Nursing Care of Children

Question: Present a thorough conversation connecting the medical problems recognized through a customer evaluation to the effect they have on the customer and their degree of capacity in the network setting. It requires the understudy to organize the medical problems and to show examination of the multifaceted nature of care arrangement exhibiting basic reflection on training? Answer: Nursing care: 1. Distinguishing proof of the patient As a network nurture by contemplating all the subtleties gave by the customer it tends to be expected that this multi year elderly person, Jessica has explicit history of epilepsy, as the determination given by the customer in regard of her wellbeing conditions are a lot of like that of the indications of significant epileptic seizures. The medical caretaker are available to Jessicas house as limitation of Jessicas development. Contingent on subtleties gave by the customer in such manner about her progressing prescriptions, inconveniences propose she connected with type II diabetes too. As per a logical review very nearly 50 million individuals are experiencing epilepsy in the entire world (Ballantyne, 2005). In her physic and the state of his wellbeing at this current circumstance settled on me to come into a choice that the individual is experiencing substantial diabetes Another sort of manifestation all through the world the hazard of diabetes is undermining the parts of the stren gth of an individual and it is likewise compromising the distances across of the clinical science. In ongoing past diabetes is the most expanding medical problem of people all through the world. From the earliest starting point this medical problem began to spread among the eastern piece of the Europe and from that point it fortify its foundations in the Middle East piece of Asian sub landmass. There are a few elements which are applicable for causing this medical problem in particular Epilepsy. As indicated by a logical report nearly 9%-10% of entire lady populace is influenced by Epilepsy in the age bunch between 20 to 35.Specially the odds of epilepsy is commonly expanded in pregnancy time as it influences the focal sensory system (Cramer, Brandenburg, Xu,2005). 2. Distinguishing proof of issue It is the preeminent duty of a network attendant to acknowledgment of patients real issue just as given an away from image of this anomaly to Jessica. From the earliest starting point this medical problem with respect to epilepsy began to spread among the eastern piece of the Europe and from there on it reinforce its underlying foundations in the Middle East piece of Asian sub landmass. Epilepsy is interminable neurological issue which is portrayed by abrupt scenes related with obviousness. Here a reasonable diagram identified with pathophysiology of epilepsy is methodicallly clarified (Elliott, 2014). In opposite side medical caretaker ought to be mindful so as to Jessicas diabetes too. Type 2 diabetes is related with physico-metabolic turmoil which is portrayed by high glucose level in blood which brought about by insulin safe by inner metabolic framework or absence of insulin. Discharge of irregular measure of insulin just as obstruction of insulin hormone for inward metabolic issue of body frameworks are the two fundamental attributes of pathophysiology of type II diabetes. The variation from the norm of beta cell in pancreatic capacity is for the most part answerable for impedance of insulin discharge (Kelner, 2013). Basic investigation: Antiepileptic drugs which are otherwise called anticonvulsants are for the most part directed to oversee just as diminish the recurrence of epileptic seizures. Here on account of Jessica epililm is directed as anticonvulsant. Anticonvulsants go about as silencer by curb the brief terminating which is brought about by different neurons during the hour of seizures. The principle capacity of hostile to epileptic medication is identifying with the blockage of sodium channel. It might likewise improve the capacity of corrosive identifying with Y-aminobutyric corrosive which otherwise called GABA (James, Ashwill, 2013). Here according to source epilim is recommended to Jessica as anticonvulsant to the patient in the portion of 1mg every day. It essentially controls the discharge of some mind compound which are answerable for nerve motioning, because of which frequencies of seizures diminishes. Pharmacodynamics just as pharmacokinetics of an anticonvulsants is clarified deliberately as follows. Care arrangement For the best possible consideration of epilepsy, attendants need to go exhaustive strongly some critical factor and some clinical mediation of the patient. For example, in what recurrence the seizure happen, the particular date and timing of epileptic scene just as the length of scene. Observing the particular side effects of patient only before seizures just as the conduct adjustment that may happen after the scene is exceptionally fundamental for medical caretakers (Kobau,2008). There are some hazard factors likewise altogether impact the epilepsy, medical attendants ought to be very much aware of this factor. These are some hereditary issue in the clinical history of the patient which may likewise appropriate for diabetes too. Turmoil identifying with improvement which may brought about by mind harm followed coincidentally, contamination alongside aggravation of meningitis, cerebrum tumor and furthermore maltreatment of liquor and medication which especially builds the odds of epi leptic issue. For building up a consideration plan for Jessica so as to deal with the epileptic scene of the patient, physical just as mental help is extremely fundamental from medical attendants perspective. As during and after seizures persistent encounters the entire condition which encompassed her is upsetting so alongside appropriate medication attendants ought to likewise do an advising of patient so as to place a positive vibration into her (Peate, Fearns, 2012). Antiepileptic drugs which are otherwise called anticonvulsants are for the most part regulated to oversee just as diminish the recurrence of epileptic seizures. Anticonvulsants go about as silencer by quell the brief terminating which is brought about by different neurons during the hour of seizures. The primary capacity of against epileptic medication is identifying with the blockage of sodium channel. It might likewise upgrade the capacity of corrosive identifying with Y-aminobutyric corrosive wich otherwise called GABA (Poochiki an-Sarkissian,2005). Here according to source epilim is endorsed as anticonvulsant to the patient in the portion of 1mg day by day. It for the most part controls the discharge of some cerebrum compound which are liable for nerve motioning, because of which frequencies of seizures diminishes. For controlling high glucose level of Jessica need to follow a severe eating routine and there will be no staple in his eating routine diagram which contains additional starch. Aside from that physical movement is a lot of required and appropriate drug is likewise obligatory. There is no degree for any sort of mental worry for the patient. The patient needs to allow a decent amount of water each outing of which the most part should be taken at day time (Rosemond,2005). In the majority of the very much perceived clinics and clinical looks into focuses are well prepared for the treatment of diabetes yet a few elements are to be remembered before choosing any space for treatment of this infection; those are there must an endocrinologist, there ought to be neurotic lab for assessments and the specialists are all around experienced in rewarding diabetic patients. The patient need to experience from some clinical tests; those are glucose level test (Fasting and P.P), pulse level check and lipid profile test. Jessica needs great consideration particularly with respect to his eating regimen graph and physical exercise. Aside from that legitimate prescription in endorsed time is likewise obligatory to deal with the patient. For legitimate consideration of Jessica for this situation at the morning the patient ought to do strolling in bare feet on grass, from that point the patient is to direct for his morning meal, lunch and supper at a specific and fixed time each day. Complete disallowance of liquor consumption additionally an essential encourage so as to limits the odds of successive seizures. Aside from that meds are to be given to the patient in recommended time and it ought to be remembered what prescriptions are to be given before having food and those which are to be given subsequent to having food with respect to a diabetic patient it is critical (Rubin, Crocker, 2006). Among all the decoration space leading treatment system of epilepsy just as diabetes ought think about appropriate drug as well as to give a psychological and mental help to the patient. There are some other pertinent issues which may partake in treatment of diabetic patient; those are otherworldly factors, social marvels, physiological issues and numerous others. Assessment of the consideration can be estimated by method of thinking about the soundness of the patient. On the off chance that legitimate medicine and care to the patient is done, at that point his glucose level will come to ordinary level and this will be checked by doing glucose test in standard spans (Swearingen, 2012). According to moral perspective medical caretakers are liable for the social insurance of their patients. They deal with them and adhere to the guidelines endorsed by the specialist. Aside from that in some circumstance a medical attendant may need to take some choice for the patient by her own carefulness that is additionally for the government assistance of the patient. At some point the patient is hesitant to accomplish something endorsed by the specialist yet it is the obligation of the medical attendant to force the patient to withstand the medicine of the specialist and for that attendants are required to take earlier authorization from the legitimate gatekeeper of the worry tolerant (Yeomans, 2005). End: In present society wellbeing is the significant worry for each individual as today there are such huge numbers of issues identifying with the soundness of the people among every one of them diabetes is disturbing the clinical science. With the progression of time the nature of soundness of each person is getting corrupted because of a few significant factors out of which epilepsy just as diabetes is one of the most hazardous. Here for this patient primary side effect are rehashed seizures which is straightforwardly showing the

Study On Exxon Mobil Corporation Management Essay

Study On Exxon Mobil Corporation Management Essay Exxon Mobil Corporation is a worldwide oil and gas organization that is situated in America. Its a relative at of the Rockefellers standard oil organization and it was framed in 1999 from the merger of the Exxon and Mobil organizations. Its headquartered in Irving, Texas. The organization is one of the universes biggest traded on an open market organizations and has been positioned the main or number two throughout the previous five years. Before the year's over 2007 the companys saves remained at 72 million oil equal barrels while its creation rates were required to keep going for over 14 years. The organization has 37 petroleum processing plants in excess of 21 nations comprising a consolidated day by day treatment facility of roughly 66.3 million barrels. Exxon Mobil is perceived as the universes biggest processing plants and this title has been related with the previous standard oil since the in company during the 1870s. Notwithstanding that the organization is biggest of the six perceived oil super majors. Exxon Mobil possesses many other comparative auxiliaries including the royal oil constrained in Canada and the ocean waterway sea which is an oil dispatching organization. Practically the organization is composed into a few worldwide working classifications including the upstream, down stream, compound Exxon Mobil worldwide administrations organization, XTO lastly the majestic oil Center Business Exxon Mobil oil industry keep on working as a significant brand name of the Exxon Mobil and the vast majority of its items includes the Mobils image of winged red rose, the Pegasus companys brand name since it got partnered with the Magnolia oil organization in 1930s. The organization Mobil brands incorporate the Mobil administration station and fuel (diesel, gas, lamp oil, warming oil, marine and flight divisions. The Mobils brand covers a more extensive scope of oils which incorporate modern, business aeronautics just as marine. Another brand of the organization is the Mobil 1 which is a brand Exxon Mobil which was presented in 1974 and is incorporates, oil channels, multi-grade engine oils, transmission liquid, engineered oil lastly the rigging oils. Notwithstanding that Mobil delvac is a brand comprising of scope of substantial ointments that incorporate drive train oils, motor oils and oils. A portion of the Exxon Mobil organizations that produce the majority of its income are the upstream division essentially managing oil investigation, oil extraction, transportation just as discount of its activities and headquartered in Houston Texas. The business activity overwhelms the companys income and records for a challenging 70% of the all out income. The upstream business division incorporates the Exxon Mobil investigation organization, Development Company, Production Company, gas and force, showcasing organization, look into promoting lastly the upstream endeavors. Exxon Mobil has been fruitful for a considerable length of time after the merger and this is ascribed to its vital plane to tremendously lessen its costs which worked very well creation it one of the universes chiefs in business undertakings. Thee organization has understood a proceeded with development and accomplishment in its tasks incompletely due to its two century encounters in the business and gathering to expanded proficiency in the entirety of its activities in excess of 200 nations comprehensively. Achievement of Exxon Mobil has been seen from the year 2007 which the organization recorded a pay of 40.62 billion dollars or income and this expansion is mostly ascribed to the raising oil costs while at same time diminished real oil proportional by 1% fundamentally because of confiscation. In the year 2008 Exxon Mobil; recoded benefits of $45.22 billion accordingly getting one of the productive organization of the year and fortune magazine positions it the second of the 500 organizations. Its benefits in the year 2008 expanded by 11.4 percent over the earlier year 2007 creation ready to pull $443 billion in incomes. As of the year 2010 Exxon Mobil the organization had just involved five openings of the conceivable ten spaces on the biggest corporate yearly gaining. Notwithstanding that it asserted eight spaces of ten openings for the biggest corporate quarterly profit ever. Corporate duty With regards to issues in regards to corporate duty Exxon Mobil oil industry has been a primary benefactor as it respects to natural causes. For example in the year 2007 the organization gave more than $6.6 million to be used in social gatherings just as the ecological administration and preservation. The organization has in the ongoing past gone under vigorously critism particular in regards to its commitment to an Earth-wide temperature boost and its has been regularly assaulted by ecological entryway bunches like the Greenpeace and other institutional financial specialist who can't help contradicting the companys consideration on the issues of a dangerous atmospheric devation. The organization has been positioned by the political research establishment as the 6th among other participation who radiate air toxins in United States and such failing depended on amount just as the poisonousness of such emanation. In the year 2005 Exxon Mobil was found to have submitted short of what one percent of its benefits in venture focused towards examine for elective wellsprings of vitality a worth which is less when contrasted with other driving oil organizations on the planet (Larson Wiggins, 1959). Emergency the executives Numerous organizations have in one manner or the other confronted emergencies outside their ability to control yet scarcely any fall under the corporate recklessness and Exxon Mobil has not in the ongoing past been saved either. In 1989 one of the companys Exxon Valdez oil big haulers steered into the rocks and spilled oil on the Prince William Sound and in brief timeframe it had spilled noteworthy measures of oil and is cause was accused on inebriated group staff individuals. In response to that the organization was accused for being delayed in controling the emergencies and blamed for declining to impart transparently and adequately. Notwithstanding that the demonstrated no compelling key measure if there should be an occurrence of most exceedingly terrible situations like the oil slick. The debacle prompted monstrous oils spill coming about to more noteworthy natural results. Instruments of the organization in treatment of the calamity were a disappointment mostly as a result of d eplorable correspondences, less fortunate administration after the occasions and incapable frameworks set up to manage such emergencies. Such dater prompted harmed notoriety and slipped from the biggest oil organization on the planet to the third position (Exxon Corporation, 1982). Notwithstanding that the organization has additionally face a few different emergencies including the Exxons Brooklyn oil slick and the expanding natural worries of the Sakhalin-I oil and gas venture situated in Russian far east which is worked by one the Exxon Mobil auxiliary, Exxon Neftegas Limited. Dangers to condition incorporates the charm of the basic populaces of the effectively imperiled western Gray whale which the researcher have reprimanded the organization for neglecting to corporate with the logical board which positively assume basic job in blocking the reason for western whale preservation (Larson Popple, 1971). Exxon Mobil has additionally been blamed for financing doubter associations for the anthropogenic a dangerous atmospheric devation just as association condemning of the Kyoto convention which are suspicious of the logical sentiment with respect to the reason for an unnatural weather change by consuming of powers. The organization anyway has in the ongoing years rumored his previous conclusion in regards with the impacts of a dangerous atmospheric devation and expressed gratefulness to the earnestness of the issues. The companys duty was clear when it pulled back from financing of cynic bunches in the year 2007 as uncovered by the Greenpeace. Notwithstanding that Exxon Mobil CEO Tillerson in February third 2007 additionally recognized the warming of the earth and the expanding levels of carbon dioxide. In spite of the companys beginning inflexible reaction to look into on alliterative powers the year 2010 saw a beam of light on the issue when the organization uncovered designs to put reserves adding up to $600 million in the following ten years in the creation of bio powers from green growth and one year on reports from the organization show that the venture is effectively in progress (McIntyre, 1998). Technique Exxon Mobil industry has been centering its key intends to arrive at the consolidating markets ascribed to expanding vitality request on the planet for example in Indian and china. Notwithstanding that the organization has additionally been centering in entering into the expanded vitality requests in creating economies like the ones in south eats Asia just as south east Asian locales like Malaysia, Korea, Indonesia and Vietnam (Gibb, Knowlton, 1956). Center qualities Exxon Mobil has a few center qualities which has empowered it reaming an effective pioneer in the oils and gas industry for reliably. One of its qualities is its built up name which is ascribed to its long presence in the business for bit than 10 years subsequently giving its clients a since of security when they are managing the association. The way that the organization has expanded in to numerous nations internationally combined with solid brands under its principle umbrella gathering in the oil business is one of its center quality sin fruitful activity of its business exercises. Notwithstanding the organization has a worldwide nearness which has empowered it to have an enormous client base and bigger market when contrasted with different organizations in the oil and gas industry. Last center quality that Exxon Mobil organization forces in the business is its capacity to stretch out to more up to date developing markets like India and china because of exponentially expanding inte rest for vitality hence the organization has significantly benefitted from the higher rates when contrasted with different organizations. Organization imaginativeness Exxon Mobil Company ha sin the ongoing past been extremely inventive particularly on distributing assets on innovative work ventures planned for thinking of increasingly successful just as proficient methods of dealing with the vitality assets just as decreasing the negative impacts of its ope

How To Write A Last-Minute Essay

Step by step instructions to Write A Last-Minute Essay Step by step instructions to Write a Last-Minute Essay Here and there understudies get made up for lost time by time, and he/she is compelled to compose a paper awkwardly rapidly to fulfill the time constraint. Understudies wind up in this circumstance for either having delayed composing the ideal paper for a really long time or he/she has been occupied to discover the time and work on the task. Be that as it may, don't stress, is it truly conceivable to compose the paper in the latest possible time. Obviously, as a decent and centered understudy it is exhorted you make preemptive arrangements to beat the task cutoff time and maintain a strategic distance from a minute ago surge since it isn't fitting for your evaluations. This article offers some sagacious tips, do’s and don’ts on the most proficient method to compose a very late paper. Receive the correct mentality At the point when it is past the point where it is possible to begin the work, anybody can frenzy and eagerness. Such passionate uneasiness would exacerbate the circumstance and cause you to lose center. Remain objective arranged and hopeful that you would comply with the time constraint and get the chance to work. Very late paper composing requires center and consideration and narrow mindedness to negative musings. Plan and set up your workstation Pick a decent working station or make one. Guarantee you have a happy with seating position, clean condition and legitimate and lighting. Amass all the materials you requirement for the paper composing and keep them on the working table.  Plan how to execute every one of your assignments ahead and opening time for them. Start with the simpler errands and handle the more confused ones later. Switch off your telephone and informal communities Interruption is the exact opposite thing you need when composing an exposition at last. To stay away from pointless interruption, switch off your cell phone and log out all interpersonal interaction destinations. This permits you to concentrate on completing the work. The overwhelming inclination to open interpersonal organization or your telephone is a lot of lower and forceful is they are far off. Educate your loved ones that you will be occupied with getting your work done for some time, and you needn't bother with interference or interruption except if it is a genuine crisis. Peruse the inquiry cautiously Peruse and comprehend the undertakings quite well. On the off chance that you hurry to respond to the inquiries, you are bound to miss a few subtleties or give unimportant data. Insignificant data is the exact opposite thing you would wish to have at this time,needless to state, it would interfere with you and compromise your scores. Type your exposition instead of penmanship it Penmanship and afterward moving the composed work burns through a ton of valuable time. Along these lines, type as opposed to handwrite to save money on the work. Continue sparing your work as you come. This is the last time you need your PC, and along these lines guarantee you spare your work on your PC and online to dispense with any opportunity of losing your advancement to an electrical flaw. While composing legitimately into the archive, make your notes on the record to abstain from utilizing printed copies that need more opportunity to coordinate into your last report. Change the notes into the article with notes or bolster sentences to clarify them. Spare the presentation and end To compose a decent presentation and end requires time, which for this situation is in constrained flexibly. In this manner, abstain from composing the presentation and end after you are through with the body sections. Composing the body sections would give you influence recorded as a hard copy them. For the end, attempt to rework the end while reasserting the proposition explanation. Wrap the decision with a decent summative explanation in a fascinating way that wraps the substance. Do the references as you come Sparing to do the referencing for the last moment isn't just tedious, yet in addition liable to do accidental written falsification. For each time, you quote somebody, guarantee you reference appropriately since following the statements later can be tedious and could lead effectively be missed. Edit as you come Guarantee your work is immaculate as you progress. Edit as you continue composing the article to maintain a strategic distance from later returning to the entire paper to discover and address your mix-ups. It likewise assists with abstaining from forgetting about significant substance in the exposition composing. Each misstep is dealt with right on time and more uncertain going to be calamitous. Don’t be enticed to reorder Try not to be enticed to appropriate your work. Try not to expect your course teacher can't note counterfeited work and whenever got you will endure grave results. Duplicate sticking likewise brings down the nature of your work since coordinating unmistakable writings from different sources may not be conceivable without legitimate union of the data and altering it to accommodate your circumstance. Continuously recollect, preferred late over never. Keep your style compact Try not to endeavor to attempt to abuse the standard designing rules as indicated by the evaluating rubric. Huge text styles, more extensive edges or over-dispersed work looks terrible as well as an indication of low-quality substance. It likewise suggests that the understudy didn't do satisfactory research. Such showy behavior are effectively recognizable and don't accept your course facilitator can't get them just by a look at your paper. Enjoy a reprieve On the off chance that you need to take a break, have it when you completely need it. Make it as short as could be expected under the circumstances and am certain you can likewise bear some weight till you finish your work. Ensure you keep up your vitality levels at ideal by taking a tidbit and keeping hydrated to maintain a strategic distance from superfluous breaks while working. On the off chance that the scene you are working from is awkward, have a go at looking for asylum somewhere else where you can center. Taking a break and coming back to a similar workstation may not be useful over the long haul. Compactly, the previously mentioned tips and rules can be useful when doing a minute ago exposition composing. This is a definitive rule on the most proficient method to compose an exposition at last, and ideally, you thought that it was useful. Notwithstanding, don't harp on it, rather get attempting to maintain a strategic distance from the cutoff time from finding you.

Walker and Commissioner of Taxation †Free Samples for Students

Question: Talk about the Walker and Commissioner of Taxation. Answer: Presentation In the above case Mr. Walker worked for three businesses in the resulting areas. He functioned as a sorter and administrator at Benyenda Citrus While working at Craxcorp he was doled out a shed and the obligations he was at risk to do included stacking beds, arranging and pressing produce(Administrative Appeals Tribunal , 2015). Later on he regulated the pickers and performed pressing. At Wrenco there were assortment of obligations given to Mr. Walker that included shed management, fork lift driver and low maintenance fix manager. There were two homesteads of Wrenco where broncollini and strawberries developed and it was necessitated that Mr. Walker will drive his own bike between the two ranches. He was joined by his significant other who filled in as a packer. The two of them ventured to every part of the three areas on an engine vehicle towing a parade and keeping in mind that working them two lived in the Caravan. While a specific season would complete commonly crafted by Mr. Walker would reach a conclusion. In this way, there was a desire that created between the three businesses and Mr. Walker that there would be accessibility for work about a similar time each year and he would be accessible to convey the equivalent. Afterward, there were different finding asserted by Mr. Walker that incorporated his movement costs. These costs incorporated the costs of making a trip to the work areas at Bowen, Gayndah and Stanhope. Alongside he asserted the derivations for the settlement, staple goods and food while he was on circuit. The periodic private travel was barred by him from the reasonings asserted. Further he asserted the web and versatile costs that were considered by him as business related costs. All the costs were allotted by Mr. what's more, Mrs. Walker and findings were asserted. The issues engaged with the case: There were two standard entries made by Mr. Walker Right off the bat, he said he is voyaging ranch specialist and voyaging is a piece of his work and thusly he is entitled for the derivations of the movement, dinners, convenience and food supplies while he is on the circuit. Besides, in the event that he is found not being a voyaging laborer than the dinners and convenience are subject for conclusion based on the way that he is living ceaselessly from his home with the end goal of work and hence the movement costs are deductible. While he further cases that the telephone and web was utilized for the work purposes and is accordingly subject for deductions(Wrieght, 2017). The magistrate after a review of the assessment undertakings of Mr. Walker denied the reasonings made by Mr. Walker and given changed evaluations. Book reference Managerial Appeals Tribunal , 2015. ATO.gov. [Online] Available at: https://www.ato.gov.au/law/see/pdf/misc-case/rdr_2017aata324.pdf [Accessed 18 May 2017]. Wrieght, B., 2017. bwslawyers. [Online] Available at: https://www.bwslawyers.com.au/wp-content/transfers/2017/04/AprilTaxNotes-01652254.pdf [Accessed 18 May 2017].

Marginalized Women Veterans With PTSD - Free Essay Example

MARGINALIZED WOMEN: VETERANS WITH PTSD Veterans with PTSD In 2015 a study was conducted that showed an increase of about 47 percent of women veterans that are utilizing the Veteran Administration healthcare system, (Shivakumar, Anderson, Suris, North, 2017). These women are much younger than their male colleagues in the same positions. Post-traumatic stress disorder, or PTSD is one of the most common diagnosis among women the ages 18-44, (Shivakumar, Anderson, Suris, North, 2017). Around 7.5 percent of the total patients seen by the VA healthcare system in 2015 consisted of women. (Kehle-Forbes, Harwood, Spoont, Sayer, Gerould, Murdoch, 2017). It was shown that women use the VA services more frequently than males, but care of those veteran women is lacking and needs to be enhanced. Women report feeling not welcomed and an inconsiderateness to their needs was apparent. The woman studied, discontinued their care because they felt as though the provider was not meeting their needs, (Kehle-Forbes, Harwood, Spoont, Sayer, Gerould, Murdoch, 2017). Less than half of woman veterans that received services for mental health within the VA system felt as though their needs had been met, (Kehle- Forbes, Harwood, Spoont, Sayer, Gerould, Murdoch, 2017). This paper examines the common issues women veterans encounter when receiving mental healthcare for PTSD from the VA healthcare system. These issues will be addressed as well as social justice problems, ethical issues, socio-economic problems and strategies of action to bring about positive outcomes. An action plan will be prepared and conveyed to the VA Hospital administration in hopes that it will be taken into consideration to create a new process to help female veterans in obtaining adequate care. Several scholarly studies and evidence-based methods as well as current guidelines will be applied to create this action plan. It is important to consider any gender differences when managing the unique needs of the female veterans. There is room for enhancements in assessment, improved screening tools, and treatments that coincide with current interventions to minimize the psychological impact and encourage recovery. Current Incidence and Prevalence recent study showed that 17 percent of The National Guard and 15 percent of active military are A female. The same study also showed that 20 percent of new recruits are women, (Conard Sauls, 2013). About half of these woman deploy to Iraq and Afghanistan. These missions place these women right in the middle of the action in war zone territories, (Conard Sauls, 2013). they are not in direct combat, they Even if are exposed to the war zone in other ways such as medical units. In todays military, woman take on the same roles and tasks as the men they serve beside including combat pilots, police, intelligence, medical personal, etc, (Conard Sauls, 2013). Suicide and car bombings, roadside bombs, and ambushes are just some of the hostile situations these woman endure. Even when in noncombat type rolls, they are exposed to these violent a encounters and witness other traumatic events such as sexual assault, torture, and death. This can be a daily occurrence and when unable to return home and step away from these situations, leads to post traumatic stress it a it disorder, or PTSD, (Conard Sauls, 2013). Sensory exposure happens to many medical service women due to the constant exposure to dying patients and leads to woman having difficulty caring for the wounded in combat zone, (Conard Sauls, 2013). Anxiety, depression and PTSD go hand in hand and commonly present together increasing the risk of suicide among this group. The reports are outstanding, with woman veterans times more likely to commit suicide than non-military woman, (Conard Sauls, 2013). These woman being 3 a have an absence of personal hygiene and privacy as well as other issues that their male counterparts do not experience. Along with the added stress of war, these women also have chance of extended deployments, a (Conard Sauls, 2013). About 20 percent of female veterans deployed to Iraq have been diagnosed with PTSD, (National Center for PTSD, 20118). Socioeconomic Aspects of Women Veterans with PTSD A PTSD impacts the female veterans quality of life and vulnerability while deployed. study showed that 59 percent of the woman veterans had unmet medical needs and also screened positive for PTSD in the 12 months prior. Cost was reported as the delay in seeking care, (Lehavot, Der-Martirosian, Simpson, Sadler) A PTSD is a it Social Justice The effect of social justice and injustice of mental health and the VA Healthcare system majorly impact female veterans and their treatment for PTSD. In a survey of female veterans with PTSD that deployed to Iraq or Afghanistan, found that their opinion of treatment of their mental illness from the VA to be negative rather than positive, (Fox, Meyer, Vogt, 2015). They also felt that male veterans were treated better than the female veterans and swayed their longing to seek out treatment at the VA, (Fox, Meyer, Vogt, 2015). There is a stigma that accompanies any mental illness in itself, but for women veterans with PTSD to feel as though they are being treated differently because of sex is an injustice to not only them, but the entire VA system. Ethical Issues Suicide and PTSD in our veterans has been a big topic in the mainstream media. There is a huge stigma associated with mental illness and suicides, veterans with PTSD owning firearms, and the VA sy stem in general, (Bongar, Sullivan, James, 2017). Politics and avoidance of responsibility has dominated over ethical obligations to the female veterans with PTSD. Cost and financial obligation have become more of an ethics issue when dealing with our female veterans. Fear of judgement sometimes tends delay woman from seeking care and treatment, (Koven, 2017). The substandard care of women veterans with PTSD has a negative effect on the nations citizens because it causes distrust of the government. Theses woman risk their lives for a country that refuses to give quality mental health care, (Koven, 2017). Washington, 2013). recent study found that most of the women with PTSD did not have any insurance other than the VA and they did not know that they were eligible for VA benefits, (Lehavot, Der-Martirosian, Simpson, Sadler, Washington, 2013). Recent reports have shown that many female veterans feel uneasy in societal institutions because of instances that occurred in combat. (Jackson, 2014). Morbidity and mortality of not directly related to socioeconomic status however, may impede the accessibility of seeking treatments and in turn lower the chance of positive outcome. Plan to address this group Change needs to happen in regard to treatment strategies for our female veterans who suffer with PTSD. The American Psychological Association (APA) Practice Guidelines for the Treatment of Post-traumatic Stress Disorder (PTSD) will need to be evaluated and improved. This needs to start in the primary care setting and can easily be done by recognizing and screening all veteran females, (Sarah Christopher, 2017). Social support has been shown to drastically impact female veterans who return from deployment. Symptoms are more controlled when women are able to talk about their feelings of PTSD with people close to them. Reports have shown that they adjust better when accepted by group and are able to have that release, (National Center for a Conclusion In conclusion, the VA system needs to convey accessibility, trustworthiness, and discretion for woman with PTSD. Recognizing PTSD symptoms by utilizing better screening tools and the clinical practice guidelines will lead to earlier treatment and education of female veterans with PTSD. Social stigmas associated with mental health need to be recognized and demolished so that female veterans can feel as if the care they need is achievable. The VA will start to enroll female veterans with PTSD to patient specific programs because the evidence supports this new process and provides them with the adequate care that is required for healing. Encouragement to join support groups, social clubs, and any positive group settings to help reintroduce these female veterans back into the community and help create a support system. PTSD, 2018). Positive motivation should be given to join groups like the VFW to get involved with functions to give those needed outlets veterans in order to help create social connections, (National Center for PTSD, 2018). References Bongar, B., Sullivan, G., James, L. (2017). Handbook of military and veteran suicide: Assessment, treatment, and prevention Oxford University Press. Retrieved from https://search.proquest.com/docview/1945129743?accountid=28179 Conard, P. L. and Sauls, D. J. (2014), Deployment and PTSD in the female combat veteran: A systemic review. Nurs Forum, 49: 1-10. doi:10.1111/nuf.12049 Fox, A. B., Meyer, E. C., Vogt, D. S. (2015). Attitudes about the VA health-care setting, mental illness, and mental health treatment and their relationship with VA mental health service use among female and male OEF/OIF veterans.Psychological Services, 12(1), 49-58. doi: 10.1037/a0038269 Jackson, L. (2014). The relationship between PTSD symptoms, social and mental health I. factors, and quality of life outcomes in sample of african-american women combat veterans a dissertation] Available from PILOTS: Published International Literature On Traumatic Stress. (1800697602; 94119). Retrieved from https://search.proquest.com/docview/1800697602?accountid=28179 Kehle-Forbes, S. M., Harwood, E. M., Spoont, M. R., Sayer, N. A., Gerould, H., Murdoch, M. (2017). Experiences with VHA care: qualitative study of U.S. women veterans with self-reported Koven, S. G. (2017). PTSD and Suicides Among Veterans†Recent Findings. Public 19(5), 500-512. doi:10.1080/10999922.2016.1248881 Integrity, trauma histories. BMC Womens Health, 171-8. doi:10.1186/s12905-017-0395-x Lehavot, K., Der-Martirosian, C., Simpson, T., Sadler, A., Washington, D., (2013). Barriers to care for women veterans with post-traumatic stress disorder and depressive symptoms. Psychological 10(2): 203-212. doi: 10.1037%2Fa0031596 Services Journal. PTSD: National Center for PTSD. (2018, August 01). Retrieved from https://www.ptsd.va.gov/public/ptsd-overview/women/traumatic-stress-female-vets.asp Sarah K., D., Christopher W., L. (2017). Errors in the 2017 APA Clinical Practice Guideline for the Treatment doi:10.3389/fpsyg.2017.01425/full A doi:10.7205/MILMED-D-16-00440 of PTSD: What the Data Actually Says. Frontiers In Psychology, Vol 8 (2017), Shivakumar, G., Anderson, E. H., Sures, A. M., North, C. S. (2017). Exercise for PTSD in women veterans: 182(11), e1809-e1814. proof-of-concept study. Military Medicine.

Teenage Pregnancy Young Pregnant Teens at a Shelter - 1375 Words

Teenage Pregnancy: Young Pregnant Teens at a Shelter (Essay Sample) Content: Teenage Pregnancy: Young Pregnant Teens at a ShelterCustomer Inserts His/Her NameCustomer Inserts Grade CourseCustomer Inserts Tutors NameWriter Inserts Date Here (Day, Month, Year)BeginningsDuring the initial stages of a group, it is evident that there are various issues faced. However, it is the manner in which such issues are addressed that group cohesiveness is enhanced. Even though there are so many issues of concern, some of these are personality differences, differences in goals, communication issues, and trust issues. When working with young pregnant teens at a shelter, it is evident that their area of concern is pregnancy. However, this does not make them the same in needs and personalities. Some of the teens might have supportive families and thus pushing well with their pregnancies while others are having difficulties as they are neglected by their family members and friends. It is after showing each one of them that their issues are important and would be addressed that group cohesion would be achieved. Differences in teens issues also lead to differences in goals (Dupper, 2008). Nevertheless, the young teens have to work as a team in order to enhance their cohesiveness. The team leader should therefore set mutual goals that serve the needs of each teen.Further, during the initial phases of a team, communication might be a major issue. This is based on the diversity of the team members with each preferring a different type of communication. It is also as a result of communication issues that some team members are unable to express their feelings and problems. This way, it becomes impossible for the team leader to help them. However, with free and open communication, each team member would be encouraged to share any challenges she has. This can be resolved through catharsis in which the social worker gives each team members an opportunity to express her feelings including the ones buried within. This gives the team members a sense of belonging and identity improving cohesiveness as they feel part of the team (Brandler Roman, 2015). The last problem is on trust issues that are resolved through free interaction and the feeling that each team member can trust and have confidence on the social worker. In this case, the teens should feel free to share their problems with the social worker without any fear of ridicule or disclosure to other people.MiddlesA social worker is convinced that the groups is entering the middles after he sees the group members move from a cautious and evaluative positions to a confrontational, intimate, and competitive phase. As the team members confront and compete with each other, the social worker is now convinced that they are entering a new phase. It is through competition that the team members understand the roles they can fit in and occupy them. It is therefore the role of the social worker at this phase to push the team of the pregnant teenagers to a greater level of intimacy so th at they are able to explore their feelings and make it to have them resolved (Wood Tully, 2006). The social worker can therefore open a discussion in which the pregnant teenagers would explain what they expect from the group and how they wish the team was managed.In order for the middle phase to be successful, cohesiveness should be enhanced. Nonetheless, this might be challenging if the team has trust issues, avoidance problems, and failure to clarify the contract. This might lead to vulnerability feeling, tentative exploration, and fear of exposure. The social worker should therefore employ strategies that would increase a feeling of safety and confidence in the group (Brandler Roman, 2015). It is after the pregnant teens feel that they have confidence with each other and are safe in the group that they would feel free to share anything. This helps the social worker to understand them better since it is after analyzing their feelings and experiences that the social workers would identify their issues and set goals to be achieved. Communication should also be effective with the teens given an opportunity to express their feelings with each other and with the social worker.EndingsWhile ending the group is inevitable, Conyne (2013) argues that this comes with various challenges. For instance, all the team members feel a sense of loss since they need to adapt to a different way of living. If an individual leaves the team, the remaining team members have to learn to live with the loss. If it is the entire group separating, the team members have to learn living individually on in different constituted groups. This means living with other new people that a person is not accustomed to. For the case of the pregnant teenagers, ending of the group means that the comfort one is used to living with people of the same age and sharing similar problems is gone. The teens therefore face a great challenge trying to strike a balance between maintaining what has been gained f rom the team experience and adapting to a new life.During the ending phase, the major goal of the social worker is to ensure that the team members maintain what has been gained from the team. At this phase, the social worker should encourage the tees to express their hidden feelings including anger and sorrow. This helps in ensuring that no challenge is left unresolved and the team disbands in honesty. The social worker should also not rush into the ending phase. He should rather prepare the team slowly to the stage. In addition, he should emphasize on the power of the self so that each teen learns to live independently (Brandler Roman, 2015). The social worker should also demonstrate authority since in most cases, the team members are afraid of being left alone and thus would do anything to stick with the group. Without adequate authority, the social worker would sympathize with the teens and thus would not disband the team even when it is no longer beneficial.Group Work and Socia l WorkingA group is a powerful mechanism for change if the team leader works collaboratively with the team members. In order to ensure that all team members are committed to the change, Carroll (2011) argues that the team members should have the personal issues considered. When setting the goals and planning the change, individual goals should be incorporated. In addition, the team leader should set the goals together with the team members and plan the change together. The team members should therefore be actively involved in the change process from the beginning and give suggestions that ensure that the planned change is effective. Change would therefore be successful through teams if different views are considered and team members are involved to avoid resistance based on gossip and rumors.Groups are therefore very beneficial because it is through them that diverse suggestions are given thus coming up with the most appropriate strategy or plan. When working with groups, it is als o possible for each group member to learn from the other thus improving results. For instance, in this case of working with pregnant teens, the tee...

The Exciting and Interesting Life of Mark Anthony in the...

Throughout the play of Julius Caesar, Mark Antony has shown multiple times the sides of him more in history and sometimes more of just a character. Mark Antony has had a very exciting and most interesting life. He has been through the thick and thin; the deaths of friends, loved ones, spouses, and so much more. It is pretty amazing that one person could conquer so much in a single lifetime. The history of Mark Antony is one of the most important parts of the history of Rome. Mark Antony was one of the most important characters of the Roman Empire. Born to Marcus Antonius Creticus and Julia Antonia in 83 BC, Antony was one of the bravest Roman generals who worked under Triumvir and Julius Caesar during 43-30 BC. â€Å"In your bad strokes, Brutus, you give good words;/ Witness the hole you made in Caesars heart,/ Crying â€Å"Long live! Hail, Ceasar!† Antony received his first overseas experience in the western portion of the Roman Empire during 57 to 55 BC. He served with the Roman governor of Syria, which was a province of Rome. Caesar conquered Gaul for Rome, and Antony assisted him in suppressing local rebellion against the Romans. In 50 BC after returning to Rome, Antony was elected a tribune, an office that represented the peoples interests. Antony came into the office at a critical time. Caesars command in Gaul was coming to an end, and a group in the Senate was set on bringing Caesar to trial for what they saw as his misuse of his power. Caesar depended upon the tribunes toShow MoreRelatedANALIZ TEXT INTERPRETATION AND ANALYSIS28843 Words   |  116 Pagesaction and the resolution are dispensed with altogether. Exposition and complication can also be omitted in favour of a plot that begins in medias res (â€Å"in the midst of things†). In much modern and contemporary fiction the plot consists of a â€Å"slice of life† into which we enter on the eve of crisis, and the reader is left to infer beginnings and antecedents – including the precise nature of the conflict – from what he or she is subsequently able to learn. Some stories are sometimes referred to as â€Å"plotless†