Practitioner Values in Dementia - Portfolio 3 Essay

Practitioner Values in Dementia - Portfolio 3 - Essay Example These systems are derived on the bio-psychosocial inquiries which addressed the holistic needs of the people receiving dementia care. Barker (2008, p. 297) identifies the different systems in dementia care and includes the following: biological system, psychological system, family system, health and social care system, cultural system, and sociopolitical system. These systems safeguard and promote the ethical wellbeing of people with dementia in various ways. The biological system focuses on the current condition of the people with dementia, their primary caregivers, and family members. It ensures effective care and functioning by addressing the different life needs and its processes. For instance, people with dementia may have alterations in cognitive functions and the physical manifestations cannot be cured but can be controlled. Likewise, the primary caregivers or family members of people with dementia should be physically fit when planning for dementia care as the projected level of stress can sometimes lead to burnout. The psychological dimensions of people with dementia, their primary caregivers, and family members are also affected. Having dementia and caring for people with dementia do not only cause physical exhaustion but emotional stress as well. It is often traumatic for the family members to find the diagnosis and dementia as it may bring back the emotions inclined with birth, life expectancy, and disability of the person. Family system centered on roles, rules, boundaries, and the family life itself. To promote the ethical wellbeing of the families with/caring for dementia, family-centered services must be designed and implemented according to the needs, beliefs, and perspectives of the family (Royal College of Psychiatrists, 2009, p. 40). In Asian countries, family members believe that it is their responsibility to care; thus, it would be very difficult and humiliating for them to accept support in dementia care. However, the family has the right to be informed of existing services and support groups that would aid in adaptation and financial matters such as the Dementia Support Groups and Alzheimer’s Society. Health and social care system encompass all aspects of health and social provision of care, including the financial aspects. According to (http://www.alzheimers.org.uk, 2013), it is not only important that we adhere on minimum standards of care; rather, we should promote high quality or personalized care. The Dementia Care Program is an example of health and social care system that deliver high-quality relationship-based care and support for people with dementia. It involves collaborative efforts from different professionals such as staff from geriatrics, elder services, behavioral health, neurology, and dementia education (http://mayoclinichealthsystem.org/, 2013). The Dementia Care Program aims to address the different needs of both the family and the person with dementia and to aid in the progression of the disease. As stated earlier, dementia care must be personalised. It must consider the cultural system or the religious beliefs and customs of those concerned in dementia care. It has been found by the Royal College of Psychiatrists (2009, p. 41-42) that ethnicity affects dementia care and very few enjoy the support of extended family networks. The role of ethnicity in clinical experience

Morphology of the Golgi Apparatus

Morphology of the Golgi Apparatus The Golgi apparatus is an organelle found in most eukaryotic cells. According to Keaton et al. (1993) he noted that the Golgi apparatus is prominent in cells involved in cell secretions of various chemical products. This is due to the level of secretory activity of these cells changes corresponding changes occur in their morphology of the organelle. Its main function is to process and package macromolecules such as proteins and lipids after their synthesis. According to Solomon et al. (2008) the Golgi apparatus which is also known as the Golgi complex was first described in 1898 by the Italian microscopist Camillo Golgi. Mr. Camillo found a way to specifically stain this organelle. However in further study Solomon et al.(2008,pg 91) stated that many investigators thought the Golgi complex was an artifact until cells were later studied with the electron microscope in the 1950s. The Golgi apparatus is usually located near the cell nucleus, and in animal cells it is often close to the centrosome, a small structure near the cell centre (Albert et al. 2004).This organelle consists of a collection of flattened membrane-enclosed sacs known as cisternae which are piled up like a stack of plates. Solomon et al. (2008) notes that some cisternae may be distended because they are filled with cell products. Each of the flattened sacs has an internal lumen. The Golgi complex contains a number of separate compartments, as well as some that are interconnected. The stack of Golgi has three different regions which are the an entry- the cis, medial and exit-the trans. Albert et al.(2004) established that the cis face is adjacent to the endoplasmic reticulum and the trans points towards the plasma membrane. Steven (1998) explained that the soluble and properly folded proteins enter the cis Golgi network via transport vesicles. They are transported from the endoplasmic reticulum to the Golgi complex. If a protein has an endoplasmic reticulum retention signal reaches the cis Golgi network Steven (1998) noted that it binds to a specific receptor and is repackaged into vesicles that return it to the endoplasmic reticulum. Freeman (2003) further described that the newly synthesized proteins and lipids have been modified within the cis-cisternae 50 nm diameter coated vesicles bud of the dilated ends of this compartment and fuse with the medial cisternae. Within each region there are different enzymes that transform proteins to be secreted and membrane proteins differently. Lodish et al. (2003) discussed that this process depends on their structures and destination. After the enzymes of the medial cisternae acts on the proteins and lipids, the process continues in an assembly line fashion by c oated vesicles budding from the terminal dilations and fusing with the Trans cisternae. From the Trans (exit) cisternae the proteins and lipids will exit the Golgi and then are passed into the Trans Golgi network. Lodish et al. (2003) distinguished that after this process the macromolecules are sorted into different transport vesicles destined for the lyosomes, plasma membrane or secretion. These Golgi compartments have their own specific functions. Secretory proteins are released from the cell by exocytosis. Albert et al. (2004) clarified that in all eukaryotic cells there is a steady stream of vesicles that grow from the Trans Golgi network and combine with the plasma membrane. Goodman (1998) suggested that this exocytosis pathway performs continuously and provides newly made lipids and proteins to plasma membrane. Proteins, fats and polysaccharides are carried from the Golgi apparatus to their ultimate destination via the secretory pathway, Cooper et al.( 2009).This entails the sorting of proteins into diverse kinds of carrying vesicles which sprout from the trans Golgi network and distribute their contents to the appropriate cellular locations.Moroever Cooper et al.(2009) noted that proteins that purpose within the Golgi apparatus must be maintained within that organelle rather than being conveyed along the secretory pathway. Transportation from the Golgi apparatus to the cell surface can occur by at least three routes. The simplest is the direct transport from the Trans Golgi network to the plasma membrane. Henceforth this leads to the arrangement of innovative proteins and lipids into the plasma membrane and the constant secretion of proteins from the cell. In addition to that Cooper et al. (2009) described that proteins can also be transported from the Golgi to the plasma membrane via an intermediate of recycling endosomes. Moreover these pathways which lead to continual unregulated protein secretion some cells obtain a distinct synchronized secretory pathway in which particular proteins are secreted in response to body signals. For instance regulated secretion entails the liberation of hormone from endocrine cells, the discharge of neurotransmitters from neurons and lastly the liberation of digestive enzymes from the pancreatic cells. Furthermore proteins are arranged into the synchronized secretory track in the Trans Golgi network where they are packaged into specialized secretory vesicles. This sorting appears to be mediated by cargo receptors that recognize signal patches shared by various proteins that go through the pathway, Cooper et al. (2009). Then the receptor cargo complexes selectively aggregate in cisternae of the Trans Golgi network and are then discharged by budding as immature secretory vesicles. Goodman(1998) noted that these vesicles which are bigger than transport vesicles further process their protein contents and often combine with each other to form mature secretory vesicles. Therefore the mature secretory vesicle then stores their contents until specific signals express their synthesis with the plasma membrane. For instance, the digestive enzymes manufactured by pancreatic cells are stored in mature secretory vesicles in anticipation of the existence of food in the stomach and( ileum) small i ntestine which activate their secretion. This method is known as vesicular transport. Last but not least it can be concluded that these following processes are involved in the Golgi apparatus. They are known as cisternal maturation and vesicular transport. First of all the polypeptides are synthesized on ribosomes.Keaton et al.(1993) described that the protein is then assembled and carbohydrate component is added in the lumen of the rough endoplasmic reticulum. Moreover transport vesicles move the glycoprotein to Golgi Cist face. The Golgi apparatus receives proteins from endoplasmic reticulum and starts to chemically modifying them. In Trans face glycoprotein are packaged in transport vesicles.Glycoproteins are then transported to plasma membrane and finally released from cell. Last accessed Sunday 01.11.09 Reference list Cooper, Geoffrey M. The cell: a molecular approach. 5th edition Sunderland, Mass.: Sinauer Associates; Basingstoke: Palgrave [distributor], 2009. 087893300x(pg 408-415) Essential cell biology / Bruce Alberts [et al.]. 2nd edition. New York; Abingdon: Garland Science, 2004. 081533480x(pg 518,519) http://www.bio.miami.edu/~cmallery/150/cells/c7.6.13.Golgi.jpg last accessed on Sunday 01/11/09 Keeton, William T Biological science / William T. Keeton, James L. Gould, with Carol Grant Gou. 5th edition. New York: Norton, 1993. 0393962237(pg 133-135) Medical cell biology / edited by Steven R. Goodman. 2nd edition Philadelphia, Pa.: Lippincott-Raven, 1998. 039758427x(pg 134-137) Molecular cell biology. 5th edition. New York: W. H. Freeman, 2003. 0716743663 (pg 169,170) Solomon, Eldra Pearl Biology / Eldra Pearl Solomon, Linda R. Berg, Diana W. Martin- 8th ed. (International) New York : Brooks Cole, 2008 (pg 91-93)

Essay --

After studying the sonnet of Shakespeare, I think if the emotion between two men is only called male friendship, Shakespeare‟s sonnets assert too much love to be addressed to a man. It seems ridiculous that Shakespeare, a moral man addressed abundant affectionate sonnets to men. His poems use language of love: â€Å"lord of love†, â€Å"eternal love†, â€Å"my lovely boy†, â€Å"my friend and I are one†, â€Å"thou mine, I thine†. Those languages sometimes can be regarded as non-sexual friendship, in Shakespeare‟s work; they are certainly the language of sexual love. Many of the sonnets are saturated in the language of longing and desire; they showed some sorrow about the lacking of the male friend‟s â€Å"sweet love†. There are many explicit and implicit clues in the sonnets that show the male love in Shakespeare‟s heart. Next I want to turn to the plays, the male love are even more distinctly open to interpretation than sonnets. And some interesting things I found that is if the plays are open to gay readings then those readings will have their own kind of rationality. Some male characters in Shakespeare openly betray idealized intensity of affection for other men comparable to that expressed by the persona of the sonnets. One is Antonio, a comparatively minor character in Twelfth Night. It is easy to portray him as an older man enamored of a younger Sebastian who only partly under the nature of Antonio‟s affection, and such a description successful build a kind of sad atmosphere which saturate the pain of unreturned love. The male love brought out far more clearly not at the end of the play but in Antonio‟s first appearance. He and Sebastian appeared on a bed in which they had clearly just slept together. Indeed, Stephen Orgel has described Antonio ... ...ul is that maybe even Shakespeare can not answer the question that whether Bassanio, sometimes when a story is created, the emotions of characters do not all under controlled by the writers. In other irresponsible words, only Bassanio can answer the questions for us but maybe he does not want to say anything. Before talking about Shakespeare‟s racism of shylock, we can firstly focus on some background information. Shakespeare‟s plays showed his awareness of the ineradicable enmity between Christian generosity and the Jewish fixation on money. According to Stanley Wells, Shakespeare may be actually a German. How ever, not matter Shakespeare is belongs to which country. Nazi Germany should congratulate that Shakespeare can stands for them to show the understand of the racial psychology The merchant of Venice is a anti-semitic story which obviously appealed to the

Wrongful Conception

The traditional way of doing things in America goes as follows; you meet Mr. or Mrs. Right, you get married, buy a house and have a family. After having all the children that one family wants someone in the relationship makes the responsible decision to be permanently sterilized or continue using birth control until menopause. Being permanently sterilized means, having the woman’s fallopian tubes either clamped or cut so as no more eggs are release into the uterus or having a man’s seminal vesicles cut so that no sperm is ejaculated. When a pregnancy occurs after one of these measures has been taken, it is looked into as wrongful conception or wrongful pregnancy. Women can become pregnant when their fallopian tubes were not completely cut, a man’s seminal vesicles are not severed all the way or something is wrong with the birth control in which she is taking. Wrongful conception, also known as wrongful pregnancy, is a case of action based on negligence in the provision of birth control or performance of sterilization procedures that result in an unwanted pregnancy. Sullivan, 2000) Physicians and pharmacists have come under legal trouble when a patient becomes pregnant and it is unwanted. Women have many reasons for no longer wanting any more children. It could be due to the age of the women and she is at a higher risk for the child to be mentally handicapped. The couple could merely be done having children because they have the desired amount that they could afford and wanted. The woman could have had a ve ry difficult pregnancy in the past and therefore not want to put her at risk any further. All of these are legitimate reasons to have a surgical intervention to no longer have children or to prevent having children with birth control. Many of those parents who end up taking legal action against a physician are those who have genetic disorders that they do not wish to pass on to their unborn children. Parents who have genetic testing done and find out that the likelihood of their children developing sickle cell anemia, downs syndrome or any other genetic disorder choose to no longer put themselves in the running to conceive a child. According to The Journal of Health, many medical malpractice claims have been brought against doctors by parents of children born with genetic diseases. In most of these cases, the parents allege either that the physicians failed to inform the parents of the availability of genetic testing for the unborn child or that the physician negligently performed the genetic testing. These claims automatically make physicians, genetic counselors, and genetic testing laboratories possible defendants in civil law suits. As the patient or victim, it is a crushing moment to find out that someone failed to do their job and now an innocent life is being brought unwanted into the world. Patients have a Bill of Rights that must be followed by any physician or hospital. Patients have the right to access their own medical records. According to George D. Pozgar, patients may have access to information which includes, â€Å"that maintained or possessed by a health care organization and/or a health care practitioner who has treated or is treating a patient† (Pozgar, 2010, p. 396). With this right in place, patients should be able to prevent unwanted pregnancies from happening. This right makes for an open book policy in many hospital and physician offices. Patients now have access to their labs and records online or even in the physician’s office. The history behind wrongful conception is hard to determine with a timeline. It appears that when patients could have genetic testing done is when the number of cases started to arise for legal action being taken against physicians. One of the first reported cases was in 1974 with a family who sued their physician who performed a vasectomy after the couple’s fourth child. Continuing on from 1974 until present day, there are many patients that are affected from the actions of physicians all over. Currently, patients rely on medical testing to look for genetic disorders that can affect unborn children. Testing is becoming more and more advanced every day. Many pregnant have option to undergo genetic testing at twelve weeks to check for downs syndrome, trisomy 18, or trisomy 13. At the same time as these blood tests, an ultrasound test for fetal nuchal translucency is performed. Nuchal translucency screening uses an ultrasound test to examine the area at the back of the fetal neck for increased fluid. â€Å"Common tests during,†) During the second trimester of pregnancy a whole new set of blood tests are performed. Alpha-fetoprotein screening is done to determine open neural tube defects (ONTD) such as spina bifida, Down syndrome, other chromosomal abnormalities, defects in the abdominal wall of the fetus, twins – more than one fetus is mak ing the protein, or a miscalculated due date, as the levels vary throughout pregnancy. (â€Å"Common tests during,†) Some of these tests can come back negative when in reality they are positive or patients can also get a false-negative result. Patient now sign consents so that they will not sue the physicians when these rare occurrences happen. The way that lawsuits and malpractice suits have come up, the rate of lawsuits against physicians will continue to rise. It seems that physicians need to have malpractice insurance with higher premiums due to the fact the patients now are â€Å"sue happy†. Physicians are very careful about what information they tell their patients and with how tests and physical examinations are given. The more information and the more physicians explain circumstances to patients, the less likely a patient is to sue. There are patients who look for reasons to file malpractice suits against physicians. Wrongful conceptions or wrongful pregnancies do happen. There are many reasons for this unhappy occurrence to happen, physician wrongdoing, pharmacist tampering or misinformation given to the patient. No matter what the reason is that the conception happened, the parents of the unborn child are still going to be affected. To compensate for some of the mental and emotional damage that is going to be done with having an unplanned pregnancy, patients are choosing to sue physicians. References Pozgar, G. D. (2010). Legal and ethical Issues for health professionals (2nd ed.) Sudbury, MA: Jones and Bartlett Publishers. Sullivan, Mary B. (2000, March 22). Article: wrongful birth and wrongful conception: a parent's need for a cause of action. . Retrieved from http://www.highbeam.com/doc/1G1-85016556.html Common tests during pregnancy. (n.d.). Retrieved from http://www.lpch.org/DiseaseHealthInfo/HealthLibrary/pregnant/tests.html Untitled. (n.d.). Retrieved from www.loislaw.com/gpc/[email  protected]

Letter Format

This letter illustrates the use of the full-block style. Because of the efficiency with which this letter can be keyboarded, its use is growing in popularity. (blank line between paragraphs)Some persons object to this letter style because everything is at the left margin; they believe that the date and closing lines should be centered or started at the center of the page. Others would like to indent the first line of each paragraph. 80th variations are acceptable; the letter style is known as modified block style. Notice that the â€Å"open† style of punctuation is used in this letter; there are no marks of punctuation after the salutation (greeting) or complimentary close.However, it is acceptable, regardless of the letter style, to use â€Å"mixed† punctuation, which requires a colon (:) after the salutation and a comma after the complimentary close. Finally, notice how your title is shown after your name on the first line of the inside address. However, my title is o n the next line in the closing. We try to equalize the line length by doing so. A comma is required if you place the title on the same line as the person's name. (blank line before complimentary close) Sincerely (three blank lines before typed signature)

Personal Law Essay on Hate Crimes

Personal Law Essay on Hate Crimes Free Online Research Papers The first amendment of the United States Constitution states that, â€Å"Congress shall make no law respecting an establishment of religion, or prohibiting the free exercise thereof; or abridging the freedom of speech, or of the press; or the right of the people peaceably to assemble, and to petition the Government for a redress of grievances.† The only argument to this amendment nowadays is what words are and aren’t classified in these two categories. The new law, under the Historic Hate Crimes Legislation signed by governor George E. Pataki in July of 2000, defines a hate crime being committed when a person intentionally commits a specified offense, such as intimidation, violence, assault, kidnapping, arson murder, or other crimes, against an individual because of his or her race, color, national origin, ancestry, gender, age, disability, religion or religious practice or sexual orientation. Also addressed in this legislation are the penalties for committing a hate crime, which can be enhanced now. However, the enhancement law only applies to criminal acts such as selecting a victim to commit a crime towards. It does not apply to cases dealing with speech or actions, otherwise known as â€Å"hate speech†, because they are protected by the first amendment. While someone is guilty if he or she performs one of the specified offenses above, this law also insures that only people who are found truly motivated by hatred will be prosecuted. This is an important part of the law to enforce because if the defendant and the victim are two different races it doesn’t automatically mean the crime was committed through hatred. The prosecutor would be able to find the defendant guilty if they had evidence such as the defendant would have committed the same crime to the next person of the discriminated race, among other things. This information is crucial because an easy way for certain people of a discriminated race to get a quick settlement is by simply filing that a hate crime was committed against them and twisting the story of what really happened. Convictions go as far as the crime committed does. There are no special penalties or punishments for committing hate crimes. In some states there are reform groups such as the Los Angeles County District Attorney’s JOLT (Juvenile Offenders Learning Tolerance) Program. Since a high percentage of hate crimes are committed by teenagers and younger people, this program focuses on intervening with youths that have engaged in bias-motivated misconduct or low-level hate crimes. Programs like JOLT are productive, strategic ways to teach the young people of America the evils of hate crimes before it’s too late. It is proven that teenagers tried as adults and sent to prison have a much higher chance of recommitting their crimes than teenagers who are put in juvenile delinquency centers and programs. Although there aren’t any specific punishments for hate crimes, the government is cracking down and taking them completely serious now; especially with the sentencing of convicted offenders, hoping to send a message to others, who think about committing hate crimes, that they won’t just get a slap on the wrist anymore. Research Papers on Personal Law Essay on Hate CrimesCapital PunishmentUnreasonable Searches and SeizuresThe Relationship Between Delinquency and Drug UseThe Effects of Illegal Immigration19 Century Society: A Deeply Divided EraComparison: Letter from Birmingham and CritoPersonal Experience with Teen PregnancyEffects of Television Violence on ChildrenHip-Hop is ArtRelationship between Media Coverage and Social and

10 Ways to Impress a Science Fair Judge

10 Ways to Impress a Science Fair Judge How do you know if your science fair project has what it takes to win an award at the science fair? Here are 10 ways you can impress the science fair judge and take the prize. Make a genuine scientific breakthrough or invent something new. Judges admire creativity and genuine innovation. You dont need to cure cancer, but you should try to look at something in a novel way or devise a new procedure or product.Draw valid conclusions from your data. The best project idea will fail if you dont interpret your data correctly.Find a real-world application for your project. Pure research is commendable, but there is almost always a potential use for the knowledge.Clearly explain your purpose, how the science fair project was conducted, your results, and your conclusions. Make sure you understand your science fair project and that you can explain it clearly to the science fair judge. Practice describing your project to friends, family, or in front of the mirror.Understand the background material related to the project. This can be through interviews, library research, or any other method that allows you to gather information not already known to you. Science fair ju dges want you to learn from your project, so go looking for facts and studies relating to your idea. Design a clever or elegant apparatus for your project. The paperclip isnt complex, which is part of why it is such a great invention.Use analytical methods to process your data (such as a statistical analysis).Repeat your experiment to verify your results. In some cases, this can take the form of multiple trials.Have a poster that is neat, clear, and free of errors. Its fine to seek help with this part of the project.Use the scientific method. Combine background research with experimentation and analysis.