After attending the Elluminate session or watching the recording:
Write a half page summary on any three special diets that some patients require.
Explain, which patients need these diets, and what foods they need to avoid, when on these special diets.
Dialysis patients; End stage renal disease; Hem dialysis - diet; Peritoneal dialysis: Most dialysis patients urinate very little, or not at all. Therefore, fluid restriction between treatments is very important. Without urination, fluid will accumulate in the body and cause excess fluid in the heart, lungs, and ankles. The purpose of this diet is to maintain a balance of electrolytes, minerals, and fluid in patients on dialysis. The special diet is important because dialysis alone does not effectively eliminate all wastes. These wastes can accumulate between dialysis treatments. Patients on dialysis need a high protein intake to maintain adequate nutrition. With a risk that a patient can become malnourished. The dialysis diet controls the intake of fluid, protein, sodium, potassium, and phosphorus. The controlled amounts of each of these nutrients are based on the person’s blood levels of these sources. Fluid restriction is based on the amount of urine output and weight gain between dialysis treatments. List of suggestive approach to Dialysis Patients:
Protein
Pre - Dialysis patients must limit protein intake to slow the progression of kidney disease. These changes with the start of dialysis, which in turn causes the patient to need more protein. Patients on peritoneal dialysis need even higher protein, because a large amount of protein can be lost in the peritoneal fluid which is discarded.
Sodium
Most patients need to control the sodium (salt) intake in their diet. This helps maintain fluid balance in the body to avoid fluid retention and elevated blood pressure (When the heart is Relaxed the sodium cells come in, when the heart contracts the sodium gets pushed out, and the potassium comes in) (You’ll learn this is Cardiopulmonary).
Potassium
The daily intake of potassium is also controlled. This helps prevent hyperkalemia (a high level of potassium).
Phosphorous
The mineral phosphorus is also controlled by this diet. Patients need to reduce their intake of dairy products, and other foods high in phosphorus. Calcium supplements, which bind the phosphorus in food. It is important to take these calcium tablets with meals. The amount of binders (Sometimes given as non-calcium phosphorus binder, such as Rena gel) that need to be taken by each patient is determined by their blood levels of phosphorus and their intake.
Fluids
During kidney failure, the amount of urine produced drops. Patients on peritoneal dialysis usually retain their urine output for a longer time and have less restriction on fluid intake (The urine output stops once patients have been on dialysis for more than 6 months). Based on the amount of urine produced in a 24-hour period, the amount of weight gained between dialysis treatments is the recommended daily amount of fluid (The amount of fluid retention, the level of dietary sodium, and whether the patient has congestive heart failure needs to be considered).
Vitamins
People with kidney disease are more prone to heart disease, and often need to follow a low-fat diet. Depending on the persons weight, protein status, and daily calorie intake needs to be maintained to prevent the breakdown of body tissue. Multivitamin, works really well for this condition. The fat-soluble vitamins (A, D, E, and K) are usually met by the diet. Vitamin D is supplemented depending on calcium, phosphorus, parathyroid hormone levels, and given intravenously during the dialysis treatment. Intake of water-soluble vitamins is inadequate, as water-soluble vitamins are lost during the dialysis treatment (Keep the patient hydrated).
Calcium and iron are monitored supplementation of daily intake. Depending on the patient’s blood calcium levels, it is given in the dialysis solution, and adjusted. Most dialysis patients are iron deficient (Iron supplementation is based on iron studies, usually monitored every 3 months).
Many experts speculate that claims of nutritional remedies and cures with food or dietary supplements are related to the “Placebo affect”. The ‘Placebo Effect’ is the patient’s perception of improved symptoms and well being. Regardless of evidence for actual physical improvement.
A Healthy Diet:
= Eat a ‘Variety’ of foods, do not be picky.
= Balance the food you eat with physical activities (Maintain or improve your weight).
= Choose a diet w/plenty of grain products and vegetables, and fruits.
= Choose a diet low in fat, saturated fat and cholesterol
= Be careful w/ sugar intake (Very little).
= Moderate alcoholic intake (If you must Red Wine is healthier).
= Malnutrition (You must eat, do not starve yourself).
Patients with RA (Rheumatoid Arthritis) are considered to be nutritional risks. Their ‘Poor’ nutritional status in this patient population is thought to be the result of the weight loss. Cachexia linked to Cytokine production (The production of Cytokines, such as Interleukin - 1, and tumor Necrosis factor). Chronic inflammation, increases resting metabolic rate and protein breakdown. Prolonged dosing of other RA medications may be associated with conditions such as gastritis or peptic ulcer, frequently reducing a person’s desire to eat (Most patients, are prescribed Medical Marijuana, so that they are forced to eat).
The most common Vitamin, Mineral deficiencies in patients with RA, are; Folic acid, Vitamin C, Vitamin D, Vitamin B6, Vitamin B12, Vitamin E, Calcium, Magnesium, Zinc and Selenium. Essential use of supplementation to assist in counterbalancing the outlined deficiencies and improving nutritional status for patients with RA (Supplementation of Calcium, and Vitamin D is recommended to decrease the risk of Osteoporosis).
Diet elimination therapy is a method of determining food hypersensitivities with patients. Elimination diets avoid a specific food or group of foods such as milk, meat or processed foods that are known to be prime allergies.
Dietary fatty acids such as Omega-3 fatty acids found in oils of fish and sea animals are of particular interest. In most of the studies using fish oils. It is important to note that fish oil supplements may interfere with blood clotting and increase the risk for stroke, consumed in conjunction with Aspirin, or other anti - inflammatory (Non - Steroid) drugs. Taking fish oils has also been linked to changes in bowel habits such as diarrhea (Causing an upset stomach). Omega-3 fatty acids, supplementation in the form of gelatin capsules is rather increased consumption of fish rich in Omega 3 fatty acids such as salmon, herring and mackerel is safer.
Patients who have Ameliorate, or Perpetuate arthritis, follow the US Dietary Guidelines for Healthy Americans and add a multiple vitamin - mineral supplement that contains 100% of the recommendations. Refrain from using a restricted diet in children with autism. (The statement is part of a larger consensus report on evaluating and treating gastrointestinal problems in children w/ Autism Spectrum Disorders) (Children with Autism are on gluten or Casein Free Diets).
Patients with Autism have a gluten-free, casein-free diet, which had no effect on autism symptoms, communication, or other measures after a period of time.
Autism Looked At:
•The prevalence of gastrointestinal problems in children with autism is still unknown, but estimates range widely, from 9% to over 70%.
•Gastrointestinal problems, such as chronic abdominal pain or diarrhea, may present as behavioral problems in autistic children.
Colonoscopy is a procedure used to see inside the colon (The colon and rectum are the two main parts of the large intestine.) and rectum (The rectum is about 6 inches long and connects the colon to the anus. Stool (BUTT) leaves the body. Muscles and nerves in the rectum and anus control bowel movements). This procedure can detect inflamed tissue, ulcers, and abnormal growths, bowel habits, abdominal pain, bleeding from the anus, and weight loss.
The doctor usually provides written instructions about how to prepare for colonoscopy. The process is called bowel prep. Solids must be emptied from the Gastrointestinal Tract by following a clear liquid diet for 1 to 3 days before the procedure. Patients should not drink beverages containing red or purple dye.
A laxative (Laxatives are usually swallowed in pill form or as a powder dissolved in water) or an enema (An enemy is performed by flushing water, or sometimes a mild soap solution, into the anus using a special wash bottle) may be required the night before colonoscopy. Patients should inform the doctor of all medical conditions and any medications, vitamins, or supplements taken regularly:
= Aspirin
= Arthritis medications
= Blood thinners
= Diabetes medications
= Vitamins that contain iron
The doctor and medical staff monitor vital signs and attempt to make patients as comfortable as possible. The doctor inserts a long, flexible, lighted tube called colonoscopies, into the anus; slowly guides it through the rectum, into the colon. The scope inflates the large intestine with carbon dioxide gas to give the doctor a better view (Don’t get excited this procedure is usually performed on men). A small camera mounted on the scope transmits a video image from inside the large intestine to a computer screen, allowing the doctor to carefully examine the intestinal lining. Once the scope has reached the opening to the small intestine, it is slowly withdrawn.
A doctor can remove growths, known as Polyps (Polyps are common in adults, and usually harmless. However, most colons - rectal cancer begins as a polyp, so removing polyps early is an effective way to prevent cancer). The procedure, called Biopsy, allows the doctor to later look at the tissue with a microscope for signs of disease.
The doctor removes Polyps, and takes Biopsy tissue using tiny tools passed through the scope. If bleeding occurs, the doctor can usually stop it with an electrical probe or special medications passed through the scope. Tissue removal and the treatments to stop bleeding are usually painless.
If the Patient develops any side effects should contact their doctor immediately:
= Severe abdominal pain
= Fever
= Bloody bowel movements
= Dizziness
= Weakness
When hospitalized your diet might need to be restricted, or enhanced. If you just had surgery on a part of your digestive system, or been diagnosed with an ailment, your diet might need to be altered as well.
The most common diets prescribed for hospital patients are:
Clear liquid diet = Often used first after surgery. It includes liquids you can see through, such as; Broth, Popsicles, Jell-O, and Ginger Ale, any related types of liquids. This is used to digesting food again in preparation for shifting to a more normal menu.
Full Liquid Diet = Adds liquids made of dairy products, such as; Cream Soups, Milk, Pudding, Ice Cream, and Yogurt.
Therapeutic Diets = Are prescribed for patients with specific conditions such as heart disease or diabetes. Heart (Cardiac Diet = Encourages choices of; Fruits and Vegetables, Whole Grains, Lean Meats.) patients are sometimes restricted in the use of; Salt, Cholesterol, and Saturated Fat.
Diabetic Diets = Are normally low in sugar and fat, and the doctor prescribes a specific number of calories per day as well.
Low Sodium Diets = Are ordered for those with kidney disease or high blood pressure, because the kidneys help to regulate sodium, fluid in the body, and blood pressure.
Other types of Diets = Low Bacteria Diet (Well Cooked Foods, cleanliness of preparation, practices such as; not sharing food containers with other patients, Freshly made for chemotherapy patients (Including other conditions that suppress the immune system).
Bland Diets = this consists of food that is easy to digest because it is soft, easy to chew and not heavily seasoned such as; Cooked Fruit, Mashed Potatoes, Cottage Cheese, Grits, and Cream of Wheat.
Gastro paresis Diet = For Delayed Stomach Emptying, the stomach must contract to empty itself of food and liquid. Caused by; various conditions such as diabetes mellitus, certain disorders of the nervous system, or certain drugs. A viral infection is suspected in some. This is to reduce symptoms and maintain adequate fluids and nutrition.
"It's easy to buy into some pretty popular nutrition misconceptions: Myths and Half-truths that ultimately find us making far fewer healthier food choices than we realize," says New York University nutritionist Samantha Heller, MS, RD.
Mistake No. 1: Assuming your choices are better than they actually are.
Mistake No. 2: Being confused about carbohydrates.
Mistake No. 3: Eating too much.
Mistake No. 4: Not eating enough -- or often enough.
Mistake No. 5: Taking too many supplements.
Mistake No. 6: Excluding exercise.
Mistake No. 7: Believing everything you read about nutrition and weight loss.
Digesting food = the human body is like an Oil Refinery. Through a complex process the Enzymes in the food are broken up, the necessary nutrients are absorbed, and the waste products are excreted. A disruption in any part of this process can lead to deficiencies, diseases, or even death.
Disorders and diseases in the Digestive Tract:
= Gastro esophageal reflux disease (GERD)
= Gastritis and ulcers
= Irritable bowel syndrome (IBS)
= Inflammatory bowel disease - this includes ulcerative colitis and Crown’s disease
= Celiac disease
= Diverticulitis
Celiac Disease = is also known as celiac spruce, no tropical spruce, and gluten (Gluten is a protein found in wheat, rye, and barley) sensitive enteropathy. This effects the small intestine and its ability to absorb nutrients, resulting in deficiencies and health complications. With Celiac Disease your body reacts to gluten as if it were toxic, where this ends up damaging the Mucosal surface (The inner lining of the small intestine), causing the nutrients not absorb properly. Nutrients that include; vitamins, calcium, carbohydrates, protein, and fats.
Symptoms of Celiac Disease include (Peptic Ulcers falls into this category too):
= Gas
= Recurring stomach pain and bloating
= Diarrhea
= Constipation
= Weight loss/weight gain
= Fatigue
= Change in mood
= Pale, foul-smelling, or fatty stools
= Bone or joint pain
= Unexplained anemia
= Very itchy skin rash with blisters called dermatitis herpetiformis
= Muscle cramps
= Tingling numbness in the legs
= Pale sores in the mouth, called aphthous ulcers
= Osteoporosis
= Tooth discoloration or loss of enamel
= Failure to thrive in infants
= Delayed growth
Omitting patients with Gluten Diet = is the key to controlling Celiac Disease, strict dietary gluten elimination will heal the small intestine over time (weeks to months). It is imperative that your diet remains gluten-free. Any gluten in your diet will cause the damage to your intestine to reoccur.
Food and Beverages:
The CDC says listeriosis, a food-borne illness with mild flu-like symptoms that can be overlooked, can result in premature delivery, miscarriage, severe illness, or death of the baby. Heidi Murkoff, author of What to Expect When You're Expecting, concurs with the U.S. Department of Agriculture, which cautions that you not eat unpasteurized soft cheeses (and other unpasteurized dairy products), hotdogs, or lunch meat unless cooked. Cheeses made in the U.S. must be made from pasteurized milk (this process kills the listeria organism), so they are fairly safe. In March 2004, the FDA and EPA issued joint guidelines regarding eating fish during pregnancy. They advise women who are pregnant, nursing, or even considering having children to eat no more than two servings of fish each week in order to protect developing babies from high levels of potentially brain-damaging mercury. Every woman experiences different menopause symptoms. Most women have some hot flashes, some feel irritable, a smaller number of women battle headaches, nausea or night sweats. Remember, what works for one woman may not work for another, and what works for you now may not work as well a year from now.
= Certain foods are thought to trigger headaches.
= Dietary habits, like skipping meals, and not drinking enough fluids.
Causes of Migraines = Often, foods are triggers only when they are combined with other triggers. For example, they may act as triggers only when stress or hormonal changes are also at work.
Certain substances in food may cause changes in blood-vessel tone, bringing on migraines in susceptible people.
5 items, suspected of causing Migraines:
1. Chocolate.
2. Caffeine.
3. Alcohol.
4. Tyramine, may be found in:
5. Food additives such as nitrites/nitrates and MSG. Some consider certain food additives, including nitrites/nitrates and MSG (monosodium glutamate), to be common headache triggers.
Avoid High-Fat Diet = Believe it or not, changes in the level of certain fats circulating in your bloodstream coincide with the triggering of migraine headaches. The bottom line is that you want to lower the levels of blood lipids and free fatty acids in your bloodstream.
Step 1. Drink clear soda
Step 2. Flat Soda
Step 3. Clear Liquids
Step 4. Dairy Products
Whole grains, beans and legumes, nuts, fatty fish, and teas are just as important in offering all sorts of complex heart protective Phytonutrients (This applies to Breastfeeding patients too); Alcohol, Caffeine, Smoking
Sunday, May 30, 2010
Thursday, May 27, 2010
PRESSURE SORES, PRESSURE ULCERS = PAIN
After reading chapter 37 in your textbook, write a half page summary on what measures nursing assistants can do to help prevent pressure sores in their patients. Include devices that can be used to relieve pressure sores.
Pressure ulcers are a common problem in palliative care patients. Pressure Sores are measured easily through these four stages of soreness:
Stage 1 - The skin is not broken but the color of the skin changes. The redness of a Stage 1 pressure sore is non-blanch able, which means that the skin does not turn pale when you press on it. You skin feels firmer, warmer, or cooler than the skin around it. You will feel pain, or itching in the area. Protect the area from further pressure, meaning the pressure sore do not go away easily.
Stage 2 - The top layer of the skin, including the skin just below it are damaged. Broken; Scrapes, blisters, caved-in.
Stage 3 - The damage to the tissue has gone all the way into the fatty layer; Looks like a deep crater under the skin, that is wider than the hole you see at the top of the skin.
Stage 4 - The pressure sore is a very deep wound that goes all of the way down into muscle, or the bone.
To prevent a pressure sore before it starts, protect the skin from friction, shearing, any stress. “Do not massage (rubbing-like) the skin over bony areas.
Check the skin several times a day. Look for redness over bony areas, areas that support a lot of body weight. Include a thorough check on the elbows, Achilles heel, butt, ankles, and hips, even breasts.
Keep your skin dry. Moisture from sweating, wound drainage, or urine can increase the risk of skin damage. Use clinical padding, bedclothes, sheets, or briefs that are made of materials that soak up moisture. Rotate changes to this to avoid irritation (A requirement from the CDC will come inspect this randomly). Moisture barrier products can help protect areas of skin that are exposed to moisture; If someone had Excessive ‘MALABSORPTION problems’ = (CELIAC DISEASE) (Uh, Diarrhea, come on were adults, why is this so hard to say in public), OAB = (Overactive Bladder), Bladder Infection (Cystitis = bacteria entering the bladder through the urethra with inflammation of your bladder), Urinary tract infections (UTIs = are infections of the bladder, urethra, and sometimes the kidney) (For this by the way my fellow classmates take some Cranberry NS 500 mg 180 caps (CRA13)) , may need moisture barrier to the buttocks, and groin area. Use soap, and warm (not hot) water to gently clean your skin. Do not rub, and avoid harsh soaps and products with alcohol. This will dry out your skin. Use lotion or a moisturizer on the skin often. Use a towel to gently pat (DO NOT RUB) the skin. Keep skin clean.
Change the patient’s positions frequently. When in bed, change the position of their entire body at least every one to two hours. Use a clock timer- thing; this may help remind you when it is time to turn the patient. Write a ‘Turning’ (HINT) schedule to help you remember to turn the patient. When helping a patient move in, and out of bed, to prevent putting stress on the skin, lifts the patient, do not slide the patient. Use cornstarch on the sheets to help keep the skin from dragging on the sheets during movement. To prevent damage to the skin from sliding down in bed, move the patients head rose as little as possible, for as short a time as possible. Report to Nurses or Managers about any vital sign changes, or Breathing problems the patient may have. We want to make our patients feel as comfortable as possible, they are our ‘GUESTS’, we must be nice and polite at all times, right. Unlike my wife, anyway moving on.
Do not rest the patients hipbone directly, lying on their side. Have the patient lean back into a pillow (foam wedge), behind their back when lying on their side. This will decrease the pressure put directly on the patient’s hipbone. Use pillows (anything soft-like, really) to keep bony areas from touching one another: Use a pillow between the patient’s knees to keep them from pressing on one another. Keep their heels from touching the bed when lying on their back. Do this by putting a foam pad or a pillow under their legs from mid-calf to ankle. The pillow should raise the heels enough for proper circulation. ‘Never’ (*HINT) put a pillow under your knees.
The use of a ‘turn sheet’ or a mattress pad under the patients buttocks, and upper body help others move the up in bed. An overhead trapeze can help them to change positions in bed. Special mattresses and overlays will help decrease the risk of ‘Pressure Sores’.
Keep the bottom sheet of the bed free of wrinkles. Make sure there are no hard items in the bed, such as crumbs or hairpins. Avoid clothing that has buttons, zippers, or thick seams that could put pressure on your skin. Exercises you can be done in bed (Exercising helps the blood flow to your skin) (I know I’m always talking about exercise, but honestly ‘Sexercise’ is even better). If the patient is at high-risk of getting pressure sores, do not have the patient sit in a chair for longer than two hours at a time. Lift, or sling to move the patient in bed, remove the sling and equipment from underneath, right after the patient is moved *We do not want anyone tripping, or clumsy enough to crash into this and hurt the patient even more because someone lost their balance) (This can be avoided).
Have the patient sit up straight in a chair or wheelchair. Change their position every hour; shift their weight from one side to the other every 15 minutes. Make sure their feet are supported, and not hanging freely. Use seat pads that are specially made to decrease pressure on your buttocks and hips. Again be respectful of the patient (Even though, they may be really hot, and you can’t help yourself but glare at his/her/its buttocks, legs, face, because he/she/it is chemistry igniting with yours, like he/she/it is the love of your life) (AHEM!, okay just be careful). Moving on.
Below is the disclosure you’ll either hear, or see while in the hospital;
Risks: Preventing pressure sores is very important. Pressure sores can be hard to heal once they start. They can cause pain, and discomfort. If a pressure sore gets bad, you may need to stay in the hospital. You may get a bad infection (in-FECK-shun) because of your pressure sore. A pressure sore can take weeks to months to heal, or may not heal at all. A pressure sore can be very serious, even life threatening.
PATIENT’S CARE AGREEMENT:
You have the right to help plan your care. To help with this plan, you must learn about your health condition and how it may be treated. You can then discuss treatment options with your caregivers. Work with them to decide what care may be used to treat you. You always have the right to refuse treatment.
Pressure ulcers are a common problem in palliative care patients. Pressure Sores are measured easily through these four stages of soreness:
Stage 1 - The skin is not broken but the color of the skin changes. The redness of a Stage 1 pressure sore is non-blanch able, which means that the skin does not turn pale when you press on it. You skin feels firmer, warmer, or cooler than the skin around it. You will feel pain, or itching in the area. Protect the area from further pressure, meaning the pressure sore do not go away easily.
Stage 2 - The top layer of the skin, including the skin just below it are damaged. Broken; Scrapes, blisters, caved-in.
Stage 3 - The damage to the tissue has gone all the way into the fatty layer; Looks like a deep crater under the skin, that is wider than the hole you see at the top of the skin.
Stage 4 - The pressure sore is a very deep wound that goes all of the way down into muscle, or the bone.
To prevent a pressure sore before it starts, protect the skin from friction, shearing, any stress. “Do not massage (rubbing-like) the skin over bony areas.
Check the skin several times a day. Look for redness over bony areas, areas that support a lot of body weight. Include a thorough check on the elbows, Achilles heel, butt, ankles, and hips, even breasts.
Keep your skin dry. Moisture from sweating, wound drainage, or urine can increase the risk of skin damage. Use clinical padding, bedclothes, sheets, or briefs that are made of materials that soak up moisture. Rotate changes to this to avoid irritation (A requirement from the CDC will come inspect this randomly). Moisture barrier products can help protect areas of skin that are exposed to moisture; If someone had Excessive ‘MALABSORPTION problems’ = (CELIAC DISEASE) (Uh, Diarrhea, come on were adults, why is this so hard to say in public), OAB = (Overactive Bladder), Bladder Infection (Cystitis = bacteria entering the bladder through the urethra with inflammation of your bladder), Urinary tract infections (UTIs = are infections of the bladder, urethra, and sometimes the kidney) (For this by the way my fellow classmates take some Cranberry NS 500 mg 180 caps (CRA13)) , may need moisture barrier to the buttocks, and groin area. Use soap, and warm (not hot) water to gently clean your skin. Do not rub, and avoid harsh soaps and products with alcohol. This will dry out your skin. Use lotion or a moisturizer on the skin often. Use a towel to gently pat (DO NOT RUB) the skin. Keep skin clean.
Change the patient’s positions frequently. When in bed, change the position of their entire body at least every one to two hours. Use a clock timer- thing; this may help remind you when it is time to turn the patient. Write a ‘Turning’ (HINT) schedule to help you remember to turn the patient. When helping a patient move in, and out of bed, to prevent putting stress on the skin, lifts the patient, do not slide the patient. Use cornstarch on the sheets to help keep the skin from dragging on the sheets during movement. To prevent damage to the skin from sliding down in bed, move the patients head rose as little as possible, for as short a time as possible. Report to Nurses or Managers about any vital sign changes, or Breathing problems the patient may have. We want to make our patients feel as comfortable as possible, they are our ‘GUESTS’, we must be nice and polite at all times, right. Unlike my wife, anyway moving on.
Do not rest the patients hipbone directly, lying on their side. Have the patient lean back into a pillow (foam wedge), behind their back when lying on their side. This will decrease the pressure put directly on the patient’s hipbone. Use pillows (anything soft-like, really) to keep bony areas from touching one another: Use a pillow between the patient’s knees to keep them from pressing on one another. Keep their heels from touching the bed when lying on their back. Do this by putting a foam pad or a pillow under their legs from mid-calf to ankle. The pillow should raise the heels enough for proper circulation. ‘Never’ (*HINT) put a pillow under your knees.
The use of a ‘turn sheet’ or a mattress pad under the patients buttocks, and upper body help others move the up in bed. An overhead trapeze can help them to change positions in bed. Special mattresses and overlays will help decrease the risk of ‘Pressure Sores’.
Keep the bottom sheet of the bed free of wrinkles. Make sure there are no hard items in the bed, such as crumbs or hairpins. Avoid clothing that has buttons, zippers, or thick seams that could put pressure on your skin. Exercises you can be done in bed (Exercising helps the blood flow to your skin) (I know I’m always talking about exercise, but honestly ‘Sexercise’ is even better). If the patient is at high-risk of getting pressure sores, do not have the patient sit in a chair for longer than two hours at a time. Lift, or sling to move the patient in bed, remove the sling and equipment from underneath, right after the patient is moved *We do not want anyone tripping, or clumsy enough to crash into this and hurt the patient even more because someone lost their balance) (This can be avoided).
Have the patient sit up straight in a chair or wheelchair. Change their position every hour; shift their weight from one side to the other every 15 minutes. Make sure their feet are supported, and not hanging freely. Use seat pads that are specially made to decrease pressure on your buttocks and hips. Again be respectful of the patient (Even though, they may be really hot, and you can’t help yourself but glare at his/her/its buttocks, legs, face, because he/she/it is chemistry igniting with yours, like he/she/it is the love of your life) (AHEM!, okay just be careful). Moving on.
Below is the disclosure you’ll either hear, or see while in the hospital;
Risks: Preventing pressure sores is very important. Pressure sores can be hard to heal once they start. They can cause pain, and discomfort. If a pressure sore gets bad, you may need to stay in the hospital. You may get a bad infection (in-FECK-shun) because of your pressure sore. A pressure sore can take weeks to months to heal, or may not heal at all. A pressure sore can be very serious, even life threatening.
PATIENT’S CARE AGREEMENT:
You have the right to help plan your care. To help with this plan, you must learn about your health condition and how it may be treated. You can then discuss treatment options with your caregivers. Work with them to decide what care may be used to treat you. You always have the right to refuse treatment.
Wednesday, May 26, 2010
Blood Pressure
Well let’s find out, what is Blood Pressure? = Blood is carried from the heart to all parts of your body in vessels called arteries. Blood pressure is the force of the blood pushing against the walls of the arteries. Each time the heart beats (about 60-70 times a minute at rest); it pumps out blood into the arteries. ‘Systolic Pressure’ is Blood Pressure at its highest when your heart beats, pumping the blood. Diastolic Pressure is when your heart is relaxed, between beats, your blood pressure falls. Blood pressure is always given as these two numbers, the systolic and diastolic pressures. 120/80 mmHg. The top number is the systolic and the bottom the diastolic. When the two measurements are written down, the systolic pressure is the first or top number, and the diastolic pressure is the second or bottom number. If your over 120 then considered pre-hypertension, your systolic is over 220, then you are in sever hypertension. Your diastolic is over 120 then you are in severe need of a doctor’s care. Blood pressure changes during the day. It is lowest as you sleep and rises when you get up. It also can rise when you are excited, nervous, or active.
So what do we need to take into account with blood pressure? = High blood pressure is the result of another medical problem a few of them listed. When the cause is known, this is called secondary high blood pressure. Younger women, have the narrowing, a thickening of the muscular wall of the arteries going to the kidney (fibro muscular hyperplasia). For those older, elder people, the narrowing generally is due to hard, fat-containing (atherosclerotic) plaques that are blocking the renal artery. ‘Renal Hypertension’ is narrowing (steno sis) of the artery that supplies blood to the kidneys (renal artery). Isolated systolic hypertension, however, is defined as a systolic pressure that is above 140 mm Hg with a diastolic pressure that still is below 90. This disorder primarily affects older people and is characterized by an increased (wide) pulse pressure. High blood pressure (HBP) or hypertension means high pressure (tension) in the arteries. Emotional tension and stress can temporarily increase blood pressure, too.
So we have to consider that when we take blood pressure, we still follow ‘GUIDELINES’, rules regulations, the ‘ASEPTIC’ techniques, apply the right ‘CUFF’, use caution when administering it to a patient (SEXUAL HARRASMENT, lawsuit). We can take into account the patients name, so they feel better about whom they are getting screened by. We must be polite, of course at all times. Find other alternatives; use the manual devices for accuracy. Make sure you patient is comfortable, and relaxed, need of assistance in seating blood pressure is best taken when you are still and quiet. If you just did a marathon, running, smoking, having sex, the patient will give out the wrong type of blood pressure, for we already know, it’s high. So we must make sure that they are neutral before we take blood pressure to get an accurate reading. Sometimes, our patients will ‘NOT’ want to hear this. But, when they do ask about possible alternatives, then we can ‘ONLY’ suggest. We are not doctors to diagnose, or their mothers to tell them what to do? So we always look for possible signs, vital signs, the fifth vital signs, and observe our patients. We are not there to judge them, just help them. Take out IV's and anything invasive to your patient's body, this will be safe.
Ways to lower your blood pressure:
1. Manage Your Weight
2. Exercise
3. Manage a Good Diet
4. Low Sodium Diet
5. Limit Alcohol Intake
6. Avoid tobacco products and secondhand smoke
7. Reduce Caffeine
8. Reduce your Stress, Rest
9. Monitor Blood Pressure at home and make Regular Doctor Appointments
10. Get support from family and friends
So what do we need to take into account with blood pressure? = High blood pressure is the result of another medical problem a few of them listed. When the cause is known, this is called secondary high blood pressure. Younger women, have the narrowing, a thickening of the muscular wall of the arteries going to the kidney (fibro muscular hyperplasia). For those older, elder people, the narrowing generally is due to hard, fat-containing (atherosclerotic) plaques that are blocking the renal artery. ‘Renal Hypertension’ is narrowing (steno sis) of the artery that supplies blood to the kidneys (renal artery). Isolated systolic hypertension, however, is defined as a systolic pressure that is above 140 mm Hg with a diastolic pressure that still is below 90. This disorder primarily affects older people and is characterized by an increased (wide) pulse pressure. High blood pressure (HBP) or hypertension means high pressure (tension) in the arteries. Emotional tension and stress can temporarily increase blood pressure, too.
So we have to consider that when we take blood pressure, we still follow ‘GUIDELINES’, rules regulations, the ‘ASEPTIC’ techniques, apply the right ‘CUFF’, use caution when administering it to a patient (SEXUAL HARRASMENT, lawsuit). We can take into account the patients name, so they feel better about whom they are getting screened by. We must be polite, of course at all times. Find other alternatives; use the manual devices for accuracy. Make sure you patient is comfortable, and relaxed, need of assistance in seating blood pressure is best taken when you are still and quiet. If you just did a marathon, running, smoking, having sex, the patient will give out the wrong type of blood pressure, for we already know, it’s high. So we must make sure that they are neutral before we take blood pressure to get an accurate reading. Sometimes, our patients will ‘NOT’ want to hear this. But, when they do ask about possible alternatives, then we can ‘ONLY’ suggest. We are not doctors to diagnose, or their mothers to tell them what to do? So we always look for possible signs, vital signs, the fifth vital signs, and observe our patients. We are not there to judge them, just help them. Take out IV's and anything invasive to your patient's body, this will be safe.
Ways to lower your blood pressure:
1. Manage Your Weight
2. Exercise
3. Manage a Good Diet
4. Low Sodium Diet
5. Limit Alcohol Intake
6. Avoid tobacco products and secondhand smoke
7. Reduce Caffeine
8. Reduce your Stress, Rest
9. Monitor Blood Pressure at home and make Regular Doctor Appointments
10. Get support from family and friends
Monday, May 24, 2010
Pain Intervention
After reading chapter 27 in your textbook, write a one page summary on
1. Assessing the intensity, location, and nature of pain
2. Different pain interventions that can be used to minimize and eliminate pain
The differences really, that pain intervention we must recognize the pain, locate it next, and ask about the nature of the pain with our patients.
We ask the patient about the Intensity, usually by showing a picture is most useful when dealing with a child.
Then we ask about the pain, locating it, having the patient show us, maybe a little more detail about the pain.
When it comes to asking the patient about the nature of the pain, a few questions are what we are likely to ask;
Did the pain start suddenly?
Does it feel like a burning pain, inflammation?
Does it feel like a pinching pain?
Does it feel like a stabbing pain?
Other series of questions is necessary to ask, because we need to know how we can help our patient to our best of care. When new pain arises, we do the whole process all over again, and start from scratch.
Ways to help our patient with this pain, can be nullify more pain later, when we can help them with the discomfort before it spreads, and causes even more pain.
Other ways we can recognize the pain is to;
Listen for abnormal behavior
Watch for signs of discomfort
Observing the patient is the vest way to recognizing the pain they are experiencing. The most common way for patients to have pain after having the first pain, is neglect I think. Caring for our patients is our number one service we must provide with the deepest care. This will help minimize, shorten pain interventions, and possibly eliminate any more discomfort than what the patient is already enduring.
1. Assessing the intensity, location, and nature of pain
2. Different pain interventions that can be used to minimize and eliminate pain
The differences really, that pain intervention we must recognize the pain, locate it next, and ask about the nature of the pain with our patients.
We ask the patient about the Intensity, usually by showing a picture is most useful when dealing with a child.
Then we ask about the pain, locating it, having the patient show us, maybe a little more detail about the pain.
When it comes to asking the patient about the nature of the pain, a few questions are what we are likely to ask;
Did the pain start suddenly?
Does it feel like a burning pain, inflammation?
Does it feel like a pinching pain?
Does it feel like a stabbing pain?
Other series of questions is necessary to ask, because we need to know how we can help our patient to our best of care. When new pain arises, we do the whole process all over again, and start from scratch.
Ways to help our patient with this pain, can be nullify more pain later, when we can help them with the discomfort before it spreads, and causes even more pain.
Other ways we can recognize the pain is to;
Listen for abnormal behavior
Watch for signs of discomfort
Observing the patient is the vest way to recognizing the pain they are experiencing. The most common way for patients to have pain after having the first pain, is neglect I think. Caring for our patients is our number one service we must provide with the deepest care. This will help minimize, shorten pain interventions, and possibly eliminate any more discomfort than what the patient is already enduring.
Ways to Prevent Heart Disease
There are ways to prevent heart disease from occurring. Research prevention of heart disease. As an assignment write a list of ways to prevent heart disease. Interact with at least two other students.
There are many ways to prevent from having disease. There are ways to prevent many things.
1. Do not smoke or use tobacco products.
2. Exercise, be proactive.
3. Eating right, a Heart-healthy diet. All the vitamins you see over the counter drugs is good for you too. Check your cholesterol, and blood pressure.
4. Maintaining a healthy diet, weight, and staying in shape.
5. Get a check up with your regular doctor, a monthly physical is always good.
This next paragraph I’m going to write had a lot to do with the fact that my mother had feinting spells, and her cholesterol just too high, and became diabetic, because he would not lay off the sweets, coffee, and fatty meats. So I ended up changing her kitchen, literally throwing away all unnecessary and unhealthy types of food. You can choose are like instead of vegetable oil, Olive oil. Saturated fats can also be bad for your heart. Pick low fat protein types of food. Eat more vegetables and fruits (This may be annoying to hear over and over again. Please, take this seriously it helps your body better than foods that can kill you slowly). By selecting whole grains you will never go wrong. I seriously doubt that a majority of our population is allergic to whole grains. As a matter of fact, have you known anyone to be allergic to whole grains? Especially grains that have an equal amount of fiber and iron.
Note: My parents do not like me telling them what to do, but it helped. Because if they needed my help, then the only way was to listen to me. So now, they are eating better, and getting healthier.
Note: We went through this coure about eating, and being healthy through MED 201. Hint.
There are many ways to prevent from having disease. There are ways to prevent many things.
1. Do not smoke or use tobacco products.
2. Exercise, be proactive.
3. Eating right, a Heart-healthy diet. All the vitamins you see over the counter drugs is good for you too. Check your cholesterol, and blood pressure.
4. Maintaining a healthy diet, weight, and staying in shape.
5. Get a check up with your regular doctor, a monthly physical is always good.
This next paragraph I’m going to write had a lot to do with the fact that my mother had feinting spells, and her cholesterol just too high, and became diabetic, because he would not lay off the sweets, coffee, and fatty meats. So I ended up changing her kitchen, literally throwing away all unnecessary and unhealthy types of food. You can choose are like instead of vegetable oil, Olive oil. Saturated fats can also be bad for your heart. Pick low fat protein types of food. Eat more vegetables and fruits (This may be annoying to hear over and over again. Please, take this seriously it helps your body better than foods that can kill you slowly). By selecting whole grains you will never go wrong. I seriously doubt that a majority of our population is allergic to whole grains. As a matter of fact, have you known anyone to be allergic to whole grains? Especially grains that have an equal amount of fiber and iron.
Note: My parents do not like me telling them what to do, but it helped. Because if they needed my help, then the only way was to listen to me. So now, they are eating better, and getting healthier.
Note: We went through this coure about eating, and being healthy through MED 201. Hint.
Wednesday, May 19, 2010
General Discussion Healthcare Barriers Part 1
After reading chapter 23 in your textbook, describe three barriers to communication, as well as ways in which healthcare workers can break these barriers to communicate effectively with patients/residents
First let’s understand the question, before we can understand an answer to this discussion. Communication between patient and professional in a quality of aspects help us interact with each other a little better. The Department of Health and Human Services, Office of Minority Health 2003 is developing effective communication between patients who speak different languages who come from different cultures, creed, and backgrounds. An effort to reduce, or eliminate health disparities (National Center for Health Statistics, Healthy People 2000, 2010).
Well, what we know as about ‘Barriers’? Well, a Barrier is like a wall, a block of vision, or type of force keeping the inevitable from performing its task. Such barriers include language, to ensure the proper treatment, and amount of competency being made is in an orderly manner. As we discussed this in class earlier about the ‘Bill of Rights’ patients rights, we all have so many rights in Healthcare. Thus as students we learn to become ‘Culturally Competent’ (Fortier et al. 1998; U.S. Department of Health and Human Services, Office for Civil Rights 2001; U.S. Department of Health and Human Services, Office of Minority Health, Closing the Gap 2001), having the permission to get consent from our patients before and after tasks given to us, right? Right? Okay, so we now know that there is a ‘Cultural Barrier’ here.
So what do we know of ‘Communication’? Communication is the means of interacting with my fellow classmates, right?
Okay, so the common Barriers shown in Page 208 of our book, to Communication are;
1. The Hearing Impaired Resident
2. The Blind Resident
3. The Difficult Resident
4. The Confused Resident
5. The Unknown Resident
Well, let me begin by telling you about them and how all of these come into play. This is my playground, and you get a treat from me through these discussions, as my original classmates such as Brian have experienced this in all of our classes. I do not do half-a&*Ed discussions, so this will be a treat.
For most people, patients, and care givers (Could be a Nurse, or Doctor, or responsible residence), we come across a little hinder that can lead into a possible large argument or misunderstanding. On Page 208 of the CNA 111 book, we read the Barriers, but prior to that page in Chapter 23 beginning, in Page 205 explains the definitions of Aphasia = (Loss of ability to use language effectively), Body Language = (Communicating through posture or facial expression or actions), Communicate = (To exchange information or opinions).
For some patients who are either blind, or just plain difficult, these patients are the ones, I believe are in more need of attention, and to be handled with the greatest care. I say, the greatest care, as if it is your life or death situation, you understand. This I critical, for they are the ones that depend in the hospitals expertise. There is a balance, we must be accurate when taking their vitals (It does not hurt to check more than 3 or more times to be sure, trust me, please). We must be consistent, in being helpful no matter how difficult a patient may be, the many times out of 1. Patients may be tired, and not want to fight anymore. (But please be polite and courteous at ALL times). This repetition of politeness, goodness, will rub off, who knows; you may have already healed the patient back to health, just by being an ‘ANGEL’ to their needs. For the blind person, we usual will use a brachial, what is that word Brail language, giving them options, where hopefully they can still hear, so we can read in detail, help the patient to understand better our policies, our plans, for this patient the task we will be administering him/her/it.
When I was a little boy, I remembered at four-years old my first doctor visit was at Kaiser Permanente. I will not disclose any details about his name, or what it was for? (Here I consent to disclose this much information). I remember asking the doctor questions about what he was doing? He explained in a generous manner in detail, what he was doing, and why? He then proceeded to administer a needle into my arm with ‘stuff’ in it. (My mother was in the room, with me). I did not know what it was?? I started to cry, so he stopped. He then, told me a story of how he became a doctor, I was intrigued. So, I was then occupied by my mother’s hands where she was playing with me, clapping and joking with me. My head was turned towards my mother, she both of my arms, then the doctor just swiftly poked me with that needle, I was so gravely afraid of. I really did not feel it, except later on, the ‘stuff’ was started to burn inside my arm, just like the doctor said it would. I was not clear myself to what that was, but apparently my mother knew I was going to be in excruciating pain. So she, tried to calm me down of course, after I cried and cried, because I did not know what was growing inside of me. But the doctor then made it better by putting in front of my face a nice ‘big lollipop’, and a sticker. It’s funny, but true. My mother took me to get ‘Ice Cream’, and my favorite sweet ‘pomegranates’. I was fine coming out of the doctor’s office, but as soon as we came in the store I was in pain, like I was dying or something. My mother handed me the big waffle cone of ‘Butter Pecan’, and I shoved it right on my arm. I felt better; the ice cream was demolished, melting down my arm. My mother did not mind, for it kept my mouth shut. So here, I’m walking home with my mom, holding her hand, and with the other hand the ice cream dripping down my arm. I had to take a bath of course, once I came home.
So you see, it’s a matter of tactical measures, and applying code of conduct, professionalism, and help of our parents. We grew up with this kind of behavior, so let’s practice better tactics, and better politeness.
These key words are what should be applied while communicating; speaking and listening. These can be used in the form of; Written, nonverbal, and effective use of communication. Other means of communication have three other key ingredients; Body language (We all know through visual, and perception of what women say in body language, wow!), moving on. Eye Contact (How you fell in love with your sweetheart in high school, right? Right?) Touch (These sensors in our bodies signal our brain through our ‘Nervous System’, through means of Nerve Impulses).
In other words, we listen to our patients, as simple, polite and courteous reply’s to find out about their situation, if there is pain, where, when, how, why do you think? Questioning the patient in a more approachable composure, finding the true nature of origins in their visit. If it may be a child, then ‘laughter’ is the key, not necessarily taking the kid to be your own, but to baby him/her/it. This goes for the elderly, they want nothing, but maybe wanting their visit to the doctor a pleasant one. (Many elder patients are always at the hospital, boring, scary, you name it). So observing, knowing what the patient needs, wants, but do it as a professional, and do it to where it does not hinder our code of ethics.
The language barriers may also reduce patient’s abilities to follow provider instructions for treatments (Collins et al. 2002; David and Rhee 1998; Manson 1988), to comprehend with spoken criteria for further follow-up care (Enguidanos and Rosen 1997; Manson 1988). This can also, lead us to the confusion part of our lesson, where the patient we are treating, is able to retain adherence of our communication, then this is not consistent. We all need consistent and precise communication to understand what is being told to us, right? “If we cannot, then we are not professionals”. Who agrees, I hope all of you do? Because I sure would not want some ignorant incompetent that can’t even compose his/herself/thing professionally, and know what the hell that he/she/it is talking about, right? This brings me to the third most important barrier, Health Literacy.
The ‘Unknown Barrier’ I think would be Health literacy. This is defined: “The degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions”. (National Center for Health Statistics, Healthy People 2010). Who here is a minority, I am? In 1994 Commonwealth Fund’s Minority Health Survey, confirmed that our language, culture, and our minority groups are the cause of most of these barriers. Most of the time we come across resident’s that may be difficult because of language, culture, or he/she/it may feel like a minority. Like I said long ago, in our first topic summary assignment. “WE MUST BABY THE PATIENT”. We are here, to learn, to become professional nurses, X-ray Technicians (Which most of you were so many wanting to be, last discussion), RNA, LVN”S, EKG’S, did I miss any titles, well whatever it may be, are here to ‘serve the people’. We have lost track of our great nation’s founded fathers, remember back in grade school, as little toddler’s, Abraham Lincoln, George Washington. We lost our language to speak, to communicate as people. So that’s why I think Healthcare will teach the government, to be able to help our nation get back in our feet, the right way. Let us not fall into their nonsense, but to be Healthcare professionals, and teach everyone, our patients, our doctors, our own families that we are better people than the ones taking lives. (Please refer back to my Capital Punishment research, blog, essay, and movement).
First let’s understand the question, before we can understand an answer to this discussion. Communication between patient and professional in a quality of aspects help us interact with each other a little better. The Department of Health and Human Services, Office of Minority Health 2003 is developing effective communication between patients who speak different languages who come from different cultures, creed, and backgrounds. An effort to reduce, or eliminate health disparities (National Center for Health Statistics, Healthy People 2000, 2010).
Well, what we know as about ‘Barriers’? Well, a Barrier is like a wall, a block of vision, or type of force keeping the inevitable from performing its task. Such barriers include language, to ensure the proper treatment, and amount of competency being made is in an orderly manner. As we discussed this in class earlier about the ‘Bill of Rights’ patients rights, we all have so many rights in Healthcare. Thus as students we learn to become ‘Culturally Competent’ (Fortier et al. 1998; U.S. Department of Health and Human Services, Office for Civil Rights 2001; U.S. Department of Health and Human Services, Office of Minority Health, Closing the Gap 2001), having the permission to get consent from our patients before and after tasks given to us, right? Right? Okay, so we now know that there is a ‘Cultural Barrier’ here.
So what do we know of ‘Communication’? Communication is the means of interacting with my fellow classmates, right?
Okay, so the common Barriers shown in Page 208 of our book, to Communication are;
1. The Hearing Impaired Resident
2. The Blind Resident
3. The Difficult Resident
4. The Confused Resident
5. The Unknown Resident
Well, let me begin by telling you about them and how all of these come into play. This is my playground, and you get a treat from me through these discussions, as my original classmates such as Brian have experienced this in all of our classes. I do not do half-a&*Ed discussions, so this will be a treat.
For most people, patients, and care givers (Could be a Nurse, or Doctor, or responsible residence), we come across a little hinder that can lead into a possible large argument or misunderstanding. On Page 208 of the CNA 111 book, we read the Barriers, but prior to that page in Chapter 23 beginning, in Page 205 explains the definitions of Aphasia = (Loss of ability to use language effectively), Body Language = (Communicating through posture or facial expression or actions), Communicate = (To exchange information or opinions).
For some patients who are either blind, or just plain difficult, these patients are the ones, I believe are in more need of attention, and to be handled with the greatest care. I say, the greatest care, as if it is your life or death situation, you understand. This I critical, for they are the ones that depend in the hospitals expertise. There is a balance, we must be accurate when taking their vitals (It does not hurt to check more than 3 or more times to be sure, trust me, please). We must be consistent, in being helpful no matter how difficult a patient may be, the many times out of 1. Patients may be tired, and not want to fight anymore. (But please be polite and courteous at ALL times). This repetition of politeness, goodness, will rub off, who knows; you may have already healed the patient back to health, just by being an ‘ANGEL’ to their needs. For the blind person, we usual will use a brachial, what is that word Brail language, giving them options, where hopefully they can still hear, so we can read in detail, help the patient to understand better our policies, our plans, for this patient the task we will be administering him/her/it.
When I was a little boy, I remembered at four-years old my first doctor visit was at Kaiser Permanente. I will not disclose any details about his name, or what it was for? (Here I consent to disclose this much information). I remember asking the doctor questions about what he was doing? He explained in a generous manner in detail, what he was doing, and why? He then proceeded to administer a needle into my arm with ‘stuff’ in it. (My mother was in the room, with me). I did not know what it was?? I started to cry, so he stopped. He then, told me a story of how he became a doctor, I was intrigued. So, I was then occupied by my mother’s hands where she was playing with me, clapping and joking with me. My head was turned towards my mother, she both of my arms, then the doctor just swiftly poked me with that needle, I was so gravely afraid of. I really did not feel it, except later on, the ‘stuff’ was started to burn inside my arm, just like the doctor said it would. I was not clear myself to what that was, but apparently my mother knew I was going to be in excruciating pain. So she, tried to calm me down of course, after I cried and cried, because I did not know what was growing inside of me. But the doctor then made it better by putting in front of my face a nice ‘big lollipop’, and a sticker. It’s funny, but true. My mother took me to get ‘Ice Cream’, and my favorite sweet ‘pomegranates’. I was fine coming out of the doctor’s office, but as soon as we came in the store I was in pain, like I was dying or something. My mother handed me the big waffle cone of ‘Butter Pecan’, and I shoved it right on my arm. I felt better; the ice cream was demolished, melting down my arm. My mother did not mind, for it kept my mouth shut. So here, I’m walking home with my mom, holding her hand, and with the other hand the ice cream dripping down my arm. I had to take a bath of course, once I came home.
So you see, it’s a matter of tactical measures, and applying code of conduct, professionalism, and help of our parents. We grew up with this kind of behavior, so let’s practice better tactics, and better politeness.
These key words are what should be applied while communicating; speaking and listening. These can be used in the form of; Written, nonverbal, and effective use of communication. Other means of communication have three other key ingredients; Body language (We all know through visual, and perception of what women say in body language, wow!), moving on. Eye Contact (How you fell in love with your sweetheart in high school, right? Right?) Touch (These sensors in our bodies signal our brain through our ‘Nervous System’, through means of Nerve Impulses).
In other words, we listen to our patients, as simple, polite and courteous reply’s to find out about their situation, if there is pain, where, when, how, why do you think? Questioning the patient in a more approachable composure, finding the true nature of origins in their visit. If it may be a child, then ‘laughter’ is the key, not necessarily taking the kid to be your own, but to baby him/her/it. This goes for the elderly, they want nothing, but maybe wanting their visit to the doctor a pleasant one. (Many elder patients are always at the hospital, boring, scary, you name it). So observing, knowing what the patient needs, wants, but do it as a professional, and do it to where it does not hinder our code of ethics.
The language barriers may also reduce patient’s abilities to follow provider instructions for treatments (Collins et al. 2002; David and Rhee 1998; Manson 1988), to comprehend with spoken criteria for further follow-up care (Enguidanos and Rosen 1997; Manson 1988). This can also, lead us to the confusion part of our lesson, where the patient we are treating, is able to retain adherence of our communication, then this is not consistent. We all need consistent and precise communication to understand what is being told to us, right? “If we cannot, then we are not professionals”. Who agrees, I hope all of you do? Because I sure would not want some ignorant incompetent that can’t even compose his/herself/thing professionally, and know what the hell that he/she/it is talking about, right? This brings me to the third most important barrier, Health Literacy.
The ‘Unknown Barrier’ I think would be Health literacy. This is defined: “The degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions”. (National Center for Health Statistics, Healthy People 2010). Who here is a minority, I am? In 1994 Commonwealth Fund’s Minority Health Survey, confirmed that our language, culture, and our minority groups are the cause of most of these barriers. Most of the time we come across resident’s that may be difficult because of language, culture, or he/she/it may feel like a minority. Like I said long ago, in our first topic summary assignment. “WE MUST BABY THE PATIENT”. We are here, to learn, to become professional nurses, X-ray Technicians (Which most of you were so many wanting to be, last discussion), RNA, LVN”S, EKG’S, did I miss any titles, well whatever it may be, are here to ‘serve the people’. We have lost track of our great nation’s founded fathers, remember back in grade school, as little toddler’s, Abraham Lincoln, George Washington. We lost our language to speak, to communicate as people. So that’s why I think Healthcare will teach the government, to be able to help our nation get back in our feet, the right way. Let us not fall into their nonsense, but to be Healthcare professionals, and teach everyone, our patients, our doctors, our own families that we are better people than the ones taking lives. (Please refer back to my Capital Punishment research, blog, essay, and movement).
Tuesday, May 4, 2010
Written Extended Argument Capital Punishment
What do we know when someone says Capital Punishment? We think Death Penalty, we think Death Row, and we think the worst. Let’s define these; Death Penalty, legally known as capital punishment, is the lawful imposition of death as punishment for crimes. Forms of execution include death by lethal injection, electrocution, lethal gas, hanging, and firing squad. The United States stands apart from Western Europe's clear opposition to the death penalty and is one of 94 countries and territories in the world that use the death penalty today. Now, we argue “Theory of Deterrence-Pro/Con”. There are two common arguments in support of capital punishment: that of deterrence and that of retribution. We’ll get back to this in a little bit, let’s look at the costs.
Prosecution of even a single capital case costing millions of dollars. Example: Cost of executing thousands of people has easily risen to billions of dollars. Because of our recession problem America now faces today. Our valuable resources that have been used to carry out death sentences would be better spent investing in programs that work to prevent crime, such as; improving education, providing services to the ill, and putting more law enforcement on our streets (not necessarily physical officers, but even just Neighborhood watches). We should make sure that monetary value of money, resources, life, and energy should spend to improve life. But why do we destroy it?
The purpose of the death penalty to remove from society someone who would cause more harm, remove him/her/thing from society, whom is incapable of rehabilitation, purpose of the death penalty to deter others from committing murder, to punish the criminal, to take retribution on behalf of the victim. Revenge or Avenge, which we all know is not going to bring their loved ones back from the dead anyway, it will not make the matters any better; no will you ever feel at peace. Sometimes, this makes matters worse, because you the one that seeks it are no better than he/she/it is.
Capital Punishment does not deter violent crimes. In short, a potential murderer does not have an option to consider the possible parole, automatically convicted to face the death penalty before committing a murder. In many experiences, and through even the eyes and hearts of those who stand accused, spectators watching, judges, governors, attorneys, the DA, doctors there to make sure it is downright by Medical Ethics code, families of the prosecution all have changed their views of the Death Penalty. “This should be abolished”, they say, “what was I thinking, this is wrong!” As they cried, not because of their lost loved ones, but because it’s another life, who are we to judge a man’s/women’s/its life. It’s cruel how we are, human nature, war after wars, fights after fights, rape after murders. We are just much of an animal to take a life, as the one who did the crime.
Whether some murderers deserve to die for their crimes is generally not an issue in dispute between supporters and opponents of the death penalty. The issue is whether the death penalty should be allowed in the United States. This last February of 2010 during the Valentine’s Weekend, my wife and I went to Monterey, California for the Public Defender’s Seminar to support the abolishment of the Death Penalty. It was more like going to college all over again, classes at certain times, taking notes, mingling with other lawyers, and others. While attending the first Session in the big ballroom at the Portola Hotel, we were introduced to an accused sentenced to Death Row, till later was appealed. He was released because of DNA evidence that nowadays, we have forensic science to help deter the false prosecution. This is why the two prong effect (Represent the counsel the best of his abilities (Not being lazy, come now), Where one counsel would do the same representation of defense, as if the next counsel will represent him the same way, without reckless abandonment). Ineffective Assistance of Counsel should not be present, for when an appeal finds out noticeable cause, original counsel can be sanctioned. Followed by a hearing in court to make sure the accused original defense represented him right. When misrepresentation is found through Mensrea, or otherwise, that representing counsel can have their B.A.R. card (Right, license-like to practice law) pulled, suspended or even revoked. Just like a driver’s license, but worse. I know this because I have met some of the most unworthy attorney’s I’ve ever encountered, shameless to say; they were horrible people in general. This is irrelevant I know, back to the argument.
Example: Look at cases like Ted Bundy, two death sentences, put to death in Florida. Very smart, intellectual LAW student, who studied his first two years of college in Psychology and oriental studies. Became a writer later on, managed the Seattle office of Nelson Rockefeller’s Campaign for Presidency. Re-enrolled in college with a Major and Degree in Psychology. Enrolled in LAW school, dropped out spring of 2004. Now, researching this, did anyone think to find out what was going through his head, was DNA evidence irrelevant in those days, who know? NO. He was convicted of killing thirty of the raped-women murders, hundreds more that were not related to his serial killing spree. Someone needed to be convicted otherwise, even if Bundy himself was not the original rapist of the other unknown murders. In our judicial system, someone has to be punished for the crime. His forte was Necrophilia (sex with someone already dead). This is another subject that can be discussed in another time.
Theory of Retribution, on the Old Testament and its call for “an eye for an eye.” Proponents of retribution argue that “The punishment must fit the crime.” According to The New American: "Punishment, sometimes called retribution, is the main reason for imposing the death penalty.” (In Gregg v Georgia, the Supreme Court wrote that "The instinct for retribution is part of the nature of man.")
Opponents of retribution theory believe in the sanctity of life and often argue that it is just as wrong for society to kill as it is for an individual to kill. These are the religious nut-heads. As people of faith, we take this opportunity to reaffirm our opposition to the death penalty and to express our belief in the sacredness of human life and in the human capacity for change.
In 2005, Congress considered the Streamlined Procedures Act (SPA), which would have amended the Anti-Terrorism and Effective Death Penalty Act (AEDPA). AEDPA placed restrictions on the power of federal courts to grant writs of habeas corpus to state prisoners. The SPA would have imposed additional limits on the ability of state inmates to challenge the constitutionality of their imprisonment through habeas corpus.
Reference this page it's important. According to Gallup, most Americans believe that the death penalty is a deterrent to homicide, which helps them justify their support for capital punishment. Other Gallup research suggests that most Americans would not support capital punishment if it did not deter murder. Social scientists have mined empirical data searching for the definitive answer on deterrence since the early 20th century. And "most deterrence research has found that the death penalty has virtually the same effect as long imprisonment on homicide rates." Studies suggesting otherwise (notably writings of Isaac Ehrlich from the 1970s) have been, in general, criticized for methodological errors. Ehrlich's work was also criticized by the National Academy of Sciences - but it is still cited as a rationale for deterrence. From Referenced page, we go back to the issue at hand.
Some say, or may argue that the Death Penalty will deter crime, yes I agree. Some may argue that it will reduce our economy, it will not. I will tell you that right now, the Death Penalty will actually increase prices to even put someone in Death Row, it cost money. Doctors are needed to administer and make sure the Medical Ethics is up to par, we have the engineers, to operate the machines and such; we have the visits, the extra guards, and so forth. It actually cost money to bring in a visitor to the prison, trust me. This is not an appeal to authority, it’s a fact.
There was a session I went to when I entered that John Steinbeck Forum Room, it looked like a huge college classroom, and learned that we are now more dependant in forensic sciences, including another topic which was carefully entailed in anti-terrorism interrogations, public defender’s defending terrorists openly admitting to cruel and unusual punishment (Unorthodox, and inhumane ways of interrogation). Okay, I said too much. That’s enough for this argument.
Prosecution of even a single capital case costing millions of dollars. Example: Cost of executing thousands of people has easily risen to billions of dollars. Because of our recession problem America now faces today. Our valuable resources that have been used to carry out death sentences would be better spent investing in programs that work to prevent crime, such as; improving education, providing services to the ill, and putting more law enforcement on our streets (not necessarily physical officers, but even just Neighborhood watches). We should make sure that monetary value of money, resources, life, and energy should spend to improve life. But why do we destroy it?
The purpose of the death penalty to remove from society someone who would cause more harm, remove him/her/thing from society, whom is incapable of rehabilitation, purpose of the death penalty to deter others from committing murder, to punish the criminal, to take retribution on behalf of the victim. Revenge or Avenge, which we all know is not going to bring their loved ones back from the dead anyway, it will not make the matters any better; no will you ever feel at peace. Sometimes, this makes matters worse, because you the one that seeks it are no better than he/she/it is.
Capital Punishment does not deter violent crimes. In short, a potential murderer does not have an option to consider the possible parole, automatically convicted to face the death penalty before committing a murder. In many experiences, and through even the eyes and hearts of those who stand accused, spectators watching, judges, governors, attorneys, the DA, doctors there to make sure it is downright by Medical Ethics code, families of the prosecution all have changed their views of the Death Penalty. “This should be abolished”, they say, “what was I thinking, this is wrong!” As they cried, not because of their lost loved ones, but because it’s another life, who are we to judge a man’s/women’s/its life. It’s cruel how we are, human nature, war after wars, fights after fights, rape after murders. We are just much of an animal to take a life, as the one who did the crime.
Whether some murderers deserve to die for their crimes is generally not an issue in dispute between supporters and opponents of the death penalty. The issue is whether the death penalty should be allowed in the United States. This last February of 2010 during the Valentine’s Weekend, my wife and I went to Monterey, California for the Public Defender’s Seminar to support the abolishment of the Death Penalty. It was more like going to college all over again, classes at certain times, taking notes, mingling with other lawyers, and others. While attending the first Session in the big ballroom at the Portola Hotel, we were introduced to an accused sentenced to Death Row, till later was appealed. He was released because of DNA evidence that nowadays, we have forensic science to help deter the false prosecution. This is why the two prong effect (Represent the counsel the best of his abilities (Not being lazy, come now), Where one counsel would do the same representation of defense, as if the next counsel will represent him the same way, without reckless abandonment). Ineffective Assistance of Counsel should not be present, for when an appeal finds out noticeable cause, original counsel can be sanctioned. Followed by a hearing in court to make sure the accused original defense represented him right. When misrepresentation is found through Mensrea, or otherwise, that representing counsel can have their B.A.R. card (Right, license-like to practice law) pulled, suspended or even revoked. Just like a driver’s license, but worse. I know this because I have met some of the most unworthy attorney’s I’ve ever encountered, shameless to say; they were horrible people in general. This is irrelevant I know, back to the argument.
Example: Look at cases like Ted Bundy, two death sentences, put to death in Florida. Very smart, intellectual LAW student, who studied his first two years of college in Psychology and oriental studies. Became a writer later on, managed the Seattle office of Nelson Rockefeller’s Campaign for Presidency. Re-enrolled in college with a Major and Degree in Psychology. Enrolled in LAW school, dropped out spring of 2004. Now, researching this, did anyone think to find out what was going through his head, was DNA evidence irrelevant in those days, who know? NO. He was convicted of killing thirty of the raped-women murders, hundreds more that were not related to his serial killing spree. Someone needed to be convicted otherwise, even if Bundy himself was not the original rapist of the other unknown murders. In our judicial system, someone has to be punished for the crime. His forte was Necrophilia (sex with someone already dead). This is another subject that can be discussed in another time.
Theory of Retribution, on the Old Testament and its call for “an eye for an eye.” Proponents of retribution argue that “The punishment must fit the crime.” According to The New American: "Punishment, sometimes called retribution, is the main reason for imposing the death penalty.” (In Gregg v Georgia, the Supreme Court wrote that "The instinct for retribution is part of the nature of man.")
Opponents of retribution theory believe in the sanctity of life and often argue that it is just as wrong for society to kill as it is for an individual to kill. These are the religious nut-heads. As people of faith, we take this opportunity to reaffirm our opposition to the death penalty and to express our belief in the sacredness of human life and in the human capacity for change.
In 2005, Congress considered the Streamlined Procedures Act (SPA), which would have amended the Anti-Terrorism and Effective Death Penalty Act (AEDPA). AEDPA placed restrictions on the power of federal courts to grant writs of habeas corpus to state prisoners. The SPA would have imposed additional limits on the ability of state inmates to challenge the constitutionality of their imprisonment through habeas corpus.
Reference this page it's important. According to Gallup, most Americans believe that the death penalty is a deterrent to homicide, which helps them justify their support for capital punishment. Other Gallup research suggests that most Americans would not support capital punishment if it did not deter murder. Social scientists have mined empirical data searching for the definitive answer on deterrence since the early 20th century. And "most deterrence research has found that the death penalty has virtually the same effect as long imprisonment on homicide rates." Studies suggesting otherwise (notably writings of Isaac Ehrlich from the 1970s) have been, in general, criticized for methodological errors. Ehrlich's work was also criticized by the National Academy of Sciences - but it is still cited as a rationale for deterrence. From Referenced page, we go back to the issue at hand.
Some say, or may argue that the Death Penalty will deter crime, yes I agree. Some may argue that it will reduce our economy, it will not. I will tell you that right now, the Death Penalty will actually increase prices to even put someone in Death Row, it cost money. Doctors are needed to administer and make sure the Medical Ethics is up to par, we have the engineers, to operate the machines and such; we have the visits, the extra guards, and so forth. It actually cost money to bring in a visitor to the prison, trust me. This is not an appeal to authority, it’s a fact.
There was a session I went to when I entered that John Steinbeck Forum Room, it looked like a huge college classroom, and learned that we are now more dependant in forensic sciences, including another topic which was carefully entailed in anti-terrorism interrogations, public defender’s defending terrorists openly admitting to cruel and unusual punishment (Unorthodox, and inhumane ways of interrogation). Okay, I said too much. That’s enough for this argument.
Monday, May 3, 2010
Dog Scent Help
Plus, I was going to do the one in Capital punishment anyway, for I am still working on research and my own work on it, for it is part of the Pubic Defense Seminar I attended in February 2010. It was an awesome weekend, where I shared the fact that I spoke to other Attorney's, where I was mingling with about my future. Because of my ability to analyze, to argue so well about issues, I was encouraged to become an attorney myself. There are many attorney's who go to LAW school that are weak to address issues. Go beyond to test the system, to utilize the resources, and knowledge to alter a case. Which in turn, I have a lot of. I just need to continue on in education, and go to LAW school after this. I'm looking into going to take more Philosophy classes, and some more Criminal Justice to enhance my knowledge even further. You are never too old to learn new tricks, right?
I have a paper on Dog Scent too, enchancing that as well. May I ask, what do you know about dog scent and dog trainers, dog scent evidence, whether or not dog scent is reliable? Many others I interviewed over the phone have told me the same thing, that dog scent evidence is only as accurate as the system allows. That most cases on dog scent evidence that go into appeal are 90 percent accurate. I researched that, sometimes the dog will do has the dog handler controlling the dog does, some cases I find that the dog handler had to guide the dog in order to point out the suspect a second or third time. But, should that have been irrelevant the first time, since the dog did not point out the suspect as it was originally trained to do. (Almost like the dog handler, made the dog go to the suspect, I smell soemthing fishy, because you know law enforcement, someone has to be accused one way or another.
I want to help those who have had a fallacy of representation on these dog scent cases. I will begin by researching more, and more then write articles on this. I will have my own extended argument online. It's the way we play the game in courts, right? Who has the better hand, who has a fighting chance? I like to go beyond that, because I believe there is so much more that our Judicial system has not implied, or has been Slanting, or Euphemized the trial to make it more appealing to the public.
I have a paper on Dog Scent too, enchancing that as well. May I ask, what do you know about dog scent and dog trainers, dog scent evidence, whether or not dog scent is reliable? Many others I interviewed over the phone have told me the same thing, that dog scent evidence is only as accurate as the system allows. That most cases on dog scent evidence that go into appeal are 90 percent accurate. I researched that, sometimes the dog will do has the dog handler controlling the dog does, some cases I find that the dog handler had to guide the dog in order to point out the suspect a second or third time. But, should that have been irrelevant the first time, since the dog did not point out the suspect as it was originally trained to do. (Almost like the dog handler, made the dog go to the suspect, I smell soemthing fishy, because you know law enforcement, someone has to be accused one way or another.
I want to help those who have had a fallacy of representation on these dog scent cases. I will begin by researching more, and more then write articles on this. I will have my own extended argument online. It's the way we play the game in courts, right? Who has the better hand, who has a fighting chance? I like to go beyond that, because I believe there is so much more that our Judicial system has not implied, or has been Slanting, or Euphemized the trial to make it more appealing to the public.
Medical Marijuana Argument
What is it do we know about Marijuana? Let’s start off by mentioning that most of our medications, prescriptions, and drugs come from stuff we grow, environmentally extinct rarities. Example of this is trees, plants, herbal remedies, and recipes. Others are formed from experience throughout our generations; some illegal drugs became legal passed through State. The reasoning is unlimited, for science has its advantages, as well as its ups and downs.
“If the Federal Government cannot tax it, they will illegalize it!”, “If the Federal Government cannot regulate it, then they’ll do everything in their power to make it illegal!” But, let’s look at another point of view shall we, from articles, and abstract debates in Medicine; With the dissatisfaction with an expanding corporate healthcare industry dominated by profit margins has spawned numerous reform ideas. One idea that has gained a foothold is a patients' federal BILL OF RIGHTS. In 1997, President Bill Clinton appointed an Advisory Commission on Consumer Protection and Quality in the Health Care Industry. The commission was directed to propose a "consumer bill of rights." The 34-member commission developed a bill of rights that identified eight key areas: information disclosure, choice of providers and plans, access to emergency service, participation in treatment decisions, respect and nondiscrimination, confidentiality of health information, complaints and appeals, and consumer responsibilities. Would any of this be illegal, or legal? (What about the book by Stephen Rachlin “Litigating a right to treatment: Woe is me”).
The main reason, and I think, and I quote is the only reason why “Our Federal Government just loves to Illegalize substances, acts, find loopholes to keep us blinded in their messed-up system, is because, they CAN NOT control ‘the people’ (Declaration of Independence) it’s unconstitutional to rip ‘the people’ of their rights)).
In short though, we help the Federal Government by this default because ‘we the people’ abuse these rights, set forth an addiction in capturing resources, utilizing them as if it were a matter of life and death. So therefore, this makes it a problem. Most problems become Illegal through Propositions, Legislature, passing a request to pass a new law bill.
Legal Marijuana blends do not work. Nothing will give the same exact high as Marijuana. A lot of people use a thing called "Saliva Divinorum" (Substance supplemental to ‘raw’ Marijuana). It is very powerful and definitely works. Now, just because it’s unknown, does the Federal Government see this as illegal, yes? Same concept, if you mix, it’s illegal. Since, the government does not know about it, they cannot tax it, so the Government cannot tax this, so therefore, it is illegal.
This brings me up to this question. What if Marijuana was too composed into pill form, the government CAN now tax this, since it is being recorded, researched, and controlled as the Health and Safety codes follow these guidelines well? Then, why Marijuana is so bad, compared to our previous cases against Coca-Cola, or Heroine. Oxy-Contin, Oxycodeine, or even medications with codeine (will test positive in drug-tests, because it contains opiates) in general (Look at the ingredients of your prescribed medication from what your doctor authorized, if you ask me “I believe we are all drug-addicts for even taking these”), are all small doses of these drugs to help patients relieve of their pain, suffering, you name it. All LEGAL in the eyes of the government, only because they can TAX it. Because the ill need it, so therefore, they found a loophole that is also in their favor. All illegal drugs made illegal by the Federal Government we so kindly follow. “AWK!” (Belching) All illegal drugs that were illegal made lightly legal, but in small doses, and don’t forget TAX it.
I will tell you why, The Federal Government wants to regulate everything and anything as if they need to take control. It feels like a dictatorship to me, and a select others that have experienced fallacy in serving ‘the people’, our government rule.
It’s illegal to be under the influence of anything in public. Example; if you took too much cough syrup and were under the influence of that, even Novocain, or Viacadin (Numbing substance to relieve pain) right after the Dentist Appointment. YES. You would be arrested, under the influence, in public, or behind the wheel.
Under the influence is a term used to describe a state of intoxication which is criminal during certain activities, such as public intoxication or driving under the influence. Driving under the influence cases, whether referred to as a DUI, DWI, DWAI, OUI, OUIL, or any other acronym, all have certain things in common. (Including CUI, cycling under the influence)
All states have laws against driving intoxicated, which vary by state. Legal intoxication is defined as a certain level of blood alcohol content (BAC), usually measurable at .10 or .08 percent. States that use the lower .08 BAC to define intoxication are eligible for more federal assistance, and therefore, there is a trend toward lowering the BAC limit.
Referenced from one article was a case with, Allison Margolin, a Harvard law School graduate, daughter of Bruce Margolin, the criminal defense lawyer who also literally wrote the book on marijuana law (The Margolin Guide) argued passionately on behalf of Seamus Ethridge, who stood accused of breaking the state’s drug laws. Michael Estrin (a freelance writer living in Los Angeles), quotes, “Allison is pretty well known among [pro-marijuana] activists, “ Ethridge tell him, “she’s great because she doesn’t take any shit; she fights hard and believes in this.” As she felt discomfort, she quotes, “I don’t know where the DA gets off bringing this fucking case,” she adds “The law is on our side!” The Arrest-first mentality infuriates Margolin, making the case to drop charges against Ethridge, did not deny that he was a full-time marijuana cultivator. Margolin simply argued that everything Ethridge did was perfectly legal. (The state legislature passed the Medical Marijuana Program Act to clarify how patients can cultivate and distribute medical marijuana (Cal. Health & Safety Code §§ 11362.711362.9)). Ethridge remembers and explained “I showed them my patient ID,” that he had grown marijuana for various collectives that he belonged to. Referenced: “The cops didn’t know much about medical marijuana laws, so they arrested me,” he says. (City of Corona, and later the City of Claremont, in landmark cases affirming cities’ ability to regulate or restrict marijuana dispensaries and collectives: City of Claremont v. Kruse (2009) 177 Cal.App.4th 1153 and City of Corona v Naulls (2008) 166 Cal.App.4th 418. He has successfully represented governmental entities, businesses in numerous other court and jury trials, and appellate matters).
My wife Jessica Lynn Vitug, had a friend who was dying of aids (Anti-Immune Deficiency Syndrome), he will not eat. He had an eating disorder that will not allow him to eat; his body will not want to eat. He then, was prescribed Medical Marijuana small doses every night, and whenever he needed to eat. The Marijuana would force his body to be hungry after 20 minutes of intake. State will approve of this because of its ‘peoples’ demand for treatment, but the Federal Government will not, stating “it is still illegal”, and continue to illegalize it. They might as well say “We the government will continue to illegalize it, until we can get in on it, to profit!” “Cha-Ch’ing, money register!” (Patient’s rights: The law presumes that an adult is competent, but competency may be an issue in numerous instances. Competence is typically only challenged when a patient disagrees with a doctor's recommended treatment or refuses treatment altogether. If an individual understands the information presented regarding treatment, she or he is competent to consent to or refuse treatment).
The interpreted California’s fuzzy medical marijuana statues-starting with Proposition 215, also known as the Compassionate Use Act (The California Compassionate Use Act, CA HSC §11362.5), which voters approved in November 5, 1996. Was effective November 6, 1996.
(Cal. Health & Safety Code §§ 11362.711362.9). Was deciding heavily on the judge’s call. Once patients have been charged, it is up to the courts to pass judgment on their medical claim.
This makes you think of the monetary value of our society. If the government had to barter with anything, but money, the endless supply of what we have is what we can ONLY offer, what then? “Illegalized drugs now, offered as bartering tool for other resources”, then what, “Hear ye, Here ye, all residence must grow their own resources”. Always a price for something, when it should never be about Monetary Value.
If you ask the question, “CAN I STILL BE ARRESTED OR RAIDED?”
YES, unfortunately. There is nothing in Prop. 215 to compel police to accept a patient as being valid. Many legal patients have been raided or arrested for having dubious recommendations, for growing amounts that cops deem excessive, on account of neighbors’ complaints, etc. A major purpose of the state ID card system is to avoid undue arrests.
In 2005, two years after the Legislature passed the Medical Marijuana Program Act, only four dispensaries operated openly in Los Angeles. A year later there were 98, according to a report by the LAPD's then-Chief William Bratton. He warned that without an updated zoning ordinance in place, criminal elements would exploit the vagueness of the law and set up shop near schools and residential areas. The city council responded in 2007 by passing a moratorium on new pot shops. But that measure did little to check the rapid spread of outlets, since it contained a loophole allowing dispensaries to apply for a hardship exception. Then, shortly after the council got around to closing that loophole, a judge declared the entire moratorium unconstitutional (Los Angeles Collective Assoc. v. City of Los Angeles, No. BC422215 (Los Angeles Super. Ct. Preliminary injunction issued Oct. 19, 2009)).
Los Angeles defense lawyer Michael Chernis advises doctors and a dozen collectives on how to operate within the state's medical marijuana laws. "The city council gets credit for not trying to ban dispensaries in the entirety or bowing to pressure from the DA and city attorney to ban sales," he says. "However, this [new ordinance] reflects a compromise position on many issues, the net result of which will likely be more litigation and patients getting hurt."
“If the Federal Government cannot tax it, they will illegalize it!”, “If the Federal Government cannot regulate it, then they’ll do everything in their power to make it illegal!” But, let’s look at another point of view shall we, from articles, and abstract debates in Medicine; With the dissatisfaction with an expanding corporate healthcare industry dominated by profit margins has spawned numerous reform ideas. One idea that has gained a foothold is a patients' federal BILL OF RIGHTS. In 1997, President Bill Clinton appointed an Advisory Commission on Consumer Protection and Quality in the Health Care Industry. The commission was directed to propose a "consumer bill of rights." The 34-member commission developed a bill of rights that identified eight key areas: information disclosure, choice of providers and plans, access to emergency service, participation in treatment decisions, respect and nondiscrimination, confidentiality of health information, complaints and appeals, and consumer responsibilities. Would any of this be illegal, or legal? (What about the book by Stephen Rachlin “Litigating a right to treatment: Woe is me”).
The main reason, and I think, and I quote is the only reason why “Our Federal Government just loves to Illegalize substances, acts, find loopholes to keep us blinded in their messed-up system, is because, they CAN NOT control ‘the people’ (Declaration of Independence) it’s unconstitutional to rip ‘the people’ of their rights)).
In short though, we help the Federal Government by this default because ‘we the people’ abuse these rights, set forth an addiction in capturing resources, utilizing them as if it were a matter of life and death. So therefore, this makes it a problem. Most problems become Illegal through Propositions, Legislature, passing a request to pass a new law bill.
Legal Marijuana blends do not work. Nothing will give the same exact high as Marijuana. A lot of people use a thing called "Saliva Divinorum" (Substance supplemental to ‘raw’ Marijuana). It is very powerful and definitely works. Now, just because it’s unknown, does the Federal Government see this as illegal, yes? Same concept, if you mix, it’s illegal. Since, the government does not know about it, they cannot tax it, so the Government cannot tax this, so therefore, it is illegal.
This brings me up to this question. What if Marijuana was too composed into pill form, the government CAN now tax this, since it is being recorded, researched, and controlled as the Health and Safety codes follow these guidelines well? Then, why Marijuana is so bad, compared to our previous cases against Coca-Cola, or Heroine. Oxy-Contin, Oxycodeine, or even medications with codeine (will test positive in drug-tests, because it contains opiates) in general (Look at the ingredients of your prescribed medication from what your doctor authorized, if you ask me “I believe we are all drug-addicts for even taking these”), are all small doses of these drugs to help patients relieve of their pain, suffering, you name it. All LEGAL in the eyes of the government, only because they can TAX it. Because the ill need it, so therefore, they found a loophole that is also in their favor. All illegal drugs made illegal by the Federal Government we so kindly follow. “AWK!” (Belching) All illegal drugs that were illegal made lightly legal, but in small doses, and don’t forget TAX it.
I will tell you why, The Federal Government wants to regulate everything and anything as if they need to take control. It feels like a dictatorship to me, and a select others that have experienced fallacy in serving ‘the people’, our government rule.
It’s illegal to be under the influence of anything in public. Example; if you took too much cough syrup and were under the influence of that, even Novocain, or Viacadin (Numbing substance to relieve pain) right after the Dentist Appointment. YES. You would be arrested, under the influence, in public, or behind the wheel.
Under the influence is a term used to describe a state of intoxication which is criminal during certain activities, such as public intoxication or driving under the influence. Driving under the influence cases, whether referred to as a DUI, DWI, DWAI, OUI, OUIL, or any other acronym, all have certain things in common. (Including CUI, cycling under the influence)
All states have laws against driving intoxicated, which vary by state. Legal intoxication is defined as a certain level of blood alcohol content (BAC), usually measurable at .10 or .08 percent. States that use the lower .08 BAC to define intoxication are eligible for more federal assistance, and therefore, there is a trend toward lowering the BAC limit.
Referenced from one article was a case with, Allison Margolin, a Harvard law School graduate, daughter of Bruce Margolin, the criminal defense lawyer who also literally wrote the book on marijuana law (The Margolin Guide) argued passionately on behalf of Seamus Ethridge, who stood accused of breaking the state’s drug laws. Michael Estrin (a freelance writer living in Los Angeles), quotes, “Allison is pretty well known among [pro-marijuana] activists, “ Ethridge tell him, “she’s great because she doesn’t take any shit; she fights hard and believes in this.” As she felt discomfort, she quotes, “I don’t know where the DA gets off bringing this fucking case,” she adds “The law is on our side!” The Arrest-first mentality infuriates Margolin, making the case to drop charges against Ethridge, did not deny that he was a full-time marijuana cultivator. Margolin simply argued that everything Ethridge did was perfectly legal. (The state legislature passed the Medical Marijuana Program Act to clarify how patients can cultivate and distribute medical marijuana (Cal. Health & Safety Code §§ 11362.711362.9)). Ethridge remembers and explained “I showed them my patient ID,” that he had grown marijuana for various collectives that he belonged to. Referenced: “The cops didn’t know much about medical marijuana laws, so they arrested me,” he says. (City of Corona, and later the City of Claremont, in landmark cases affirming cities’ ability to regulate or restrict marijuana dispensaries and collectives: City of Claremont v. Kruse (2009) 177 Cal.App.4th 1153 and City of Corona v Naulls (2008) 166 Cal.App.4th 418. He has successfully represented governmental entities, businesses in numerous other court and jury trials, and appellate matters).
My wife Jessica Lynn Vitug, had a friend who was dying of aids (Anti-Immune Deficiency Syndrome), he will not eat. He had an eating disorder that will not allow him to eat; his body will not want to eat. He then, was prescribed Medical Marijuana small doses every night, and whenever he needed to eat. The Marijuana would force his body to be hungry after 20 minutes of intake. State will approve of this because of its ‘peoples’ demand for treatment, but the Federal Government will not, stating “it is still illegal”, and continue to illegalize it. They might as well say “We the government will continue to illegalize it, until we can get in on it, to profit!” “Cha-Ch’ing, money register!” (Patient’s rights: The law presumes that an adult is competent, but competency may be an issue in numerous instances. Competence is typically only challenged when a patient disagrees with a doctor's recommended treatment or refuses treatment altogether. If an individual understands the information presented regarding treatment, she or he is competent to consent to or refuse treatment).
The interpreted California’s fuzzy medical marijuana statues-starting with Proposition 215, also known as the Compassionate Use Act (The California Compassionate Use Act, CA HSC §11362.5), which voters approved in November 5, 1996. Was effective November 6, 1996.
(Cal. Health & Safety Code §§ 11362.711362.9). Was deciding heavily on the judge’s call. Once patients have been charged, it is up to the courts to pass judgment on their medical claim.
This makes you think of the monetary value of our society. If the government had to barter with anything, but money, the endless supply of what we have is what we can ONLY offer, what then? “Illegalized drugs now, offered as bartering tool for other resources”, then what, “Hear ye, Here ye, all residence must grow their own resources”. Always a price for something, when it should never be about Monetary Value.
If you ask the question, “CAN I STILL BE ARRESTED OR RAIDED?”
YES, unfortunately. There is nothing in Prop. 215 to compel police to accept a patient as being valid. Many legal patients have been raided or arrested for having dubious recommendations, for growing amounts that cops deem excessive, on account of neighbors’ complaints, etc. A major purpose of the state ID card system is to avoid undue arrests.
In 2005, two years after the Legislature passed the Medical Marijuana Program Act, only four dispensaries operated openly in Los Angeles. A year later there were 98, according to a report by the LAPD's then-Chief William Bratton. He warned that without an updated zoning ordinance in place, criminal elements would exploit the vagueness of the law and set up shop near schools and residential areas. The city council responded in 2007 by passing a moratorium on new pot shops. But that measure did little to check the rapid spread of outlets, since it contained a loophole allowing dispensaries to apply for a hardship exception. Then, shortly after the council got around to closing that loophole, a judge declared the entire moratorium unconstitutional (Los Angeles Collective Assoc. v. City of Los Angeles, No. BC422215 (Los Angeles Super. Ct. Preliminary injunction issued Oct. 19, 2009)).
Los Angeles defense lawyer Michael Chernis advises doctors and a dozen collectives on how to operate within the state's medical marijuana laws. "The city council gets credit for not trying to ban dispensaries in the entirety or bowing to pressure from the DA and city attorney to ban sales," he says. "However, this [new ordinance] reflects a compromise position on many issues, the net result of which will likely be more litigation and patients getting hurt."
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