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Sunday, August 23, 2020
Saturday, August 22, 2020
The House of Dies Drear free essay sample
Likewise, in part 19, which is additionally the finish of the book, Virginia Hamilton utilized another cliffhanger, which drove us to the following book, The Mystery of Drear House. That way, it will give individuals the thought process to peruse on to the following book and make the perusers anxious to peruse the following book. Illustration uncovered all through the book, for example, The stream in the channel. The secured boards are the drawbridges, Thomas thought. What's more, the place of Dies Drear is the château. For this situation, the place of Dies Drear is being contrasted with a mansion, it gives us a baffling state of mind, and the force can make the story more fascinating than trying to say everything clear. Virginia Hamilton utilized the plot structure/plot graph in her book. Starting, rising activity, peak, falling activity and completion. The start of the story is the point at which the Smalls moved in, rising activity in when they thought about the foundations of the house and Pluto. We will compose a custom article test on The House of Dies Drear or on the other hand any comparative point explicitly for you Don't WasteYour Time Recruit WRITER Just 13.90/page Peak is the point at which they had their retribution on the Darrows. The falling activity will be the spin-off of The House of Dies Drear. I locate this intriguing in light of the fact that Virginia Hamilton composed The Mystery of Drear House likewise, yet she began taking a shot at it 18 years after the principal book was distributed. The spin-off was about what occurred after, and clarified most pieces of the secret in the main book. She, herself additionally said that ââ¬Å"I started it by searching for an opening, something I hadnââ¬â¢t done in the main book. ââ¬Ë What did I miss doing in Dies Drear? ââ¬â¢ I asked myself. ââ¬ËIs there anything I forgot about I can get in the subsequent book? ââ¬â¢Ã¢â¬ Throughout the subsequent book, she generally understood all the secrets in the primary book, which went about as a falling activity and the closure. Not a great deal of writers choose to place the consummation in a different book. Likewise, the author utilizes some expressive impacts to make the story fascinating to peruse. For example, illustrative words and implication. In the book, Virginia Hamilton utilized a great deal of spellbinding words to make the book all the more intriguing. For example, Onomatopoeias, the word murmured around them, halting Mr. Smallââ¬â¢s progress ahead. It can cause the perusers to have a distinctive picture in their brain, to make it progressively sensible all through sounds and word portrayals. Additionally, implications can cause individuals to identify with the history and comprehend what something implies. For example, Plutoââ¬â¢s name, was from the Roman divine force of death. This suggestion gives the perusers a jerk contemplated Pluto and they can relate it both to what Pluto have done in the book and to his nameââ¬â¢s meaning. To finish up, I feel that The House of Dies Drear is compelling a direct result of its structure, secret and chronicled fiction, which made the book all the more intriguing. The ordinary structure of plot yet broke in to 2 pieces. Last the utilization of words and inference in the book made it fruitful.
Wednesday, July 15, 2020
Cannabidiol and Its Effects
Cannabidiol and Its Effects Addiction Drug Use Marijuana Print Cannabidiol and Its Effects By Elizabeth Hartney, BSc., MSc., MA, PhD Elizabeth Hartney, BSc, MSc, MA, PhD is a psychologist, professor, and Director of the Centre for Health Leadership and Research at Royal Roads University, Canada. Learn about our editorial policy Elizabeth Hartney, BSc., MSc., MA, PhD Medically reviewed by Medically reviewed by Steven Gans, MD on August 05, 2016 Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our Medical Review Board Steven Gans, MD Updated on May 26, 2019 Khmanglo/Flickr More in Addiction Drug Use Marijuana Cocaine Heroin Meth Ecstasy/MDMA Hallucinogens Opioids Prescription Medications Alcohol Use Addictive Behaviors Nicotine Use Coping and Recovery Cannabidiol, or CBD, is an active ingredient in the drug cannabis, also known as marijuana. CBD is the second-most widely recognized element of marijuana, after delta-9-tetrahydrocannibinol, or THC. Marijuana contains over 400 different active substances, with THC and CBD being just two of its 60 different cannabinoid molecules. Effects of Cannabidiol There is increasing evidence that CBD may have potential therapeutic benefits, including anticonvulsive, sedative, hypnotic, antipsychotic, and neuroprotective properties. It also has an anti-inflammatory effect, which in animal studies has been found to be several hundred times that of aspirin (acetylsalicylic acid). Because CBD produces its biological effects without acting significantly on the brains cannabinoid receptors, it does not cause the unwanted psychotropic effects that are characteristic of other marijuana derivatives. This gives it a potentiallly high potential to be used in the development of various forms of medical marijuana. A study comparing THC with CBD showed that some of the unpleasant aspects of the marijuana high, such as anxiety and paranoia, appear to be caused by THC, and alleviated by CBD. Although complex, studies have shown some neuroprotective effects of CBD. Research comparing the brains of chronic marijuana smokers and the amount of THC and CBD on hair samples indicated that, while THC appears to have a neurotoxic effect, diminishing grey matter in areas of the brain, CBD appears to have a neuroprotective effect on the same areas of the brain. Another study looking at the effects of various drugs on the development of dementia showed that CBD may have some positive effects, including the reduction of symptoms of psychosis in people with Parkinsons Disease. However, it is too early to say whether CBD could be used to prevent dementia, a condition which the medical system is struggling to cope with as it is reaching epidemic proportions among the aging population. There is also some research to suggest that CBD may reduce symptoms of psychosis in people with Parkinsons disease. Amount of Cannabidiol in Cannabis Despite the current view that CBD appears to be both a positive agent in and of itself and a potential modifier of some of the negative aspects of THC, reports of how the constituents of cannabis have changed over the first decade of the 21st century are concerning. Typical reports of the amount of THC and CDB in cannabis has been around 4% of each substance. In contrast, high potency strains of marijuana that have been developed more recently, such as sinsemilla, or skunk, are reported to contain 16-22% of THC, and less than 0.1% CBD. This might explain the recent increase in cannabis-related cases of psychosis.
Thursday, May 21, 2020
Reflection Paper On Self Awareness - 1337 Words
The IAT self-awareness reflection paper will discuss personal reactions to the results of the exercise. It will also reflect on personal development towards being culturally competent counselor and the areas of growth. In addition, the paper will identify certain techniques to improvise counseling with LGBTQI+ clients. Reactions: My result of the IAT self-awareness test showed slight preference towards the straight people over gay people. Although the test results showed slight preference towards the straight people over gay people, I wondered about the validity of the test. Some IAT test results have been inaccurate and I wondered if little to no preference to straight people would make me a perfect counselor for LGBTQI+ clients? Wouldâ⬠¦show more contentâ⬠¦It seemed to me that community would value creativity, freedom, liberty, and justice. Before I read chapters, it appeared that my understanding towards building relationships and connections was unitary. Unfortunately, the flow of love, kindness, and compassion for some people may be prejudiced. It was disheartening to read about discrimination, and lack of freedom, liberty and justice towards LGBTQI+ people. It is a sad demise of a portion of society that disregards autonomy, justice, and integrity for all. According to Ginicola, Smit h, Filmore, and Joel M. (2017), ââ¬Å"Proponents of the liberty laws do not see that the laws are allowing discrimination while taking liberty and freedom away from othersâ⬠(p. 13). Therefore, it is important for me to advocate for the LGBTQI+ people in counseling and be their ally. The readings helped in raising my consciousness and building awareness about the consequences of discrimination on mental health of the LGBTQI+ people. I learned that certain religious beliefs and structure of the family might manifest shame and guilt in the person with ââ¬Å"variant genderâ⬠(p. 13). It was a humbling experience to be aware and generate cognitive shift for advocating for the human rights of the LGBTQI+ people. As a counselor, I learned to be an ally who not only advocates for the Minority rights, but also empowers the gender and affection orientation of the LGBTQI+ people. It is important to me toShow MoreRelatedSelf Reflection And Self Awareness Reflection Paper1054 Words à |à 5 PagesCodependency: Self-Reflection and Self-Awareness Reflection Paper In the last several weeks, I had an opportunity to look back and analyze the events that has shaped my life. This was a unique experience where I was emotionally comfortable enough to look back at life. I was able too objectively revisit many events that were often buried and too painful to face. While doing this, I felt I had finally become free from the turmoil of fears of failure, anger, regret and isolation, which often cloudedRead MoreReflection Paper On Self Awareness2252 Words à |à 10 Pageshelp me understand myself in a way that inspires growth; the questions and structure of the assessment resonated with my true feelings, inciting reflection, and making me more transparent. Dissecting my personality type has improved the understand of myself and others, allowing me to appreciate my strengths more, and improve my weaknesses. Self-awareness is a powerful mechanism for evaluating individual, group, and organizational dynamics in and way that is enriching and positive. Becoming a betterRead MoreReflection Paper On Self Awareness Essay1811 Words à |à 8 PagesSelf-Awareness Today I was apprehensive as it was my first time in a clinical experience. Based on my perspective that cancer ends in death and is full of struggles for the individual, I began feeling very depressed when meeting each patient. I began to realize this is the case as two out of the three patients I had met, had cancer and I became very quiet and did not know what to say to them as the nurse was hanging chemotherapy. I have hope that as time goes on I will learn how to overcome thisRead MoreThe Link Between Time, Money and Morality Essay979 Words à |à 4 Pageswhereas the time leads to self-reflection, which directs people away from unethical behaviour. Although methodologically sound and the link clear, the paper focuses on the direct relationship between wanting money and behaving dishonestly. The paper could be made more applicable by considering impacting factors that affect unethical behaviour and focusing less on suggesting greed and lack of self-awareness as the reason for che ating. Being a primary focus of the paper, time was operationally definedRead MoreCritical Reflection On Self And, And Challenging External Power Structures804 Words à |à 4 PagesSelf-directedness or self-affirmation, and challenging external power structures begins with challenging our own assumptions and developing moral courage to bring to supervision and peers. We can begin identifying assumptions that oppose our interests that potentially harm service users (Bloom, 2006). Through critical reflection we have a better understanding of power relationships, which makes us mindful of not perpetuating peopleââ¬â¢s experiences of oppression in our working relationships with themRead MoreIMPLEMENTATION OF ACTION PLAN998 Words à |à 4 PagesGrand Canyon University RDG 580: Practicum in Reading July 28, 2010 Abstract In this paper the author of this paper will reflect upon the third week of the implementation of an Action Plan created for a struggling student. Additionally this paper contains a Creative/Critical Thinking Reflection Form, and a Practicum Activity Log Summary. Week Three Reflection Tutoring continues to proceed in a positive venue, and the Student A has enjoyed the sessionsRead MoreEssay about Characteristics of an Effective Counselor1693 Words à |à 7 Pagescomplete this research paper. Thanks! Abstract The characteristics that make up an effective counselor are the personality traits that really define the counselor. Several leaders in the field of counseling have listed many of these personality qualities; self confidence, high energy level, optimistic, sense of humor, neutrality, flexibility, emotional stability, risk-taking experience, analytic thinking, creativity, enthusiasm, honesty, sensitivity, hope, self control, awareness, and knowledge. TheRead MoreLeaders Are Born Not Made1254 Words à |à 6 Pagesorganization. In my opinion, great leaders are the ones who inspire and motivate the employees to be the best they can be. We have all heard the saying that ââ¬Å"leaders are born not madeâ⬠, but I would argue great leadership takes a heavy dose of self-reflection and discipline, along with consistent and constant educational and mentoring experiences. Having been in leadership roles for over 22 years of my life, I can assure you I am not the same leader today, that I was 20 years ago. The key for organizationalRead MoreSelf Awareness And The Social Work1603 Words à |à 7 PagesSelf-awareness and the use of self is a key component in social work practice. Depending upon how one integrates their personal being and accompanying thoughts, experiences, emotions, and consciousness into the helping profession has a profound impact on whether that integration is positive or negative, particularly when it comes to that of oneââ¬â¢s relationships with their clients. While remaining impartial is often critical to effective social work practice, the complete separation of self from oneââ¬â¢sRead MoreEthics Reflection Paper Str 581 Week 11312 Words à |à 6 PagesRunning head: WEEK 1; ETHICS REFLECTIONS PAPER Assignment: Week 1; Ethics Reflections Paper By Judith Judson STR 591 ââ¬â Phoenix Campus University of Phoenix Facilitator: Dr. Mark Kolesinsky Week 1, July 18, 2012 Ethics Reflection Paper In the last decade, ethics in corporate America has become highly publicized following the discovery of unethical and fraudulent business practices in major corporations. Practices at Tyco, Enron, Arthur Anderson, and WorldCom, among others,
Wednesday, May 6, 2020
Business Structure Of Australia, Particularly Company And...
Introduction This report will analyse the pros and cons of various business structures in Australia, particularly company and trust. Jack and Jill are running a business, which produces income of $350,000 in 2015 and 2016. This report will highlight tax calculation under Company and Trust structure. At the end of the report there will be a recommendation of which is the most effective business structure to minimise tax payable and how to boost superannuation for better retirement. Company Div. 1 ââ¬â General, Corporation Act 2001 Unlike trust, a company is a separate legal entity in Australia. Generally, a company has the same rights as a natural person and can incur debt, sue and can also be sued. In this business structure, everyâ⬠¦show more contentâ⬠¦Company pat its own tax liability, and individual also pay tax liability based on their marginal tax rates (franking credit may available for dividend paid by the company to the shareholders). A company pays income tax at a flat rate 28.5% from 1 July 2015 on its taxable income (only applied for company that has turnover of $2 million or less)(Australian Taxation Office, 2015) The company owns the assets of a company and it is liable for any debts incurred. This is why this type of business structure appear to be a high-risk business ventures. Generally, the assets of the owner will not accessed to wipe off any companyââ¬â¢s loan, debts or liabilities. However, there are some exceptions applied. Financial institutions have the right to require a personal guarantee against loans or overdrafts. A personal liability could be arisen if debts are caused by recklessness, negligence or fraudulence (Australian Taxation Office, 2015). Proprietary Company (Pty Ltd.) Section 45A Corporation Act 2001 A company can be formed as private, and it is known as ââ¬Ëproprietaryââ¬â¢. This type of companies is mostly family owned and does not listed on the Australian Stock exchange (ASX). A proprietary company has less than than 50 non-employee shareholders and. A proprietary company is not permitted to offer shares or securities to the public. It is required to have at least one director and shareholder, and at the director or the shareholder has to be ordinarily reside in Australia
Nanotechnology in Medicine Free Essays
Nanotechnology in Medicine When thinking of Nanotechnology one could think of the movie G. I. Joe: The Rise of Cobra. We will write a custom essay sample on Nanotechnology in Medicine or any similar topic only for you Order Now In the movie Cobra steals nanotech warheads and attacks the Eiffel Tower and it is destroyed by molecule sized machines in a matter of minutes. At this point in time nanotechnology is nowhere near this far along. Nanotechnology of today is about manipulating different types of matter on a molecular scale thus making them stronger and more durable (Williamson, Kenneth D. New Products). Hopefully weââ¬â¢ll be able to create the nanobots of G. I. Joe in the near future but for now it is just science fiction. With the science of nanotechnology we can revolutionize the field of medicine like never before, destroy cancer in the human body without killing the host body and revolutionize diagnostic imaging technology. Nanotechnology in medicine is often referred to as Nano medicine. One of the first uses of nanotech in medicine was in the early nineties. Silver Nano crystals were developed and used as an ant-microbial agent in healing infections (Nanotech in Med. ilver coatings). Another use is in burn treatment. The burn dressing applied to burns is loaded with nanoparticle sized antibiotics that are released when encountering a foreign organism (Nanotech in Med. ) Another positive use for preventative care is the use of ââ¬Å"Buckyballsâ⬠. Buckyballs are an accidental discovery made by Richard Smalley in the early 1980s; they are a form of carbon which has been found to be able to purify any kind of water thus preventin g people from catching water borne sicknesses (Nanotechââ¬â¢s Impact). Currently the fight against cancer uses the bloodstream as the delivery system for toxic drugs. A cancer patient in the process of taking these drugs is subjected to a mind numbing array of horrible side effects. In 2012 a company, Bind Biosciences submitted clinical data on their use of nanotechnology to fight cancerous tumors. Their data shows that more of the cancer drug is delivered to the tumor and that there were marked improvements in anti-tumor activity. This process also reduced the toxicity to the patients and there was no new toxicity problems noted (Clinical Data. Bind 014). This process will eventually be able to be used with all cancer types as soon as the process is approved. In the past it was hard to determine the exact position and shape of cancer tumors and impossible to deliver cancer fighting drugs to the tumor itself. With the advancement of diagnostic imaging it is now possible to deliver these drugs directly to the tumor itself. Now a person is injected with or drinks something infused with nano-particles and allows scientists a sharper image of the personââ¬â¢s body (Nanotech. Emerging Tool). When patients drink the dye for M. R. I. imaging the dye wouldnââ¬â¢t last. Now the nano-particles being used have a long shelf life inside the body and can be used in subsequent imaging sessions (Nanotech. Emerging Tool). With nanotechnology it is also possible to track an individual cell through its journey in the body (Nanotech. Emerging Tool). At this time the United States of America has invested three point seven billion dollars in its own nanotechnology program and most other developed countries are following suit (Nanotech. Wikipedia). Within the next fifteen years there are going to be some major leaps in technology due to the use of nanotechnology and the human life experience is going to be better than ever before in human history. It is already changing life as we know it and most people donââ¬â¢t even realize it. Works Cited Bennet-Woods, Debra. ââ¬Å"Nanotecnology in Medicine:Implications of Converging Technologies on Humanity. â⬠Nanotecnology in Medicine:Implications of Converging Technologies on Humanity. 49. 4 (2006): 54-59. Web. 8 Apr. 2013. ââ¬Å"Bind biosciences presents clinical data on bind 014. â⬠www. understandingnano. com. UNDERSTANDING NANO. COM, 3 22 2013. Web. 3-22-2013. Ckakraborty, Mainak, Surangna Jain , and Vibha Rani. ââ¬Å"Nanotechnology:Emerging Tool for Diagnostics and Therapeutics. â⬠ProQuest. Appl Biochem Biotechnol, 17 Aug 2011. Web. 8 Apr 2013. ââ¬Å"Nanotechnology. â⬠wikipedia. wikipedia, 4 7 2013. Web. 7 Apr 2013. (ââ¬Å"Nanoparticles and Their applications. â⬠Nanogloss. com. N. p. , 3 20 2013. Web. 3-20-2013. Williamson, Kenneth D. ââ¬Å"Nanotechnology. â⬠Charleston Newspapers 18 Nov 2007, Sunday Gazette 1C. Web. 8 Apr. 2013. ProQuest www. understandingnano. com. â⬠www. understandingnano. com. understandingnano. com, 3 20 2013. Web. 8 Apr 2013. How to cite Nanotechnology in Medicine, Essays
Friday, April 24, 2020
Management of violence Essay Example
Management of violence Essay . Management of disturbed/violent behavior in-patient in psychiatric units was started to deal with systems arising such a attempted suicide, drug addiction, acute alcohol intoxication, violence and occurrences of delusions, panic attacks and some changes in the behavior in the mentally ill patients (Soyka, 2000).à This resulted to the formation of emergency psychiatry that monitors the occurrences and nature of these symptoms and other appropriate treatments and prevention measures. (Crighton, 1995, p22). Violent in this case refers to using or tending to use aggressive physical force or involving unlawful exercise of force. Aggressive act or behavior means being forceful, attacking without provocation. Violent/aggressive behavior in inpatients therefore means use of force by these people in different setups and is characterized by factors such as psychotic symptoms, non-compliance with medication and treatment, and drug abuse (Shah, Fine berg and James, 1991). Guidelines on mana gement of Disturbed/ violent behavior in inpatients settings and emergency departments for mental health assessment was started by NICE in collaboration with NCC-NSC.The guidelines provide that before any treatment was carried, risk assessment was very assential. This is a very important part of care and treatment of all patients (simon, 1992,p50). Risk assessment provides the positive predictive validity of short-term psychiatric in inpatient-disturbed behavior (Haller and Deluty, 1988). The assessment should focus on static factors such as history of violent behavior, demographic information and diagnosis without taking an individual service user needs into consideration (Sheridan etal, 1990). Most patients with severe aggressive behavior have been admitted in special closed rooms. These patients are normally confined in a closed room that may be locked to protect others from significant harm (Brizer, 1989, p49). This is seclusion and it means the supervised confinement of a patient in a room, which may be locked to protect others from significant harm (Melo, 1991). However seclusion should be used as the last resort for the shortest time possible and the clinicians are not suppose to view it as a punishment to the patient. Other risk management should also be observed by the clinicians like placing alarms in the room to repo rt any emergency help needed (Schwarz, 1970). We will write a custom essay sample on Management of violence specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Management of violence specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Management of violence specifically for you FOR ONLY $16.38 $13.9/page Hire Writer The inpatients that are highly involved with the disturbed aggressive and violent behaviour have been found to be females (Lance etal1995).à More young ladies have been found to fall victims of patients with violent behaviour as compared to old ones (Lalla, 1995, p76).à Schizophrenic patients normally require a lot of care and the mode of treatment should be as fair as possible.à If at all any force or pressure is to be applied then it is supposed to be done according to the legal requirements governing and protecting the rights of the patients (Infatino and Musingo, 1985). The violent and aggressive behaviour in patients admitted in psychiatric wards do normally occur in the dayà (Elbadri and Mellosop, 2002, p399).à Probably this has not been explained however most of stress is experienced when the victims do interact with quite a big number of people.à These people are believed to be contributors of a lot of stress and therefore triggering the occurrence of the violent and aggressive behaviour.à The most commonly form of illness found in these patients is schizophrenia where diagnosis proves that nurses are also victims (Melo, 1991, p70).à This could occur due to counter transference during the intervention process. The rate of the violent behavior in the inpatients also varies according to the cultural background of the patient (Davis, 1991).à This shows that socio-cultural factors are very important issues that should be checked when dealing with the behaviour in patients. For example blacks and minority ethnics groups in America are found to be highly involved in the aggressive violent behavior (Simon, 1992, p63).à This is because of the high occurrence of racial discrimination in the area. Blacks and minority ethnic service users must therefore identify aboard member to take specific responsibility for all matters relating to equality and diversity (Fottrel, 1980). The responsibilities must include the nature and adequacy of service provision in relation to the short-term management of disturbed behavior. Training should therefore be provided on all matters of equality and diversity, monitoring service usage by ethnicity and consultation with local blacks and minority ethnic groups (Jamesetal, 1990). The intervention and prevention measures should be less resistant and all the strategies should be fair to everybody (El-Badri and Mellsop, 2002).à However various measures have been put into place to reduce the occurrence of the aggressive behaviour.à The prevention can be more effective when the medication is done in the psychiatric wards (Davis, 1991).à The inpatients are locked and the clinician and his team offer effective medication.à à Community intervention has been found not to yield any substantial result because most of the activities involved are too complex and complicated and therefore wanting close supervision.à This can only be done by knowledgeable and skillful clinicians (Schwarz, 1978, p53). Most of aggressive behavior in the in-patient units mostly involves patients with schizophrenia and bipolar disorders.à These patients have been found to have acute psychotic or manic (Davis, 1991, p585).à There is evidence that a history predict the future occurrence of violence behavior.à For example psychiatric patients who have been found to misuse drugs have shown a significant risk factor for aggression and disturbed behavior. The selected scenario is violent behavior in chronic schizophrenia and inpatient psychiatry.à These are the most affected inpatients however psychiatric patients have responsibilities as well as rights.à They are supposed to take part in the treatment process and to respect the rights and needs of other people (Melo, 1991, p80).à As citizens they are expected and should observe legal procedures that are provided to monitor and control their conduct in court especially when they fall in crime.à In most settings physicians and clinicians have fallen in violence or assaults by the patient.à They argue that acts of violence against the person or property are not common in psychiatric settings and therefore require a special condition when providing guidance in the area (Tardif, 1989, p75). The following are some of the factors that might be considered during the management of violent/disturbed behavior among these patients, in inpatient suffering from schizophrenia.à The violence incidence of the behaviour normally occurs in different set ups.à These set ups may include emergency rooms, psychiatric wards, during home visits or in community hospitals.à These incidences actually vary from minor verbal assaults to long threatening attacks that occasionally might result in serious physical injury or deaths always are in state aggression.à They therefore require a highly knowledgeable doctors or psychiatrics to attend to them. (Cantwell, 1999, p151). However the intervention process might be challenged with a number of problems.à The team may be threatened by the patients, which might interfere with the clinicianââ¬â¢s spirit of maintaining fairness in the intervention process.à The clinician may develop a feeling of objection and counter transference in the process.à This therefore makes the management decision to become very complex and complicated (Atakan, 1995, p594).à The team that is supposed to accompany the clinician may include family members, friends to help in the intervention process.à The whole management and intervention process is very cumbersome and therefore a number of issues have to be addressed for effective treatment measures to take place. Normally before treatment is done the history of the occurrence of the behaviour has to be recorded down (Schwarz, 1970, p197).à The safety of the patient and the clinician plus should be assured.à The various clinical issues also will be required to be addressed. If not properly handled the whole process might be poor.à When the violence or assault takes place proper assessment of the patientââ¬â¢s mental status should be done.à This should include the mental functioning processes, appropriate security measures, physiotherapy and behavioral approaches (Yudofsky, 1986, p37).à The treatment team should therefore come up with a suitable plan to take an effective measure on the security measures and steps to be followed during the intervention process .The clinician is expected to have a record of the patientââ¬â¢s history on the occurrence of the aggressive behavior.à The history should include the records of previous treatment details, history of the violence, degree of the occurrence of the behavior and some of the consequences of the incident of the victim.à The records of past psychiatric diagnosis and measures he used in place should also be crosschecked (Simon, 1992). This means that management decision should not only be based on one or two factors should but a number of issues on the management are considered.à If legal action has been initiated, clinical staff should ensure that the various victims are supported throughout the process (Yudofsky, 1986, p36).à The legal system requires that the patient should be presented to the court.à The police, lawyers and the family members are expected to come before the court and make a statement .If the incident happen in an institution such as schools and colleges, the administration should be informed as soon as possible if legal action has been verified and taken. The students and any responsible staff should inform the patient that the complaint has been recorded and the police are supposed to investigate in the issue concerning it (Lanza, 1983,p43).à Patients normally have the right to counsel, the staff should inform the lawyer if in any case he might request for the counseling services. à Otherwise counseling is not supposed to be given without the consent of the lawyer.à Appropriate measures should be made to cooperate with the law enforcement officers when the trying to help the patient. Gender needs (WHO, 1992) must be taken into consideration in the management of disturbed /violent behavior in psychiatric inpatient settings. For example women are more likely be self harm and suffer from depression while men are more likely to experience earlier onset and more disabling cases schizophrenia (Latta, 1995,p86). Women mental health needs should be conducted in relation to an individual womanââ¬â¢s experience, beliefs, struggles as well as her ethnic group, age and sexual performance. Another factor that should be looked into is the training of the staff.à The clinician and the team need to be trained on appropriate skills to manage the disturbed behaviors in a psychiatric setup (Cantwell, 1999, 152).à Training should be provided on the various intervention procedures.à The training is normally carried on the awareness of racial discrimination, spiritual needs, gender differences and cultural differences.à The training has been offered by the National Health Services (NHS) Security management Service (SMS) (Mellsop, 2000,p399). They have also come up with a training curriculum that can effectively be used in the management of the violence.à The National Institute for Mental Heath in England (NIMHE) is also drawing up a formatted scheme for trainers. (Sheridan, 1985, p77). The staff also needs to be aware of the legal procedures that authorize the use of various intervention measures.à The guidance of Mental Health Act Code of practice should be followed.à This is the only policy that guides the staff should any risk and threat occur.à During physical intervention the staff should be able to protect their eyes, necks and heads (James, 1990, p846).à A team member should be selected to lead the staff in providing physical security.à Direct pressure should not at any point be applied to the patient during the application of physical intervention.à The force applied should be fair and reasonable and if possible should be less harmful as possible. (James, 1990,p852). Oral medication may also be provided for rapid tranquillization.à The rapid tranquillization is very important sine it provides a state of calmness thereby reducing the risk that might be posed on the service users and other team members (Fottrel, 1980).à This should be followed with giving some ample time for clinical responses between oral doses of medication for rapid tranquillization (Lance, 1995, p610). Doses for rapid tranquillization as also accepted however this must be done upon following its legal framework. The manufacturerââ¬â¢s guidelines should be followed to avoid the risk of death and any other problem that might occur (Link,1992).à This means that a specialist from pharmacy and poisons Board should assess the nature of the drugs used if they satisfy the current marketing system. Conclusion. The short-term management of Disturbed/violent behavior in inpatient can only be effective if NICE guidelines are observed. This should start with risk assessment, consideration of gender differences and close supervision of the legal framework governing the process. With proper training of supportive staff the intervention process can be properly managed. Otherwise since the introduction of the NICE guidelines cases of Disturbed /Violent behavior in patients with mental illness has been in the decline.
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