Annotated bibilography on evidence based research-pressure ulcers Essay

Annotated bibilography on evidence based research-pressure ulcers - Essay Example The available literature identifies its risk factors as: physiological alterations, diabetes, low tissue oxygen tension, nutritional deficiency, contractures, and paralysis. This annotated bibliography examines the effectiveness of different treatment and prevention strategies used in hospital settings. The available statistics suggest that the condition mainly affects male adults, and 3-10% of the hospitalized population. The risk of pressure ulcer is also high among neurologically impaired patients, and persons disabled by the spinal cord injuries. According to Mendez (2004) prevention is a key component of managing pressure ulcers, and the presentation of this condition occurs in 4 stages starting with erythema and ending with the infection of the underlying bone or muscle. Stage 1 is characterized by the reddening of the skin while in stage 2, the skin blisters form open sores. In the third stage, a crater is formed while in the final stage, the damages extend to the tendons, joi nts, muscles and bones. Some of the treatment method used include: de-pressurizing of the affected areas, surgical reconstruction, administration of and antibiotics. While treatment of the affected patients should be administered as soon as possible, prevention should be the first priority for the population as risk of this condition. In this regard, patients on bed rest should be checked frequently for pressure sores. Symptoms to watch out for include: red skin, open sores, blisters, foul smells from the ulcers, and swollen skin. For early detection, the caregiver should consider giving the patient a head to toe examination, and should pay close attention to the following areas: buttocks, elbows, hips, heels, ankles, shoulders, and back. For prevention of this condition, persons at risk should change positions once in every 2hours and use appropriate tool to cushion the affected areas. Most importantly, they should eat well balanced meals, drink lots of water, exercise regularly, u se creams to protect the skin and keep the skin dry and clean at all times. Reddy, M., Sedeep, S., & Rochon, P. (2006). Preventing pressure ulcers: A systematic review. Journal of the American Medical Association, 296(8), 974-984 This article which is written by competent authors seeks to examine the adverse health outcomes and treatment costs associated with pressusre ulcers. The objective of the article is to review the evidence examining interventions to prevent pressure ulcers. The systematic review utilizes sources from the MEDLINE, EMBASE and CINAHL. All the databases are well known for publishing credible article dealing with different medical condition. The search strategy identified 763 citations, of which 59 randomized control trial were selected. As suggested by Moore and Cowman (2007), systematic review should have elaborate schemes to prevent bias, and maximize precision of the data obtained. At the same time, it should have a detailed exclusion and inclusion criteria, use clear research questions and adequately address the challenge of assessing the methodology quality of the selected studies. If possible, the systematic review should depend on current and credible secondary sources. In this case, of the citations identified, 650 were excluded since they were not randomized clinical trials, while 53 did not have adequate information about the outcome measures. The

Congressional Oversight & Strategic Intelligence Essay

Congressional Oversight & Strategic Intelligence - Essay Example The Congress approved this procedure to limit Congress’ participation during emergency situations such as the Iran hostage crisis, as a way of establishing operational secrecy. This is to the effect that even when limited advance notification has been cut down, the President must work in consultation with the eight members of the Congress, known as the Gang of Eight. This therefore means that Congress: established operational secrecy in strategic covert action programmes; and must also participate with the President in consultation with him. This consultative and advisory role still abides, even after the House Permanent Select Committee on Intelligence [HPSCI] replaced the Gang of Eight, under the FY2010 Intelligence Authorisation Act (Cumming, 2011, p. 6). Although Congress lacks the authority to veto direct covert action, yet it, through the Gang of Eight Members has the mandate and responsibility of influencing the time-frame and the modus operandi of a strategic covert action programme. Through its Gang of Eight Members, Congress is also able to control funding for strategic covert actions. Initially, Congress even made annual provisions for covert actions, from the CIA’s Reserve for Contingency Fund. Presently, all it takes for Congress to control funding for covert actions is for the Gang of Eight, two Congressional committee chairmen and ranking members to agree to oppose continued funding for a specific covert action (Hastedt, 2012, p. 2). On a personal standpoint, the system is effective since it allows Congress to: play advisory roles [and thereby warding off the excesses of the executive]; [and] while also paving way for emergency situations, as is provided for by the US Law. What reforms should be made to strike the delicate balance between the executive and the Congress, so as to facilitate and give accurate meaning to strategic covert action [if the imbalance is fundamental breach to the US

Mood disorder part #2 Essay Example | Topics and Well Written Essays - 500 words

Mood disorder part #2 - Essay Example An abused child may alternate between periods of irritability and periods of worthlessness and helplessness. What is interesting is that during these phases emotional upheaval those who come in contact with her may be unaware of her dilemma and accuse her of unsociability, violence and as having total disrespect for members of her society. Fundamental signals of depression in children may be a sudden change in academic performance as well as an apparent change in personality. A specific illustration of such a change would be that an energetic and intelligent child may suddenly become lethargic and appear to be disinterested in school work and other activities that formerly brought pleasure. Such a child may in fact begin to disrespect teachers and other classmates but this child would never dare to disrespect the abuser. Foul language, inappropriate behavior such as promiscuity, fighting and stealing may be the order of the day for such a child. It is usually at this juncture that a teacher may become concerned and request the assistance of guidance officers and social workers. Not only are emotional and behavioral signs present in the depressed child but also a mounting number of physical complaints. The child may begin to complain of headaches and stomachaches. This child may even experience difficulty in sleeping patterns. Further, there may be an abrupt increase or a decrease in appetite. Eventually one major incident between an authority figure and the child may lead to the child having and voicing desires of committing suicide. This desire to commit suicide may be expressed quietly to a trusted authority figure or shouted loudly as a threat to another individual in authority. On the other extreme this child may also voice the desire to fatally harm another individual. Clearly, the depressed child would manifest differently to adults who may still have the ability to hide their true feelings at times. The child suffering from depression due

Physical Security Essay Example | Topics and Well Written Essays - 2000 words - 1

Physical Security - Essay Example This essay stresses that there is a possibility that during the opening ceremony a certain country’s athlete may get attacked by a terrorist group. It may also happen that the opening ceremony may get sabotaged altogether by a terrorist or militia group so as to defame the pride of the host country. In any of these cases, it becomes very important to understand the fact that security breaches are possible and consequently, security needs to be tightened. This paper makes a conclusion that equally important is upholding the security during the medal distribution ceremony all for the same reasons which have been mentioned above. Again, it might happen that to hamper the national pride of the host nation or the participating nation one may try to attack the winning team/sportsperson during the medal-distribution ceremony. Also, it may happen that a winning participant or sportsperson maybe a terrorist supporter or a terrorist itself in guise. The security assessment of the nearby hospital or medical center is also very significant and critical to the overall security process. Hospitals are locations of maximum vulnerability if compared to other locations which are part of the entire event. There is a possibility that a minor disaster may lead to the hospitalization of some people (sportsters/spectators/organizers) and a major disaster can be planned to be executed in the hospital because it provides a good vantage point to the perpetrat ors of the security breach.

Family on Film Movie Review Example | Topics and Well Written Essays - 500 words

Family on Film - Movie Review Example In both of these movies, the directors show these mothers in different terms of success: Beth does not succeed because she cares too much about society, and Antonia and Danielle succeed because they are willing to break free from society’s constraints. In â€Å"Ordinary People,† Beth is the mother of Conrad and Buck. After Buck dies in a boating accident, Beth focuses a lot of pent-up guilt and blame on Conrad, and acts in a way that defies the expectations of what it means to be maternal. Mostly, people think of maternal nature as being warm and nurturing, abut Beth is cold and sarcastic towards Conrad, and berates him for being weak, just because he needs to see a psychiatrist about their dysfunctional family. Beth is fixated on the idea that the family should appear â€Å"normal,† and fit in to society. For example, when Calvin, Conrad’s father, lets it slip that Conrad has been seeking mental help at a party, Beth is furious, because this disrupts the idea of the normal family that she has strived so hard for (Ordinary, 1980). And when Conrad finally gathers the courage to tell Beth that he blames her for never visiting him in the mental hospital, she is still cold and sarcastic to him, using this as an opportunity to tell him once again how much more she loved Buck than she loves him.

Civic Punishment or Private Revenge Case Study Example | Topics and Well Written Essays - 2500 words

Civic Punishment or Private Revenge - Case Study Example A presentation of the fragmented accusations of Euphiletus' accusers will be offered in order to clarify some of the rhetorical strategies that Euphiletus' utilizes in his defense speech. Finally, some concluding remarks on how adultery, crimes of passion and homicide were understood then and now. There is some evidence to suggest that the ethical internals of Euphiletus' defense were intended to generate sympathy among the judges (Herman 407). By presenting himself as deceived husband and victim, Euphiletus is attempting minimally to provide an emotional basis for his desire to kill Eratosthenes. This is important for if Euphiletus wanted to portray himself as an Athenian gentleman whose moral composition represented the mainstream of Hellenistic society, then his act represents the logical consequence of a man whose wife has been caught in flagrante delicto with another man. If it was the case that such an act could not have been conscionable under such conditions then the Euphiletus' strategy would be counterproductive as his demeanor would be interpreted as the manifestation of a morally eccentric minority. However, it is not to suggest that Euphiletus wished to portray himself as a jealous husband fueled with righteous and murderous rage. Rather, at every step as will be shown later he presents himself a mediated actor of the law, merely the hand of the law rather than its head or heart. In fact, he wishes to show that Eratosthenes was not murdered but executed by him and was only done so by him on mere coincidence that it was his wife with whom Eratosthenes had slept (Harris 365). Thus, Euphiletus wishes to draw out the tensions inherent in two antithetical codes of conduct: 1) an older, de-centralized, tribal one in which honor and vengeance played integral roles and 2) a more evolved centralized code of conduct in which democratically endorsed values were mutually agreed upon and enforced communally (Herman 408). By engendering a feeling of vengeance while simultaneously negating its causative role in this act, Euphiletus paradoxical strategy gives a path in which the Athenian judges can acquit Euphiletus on the grounds that the act was one of civic punishment while concomitantly acknowledging the obvious vengeful passions that were aroused duri ng the incident itself. He begins by laying out the task before him, which is to convince the jury that Eratosthenes' killing was prompted by the debauchery of his wife via seduction and the disgrace tendered therein and for no other reason, " that this was the one and only enmity between him and me; that I have not acted thus for the sake of money" (Lamb 1.4). It is important that money or other enmity do not prefigure in any manner for Euphiletus' case, as that would have invalidated the laws for which the type of justified homicide he wished to claim happened. If indeed money or other enmity figured in this case, as his accusers had apparently tried to impute, it would simply be premeditated murder in

Dementia in the world Essay Example for Free

Dementia in the world Essay Alongside traditional A Levels in Physics, Chemistry and Biology, QMC offers an A Level in Applied Science. This is an ideal course for pupils who have studied the GCSE Applied Science and who are interested in a science based career. COURSE ENTRY REQUIREMENTS General entry requirements are 5/6 GCSEs at C or above to include Double Science, English and Mathematics. WHAT KIND OF JOB/DEGREE CAN THIS SUBJECT LEAD TO? Success in the A Level will enable you to apply for work in science based companies, the NHS or apply for Foundation degrees at university such as: FdSc Applied Medical Technology FdSc Medical Imaging (Radiography Technician) FdSc Medicines Management (Pharmacy Technician) FdSc Oncological Therapies (Oncology and Radiography Technician) FdSc Paramedic Science, currently available at Portsmouth DURING THE AS COURSE YOU WILL STUDY THE FOLLOWING TOPICS: In the AS year you will be studying 3 units which cover all 3 sciences. Two of the units are assessed by portfolio with the third unit being assessed by examination. This course is therefore best suited to students who find producing a steady flow of written reports preferable to sitting several exams at the end of the year. The portfolio units look at how science is put to use in the workplace. You will visit a range of local organisations and see science in action. Back at College you will learn how to carry out some of the techniques that scientists use at work and write reports about issues relevant to the use of science. As you go you will build up a portfolio of evidence of your growing skills. The examined unit focuses on the use of science in healthcare. You will look at how the body’s circulatory and respiratory systems work, and how they can be monitored and investigated. This will include considering the ethical issues involved when diagnosing and treating illnesses. DURING THE A2 COURSE YOU WILL STUDY THE FOLLOWING TOPICS: In the second year you will be learning how to carry out an extended investigation and then choose one you would like to study in depth. This investigation, and a unit on the techniques involved in genetic engineering and biotechnology, are both assessed by portfolio. A final examined unit brings together all the skills you have developed during the course on working as a scientist, including collecting samples, developing methods for carrying out tests, working safely, analysing data, and ensuring accuracy and reliability in all you do. HOW IS THIS COURSE ASSESSED? AS Level A2 Level 3 Units. 2 units portfolio evidence, 1 unit examination 3 Units. 2 units portfolio evidence, 1 unit examination IF YOU REQUIRE ANY ADDITIONAL INFORMATION †¦ Please contact the Head of Department, Dr Eddie Grimble, on (01256) 417500