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	07-26-13 3:48pm SUBJ1
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	07-26-13 3:54pm SUBJ1
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The participant was wearing old clothing, but appeared to be practicing good general hygiene. Mr. Smith is an eighty-nine-year-old German-American who follows the Lutheran religion. He is a retired widower who lives full-time in the Birchwood home. The interviewee had two children, but they are deceased. Fortunately, he has two grandchildren to keep him company. The resident described various illnesses and hospitalizations that he has endured such as a ruptured hernia, an operation on his prostrate, and a type of pulmonary disease called COPD. He could not recall the specific ages that the illnesses occurred; however, Mr. Smith said that he developed COPD about twelve years ago. The interviewee stated that he had problems with his lungs for most of his life because at a young age he worked on a farm, which had a lot of dust, and as an adult he worked around coal dust and asbestos while working in a boiler room. In addition, he smoked cigarettes for many years, but he quit in 1968. He said that these illnesses did not have a major impact on his life until his wifeâ€™s health began to deteriorate. At that time he had more responsibilities to focus upon. The major illnesses that are affecting him presently are COPD and a staff infection that is currently under control. The major impact on his life from these conditions is difficulty breathing. Hence, simple actions such as walking across the room require an enormous amount of effort. He stated that â€œThe strength is there, but the breathing capacity cannot keep up with it.â€ The participant described his present physical health as very weak, and his senses of smell, hearing, and taste are diminishing. Mr. Smith said that he could not complain about the health care system in our society. There were no additional comments regarding his health history. As an adolescent Mr. Smith did not have any certain career or job that he was interested in. He was happy to be working at all. The desire to be employed during the Great Depression was achieved; in particular, experiencing the working conditions during this time caused him to greatly appreciate employment as a janitor. This was the intervieweeâ€™s first official job, and he was content with that. As a young adult he began to desire a more rewarding career, so he enrolled in college. He studied Custodial Engineering, and this opened up many opportunities for him. In fact, he continued to achieve greater success as he grew older. Working as a Custodial Engineer, he held high level positions. For example, for one job he was in charge of supervising a number of schools. Mr. Smith loved his work and said there was no other line of work he wished to enter into. The most satisfying event related to his work was passing the test to achieve his Engineerâ€™s license. Mr. Smith stated, â€œThings were always coming up my way.â€ He did not experience any particular difficulties. The participant retired in 1973 because his daughter was dying from cancer. He had the opportunity to take some time off and help her out, so he did. (The question related to retiring in the future does not apply) Mr. Smith plans to continue living at the Birchwood Home because he needs professional, medical assistance. There were no additional comments made regarding his work history. The experiences that significantly affected the direction of Mr. Smithâ€™s life were connected to his affiliation with the Church. He stated, â€œWhen I asked God for things, he always gave it to me. ... It always kept me in the right direction I guess you can say.â€ His devotion to God started when he was a young boy. His mother was influential in teaching him religious principles and bringing him to Sunday School and Confirmation School. He said he hated it at the time, but in hindsight he realizes how important these things were in his life. Mr. Smith described his mother as a compassionate, typical second generation German farmerâ€™s wife. His father was a very hard worker, and he was self-employed on his own farm in North Dakota. The interviewee described his relationship with his mother and father as wonderful, and he looked up to them. During adolescence his relationship with his mother remained close; however, he began to grow apart from his father. As a young adult, Mr. Smith was married when he was twenty-one. At this time he still lived at home with his parents, but eventually needed space and moved out. He and his wife moved from North Dakota to New York. Mr. Smith was not the appropriate age to serve in the military during WWI and WWII, so the only historical event that influenced his life was the Great Depression. At the beginning of the Great Depression he lived in North Dakota on a farm which provided him with plenty of food. However, he moved to New York during the depression. Jobs were scarce during this period, consequently he was grateful to find work. Mr. Smith described his adolescence as normal. One positive aspect of the participantâ€™s adolescence was having fun driving around in automobiles. An negative aspect of adolescence was having no money, and being dependent on his father. Between the ages of 20 and 35 his most important goal was becoming a Custodial Engineer, and his greatest fear was not being able to pass the exams required to become an Engineer. Between the ages of 36 and 50 the most important goal was advancing his career by becoming a Supervisor for one of the large schools. The greatest fear was not being able to achieve his career goal. Between the ages of 51 and the present Mr. Smithâ€™s main concern was his career. Specifically, the most important goal was earning more money. His major fear during this period was losing his wife. The most satisfying thing about being married was having a satisfying relationship with his wife. She was his one true love. When asked about the most satisfying aspect of being single Mr. Smith stated that â€œThe most satisfying thing about being single was dating his wife before marriage.â€ The participant was least satisfied being single. He has not been divorced, but his wife passed away on May 29, 1999. The resident adjusted quite well to his wifeâ€™s passing because he did not like seeing his wife suffer with Alzheimerâ€™s disease. There were no major life adjustments to make because he was already a resident at the Birchwood Home when she died. Mr. Smith sees his granddaughter at least three times a week and his grandson at least one time per week. Other family members such as cousins keep in touch by mail. The interviewee said that â€œHe loves his grandchildren to pieces, and they couldnâ€™t do any more for him.â€ Furthermore, he has many close friends that he has met through his church life. These friends provide him with a lot of emotional support by visiting him often at Birchwood Home, doing favors for him, and sending him mail. The individual did not have any additional comments about his social history. As for his personality, Mr. Smith stated that he tries to be a good man, do the right thing, turn the other cheek, and tries not to hurt anybody. His most important trait is that he attempts to be a friend to everybody. Moreover, he feels that his emotional health is slipping because of the aging process, and he believes it will get worse as he grows older. He tries not to get bitter about the difficulties that he faces and believes that you have to accept Godâ€™s will. Mr. Smith feels that his personality has remained about the same over the years. His goal for the future is to â€œjoin the Lord Jesus and his family in heaven,â€ and he prays for it every day. He does not have any fears about the future. While evaluating the interviewee according to the Social Readjustment Rating Scale I noted a number of changes that he has experienced within the last year: the death of a close friend, a change in living conditions, a personal injury or illness, the death of a spouse, and a change in eating habits. The total score according to the SRRS is 230 points; hence, Mr. Smith is not in a high risk category for developing a major physical or emotional illness within the next three years due to his changes in lifestyle. There are no additional changes experienced by the participant that are not included in the SRRS, and he did not have any additional comments about his health history. I feel that Mr. Smithâ€™s apparent emotional health is sound. I feel that his religious practices give him hope and serenity both for the struggles he experienced in the past as well as what he will face in the future. He seemed to have a strong acceptance of where he is in his life as an eighty-nine-year-old man. He did not have any major complaints about living at the Birchwood Home even though it is obvious that the conditions would be difficult for anyone to endure. He accepts living alone, and he did not want his grandchildren to come and visit him on Easter Sunday because he felt that it would be too much effort on their part. My impression is that he lived a full life so far and is ready to face the future challenges that one of his age must bear. I was impressed by how he accepted his situation without complaining. In the area of physical aging, Mr. Smithâ€™s diminished senses of smell, hearing, and taste are part of the normal process of aging. As for his cognitive functioning, the participant could not remember the specific times that he experienced various illnesses. At eighty-nine years of age this is also a normal condition of aging. I do not believe the participant suffers from any major psychological disease that affects his memory such as a serious case of Senile Dementia, Cerebral Arteriosclerosis, Multi-infarct Dementia, or Alzheimerâ€™s disease. Iâ€™ve come to this conclusion because he appeared to have limited loss of episodic memory experiences, while he seemed to have no loss of semantic memories. Due to the fact that episodic memory diminishes prior to semantic memory, this shows that his memory loss is probably in the early stages. As far as memory goes at his age, I find him to be in good general health. This is consistent with the slow aging of the brain compared to other organs of the body. I suspect that his limited memory loss is probably due to either accumulated lipofuscins, granulovacuolar particles, or excessive neuritic plaques. The immense difficulty that the participant has in breathing is most likely caused by environmental factors and lifestyle choices that were made. The subject described a number of factors which may have contributed to his condition such as dusty conditions on the farm he grew up on, occupations that exposed him to coal dust and asbestos, and smoking cigarettes for many years. Environmental contaminants and pollutants can most definitely cause breathing problems, and the health deterioration associated with smoking is well documented. Mr. Smithâ€™s breathing difficulties being caused by the various environmental factors and cigarette smoking coincides with what was covered in class. As for the personality and aging longitudinal studies that were looked at in class, some of Mr. Smithâ€™s descriptions were similar and some contrasted with the course work. For instance, the participant stated that his personality has remained constant over the years of his life. This is consistent with various studies that focused upon personality and aging. In particular, the Kansas City Study conducted by Bernice Neugarten in the 1970â€™s found that the general trend in personality is to stay stable with minor changes over time. The Berkeley Growth Studies done in the late 1960â€™s by Bayley and Schaeffer showed that personality remains somewhat stable as the aging process carries on. This stability is not absolute, as some people changed mainly due to milestones in oneâ€™s life. Surprisingly, the participant reported that he did not have any dramatic changes in his personality after his wife passed away. This was partly due to him already being in the Birchwood Home, and also because he was unhappy watching his wife suffer with Alzheimerâ€™s disease. So, the information provided by Mr. Smith regarding personality both correlates and contrasts with the results of the various studies. The interviewee had a lot of pride in what he has accomplished during his lifetime. He seemed to become enthusiastic as he talked about his struggle to become a Custodial Engineer. He was also proud that he held supervisory positions while he was employed which required responsibility. I observed that Mr. Smith had an enormous amount of faith in God, and the process of belonging to the Church throughout his life seemed to give him strength and stability in order to achieve personal goals during his lifetime. Mr. Smithâ€™s religious conviction gives him the ability to find significance in the hardships that he went through during his life. The fact that the interviewee finds a lot of meaning to his life coincides with Erik Eriksonâ€™s developmental stage of Ego Integrity. Mr. Smith is currently experiencing this stage; in particular, he has developed the virtue of Wisdom. It is evident that he has developed an amount of knowledge and was willing to share it with me. 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Sagittarius and Pisces are the zodiac signs which are associated with it and the ruling planet is Jupiter. 6) Diamond (Heera) - It is the Gemstone of Venus planet and it should be worn with Ruby , Emerald or Pearl. Diamond is related to Taurus and Libra signs. 7) Blue sapphire (Neelam) - It is restricted to worn with Ruby, Pearl or Red Coral. Its ruling planet is Saturn and the concerned signs are Aquarius and Capricorn. 8) Hessonite (Gomedh) - It should not be worn with Ruby and Pearl. It is concerned with malefic planet Rahu and to be worn always with extra precaution and care. 9) Catâ€™s eye (Lahsunia) - It is not suitable to worn with ruby or pearl. Its concerned planet is Ketu which is taken as malefic planet too. It also needs extra care. Apart from above mentioned facts, time, day and finger in which such gemstones to be worn is also very important. And then, price and .purity comes into sight. 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