Thursday, March 19, 2020

ColumbusFriend or Foe essays

ColumbusFriend or Foe essays Explore, discover and develop or seek, destroy and conquer. Almost everyone recognizes the name Christopher Columbus and understands what his role was in changing the views, lifestyles, politics, and geography of the fifteenth century modern world. Christopher Columbus discovered a world known to no European, African or Asian. He discovered the New World, the Americas. However, is todays society aware of the consequences, which came with this newfound world or are they blinded by biased history books and school texts. My view of Christopher Columbus and his glorious discovery was a traditional one. Columbus, the great explorer, heroically discovered the Americas making friends with the natives creating a new way of life for the entire world. I am sorry to say that I was misguided in my education about Christopher Columbus. Christopher Columbus was born in Genoa in 1451 the son of a weaver and by the time he reach his late teenage years he went to sea and voyaged for many years trading for various employers in Genoa, Italy. His work eventually took him to England in 1477 and West Africa in 1482. About this time he began to seek financial support for a major Atlantic expedition. Most writers and philosophers, along with Columbus, had accepted that the Earth was round, and so Columbus understood that China and Japan could be reached by sailing west. His idea was logical, but not factual. Columbus didnt count on there being giant landmasses between the two, which was never explored by anyone outside of the Eastern Hemisphere. For some years Columbus failed to obtain support for a transatlantic expedition but in March 1492 the catholic monarchs of Spain, Isabella and Ferdinand, approved his voyage and awarded him the title of Admiral of the Ocean Sea and the governorship of any new land he might discover. He set sail in August 1492 with his fleet of three ships and one hundred men and ...

Tuesday, March 3, 2020

USS Hornet (CV-12) in World War II

USS Hornet (CV-12) in World War II USS Hornet (CV-12) - Overview: Nation: United States Type: Aircraft Carrier Shipyard: Newport News Shipbuilding Company Laid Down: August 3. 1942 Launched: August 30, 1943 Commissioned: November 29, 1943 Fate: Museum Ship USS Hornet (CV-12) - Specifications: Displacement: 27,100 tons Length: 872 ft. Beam: 147 ft., 6 in. Draft: 28 ft., 5 in. Propulsion: 8 Ãâ€" boilers, 4 Ãâ€" Westinghouse geared steam turbines, 4 Ãâ€" shafts Speed: 33 knots Range: 20,000 nautical miles at 15 knots Complement: 2,600 men USS Hornet (CV-12) - Armament: 4 Ãâ€" twin 5 inch 38 caliber guns4 Ãâ€" single 5 inch 38 caliber guns8 Ãâ€" quadruple 40 mm 56 caliber guns46 Ãâ€" single 20 mm 78 caliber guns Aircraft 90-100 aircraft USS Hornet (CV-12) - Design Construction: Designed in the 1920s and early 1930s, the US Navys Lexington- and Yorktown-class aircraft carriers were built to conform to the restrictions set forth by the Washington Naval Treaty. This pact placed restrictions on the tonnage of different types of warships as well as capped each signatorys overall tonnage. These types of limitations were affirmed through the 1930 London Naval Treaty. As global tensions increased, Japan and Italy left the agreement in 1936. With the collapse of the treaty system, the US Navy began conceiving a design for a new, larger class of aircraft carrier and one which drew from the lessons learned from the Yorktown-class. The resulting design was wider and longer as well as included a deck-edge elevator system. This had been used earlier on USS Wasp. In addition to carrying a larger air group, the new design possessed a greatly increased anti-aircraft armament. Designated the Essex-class, the lead ship, USS Essex (CV-9), was laid down in April 1941. This was followed by several additional carriers including USS Kearsarge (CV-12) which was laid down on August 3, 1942 as World War II raged. Taking shape at Newport News Shipbuilding and Drydock Company, the ships name honored the steam sloop USS which defeated CSS Alabama during the Civil War. With the loss of USS Hornet (CV-8) at the Battle of Santa Cruz in October 1942, the name of the new carrier was changed to USS Hornet (CV-12) to honor its predecessor. On August 30, 1943, Hornet slid down the ways with Annie Knox, wife of Secretary of the Navy Frank Knox, serving as sponsor. Eager to have the new carrier available for combat operations, the US Navy pushed its completion and the ship was commissioned on November 29 with Captain Miles R. Browning in command. USS Hornet (CV-8) - Early Operations: Departing Norfolk, Hornet proceeded to Bermuda for a shakedown cruise and to commence training. Returning to port, the new carrier then made preparations to depart for the Pacific. Sailing on February 14, 1944, it received orders to join Vice Admiral Marc Mitschers Fast Carrier Task Force at Majuro Atoll. Arriving in the Marshall Islands on March 20, Hornet then moved south to provide support for General Douglas MacArthurs operations along the northern coast of New Guinea. With the completion of this mission, Hornet mounted raids against the Caroline Islands before preparing for the invasion of the Marianas. Reaching the islands on June 11, the carriers aircraft took part in attacks on Tinian and Saipan before turning their attention to Guam and Rota. USS Hornet (CV-8) - Philippine Sea Leyte Gulf: After strikes to the north on Iwo Jima and Chichi Jima, Hornet returned to the Marianas on June 18. The next day, Mitschers carriers prepared to engage the Japanese in the Battle of the Philippine Sea. On June 19, Hornets planes attacked airfields in the Marianas with the goal of eliminating as many land-based aircraft as possible before the Japanese fleet arrived. Successful, American carrier-based aircraft later destroyed several waves of enemy aircraft in what became known as the Great Marianas Turkey Shoot. American strikes the next day succeeded in sinking the carrier Hiyo. Operating from Eniwetok, Hornet spent the remainder of the summer mounting raids on the Marianas, Bonins, and Palaus while also attacking Formosa and Okinawa. In October, Hornet provided direct support for the landings on Leyte in the Philippines before becoming embroiled in the Battle of Leyte Gulf. On October 25, the carriers aircraft provided support for elements of Vice Admiral Thomas Kinkaids Seventh Fleet when they came under attack off Samar. Striking the Japanese Center Force, the American aircraft hastened its withdrawal. Over the next two months, Hornet remained in the area supporting Allied operations in the Philippines. With the beginning of 1945, the carrier moved to attack Formosa, Indochina, and the Pescadores before conducting photo reconnaissance around Okinawa. Sailing from Ulithi on February 10, Hornet took part in strikes against Tokyo before turning south to support the invasion of Iwo Jima. USS Hornet (CV-8) - Later War: In late March, Hornet moved to provide cover for the invasion of Okinawa on April 1. Six days later, its aircraft aided in defeating Japanese Operation Ten-Go and sinking the battleship Yamato. For the next two months, Hornet alternated between conducting strikes against Japan and providing support for Allied force on Okinawa. Caught in a typhoon on June 4-5, the carrier saw approximately 25 feet of its forward flight deck collapse. Withdrawn from combat, Hornet returned to San Francisco for repairs. Completed on September 13, shortly after the wars end, the carrier returned to service as part of Operation Magic Carpet. Cruising to the Marianas and Hawaii, Hornet helped return American servicemen to the United States. Finishing this duty, it arrived at San Francisco on February 9, 1946 and was decommissioned the following year on January 15. USS Hornet (CV-8) - Later Service Vietnam: Placed in the Pacific Reserve Fleet, Hornet remained inactive until 1951 when it moved to the New York Naval Shipyard for an SCB-27A modernization and conversion into an attack aircraft carrier. Re-commissioned on September 11, 1953, the carrier trained in the Caribbean before departing for the Mediterranean and Indian Ocean. Moving east, Hornet aided in the search for survivors from a Cathay Pacific DC-4 which was downed by Chinese aircraft near Hainan. Returning to San Francisco in December 1954, it remained on the West Coast training until assigned to the 7th Fleet in May 1955. Arriving in the Far East, Hornet aided in evacuating anti-communist Vietnamese from the northern part of the country before commencing routine operations off Japan and the Philippines. Steaming to Puget Sound in January 1956, the carrier entered the yard for a SCB-125 modernization which included the installation of an angled flight deck and a hurricane bow. Emerging a year later, Hornet returned to the 7th Fleet and made multiple deployments to the Far East. In January 1956, the carrier was selected for conversion to an anti-submarine warfare support carrier. Returning to Puget Sound that August, Hornet spent four months undergoing alterations for this new role. Resuming operations with the 7th Fleet in 1959, the carrier conducted routine missions in the Far East until the beginning of the Vietnam War in 1965. The next four years saw Hornet make three deployments to the waters off Vietnam in support of operations ashore. During this period, the carrier also became involved in recovery missions for NASA. In 1966, Hornet recovered AS-202, an unmanned Apollo Command Module before being designated the primary recovery ship for Apollo 11 three years later. On July 24, 1969, helicopters from Hornet recovered Apollo 11 and its crew after the first successful moon landing. Brought aboard, Neil Armstrong, Buzz Aldrin, and Michael Collins were housed in a quarantine unit and visited by President Richard M. Nixon. On November 24, Hornet performed a similar mission when it recovered Apollo 12 and its crew near American Samoa. Returning to Long Beach, CA on December 4, the carrier was selected for deactivation the following month. Decommissioned on June 26, 1970, Hornet moved into reserve at Puget Sound. Later brought to Alameda, CA, the ship opened as a museum October 17, 1998. Selected Sources DANFS: USS Hornet (CV-12)USS Hornet MuseumNavSource: USS Hornet (CV-12)

Sunday, February 16, 2020

Psychology Project Essay Example | Topics and Well Written Essays - 1250 words

Psychology Project - Essay Example There have been many studies done in order to determine these. The first article was entitled â€Å"Further Refining the Stress-Coping Model of Alcohol Awareness†. In this article, it was shown that coping measures as far as alcohol consumption and stress differ in regards to the type of stress that is encountered. It was hypothesized based on previous experimentation that men are more likely to encounter heavy drinking as a coping mechanism than females due to their limited coping abilities. There have also been inconsistencies in trying to diagnose whether specific people are more prone to this kind of coping measure than others. The first deals with the variability, which is experienced across the board when people deal with stress. This being that coping measures are not just maladaptive or adaptive, but each are tailored to deal with a certain type of stressor. The second is that there has not been substantial evidence and consistency in showing that gender factors play a role in coping and drinking. The experimental design for this study was a short-term design, which was based on self-reporting measures. In particular, three variables were hypothesized that could take into account for gender differences. The first is coping using the support of others. It has been shown that students that are experiencing a stressor in regards to a relationship or social situation are less likely to turn to alcohol if their coping mechanisms are more guided towards the support of others. In particular, it has been shown in women that experience an interpersonal stressor that they are less likely to drink as a coping measure due to greater social support seeking. The second hypothesis shows that the more in control of the external stressors that a person is experiencing, the less likely they are to turn to alcohol as a coping measure. The third hypothesis is based on previous research which states that men are more likely to use active seeking coping strategies and women are more likely to seek social supporting strategies for coping. Thus the use of alcohol was found to be higher in males than in females. The population had a sample size of 83 participants from different socioeconomic and cultural backgrounds. These participants were tested using many different types of surveys and testing batteries. They were prescreened with the Michigan Alcohol Screening Tests and the College Students’ Recent Life Experiences test. These stressful factors were then broken down into four core areas: life management, social relationships, school, and general social adjustment. Then, they returned for three weeks and were asked how many times they engaged in heavy drinking, which was defined as five or more alcoholic drinks. The final survey that had to take was the COPE to assess their skills in active coping, avoidant coping, and social support seeking coping. The statistics were analyzed using mixed modeling interactions and this took into account correlation coefficients and t-test values. Men that had higher scores in active coping and social support seeking coping were less likely to engage in dangerous activities involving alcohol. If men using avoidant coping measures, they were more likely to engage in the use of alcohol. For women, the same statistical data was also recorded. There is some validity to the measures that were

Sunday, February 2, 2020

Multinational businesses Essay Example | Topics and Well Written Essays - 2500 words

Multinational businesses - Essay Example (Veseth, 2010) This paper examines the phenomenon of globalization and analyzes the effect of the phenomenon by taking the example of a company (Coca-Cola). The paper is divided into sections on globalization and what it means as well as detailing the pros and cons of the process. Further, the issue of globalization in terms of whether it is consistent with economic theory is also examined. The other section is the case study of a company that has long been regarded as one of the prime beneficiaries of globalization and this section looks at the way in which globalization has benefited the company and the impact of the current recession on the prospects of the company. Globalization and the forces driving it There are many definitions of globalization depending on the way in which the phenomenon is viewed. For the purposes of this paper, it would suffice to state that globalization means the integration of markets across the world and the movement of people, goods and services across national boundaries. The phenomenon of globalization is closely tied with that of free trade and the theory of comparative advantage as proposed by one of the founding fathers of modern economics, David Ricardo. Whether the current practice of globalization is consistent with the economic theory would be examined in detail in the later paragraphs. (Bhagwati, 2004) If we examine the question as to what is globalization, we find that the term encompasses a broad range of activities that range from a) multinational companies seeking to setup operations in countries like China and India to take advantage of the lower costs of labour and the exchange rate differential that promotes exports from these countries to the Western world b) the free movement of people and ideas across countries in search of the best markets for their services because of the deregulation of the economies of the West as well as the East. (Friedman, 2005) The case for globalization seems pretty straightforward. I f a company enjoys substantial cost advantages in production because of wage and exchange rate differentials, then economic theory states that the company is better off producing in a country where the costs are low and selling in a country where the margins on its products are more. Hence, this simple notion of free trade theory underpins much of the discussion on globalization. Further, economists like Jagdish Bhagwati have shown that the countries like the United States gain in terms of having cheaper goods as well as outsourcing of jobs. The gains are in the nature of capital saved by relocating production and outsourcing functions that can be gainfully employed in the home countries for more productive purposes. The argument here is that the US gains in terms of moving up the value chain and investing in Research and Development while the activities at the bottom of the value chain like manufacturing can be done at lower costs. (Bhagwati, 2004) The case against globalization is that the process involves the movement of capital to the countries where costs are low and hence these countries build up huge reserves of foreign exchanges that lead to global imbalances in the way in which current account deficits in the US are

Saturday, January 25, 2020

Methods for Prevention of Post-ERCP Pancreatitis

Methods for Prevention of Post-ERCP Pancreatitis Prevention of post endoscopic retrograde cholangiopancreatography pancreatitis Abstract: Pancreatitis is the most common and important complication of ERCP. Several risk factors exist that help to formation and progress pancreatitis. These risk factors may be factors that are related to patient, and factors that related to Procedure, or factors related to operator. All of the risk factors should be considered and as far as possible may be lowered with attention to pathogenesis of the development of post-ERCP pancreatitis. These pathogenesis are include: sphincter spasm, infection, contrast toxicity and pancreatic secretion that induce activation of proteolytic enzymes and inflammatory process. Some of methods and pharmacologic agent assessed for prevention pathogenesis pathway to decrease post-ERCP pancreatitis. Introduction: In about 75 percent of patients after endoscopic retrogradecholangiopancreato-graphy (ERCP) may have elevation in serum amylase ; but acute clinical pancreatitis (defined as a clinical syndrome of abdominal pain and hyperamylasemia) is less common. However, acute pancreatitis is the important complication of ERCP and need to pay attention it to prevent from its morbidity and mortality [1]. Mechanism for post ERCP pancreatitis: The exact mechanism for PEP is unknown. It needs to be a trigger event that turn on the inflammatory process, that can be the fallowing: thermal injury from sphincterotomy, mechanical obstruction to outflow of the pancreatic secretions , papillary edema from attempted multiple cannulations, sphincterotomy etc., injury from guide wire, chemical injury of the contrast, microbiological injury due to introduction of duodenal flora into the pancreas etc [2]. Risk Factors for Post-ERCP Pancreatitis: It is important to identify cases in which there are high risks for pancreatitis that we can prevent the complications of the prophylactic method such as pancreatic stenting or pharmacological prophylaxis. Assessment of both patient- and procedure-related factors is necessary to detect the high-risk cases (Table 1) [3]. Table 1: Risk Factors for Post-ERCP Pancreatitis [3]. Definition of post ERCP pancreatitis: To diagnose PEP need to be at least two of the following criteria: Epigastric pain with radiation to the back, Elevation of amylase and / or lipase at least 3 times higher than normal. Radiological imaging that suggests pancreatitis. Amylase and lipase may have an elevation despite the patients does not has any symptom. Radiological imaging is helpful when the diagnosis is difficult [4]. Methods and pharmacologic prevention of post-ERCP pancreatitis A. the Following techniques should be adhered to in order to decrease the risk of post-ERCP pancreatitis: 1. Endoscopic techniques 2. Cannulation 3. Electrocautery 4. Pancreatic stenting B. Pharnacologic prophylams: Nonsteroidal anti-inflammatory drugs Steroidal anti-inflammatory agents Other anti-inflammatory agents   Allopurinol semapimod- interleukin 10- pentoxifylline- Platelet-activating factor-Epinephrine Inhibitors of pancreatic secretion: Somatostatin- Somatostatin combined with diclofenac- octerotide- calcitonin Agents that stimulate pancreatic secretion and reduce sphincter tone: Secretin Agents that reduce of sphincter tone: Nifedipine-Nitrates-Glyceryl trinitrate botulinum toxin-topical lidocaine Inhibitors of protease activation: Gabexate mesilate- Nafamostat- Ulinastatin- C1-inhibitor- Heparin Antioxidants: N-acetylcysteine- Sodium selenite- Beta- Carotene Antimicrobial agents Antimetabolites : 5-FU (5 Fluoro Uracil)[5]. Some of the drugs that tested in different trials are described below: Pharmacological Prevention for Post-ERCP Pancreatitis: Since the introduction of ERCP, numerous pharmacologic drugs have been assessed to prevent post-ERCP pancreatitis based on their pharmacologic mechanism and their effect on one or more of the factors associated with pancreatic damage (Figure 1) [6]. 1- NSAIDs: NSAIDs (diclofenac or indomethacin) are the most drugs that are using for prevention of post-ERCP pancreatitis [7]. The European Society of Gastrointestinal Endoscopy recommends routine rectal administration of 100 mg diclofenac or indomethacin for prevention of post-ERCP pancreatitis [8]. 2- Glyceryl trinitrate: Glyceryl trinitrate reduces sphincter of Oddi pressure and may uses to prevent post-ERCP pancreatitis. ManuelMoretà ³ in his study assessed that could transdermal glyceryl trinitrate be effective in the prevention of post-ERCP pancreatitis? The results of his study show that transdermal glyceryl trinitrate patch significantly reduces post-ERCP pancreatitis [7]. 3- Nifedipine: Calcium channel inhibitors can prevent the development of experimental pancreatitis. Nifedipine is from the calcium channel blocker drugs and its effect is reducing sphincter spasm. Part done randomized, placebo-controlled trial to determine whether the calcium channel blocker nifedipine prevents post-ERCP pancreatitis. Nifedipine or placebo was administered before and within 6 hours after ERCP. This study failed to show significant effect of nifedipine in the prevention of post-ERCP pancreatitis [8]. 4-Antibiotics: Infections that occur when ERCP is done can activation proteolytic enzymes and lead to pancreatitis. Now there is this question that antibiotics can use in the prevention of post-ERCP pancreatitis. One prospective randomized controlled trial showed that the ceftazidime administration before ERCP significantly decreased the incidence of post-ERCP pancreatitis in the control group that did not receive antibiotic [9]. The quality of the study is questionable because the control group did not received no antibiotic [10]. 5- Risperidone: Ulinastatin inhibited systemic inflammatory responses and may benefit for prevention post-ERCP pancreatitis. Tsujino assessed the effect of risperidone (a selective serotonin 2A antagonist) combined with ulinastatin for the prevention of PEP in high-risk patients. In a multicenter, randomized, controlled trial, patients were randomly compared to administration ulinastatin with or without risperidone. The incidence of PEP was not significantly different between two groups, but pancreatic enzymes level were significantly lower in the risperidone+ulinastatin group as compared with ulinastatin alone [11]. 6- Indomethacin Indometacin is from nonstroidal antiinflamatory drugs that are used for prevention of post-ERCP pancreatitis. Joseph Elmunzer in a multicenter, randomized, placebo-controlled, double-blind clinical trial assigned patients that were high risk for post-ERCP pancreatitis to receive a single dose of indomethacin or placebo immediately after ERCP. Among patients at high risk for post-ERCP pancreatitis, rectal indomethacin significantly reduced the incidence of the post-ERCP pancreatitis [12]. Yaghoobi also assigned one meta-analysis to assessed rectal indomethacin for the prevention of post-ERCP pancreatitis. This meta-analysis showed that the rate of pancreatitis was significantly lower when using indomethacin as compared with placebo. [13]. 7- Corticosteroid: Corticosteroids are anti-inflammatory drugs and may be able to decrease the risk of post-ERCP pancreatitis. In a prospective randomized controlled multicentre study, administration of prednisone did not reduce the incidence of pancreatitis rather than placebo [14]. 8- N-acetyl Cysteine: N-acetyl Cysteine can reduce inflammation and may be useful in post-ERCP pancreatitis. Pezhman Alavi Nejad wants to evaluate efficacy of N-acetyl Cysteine for the Prevention of Post-endoscopic Retrograde Cholangiopancreatography Pancreatitis. He assigned a prospective double blind randomized study. There were significant reduce in the prevalence of acute pancreatitis between the groups. This study shows that NAC could be used for the prevention of post-ERCP pancreatitis [15]. 9- Aprepitant Aprepitant is one drug from the classification of neurokinin-1 receptor antagonists. Upendra Shah wants to assess the efficacy of aprepitant at preventing post-ERCP pancreatitis in high risk patients. A randomized, double-blind, placebo controlled trial assigned. Patients received either placebo or oral aprepitant. Aprepitant could not decrease the incidence of post-ERCP pancreatitis against placebo [16]. pancreatic stents: Abhishek Choudhary assessed a meta-analysis and to determined effect of pancreatic stents for prevention of post-ERCP pancreatitis. This meta-analysis of the RCTs showed that pancreatic stent placement reduces the incidence pancreatitis and hyperamylasemia [17]. Conclusion: Considering the fact that pancreatitis is the most important of the ERCP complications we should pay attention the methods for prevention of post-ERCP pancreatitis. Pancreatic stents are useful for this aim. From the pharmacologic agents, Glyceryl trinitrate, Indometacin and N-acetyl Cysteine could significantly decrease the incidence of post-ERCP pancreatitis. Other drug that assessed in this review article such as Nifedipine, Risperidone, Corticosteroids, and Aprepitant did not show significant effect for prevention of post-ERCP pancreatitis.

Friday, January 17, 2020

Mental Health Act Essay

The main purpose of this act is to allow action to be taken, where necessary, to make sure that people with mental health difficulties or learning difficulties get the care and treatment they need for their own health and safety or for the protection of other people. The Mental Health Act 1983 is the law in most of the united kingdom that allows people with a ‘mental disorder’ to be admitted to hospital, detained and treated without their consent if it is truly needed, and if for their own health and safety or for the protection of other people. The court can also admit people who they believe that could be a danger to themselves and others around them. However the hospital can only keep the person detained for a maximum of six months, but they can decide to discharge the patient but still have on going supervised community treatment. A doctor who is ‘approved’ under section 12 of the Act is approved on behalf of the Secretary of State because they have special expertise knowledge in the diagnosis and treatment of ‘mental disorders’. Doctors who are approved clinicians are automatically also approved under section 12. Section 12 approved doctors have a role in deciding whether someone should be detained in hospital under section 2 and section 3 of the Mental Health Act. An approved clinician is a doctor, a psychologist, a mental health nurse, an occupational therapist or a social worker who has been trained and approved for over at least five years to carry out certain duties under Act. Only approved clinicians can take overall responsibility for the case of someone who has been detained in hospital or put on supervised community treatment – be their ‘responsible clinician’ the legislation states that the nearest relative is someone’s husband, wife or unmarried partner and only of they have been living together for over six months. The person is unmarried or does not have a partner if next of kin will then be there children if they are over 18, however if the child is not over eighteen or there is no child present the next of kin will then be one of their parents. However, a nearest relative should be informed or consulted if mental health professionals are proposing to detain someone for treatment under the Mental Health Act unless it is not practicable to do so, or unless consultation would result in ‘unreasonable delay.’ Medication You may be required to take medication prescribed for you by your doctor if you are on a community treatment order (CTO) under the Mental Health Act. There are rules in place, called consent to treatment, that cover whether you should take it. These rules also ensure that you understand why you need to take the treatment, how it will be given to you and possible side-effects. When you are first given medication for your mental illness, your doctor should: explain what the medication is for. tell you about any side-effects. ask for your consent. What happens next? After one month, if you still give consent to continue taking your medication, your doctor will fill in a certificate to confirm this. However, if you are too unwell to give consent, your doctor must have the agreement of a Second Opinion Appointed Doctor (SOAD) for your treatment to continue. If the SOAD agrees that you should continue with all of your medication, or just some of it, they will fill in a certificate confirming this. Can I change my mind? You can change your mind at any time – even after you have agreed to continue taking your medication. You should talk to your doctor before you make any decisions. What if I do not give my consent? If you refuse your medication while on a community treatment order, your doctor cannot force you to take it. However, if your doctor believes that you may become unwell without taking the treatment, they can recall you back to hospital. Additionally, consent to treatment rules may not apply to you if: Your life is at risk. Your health will deteriorate without the treatment. You are a danger to yourself or others.

Thursday, January 9, 2020

Home Hemodialysis - 1457 Words

Qualitative and Quantitative Articles on Home Hemodialysis Elizabeth Hetherington Northeastern University Receiving hemodialysis in the in-patient or outpatient setting is uncomfortable and non-pleasurable. Thankfully, â€Å"the movement of medical care out of institutional settings into patients’ homes has increased in most industrialized countries as part of the general emergence of self- care options in the†¦show more content†¦29). This training helped patients overcome anxiety over needles, use and learn from other patients on NHHD, understand the importance of the patient-clinician relationship, overcoming the mental and physical challenges of learning while ill, and adapting to the individuals techniques. The five themes observed gave light to physicians that technology-related issues involving the machine was a barrier in training, however â€Å"the primary topics volunteered by the participants in the present study were psychosocial in nature† (Halifax, 2009, p. 31). At the end of Visaya’s research she discovered that, â€Å"in terms of the rel ationship between hemodialysis patients’ perceptions, HHD and self-care, 26 out of the 49 participants had positive perceptions regarding HHD† (Visaya, 2010, p. 26). Reflecting on the Patient Perception Survey, â€Å"49 patients found that 46.9% of the patients identified negative perceptions of HHD and 53.1% of the 49 patients identified positive perceptions of HHD† (Visaya, 2010, p. 26). The JPAT identified only 8 of the 49 participants suitable for HHD. Visaya also determined that, â€Å"when a patient scored high on the Patient Perception Survey, meaning he or she has negative perceptions regarding HHD, the patient as well had low levels of social support and communication† (Visaya, 2010, p. 26). â€Å"The associations between a hemodialysis patient’s perception regarding HHD and all other subscalesShow MoreRelatedMs. Conlon Applies The Nursing Process System Or Processes At The Unit / Team / Work Group Level846 Words   |  4 PagesMs. Co nlon applies the nursing process to systems or processes at the unit/team/work group level to improve care. Deirdre has been the primary nurse for 6 hemodialysis patients. She has involved patients and families in monthly interdisciplinary meetings to promote self-efficacy and quality of life. With the help of the interdisciplinary team Deirdre has worked collaboratively to address and reinforce nutritional needs, social/family issues, barriers to care, and safety concerns. 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