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Critical Discourse Analysis: Nursing

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Critical Discourse Analysis: Nursing

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Critical Discourse Analysis: Nursing

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Describe about the Critical Discourse Analysis for Nursing.

Exercise 1

The old man must be suffering from obstructive sleep apnea and excessive day sleep disorder.
The condition can occur at any age group however the risk is more in older and overweight people and people with family history of sleep apnea. Men have more chance of sleep apnea than women.
Obstructive sleep apnea occurs when throat muscles are unable to keep the airway open. It causes low blood oxygen level and may lead to hypertension, heart disease, memory problems and risk of drowsy driving. Excessive sleepiness may also result in the possibility of idiopathic hypersomnia.
Excessive sleepiness is cured by stimulant medications. People idiopathic hypersomnia should sleep more than normal people while using medications. Sleep study helps to diagnose sleep apnea. It monitors eye movement, respiratory effort, airflow, blood oxygen level, muscle activity and heart rate. Severity is determined by this study. Continuous positive airway pressure (CPAP) mask is given to the severe patient. It blows air gently into the airway to keep it open during sleeping. Other treatment options include the use of dental appliances which reposition the lower jaw and tongue, upper airway surgery to remove tissue in the airway and using hypoglossal nerve stimulation. It monitors breathing patterns and stimulates the hypoglossal nerve to move the tongue to maintain the airway.
I would recommend the client to make some lifestyle changes for improving symptoms of sleep apnea. To reduce the severity, the patient should try to lose weight, avoid alcohol; quick smoking and they should lie on sides instead of their backs (Sleepfoundation.org, 2016)

Exercise 2:
This teaching plan contains details on sexually transmitted disease (STD), and it will educate older adults about its symptoms, effect, treatment and prevention. The incidence of the sexually transmitted disease is increasing every year. This infection is spread through sexual contact and is caused by bacteria, parasite and viruses. The common type of STD includes HIV/AIDS, Gonorrhea, syphilis and many others. In the case of HIV/AIDS, 28% older population above 50 is living with AIDS. It is important to teach older people about reducing the number of individuals getting the infection and how it benefits the whole community. People above age 50 have same risk factors as young people, but they are not aware it. This is because they have diagnosed late and so there treatment also becomes delayed. They also suffer more immune system damages. It can lead to poor prognosis and shorter survival after HIV diagnosis (Milaszewski et al., 2012).
To prevent a late diagnosis of disease, older people should monitor their symptoms and do not confuse it with normal ageing symptoms. Many older people are sexually active and lack knowledge about HIV and how to prevent transmission. To reduce the number of incidences, following action needs to be taken:

Increase surveillance among older people and maximize HIV prevention methods.
Older people should be made aware of ways to prevent themselves and others from infection.
They needed to be educated about HIV and discouraged to do any activity that lets HIV infected fluid (blood, semen, vaginal secretion and breast milk) to enter into a person body.
Since older people may be sexually active, they should be taught to use a condom every time they have sex to prevent HIV transmission.
Those who are at high risk should use combination drug Emtricitabine-Tenofovir (Truvada) to reduce the possibility of transmission.
The Older patient should tell their partners if they have HIV and should be aware of their HIV status.
People should always be cautious when using needles for injecting drugs, and they should check that it is sterile and unused.
Screening for HIV should be encouraged in all age groups (Cahill & Valadéz, 2013)

Exercise 3
‘Something’s Gotta Give’ movie was a romantic comedy film directed by Nacy Meyers in 2003. It stars Jack Nicholson as a 60-year-old man Diane Keaton, 50-year women who fell in love with each other in a later part of their life. The older people sexuality in this movie is accurately depicted. Jack Nicholson as Harry Sanborn in the film had a habit of dating younger women. His latest muse was Marin Klein, and he took her to her mother’s house. But there Marin Klein’s mother Erica played by Diane Keaton was present. A strange situation arises when both Erica and Harry clashed into each other initially but eventually developed liking for each other. But both of them struggled to express their relationship because Harry was dating Erica’s daughter and the doctor Julian had fallen for Erica. But the adult relationship ultimately began when Marin decided to break up with Marin. So Harry and Erica finally consummate their relationship, but he had to leave Erica’s place after her health improved. But tragic situation arises when Erica finds Harry with another woman in the party. Heartbroken, Erica decides to depict her life story in play. Her play was highly successful, and Harry repented for his activities, and they united in the end (Jermyn & McCabe, 2013).
Therefore the characters in the movie revealed their sexual interest and active sexual life in that age. It had two old characters entangled in a love relationship. The character of Harry showed that sex does not die when people become old. Some people are very active in a relationship during that age too. The characters of the movie had effectively portrayed adult love and sexuality. Harry’s sexual interest was seen by his changing partners. He was also about to consummate his relationship for the first time with Marin. But Erica came in and was terrified to see her daughter dating and old man. The character, however, changed with time. Harry now develops liking for Erica as he felt she was a woman of substance. Erica also opens up with him, and she felt her life to be much better with him. The sex scène between the central characters also showed how moved they were as they both cried. The movie gave the idea that older people are also romantic, and adult sexuality was incredibly depicted in the movie (Gatling et al., 2014).
Cahill, S., & Valadéz, R. (2013). Growing older with HIV/AIDS: New public health challenges. American Journal of Public Health, 103(3), e7-e15.
Gatling, M., Mills, J., & Lindsay, D. (2014). Representations of middle age in comedy film: A critical discourse analysis. The Qualitative Report, 19(12), 1.
How is Sleep Apnea Treated?. (2016). Sleepfoundation.org. Retrieved 26 June 2016, from https://sleepfoundation.org/sleep-disorders-problems/sleep-apnea-treatment/page/0/1
Jermyn, D., & McCabe, J. (2013). Sea of love: place, desire and the beaches of romantic comedy. Continuum, 27(5), 603-616.
Milaszewski, D., Greto, E., Klochkov, T., & Fuller–Thomson, E. (2012). A systematic review of education for the prevention of HIV/AIDS among older adults. Journal of evidence-based social work, 9(3), 213-230.

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