Clinical Challenges In An Adult Day Care Center Sample College Essay

For aging adults, performing the tasks that they used to view as a natural part of their daily routine when they were younger may become an unmanageable task. Therefore, adult daycare centers, where healthcare experts address aging citizens’ health-related needs should be regarded as a crucial part of the healthcare system (American Psychological Association, 2020). However, when tending to the needs of aging adults in a daycare environment, healthcare professionals may face a range of issues (Bosch et al., 2017). Among these, the problem of the lack of a culture-specific approach to patients’ needs and the lack of tools for meeting patients’ dietary needs must be mentioned explicitly.

Namely, when performing the key tasks within the adult daycare setting, inconsistencies in communication with Asian American patients due to the presence of the language barrier and the failure to understand the cultural specifics, as well as their need for lower doses of medication, was noticed (Bosch et al., 2017). Furthermore, due to the lack of funding and the insufficient amount of attention paid to the issue of managing the patients’ diet, there was the lack of menu options for patients with unique dietary requirements, such as the dishes rich in calcium and magnesium, as well as the food that does not require active chewing.

The described challenges can be seen as the direct effect of miscommunication between patients and healthcare experts, as well as healthcare experts and the managers of the daycare center. Particularly, when developing the approaches toward addressing aging people’s needs, one must take diversity and age-specific requirements into account so that the provided services could address patients’ health concerns or, at the very least, could not aggravate them (Bosch et al., 2017). In turn, the focus on a multicultural approach will help to understand patients’ issues and demands better, which will allow providing more patient-focused care.


American Psychological Association. (2020). Publication manual of the American Psychological Association (7th edition). Washington, DC: APA.

Bosch, X., Monclús, E., Escoda, O., Guerra-García, M., Moreno, P., Guasch, N., & López-Soto, A. (2017). Unintentional weight loss: Clinical characteristics and outcomes in a prospective cohort of 2677 patients. PloS One, 12(4). Web.

Chomsky’s “Media Control” Rhetorical Analysis

In the Media Control: The Spectacular Achievements of Propaganda article, the author Noam Chomsky begins by analyzing two models of democracy. One of the models is in which the public is governed and another in which the public is actively involved. Further, the theme of democracy and other political systems develops. There are many examples from the history of the United States of America to support the idea of the article about the propaganda in mass media.

The author in the article does not appear as a neutral opinion, but he clearly expresses his position. Chomsky says that the public relations and mass media act as the main source of information for many people, and in the United States it is used as a means of delivering propaganda. He emphasizes the negativity of this structure, since, in his opinion, this is what led to the creation of the idea of militancy in society (Chomsky 13). The downside is that the opposite opinion is not given, which could add objectivity to the article and therefore, the author’s bias is noticeable.

The article provides many real-life examples from history that support the author’s thought. The example of the Steel strike in western Pennsylvania story helps to understand the scale of the problem and its realism, in the form of how propaganda can influence the opinion of people. At the same time, Chomsky uses such expressions as “usually the population is pacifist, just like they were during the First World War” (Chomsky 7). These are not scientifically proven facts that are used to support the author’s position, but at the same time, again make the article biased and to some extent, propagandize the author’s opinion.

In conclusion, the article Media Control: The Spectacular Achievements of Propaganda is successful in delivering its message. Thus, the article is convincing for the readers and conveys the main idea of propaganda through the media and public relations. Chomsky uses compelling vocabulary with emotionally-charged words and examples from the American history. At the same time, he is biased and argues only his position, while the opposite is not considered.


Chomsky, Noam. Media Control: The Spectacular Achievements of Propaganda. Seven Stories, 1997.

The Use Of Antibiotics In The Treatment

A 41-year-old female presents to the doctor’s office you work at complaining of a sore throat and headache. Upon examination, she is diagnosed with a virus that is currently prevalent in the area she works. She is told to rest and drink liquids until the virus has run its course. She becomes irate and tells you she wants an antibiotic. How could you explain to her why she does not need an antibiotic?

Mediating a conflict between a doctor and a patient has to consider several key issues: the objective of conflict mediation, and the establishment of truth (McKibben, 2017). In this scenario, the objective is to have the patient comply with the prescription and not attempt to obtain an antibiotic when she is having a viral infection. At the same time, the possibility of the patient’s reactions being justified should also be considered.

The presented case raises several questions about how the doctor handled the situation prior to the patient’s demand for an antibiotic. Modern-day healthcare is expensive and often time-consuming, so a patient that came for an appointment with a doctor has managed to set aside time and resources to do so. The woman in this situation is clearly expecting the doctor to give her some sort of prescription to mitigate the symptoms of her infection, which are bothering her (McKibben, 2017). Instead of providing her with an antiviral medicine or a set of drugs to manage her symptoms (headache, sore throat), the doctor essentially told her to wait it out and do nothing except drink lots of liquids (something the patient likely already knows).

In demanding an antibiotic, the patient does not specifically wish to receive one, instead, she shows protest towards the perceived lack of interest and concern for her wellbeing (McKibben, 2017). From her point of view, the doctor just told her to get lost. Therefore, explaining to her that she does not need an antibiotic should not be difficult. Instead, the doctor should prescribe her a medicine against the virus and a few cheap and available drugs to manage the symptoms. That way, the patient will be placated and her condition would be managed better. The fault in potentially escalating conflict, in this situation, lies with the doctor.


Fleischli, J. W., & Adams, W. R. (1999). Use of postoperative steroids to reduce pain and inflammation. The Journal of Foot and Ankle Surgery, 38(3), 232-237.

Gardiner, D., McShane, B. J., Kerr, M., Agarwal, P., Saylany, A., Sharma, N.,… & Welch, W. C. (2020). Low-dose steroids to decrease postoperative pain and opioid use. The Journal for Nurse Practitioners, 16(7), 523-527.

McKibben, L. (2017). Conflict management: Importance and implications. British Journal of Nursing, 26(2), 100-103.

Polderman, J. A. W., Farhang‐Razi, V., van Dieren, S., Kranke, P., DeVries, J. H., Hollmann, M. W.,… & Hermanides, J. (2019). Adverse side‐effects of dexamethasone in surgical patients. Anaesthesia, 74(7), 929-939.

error: Content is protected !!