The Disabling Effects of Selective Mutism Essay -- Disorder Mutism Chi

The Disabling Effects of Selective Mutism Among the vast range of anxiety induced disorders that exist, Selective Mutism may be the most disabling to its victims. It has been estimated that approximately one in a thousand children suffer from this presumed psychiatric ailment wherein the ability to speak is limited to the household or other areas of comfort. (2) Public places and schools elicit so much anxiety within these children that their natural capacity to speak is suppressed. Once a child under five years of age exhibits the behavior described, for over a month, and without having other speech impeding barriers affecting them such as autism or a second language, he or she will most likely be diagnosed with selective mutism. (2) Many hypotheses have been posed as to what causes selective mutism, however, no determinate conclusions have been made. In most cases it has been proven that anxiety disorders are hereditary, thus, nearly all children who become selectively mute have family members who were afflicted with the same or more serious anxiety disorder, like obsessive compulsive disorder, schizophrenia, or social phobia. The fact that anxiety disorders pass through generations implies that brain chemistry is perhaps genetic or that serotonin levels are inherited. Other suggested causes of selective mutism have been speculated upon, however, little research has been instated. Abuse, neglect, extreme shyness, extremely embarrassing experiences like vomiting or having diarrhea in a classroom setting, or living in a home environment with exceptionally nervous parents may also lead to become selectively mute. These theorized causes tend to describe the background of children who have no similar disorders r unni... ...e Mutism Foundation, a support sight to better understand the disorder http://www.cisinternet.net/errorpages/404.shtml 3)Philadephia Page, a site with excerpts about selective mutism from the Philadelphia Inquirer https://registration.philly.com/reg/login.do?url=http://www.philly.com%2Fmld%2Finquirer%2Fliving%2Fhealth%2F3939354.htm 4)Selective Mutism UK, an interesting article about the seriousness of selective mutism http://www.selectivemutism.org/smg/ukarticle.htm 5)Anxiety-Panic Website, a site which describes several other anxiety disorders http://anxiety-panic.com/dictionary/en-dicts.htm 6)Mental Health web page, a helpful site providing several articles about selective mutism http://www.mental-health-matters.com/ 7)Anxiety Network, illustrates well the treatment available for those selectively mute http://www.anxietynetwork.com/spsm.html The Disabling Effects of Selective Mutism Essay -- Disorder Mutism Chi The Disabling Effects of Selective Mutism Among the vast range of anxiety induced disorders that exist, Selective Mutism may be the most disabling to its victims. It has been estimated that approximately one in a thousand children suffer from this presumed psychiatric ailment wherein the ability to speak is limited to the household or other areas of comfort. (2) Public places and schools elicit so much anxiety within these children that their natural capacity to speak is suppressed. Once a child under five years of age exhibits the behavior described, for over a month, and without having other speech impeding barriers affecting them such as autism or a second language, he or she will most likely be diagnosed with selective mutism. (2) Many hypotheses have been posed as to what causes selective mutism, however, no determinate conclusions have been made. In most cases it has been proven that anxiety disorders are hereditary, thus, nearly all children who become selectively mute have family members who were afflicted with the same or more serious anxiety disorder, like obsessive compulsive disorder, schizophrenia, or social phobia. The fact that anxiety disorders pass through generations implies that brain chemistry is perhaps genetic or that serotonin levels are inherited. Other suggested causes of selective mutism have been speculated upon, however, little research has been instated. Abuse, neglect, extreme shyness, extremely embarrassing experiences like vomiting or having diarrhea in a classroom setting, or living in a home environment with exceptionally nervous parents may also lead to become selectively mute. These theorized causes tend to describe the background of children who have no similar disorders r unni... ...e Mutism Foundation, a support sight to better understand the disorder http://www.cisinternet.net/errorpages/404.shtml 3)Philadephia Page, a site with excerpts about selective mutism from the Philadelphia Inquirer https://registration.philly.com/reg/login.do?url=http://www.philly.com%2Fmld%2Finquirer%2Fliving%2Fhealth%2F3939354.htm 4)Selective Mutism UK, an interesting article about the seriousness of selective mutism http://www.selectivemutism.org/smg/ukarticle.htm 5)Anxiety-Panic Website, a site which describes several other anxiety disorders http://anxiety-panic.com/dictionary/en-dicts.htm 6)Mental Health web page, a helpful site providing several articles about selective mutism http://www.mental-health-matters.com/ 7)Anxiety Network, illustrates well the treatment available for those selectively mute http://www.anxietynetwork.com/spsm.html

Reflection: Patient and Surgery Center

Kimberly Blatnica Preceptor Site: Surgery Center at Regency Park Clinical Reflection 4 17 October 2012 Today’s clinical experience allowed for new education and skill practice. I was able to precept in post-op, which was a great change. Being in pre-op, we are responsible for receiving clients from the OR. We then monitor them, reeducate, prepare for and perform discharge, and cleaning the area that was used by disinfecting, tossing and replacing linens, and moving the bed to an empty room in pre-op. We receive report from the circulating nurse and the nurse anesthetist when they first bring the patient to recovery.Together we hook the patient up to the monitors and record the first set of vitals together. These include: blood pressure, heart rate, respirations, temperature, pulse ox, pain (if patient is conscious), and an ECG reading if they were general. When I first arrived to clinical today- I was told we were going to be busy. I was also able to work with clients’ receiving urology and ENT procedures, not just cataracts. Urology was new for me but I was excited to be doing something different. Learning needs identified for this experience were only regarding urology patients.They differ due to the use of general anesthesia, the need to void before discharge, education of post-op care, and pain medication administration. Learning needs I identified from this experience includes education about the different urology procedures and education, how to effectively care for a general anesthesia patient during recovery, and complications. I met my needs by asking many questions during clinical and the use of our textbook. One of my client’s primary concerns occurred after he received a cystoscopy with the insertion of an indwelling urethral stent.This patient was a 52 year old male, with mild hypertension. No other health concerns were noted in his chart. He originally scheduled the procedure in order to remove a very large stone. However afte r waking up and speaking with the surgeon, he was told he had been too inflamed for the procedure. The surgeon asked him to schedule a second attempt for the removal for next week, in hopes the stent would decrease the swelling. This client also did not know how to care for the stent. The stent will make a patient feel the constant urge to void. This sensation is often relieved by pain medication.It is very uncomfortable and can easily be dislodged while passing stool, wiping, cleaning the area, and getting dressed. This specidic stent is attached to a string that hangs outside the patient’s body. The stent can lead to infection if the area is not kept clean. These were important concepts to discuss with the client. Main points I helped to educate were: take pain medication every 6 hours to eliminate the likelihood of increased pain, drink plenty of fluid to help flush the renal system, no bathes, signs of infection, situations when to calling the doctor is a must, and how to care for the stent.I also helped administer 2 rounds of Fentanyl and two Percocet to help relieve his discomfort and urge to void. He was then able to void which resulted in blood tinged urine. We assured the patient this was normal for the first void following surgery. He was in a lot of pain during this process. It was more comfortable for him to stand, but during his stay he spent most of his time sitting. He also had a forty-five minute drive home, which is why we decided to administer two Percocet, instead of one. One course objective I met today was: demonstrate effective communication skills.This was completed during every education session I had with my patients and their family member/friend prior to discharge. Regardless of the procedure, every person is provided with post-op care instructions. A second course objective I met was: collaborate with patients, families, health care team members, and others in the provision of care. I worked side by side with great nurses all day. We worked as a team with interventions, time management, discussions about the patient’s needs and concerns, reports, and preparations. We also worked close with those working in the OR.Also, while educating patients, sometimes there is a need to collaborate alternatives. This is important to maintain outstanding health care. Report on one patient at least 3 times throughout the semester| The 52 year old male described previously received surgery today in hopes of removing a painful stone. He was experiencing abdominal pain and has had a history of past stones requiring surgery. Diagnostic studies for this patient included a previous x-ray and today’s cystoscopy. The indications for surgical stone removal include: stones too large for spontaneous assage, stones associated with infection or impaired renal function, stones which cause persistent pain, nausea, or ileus, a patient’s inability to be treated with medication, or a patient with only one kidney (Le wis, 1137). Those associated in this case were size, risk for infection, renal function, and pain. An aspect that differed from a typical care was the inability for stone removal and severe inflammation (Lewis, 1137-8). The passageway was so swollen; the surgeon could not even get near the stone’s location.Furthermore, usually patients will know why they have the reoccurrence of stones, while this patient did not. They hope after removing the stone, they will be able to prevent further episodes by testing the actual stone’s composition. Another patient I cared for today was a 17 month old male. His diagnosis was unspecified chronic nonsupportive otitis media. He received a typanostomy. Many symptoms and complications of otitis media in our text are congruent with this patient’s history- even though this patient is not an adult.The patient has a history of purulent exudates, bilateral hearing loss, and inflammation of the middle ear (Lewis, 426). Differentiating from our text, the child was often times seen pulling on his ears as a result of pain; while our text states it’s more likely to be painless (Lewis, 426). Complications of this disorder results in chronic inflammation which was most likely the cause of his pain. Typanoplasty, ear irrigations, antibiotics, analgesic, and surgery are all recommendations for those with Otitis media (Lewis, 426). These interventions were in the patient’s file.Today, he had the tubes removed from both ears and left with a prescription for Tylenol and antibiotics. This procedure was recommended if medication was not successful (Lewis, 426). | Report on at least ONCE throughout the semester | Today during the recovery of the 52 year old male mentioned above, we noticed he did not have his two prescriptions written. It was important we found the surgeon before he left (this happened to be his last case). The patient was missing his prescription for his antibiotic and pain medication. Both impo rtant for his recovery and duration between surgeries.My preceptor paged for the surgeon, and he happened to return before she returned to the patients area. I was feeding the patient ice cubes when he asked me what the call was for. I was able to show the surgeon his orders and blank scripts. He filled them out and I began to explain the use of and directions for both medications. I was able to communicate with the surgeon both effectively and professionally. Furthermore, it helped the surgeon was very nice- to staff and patients. I did not think or feel much about the interaction ahead of time. It happened so fast, but once it was over I was proud of myself.I feel even as a student nurse, you still have to be prepared for anything. If I could, I would change the fact the prescriptions were written out ahead of time. At the surgery center we have receptionists that organize our charts. These staff members keep the jobs of nurses and doctors organized and effective. A couple weeks a go, I was going through a chart and noticed a patient’s medication reconsolidation form was missing. By speaking to the receptionists, they were able to obtain another copy. This form is very important when discussing medication regimens with patients in post-op.It is important for new medications to be explained and checked for incompatibilities with other medications the patient is prescribed. I felt speaking to the receptionists was not much of a challenge; however, without their help we could have had a more serious complication. I do not feel receptionists get enough credit in the medical setting. They may not be running around all day; however, without them at the surgery center (which does not have EMRs) they play a role in patient safety and allow everyone else to perform their duties. |

IRA

IRA The Irish Republican Army, more commmonly known as the IRA, is a secret military, nationalist organisation. Planned and organized by Michael Collins after the Easter Rebellion in 1916, the IRA officialy formed in 1919 as an unregistered military force. Their most significant effort was to change the combined area of Ireland and Northern Ireland into a single country. The IRA was made up of Irish Volunteers and later on, after beoming the policital wing of Sing Fein had leaders such as Arthur Griffith and Eamon de Valera to associate with.In the year that the IRA started, they began a guerrilla war, harassing police and military with sudden ambushes and violent force. This then leading the British Government to inforce the Government of Ireland Act in 1920. This dividing Ireland into 2 separate states, each with limited powers of self-government. The 2 parts Ireland, officially called the Republic of Ireland, which is made up of 26 counties and home to mainly Catholics and Northern Ir eland, which is made up of 6 counties and home to mainly Protestants.Éamon de ValeraThe IRA was still determined to make an Independent nation. The Catholics of Ireland disagreed with the act, this leading the IRA to continue the war until 1921. A treaty was then signed, making Ireland a dominion "" a self-governing country, this dominion was called the Irish Free State.The treaty resulted in a major split in the IRA. One group, led by Michael Collins, accepted The Irish Free State and became part of the army for the Free State. The other group, led by Eamon de Valera and called the Irregulars, totally rejected the treaty because it showed very little signs of complete independence away from British rule and didn't bring a complete union with Northern Ireland. Early in 1922, civil...

Free Essays on Midddle East Crisis

Foreign Policy: Middle East Crisis The United States have been deeply involved in the Middle East for over fifty years (CQ 4). During these years there have been many situations that have needed United States intervention, yet many actions that the U.S has felt that involvement was necessary and acted upon, the actions were not needed. The U.S faced consequences when acting like the â€Å"Big Boss† in the Middle East, and some of the consequences were avoidable. When the U.S did get involved, some of their actions taken were executed with tunnel-vision, not thinking about what long-term or even short-term effects could possibly happen. The malice that came out at the end greatly outweighed that of the other choices that were on the table. Some of the actions were taken with the future of the American economy in mind; some were taken predicting the absolute worst that could happen and felt they needed to stop â€Å"evil† (Hurewitz 58), some for political reasons, but mostly all the actions were taken to b enefit the United States in one way or another (CQ 39). The U.S has fully been pro-Israel, and they were blinded to the other nations in the Middle East that also need support (Hadawi 19). The U.S led themselves into a trap, one that might be unforgivable. There has been an eye full of hate cast over the west, mainly the United States, by most Arab countries. What did the U.S do to deserve this? What could they have done to avoid all of this? The answer to these questions lies in the flaws and open-endedness of their Foreign Policy. Their policy has many blemishes (CQ 77), often times contradicting itself, like their relationship with Israel, funding them and arming them, and trying to create peace in the Middle East between Israel and it neighbors (Miller & Mylroine 32). These are two goals that cannot be pursued simultaneously because in order to create peace, why create, or help out a war machine as well. America’s image of h... Free Essays on Midddle East Crisis Free Essays on Midddle East Crisis Foreign Policy: Middle East Crisis The United States have been deeply involved in the Middle East for over fifty years (CQ 4). During these years there have been many situations that have needed United States intervention, yet many actions that the U.S has felt that involvement was necessary and acted upon, the actions were not needed. The U.S faced consequences when acting like the â€Å"Big Boss† in the Middle East, and some of the consequences were avoidable. When the U.S did get involved, some of their actions taken were executed with tunnel-vision, not thinking about what long-term or even short-term effects could possibly happen. The malice that came out at the end greatly outweighed that of the other choices that were on the table. Some of the actions were taken with the future of the American economy in mind; some were taken predicting the absolute worst that could happen and felt they needed to stop â€Å"evil† (Hurewitz 58), some for political reasons, but mostly all the actions were taken to b enefit the United States in one way or another (CQ 39). The U.S has fully been pro-Israel, and they were blinded to the other nations in the Middle East that also need support (Hadawi 19). The U.S led themselves into a trap, one that might be unforgivable. There has been an eye full of hate cast over the west, mainly the United States, by most Arab countries. What did the U.S do to deserve this? What could they have done to avoid all of this? The answer to these questions lies in the flaws and open-endedness of their Foreign Policy. Their policy has many blemishes (CQ 77), often times contradicting itself, like their relationship with Israel, funding them and arming them, and trying to create peace in the Middle East between Israel and it neighbors (Miller & Mylroine 32). These are two goals that cannot be pursued simultaneously because in order to create peace, why create, or help out a war machine as well. America’s image of h...

ISO 14000 Essay Example | Topics and Well Written Essays - 250 words

ISO 14000 - Essay Example ISO 1400 series are grouped on the basis of two major categories; one is from the perspective of the organization, while the other focal point being product. A few of the standards from the 14000 series are: The ISO 14001 focuses on the specifications of the standards and the guidance for use. The ISO 14002 focuses on the principal systems and supporting techniques, the ISO 14011 has guidelines for the Environmental auditing procedures (Cheremisinoff, 2001). Following the ISO standards it helps the organizations to minimize the harmful or dangerous impact of the procedures that they are using for product manufacturing or service providing, and also the services and products will be produced with a more consistent quality. The standards compliance is an ongoing process; first the policy is created, then according to the policy, planning is done, the plans are then implemented, after the standards are put into practice there has to be a constant check and proper audit

Punk in Fashion Essay Example | Topics and Well Written Essays - 500 words

Punk in Fashion - Essay Example The essay "Punk in Fashion" concerns the punk style. Punk culture laid stress on being creative and trying out new things. It involved colouring hair, and wearing clothes that were the hallmark of punk movement. Punk culture had a great influence on the contemporary fashion. Some of the essential staples of punk fashion included leather jackets most often accessorized with pictures and embossments of punk band logos, pins, studs and innovative patches. Other quintessential accoutrements of punk fashion were tight fitting stretchable jeans and shorts, heavy denim jackets most often adorned with patches, studs, pins and band logos, creepers, bondage pants, doc martens, etc. The whole objective of the punk fashion was to mock the established conventions and stereotypes of modesty and to accentuate the intention of not being able to adapt to or fit in the mainstream society. Punk fashion also adopted certain specific and peculiar hairstyles like buzzcuts, short and spiky, liberty spikes and mowhawks. Though the punk fatigue represented a tough and hard persona, the punk culture was on the contrary was very accommodating and open minded. Punk culture had a distinct impact on the fashion in the 20th century. The earlier punk fashion trends were distinctly anti materialistic. The primary focus of the punk fashion was on rebutting the excesses and pretensions inherent in the mainstream fashion by affiliating to peculiar clothing, body modifications, hairstyles, jewellery and cosmetics.

Who is responsible for an airline crash Should familes be compensated Research Paper

Who is responsible for an airline crash Should familes be compensated - Research Paper Example Air Crash Litigation. The Liability Environment in which the NTSB Operates. Web. Rand.org. Web. 01 April. 2014. . Annotation: The complexity of compensating victims has challenged legal practitioner and airline manufacturers as well as airline owners. This has resulted to the establishment of an independent body; the NTSB to investigate the causes of air plane crashes to ensure that there is fairness in arbitration and litigation of whom should compensate survivors and victim families. The NTSB is an important body because it carries out investigation into the causes of airline accident so as to lay claims on the right party. Response: The article ensures help us understand the parties involved in the process of litigation and also ensures that all parties understands their role in circumstances of an air crash. This helps prevent lawyers and insurance companies to swindle out or take advantage of the ignorance or lack of knowledge regarding compensations. Allen, Peter. Revealed: Pilot of Air France jet that crashed in Atlantic Ocean killing 228 people had just ONE HOUR sleep before the flight. Web. Dailymail.co.uk. 15 Mar. 2013. Web. 02 April. 2014. . Annotation: Allen reported that the Air France jet crashed in the Atlantic Ocean after the Pilot left the co-pilot to take charge of the Plane. The pilot had excused himself because he had had only an hour of sleep before taking the flight. This demonstrates the high level of negligence that is exposed to innocent lives while travelling to and from their destinations. The article helps us understand one of the causes of plane crash. Pilot negligence and mistakes has claimed the life of many passengers and this is