Tuesday, May 26, 2020

Reflection On Drug Abuse - 1824 Words

LOOK BACK In clinical placement, I was faced with a client who was identified as an individual with a history of drug abuse. This reflection is about my experience dealing with this individual, his attitude and the situation that presented itself in regard to his prescribed opioid analgesics, as well as providing care for him. ELABORATE On arrival to the room, only one of my patient was present, I went ahead and introduced myself and found my assigned staff nurse to notify her that I was unable to find my other client, despite my search. Staff nurse stated that the client may be around as he sometimes leaves the floor to get some fresh air and returns. About an hour later, when I was all done with my other patient(named P.B), I went in†¦show more content†¦This information caused warning bells to go off in my head. I reassured P.B. that I would need to question the nurse about his medication and would return as to what medication he is able to get to aid with his pain. Finding my staff nurse, she informed me that the doctor changed the interval for the opioid because the patient had a history of addiction and the current suspicion of drug abuse activities. As an advocator for his pain management I reviewed the patient’s chart, it was determined that he was only able to receive regular Tylenol as the Percocet was not due for 1.5 hrs. I returned to the room to inform the patient that he was allowed plain Tylenol for now to help relieve his pain. He then stated, â€Å"I don’t like Tylenol, I don’t want that.† I was taken aback by the comment because in my mind I was thinking that Tylenol may help him by taking off some edge to the pain till his opioid could be given, but client refused and decided to wait for the 1.5 hrs for the Percocet. He also refused any care to be performed, and wanted to be left alone. As the shift went on, I periodically checked in my patient to make sure that the was ok, and every time I entered his room patient P.B. would ask me the time, and his desire for Percocet. I assessed patient for any signs of pain, and it should be noted that client had no objective signs of pain such as increased respirations, guarding, grimacing. HeShow MoreRelatedAn Effective Substance Abuse Counselor1268 Words   |  6 PagesTo become an effective substance abuse counselor, there are six key points which include: knowing the principles of MI, being able to help strengthen a client’s coping skills, being able to utilize OARS, understanding Thomas Gordon’s Twelve Roadblocks, being knowledgeable about drugs, and having knowledge of assessing and Individualizing Evidence Based Treatment Plans. An effective substance abuse counselor needs to utilize the OARS. The OARS acronym includes: open-ended questions, affirmationsRead MoreShould Drug Abuse Be Rehabilitated Drug Users Do Not Return? A Normal Social Life?993 Words   |  4 PagesEsquivel Philip Belmont College Composition 2 27 February 2017 Argumentative Rehabilitated Drug Users Do Not Return To A Normal Social Life The National Institute on Drug Abuse, or NIDA, estimates that annually, 23.5 million Americans age 12 years or older need treatment for drug abuse. Getting into a high-quality treatment facility and completing the appropriate programs are critical for individuals who suffer from drug addictions. Only 2.6 million, or 11.2 percent, seek and receive treatment at a specialtyRead MoreAnalysis Of The Article Legal Drugs Unlikely Foster Nation Of Zombies By Stephan Chapman1005 Words   |  5 PagesIn his article â€Å"Legal Drugs Unlikely to Foster Nation of Zombies,† Stephan Chapman presents a hypothetical situation where the use of illicit drugs is legalized by the government. 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Carl Rogers theorized that therapist possess certain skills that would help them connect with their clients; i.e., being genuine, active listening, reflection of feelings, immediacy, and appropriate self-disclosure (Capuzzi Gross, 2011). These therapeutic skills are crucial in building the trust and alliances with clients. Group therapist need to be ‘for real’ in their approach to group. If the therapistRead MoreReflection Is The Examination Of Personal Thoughts And Actions Essay1624 Words   |  7 PagesReflection is the examination of personal thoughts and actions. For practitioners especially nurses, it means focusing on how they interact with their peers and with the environment to obtain a clearer picture of their own behavior. Kanuka (2002) writes that reflection is an essential component of understanding complex problems, issues, and concepts. Albeit meanings, patterns, and purpose become clear. 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The study based on an immense national sample of high school student’s drug usage, concluded that there were inconsistencies in reported use between monthly and annual data, howeverRead MoreTitle Of The Lesson: Dangers Of Prescription Drugs Grade1271 Words   |  6 PagesTitle of the lesson: Dangers of Prescription Drugs Grade Level: 6th Grade # Of students: 20 Students Teacher Focus: I will be working on using proximity in my lesson by paying attention to when students are off task and need to be redirected by walking around them to redirect their attention to the lesson. Purpose/Curriculum Focus: †¢ The class has been working on a substance abuse unit. Today we are focusing on the dangers of prescription drug abuse while incorporating it into our language unitRead MoreThe Ethics of Drug Use and Drug Abuse1579 Words   |  6 PagesEthics of Drug Use and Drug Abuse For any professional working in the substance abuse treatment field, they will very likely come across situations and be presented with dilemmas relating to personal beliefs, judgments, and values. Drug or substance use and abuse have been a controversial and heated topic around the world for centuries. Drug abuse, in a way, is a facet of human culture that has been present for a great deal of human history in general. Every culture handles the issue of drug abuse

Friday, May 15, 2020

Modeling DNA - Structure, Function and Replication

Constructing DNA models is a great way to learn about DNA structure, function, and replication. DNA models are representations of the structure of DNA. These representations can be physical models created from almost any type of material or they can be computer generated models. DNA Models: Background Information DNA stands for deoxyribonucleic acid. It is housed within the nucleus of our cells and contains the genetic information for the reproduction of life. The structure of DNA was discovered by James Watson and Francis Crick in the 1950s. DNA is a type of macromolecule known as a nucleic acid. It is shaped like a twisted double helix and is composed of long strands of alternating sugars and phosphate groups, as well as nitrogenous bases (adenine, thymine, guanine and cytosine). DNA controls cellular activity by coding for the production of enzymes and proteins. The information in DNA is not directly converted into proteins, but must first be copied into RNA in a process called transcription.​ DNA Model Ideas DNA models can be constructed from almost anything including candy, paper, and even jewelry. An important thing to remember when constructing your model is to identify the components you will use to represent the nucleotide bases, sugar molecule, and phosphate molecule. When connecting the nucleotide base pairs be sure to connect the ones that pair naturally in DNA. For example, adenine pairs with thymine and cytosine pairs with guanine. Here are some excellent activities for constructing DNA models: How to Make a DNA Model Using CandyCardboard DNA ModelsDNA Jewelry ModelKNEX DNA Models DNA Models: Science Projects For those interested in using DNA models for science fair projects, remember that simply constructing a model is not an experiment. Models may be used, however, to enhance your project.

Wednesday, May 6, 2020

Uninsured And Underinsured On America Why Is It A Social...

Uninsured and Underinsured In America-Why Is It a Social Problem? According to data presented by Organization for Economic Co-operation and Development (OECD), the US health care cost exceeded $ 8,000 per capita, in 2010, comparing to the next most expensive system (Norway) $5,000 per capita (OECD Health Data, 2012). Despite being the most expensive system in the word, US healthcare system has failed on many areas of performance and quality. According to OECD data, US has much lower life expectancy than other industrialized countries, also the infant mortality rate is higher than those countries. Moreover, the US is the only industrialized country that does not provide its citizens a protection of a universal health care coverage. Before the enactment of the Affordable Care Act (ACA), the statistics reported that over 50 million people in the US had no health insurance. In 2010, the long awaited healthcare reform was passed and many efforts were made to reduce the percentage of uninsured. The enrollment in the Medicare services was extended, millions of low-income individuals were eligible to be enrolled in Medicaid coverage, lifetime dollar limits were eliminated, insurance were no longer able to refuse coverage due to existing conditions. Since 2010, multiple provisions were enacted to improve quality and increase access to healthcare. One of the biggest changes that came into effect in 2014, was the â€Å"individual mandate†, a provision that requires all legal citizens toShow MoreRelated Evaluation - Does Health Care Measure Up? Essay795 Words   |  4 PagesCongress because he did not want to risk his other New Deal proposals. But other presidents, including Harry Truman in 1949 and Richard Nixo n in 1971, have tried to introduce some type of health care reform, enjoying varying measures of success. Why do we still need reform? Currently, the United States is the only industrialized nation that does not have some type of national health care policy. According to a 2003 L.A. Times poll, 70% [of the respondents] consider the current [health care]Read MoreUniversal Health Care : Universal Healthcare1740 Words   |  7 Pagesservices as the cross-cutting framework for all health and health-related services operating across the spectrum from primary prevention to long term care and end-stage conditions. Although this perspective is both logical and well-grounded in the social ecological model, the reality is different in most settings, and there is room for improvement everywhere. Health care reform is a general rubric used for discussing major health policy creation or changes for the most part, governmental policy thatRead MoreHealth Care Systems Compare and Contrast793 Words   |  4 PagesAs a country we are facing currently facing a problem based on health care. Every country has their own way of doing things, but which way makes the most sense? Statistics show that Canada’s health care system is working for them, but will it work for the United States? Ezekial J. Emanuel, Holly Dressel, and together, Karen Davis, Cathy Shoen, Katharine Shea, and Kristine Haran, all address possible solutions to this problem. While Emanuel feels that America’s system is sufficient, Dressel, DavisRead More The Forgotten: Uninsured Children 2037 Words   |  9 Pagesgoing to describe is uninsured children with a disability. Typically, children obtain health insurance coverage through their parents. If parents lack health insurance, so will their children. This paper will discuss the social problem of the inability of children with a disability to obtain health insurance. The primary social welfare issue to be addressed is the absence of affordable, comprehensive health insurance for children from birth to eighteen. When a child is uninsured it often means thatRead MoreAccess Of Health Care And The Hot Spotters Program1630 Words   |  7 PagesAccess to Health Care and the Hot Spotters Program The United States of America has been known to be one of the most advanced countries in terms of our quality of medicine, medical programs, and medical advances. A person can walk into nearly any emergency room without the fear of being turned away or not getting care. With so many resources and cutting edge technology, it’s hard to believe that this health care system does not function to suit the needs of the populations that are most in needRead MoreComparing Public Vs Private Health Care Systems Essay1563 Words   |  7 Pages Often this debate occurs in terms that compare public versus private health care systems. 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Background Access issues such as the lack of health insurance and being underinsured, can be exacerbated by the current shortage of health professionals that exists in many disadvantaged areas. Some physicians and other medical providers may have the unwillingness to treat persons with public insurance coverage because the reimbursementRead MoreAnotated Bibliography for Health Care1932 Words   |  8 Pagesand Rushika Fernandopulle. Uninsured in America: Life Death of the Land of of Opportunity. Berkley: University of California Press, 2005. Print. Sered and Fernandopulle argue why America current health system is in such horrible condition. Based on interviews with 120 uninsured men and women, medical providers, policy makers, and advocates in America, they discuss the consequences of being uninsured. There are more than forty million people uninsured in America and they detail what it means

Tuesday, May 5, 2020

20th Century Drama An Inspector Calls Essay Example For Students

20th Century Drama An Inspector Calls Essay An Inspector Calls was written in 1944-45 but set in 1912 before the world war. In 1944-45 Priestly sent the script of An Inspector Calls to Moscow as unfortunately there were no London Theatres available, so due to this the script was established in 2 theatres in 1945, which it came back to London to be produced. The audience were in the 1945 mood whilst watching the play that was set in 1912. So the audience are re-visiting what was soon to come -2 years later the 1st world war and the sinking of the unsinkable ship Titanic on her maiden voyage. A version of another detective thriller, as what it seemed at the beginning of the play. The opening scene involves the audience being invited in to the play in a very cosily style to a warm scene of a diner party where all the characters of the Birling family are introduced including Gerald Croft. A mysterious inspector intrudes on the cosy scene As one by one each member of the Birling family is questioned there is a chain of events that sequences and links the whole investigation to a suicide murder. However this is not what it is only about, but there is another story portrayed that leads into confusion about the real identity of the inspector. Was he a Ghost, was he the voice of conscious or was he? Who knows! There are a variety of entrances and exits that take place in the play. A build of anxiety, fear, nervousness and suspense is the entire thrill in the entrances and exits of An Inspector Calls. The importance of entrances and exits in the play is to keep the audience enthusiastic and keen to watch the involving exits and entrances. There are various characters in the play and each has a very significant role to play in the story which also connects to a mysterious murder. The tree most important characters from my point of view are: Gerald, Eric and of course the Inspector; The Inspector has an attitude that is tough. He is a hard- headed man. He is precise and influential and creates an impression of massiveness, solidity and purposefulness just at a glance of look. He is an inspector that obeys his work and duty and likes to do it firmly otherwise there is a muddle. He intrudes the cosy scene and that lets the play move on with a subject of his own. Inspector Goole is strong and has sturdy physique that is then described throughout the play in a very peculiar and suspicious manner. A typical man in his 20s evoked by Eric Birling. Half shy half assertive with drinking problems, late nights and women; just are few of his problems that cost a big price during the play. Eric however, unlike his parents, realises the consequences of his actions. Eric is shown playing a big part in one of the most dramatic entrance of the play that characterises his role expressively that then makes him an important character of the play. Another very vital personality illustrated in An Inspector Calls, Gerald who is seductive and personable man in his 30s, rather too manly to be a dandy. Gerald is a helpful and a quiet down-to-town gentleman. Despite Geralds involvement of a big role in Evas life, Gerald is not all that disturbed by the incident which demonstrates his character played in An Inspector Calls. Some of the major entrances that take place in the play suggest the tension that rises gradually towards the very anxious entrance that takes place nearer to the end of the novel. However the entrance that is performed as the first access to the story plays a crucial part in the development of An Inspector Calls. Inspector Goole is the first uninvited character to enter in the engagement party and to ruin the pleasant scene. The Inspectors entrance is a very tragic entrance that takes place in the beginning of the play. It happens when an engagement ceremony has undergone and is interrupted by the Inspector. Mr Birling however is not disturbed by the presence of the Inspector as he is expecting a warrant warning instead there is a different story portrayed. The Inspector obstructs the uneasy conversation between Gerald and Eric also involving Mr Birling that then leads to a confused and a frantic Birling family. The Inspector who at first glance creates an impression of massiveness gives an bitter look as a sigh of giving discomfort before he approaches the person who is being investigated. At first the Inspector is spoken with short phrases to suggest an Inspector of solidity and then the reason of his appearance is conveyed with a lengthily speech and is heard with an aggressive manner that immediately relates to the tough inspector. Essay On The Cherry Orchard About SocietyGerald departs from the play for a walk about, however before he leaves Sheila gives him the engagement ring that was given to her by Gerald himself only a few minutes ago although Sheila now respects him more than she has ever done. By Geralds exit there is a different mood given to the play. The atmosphere of the stage is rather a quiet and sad one as the reason of the ceremony has been abolished. The mood is shown changing as the stage directions convey the looks and sounds in a guarded way as Gerald exits and the Birlings watch him go in silence. The timing of the action has been performed after Gerald has been inquired and before Mrs. Birling and Eric were being questioned of a possible suspect to the chain of events leading to the suicide of Eva Smith. Birling is shown consolidating Gerald by interrupting Sheila and talking about lots of young men doing these kinds of things these days. Geralds exit symbolises that they maybe lots of secrets concealed inside every one of us. The last and most relieving exit for the Birling Family is the final dramatic exit of the play. This is performed by the Inspector in the middle of Act 3. The exit is portrayed in a dubious and peculiar manner that suggests a tense frame of mind. The Inspector summarises the effects of the suicide murder with a long departing paragraph and ends it with the consequences of the incident as he teaches them a lesson in blood and anguish. The Inspectors speech, gestures, stage directions, facial expressions and most of all the self-assured confidence in his speech intertwines together to build a tower of tension and relief. For the Birling Family it was a huge sigh of relief, in comparison to the audience, which related to them as a theatrical departure. The atmosphere of the play has a sudden change from an anxious investigation to a slightly casual mood. Earlier on, before the tense exit of the Inspector, Birling is trying a different method , a method of bribe which the Inspector thinks he is offering money at the wrong time, however Birling can give thousands-yes thousands. The stage directions evoke a confident exit that actually has some effect on both the audience and the characters. The play is then continued with feed back from the family members and also another entrance that changes the whole phase of the play. As for the exits, they make the audience feel sympathetic towards the character illustrating the exits. As Gerald takes his leave the audience are willing not for him to leave as for the Inspectors exit it wraps up the whole play and makes the play run on his intentions so when the main character exits from the play, there is a slight tension in the audience. The stage directions are interpreted as a confident exit which leads to a successful play involving exits that have a turning effect on the audience. So overall, the play can be classified as a success. One reason for this is the involvement of exits and entrances that create shock, jolt and maybe a form of relaxation. In my opinion I thought that the most dramatic exit or entrance is the entrance performed by Eric right at the end of Act 2. This is very significant entrance that is performed in a nail biting situation and that can put the audience in great enthusiasm. At the beginning of the play An Inspector calls is introduced to a tranquil opening scene. In comparison, the closing scene is totally opposite to the opening scene as the closing scene shows the characters in a muddled and in a fearful mood and the atmosphere is uneasy. A point to be noted is that in the opening scene of the play the whole characters of the play (minus Edna and Inspector) are present for the ceremony and after so many dramatic exits and shocking entrances the same characters are shown in the closing scene but with a different mood, a mood of distress and mayhem as the chain of events has finally come to an end.