Post Open Heart Surgery Depression Essay Example

Post Open Heart Surgery Depression Essay Example Post Open Heart Surgery Depression Essay Post Open Heart Surgery Depression Essay Abstract The focus of this paper is to conclude a theory that presents an explanation as to why a large percentage of patients often develop depression post open-heart surgery. This theory will consider dynamic causes of depression including physiological, psychological, developmental, social, and spiritual factors of patient experiences. Post-Cardiovascular Surgery Depress Physiologic Stressors Depression is among one of the many risks involving any cardiac open-heart surgical procedure. The body is put under a tremendous amount of physical stress and could cause someone to feel the effects of depression. A saw is used to crack open the sternum, the muscles are stretched apart and the adjacent nerves are strained to expose the underlying body systems. The combination of broken bones, pulled muscles, and pinched nerves can cause extreme pain in the patient. The pain experienced by this procedure can deter patients from taking the necessary steps to rehabilitate themselves and from returning to their optimum state of wellness. The physical pain could prevent one from working with physical therapy, causing further muscle and mobility loss. The simple task of taking a deep breath may be far too painful for patients and potentially cause further problems such pneumonia. Patients are told after surgery their length of stay is four to five days so long as there are no complications. If patients are unable to return to their normal level of functioning they potentially would have to go to inpatient rehab, assisted living facilities or their length of stay may be increased before able to return home. Other common post operative complications such as dysrhythmias cause a patient’s length of stay in the hospital to be greater than anticipated which also contributes to their depressed mental state. Psychological Stressors Sometimes the greatest conflict a patient endures post open-heart surgery is the struggle between his or her own psyche and mentality. Pain, although may seem like a physical stressor actually can cause an adverse effect on a patient’s dignity and may shatter his or her confidence. Simple tasks such as taking deep breathing and preforming their minimum of four walks daily may cause the patient to view those tasks as impossible feats due to their pain and lack of confidence. An added stressor one may find difficult to accept is his or her altered body image. Open-heart surgeries leave a fairly large and noticeable mid-sternal incision and may cause the patient to become depressed about the change to their physical appearance. Developmental Stressors It is proven fact that post cardiothoracic surgical procedures cause a decline in cognitive function in patients that is potentially irreversible but in most causes resolves with in a few months after surgery (Fintel, 2011). This cognitive delay can cause unclear thinking and reasoning in patients preventing them from reaching reconstitution. The cognitive delay may present as frustration in patients but ultimately results in depression. Social Stressors Patients experience mental and physical stressors from open-heart surgery but also experience extra-personal stressors that are placed on their social life. Since patients are unable to drive, use their upper body for any type of strenuous activity, or lift anything greater than 5lbs for six to eight weeks post open-heart surgery, it is possible that the activity restrictions post-op put a damper on one’s spirit because he or she is unable to preform their usual activities needed for everyday life, fitness, work, etc. This causes patients to often feel that their independence is taken away and feel frustration for having to depend on others to do things for them, and an overwhelming sense of guilt for having to place their burden on others close to them, which are all factors that further contribute to his or her depressive state of mind. Patients often feel guilty and realize that their numerous amount of needs and support put a strain on others close to them, whether it is another family member or friend. Patient’s worry that the relationships they had pre-open heart surgery will never be the same due to their condition. It is important for patients to realize that a support system is so vital to their recovery and wellbeing. Spiritual Stressors Open-heart surgery will also try a patient’s spirituality. Patients may ask God, â€Å"why me? † and develop a sense of anger and or betrayal. This may cause he or she to feel forsaken and separated from God; this mistrust in God can further contribute to a patient’s loneliness and depression. The varying combinations of stressors mentioned above compromise a patients normal state of mind and can easily be attributed to their negative and depressed way of thinking which only makes sense to lash out against God. Hopefully a patient’s actions and mentality can be persuaded and enlightened by the nurse or others taking care of the patient. (Isaiah 41:10 KJV) â€Å"Don’t you be afraid, for I am with you. Don’t be dismayed, for I am your God. I will strengthen you. Yes, I will help you. Yes, I will uphold you with the right hand of my righteousness. † It is important for the patients to see their condition in a more positive and proactive light. This patient should view their surgery as a success through the power of God and as second chance to change their life style to improve their health and hopefully prevent the need for future surgical procedures. Conclusion The author speculates that post open-heart surgery depression is triggered by an array of stressors. The diverse stressors discussed above act in conjunction and almost create domino effect to cause a patient to feel overcome with depression. The physiological stressors trigger patients to become hopeless about their physical restrictions and cognitive dysfunction, which leads to self doubt, dependence on others which affects their psyche. The preceding psychological stress causes them to rely on family and friends for support and depression can stem from lack of support received or from guilt; which causes them to become reclusive to their former social domain. Finally when patients are feeling low and alone he or she may choose to blame God for their current predicament. There are many directions in which stressors can develop to cause depression in patients but the writer believes that it is the integration of all these stressors that further contribute to ones depressed state of mind. Discussion Question Do you think there are other causes of post open-heart surgery depression that I did not mention? If so, what else could help explain the cause? Do you support my theory?

Dónde pedir información migratoria de todo tipo

Dà ³nde pedir informacià ³n migratoria de todo tipo Es muy comà ºn que los migrantes o los extranjeros con visas no inmigrantes tengan dudas sobre cul es exactamente su estatus migratorio o sobre asuntos que pueden afectarlo. En este artà ­culo se explica cà ³mo obtener informacià ³n de primera mano sobre situacià ³n de casos pendientes ante el Servicio de Inmigracià ³n y Ciudadanà ­a (USCIS, por sus siglas en inglà ©s) y con las embajadas o consulados. Asimismo, cà ³mo saber si una persona est detenida, tiene una orden de deportacià ³n o de arresto, cà ³mo comunicarse con el Servicio Nacional de Visas, cà ³mo consultar si se es ciudadano americano. cà ³mo se puede solicitar un pasaporte o dà ³nde estn las oficinas locales del ICE. Y otros otros telà ©fonos importantes sobre asuntos que afectan muy de cerca a migrantes. Consultar con el USCIS Si se tiene un caso pendiente con el USCIS, existen diferentes modos de comunicarse y buscar informacià ³n. En persona Todos los extranjeros que se encuentren legalmente en Estados Unidos pueden usar el servicio de InfoPass.  Se pide una cita y en un corto plazo de tiempo se puede acudir a una oficina de Inmigracià ³n. Allà ­ un oficial con conocimiento del tipo de casos sobre el que existe la duda examinar la documentacià ³n que se le presenta y ofrecer una opinià ³n profesional. Es importante subrayar que los inmigrantes indocumentados no pueden utilizar este servicio. Y que puede tener consecuencias muy adversas presentarse voluntariamente en unas oficinas de Inmigracià ³n, como por ejemplo, ser arrestado en el momento. Por internet, correo electrà ³nico, mensaje de texto Se puede utilizar el sistema del USCIS de My Case Status para verificar cà ³mo est la tramitacià ³n. Es necesario saber el nà ºmero de caso que es el que aparece en la primera carta que se recibe del USCIS. Por correo Si se ha enviado una peticià ³n o solicitud a una Oficina de Campo (Field Office), se puede enviar una carta preguntando por el caso. Incluir los siguiente: Nombre completo y direccià ³nAlien Registration NumberFecha de nacimientoFecha y lugar de la aplicacià ³n sobre la que se preguntaEl Nà ºmero del caso Fotocopia legible de la à ºltima carta que se recibià ³ del USCISY, si ya ha tenido lugar una entrevista o la toma de huellas digitales, indicar la fecha y el lugar donde se realizà ³. Militares Los miembros del Ejà ©rcito de los Estados Unidos tienen reglas especiales en algunos asuntos migratorios. Para informarse y resolver inquietudes que les afecten directamente o a familiares pueden marcar gratis al 1-877-247-4645, de lunes a viernes de 8.am a 4.30 pm hora CST. Tambià ©n pueden escribir un correo a: militaryinfo.nscdhs.gov. Recordar que algunos familiares de militares o reservistas o veteranos que se encuentran en situacià ³n de indocumentados pueden beneficiarse del Parole in Place y obtener asà ­ los papeles. Centro Nacional de Visas (NVC) Las personas que estn pendientes de una visa de inmigrante pueden ponerse en contacto con el NVC siguiendo pautas establecidas. Si la inquietud que se tiene es sobre cunto tiempo hay que esperar, la informacià ³n puede saberse verificando cada vez las fechas de prioridad que publica el Departamento de Estado en el Boletà ­n de Visas. Detenidos y à ³rdenes Existe una base de datos donde es posible verificar si una persona est detenida por las autoridades migratorias. Y si no aparece en el sistema, existen telà ©fonos en los que los familiares o los abogados de la persona que se cree que puede estar detenida pueden pedir informacià ³n. Si una persona est detenida se puede averiguar informacià ³n sobre la prisià ³n y su direccià ³n en esta aplicacià ³n. Recordar que a los detenidos se les puede enviar dinero y paquetes. Adems, si se cree que se puede tener una orden de deportacià ³n en contra, es conveniente verificarlo.   Cortes de Inmigracià ³n Si se quiere saber el estatus de un caso, se puede marcar a cualquiera de los dos telà ©fonos siguientes: 800-898-7180240-314-1500 Si se desea pedir informacià ³n sobre el rà ©cord migratorio que pueden tener las cortes, marcar al 703-605-1297. Tramitacià ³n Visas no inmigrantes Asà ­ se puede verificar los tiempos que tardan en tramitarse las distintas visas no inmigrantes segà ºn el consulado o embajada en la que se aplica.   Si existe la tentacià ³n de aplicar en una oficina consular distinta a la del lugar habitual al que se reside, conviene tener en cuenta cules son los posibles inconvenientes. Verificacià ³n de Resultados de la loterà ­a de Visas (green card) Todos los aà ±os el gobierno de Estados Unidos celebra una loterà ­a gratuita de tarjetas de residencia. El sorteo se conoce como Visas de la Diversidad y los resultados se dan a conocer en mayo.   Oficinas   La direccià ³n de las oficinas de campo del USCIS se puede verificar aquà ­. Hacia el final de la pgina aparece un mapa, clickar en el estado en el que se busca la informacià ³n. Para buscar la direccià ³n exacta de los Centro de Apoyo, donde entre otras cosas se toman las huellas digitales y las fotos, se puede utilizar esta aplicacià ³n.   Y aquà ­ se puede buscar por estado la direccià ³n de las oficinas en las que se llevan a cabo entrevistas de asilo que han sido previamente pautadas. Si se busca contactar con la oficina local de Aplicacià ³n y Expulsià ³n (ERO, por sus siglas en inglà ©s), aquà ­ estn las direcciones fà ­sicas y las de correo electrà ³nico, por estado. Pasaporte americano En ocasiones es necesario obtener urgentemente un pasaporte porque se viaja con carcter inmediato y o bien no se tiene o bien est expirado. En estos casos, cerrar una cita marcando al 1-877-987-2778, antes de presentarse en una de las Agencias de Pasaporte Regionales.   Si se sigue el procedimiento ordinario, en tiempo normal o acelerado, estas son las oficinas en las que se puede aplicar.   Tener en cuenta los casos en los que se puede renovar por correo y los requerimientos especiales para menores.  Si se est fuera de los Estados Unidos, contactar con nuestra embajada o consulado ms cercano. Por à ºltimo, si se ha solicitado un pasaporte, aquà ­ se puede verificar online el estatus del caso.   Dudas sobre ciudadanà ­a Aunque parezca increà ­ble, lo cierto es que muchas personas creen que pueden ser ciudadanas americanas pero no lo saben con certeza. El principal problema es que la ley ha cambiado en varias ocasiones y por esos algunas personas no tienen claro si conservan la ciudadanà ­a o la adquirieron sin saberlo. Siempre que se tenga una duda razonable sobre la posibilidad de ser ciudadano americano se puede marcar al  1800-375-5282.  Ahà ­ encontrar ayuda. Tambià ©n es importante informase sobre quà © hacer para saber sobre si es posible recuperar la ciudadanà ­a que en aplicacià ³n de leyes pasadas se perdià ³ involuntariamente. En todo caso, antes de preguntar es aconsejable informarse sobre las reglas bsicas que regulan la ciudadanà ­a y cà ³mo se adquiere. Embajadas y Consulados Las Embajadas y los consulados americanos tienen al servicio del pà ºblico pginas webs donde brindan importante informacià ³n. Tambià ©n ofrecen sus telà ©fonos de contacto y correo electrà ³nico. Pero hay que entender que las oficinas consulares de los Estados Unidos no son los abogados particulares de nadie.   Las Embajadas y los consulados sà ­ que brindan ayuda a los ciudadanos estadounidenses que residen en el exterior. Para facilitar su labor es altamente recomendable inscribirse para tal fin. Reportar un ilà ­cito migratorio Se puede marcar al 1-866-DHS-2-ICE, o lo que es lo mismo: 1-866-347-2423. Tambià ©n se puede llenar en inglà ©s este formulario.   Telà ©fono para reportar abuso laboral En el 1-888-7581 se puede denunciar todo tipo de abuso, desde el no pagar salarios legales a acosos laborales o sexuales. Pueden denunciar todos los trabajadores, sin importar su estatus legal.   Violencia domà ©stica y otros tipos de crà ­menes Cualquier persona puede denunciar, tambià ©n sin que se tenga en consideracià ³n el estatus legal. Pero como aquà ­ se explica, salvo en casos en los que por seguridad hay que llamar inmediatamente, las và ­ctimas indocumentadas deberà ­an consultar antes con un abogado migratorio.   Los telà ©fonos a los que se puede marcar son: Là ­nea abierta nacional contra la violencia domà ©stica: 1-800-799-7233Là ­nea abierta de la red nacional contra el asalto sexual, violacià ³n, abuso e incesto (RAINN, por sus siglas en inglà ©s): 1-800-656-4673Centro nacional de nià ±os desaparecidos y explotados: 1-800-843-5678Centro nacional para và ­ctimas de crà ­menes: 1-800-394-2255 Otros telà ©fonos importantes En todo Estados Unidos y sus territorios se puede marcar al 911 para contactar con la policà ­a.   Para asuntos migratorios lo ms adecuado es contar con un abogado reputado. Y, si no se puede pagarlo, intentar obtener ayuda a travà ©s de organizaciones que brindan asistencia legal a migrantes. Por à ºltimo, el sistema consular mexicano en los Estados Unidos ha habilitado un telà ©fono gratis al que se puede marcar desde cualquier paà ­s para ayudar a su migrantes nacionales. Funciona muy bien y presta ayuda beneficiosa. Este artà ­culo no es asesorà ­a legal. Sà ³lo tiene carcter informativo.

Misuse and Abuse of Antibiotics Essay Example | Topics and Well Written Essays - 1500 words

Misuse and Abuse of Antibiotics - Essay Example regulated. Despite the Penicllin Act of 1948, more and more resistant strains of bacteria kept evolving, and continued research led to development of newer and newer antibiotics. The effect was devastating. In 1950s, a resistant strain of the bacteria, Staphylococcus aureus led to catastrophic events throughout the world, especially in the hospital setting and especially in children admitted to the hospital. Thus, the mechanism of resistance was probed into, and researches ultimately found that development of resistance is produced by indiscriminate use of the antibiotics, and such use may well be termed as misuse or abuse (Wenzel, R.P., 2002). The rational use of antibiotics is dependent on understanding of their mechanisms of action, pharmacokinetics, toxicities, interactions; bacterial strategies of resistance; and bacterial susceptibilities in vitro. The acquired resistance is a well-known major limitation to effective antibacterial chemotherapy. Bacterial resistance to antibiotics develop by mutation of the resident bacterial genes or by acquisition of new genes that resist antibiotics to cause bacterial death. Almost all bacteria have cellular mechanisms of transmission of genetic traits by a system of mobile genetic elements, such as, plasmids, transposons, and bacteriophages (Martnez, J.L. and Baquero, F., 2002). As a result, the new genes mediating resistance are spread from bacteria to bacteria to create a colony of resistant bacteria. Such populations flourish in areas of high antibiotic use where they enjoy a selective advantage over susceptible population. To answer the question how resistance becomes operative, one can deduce that the antimicrobial...Journal of Antimicrobial Chemotherapy; 52: 564 - 571. Martnez, J.L. and Baquero, F., (2002). Interactions among Strategies Associated with Bacterial Infection: Pathogenicity, Epidemicity, and Antibiotic Resistance. Clinical Microbiologic Review; 15: pp. 647 - 679. Metlay, J.P., Shea, J.A., and Asch, D.A., (2002). Antibiotic Prescribing Decisions of Generalists and Infectious Disease Specialists: Thresholds for Adopting New Drug Therapies. Medical Decision Making; 22: 498 - 505.

Banking Act of 1933 Glass-Steagall Act Article Example | Topics and Well Written Essays - 1000 words

Banking Act of 1933 Glass-Steagall Act - Article Example Senator Carter Glass, who was a former treasury secretary, is the main man behind the act. Henry Steagall was the other sponsor. The act applies to both national banks and state chartered banks (Dept 12). Though the Glass-Steagall act, the government upheld its role to provide quality, public policy. It can be argued that the act went a long way in easing the depression. This occurred because of the measures the Act put in place to prevent further losses. For instance, limiting commercial banks investments prevented underwriting by banks. This allowed for faster liquidation of assets by banks. This led to separation of commercial banks from investment banks. In 1999, the Gramm-Leach-Bliley act repealed the provision that restricted banks and securities firms affiliations section 16 prevented the purchasing or selling of securities by national banks except when the bank acts as a customer’s agent (Dept 23). Under the act, the government tried to resolve the conflict of interest that arises with regard to granting credit. Section 32 prevented common directors and employees access to credit Four sections of the act,sections16,20,21and 32,laid out the provisions for acquiring secur ities, both directly and indirectly in case the bank needed fast access to short term credit. For instance, section 11(a) prevented Federal Reserve member banks from placing loans to dealers or brokers. The Act limited the previous enormous power of the banks. This Act prevents bank’s ability to expand greatly, which was possible to achieve by creating a barrier between banking and insurance against aggressive expansions. As a result of the bank’s risky moves, there was the provision for insurance to minimize losses. Over time, limits on insurance from 2,500 USD in 1934, continues to take place. Currently the FIDC provides insurance for safety deposits of member banks of up to 250,000 USD per depositor in each bank initially, under the act. FDIC had the mandate to regulate and supervise banks, which are non-members in a given State. Through the US treasury, and Federal Reserve an initial 289 million funded the Act. The Act through FDIC also prohibited payment of intere sts on checking accounts. There are also provisions in the Act, which allow national banks to have branches statewide depending on the state’s law (Dept 20). The Glass-Steagall Act provided the government with the opportunity of displaying its understanding of the public’s interest. The institution of the Act by the government proved beneficial in helping the public deal with the recovery period after the effects of the Great economic depression of 1929. The creation of the Federal Deposit Insurance Corporation (FDIC) affected the public on a personal level compared to the other reforms brought about by this Act. This is because the FDIC created a buffer for citizens making a deposit of over 5,000 USD by insuring the money deposited. This served to eliminate any unforeseen, future risks, for example, an economic depression. As a result, individuals had the opportunity of getting their money back in the event of an economic catastrophe. The FDIC also helped to reaffirm the government’s commitment in safeguarding the financial welfare of its citizens (Dept 25). The different branches of the government played an integral role with regard to

Acid Rain Essay -- Environmental Science

INTRODUCTION The term acid rain refers to the process of deposition or precipitation of hydrogen ions with a pH value below 5.0, in the atmosphere. These acidic substances are produced by the pollutants on the earth that are airborne. These acidic precipitates will pour down as water droplets along with normal rain water whose pH lie between 5.0 and 5.6 creating hazardous effects on the living organisms of earth. HISTORY The cause of acid rain is mainly due to industrial pollutants. Acid rain was first reported during the Industrial Revolution in England in 1852.A Scottish chemist by name Robert Angus Smith discovered the same. [Briney A, 2001]However the term ‘Acid Rain’ was coined in the year 1972 by the scientist in his book,†Air and Rain: The Beginnings of Chemical Climatology â€Å".Awareness towards acid rain started to increase rapidly among people from then on. In today’s date even a small kid is taught about acid rain and made to understand the importance of preserving the environment from pollution. ACID RAIN FORMATION Air is polluted by both natural and artificial sources. The major contributors of acid rain are the oxides of sulphur and oxides of nitrogen. These oxides released through pollutants settle in the atmosphere. They then combine with the moisture in the atmosphere to form acid rain. The acid rain thus collected in the cloud gets released along with the raindrops of normal water thereby forming acid rain [J.N.B Bell, 1981] .The rain water that pours down will obviously contain the most harmful sulphuric acid and nitric acid. The effects created by this acid rain unimaginable. They just burn the living being alive in seconds creating a permanent destruction to the earth. CAUSES As seen earlier, the major con... ...hould take care that we do not become the root cause for the day on which the whole world will get drenched in acid rain. Nature is precious. Every individual must realize this fact and start their action to create a green and clean environment in future, as always prevention is better than cure! Works Cited Briney A, The Causes, History and Effects of Acid Rain, 2001 J.N.B Bell, An update on acid rain: A UK Viewpoint, 1981 Lane C A, Acid Rain –Overview and Abstracts, 2003 Epa, Available at, http://www.epa.gov/acidrain/effects/surface_water.html, Accessed on 13th August 2010 Wolosz T, Effects of Acid Rain, SUNY Plattsburgh States College, New York, 2005 Trotman G, Acid rain – A review of the phenomenon in the EEC & Europe, 1983 Kneese A, Measuring the benefits of clean air and water, 1984 BrimbleCombe P, Acid Rain –Deposition to Recovery, 2007

Jails and Prisons Response Essay

Jails and Prisons Response Prisons and jails may both confine offenders but they have their differences. Jails are for offenders that have short term sentences or for holding until the offender is transferred to a prison. They are also used to hold a criminal during their hearings until sentencing (Schmalleger, 2011). Prisons are for offenders that are sentenced to long-term or permanent confinement. They are institutions separated in to three categories depending on how serious the offense was or the mental state of the offender. There are minimum, medium, and maximum prisons (Schmalleger, 2011). All aspects of the criminals life is controlled by the authorities of the prison. This is what makes it a total institution. Depending on the crime committed and the individual they decide on which institution will be best. There are also four types of prisons which are military, juvenile, political, and psychiatric. They each have their place in the criminal justice system. The concept of prisons as a institution is total control and authority. Medical, education, and treatments are available to inmates as part of their rights. Within any institution there are different programs and departments to make it run properly. Jails play a important role in the system. They hold non-violent criminals from violent criminals. If everyone went to prison they would be over populated. Jails are beneficial because they are local and can hold offenders for short periods. A court would not want to send a offender who did not pay his parking tickets to prison for 30 days.

What I Think of Stereotyping Free Essay Example, 1250 words

The words "Arab" and "Muslim" nowadays in America have connotations such as 'terrorist', 'the enemy', 'extremists', 'oppressors' etc. ., which is constantly seen in the media. I know that these assumptions are not only false but also fabricated. It was after the 9/11 attacks that these came to plague the Muslims all over the world. A recent Gallup poll showed that 39% of Americans admit to being prejudiced against Muslims and nearly a quarter say they would not want a Muslim for a neighbor. How inhuman could that get? When the religious and political leaders use polarizing language and use Muslims as their scapegoats, these are the unfortunate side effects, ladies and gentlemen. It stretches from the likes of Pat Robertson all the way up to President George W. Bush. This behavior that the Americans portray is clearly supported by the inflammatory language President Bush has been using after the 9/11 attacks such as "Islamofascists" and the like. Again, personally, it has affected my life here in America. I recall an instance when I was traveling with my family, most of whom comprise of one brother and women covering their heads with scarves, and while waiting in line to go through the metal detectors everyone was going by so quickly, however, when the policeman got to us and looked at our passports he stood in the middle and announced to all the people standing behind us in line, "This is going to take a while, folks, please find another line, " then he looked at the officer next to him in distress and said "close the line with the belt, we have 4 Arab women with one man. " It was utterly humiliating to be treated like a criminal and to be asked to take off my jacket, shoes and hat and to have a special metal detector passed all over me and then being hand-searched when everyone else before us just put their bags through the screening machine and glided right through. We will write a custom essay sample on What I Think of Stereotyping or any topic specifically for you Only $17.96 $11.86/page