Pseudomonas Infections Essays - Bacterial Diseases, Pseudomonadales

A pseudomonas infection is caused by the very common bacteria Pseudomonas aeruginosa (say "soo-duh-MOH-nuss ay-roo-jee-NOH-suh"). Healthy people often carry these bacteria around without knowing it and without having any problems. Sometimes these germs cause minor problems like swimmer's ear and hot tub rash. But for people who are weak or ill, these germs can cause very serious?even deadly?infections in any part of the body. The infections are hard to treat because the bacteria can resist many types of antibiotics, the medicines normally used to kill bacteria. Who gets this infection? People in the hospital may get this infection. In hospitals, the bacteria can spread through medical equipment, cleaning solutions, and other equipment. They can even spread through food. When they spread to patients who are weak because of illness, surgery, or treatment, they can cause very serious infections. For example, pseudomonas is one of the main causes of pneumonia in patients who are on breathing machines. Burn victims and people with puncture wounds may get dangerous pseudomonas infections of the blood, bone, or urinary tract. The bacteria can also get into the body through IV needles or catheters. These bacteria like moist environments, such as hot tubs and swimming pools, where they can cause a skin rash or swimmer's ear. People who wear contact lenses can get serious eye infections if the bacteria get into their contact lens solutions. This can happen if you aren't careful about keeping your contact lenses and equipment sterile. What are the symptoms? Symptoms depend on where the infection is. If it's in a wound, there may be green-blue pus in or around the area. If you have swimmer's ear, your ear aches. If the infection causes pneumonia, you may get a cough. When the infections are elsewhere in the body, you may have a fever and feel tired.

the photo of a cheerleader essays

the photo of a cheerleader essays The Photo of a Victorious Cheerleader 2004 In the poem A Photo of Immigrants, the author Robert Wrigley presents a photo where an immigrant family is under the fear and pressure of learning how to deal and live in this new country that they have come to. Like this poem, my photo also represents the stress of a young lady that has to overcome her biggest fear of performing in front of an audience and come out as a champion because that is what all her family expects her from her. Cheerleading is a popular sport these days. They cheer for many different sports, such as, football and basketball and many people go to the games just to see the cheerleaders perform; however, no on knows what is going on before performing. It is June 19th 2004, the sun is out, there is a perfect weather and the Staple Center has never been so full of people as there is today and everyone is waiting to see all the young cheerleaders come out and do what they do best. The time is passing and all the cheerleaders are excited except one, my sister Mayra. She is about fifteen and half years old, she joined cheerleading this year and so far she has had no trouble on getting use to it. However; she has never perform in public, in fact she does not like it. Ten minutes before going to the stage she decides not to participate and let her squad and family down. She is under a lot of tension, she obviously does not know what to do since she does like cheerleading and she knows she can do it , it is just that she is scare and the stress is not e letting her think well. Ever since I have known my sister, I have seen her give up a lot of opportunities just because she lets her fears conquered her. That day she comes up to me and ask me for an advice as a big sister I know I have to tell her not to quit, but most of the time I just go along with what she says so that way she will not disturbed me with her problems. However, this time my parents are invo...

COM 5 informal report Essay Example | Topics and Well Written Essays - 500 words

COM 5 informal report - Essay Example We all were exceedingly happy and anxious to board the plane to Japan. We woke up early that morning and were well prepared to leave United States to Japan. We boarded the plane, Japanese Airline, at 7oclock in the morning on 2nd August and took 8 hours to Japan. At the plane, the stewards and hostesses were exceptionally courteous and hospitable. We were served with drinks and snacks by the stewards and hostesses. On arrival, we were welcomed by airline staff members and taken to the hotel rooms where we would spend the night. The next morning we visited Mitsubishi Motor Company where we interviewed several employees and observed their conduct. Through my interview with Hiroshima Kumamoto, I noted that Japanese companies appraise upholding harmony and excellent reputation with customers and the community in general. Culturally Japan values patience, politeness, hard work, honesty, affiliation and team work. Different cultural settings have different ways of communicating. In reference to Locker and Kiensler (2010), Japanese treasure sitting in silence and calmness (p. 132). They regard United States propensity to squirm and shift as a signal of spiritual and mental balance deficiency. Audiences and interviewers react negatively to restlessness. Japanese use body language to indicate attributes such as respect, confidence, agreement, interest and emotional participation. Moreover, I established that Japanese employees take pleasure in a paternalistic association with their employers and work for one company for all their life. This opposes the Western Companies who try to motivate their workers to maintain the same job. The next day we visited Toyota Motor Company where we established that, In Japan, employee promotion is not based on merit (Locker & Kiensler, 2010, p. 135). This is in contrast to the western primary basis of promoting workers. An employee’s age is the most essential

Strategic change programmes Essay Example | Topics and Well Written Essays - 250 words

Strategic change programmes - Essay Example This shows the failure of the ministry’s procurement department and the unprofessionalism being displayed by the institution which trickles down to the services being offered to Namibian citizens and the rise in maternal-mortality rate. To curb this embarrassing problem, the tender board has allowed the ministry to buy fabric in bulk and train people to manufacture the required uniforms and patient attires. This measure would ensure the ministry has the capability and capacity of providing the necessary uniforms and attire to its staff and patients respectively. By so doing, patients and in particular expecting mothers, would have proper attire and bedding as well as maintain high standards of hygiene in the process thus reducing the risk of maternal-mortality. The uniforms of the staff will also be clearly branded with ministry and government labels so as to make them easily recognizable. This will ensure that the manufacture of these uniforms is not prone to any abuse by ill-minded persons. Therefore, this brings about the element of readiness, in that the programme pre-empts a problem and puts safeguards to solve the problem. The new procurement measures by the ministry will also cater for curtains and linens in addition to staff uniforms and patient attires. This shows the diversity of the programme since it addresses multiple issues all at once. In conclusion, the efforts by the Namibian Ministry of Health and Social Services to stem the country’s rising maternal-mortality rate can be seen in the implementation of the new procurement

Autonomy in Death Essay Example for Free

Autonomy in Death Essay Physician-assisted suicide is a controversial topic with only a few states having legalized it; however, many groups are advocating for its approval. Physician-assisted suicide has ethical limitations that only allow a doctor to prescribe, not administer, a lethal dose of medication for a patient who has been deemed terminally ill with less than six months to live by two physicians. The prescription allows the patient to choose both the timing and setting of death and the physicians only role is provision of medication. This gifts patients with autonomy in their death and relieves the doctor of any moral burden in participation with death keeping this action an ethical practice. Oregon was the first of few states to have legalized physician-assisted suicide but I would like to argue its potential advantages to the entire United States. Ball (2010) said, â€Å"In Oregon the one state in the U.S. where assisted suicide is legal – doctors are allowed to help only state residents who are expected to die within six months† (p.1). Giving terminally ill patients the power to choose a peaceful death demonstrates empathy toward the ill patients and their families. Terminally ill patients without this empowerment face the difficult choice of using limited resources to end their lives if not given the legal freedom to choose how and when they die. The Code of Ethics for Nurses provision 1.4 is the right to self-determination and it states that Respect for human dignity requires the recognition of specific patient rights, particularly, the right to self-determination. Self-determination, also known as autonomy, is the philosophical basis for informed consent in health care. Patients have the moral and legal right to determine what will be done with their own person; to be given accurate, complete, and understandable information in a manner that facilitates an informed judgment; to be assisted with weighing the benefits, burdens, and available options in their treatment; to accept, refuse, or terminate treatment without deceit, undue influence, duress, coercion, or penalty; and to be given necessary support throughout the decision-making and treat ment process. Such support would include the opportunity to make decisions with family and significant others and the provision of advice and support from knowledgeable nurses and other health professionals. Patient should be involved in planning their own health care to the extent they are able to choose to participate (American nurses association, 2001, p.148). Giving this added right to chose physician assisted suicide allows patients the autonomy described in the Nursing Code of Ethics. The purpose of this paper is to argue that physician-assisted suicide is ethical and beneficial because it allows for patient autonomy. â€Å"I would argue that by denying terminally ill people recourse to death with dignity via physician prescribed medication, they are inflicting their own brand of coercion and abuse. The concept of a merciful death needs to be part of this discussion. It is a sad commentary that our society responds to our pets terminal suffering more humanely than to our fellow human beings end-of-life struggles†(â€Å"Death is best approached†, 2012, p. 1). Many feel that denying patients the right to choose is not advocating for their best interest and is a form of abuse. We wouldnt leave our ill family pet alive to suffer so why wouldnt we consider letting our loved ones put themselves out of their misery in a peaceful way? The entire point is to give the public a choice. It would still be up to each individual to decide whether or not to exercise that right if their physician deemed their situation appropriate. The Code of Ethics for Nurses says that â€Å"Respect for human dignity requires the recognition of specific patient rights, particularly, the right of self-determination† (American nurses association, 2001, p.148). This statement implies that the patient should have the right to make end of life decisions on their own. When terminal patients are in pain and suffering, they may not have the strength or will to fight any longer. It is cruel to prolong a patients pain and suffering and deny their autonomy to make the decision of having a peaceful death. Also, it can be argued that when patients have their mind set on ending their lives, they tend to follow through on their own even if their physician cannot assist them. This may lead to a more traumatic death and a scene that can be quite traumatizing for the family member or friend who finds their loved ones remains. The alternative is a prescribed medicine that the patient may take home, choosing the preferred place to die, to allow the patient to die peacefully without sustaining disfiguring injuries thus allowing them a more dignified burial if the family chooses to view the body one last time. However, in most of the United States, physician-assisted suicide is still illegal so very few Americans are afforded the right to choose to end their life when they are terminally ill. Because physician assisted suicide was brought to the publics attention as an option by the unconventional tactics of Dr. Jack Kevorkian, the idea of legalizing this was tainted from the beginning, making many states hesitant to allow assisted suicide. Miller (2011) notes that â€Å"Jack Kevorkian rose to national prominence as Dr. Death, a physician who insisted that sometimes a doctors first duty to his patient was to help him die. The retired pathologist, who became an assisted suicide advocate claiming to have had a hand in 130 deaths in the 1990s, helped spark a national debate over euthanasia† (p. A5). Jack Kevorkians tactics were questionable because he publicized the deaths of elderly, disabled, and terminally-ill patients using inhaled carbon dioxide or using his self-made suicide mach ine. Although the patients had asked for Dr. Kevorkians assistance to end their suffering by assisting in their suicide, he received a lot of negative attention because he publicized his assistance in this process by encouraging CBS to broadcast a video of himself injecting a cocktail of lethal drugs into a patient suffering from Lou Gehrigs disease (Miller, 2011). After much backlash from the public over the fact that he actually injected patients with lethal drugs, he developed a suicide machine which allowed the patient to press a button that caused the machine to administer a mixture of sodium pentothal and potassium chloride which was first used on Janet Adkins, a 54 year old sufferer of Alzheimers disease (Miller, 2011). The last thing Janet Adkins said was, You just make my case known,' Dr. Kevorkian told the Associated Press† (Miller, 2011, p. A5). Although his tactics were extreme and caused a lot of public controversy, his patients wanted to end their suffering and his act ions caused others to advocate for ethical standards to be put into place for legal physician assisted suicide while at the same time completely turning others away from the concept of legalizing euthanasia. Dr. Goodwin, a general practitioner, said he began advocating for the right to help terminally ill people die after listening to his patients (Miller, 2012). They want autonomy at this time, to be allowed to die at home with the comfort and support of their families, Dr. Goodwin said in a 2001 interview (Miller, 2012, p. 1). Because of the extreme tactics used by Jack Kevorkian, who initiated the debate on legalizing euthanasia, many people view those who advocate for the clients right of physician assisted suicide as cruel or lacking in empathy for patient and families. However, â€Å"Peter Goodwin, a family physician who wrote and campaigned for Oregons right-to-die law in the 1990s, died after taking a cocktail of lethal drugs prescribed by his doctor, as allowed under the legislation he championed. Dr. Goodwin, 83 years old, had been diagnosed with a degenerative brain disorder similar to Parkinsons disease and had been given less than six months to live.†(Miller, 2012, p. 1). Dr. Goodwin believed in a patients autonomy in death so much that he chose to exercise his own rights in the same fashion in order to end his own suffering. In an interview with the Oregonian, the local newspaper in Oregon, Dr. Goodwin said that his health was deteriorating and he would soon end his life. â€Å"His family gathered to bid him farewell. The situation needs thought, it doesnt need hope, he said. Hope is too ephemeral at that time†(Miller, 2012, p. 1). This clearly articulates the feelings of a terminally ill man towards the importance of autonomy in concern of his own death. â€Å"End-of-life decisions are not arbitrary or impulsive. Why shouldnt a person choose to end his or her life with dignity if it is obvious that all options for leading any kind of meaningful life are non-existent? I would think any modicum of compassion would respect such a momentous, personal decision. Suffering, physical and mental, and the anguish it causes should produce empathy for t he patients wishes and desires, even if they run counter to our own sense of rectitude. It is not about us. Its about the patients right of autonomy. We need to understand that it is ultimately his or her decision to make, not ours†(Death is best approached, 2012, p. 1). In this statement, an unknown author expressed the utmost sympathy for those suffering from terminal illness. Physician assisted suicide is ethical as it demonstrates compassion and empathy towards someone elses pain, suffering, and rights. There is nothing cruel about autonomy over the decision to die. These kinds of laws need to be considered using a deep emotional understanding of the terminally ills feelings and problems. Other countries have legalized euthanasia and have less restrictive laws which allow them to provide services for foreigners. Because of this, if all United States citizens arent granted the autonomy they desire in their own country they will still be able to get the results they so desperately want but the outcome may be more painful to family members whose loved ones would end up dying in other countries and in less desirable conditio ns. Mr. Minelli, who is head of Dignitas, a Swiss company that provides euthanasia services only to foreigners, said that â€Å"a memory of his seriously ill grandmothers pleading in vain with her doctor to help her die left him with a particular interest in Switzerlands growing right-to-die movement, and he joined one of the main groups. In 1998, he quit to found Dignitas†(Ball, 2010, p. 2). In 2008, his neighbors complaints forced Dignitas out of his rented apartment that he had been using to conduct the assisted suicides and Zurich city officials refused permission for a new venue. In response to this Mr. Minelli organized suicides in cars, a hotel room, industrial sites, and his own home which drew the attention of local officials. Someone who is used to a five-star hotel cant come to Dignitas and expect the same, says Mr. Minelli†(Ball, 2010, p. 2). Is it really beneficial to force terminally ill patients into a foreign country to a harsh environment to grant them the freedom to end their own lives? If terminally ill patients really want a physician assisted suicide, they will find another setting in which they can achieve one but allowing patients to have one in their own country optimizes the setting and allows for more family support near the time of death. It also saves the family the trouble of getting the body of a loved one from a foreign country after t he time of death and allows the family to begin funeral arrangements sooner so that they can go through the stages of grieving that they need to in order to move forward with their own lives. This act of ending the life sooner also spares the family the pain of watching their loved one suffer longer than they want to. Another benefit to approving physician assisted suicide is that just know that the option is available can be therapeutic for terminal patients. â€Å"Mr. Minelli argues that making assisted suicide available removes a taboo around suicide, helping people who want to kill themselves open a dialogue and seek help. About 70% of people who get the green light from Dignitas for an assisted suicide never contact the group again, proving the palliative effect of knowing help is available, he says†(Ball, 2010, p. 2). This clearly proves that just knowing that euthanasia is an option is enough to help patients carry on with terminal illness. Even if a patient chooses never to exercise the right to a physician assisted suicide, the knowledge that they have an option for a way out of their suffering is comforting in itself. Craig Ewert was a retired university professor who suffered from Amyotrophic Lateral Sclerosis (ALS) or Lou Gehrigs disease. He decided to end his life because he wanted to make this decision before he lost the ability to decide his own fate, overcoming the resistance of his doctors (Ball, 2010). When youre completely paralyzed and cant talk, how do you let someone know you are suffering? he told a television interviewer before his death in September 2006. This could be a complete and utter hell (Ball, 2010, p. 3). Mr and Mrs. Ewerts were from the U.K. but they traveled to Switzerland and chose Mr. Minellis group, Dignitas, because it accepts foreigners. Mrs. Ewert said that had she not been able to travel to get her husband the assisted suicide services that he desired she may have been forced to help her husband die and she worried that she wouldnt have known exactly what to do (Ball, 2010). She defended Mr. Minelli saying Sure, there have to be some protections for people, but I think were going way beyond what there needs to be, I admire Minelli for being willing to take the heat (Ball, 2010, p. 3). Because Craig Ewert was allowed to make his own decision to die, his wife was spared the pressure that he may have put on her to help him end his life. Furthermore, had he been denied the right to make his own decision and his wife Mary had been coerced to help him commit suicide, there would have been extreme emotional and possibly even legal consequences to her action despite the fact that it was her husbands wish. This is a situation that may Americans are also threatened with because physician assisted suicide is illegal in most of the country. All United States citizens should be afforded the right to choose a physician assisted suicide if they have been deemed terminally ill because this freedom shows compassion and empathy towards the patients suffering. If patients arent allowed to legally choose death here, they may travel to another country to receive services or chose to carry out suicide on their own. If patients chose to take matters into their own hands this would be harder on the patient as the death would probably not be as peaceful as the lethal injection that the physician would prescribe and if would also be harder on the patients loved ones. If patients decide to go to another country to achieve the death they desire they would lose the privilege of dying in their own comfort zone and the distance would make the death harder on the family to make funeral arrangements and move on with their own lives. The Code of Ethics for Nurses stated that â€Å"Respect not just for the specific decision but also for the patients method of decision-making is consistent with the principle of autonomy† (American nurses association, 2001, p.149). Regardless of whether or not we understand an individuals motivation for seeking a physician assisted suicide, nurses should support the autonomy that patients needs to make this choice on their own. Giving terminally ill patients autonomy in their death, by making physician assisted legal for every United States citizen, is only giving patients additional rights that they may or may not chose to exercise and is the most compassionate way to show empathy for those who are dying.

Free College Admissions Essays: A Good Role Model :: College Admissions Essays

A Good Role Model It is easy to answer some hard questions such as what does DNA (Deoxyribonucleic acid) stand for. One who studies in microbiology gets that answer in one second. For some easy questions, where does your character and personality come from? it is hard to answer such easy questions. One needs more time to get the answer. Psychologists may be concerned about one's childhood period and family environment. The character and personality is under the control of inherited genes but also is influenced by the environment. It is generally believed that the influence came from a family member during the childhood period and would spread to adulthood. To make a good character and personality for children, a family member needs to be a good role model. The essay "An American Childhood" by Annie Dillard is a good example of how a family member has influence on the children. This essay expresses her idea about her mother when the author looks back at her young age. Children will copy his or her character from the nearest person around them and develop this process until they mature. Family members would be the biggest influence to young children. A young girl imitates her mother and a young boy imitates his father, respectively. From the essay, Dillard said a lot about her mother's character and emotion in many points. Her mother is a strong and independent woman. The author says, "She was an unstoppable force; she never let go"(210). She means that her mother has strong energy to get something done and she never stops until it is accomplished. Her mother's character might differ from other ordinary women at the same time in the early 1960's. Her mother develops the seed of character and personality, which is the great impact and inf luence on her. For example, her mother questioned her about her assumption that Eisenhower would win the election. "How do you know?"(210) her mother questioned her. She said that everyone says that Eisenhower would win. Her mother asked "Did you ask everyone?"(210); She would definitely say that her mother was a straightforward person who questioned every detail in conversations. She had more and more unusual characteristics such as she persuaded the U.S. Post Office to let her keep her old address forever. The author may have learned not to be critical, but also taught her daughter to be independent and strong.

Self Reflection Mbti Type

Self Reflection: Myers-Briggs Type Indicator Christopher Wright Seton Hill University Principles of Management, SBU 180-98, ADP Session 2 Lyzona Marshall, 10/15/12 Who are ENTJ’s? ENTJ’s are one of sixteen personality types, making up about 3-5 percent of the American public. ENTJ’s are Extroverts, Intuitive, Thinking, Judging personality types. They tend to be natural leaders, who make decisions based upon objective analysis, weigh pros versus cons, arriving at logical decisions.They often express opinions, messages, directions, plans, and goals clearly. ENTJ’s like to get right to the point without any unnecessary outside noise. Business leaders who are ENTJ’s are effective in communicating the company’s goals and direction, setting the standard by which expectations are measured. These types of leaders think big picture, what is going to happen in future and how do I need to plan for it, not getting caught up in the now.What do the letters ENTJ mean and what are the associated pros and cons with the individual letters as a manager? E – Extrovert. An extrovert could excel in negotiation, while they could be a hindrance in conflict resolution. N – Intuitive. Intuitive thinkers would help in business development but would slow down analyzing financial statements. T – Thinking. Thinking types would help in analyzing headcount to cost ratio but would hinder discussion in performance reviews with employees. J – Judging.Judging types would benefit business expansion or project management but would interfere with analyzing costs. Some additional pros and cons associated with ENTJ’s are critical thinkers, planners (plan for everything, including back up plans), level headed (ability to stay calm in a crisis or stressful situations), calculated risk takers, orderly, self centered or arrogant, trouble expressing affection, opinionated or stubborn, set unrealistic expectations, hasty decision m aking, critical of incompetence or inefficiency, not free with compliments.An ENTJ is a leader, direct approach type. They are big picture thinkers, identify potential problems, and create a plan to change those problems. However, ENTJ’s must develop their Intuitive and Thinking skills or they run the risk of not being able to apply logic to their ideas. This could lead an ENTJ to become dictatorial and abrasive.