Estate Planning (case study) Case Study Example | Topics and Well Written Essays - 1500 words

Estate Planning ( ) - Case Study Example The next important step in planning her estates is to know what kind of will that is necessary for her situation. By that, it is meant the land ownership, the mortgage and other important details that should be known prior to making out the will. (Estate Planning) The wills that Ursula should be interested in are Wills for Widows and Widowers because her estate has already been an estate after her husband died. It would also be wise of Ursula to consider a living will. " A Living Will allows an individual to make decisions about their health care in advance in case they ever are incapacitated and unable to do so. "(Markesmis and Deakin) Ursula's primary concern is that her children will be catered to after her death and both of these wills will ensure that her wishes will be fulfilled. The current state of the property is as follows: in the estate of Terry, who just died in 2005, all of the property was left to the children, Abby, Ben and Charles, in equal shares, but Ursula remained in possession of the matrimonial home which she had owned jointly with Terry up until his death. The outstanding mortgage debt secured against the home is now very small. Since the property has already been willed to the children and has gone through probate, or will be through it shortly, legally the three children already have the legal rights to the property and it has been deeded to them accordingly. The stipulation that Ursula will have to make in her will concerns who will remain in possession of the matrimonial home upon her death. There also remains the fact that a small mortgage exists. (Estate Planning)Ursula has expressed that she would like these stipulations to be set forth concerning her estate: that the land will remain unsold until the last of her children shall die, that each of her children shall have the right to reside in the house for part of the year, appoint her older brother, Victor, to be the sole independent trustee of the house "to ensure fair play at all times" and to ensure that Abby, who has a degree in estate management, has responsibility for the day-to-day management of the house. These are all important aspects and it is wise of Ursula to have thought of them. However to ensure that her wishes will be granted she must have this put into writing. It should be done by legal counsel and each stipulation should be written out clearly conveying her wishes and the names that she wants to be included in each part of the estate. A personal representative or executor is the first thing that Ursula should choose. She has already named her brother Viktor as she feels he will remain an impartial party. Having a personal representative or executor ensures that the wishes of Ursula regarding the estate will be carried out. A personal representative or executor of an estate is responsible for making sure that the wishes set forth in the will and estate plan are carried out. (Brinkworth and Gibson) Ursula will also be given the option of choosing an alternate personal representative or executor. The alternate will be responsible if something happens to the original executo r.After the personal represen

Care of Patients with Dementia Research Paper Example | Topics and Well Written Essays - 1000 words

Care of Patients with Dementia - Research Paper Example Environmental factors play a major role in the development of aggressive behaviour in a patient with dementia and contribute to distress and dissatisfaction. Nurses handling elderly patients must be aware of the fact that the environment of the hospital is new to the patient, the surrounding is filled with noise and the individual can feel uncomfortable in the surrounding (McCloskey, 2004).   Ã‚  Ã‚  Ã‚   The first and foremost step in appropriate management of patients with dementia in health care setting is identification of the disease process and careful assessment of the various factors in environment of the patient that contribute to stress. Identification of factors helps in the modification of future care whereas lack of understanding of these aspects leads to frustration, inappropriate care and stress not only for the patient but also for the nursing staff. It is due to such a lack of understanding that many physical restraints are employed in   handling dementia patient s and these contribute to patient mortality and increased burden of work for the nurses (McCloskey, 2004). One of strategies to prevent distress due to physical restraints is adoption of alternatives to physical restraints (McCloskey, 2004). Some such alternatives include adoption of door knob covers instead of doors, employment of various electronic devices like wandering system, bed alarms, door alarms and electronic monitors to monitor the movements of the patient, change in the regimens of medication in such a way that they offer comfort to the patient. and cause minimal disturbance and distress, placing the patient in strategic regions which are compatible to the patient and are familiar to the patient, place safety mattress on the floor to enable safe locomotion, remove tubes and drains in a prompt manner, assist and pursue routine toileting, decrease scope for environmental hazards, prevent falls, employ various aids for seating and positioning and usage of lower beds and emp loyment of split side rails (McCloskey, 2004, table-1). Other alternatives include involvement of volunteers, family members, sitters and hospice workers