Wednesday, December 25, 2019

The Issue Of Elderly Abuse - 1957 Words

â€Å"Every year an estimated 5 million older Americans are victims of elder abuse, neglect, or exploitation. And that’s only part of the picture: Experts believe that for every case of elder abuse or neglect reported, as many as 23 cases go unreported† (World Elder Abuse Awareness Day). The issue of elderly abuse is a growing topic in our country because it violates three specific articles in the Universal Declaration of Human Rights. Elderly abuse and neglect is an increasing age discrimination issue in the United States and violates the human rights to an adequate standard of living, equal protection under the law, and the right to be free from degrading treatment. The often neglectful and abusive caregivers take advantage of the†¦show more content†¦The caregivers of the victims may not feel that the elderly diagnosed with any type of dementia can effectively communicate their abuse to family or loved ones, making it easier to manipulate them. This is viol ating the right to an adequate standard of living because these people were being drugged in the nursing home which they considered home. The residents no longer felt safe in their living space and this is taking away the human right established in Article 25 of the Universal Declaration of Human Rights. In a study by the Alabama Department of Forensic Sciences, Dr. Harruff evaluated this correlation, In an elderly individual, invariably there s a combination of processes -- if there s neglect, there s usually disease and neglect, he said. For patients in nursing homes, sores can mean that staffers aren t turning or moving them enough, a serious violation of accepted standards of health care. Federal data show that more than 7 percent of long-term nursing-home residents have pressure ulcers† (Lee and Thompson). If the elderly were able to defend themselves and express this abuse to others effectively, caregivers would not treat them this way because they know that they are ina dequately providing care and this is illegal.The Alzheimer’s Association also recognizes that dementia can affect communication, â€Å"People with dementia are especially vulnerable because the disease

Monday, December 16, 2019

Treatment Of Intravenous Drug Use - 3446 Words

Abstract Intravenous drug use is a dangerous, yet increasing activity around the world. Persons who inject themselves with illicit drugs are at risk for several complications such as infection caused by contaminated needles. These infections can be serious and often lead to hospitalization as well as other health-related complications. A situation that often arises is determining the best type of treatment for IV drug users who are being discharged from the hospital. Physicians and pharmacists are commonly faced with choosing outpatient IV antibiotic therapy versus oral antibiotics when treating infections caused by IV drug use. This presents an ethical dilemma, particularly concerning the ethical principles of beneficence and†¦show more content†¦Unfortunately, the trend in intravenous drug use has increased in recent years. Results from the 2013 National Survey on Drug Use and Health show that of individuals aged 12 or older in America, current users of cocaine and heroin were appr oximately 1.5 million and 289,000 respectively (Substance Abuse and Mental Health Services Administration, 2014). As the number of intravenous drug users continues to rise, so does the risk of dangerous and potentially fatal complications that are associated with illicit drug use. In this population, death rates are higher due to overdose, AIDs-related mortality, and other blood-borne viruses (Mathers et al., 2013). Mortality rates remain high even though precautions have been taken to reduce them. According to Lavender McCarron (2013), â€Å"Mortality in injecting drug users is up to 22 times higher than for the age-adjusted population, despite increased provision of needle and syringe programs, reduced needle and syringe sharing, and higher uptake of hepatitis B vaccination† (p. 511). In addition to higher rates of mortality, intravenous drug users are at increased risk of infection. Mertz, et al. (2008) stated, â€Å"Malnutrition, immunodeficiency, homelessness, and needle-sharing contribute to a high infection rate in these patients† (p. 2). Common infections range from simple cutaneous abscesses and cellulitis to more serious infections such asShow MoreRelatedHuman Immunodeficiency Virus : An Example Of The Harm Reduction Philosophy Essay1508 Words   |  7 Pagestransmitting it to their loved ones as well. Fortunately, the Needle Exchange Program miraculously helps lower the risk of sharing needles and the spread of diseases between drug users, which in turn decreases the chances of intravenous users obtaining HIV and other fatal diseases. It is a government funded program that allows intravenous drug users to receive clean needles and exchange used needles in an orderly manner. Not only that, but the NEP also provides bleach bottles, cotton swabs, sk in ointmentRead MoreHow To Use Bisphosphonates Safely And Optimally? . Two1167 Words   |  5 PagesHow to use bisphosphonates safely and optimally? Two million osteoporosis-related fractures occur annually in the United States alone [1]. Besides the economic burden, these fractures cause significant morbidity, disability and sometimes premature death [2]. The introduction of bisphosphonates (BP) since the 1990s, has led to dramatic improvement in the outcomes of osteoporosis. As bone resorption inhibitors, they are the first-line treatment of osteoporosis with some additional indications ofRead MoreThe Drug Use And Opioid Addiction1361 Words   |  6 Pagesare intravenous drug users at some point in their career. The United States is in the midst of a rampant heroin/opioid epidemic which currently claims 91 lives a day to overdose (CDC, 2016). As nurses we have a unique opportunity to provide compassionate and impactful health care to the most marginalized groups of our society. Harm Reduction is a public health approach to intravenous drug use/opioid addiction which strives to reduce the harm of risky behaviors associated wit h illicit drug use. NursesRead MoreHIV Research Paper841 Words   |  4 PagesHIV can slow the progression of the disease with anti-retroviral therapy or ART. ART involves taking a combination of HIV medicines (called an HIV regimen) every day. It prevents HIV from multiplying and destroying your infection-fighting CD4 cells. Drug therapy determined that is best for the HIV infected person depends largely on lab work and how the patient is compliant with the medications. ART can’t cure HIV, but it can help you live a longer, healthier life and reduce your risk of HIV transmissionRead More Human Immunodeficiency Virus (HIV) Essay912 Words   |  4 Pageshealthcare. Transmission HIV is spread by sexual contact or blood-to-blood contact. HIV is most commonly spread by sexual contact, including vaginal, anal and oral sex. Another important mode of transmission is the sharing of needles used for intravenous drug use. HIV can be acquired from mother to fetus during pregnancy or from breast milk during nursing. Blood transfusions are becoming a rarer source in developed countries because donated blood is now tested for the presence of HIV. Healthcare workersRead MoreEvaluation And Concomitant Treatment Of Asthma902 Words   |  4 PagesDespite evidence of asthma, the current clinical practice resists to recognize the association of asthma and the treatment of one, encourages the improvement of the other, and vice versa. These findings emphasize the importance of medical education in the evaluation and concomitant treatment of asthma. Two observational studies have shown recently that the treatment of allergic rhinitis in asthmatic patients with rhinitis reduces the need for emergency services and hospitalizations due to asthmaRead MoreInterventions For Postpartum On Developing Countries1528 Words   |  7 Pagesuterotonic drug in places where skilled birth attendants present during both in labor and caesarean sections. †¢ When oxytocin is unavailable, other injectable uterotonics (ergometrine/ methylergometrine or the fixed drug combination of oxytocin and ergometrine) or oral misoprostol (600 ÃŽ ¼g) are recommended in settings. However, ergot derivatives for the prevention of PPH have clear contraindications in women with hypertensive disorders. Therefore, it is probably safer to avoid the use of ergot derivativesRead MoreThe Human Immunodeficiency Virus ( Hiv )901 Words   |  4 Pagesto better healthcare. HIV is spread by sexual contact or blood-to-blood contact. HIV is most commonly spread by sexual contact, including vaginal, anal and oral sex. Another important mode of transmission is the sharing of needles used for intravenous drug use. HIV can be acquired from mother to fetus during pregnancy or from breast milk during nursing. Blood transfusions are becoming a rarer source in developed countries because donated blood is now tested for the presence of HIV. Healthcare workersRead MoreIncidence Of Lower Limb Amputation After Management1413 Words   |  6 PagesIncidence of Lower Limb Amputation after Management of Groin Pseudoaneurysms Secondary to Intra-arterial Drug Abuse Thesis Submitted for partial fulfillment of MD degree in Vascular Surgery By Ahmed Mohamed Ahmed Abdelrazek (M.B.B.Ch, M.Sc.) Supervised by Prof. Dr. Sherif Mohamed Sholkamy Professor of Vascular Surgery Faculty of Medicine – Ain Shams University Ass. Prof. Dr. Ahmed Farouk Mohamed Ass. Professor of Vascular Surgery Faculty of Medicine – Ain Shams University Dr. Karim Sabry Gohar LecturerRead MoreEnoxoparin Sodium Injection ( Low Molecular Weight Heparin )928 Words   |  4 Pages6-dihydroxy-2-(sulfooxymethyl)oxan-3-yl]oxy-2-carboxy-4-hydroxy-5-sulfooxyoxan-3-yl]oxy-2-(hydroxymethyl)-5-(sulfoamino)-4-sulfooxyoxan-3-yl]oxy-3,4-dihydroxy-5-sulfooxyoxane-2-carboxylic acid Description Enoxaparin is a highly acidic mucopolysaccharide. It is an anticoagulant drug that is used primarily for prophylaxis of deep vein thrombosis (DVT) or for patients that exhibit pulmonary embolism (PE) that have underwent specific surgery. Enoxaparin functions as a serine-type endopeptidase inhibitor and targets antithrombin-III

Sunday, December 8, 2019

Micro and Macro Environment Factors Click To Get Free Samples

Question: Discuss the micro environment factors and macro environment factors. Answer: Sofitel hotel: overview The main aim of the assignment is to analyze the external and internal factors that affect the market and business of Sofitel hotel in Australia. Micro environment factors include customers analysis, company analysis and competitor analysis while macro environment factors include analyzing the economic conditions, technology and demography of Australia that affects the business. Basically macro environment analysis is the external analysis and micro environment analysis is the internal factors that affect the business. Sofitel hotel is the only French luxury in Australia that has its branches in many cities and countries. It is a five star hotel that is located in many cities of Australia such as Brisbane, Melbourne, Sydney, and Gold coast (AccorHotels Australia, 2016). Micro environment factors Customer analysis: Sofitel hotel in Australia mainly targets luxury and high class people from not only Australia but all over the world. Since it is a five star hotel and fare of the rooms and the service are expensive normal middle class people cannot afford to stay. So the main target audience of the hotel is the high income luxury class people who are ready to spend to get high quality customer service. Sofitel hotel believes in providing high quality service to its customers so that it can create a brand trust in international market. The main target audience is the tourists from all over the world. The main customers of the hotel are luxury travelers (Hollensen, 2015). Company overview: Sofitel hotel is a French hotel under the Accor group of company. It is a luxury five star hotel that is spread across forty countries. All the Sofitel hotels represent French beauty and tradition. In Australia there are many branches of Sofitel hotel across cities. It has its branches spread over Brisbane, Sydney, Melbourne and City of Gold coast (Wentworth, 2016) Competitor analysis: The main threat of the Accor group of company or the Sofitel hotel in Australia is from its competitors. The competitors of the Sofitel group are very smart and are very famous worldwide. Some of the famous competitors of the Sofitel hotel are Starwood, Marriott, Hyatt and Hilton hotels that are at equal par with Sofitel hotel. The competitors of the Sofitel hotel compete in terms of price, service, facilities that they provide and costs. The number of competitors is on rise with new entrants constantly entering the market. The demand for spending in luxury and vacation is rising which is making the new hotels enter the market that possess a threat and competition to the already existing hotels. The competitors of Sofitel hotel are very price sensitive and quickly respond to price changes when they see that the competition is on rise (Erel et al. 2012). Macro environment factors: Economic factors: There are many economic factors that may affect the market and business for Sofitel hotel in Australia. If the government increases the luxury tax or the tax on travel in Australia then fewer tourists will visit Australia. The demand for a stay in Sofitel hotel will fall decreasing the profit. Though the economic conditions of Australia are stable still a small change in economic conditions affects the profit of the hotel. The economic factors greatly affect the demand, costs, prices and profits of the hotel. The other economic factors that may affect Sofitel hotel are mergers and acquisitions of the firm. The profit of Sofitel hotel is increasing and is expected to grow in future (Skokic et al. 2016). Technological factors: Technological factors are the major macro environmental factors that affect the business and the customers both. Sofitel hotel uses the technology to attract more customers from all over the world and provide good and high quality service to its customers. The Accor hotel group uses technologies such as websites for hotel booking and provides information to its customers. It also uses electronic media card or pre paid card to make the payment more convenient and easy. Basically internet and other technologies do affect the market of the hotel (Skokic et al. 2016). Demographical and socio cultural factors: Various socio cultural factors such as demography and lifestyle affect the business. Demographic changes such as sex, gender, age, population and lifestyle greatly affects the business. Its not only the customers that affect matters to the hotel bit its employees also play important role. The company believes that women and men are the heart of the strategy. Other factors such as health and culture also affect the business. If the income of the consumers falls then the demand for the luxury brand hotel will also fall (Skokic et al. 2016). Political factors: Political factors and government also affects the business of hotel. The Australian government supports the working of the hotel group in Australia to increase the number of tourists that visits Australia. The political stability is essential for nay business to flourish. If a country is politically unstable then the tourists will not be willing to visit the lace that will affect the profitability of the firm (Skokic et al. 2016). References AccorHotels Australia. (2016). Sofitel. [online] Available at: https://accorhotels.com.au/brands/sofitel-hotels [Accessed 22 May 2016]. Erel, I., Julio, B., Kim, W. and Weisbach, M.S., 2012. Macroeconomic conditions and capital raising.Review of Financial Studies,25(2), pp.341-376. Hollensen, S., 2015.Marketing management: A relationship approach. Pearson Education. McManus, L., 2013. Customer accounting and marketing performance measures in the hotel industry: Evidence from Australia.International Journal of Hospitality Management,33, pp.140-152. Skokic, V., Lynch, P. and Morrison, A., 2016. Hotel entrepreneurship in a turbulent environment.International Journal of Hospitality Management,53, pp.1-11. Wentworth, S. (2016). Luxury hotel SYDNEY - Sofitel Sydney Wentworth. [online] Sofitel.com. Available at: https://www.sofitel.com/gb/hotel-3665-sofitel-sydney-wentworth/index.shtml [Accessed 22 May 2016].

Sunday, December 1, 2019

Lucia St. Clair Robson`s Shadow Patriots A Reaction Paper Essay Example

Lucia St. Clair Robson`s Shadow Patriots: A Reaction Paper Paper Lucia St. Clair Robson’s historical novel, Shadow Patriots (2005) centers on one of President George Washington’s major spy operations, called The Culper Ring, out of New York City during the Revolution. The Shadow Patriots includes familiar names such as Peggy Shippen, George Washington, Benedict Arnold, Alexander Hamilton. The novel also focuses on the important participation of â€Å"355†, a female spy whose real identity has to date remained shrouded in mystery. 355 was the Culper Ring’s code for â€Å"lady†. Many historians believe that the female spy died for her country. In the novel, Kate and Seth Darby decide to take a stand in the armed conflicts in a tumultuous period. The hotheaded Seth serves his fledgling country in the army at night, while his older sister is more pragmatic and rational and pragmatic than her brother. Soon, however, circumstances force Kate to face the intrigues and temptations prowling outside her door. Over time, she becomes more impassioned and profoundly involved in the fight for the country’s independence. Invisible ink messages, secret codes, aliases, double agents, and espionage resulted in ever greater drama and danger during the Revolution, a decisive episode in the American history. The Shadow Patriots goes beyond these. It is estimated that almost 12 thousand American troops died in British custody. Robson also includes in her novel the â€Å"prison ship martyrs†, the betrayal of West Point, the intrigue in Philadelphia, the sufferings of the winter military camp at Morristown and Valley Forge, as well as the battles of Stony Point, Monmouth, and Brooklyn. Overall, the novel creates a plausible reality for the historical figures and events and the Culper Ring. This piece of history is something that many Americans do not learn about in the classroom. We will write a custom essay sample on Lucia St. Clair Robson`s Shadow Patriots: A Reaction Paper specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Lucia St. Clair Robson`s Shadow Patriots: A Reaction Paper specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Lucia St. Clair Robson`s Shadow Patriots: A Reaction Paper specifically for you FOR ONLY $16.38 $13.9/page Hire Writer The way the historical figures and events are wrapped in with fictional characters and happenings makes Shadow Patriots very interesting. The novel makes the readers wonder whether Robson is writing fiction or historical facts. Sometimes, a statement or a gesture would cause readers to question, would that really happen in that period? Did mice really made some of the powdered wigs their home?   Were the women of that period truly so earthy and bawdy, usually wearing nothing at all underneath their hoop skirts? Did Quakers really treat their black servants with warm affections and familiarity? The author’s clear command of the subjects as a result of her extensive research efforts tells the readers that these are all precise and correct. Robson includes them in the novel because they are strange, true, and noteworthy. In addition, the author has made a name for herself in making genuine historical fiction. For one, she has a Master’s degree in Library Science, which explains her skills in research. The way the author weaves the historical figures and events with her fictional story is truly outstanding. Robson makes history come alive in Shadow Patriots. The readers learn how people spoke, dressed, and what colonial New York and Philadelphia smelled and looked. Robson’s descriptions of the setting move the narrative forward and offer the readers a quirky history lesson. For example, the American military camp at Valley Forge is luminously depicted. One of the minor flaws of Shadow Patriots is that Robson bombards the readers with so much information in a short space. While such information are very interesting, they are overwhelming. For example, in the first 35 pages or so, the author showers the readers with many characters from history: Washington, Hamilton, Hercules Mulligan, Rob Townsend, Benjamin Tallmadge, New York mayor David Matthews, William Cunningham, Elizabeth Loring, and General William Howe. Overall, the flaws in Robson’s Shadow Patriots are outweighed by its virtues. As lively, accurate, historical fiction, the novel succeeds, and as such, it is highly recommended to readers interested in the Revolutionary War History. However, one needs to review Revolutionary War history to appreciate the historical characters’ presence in the novel.