Thursday, May 14, 2020

Lowering the drinking age Increasing their Lifespan

Before the year of 1975, the minimum legal drinking age (MLDA) was set at eighteen. It wasn’t until 1984 when the National Minimum Drinking Age Act was passed which required the States to set the MLDA at twenty-one causing no one under the age of twenty-one to be able to consume or purchase alcohol. States that did not comply faced a reduction in highway funds under the Federal Highway Aid Act. Many can argue that ever since the drinking age was set at a higher age limit, there have been less reports of death due to intoxication, both on the road and off the road (Mooney). Young adults between the ages of eighteen and twenty are still developing many parts of their brain and if they begin to consume alcohol at such an early age, it can†¦show more content†¦Some of the effects that Garbutt talks about are cirrhosis in the liver, cancer, dementia, or depression. A lot of people take all this for granted and do not really see the risks behind drinking alcohol. Many disea ses and health problems come along with long term use of alcohol; therefore, lowering the age allows young adults to start this habit sooner. The sooner young adults drink alcohol, the worse the effects can be because they are exposed to it for a longer period. The best way to decrease the rate of young adults who develop these diseases is by maintaining a MLDA of twenty-one instead of lowering it to eighteen. Although many young adults see this as robbing them of their rights as an adult I think that by keeping it at 21 we are extending their lives and providing a healthier lifestyle as an early age. Many may argue that there is not a big difference from smoking cigarettes and drinking alcohol therefore, it should be legal to be able to both at eighteen. The reason why the age limit to drink alcohol is at twenty-one and not eighteen is because of the effect alcohol has. Cigarettes do not impair your vision, motor skills, speech or memory. Yes, it is still bad for your health, but even after a pack of cigarettes you can still drive and you can still recognize when your about to make aShow MoreRelatedThe Factors Of Life Decisions And Bad Eating Habits1427 Words   |  6 Pagesanything that gets your heart rate up and moving. Exercise alone fights off so many diseases as well as lowering cholesterol and your body weight in which most hereditary health problems derive from. A persons correct eating habits can also play a role in enhancing their life by keeping unhealthy weight from fatty foods off in which also maintains their blood pressure levels. Moderate drinking is also a positive benefiter to your life as well as being a nonsmoker. Having a healthy sex lifestyle onceRead MoreIncreasing Coping Skills in Parents of Children with Type 1 Diabetes1629 Words   |  7 Pagesautoimmune response of T1DM (Soltesz et al., 2007). 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Wednesday, May 6, 2020

Prejudice and Discrimination Essay - 1621 Words

Bethany Norris – Unit 1 – Prejudice and Discrimination Part One Prejudice: The dictionary defines prejudice as an unfair and unreasonable opinion or feeling, especially when formed without enough thought or knowledge. This means that a person may form an opinion on a person or a particular group of people without having any facts or knowledge about that person or group. Prejudice is normally perceived as being bad but there are some instances where prejudice is an aid to survival for example if you see several scruffy men parked in a van in a dark alley, you will form a pre judgment that they must be up to no good so you choose to not walk down the alley. They could simply be movers, but healthy prejudice tells you not to take the†¦show more content†¦Society was not kind to deaf children, there was no compassion or understanding and most children did not realize they were deaf because no one took the time to explain to them. 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As deaf children had no knowledge of language, as it was rarely taught in deaf schools, they developed their own ‘sign language’, which differed from school to school. This sign language was not universal and was normally only understood by the children at that particular school. Sexual predators also targeted many deaf people, as they wereShow MoreRelatedDiscrimination And Prejudice And Discrimination1638 Words   |  7 PagesDiscrimination comes in a number of forms. We have age discrimination, employment or job discrimination, racial discrimination, gender discrimination, reverse discrimination, sexual discrimination, and others. Prejudice is a negative attitude toward a socially defined group and toward any person perceived to be a member of that group (Burgess, 2003). The purpose of her research was to talk about discrimination and prejudices and the affect they have on our day to day lives. 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Tuesday, May 5, 2020

Case Study Mental State Assessment

Questions: 1.Identify and describe the following four(4) key components of the mental state, as they relate to Ellens presentation. 2.Identify and describe two (2) areas of risk for Ellen in relation to her current presentation. 3.Discuss four (4) nursing care priorities for Ellen and provide a nursing intervention and a rational for each intervention identified. 4.Identify one (1) recovery principle (as per the National Framework for Recovery-Oriented Mental Health Services). Answers: 1.Mood: Mood of the patient is called as the pervasive subjective state. According to the study of Carniaux-Moran (2008), the visible affect of the patients mood is called as the affect. Mood of a patient is determined through examining the range, depth and fluctuations in the emotional expression. Moods are described in various terms such as labile (changing mood rapidly), euthymic (normal), angry, depressed, irritable, frightened or empty (Hirschfeld et al, 2010). Ellens mood during the interview was found to be elevated and labile. Ellens affect is determined to be congruent to her mood. Congruity and in-congruity are important to determine, because sometimes the depressed patients may look depressed, but in some cases depressed patients may look euthymic (Perron et al, 2009). Thought Content: The patient suffering with mental disorders may have different kind of thought contents. The bipolar disorder is also called as maniac-depressive illness. The patient suffers with unusual shift in the mood (Carniaux-Moran, 2008). Generally it has been observed that people suffering with bipolar disorder have racing thoughts or even the flight of different ideas. For the accurate diagnosis of the problem it is important to assess thought content. Thought content of Ellen display derailment. Content of the thoughts are also thoughts are grandiose, flirtatious and underlying sexual innuendo (Hirschfeld et al, 2010). The though content explains about the goal focused activities of the patient. Thought form: Thought form is called as the process in which the patient thinks. Thought form of the patient are determined through there speech. The patient suffering with bipolar disorder, often have distracted thought process and rapidly changes their thought process. Flight of ideas is the general thought form seen in patients of bipolar disorder. The speech is rapid and patient changes topics rapidly. The topics can be associated or may not, but the patient display excessive talking and sometimes nonsensical choice of words. In the case of Ellen she also displays rapid, loud, pressured and slurred speech. Insight: Insight is considered as the extent to which patient is aware of his or her illness. In the case of mental disorders, patient may have poor or limited insight about their illness, as in the case of Ellen she has very limited insight to her illness and she considered that nothing is wrong with her. Sometimes the patients stop taking medication, as they believe that they are not ill. This situation display lack of insight about the illness and poor judgement (Carniaux-Moran, 2008). Ellen also display this behaviour, by stating that she do not require medication, as drug do not allow her to enjoy her life and brings her down. Thus, she has poor insight and impaired judgement. 2 i) Disturbed Thought Process: Disturbed thought process could be a major risk factor for the patient like Ellen. The thought process of the bipolar disorder patient is often disturbed. This problem is displayed in the case of Ellen through disorientation, rapid and pressured speech, flight of thought and ideas. Loose association of the thoughts is also associated with this risk factor (Kendall et al, 2014). Ellen had displayed loose and poorly associated thoughts and ideas. Poor level concentration is also identified in case of Ellen. ii) Defensive coping: Defensive coping is another risk factor associated with condition of Ellen. She repeatedly displays false positive evaluation of self. Her self evaluation is based on the patter of protecting and defending self. Defensive coping risk factors are assessed though identifying the level of insight and judgement (Kendall et al, 2014). Ellen display grandiosity, flirtatious and seductive behaviour through her speech. She also displayed flamboyant and bizarre dressing and make-up. She also displays sexual behaviour in conversation, and denied to take medication to defend herself, which is a threat to her positive self. 3. Intervention for disrupted thought content: The first nursing intervention for such behavior is limiting the destructive and adverse behavior of the patient. The nurse must provide the safe environment to the patient. The environment stimuli, which trigger the aggressive behavior, will be identified and removed; this can be done by keeping the patient in isolation and in a private room. Rational: Safe environment is important, so that patient may not harm herself or other during flights of thoughts. The physical safety of staff and other patients is also important. Ellens ability to deal with the stimuli is impaired thus, keep her in isolation is correct intervention. Second intervention must focus on re-orientation of the Ellen. For this, she must be called by her name repeatedly. Nurse should also tell her name to patient, and nurse should also inform the patient about place, date and time. Rational: Re-orientation is important for Ellen, as due to distracted thought process, she has been disoriented and had a loose thought process. (Connolly, Thase, 2011). For bringing her to stability, repeated presentation of the reality is very essential. This will further help in concrete reinforcement of the reality. Intervention for Defensive Coping The first intervention for such behaviour is that, nurse must withdraw or ignore the attention from the bizarre clothing, make-up and appearance of the patient. Nurse should also avoid sexual acting-out behaviour. The limit regarding the inappropriate behaviour must be set (Beentjes, Goossens, Jongerden, 2015). Rational: Ignoring the inappropriate behaviour of the patient and defensive coping strategies are more effective to reduce unacceptable behaviour. Reinforcement of the If the patient is asked to stop such behaviour that they may do it more. Her insight and judgement are poor. She does not have awareness towards her illness. Due to poor judgement, her inappropriate behaviour should be maintained by setting few limits. Nurse should inform the patient about expected mannerism (Connolly, Thase, 2011). Rational: It is very important that patient should know that what is being expected from them (Geddes Miklowitz, 2013). Maintaining the limits is important for the patient to learn appropriate manners and behaviour. 4. The principles of recovery oriented mental health practice are important for every individual suffering with mental disorders. These principles value the perspective of the mentally ill people are set according to the abilities and disabilities of every individual. The first principle of the National Framework for Recovery-Oriented Mental Health Services is uniqueness of the individual. This principle is best suited in the case of Ellen. According to this principle, recovery of a patient is not considered just as a cure from illness but it provides the opportunity to the individuals to make meaningful choices and living a purposeful life (Principles of recovery oriented mental health practice, 2010). The outcomes of the recovery are different and unique for every individual, and thus, main focus should be on the quality of life and social inclusion. Ellen, also require support in improving her quality of life and also needs empowerment, so that she can understand that she is at th e centre of care. References Beentjes, T. A., Goossens, P. J., Jongerden, I. P. (2015). Nurses' Experience of Maintaining Their Therapeutic Relationship With Outpatients With Bipolar Disorder and Their Caregivers During Different Stages of a Manic Episode: A Qualitative Study.Perspectives in psychiatric care. Carniaux-Moran, C. (2008). The psychiatric nursing assessment.Psychiatric mental healthnursing: An introduction to theory and practice, 41-43. Connolly, K. R., Thase, M. E. (2011). The clinical management of bipolar disorder: a review of evidence-based guidelines.Prim Care Companion CNS Disord,13(4), pii-PCC. Geddes, J. R., Miklowitz, D. J. (2013). Treatment of bipolar disorder.The Lancet,381(9878),1672-1682. Hirschfeld, R. M., Bowden, C. L., Gitlin, M. J., Keck, P. E., Suppes, T., Thase, M. E., ... Perlis, R. H. (2010). Treatment of patients with bipolar disorder.APA Practice Guidelines 2002. Kendall, T., Morriss, R., Mayo-Wilson, E., Marcus, E., Jones, S., Guideline DevelopmentGroup. (2014). Assessment and management of bipolar disorder: summary of updated NICE guidance.BMJ,349. Perron, B. E., Howard, M. O., Nienhuis, J. K., Bauer, M. S., Woodward, A. T., Kilbourne, A.(2009). Prevalence and Burden of General Medical Conditions Among Adults With Bipolar I Disorder: Results From the National Epidemiologic Survey on Alcohol and Related Conditions [CME].The Journal of clinical psychiatry,70(10), 1407-1415. Principles of recovery oriented mental health practice. (2010). Australian GovernmentDepartment of Health. Retrieved From: https://www.health.gov.au/internet/publications/publishing.nsf/Content/mental-pubs-i-nongov-toc~mental-pubs-i-nongov-pri

Sunday, April 5, 2020

Adam Paper 4 Advocate

Adam Paper 4 Advocate Adam Paper 4 Advocate Protect Yourself, Protect Your Rights: Keep a Gun Close By Adam Com 101-201 Persuasive Essay 23 September 2014 Should Americans have the right to own a gun? The second amendment says so! One should be able to practice the second amendment, participate in gun recreation and most importantly protect oneself. America should be able to exercise their constitutional right to own a gun. Laws placing restrictions on firearm ownership and use do not necessarily stop the crime or protect individuals. Turn on the news right now. Americans are inundated with examples every day about innocent citizens that fall victim to a gunshot wound because they were unarmed and not able to defend themselves. Additionally, owning a gun gives Americans the choice to engage in recreational activities such as hunting, target shooting, or gun collecting. Is it fair that a father cannot provide a meal for his family or enjoy a hunting trip with his children? Gun ownership also gives Americans the ability to protect themselves and their precious loved ones from falling victims of heinous crimes. One posse sses a gun for the purpose of self-defense. The right to bear arms is a crucial element of belonging to the United States of America. Putting more guns into the hands of law abiding Americans because the government gives citizens that right, prevents citizens from being victims and gives them the freedom to participate in gun recreational sports or activities of their choice. The United States of America’s second amendment guaranteeing citizen’s rights to legally bear arms, must not be infringed. The second amendment is no different than any of the other protections listed in the bill of rights. Citizens should not need a government issued consent form rather, they should be able to carry a gun as a matter of right. As Thomas Jefferson wrote to his nephew Peter Carr in 1785, â€Å"A strong body makes the mind strong. As to the species of exercises, I advise the gun. While this gives a moderate exercise to the body, it gives boldness, enterprise, and independence to the mind†¦.† (Ablow). Establishing freedoms was so important to the forefathers, that they were willing to fight and give their lives while preserving those Kanoski 2 constitutional rights. According to Bruce Parker, â€Å"In an apparent violation of the second amendment a growing number of states are on track to end federal gun control once and for all† (Parker). Parker, a graduate of Louisiana State University, has specialized in business and state laws for fifteen years. The state of Kansas felt maintaining the second amendment right to bear arms was so important, that on April 16, 2013, Kansas Gov. Sam Brownback signed SB102 making Kansas the first state to outlaw federal gun control. The bill, titled â€Å"The Second Amendment Protection Act,† declared federal gun regulations â€Å"void and unenforceable in the state,† and it prohibited state and local officials from enforcing any law, order, or treaty of the United States with regard to guns and ammunition† (Parker). Subsequently, states across the country stood by Kanas by advancing their own versions of the Second Amendment Protection Act. According to StandWithKansas, a grassroots website that tracks the push by states to end federal gun control, approximately 30 states introduced versions of the Second Amendment Protection Act in 2013. The model bill listed on the site - which was formulated by the Tenth Amendment Center, a group of lawyers who advocate for protecting all constitutional rights, and subsequently endorsed by Gun Owners of America - prohibits state officials and agencies from enforcing federal gun control regulations (Parker). The 2014 legislative branches of Ohio, Virginia, and Missouri also filed Second Amendment Protection Acts that would ban state implementation of

Sunday, March 8, 2020

Kantianism Nagel, Moral Luck

Kantianism: Nagel, Moral Luck Moral luck is a term used by Nagel to describe the external factors beyond our control, which act upon moral decisions we make. Nagels opinion is that people make moral decisions that may have good or bad intentions, but because of moral luck the outcome may be contrary to what he/she intended. Moral luck can be constitutive, the kind of person that someone is. Some people are born with certain characteristics, which enable them to be more virtuous then others. Others are born with a nasty streak of envy or jealousy, which makes it that much harder for them to make moral decisions. Another type of moral luck is ones circumstances. People are faced with different types of situations and problems, and certain situations make is easier to make the right moral decision. Nagel also describes two types of consequential lucks. One type is antecedent, in which certain consequences took place before the moral act and influence the moral decision to be made. The other type o! f consequential luck is the way actions and decisions turn out. Basically, moral luck is all the outside factors, which are beyond human control. These factors will determine whether a moral act turns out to be found moral by others or by oneself. A student may decide that he will not study for a specific exam because he intends to cheat off his neighbors paper. However, upon arriving to class he finds that all the seats but one in the front of the classroom are taken. The student, who had every intention to cheat no finds himself unable to look at anyones paper and must take the test on his own. This is an example of moral luck. According to Kant the student should be judged as having committed a moral wrong because Kant believes that moral acts must be judged on good or bad will. The student definitely had bad will in this case, however any Consequentalist would say the conseque...

Friday, February 21, 2020

Recent International Contribution on Climate change Essay

Recent International Contribution on Climate change - Essay Example Global warming has lead to significant climate change around the world due to the unchecked human activities and the consequences of the global warming can be observed in very many ways; there is glacial melting in the world highest known mountains. The glacial melting is caused by the rise in the global temperature to the extent that the bonds holding the water molecules in a solid state are weakened allowing the ice to flow down the slope. Sporadic weather and climatic have also characterized the global climatic change leading o varied agricultural yields as well as extinction of indigenous flora and fauna. Global warming thus is perceived by the environmental experts to worsen in the future if the necessary mitigation measures are not taken in the most opportune time possible. The effect of the global warming in climate change has attracted the attention of the international bodies and several conventions have been held to find a lasting solution in ending human activities that accelerates global warming. In the conventions, some of the factors that have been singled as the major contributors of the global warming include, industrial emissions in the industrialized countries coupled with wanton clearing of the natural forests in the developing countries. All these activities contribute to the accumulation of the greenhouse gases in the atmosphere, a recipe for global warming.

Wednesday, February 5, 2020

International tax coursework assignment Essay Example | Topics and Well Written Essays - 2000 words

International tax coursework assignment - Essay Example The international tax system is required to be structured in such a way that any company carrying out its business in more than two countries should be liable to the domestic law of more than one country and the conflict of laws existing between the countries can be resolved by implementing the international law. The company residence acts have been introduced in which the company is considered as the resident of that country where its real business is being carried out. The technical fees services are required to be adopted under which the right to tax is assigned to the respective State of residence. The fundamental change to the international tax explains that the payment for technical services may erode the source country’s tax base. But the payment of technical services is not often taxed by the source country under the provision of United Nation Model Convention Treaty. Therefore the multinational companies often use this technical fees for availing technical, consulting and management services for generating profit from their subsidiaries. The main aim of the base erosion and price shifting is to provide certainty to the international businesses for harmonizing their international tax rules (Thuronyi, 2003). The main reason of addition of this provision to the UN model is that more than 100 treaties have been introduced and formulated but there is absence of proper and definite standard of doing the task. Introduction of different treaty creates a problem for the international tax payers who are required to verify the provisions laid by each treaty for carrying out its business operation within the border and abroad. The OECD transfer pricing guidelines has been formulated for the multinational companies and also for the tax administrations. This principle of transfer pricing is accepted by all the companies across the world. OECD approach associated with the intellectual property explains the functions that is outsourced to the