...33-year-old female who presented to the ED for Detox treatment and alleged sexual assault. Mrs. Shermer stated: "I was picked up by a stranger taken to his house, smoked some crack with the man and was forced to have sex with him." Per nursing staff Mrs. Shermer story changed multiple times about the sexual assault. At the time of assessment, Mrs. Shermer denies suicidal ideation, homicidal ideation, and symptoms of psychosis. She reports reports substance abuse and homelessness as the primary stressors contributing to her current distress. When confronted about admitting being suicidal and having a plan to the nursing staff and to this clinician, patient reports at time she is not on drugs, then reports she has been using meth, cocaine, Adderall, alcohol, bathsalt's, Xanax, and Klonopin in the past 10 days. The patient reports a few years ago she has lost her child to S.I.D.S. Mrs. Shermer denies having a history of suicide attempts or mental health history. Mrs. Shermer does not appear to be exhibiting signs of agitation, aggression, or responding to internal stimuli. Mrs. Shermer reports she began smoking...
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...her husband still cooks often. C. How often does your family eat out? When you do are heathy choices made? Women- We eat out on occasion, just depending on the week. Sometimes it’s not at all and other it can be up to two times a week. I do my best to try and stick to my paleo diet when possible Man- I tend to eat out a little more than my wife since I work in a larger town that has fast food and restaurant. I honestly do better with my diet when my wife isn’t around. 3. Sleep rest A. Describe your family’s bedtime routine? We don’t have any special routines, we go to bed at the same time and take time to visit about our day before going to sleep. B. How many hours of sleep do the adults in the house get? We usually go to bed around 10pm and are up to get ready for work between 6-630am C. Do you feel that everyone feels well rested majority of the time? All though we are in bed for 8hrs we don’t always feel rested. Husband states he...
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...750903 f +44 (0)1234 751125 e ecch@ecch.com 609-007-1 CASE STUDY VLGMS-0903-C Access blocking at Ghent University Hospital Prof. dr. Paul Gemmel and Lieven De Raedt One sunny morning at the end of September 2006, Dr. Paul De Meester, professor of healthcare management at Ghent University, was invited for a meeting with the CEO and the Chief of Medicine of Ghent University Hospital. Professor Van Dijk, the CEO, and Professor De Clercq, the Chief of Medicine, were concerned about conflicts between the hospital’s emergency department (ED) and some of the internal nursing departments (INDs). They showed Dr. De Meester a letter from Dr. Peter De Ridder, the chief emergency physician. Dr. De Ridder did not understand why the CEO had communicated a message about the low occupancy rate of the beds in the hospital, although he had been confronted for some years with the phenomenon of access blocking in the ED. In his letter, Dr. De Ridder further indicated...
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...Beans" and "Nighttime Fires" both poems have understanding, support, and bonding. First thing that is common in both the poems is their understanding. Understanding is extremely important to have between our family members. In "Nighttime Fires" the understanding moment is when the mother does not like seeing people houses burn down, but she still goes with her husband to see the houses burn down because she understands that is the only thing that makes him happy. "My mother watched my father, not the house. She was happy only when we were ready to go, when it was finally over and nothing else could burn."(24-25). Comparatively, in "Snapping Beans" is when the narrator wanted to tell her grandmother how her school went, but she didn't because she didn't want her grandmother to get tense. Like when she says, I wanted to tell her the evening star was a planet, that my friends wore noserings, and wrote poetry about sex, about alcoholism, about Buddha. I wanted to tell her how my stomach burned acidic holes at the thought of speaking class, speaking in an accent speaking out of turn, how I was tearing, splitting myself apart.(30-40). Both poems have understanding from their family member they also have support for each other. Why do we need to have...
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...Serial Killing 1 Running Head: Serial Killing How to raise a Serial Killer Brenden Brewer Serial Killing 2 What makes a serial killer want to kill? What pushes them over the edge or drives them to keep killing? Many researchers including psychologists, psychiatrists, psychotherapists and FBI Agents, all have theories of what makes them tick. They come across these accusations by talking to actual serial killers themselves. They have come up with these theories by talking with Albert DeSalvo (The Boston Strangler), Albert Fish, Andrei Chikatilo, Bobby Joe Long, Carl Panzram, Charles Manson, Christopher Wilder, David Berkowitz (Son of Sam), Dennis Nilsen (the British Jeffrey Dahmer), Eddie Gein, Edmund Kemper(The Coed Butcher), Fritz Haarmann (The Butcher of Hannover), Henry Lee Lucas, Herbert Mullin (Santa Cruz Killer), Jeffrey Dahmer, John Wayne Gacy, John Haigh (Acid Bath Murderer), Joseph Kallinger (the Enigmatic Cobbler), Kenneth Bianchi (Hillside Strangler), Leonard Lake, Patrick Mackay, Peter Kurten (The Vampire of Dusseldorf), Richard Ramirez (The Night Stalker), Richard Speck, and Ted Bundy, William Heirens (the Lipstick Killer). All of them were successful serial killers and caught by authorities. First off, what makes someone a serial killer? The FBI has guidelines on how to classify a serial killer from a murderer. To be classified as a serial killer, you have to have a minimum of three to four victims with a grace period or “cooling off” period in...
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...between him and Gertrude. This is especially evident in the closet scene as Hamlet berates his mother with many sexual and incestuous references. In order to explain the relationship between Hamlet and his mother, Sigmund Freud’s theory the Oedipus Complex identifies this situation as a male’s unconscious sexual desire for his mother (Losh). Freud believes that these sexual desires are repressed unconsciously which in turns creates a lasting effect in a boy’s life (Losh). An example in this scene is when Hamlet says: “But to live / In the rank sweat of an enseamed bed, / Stewed in corruption, honeying and making love / Over the nasty sty!” (Shakespeare, 3.4.99-102). Hamlet is furious with his mother’s sexual relationship with Claudius and his sexual desires emerges in his sexual allusions. He refers to a bed which is appropriate in this scene as they are in Gertrude’s bedroom. In context with the Oedipus Complex, a bed creates a sexual intimacy due to the private...
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...RLL NURS1101 Week 3: Nursing as an Art & Science Week 3’s NURS1101 class commenced with a DVD lecture on seizures & the different type’s people could succumb to. The level & seriousness is determined by the seizure classification indicator. First it is divided into being a partial or generalised activity, a partial seizure is one originating in one part of the brain & is diagnosed as simple or complex, whereas a generalised seizure’s activity involves the entire brain & diagnosed as absence, myoclonic, tonic clonic, tonic or atonic. The information is set out in a table for on the website: www.epilepsy.org.au/aboutepilepsy/understandingepilepsy/seizuretypeclassification. Discussion about the different types of seizures people can have is included in the opening tasks of this week’s tutorial. Displayed for students information & awareness on the room display boards is “Maslow’s Hierarchy of Needs”, students are asked to interpret this information, discuss & describe how a nurse needs to apply it as professional activity during working hours, keeping in mind OH&S & the level of safety & security. Included in Maslow’s Hierarchy & displayed as a pyramid connecting on thing to the one above are self actualisation, esteem, belongingness & love, safety & physiological needs. For the first case study you have to apply Maslow’s Hierarchy of Needs to Mrs Wall the 80 year old with history of MRSA, diagnosed early dementia & dysphagia. Also discuss the risks for the attending nurse, the...
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...Noor Bhatti Mr. Frank English 12 AP 05 March 2014 The Ghost in Kenneth Brannagh’s Hamlet: A Masterpiece William Shakespeare’s Hamlet is a tragedy known for its drama and portrayal of its characters. For many decades, the play has undergone different interpretations as well as criticisms. An important factor of the play that has gone through this criticism is the character of the ghost who appears to be Hamlet’s dead father. After the first encounter between Hamlet and his “father”, it seems apparent that the ghost is in fact Old Hamlet, returning to Earth to have his son avenge his treacherous murder. In spite of this encounter when looking more closely at the text, various signs appear to lead readers to see that the ghost is actually a demon. Joseph Addison in his essay, published in The Spectator 1711 states, “The Appearance of the Ghost in Hamlet is a Masterpiece in its kind…but every Time he enters he is still more terrifying” (Addison 2). Kenneth Branagh’s 1996 production of Hamlet vividly portrays these signs of malevolence, of this being originating from Hell. Baranagh brilliantly depicts the demon that Shakespeare wrote in the early 1600’s from Act I Scenes I and IV/V as well as Act III Scene IV in his movie. As the play begins the first mystery that the characters come across is the “ghost” that embodies their old King. Horatio, Hamlet’s old friend as well as a noble scholar approaches the ghost, commanding it, “By heaven I charge thee, speak...
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...SE2421 Contemporary Women’s Writing Week 5: 1 November 2011 Dr Becky Munford (munfordr@cardiff.ac.uk) Margaret Atwood, The Handmaid’s Tale (1985) Language, bodies, desire [pic] Word games (1) ‘I didn’t know what it meant, or even what language it was in….Still, it was a message, and it was in writing, forbidden by that very fact, and it hadn’t yet been discovered. Except by me, for whom it was intended.’ (chapter 9, p. 62) (2) ‘So that’s what’s in the forbidden room! Scrabble!...Now it’s forbidden, for us. Now it’s dangerous. Now it’s indecent. Not it’s something he can’t do with his Wife. Now it’s desirable…We play two games. Larynx, I spell. Valance. Quince. Zygote. I hold the glossy counters with their smooth edges, finger the letters. The feeling is voluptuous. This is freedom, an eyeblink of it. Limp, I spell. Gorge. What a luxury. The counters are like candies, made of peppermint, cool like that. Humbugs, those were called. I would like to put them into my mouth. They would also taste of lime. The letter C. Crisp, slightly acid on the tongue, delicious.’ (chapter 23, p. 149) (3) Offred uses [scrabble] as a mirror for herself, as a way of hearing her own voice in an otherwise engulfing, enforced silence. Atwood uses it, I would suggest, as an image of the text, as a mise en abîme, in which one can see this autobiographical ‘tale’ as a Scrabble board on which we must also play. If we have trouble with the plotting of the narrative or the structure...
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...Health Perception In interviewing this family, their perception of overall health is good. The husband (JG) is in his early sixties and work as a school counselor. He takes cholesterol medication for hyperlipidemia. His wife (MG) is in her late fifties and is a homemaker. She is over-weight and is on three different kinds of medications for diabetes, high cholesterol, and hypertension. They have three children, but only one daughter (AG), in her late twenties, still lives with them and she is in perfect health. Both, husband and wife have regular doctor’s appointment for regular checkups for preventive measures. They denied any unhealthy habits such as smoking tobacco, drug or alcohol abuse. The family believes in Christianity, pray daily, go to church every Sunday, and is very active in...
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...roadblocks as condoms in High Schools. The first issue is that prevention in prison starts far before a condom enters the equation. The very concept of “safe sex” is dependent upon the partners being consensual and the most readily available allusion to Prison Sex is, of course, rape a kind of “sex” that won’t ever be safe. In reality, much of the high-risk homosexual contact in prison involves men who do not consider themselves gay outside prison, former prisoners and researchers said. About 1 percent of prisoners report being raped. From a health standpoint, it is not much different from inoculation against disease. If we are already using medical means to protect inmates from contagious illness, how are government-sponsored condoms a stretch? However, of course, there are those annoying moral issues. As if gay inmate sex was not enough to make the conservatives grumble in the first place, the idea of combining it with prophylactics. Is this the worst idea ever thought of? Violence is also against the rules in jail and we all see how effective it is as a deterrent. They put offenders into solitary confinement, so why not isolate those with STDs or HIV in their own separate wing. This seems unlikely as our prisons are swelling past capacity by the hour. The only choice the penal establishment has with sex is the length of the consequences. There are many aspects of prison a man will live with for the rest of his...
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...What it means to have a Sanguine Husband or Wife 18. What it means to have a Choleric Husband or Wife 19. What it means to have a Melancholic Husband or Wife 20. What it means to have a Phlegmatic Husband or Wife Section 6 – THE PROBLEMS AND THE SOLUTIONS 21. Problem-Solving in Marriage 22 In-Laws 23. The Step Home 24. What Every Christian Should Know about Divorce Section 7 – THE MASTER KEY OF ACCEPTANCE 25. The Key of Acceptance Section 8 – THE HUMAN BODY 26. Understanding the Human Body through Pictures 27. Family Planning Methods Section 9 – THE SEXUAL RELATIONSHIP 28. Introduction to Sexual Happiness 29. The Wedding Night 30. The Honeymoon 31. Pleasurable Sex 32. Dutiful Sex 33. Exciting Sex 34. Orgasm 35. Common Fears about Sex 36. Sex for Reproduction 37. Grey Areas on Sex...
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...approximately thirty minutes, Pat and Terry walked two more blocks to a third bar (Brody & Acker, 2010). Pat ordered another drink. Rusk approached Terry and she stopped her conversation with another person to say, “Hi Eddie.” Rusk then began speaking with Pat (Brody & Acker, 2010). Pat testified that she then told Rusk she need to go home since it was a weeknight and she would have to get up early with her child (Brody & Acker, 2010). Rusk asked if Pat could give him a ride to his apartment and Pat felt it would be fine because she thought her friend Terry knew him (Brody & Acker, 2010). Pat stated she told Rusk on the way to her car that she was only...
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...Sexual and Gender Identity, Personality, and Eating Disorders Holly Bracy Psy/410 November 18, 2013 Kathryn Westbeld Sexual and Gender Identity, Personality, and Eating Disorders Sexual and Gender Disorder Categories * Sexual Dysfunction * Sexual Desire Disorders * Sexual Arousal Disorders * Orgasmic Disorders * Sexual Pain Disorders * Paraphilias * Gender Identity Disorders (Hansell & Damour, 2008) Sexual and Gender Disorder Classifications * The DSM-IV-TR classifies sexual disorders into three types: sexual dysfunctions, paraphilias, and gender identity disorder. (Hansell & Damour, 2008) Summary of Sexual and Gender Identity Disorders * The psychodynamic approach focuses on fixations in sexual development and also focuses on defense mechanisms. * Cognitive/behavioral perspectives emphasize social learning of abnormal sexuality, classically conditioned sexual arousal to deviant stimuli, and reinforcement of aberrant sexual behavior. * Biological factors can include some disinhibiting diseases or injuries or mental retardation that can contribute to abnormal behavior. (Hansell & Damour, 2008) Personality Disorder Categories * Paranoid Personality Disorder * Schizoid Personality Disorder * Schizotypal Personality Disorder * Antisocial Personality Disorder * Borderline Personality Disorder * Histrionic Personality Disorder * Narcissistic Personality Disorder * Avoidant Personality...
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...hypnogogic sensations. Stage two is a deep, twenty-minute cycle, and the third is short in length, much like the first. However, it is also the transitional period into stage four, which lasts thirty minutes long. REM sleep ends the course of the sleep cycle, lasting a total of ten minutes or more. Sleep begins in stage one and progresses into stages two, three, and four. After stage four, stage three and then stage two are repeated before entering REM sleep. The total time it takes for a person’s body to go through all five stages is about 90 minutes. Stage one is a very light sleep. The person is not technically asleep yet, for he/she is easily awakened. During this stage, many people may experience hallucinations that are mistaken for dreams and/or falling/floating sensations. David Meyers defines hallucinations as, “[f]alse sensory experiences, such as seeing something in the absence of an external visual stimulus.” (p.94) Many people will recall being pinned to their bed or floating, when in reality it was the normal occurrences of the first stage of sleep. During this stage, the brain also “produces high amplitude theta waves, which are very slow brain waves…” (1. About.com) This stage of sleep lasts about 10-15 minutes during which one is easily awakened. About 15 minutes into one’s sleep cycle, he/she enters stage two, which has duration of...
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