions. The subject of study was researched in evidence-based literature and the findings advocated the requirement of actively engaging the nurse professionals and patients in the process of medical decision-making with the utilization of therapeutic communication. The Top 14 best practice recommendations require implementation in the dementia care settings for enhancing the pattern of person-centred approaches requiring administration with the objective of reducing the frequency of falling episodes and associated adverse clinical complications in the demented people. References Abdolrahimi, M, Ghiyasvandian, S, Zakerimoghadam, M Ebadi, A 2017, 'Therapeutic communication in nursing students: A Walker Avant concept analysis', Electronic Physician, vol 9, no. 8, pp. 4968-4977, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5614280/. Aizen , E 2015, 'FALLS IN PATIENTS WITH DEMENTIA', Harefuah, vol 154, no. 5, pp. 323-6, 338, https://www.ncbi.nlm.nih.gov/pubmed/26168645. Alghamdi , MG 2016, 'Nursing workload: a concept analysis', Journal of Nursing Management, vol 24, no. 4, pp. 449-457, https://www.ncbi.nlm.nih.gov/pubmed/26749124. Bunn, F, Dickinson, A, Simpson, C, Narayanan, V, Humphrey, D, Griffiths, C, Martin, W Victor, C 2014, 'Preventing falls among older people with mental health problems: a systematic review', BMC Nursing, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3942767/. Campbell, BK, Guydish, J, Le, T, Wells, EA MacCarty, D 2015, 'The Relationship of Therapeutic Alliance and Treatment Delivery Fidelity with Treatment Retention in a Multisite Trial of Twelve-Step Facilitation', Psychology of Addictive Behaviors, vol 29, no. 1, pp. 106-113, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4739723/. Detweiler, MB, Sharma, T, Detweiler, JG, Murphy, PF, Lane, S, Carman, J, Chudhary, AS, Halling, MH Kim, KY 2012, 'What Is the Evidence to Support the Use of Therapeutic Gardens for the Elderly?', Psychiatry Investigation, vol 9, no. 2, pp. 100-110, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3372556/. 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