A CRITICAL APPRAISAL OF THE LITERATURE EXPLORING NURSING MANAGMENT OF review - 1

A CRITICAL APPRAISAL OF THE EXPLORING NURSING MANAGMENT OF PATIENTS WITH PSYCHOSIS WHO ENGAGE WITH SUBSTANCE MISUSE WITHIN MENTAL HEALTH SETTING IN THE UNITED KINGDOM (UK) - Literature review Example A standard urine toxicology screen for controlled-substance abuse was negative. Â  Both the patient and family members denied any relevant history of medical or psychiatric disorders. Upon direct interviewing, the patient denied taking any prescription medications. When asked about over the counter medications, she admitted taking ibuprofen for occasional headaches, and stated that over the past three weeks she had been taking some Chinese herbal diet pills daily, that she had recently purchased over the internet, but could not remember exactly how many she had taken every day. She stated that the diet pills were recommended by a friend who was able to lose 27 pounds over a period of 8 weeks. She also noted that just a few days after initiating the diet pills she started feeling anxious and had difficulty falling sleep at night. The patient was started on risperidone 1 mg orally twice daily, was not permitted to take her herbal diet pills, and showed significant mental improvement o ver a period of just four days. The herbal diet pills she had been taking were subsequently identified as a brand that had previously been recognized as possibly containing a synthetic chemical stimulant. Herbal medicines are gaining increasing popularity as both dietary supplements and complementary remedies. They are generally perceived as safe and effective because of their presumed natural origin. However, common problems seriously affecting the integrity of herbal medicines include adulteration, contamination, lack of standardization and inappropriate or purposefully misleading labeling. Dietary supplements for weight control should be safe. However, prescription drugs have been found to be added to some herbal formulations in significant concentrations, which are then marketed as dietary supplements or natural nutritional products. One prominent example is sibutramine, a drug that is currently approved in the US for treating

Minimum Legal Drinking Age Essay Example | Topics and Well Written Essays - 1000 words

Minimum Legal Drinking Age - Essay Example The MLDA has proponents and opponents, who hold fast to their respective positions in this debate (American Medical Association, n.d.). Morris E. Chafetz, in â€Å"The 21-Year-Old Drinking Age: I Voted for it; It Doesn't Work,† and Toben F. Nelson, and Traci L. Toomey, in â€Å"The Drinking Age of 21 Saves Lives,† adopt opposing views on this issue. Chafetz argues that the MLDA of 21 â€Å"has not worked,† and is not linked to reduced drunk-driving fatalities (7). He holds that enforcing a minimum legal age for drinking does not take into consideration the deaths caused by alcohol off the highways, and drives teenagers to binge drinking in unsupervised surroundings. On the other hand, Nelson and Toomey take the position that the MLDA of 21 has reduced drinking-related deaths, and decreased binge-drinking in underage college students. Although both authors have credibility and are knowledgeable and logical about the subject, and Chafetz is more accommodating of op posing viewpoints, Nelson and Toomey make a more convincing argument as their stand is supported by extensive references to research studies. Both the essays are authored by writers with impeccable credentials. Chafetz is a credible speaker in the MLDA debate, as he is the founder of the National Institute on Alcoholism and Alcohol Abuse and The Health Education Foundation in Washington. His reputation is further bolstered by the fact that he was a member of the Presidential Commission on Drunk Driving, Director and Executive Member of the National Commission Against Drunk Driving and the Presidential appointee at The White House Conference for a Drug-Free America. He is also a Doctor of Psychiatry, with a long history of association with social issues, such as alcoholism and drug abuse. Chafetz’s credentials are more than matched by Nelson and Toomey, who belong to the University of Minnesota’s School of Public Health. Their argument is further supported by a group of academicians and researchers. The reputation of the writers contributes to the trustworthiness of the essays and makes them both credible. Sim ilarly, both the essays are written by knowledgeable authors who make their respective positions clear through unambiguous declarations. Chafetz emphatically states that â€Å"Prohibition – is not working among 18-20 year-olds now† (8). On the other hand, Nelson and Toomey are equally firm in their conviction that â€Å"A drinking age of 21 has led to less drinking, fewer injuries and fewer deaths† (9). There is no room for ambiguity in either essays and the authors’ tones convey their absolute belief in the correctness of their respective positions. Similarly, both the authors display knowledge about the issue being debated. As the founder of The National Institute for Alcoholism and Alcohol Abuse, Chafetz is obviously conversant with the issue of alcohol consumption and quotes statistics from his institute â€Å"that 5,000 lives are lost to alcohol each year by those under 21† (Chafetz 7). As a Doctor of Psychiatry, Chafetz also demonstrates know ledge about brain impairment and alcohol dependency, in line with his profession as a medical doctor. Nelson and Toomey are significantly knowledgeable about the effects of alcohol on college students – this is in keeping with their University background.

Health Article Article Example | Topics and Well Written Essays - 500 words

Health - Article Example It is also important to know that sexual health is affected by socio-economic and political factors. The physical factors include chronic illnesses and even medical treatment that hinders the sexual functioning of the human being. These also include sexually related diseases such as STIs/ HIV and reproductive tract infections. Infertility also contributes to sexual health problem. And this does not only serve as a physical factor but also emotional and mental. Among the mental factors, mental incapacity hinders us in achieving optimum sexual health. Retardation as a hindrance, have an effect on the sexual urges and the perceptions of a person suffering from mental retardation on sexuality. Anxiety and fear on the other hand is a by-factor of sexual coercions like rape and molestations. When anxiety is developed, a person looks at sexual relationship as a non-gratifying behaviour. When this happens, a person's sexual health is at risk. Social factors on the other hand go beyond medical concerns. These include sexual awareness leading to unwanted pregnancies, which can also have disturbing effects on the health of the women. It may also be linked with sexual coercion. Limited knowledge on safe sex also hinders general sexual health.

Journal Essay Example | Topics and Well Written Essays - 500 words - 10

Journal - Essay Example that this society is inapplicable, though he won’t admit it, focusing on the clownishness of the Station’s inhabitants instead of the clownishness of the larger underlying situation. In terms of connections with larger themes, Marlow sees the â€Å"pilgrims† as shallow masks mouthing the words of the old society, with nothing underneath: â€Å"it seemed to me that if I tried I could poke my forefinger through him,† the narrator states, â€Å"and would find nothing inside but a little loose dirt, maybe† (Conrad 57). Although he is angry enough about the sham of the imperialist faà §ade, Marlow does not explore the possibilities that this brings up; while seeing the failure of the Station society to come to terms with its surroundings, he nonetheless allies himself with them, as when he moves away from the beaten native servant in disgust to speak with the brick-maker. In a more empathetic narrative, Marlow might come around to seeing things from the servant’s point of view. It might be argued that he does this at times, as when he sees and imagines the servants and some of the â€Å"reclaimed† at the first outpost. What Marlow is really doing here, though, is projecting his own fears and thoughts onto them, rather than being truly empathetic. Another passage of interest in the book is Marlow’s last contact with society, in the form of his conversation with the doctor. This passage shows how another key element in Heart of Darkness is the alternating presence and absence of the representatives of an imperialist society concerned with the narrator’s psychological state. Marlow, as he travels from Europe into the Congo, sees less and less of the individuals within his supporting society, and begins to see himself as the lone true his guarded terror of his surroundings begins to overwhelm him. Later, when he sees one of the â€Å"reclaimed† natives raise a rifle, he thinks that it is because of â€Å"white men being so much alike at a distance that he could

Grammar edit Essay Example | Topics and Well Written Essays - 250 words

Grammar edit - Essay Example Together with my group mates, I was forced to present our final project in class. When it was my turn to speak, I felt so nervous. My heart started to beat so fast. Because of my nervousness, I failed to deliver my speech the way I planned to. It also made me forget important facts I was supposed to inform my classmates. Eventually, the only thing that mattered to me is that the presentation has ended so soon. In another class, I was also required to summarize a book chapter in front of my classmates. Since I was so eager to improve my speaking abilities, I decided to spend a few hours a day practicing what I had to say in front of my classmates. To remove my nervousness in front of so many people, I asked some of my friends to be my audience. I also listened to what my friends would say about the way I speak and act during the presentation. Sometimes, I record my own voice and stand in front of the mirror to check the way I pronounce each word and how I was sending out some non-verbal cues to other people. Since then, I was able to ease and control my anxiety. Gradually, I felt so much confident when being asked to speak in public. Personally, I consider my zone of optimal functioning as the low zone. When having low levels of anxiety, I tend to become less stressed. Basically, low level of anxiety and nervousness made me perform better. Each time I experience high levels of stress, I tend to perform

What Is New Age Research Paper Example | Topics and Well Written Essays - 2750 words

What Is New Age - Research Paper Example The practices of the New Age are individual journeys that can sometimes constitute an organized church or movement. New Age and/or New Religious Movements (NRM’s), also popularly known as cults, can have a great impact on the family. Oftentimes these cults rely on community organization, seeking recruits, and creating a new reality for participants that can be detrimental to the structure of the family. A new religious movement is basically defined as a movement which is spiritual or faith-based in nature. New religious movements may also have a basis in ethics, theology, philosophy, or religion to some extent. Cults need not be destructive in nature, however. Many people who study social psychology have adopted the term â€Å"new religious movement† as a way of describing cults or New Age-y organizations in neutral language. New religious movements may be communitarian, or they may be specifically spiritual or religious in nature. Usually what separates new religious movements from other religious movements in society is their unique ability to isolate people from other social networks. New religious movements had connotations of brainwashing. Several people are still wont to call new religious movements â€Å"cults† because that term is still more popular than the term â€Å"new religious movement.† There is still no formal criteria for what a new religious movement constitutes. However, in general, the group which is a new religious movement is somewhat new (obviously), and it is set apart or distinct from other religions. There is much controversy over what constitutes a â€Å"new† religious movement. Some people use certain dates as benchmarks for saying religion is new—for example, a religious movement that has occurred within the last 20 years or so.

Law (International Business) - Problem Question Essay

Law (International Business) - Problem Question - Essay Example In the case of Shipping Corporation of India Ltd v Gamlen Chemical Co (A/Asia) Pty Ltd (1980)147CLR 142 (High Court of Australia, 1980), the facts of the case was that the carrier – Shipping Corporation of India Ltd was contracted to transport goods to Gamlen from Sydney in Australia. During the ship’s passage it encountered heavy weather and rough seas in Australian waters. On arrival the goods were found to be in damaged. The shipper sued the carrier for breach of article 3(2) of the Hague-Visby Rules which requires that the goods be carefully loaded, handed, cared for and discharged. The court of Australia found that the damage to the goods was the result of a combination of factors involving perils at sea and improper stowage. Therefore the carrier was not allowed to invoke the Article 4 exceptions which allows for perils at sea. This was due to the carrier’s failure to exercise due diligence which was considered to be a concurrent or dominant cause of the da mage sustained. The carrier could not therefore deny responsibility for the losses suffered by the shipper in circumstances where the carrier’s failure to exercise due diligence was one of the causes of the losses incurred.