Public Health Problem Substance Abuse Among Nurses

Public Health Problem: Substance Abuse Among Nurses Introduction As a healthcare professional, we are responsible for the delivery of high quality patient care. Substance abuse among nurses is an issue that threatens professional standards and can lead to poor patient outcomes (Rohma,2012). According to Healthy People 2020, an estimated 22 million Americans struggled with drug or alcohol abuse in the year 2005 (U.S. Department of Health and Human Services [HHS],2013). Given that the nurses have easy access to controlled substances, this population is likely to be higher than the general public. Substance abuse is the repeated excessive use or misuse of a psychoactive substance, especially alcohol or a drug. The consequences of substance abuse results in failure to accomplish major role obligations at work leading to suspension or a loss of job (Allender et al.,2014, p621). An impaired nurse challenges to seek help are more likely to continue under the influence until a catastrophic event occurs. Synthesis of Literature According to Rohman, the American Nurses Association estimated that 6% to 8% of nurses have a substance abuse problem impairing their ability to make competent decisions (p.28). In the application of the Epidemiologic triad, one would consider the host as the individual taking the drug, the environment as a setting of the exposure and the agent considered to be the drug. Based on the literature, the most common individual factors that increase the riskShow MoreRelated Substance Abuse Within the Nursing Profession Essay1230 Words   |  5 Pages As Heise states, substance abuse among nurses a growing problem that is often overlooked by society. Addiction has been a problem in the nursing profession for over one hundred years (as cited in Monroe Kenaga, 2010). According to the American nurses association, it is speculated that 6%-8% of nurses have a drug or alcohol related problem (as cited in Trinkoff Storr, 1998). Substance abuse not only affects the individual abuser, but also can negatively impact those around them, most significantlyRead MoreSubstance Abuse and Chemical Dependency1703 Words   |  7 PagesIntroduction According to UABs health website, Substance abuse is used to describe a pattern of substance (drug) use leading to significant problems or distress such as failure to attend work/school, substance use in dangerous situations (driving a car), substance-related legal problems, or continued substance use that interferes with friendships and or family relationships. Substance abuse, as a disorder, refers to the abuse of illegal substances or the abusive use of legal substances. Alcohol is the mostRead MoreEssay on Adolescent Substance Abuse1656 Words   |  7 PagesRunning Header: Substance Abuse Adolescent Substance Abuse Dana Sweitzer Liberty University Abstract Adolescent substance abuse is a major problem in society. There are many risk factors that can contribute to adolescent substance abuse. One of the main risk factors is peer pressure. When adolescents start at a young age there is an increase in health problems, addiction, and over all poor social outcomes. Parental influence has substantial effect on adolescents because the adolescent seesRead MoreTaking a Look at Homelessness893 Words   |  4 Pageshomeless individuals. In homeless population, mental illness commonly present in the forms of schizophrenia, depression, personality disorders, substance abuse, and other affective disorders. According to Metro Vancouver Homeless Count, there are â€Å"400 homeless people in Surrey, representing 15% of the regions 2650 homeless† (City of Surrey, n.d, â€Å"2014†). This problem has been present for many years and there are still people suffering from the basic lack of proper housing. Moreover, it is ought to be notedRead MoreSubstance Abuse Among Nurses Essay920 Words   |  4 PagesIntroduction Over the years, substance abuse in the United States has become a persistent issue affecting many individuals. In 2008, it was estimated that 17.8 million Americans over the age of 18 where substance dependent (Epstein, Burns, Conlon, 2010). Many of these individuals being affected are nurses. Ponech (2000) stated that approximately 10% of the nursing population has alcohol or drug abuse problems, and 6% has problems serious enough to interfere with their ability to practice (asRead MoreHigh Risk Family Assessment Health Promotion1593 Words   |  6 PagesFamily Assessment Health Promotion Drug and Alcohol Abuse Substance abuse can occur with legal drugs like alcohol, tobacco and prescription medications, illegal drugs that are purchased on the street, or prescription drugs used for reasons other than health. Alcohol is the most frequently used legal drug, and cocaine, heroin, and marijuana are the most commonly used illegal drugs. Each drug has precise effects on body systems. Some drugs can lead to acute and chronic problems; some even can causeRead MoreSubstance Abuse And Addiction Among Nurses1121 Words   |  5 Pagesevidence-based practice relating to your research question or problem of interest? 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At one point, it was estimated, that 2-3%, of allRead MoreSubstance Abusers Do Not Have A Specific895 Words   |  4 PagesSubstance abusers do not have a specific â€Å"look.† They come in the forms of all races, colors, ethnicities, genders, ages, and careers. According to Thomas and Siela (2011), â€Å"About 1 in 10, or 10-15% of all nurses, may be impaired or in recovery from alcohol or drug addiction. Although nurses aren’t at a higher increase risk than the public sector, their overall pattern of dependency is unique because they have greater access to drugs in the work environment† (Introduction, para 1). Substance abuseRead MoreHealth And Human Prevention Strategy I Chose Is The National Drug Control Strategy932 Words   |  4 PagesPeople 2020 Health and Human Prevention strategy I chose is the National Drug Control Strategy. Drug abuse affects the whole nation economically, socially physically and mentally. 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Chem 30 Lab Free Essays

Hess Law Lab DESIGN Aspect 1:Problem: What is the molar enthalpy of formation of magnesium oxide? Variables: Manipulated: None Responding: None Controlled: Isolation of calorimeter, concentrations of substances involved. Aspect 2:Background Information: Assumptions: Specific heat capacity of water, we assume that the acid has the same qualities as water including heat capacity, and we assume the enthalpy of formation for magnesium oxide from the data booklet for theoretical value. Hess’s Law: Hess’ law states that the energy change for any chemical or physical process is independent of the pathway or number of steps required to complete the process provided that the final and initial reaction conditions are the same. We will write a custom essay sample on Chem 30 Lab or any similar topic only for you Order Now In other words, an energy change is path independent, only the initial and final states being of importance. Waste disposal and safety: Corrosive substance which causes severe but delayed burns. DO NOT INGEST. Avoid Inhalation. Dispose as instructed by the lab technician or the teacher. Aspect 3:Apparatus Diagram: Figure from Inquiry into chemistry textbook pg 352 Materials: †¢1. 00 mol/L HCl(aq) †¢MgO(s) powder †¢Magnesium ribbon †¢Simple calorimeter †¢100 mL graduated cylinder †¢Scoopula †¢Electric balance †¢Thermometer †¢Sand paper Procedure: 1. Mg(s)+ O2(g) MgO(s) 2. MgO(s)+2HCl(aq) MgCl2(aq)+H2O(l) 3. Mg(s)+2HCl(aq) MgCl2(aq)+H2(g) 4. H2(g)+ O2(g) H2O(l) + 285. 8kJ Part 1: Determining ? H of Reaction (2) 1. Set up the simple calorimeter refer to figure 9. 16 above. Using a graduated cylinder, add 100 mL of 1. 00mol/L HCl(aq) to the calorimeter. 2. Record the initial temperature of the HCl(aq) to the nearest tenth of a degree. 3. Find the mass of no more than 0. 80 grams of MgO(s) powder. Record exact mass. 4. Add the MgO(s) powder to the calorimeter containing the HCl(aq) swirl the solution gently, recording the highest temperature reached. 5. Dispose as directed by teacher. Part 2: Determining ? H of reaction (3) 1. Using a graduated cylinder, add 100mL of 1. 00mol/L HCl to the calorimeter. 2. Record initial temp. of hydrochloric acid to the nearest tenth of a degree. 3. If you are using magnesium ribbon, sand ribbon to desired mass. Determine mass no more than 0. 50 grams of magnesium. Record the exact mass. 4. Add the Mg(s) to the calorimeter containing the HCl(aq). Swirl the solution gently, recording the highest temperature, tf , reached. 5. Dispose as directed. DATA COLLECTION PROCESSING (DCP) Aspect 1:Recording Raw Data: Temperature of hydrochloric acid and mass of Magnesium oxide Mass of Magnesium oxide (g)Initial Temperature ( °C)Final Temperature ( °C) 0. 7523. 5029. 50 Temperature of hydrochloric acid and mass of magnesium Mass of magnesium (g)Initial Temperature ( °C)Final Temperature ( °C) 0. 4824. 0045. 00 Aspect 2:Processing Raw Data: Enthalpy change of Magnesium oxide MgO(s)+2HCl(aq) MgCl2(aq)+H2O(l) Q=mc? t ? t= 29. 50 °C-23. 50 °C? t = 6  °C Q= (0. 00075kg) x x 6 °C Q= 0. 018855kJ/mol MgO Enthalpy change of magnesium reaction Mg(s) +2HCl(aq) MgCl2(aq)+H2(g) Q=mc? t ? t=45. 00 °C-24. 00 °C? t= 21 °C Q= (0. 00048kg) x x 21 °C Q= 0. 0422352kJ/mol Mg ?HH2O = -285. 8 kJ/mol (given in data booklet) ?Hrxn = 0. 018855kJ/mol MgO + 0. 0422352kJ/mol Mg + 285. 8kJ/mol H2O ?Hrxn = – [285. 86109] kJ/mol MgO ? H system = -? H surroundings %error= x 100% %error= %error= -52. 48% How to cite Chem 30 Lab, Papers

The Novotel Value Chain Essay Example

The Novotel Value Chain Essay Novel gains its competitive advantage by ensuring customer expectations are met with personal warmth and consistent service standards are delivered. Their multi- killing approach allows staff to work as a team to perform tasks and duties flexibly. This will reduce core staff levels and it creates a more resourceful workforce. They have standardized procedures that are delivered to all locations worldwide. The use of the value chain analysis can provide a number of benefits to the management of Novel by identifying linkages between value activities within the organization. A system was set up to monitor standard procedures which became a template for learning and every staff was given a booklet with all the procedures. Standards were monitored by mystery shoppers. Nonvoters capabilities are valuable due to its hospitality concept being customer responsive welcoming their customers. They have the capabilities to attract and retain their customers by targeted approach to sales and marketing and this will win over their competitors. Nonvoters resources and capabilities are not rare although Novel Is a well-known hotel. It would not be hard to Imitate them on the basic level since hotel Industries have similar marketing and promotion schemes as well as partnership programs. But it would be extremely hard to Imitate them In terms of size, the number of hotels they already have worldwide and name brand Image. The organization Is strong and stable as they have been established for a long time and they managed to change system In order to maintain universal quality standards. They can exploit new areas fairly quickly and easily, largely due to the fact that they have management control. We will write a custom essay sample on The Novotel Value Chain specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on The Novotel Value Chain specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on The Novotel Value Chain specifically for you FOR ONLY $16.38 $13.9/page Hire Writer

The Tennis Serve Essays - Anatomical Terms Of Motion, Elbow, Serve

The Tennis Serve Essays - Anatomical Terms Of Motion, Elbow, Serve The Tennis Serve The tennis serve is the stroke that puts the ball in play and is often referred to as the most important stroke in the game of tennis. It has become a principle weapon of attack and is used to place the opponent on the defensive by forcing a return from the weak side or by moving the receiver out of position. A good strong serve can sometimes be the basis of winning a game of tennis. I have included eight picture sequences to illustrate the tennis serve. Represented in picture A is the stance of the serve. In this part of the serve, the person needs to take a position sideways to the net, about three or four feet to the right center mark behind the baseline. The left foot is two to three inches behind the line, the toes pointing toward the net post. The back foot is parallel to the baseline and spread conformably from the front. Pictures B and C represent the preparation phase. In these pictures, the execution of the ball toss is performed. The ball toss is the key to a well-executed serve: a good release consistently places the ball in the proper hitting position. A poor release can throw off timing and ultimately cause a bad serve. In pictures D-F the action phase is represented. In picture D of the action phase, the elbow reaches a position slightly higher than the shoulder, then the elbow bends and the racket head drops down behind the back into what is called the back scratching position. In picture E, the ball should be at its maximum height of the toss before striking it. In picture F, the last of the action phase, the movement of striking the ball is explosive in an upward and forward motion until contact Pictures G and H represent the follow through. In the follow through the action is performed up and out, not down, in the direction of the intended target area. The follow through is a natural continuation of the stroke. A good follow through will help prepare for the next step in approaching the net for a return. Kinematics is defined as the study of motion. It is compiled of different bodily planes and different joint motions. In the beginning of the serve, during the stance (picture A), the feet are outwardly rotated. The hips and the trunk are extended. The left shoulder is slightly flexed along with the right shoulder and the shoulder girdles are slightly abducted. Both of the wrists are pronated with the elbows slightly flexed. During the preparation (pictures B and C) the feet are still in an outwardly rotated position. The hips slightly abduct with the trunk still in full extension. The shoulders are abducted, with slight elevation of the shoulder girdle. Both elbows are extended, but the right wrist stays in a pronated position and the left wrist is supinated. During the action (pictures D-F) the right foot inwardly rotates along with it performing planter flexion but the left foot stays in an outwardly rotated position. The hips are adducted but then they shift to abduction. The trunk starts in hyperextension then get fully extended and slightly rotate to the left. Both knees flex but the left knee extends while the right knee stays flexed. The left shoulder goes from flexion to extension while the right shoulder performs high diagonal adduction. The left elbow goes from extension to flexion and the right elbow goes from flexion to extension. The left hand goes from supination to pronation while the right hand stays in a pronated position. Finally, during the follow through (pictures G and H) the left foot inwardly rotates along with some planter flexion. The right foot inwardly rotates and goes back to a naturally flat position. Both hips are flexed along with the flexion of the trunk and it's rotation. The left shoulder remains in an extended position but the right shoulder follows through with the high diagonal adduction, while both shoulder girdles perform abduction. The right elbow slightly flexes but the left elbow extends. The knees go from flexion to a greater degree of flexion. The kinematics of the tennis serve is a complicated thing, it consist of

Profile of Child Predator Nathaniel Bar-Jonah

Profile of Child Predator Nathaniel Bar-Jonah Nathaniel Bar-Jonah was a convicted child predator that was serving a 130-year prison sentence after being found guilty of repeatedly molesting, torturing and attempting to murder children. He was also suspected of killing a child and then disposing of the body through cannibalistic ways that involved his unsuspecting neighbors. Childhood Years Nathaniel Bar-Jonah was born David Paul Brown on February 15, 1957, in Worcester, Massachusetts. As early as age seven, Bar-Jonah demonstrated severe signs of depraved thinking and violence. In 1964, after receiving an Ouija board for his birthday, Bar-Jonah lured a five-year-old girl into his basement and tried to strangle her, but his mother intervened after hearing the child screaming.   In 1970, 13-year-old Bar-Jonah sexually assaulted a six-year-old boy after promising to take him sledding. A few years later he planned to murder two boys in a cemetery, but the boys became suspicious and got away. At 17 years of age, Bar-Jonah pled guilty after being arrested for dressing as a policeman and beating and choking an eight-year-old boy who he ordered into his car. After the beating, the child recognized Brown who was working at a local McDonalds and he was arrested, charged and convicted. Bar-Jonah received a year of probation for the crime. Kidnapping and Attempted Murder Three years later, Bar-Jonah dressed as a policeman again and kidnapped two boys, made them undress and then began strangling them. One of the boys was able to escape and contact the police. Authorities arrested Brown and the other child was located, handcuffed inside his trunk. Bar-Jonah was charged with attempted murder and received a 20-year prison sentence. Sick Thoughts While incarcerated Bar-Jonah shared some of his fantasies of murder, dissection, and cannibalism with his psychiatrist who made the decision in 1979 to commit Bar-Jonah to the Bridgewater State Hospital for Sexual Predators. Bar-Jonah remained at the hospital until 1991, when Superior Court Judge Walter E. Steele decided that the state had failed to prove he was dangerous. Bar-Jonah left the institution with a promise from his family to the court that they would be moving to Montana. Massachusetts Sends the Problem to Montana Bar-Jonah attacked another boy three weeks after his release and was arrested on assault charges, but managed to be released without bail. A deal was made that required that Bar-Jonah join his family in Montana. He also received two years probation. Bar-Jonah kept his word and left Massachusetts. Once in Montana, Bar-Jonah met with his probation officer and disclosed some of his past crimes. A request was made to the Massachusetts probation office to send more records regarding Bar-Jonah’s history and psychiatric past, but no additional records were sent. Bar-Jonah managed to stay away from police until 1999 when he was arrested near an elementary school in Great Falls, Montana, dressed as a policeman and carrying a stun gun and pepper spray. Authorities searched his home and found thousands of pictures of boys and a list of boys names who were from Massachusetts and Great Falls. Police also uncovered encrypted writings, decoded by the FBI, that included statements such as little boy stew, little boy pot pies and lunch is served on the patio with roasted child. Authorities concluded that Bar-Jonah was responsible for the 1996 disappearance of 10-year-old Zachary Ramsay who vanished on his way to school. It was believed that he kidnapped and murdered the child then cut up his body for stews and hamburgers that he served to unsuspecting neighbors at a cookout. In July 2000, Bar-Jonah was charged with Zachary Ramsay’s murder and for kidnapping and sexually assaulting three other boys who lived above him in an apartment complex. The charges involving Ramsay were dropped after the boys mother said she did not believe Bar-Jonah killed her son. For the other charges, Bar-Jonah was sentenced to 130 years in prison for sexually assaulting one boy and torturing another by suspending him from a kitchen ceiling. In December  2004, the Montana Supreme Court turned down Bar-Jonah’s appeals and upheld the conviction and 130-year prison sentence. On April 13, 2008, Nathaniel Bar-Jonah was found dead in his prison cell. It was decided that the death was a result of his poor health (he weighed over 300 pounds) and the cause of death was listed as myocardial infarction (heart attack).

Benefit Law Advice Case Study Example | Topics and Well Written Essays - 2000 words

Benefit Law Advice - Case Study Example Also included in the conclusion is a finality point emphasizing that social services can have positive impacts or negative impacts on the social lives of those who live with disabilities. Obtaining benefits for DLA or Attendance Allowance can be tricky and confusing for many, especially when it comes to understanding what the different eligibility requirements associated with AA and the possible benefits are. Physical limitations are actually categorized in various ways, which often depend on what the Commissioner confirms as applicable for benefits of AA or not. Obtaining an AA varies from case to case (as was stated) but legislative law in Britain does recognize people as being eligible to receive it if they have a terminal illness, mental handicap, physical limitation, and are otherwise incapacitated due to a terminal prognosis that also included surgical procedures which could lead to limitations in their former routines. However, anyone age 65 or older who has received a prognosis of a terminal illness and only have on average 6 months to live is eligible for AA according to the Benefit's agency (Nosowska 2004, p. 284). Nevertheless, there have been cases where people have actually died while awaiting approval from the Commissioner for AA or DLA assistance (Nosowska 2004, p.286). The case that is being referred to is in regards to 22 elderly women who were diagnosed with terminal cancer. The Commissioner approved them for AA but the wait was so long and the financial burden so heavy that as was stated, a number of them died while waiting for approval to receive the care they needed (Nosowska 2004, p.284). It would seem that the Commissioner could have used a "common sense" perspective to process these 22 women's claims faster, yet did not. Also, one would think that it should have also been obvious that these elderly women were suffering from forms of dementia along with their terminal prognosis which limited their abilities to "function independently". A physical limitation or lack of competence is normally enough for the Commissioner to approve AA, which in these 22 cases it was approved but again the delay in achieving it is what lead t o the adversities in health for some of the women (Ariotti 1999, p. 216). When the view switches to individual assessments on personal capabilities in regards to lifting and muscle strength there are also an innumerable amount of variables that are weighed and considered. The Commissioners decision to change the original "lift and carry" assessment has proven to make a great difference when professionals are trying to determine whether an individual has the ability to perform work related duties or not. There have been specific cases in the past that have affected the Commissioner's decision to reform article 8 in the personal capability assessment procedures (Benefits and Work UK 2004). For example, due to a historic case known as "Howker", definite changes were found to be needed because some of the physical assessments in the testing were shown to have placed individuals in far worse conditions than before they were even assessed (Benefits and Work UK 2004). Also, it would appear that the wrong questions were

Reno v. American Civil Liberties Union, 521 U.S. 844 (1997) Essay

Reno v. American Civil Liberties Union, 521 U.S. 844 (1997) - Essay Example The CDA provisions were in tandem with Christian faith and the Holy bible which deplores immorality. The book of 1Thessalonians 4:3 states,† For this is the will of God, your sanctification; that is, that you abstain from sexual immorality." The Bible also states in the book of Proverbs 29:17, â€Å"Correct your son and he will give you comfort; He will also delight your soul.† This act sought to safeguard upbringing of children by shielding them from a filthy society that threatens corrupt their morality. However, in the case of â€Å"Reno vs. American Civil Liberties Union,† the court of Supreme upheld a previous lower court decision that the CDA violated two existing provisions of the constitution. The CDA act violated the first amendment that provided freedom of speech. The CDA was found also violating the Fifth Amendment by virtue of vagueness of its words such as â€Å"indecent â€Å"and â€Å"patently offensive† (Law.cornell.edu, 2014). The judges final ruling resonates with an incidence in the Bible where Jesus disregarded Mosaic Law in order to protect a more fundamental right in the book of John 8:7-8 where he saved an adulterous woman from a mob that wanted to stone her, as required by the Mosaic Law. â€Å"He, who is without sin among you, let him be the first to throw a stone at her and when they heard it, they began to go out one by one, beginning with the older ones...† Justice John Paul Steven recognized the fact that the government had the responsibility to protect minors from sexually explicit materials but expressed his concern that the provisions unnecessarily suppressed the right to provide information to adults which could be educative. For instance a discussion on birth Control practices. The court was also concerned with the criterion used to define indecent materials or communication. The court argued that CDA â€Å"community standards† criterion implied that other nation- wide internet communication would be