Friday, February 14, 2020

Chronic Condition Essay Example | Topics and Well Written Essays - 2250 words

Chronic Condition - Essay Example ferrals the patient needs. The goals of this are established to ensure a thorough assessment of chronic diseases and their impact on patient’s physiology, as well as their psychology. Body End-stage renal disease, according to Patel (2009) is the â€Å"complete, or almost complete, failure of the kidneys to function. The kidneys can no longer remove wastes, concentrate urine, and regulate many other important body functions†. This disease can come about when the kidneys are no longer able to carry out their normal function. It is often seen with the kidneys functioning at less than 10% of normal functions (Patel, 2009). This disease is known to worsen within 10-20 years, before reaching end-stage levels. Patients at this stage require dialysis or a kidney transplant. Mostly, this disease is caused by diabetes and hypertension. In end-stage renal disease, the urine volume may decrease or may even stop, and patients afflicted with this disease require tests to assess the levels of the following: potassium, sodium, albumin, phosphorous, calcium, cholesterol, magnesium, complete blood count, and electrolytes (Patel, 2009). These tests would help establish the general condition of the patient and establish the necessary remedies which must be undertaken to ensure adequate care. Experience of your patient compared with the typical lived experience of those with this condition Donna, 37 years old, was first admitted two years prior to her current admission, with complaints of insomnia and frequent headaches. She expressed that she often woke up in the middle of the night and had trouble getting back to sleep soon after. She also experienced increasing bouts of headaches which could not be relieved by pain relievers. She also described feeling generally weak and easily exhausted. She also complained of hiccupping frequently, sometimes burping frequently, even when she has not eaten anything. Her husband also noted that she seemed to be darker as compared to before when she had lighter skin. She then sought consult with her GP who ordered some initial tests including blood work and urinalysis. Her initial results, prompted more tests to be undertaken until repeated confirmatory tests indicated that she had high creatinine levels which strongly indicated a diagnosis of chronic kidney disease. She was later admitted for AV Fistula (AVF) surgery in preparation for her dialysis. A month after her AVF, she was scheduled for dialysis. A kidney transplant was also recommended for her. Initial cross-matching tests from immediate relatives revealed no organ matches. In the meantime, her name was entered in the waiting list for patients needing new kidneys. Meanwhile, she was required to have weekly injections of erythropoietin, as well as daily medications for a variety of drugs which are meant to manage her potassium, sodium, as well as blood pressure. After one year from her initial consultation, her creatinine levels increased to levels re quiring dialysis.

Saturday, February 1, 2020

Whether or not there would be a time to use deadly force against an Essay

Whether or not there would be a time to use deadly force against an unarmed suspect, based on the provision of the case - Essay Example est." (Justia.com, 2011) In this case, suit was brought by the victim’s father in the United States District Court for the Western District of Tennessee under the Civil Rights Act of 1871. The suspect was fleeing and had been seen by officers to appear to be unarmed, in this situation the use of deadly force regardless of the Tennessee statute would have been a negative and was proven to be such upon a reversal by the court. Is the use of force ever justified when a suspect is unarmed? This question can be answered by noting a legitimate study regarding movement capabilities of individuals. If a suspect is making threatening gestures and furtive movements and is not attempting to flee an officer may be justified in using deadly force. According to Dennis Teuller in an article for the Police Policy Studies Council, â€Å"It would be safe to say then that an armed attacker at 21 feet is well within your Danger Zone.† (Teuller, 2004) This is based on a test in which several participants of varying physical ability, sex, race and age were placed 21 feet from a subject, and at a timer the â€Å"assailants† ran towards the subject and attacked them. The averag e time is generally around 1.5 seconds and shows that an unarmed attacker can still engage an officer in a very short amount of time. Using this test and the findings of the court case which stated, â€Å"†¦the officer has probable cause to believe that the suspect poses a significant threat of death or serious physical injury to the officer or others.† (Justia.com, 2011) If an unarmed or visibly unarmed suspect makes a furtive movement, which is defined as a movement which shows the intent to attack the officer, or moves towards the officer instead of fleeing then the officer would be correct in employing deadly force. If however, the suspect is attempting to flee and is visibly unarmed and no violence has been committed at the time that the officer is aware of then the use of deadly force should be