The Role And Importance Of Palliative Care Nursing Essay

The Role And Importance Of Palliative Care Nursing Essay When the patient has serious illness like cancer and came to the hospital and complaining from pain, anorexia and fatigue at this time what can he is suppose to do? The answer of this question is in the definition of palliative care. What is palliative care? Palliative care according to (World Health Organization [WHO], 2010) it is a medical profession stand up to helps the patients and families to come over the pain and other problems like physical, psychosocial and spiritual with life-threatening illness. This can be done by the prevention and relief of suffering and early assessment and treatment of pain. Palliative care according to (Get palliativecare.org, 2010) is provided by a team of professionals working together with your primary doctor. It is appropriate at any point in a serious illness and can be provided at the same time as treatment that is meant to cure. Moreover, patient in the end of life can face and experience a host of distressing symptoms such as pain, dyspnea, and delirium are reported to be among the most feared and burdensome. Also, pain can be influenced by many factors, including the patients prior experience with pain, meaning given to pain, emotional stresses, family, and culture influences (Mcphee papadakis, 2009). (Mcphee papadakis ,2009,p.70) stated that the common problem for patients at the end of life up to 75% of patients dying of cancer is the pain and it is what people say they fear most about dying. Therefore, nurses must be aware about the barriers to good care ,which including the lack of knowledge about the proper selection and dosing of analgesic medication ,limited training and clinical experience with pain management, addiction which can occurs if the patient and caregivers misused the medicines (Mcphee papadakis, 2009). In addition, there are 20 reasons can make the palliative care difficult to the nurses (Becker, 2010). I am going to mention some reasons; Shortage of staff. Shortage of nursing staff is one of the reasons which can make the palliative care difficult. In my experience in the hospital where I was working the staff nurses are in limited numbers , especially in the word the staff nurse can handle 9-12 patients some of these patients are having cancers and some time one staff nurse for 6 rooms each room has 5-7 patients!. Cancers patients cannot bear the pain and the staff nurse wants to do other work like inserting intravenous fluid for diabetic patient with hypoglycemia, so how the nurse can concentrate in doing that? Here the staff has to prioritize her work, some staff nurses finding difficulty to do that. Therefore the hospitals administration has to find and create a policy change in response to the nursing shortage as supported by Twigg , Duffield , Thompson Rapley (2010). In addition to that, as Abrahm(2010) stated that due to shortage of staff palliative care in oncologists, intensivists, advanced cardiac, pulmonary, renal, and hepatic diseases needs to be improved. Lack of knowledge of some medications and symptoms control. There were 146 surveys distributed to care providers from multiple settings. Out 135 0f 146 reported that there are several problems can make the palliative care difficult like poor pain and symptoms control, lack of education for care providers as stated by Sellick , Charles , Dagsvik , Kelley (1996) The availability of clear polices in dealing with death issues. In my experience only in some hospitals we can find clear polices in dealing with death issues especially brain death , this matter can involve many elements like; patient himself if he/she recommended before death if his/her brain died the caregiver can remove the supporting equipments, family according to the religion. So the staff nurse must be a wear about many religions. In understanding of the reasons and finding solutions to make the difficulties easier to the nurses can make too much improvement in quality of life. Quality of life can be affected by the level of education in heart failure patients. Patients with high education level often can improve more than low education level which usually reported to care givers in bad physical and functional condition as supported by Barbareschi, Sanderman, Leegte, van Veldhuisen Jaarsma (2011). In addition, there are two factors are related to quality of life in heart failure patients, demographic and clinical. Also physical excises one of the main elements of disease management program. (Jaarsma, Johansson, Agren , Strà ¶mberg ,2010) I want to stress in one point from my experience I did not see patient with heart failure has been cured totally from the disease, so I think the palliative care can play role to help this patient to enhance his quality of life. For example, one of the patients I was taking care of him he told me I am useless now! So for this type of patients I have to help him to move this idea from his mind, and let him to understand that the life did not end yet and we are finding developments in medical field, and give him task and encourage him to do it, after of compilation I have to enhance the feeling which he can feel it and let him to understand that he is worthfull and useful. Since I chose the heart failure I want to mention how the staff nurse can manage the pain in this case, which include: Pharmacologic treatment: like angiotensin-converting enzyme inhibitors, ÃŽÂ ²-blockers, diuretics, and possibly aldosterone antagonists and angiotensin receptor blockers (Lewis, Heitkemper, Dirksen, OBrien Bucher, 2007). Diet and body weight: the recommended diet for these patients is low sodium diet to reduce body edema; recording upon admission body weight can detect the body weight if increased or no (Lewis et al., 2007). Behavioral and lifestyle management: exercise/physical activity: as stated by Benetti, Araujo, Santos (2010) exercises can improve the quality of life for heart failure. Therefore, the nurses must promote home and community-based care by taking the responsibility and contribute in education of patient and involve him to implement the therapeutic procedure to improve the quality of life. Teaching the patients and family how the progression of the disease is influenced by compliance with the treatment plan (Johnson, 2008, p.428). One of the most important points in improving quality of life as human being in my point of view is being opened to others .By this way the person can share others experience which can teach him/her something can change or improve the quality of life. In addition to that some patients need spiritual support which can make the life of some patients running in smooth way as supported by Hegarty , Abernethy , Olver Currow (2011). Also, the quality of life can enhanced by the disable patients rehabilitation. As will as, mixing patients with disabilities in right and balance way can improve the quality life as supported by (Fadyl, McPherson Kayes, 2011). So how the caregivers can measure the quality of life? The relationship among patients and families with caregivers can detect the quality of life as Hasson-Ohayon, Roe, Kravetz, Levy-Frank Meir (2011) stated in their article. And, in my opinion quality of life is not easy to measure it because different criteria. The quality of life can make the measurement is so complicated, but generally speaking the improvement of individual health can indicate in quality of life. Conclusion: The palliative care profession is can plays important role in professional healths fields by helping the patients and families to understand the serious illness and how to manage and improve the quality of life .By educating the nursing staff and they must be in university level in both arts and sciences (McEwen willss, 2007). As deeply supported by Henderson theory which stressing on the important of education for the nurses. In addition to that the caregiver should try their best to improve the quality of life which can lead to improve the palliative care, by understanding each individual is unique in many aspects and trying to deal differently accordingly. The hospitals managers should understand the teamworks conflict and create polices to solve the shortage of nursing staff can enhance the palliative care to reach to optimal quality of patients life.

Methods of Trafficking and Counters Essay -- essays research papers f

METHODS OF TRAFFICKING AND COUNTERS Many people choose to try and make fortunes through the illegal trade of drugs. This type of business gives the highest return of dollars spent, but is one of the hardest products to ship. There are many techniques that have been used throughout the years in order to try and get the illegal substances into the United States, which leads to the government’s response to counter the illegal transshipments. Although the War on Drugs appears to be a futile effort, there are many ways to tighten down on the drug traffickers and successfully put them out of business utilizing government tactics and education.   Ã‚  Ã‚  Ã‚  Ã‚  The main ways to ship illegal substances into the United States are by individual carry or by vehicle (land, sea, or air). The farmer or the manufacturers rarely ever attempt these methods, but instead utilize a third person to assume the risk for the transaction from supplier to the individuals seeking to either use or distribute the product. These individuals are called drug traffickers or â€Å"mules†, and the job does not discriminate between age, sex, or race.   Ã‚  Ã‚  Ã‚  Ã‚  One of the most disgusting examples of a trafficker is when a child is involved. Neither the manufacturer nor the supplier seem to mind if a child is carrying the same drugs that will soon infect the neighborhood’s playground. â€Å"A twelve-year-old boy, acting as a drug mule, became ill after trying to transport 87 heroin-filled condoms from London to New York. Upon arrival, the boy exited the airport, hailed a cab to drop off the drugs, and found the drop-off empty, the boy then became ill and started passing the heroin bags† (Stars & Stripes, 10). The fact that a young boy was used to transport drugs is appalling, but worse is that this article was not front-page news, or even second or third. The United States has become so accustomed to these types of tragedies, which has brought a sense of numbness to the activities. In order to counter the use of young children’s involvement in the drug trade, citizens have to realize the importance of keeping the children out of the newspaper.   Ã‚  Ã‚  Ã‚  Ã‚  Every child in the United States has a parental figure that has been tasked with the responsibility of teaching that child right from wrong. When events occur to demonstrate that obviously th... ...nforcement needs to be notified. At no time should a citizen get involved in actually stopping the drug activity, but that person should know what to do in the case that an illegal activity is observed.   Ã‚  Ã‚  Ã‚  Ã‚  The drug trade attracts many people with the lure of quick money and extravagant lifestyles. The truth of the seedy world of drugs needs to be exposed in order to totally confront the War on Drugs. The tactics that are used to fight against the traffickers of illegal drugs will not win the war alone. In order to defeat the drug lords and win the War on Drugs, every citizen of the United States must be enlisted. Although the War on Drugs appears to be a fruitless attempt, the road to success is paved with stronger government actions and better citizen support accomplished through education. WORKS CITED Clawson, Patrick. THE ANDEAN COCAINE INDUSTRY. New York, NY: Saint Martin’s, 1996. NATIONAL DRUG CONTROL STRATEGY,1997. Washington, DC: Office Of National Drug Control Policy, Executive Office of the President, 1997. STARS AND STRIPES. â€Å"Boy, 12, Swallows 87 Heroin-Filled Condoms† Vol 60, No 360; 14 April 2002.

Most Important Scientific Event of 2007

The scientific event with the most significant implications for the future was recognition of unique differences between genome sequences of individual people (Pennisi, 2007). It is believed that about 99.5% of human DNA is exactly the same in every person. Within that 0.5% lies the variations that are responsible for individual traits and diseases, including Alzheimer's, Parkinson's, depression, alcoholism, heart disease, and other serious diseases (National Human Genome Research Institute). Genetic variations also affect how individuals respond to drugs and environmental factors. The goals of National Human Genome Research Institute are to discover and type single nucleotide polymorphisms (SNPs) and other forms of genetic variation on a large scale across the genome; to develop high-resolution maps of genetic variation and haplotypes; and to develop methods for the large-scale experimental and statistical analysis of SNPs, other forms of genetic variation, haplotypes and complex traits (National Human Genome Research Institute). Previous work on the human genome has including the search for a relationship between specific genes and various diseases, such as an â€Å"addiction gene† or a â€Å"cancer gene† or some similar link. This research has already led to the identification of specific genes that are responsible for several diseases. Previous research on the human genome has also identified what separates humans from other primates, genetically speaking. In addition to identifying the genome sequences that are responsible for diseases, breakthroughs that occurred during 2007 will allow scientists to pinpoint the genetic variations that make me, me and you, you. Individual genomes appear to include the causes of behavioral traits that had been previously attributed to personality or psychiatric characteristics and not to genetics (Pennisi, 2007). The most obvious application of this research will be in the use of gene therapy to combat diseases. At the simplest level, understanding an individual's predisposition towards certain diseases will allow physicians to recommend preventative treatments and lifestyle choices that can reduce or eliminate the genetic threat. On a more complex level, genetic research can provide new, customized treatments that are specifically designed to match the genetic needs of the individual patient. Genetic medicine could be used to treat diseases after the disease has developed or, in some cases, used to treat genetic disorders during pregnancy. While the medical applications for genome research show much promise, there are also serious implications for individual privacy and genetic discrimination. Once again, legal and ethical development has not kept pace with scientific and technological development. Despite the introduction of several pieces of legislation designed to help ensure genetic privacy and to shield individuals from the misuse of genetic information, there is still no federal legislation that addresses the issue of genetic discrimination in individual insurance coverage or to genetic discrimination in the workplace (U.S. Department of Energy Office of Science, 2007). As the ability to sequence the genome sequences of individuals becomes more practical, insurance companies and other interested parties might consider it cost effective to use genetic sequencing to reduce any potential liabilities from policy holders or applicants. Many insurance companies already have policies regarding preexisting conditions. The leap from policies that exclude   preexisting conditions a policy that excludes diseases for which the individual has a genetic predisposition is not that far removed. The ability to map individual genomes will open new doors for medical treatment of disease. Hopefully, 2008 will see breakthroughs of a similar magnitude in ethics and laws regarding the gathering, sharing, and use of genetic information. References National Human Genome Research Institute, National Institutes of Health (2008). Genetic variation program. Online. Retrieved May 1, 2008, from http://www.genome.gov/10001551 Pennisi, E. (2007). Breakthrough of the year: Human genetic variation. Science, 318 (5858), pp. 1842 – 1843. Retrieved May 1, 2008, from http://www.sciencemag.org/cgi/content/full/318/5858/1842 U.S. Department of Energy Office of Science (2007). Genetics Privacy and Legislation. Online. Retrieved May 1, 2008, from http://www.ornl.gov/sci/techresources/Human_Genome/elsi/legislat.shtml

French Terms Related to Movies and Film Festivals

Whether you love attending film festivals, watching movies, or just reading reviews, youll want to learn some French vocabulary related to movies. le film - film, moviele cinà ©ma - movie theaterle Festival de Cannes - Cannes Film Festivalla Croisette - little cross, promenade which is the center of activity during the festivalla sà ©lection officielle - official festival selectionUn certain regard - Cannes category for particularly innovative filmsla Palme dOr - golden palm, highest award given at Cannes Genres la comà ©die - comedyle documentaire - documentaryle drame - dramale film daction - action moviele film daventures - adventurele film dà ©pouvante - horrorla science-fiction - science fictionle western - western Acteurs - Cast un acteur - actorune actrice - actressla distribution - cast listle / la figurant / figurante - extralinterprà ¨te (m or f) - actor/actressle premier rà ´le - male lead, leading actorle premier rà ´le fà ©minin - female lead, leading actressle second rà ´le - supporting actorle second rà ´le fà ©minin - supporting actressla silhouette - walk-on part/rolela vedette - star Équipe -  Crew le / la bruiteur / bruiteuse - sound-effects engineerle camà ©raman, cadreur - camera operatorle / la cinà ©aste - director, film-makerle / la coiffeur / coiffeuse - hair stylistle / la dà ©corateur / dà ©coratrice - designerle directeur de la photo(graphie) - cinematographer, director ofphotographyle / la maquilleur / maquilleuse - make-up artistle metteur en scà ¨ne - directorle / la monteur / monteuse - editorle preneur de son - sound engineer, sound recorderle / la producteur / productrice - producerle producteur exà ©cutif - executive producerla productrice exà ©cutivele / la rà ©alisateur / rà ©alisatrice - directorle rà ©gisseur - line producer, assistant directorle scà ©nariste - screenwriter Scà ¨nes et Plans -  Scenes and Shots larrà ªt sur image - freeze framele cadre - framedans le champ - in shoten dà ©cor, studio - on seten extà ©rieur - on locationle fondu - dissolve, fadehors champ - off-camerale panoramique - panningun plan rapprochà © / serrà © - close uple raccord - continuity Verbes - Verbs bruiter - to add sound effectscadrer - to frame a shotcouper - to cutdiriger - to directinterprà ©ter - to perform, actmonter - to editproduire - to produceprojeter - to project, showtourner (un film, une scà ¨ne) - to film, shoot (a movie, scene) Miscellaneous à   laffiche - showing, playing, on screenla bande sonore - soundtrackle bruitage - sound effectsle dà ©coupage - story boarddoublà © - dubbedlà ©clairage (m) - lightingle gà ©nà ©rique - credits, theme musicla grue - cranele mà ©trage - lengthle montage - editingle scà ©nario - screenplaysous-titrà © - subtitledle truquage - special effectsVF - version franà §aise (dubbed into French)VO - version originale (in the original language with French subtitles)