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The Case Of Jeffrey Dahmer Essay - 1377 Words

Checking the genetics of a person can tell much about the person and who they are. Does where a person lives and the environment they are in constantly influence them to commit crime? Is it the genetic makeup of the person that makes a more probable chance for them to commit a crime? â€Å"Drilling into the skull of a young man he began to funnel a stream of sulfuric acid into the head of his unconscious victim to create a zombie to fulfill all of his fantasies. Dead within a day, he mummified the head of his victim placing it in the freezer beside the skulls of those who came before. Dismembering the remnants of the body he placed skin, blood, and bone into a fifty-gallon vat of acid dissolving what was left of the young man†(Center Crisis Management). Jeffrey Dahmer one of the most notorious serial killer did not murder for financial gain, rage, or vengeance, he murdered to feed a desire. Could Dahmer’s DNA be the reason for his impulses to kill? Many theories c riticize the biological perspective, but the studies of those who commit murder suggest the biological theory could be accurate. I. Introduction First, psychological theory suggests that a person’s environment and past can influence their ability and desire to commit crime while biological theory suggest a person’s DNA makeup could influence their ability to commit crime. â€Å"Biological theories within the field of criminology attempt to explain behaviors contrary to societal expectations through examination ofShow MoreRelatedCase Study of Jeffrey Dahmer2982 Words   |  12 PagesA Case-Study of Jeffrey Dahmer. This paper will present case-analysis of the life and history of American psychopathic offender Jeffrey Dahmer. With the aim of carrying out this assignment effectively the research will be done from a psychological perspective; with regard to understanding the best fitted typology for the defendant’s criminality. 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This killer has been an interesting topic for more than 120 years, and will still be interesting for years to come( â€Å"Jack the Ripper Biography†).Although the killer is still unknown to this day, people still speculate as to who it was and they will continue until they get their answer. Jeffrey Dahmer Jeffrey Lionel Dahmer, born in Milwaukee, Wisconsin May 21, 1960. His parents, Lionel and Joyce Dahmer, described him as anRead MoreEvan Lalor. English 10. Mrs. Rb . 12 April 2017. Was Jeffrey1484 Words   |  6 Pages2017 Was Jeffrey Dahmer Insane One of the most infamous serial killers of the 20th century was named Jeffrey Dahmer, whose horrific murders shocked the nation. In many ways people would think Jeffrey Dahmer was insane because he killed 17 people and tried to turn them into living zombies for his self pleasure. Jeffrey Dahmer had mental struggles starting at a young age and throughout his life, Some say he had a mental illness. 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National Survey and Secondary Data Analysis †MyAssignmenthelp.com

Question: Discuss about the National Survey and Secondary Data Analysis. Answer: Introduction: The current assignment deals with post-operative nursing care practices. Here, the patient Kathleen Johnson is a 45 years old lady who had been admitted to the hospital for sleeve gastrectomy surgery. Kathleen has morbid obesity with a BMI index of 40kg/m2 along with type 2 diabetes. She is also the sole carer of her father who has been suffering from dementia and suffers from low self esteem due to her negative body image. Kathleen has been dependent upon addictives such as alcohol, cigarettes and coffee for dealing with the stress in her life. Therefore, after the gastrectomy surgery the patient has been transferred to the general ward where a nursing professional has been employed for looking after her care concerns. The patient here is a 45 years old lady suffering from type 2 diabetes and is morbidly obese. Therefore, she had been suggested sleeve gastrectomy surgery by the doctor. However, it is necessary to understand the aetiology and the pathophsyiology of the condition of the patient. The aetiology and pathophysiology of type 2 diabetes and obesity has been linked over here. It helps in understanding the effect of obesity on the overall health and well being in people. Obesity is a hetergenous group of conditions with multiple causes each of which is expressed as an obese phenotype (Berman et al., 2014). As commented by Bryant Knights (2014), the influence of genotype on the aetiology of obesity is either attenuated or exacerbated by non-genetic factors. There are a number of aetiological determinants of obesity which are endocrine and hypothalamic disorders, heritability, eating and energy storing patterns. Additionally, obesity has been strongly related to the development of type 2 diab etes. The BMI is strongly related to diabetes and insulin resistance as in obese individuals the amount of non-esterified fatty acids, glycerol, hormones, cytokines, pro-inflammatory markers are increased. Serum free fatty acids (FFA) are frequently high in obese individuals which are the one of the major contributors to peripheral insulin resistance. Elevated levels of FFA in the blood have been seen to promote gluconeogenesis inducing hepatic and muscle insulin resistance. FFAS also enhances the accumulation of triglycerides in liver and skeletal muscle, which could be correlated with insulin resistance (Hoogervorst-Schilp et al., 2016). BMI equal to or greater than 40 kg/m2 has been categorised under class III obesity which increases the risk for illness and death manifold times (Broyles, Smith, Coon Bonawitz, 2016). The obese condition of Kathleen could be attributed to her lifestyle and eating habits. In order to cope up with her life stress Kathleen had been overtly dependent upon alcohol, smoking. Kathleen has been drinking upto four bottles of beer on a single night. Therefore, excessive alcohol uptake results in increased amount of calories. Therefore excess amount of stored energy whereas less expenditure can result in increased body weight. As commented by Bullock Hales (2012), the psychosocial factors have also been seen to trigger binge drinking in people. Thus, binge drinking with long intermittent gaps have been seen to enhance weight gain by disturbing the facultative thermogenesis cycle. Underlying pathophysiology of the patients post-operative deterioration The patient had been suggested a sleeve gastrectomy surgery in order to facilitate weight loss. In the following procedure most of the stomach is removed except a small sleeve shaped pouch. It restricts the amount of food which could be consumed by the patient improving metabolic s syndrome. It acts by changing hormonal signal between stomach, liver and brain by establishing lower set points. As supported by Broyles, Smith, Coon Bonawitz (2016), undertaking sleeve gastrectomy surgery helped in controlling type 2 diabetes in 58% of the cases. However, there are a number of complications associated with the conduct of sleeve gastrectomy surgery in patients. Some of the most common side effects which could be noted after the conduct of the sleeve gastrectomy surgery are feelings of nausea and vomiting. Some more serious complications can be seen in the patient are blood clots in the lungs (pulmonary embolism) or legs (deep vein thrombosis) (Chou et al., 2016). Some other symptoms which could be seen over here are chest pain, shortness of breath. The leaking and bleeding around the stomach have been seen to cause abdominal pain and fever. In this respect, a number of post-operative complications were noticed in the patient such as shortness of breath or panting, high blood pressure, whereas the urine output has been recorded to be around 5 ml which is very less. The shortness of breath could be due to clotting of blood in the lungs during the surgery. Therefore, a post-operative follows up needs to be conducted on the patient. One of the most serious which needs to be addressed in the patient immediately is less urine output. It could be attributed to acute kidney injury (AKI) which may develop as a complication within the patient in post-aneasthasia care unit (PACU). It is important to recognise AKI in the early developmental stages as it could further progress into chronic kidney disease (Hamlin, Davies, Richardson-Tench Sutherland-Fraser, 2016). Additionally, use of antiarrythmic drug during surgery can also effect the normal urine output in the patient considerably. As commented by Forrester Griffiths (2014), ad equate resuscitation needs to implemented before application of the diagnostic criteria for decreased urine output. Appropriate nursing management of the patient Post-operative care process is crucial for the management of patients with gastric surgeries. Patients with a number of co-morbid conditions need to be kept inside the intensive care unit for few days before shifting to the general ward. Kathleen had type 2 diabetes, which required that a number of clinical assessments be completed before shifting her to the general ward. An A-E assessment needs to be conducted in order to analyse the overall condition of the patient. In this context, Kathleen was suffering from shortness of breath. Hence, the nursing professional needs to employ a proper airway management for looking after the respiratory complications developed in the patient. As commented by martin and Bartholomew (2018), residual anaesthesia have been seen to develop respiratory depression in the patient. Under such conditions, the nurse needs to make adjustments in endotracheal intubation. The patients could be placed in a reverse trendelenburg position which limits the push of abdominal contents over the diaphragm, facilitating the rate of respiration (Hamlin, Davies, Richardson-Tench Sutherland-Fraser, 2016). The expertise of aneasthelogist is required for the management of patients who are difficult to intubate. In order to improve tidal volume the head of the bed needs to be elevated from an angle of 30 to 45 degrees. Some of the additional steps which could be taken by the nursing professional over here are using intensify scale to access the pain in the patient. In this respect, the nurse should record pain as the 5th vital sign. The bleeding patterns of the patients needs to be monitored. The nurse should observe the puncture sites or the sites of insertion of the catherer tube closely as entry of any form of pathogen though those sites can result in the occurrence of central line associated bloodstream infection (CLABI) (Forrester Griffiths, 2014). Justification for involvement of three members of the interdisciplinary healthcare team The support care and participation of the interdisciplinary healthcare team can enhance the quality of the healthcare services. In this respect, part from the primary medical and nursing team three other allied healthcare professional could be involved who are dietician, critical care pharmacist, and respiratory therapist. Since Kathleen had undergone sleeve gastrectomy surgery therefore she needs to be particularly careful about her diet. Therefore, the involvement of a dietician can help in guiding the patient regarding the right food which needs to be taken after the pot-operative surgery. As mentioned by Craft, Hudson, Plenderleith Gordon (2017), the involvement of a dietician can help in providing effective diabetes management education to the patient. The involvement of clinical care pharmacist in disease state management has been found to be fruitful as they can keep a tab on the prescribed medication pattern of the patients. The interdisciplinary team can work closely with the doctors for effectively monitoring the changes in doses and their effects over the body of the patient in the long term (Nursing and Midwifery Board of Australia, 2013). The involvement of the respiratory therapists is crucial during the post-operative as they can help in restoring the normal breathing patterns of the patient. As mentioned by Gan et al. (2014), the involvement of the interdisciplinary care team can make the process of post operative support care easy and much more effective. However as argued by Bullock Hales (20121), the involvement of a number of medical channels can make the healthcare setting more slow and complicated. Therefore, an effective collaboration is needed between the different healthcare channels. Additionally, implementation of effective peri-operative nursing standards can help in improving the quality of care in an intensive care unit. Conclusion The current assignment focuses upon the nursing care and management strategies for patients who just had an immediate surgery. In this respect, the patient Kathleen is a 45 year old lady who had undergone a sleeve gastrectomy surgery due to morbid obesity. The patient depicted a number of complications immediately after the surgery such as the shortness of breath, high blood pressure and low urine output. Some of the most serious concerns surrounding the patient were low urine output along with shortness of breath. The low urine production could be due to acute kidney injury. Therefore, an effective postoperative follow up needs to be conducted which could help in accessing and monitoring the current health condition of the patient. Additionally, support from a number of health care channels along with interdisciplinary healthcare teams can help in improving the overall health condition of the patient. References Berman, A., Snyder, S. J., Kozier, B., Erb, G. L., Levett-Jones, T., Dwyer, T., ... Parker, B. (2014).Kozier Erb's Fundamentals of Nursing Australian Edition(Vol. 3). London: Pearson Higher Education AU. Retrieved from: https://books.google.co.in/books?hl=enlr=id=wMWaBQAAQBAJoi=fndpg=PP1dq=Kozier+%26+Erb%E2%80%99s+fundamentals+of+nursing+(3rd+ed.).+Australia:+Pearson.+ots=FEk6kCa1nnsig=OOOkHrwLlTkR_hoCq565ovg88c8#v=onepageq=Kozier%20%26%20Erb%E2%80%99s%20fundamentals%20of%20nursing%20(3rd%20ed.).%20Australia%3A%20Pearson.f=false Broyles, J. M., Smith, M., Coon, D., Bonawitz, S. C. (2016). Assessment of nursing deficiencies in the postoperative care of microsurgical patients.Journal of reconstructive microsurgery,32(08), 615-624. DOI: 10.1055/s-0036-1584528 Bryant, B., Knights, K. (2014).Pharmacology for Health Professionals ebook. Amsterdam: Elsevier Health Sciences, 25-45. Retrieved from: https://books.google.co.in/books?id=8b6PZgWIhYgCdq=Bryant,+B.,+%26+Knights,+K.+(2014).+Pharmacology+for+Health+Professionals+ebook.+Elsevier+Health+Scienceshl=ensa=Xved=0ahUKEwisi9H2u4zaAhWBtI8KHWxsBIgQ6AEIJjAA Bullock, S., Hales, M. (2012).Principles of Pathophysiology. London:Pearson Higher Education AU, 85-101. Retrieved from:https://books.google.co.in/books?hl=enlr=id=N3_dBAAAQBAJoi=fndpg=PP1dq=Bullock,+S.,+%26+Hales,+M.+(2012).+Principles+of+Pathophysiology.+Pearson+Higher+Education+AUots=Sier9_EJzHsig=yCQl39Wn2BK4sv55TQ9Tzq-YDvg#v=onepageqf=false Chou, R., Gordon, D. B., de Leon-Casasola, O. A., Rosenberg, J. M., Bickler, S., Brennan, T., ... Griffith, S. (2016). Management of Postoperative Pain: a clinical practice guideline from the American pain society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists' committee on regional anesthesia, executive committee, and administrative council.The Journal of Pain,17(2), 131-157. DOI: https://doi.org/10.1016/j.jpain.2015.10.023 Cole, C., Hill, O., Saunders, R. (2012).Pocket Companion Jarvis's Physical Examination and Health Assessment. Amsterdam: Elsevier Health Sciences, 202-313. Retrieved from: https://books.google.co.in/books?hl=enlr=id=g1zsgqBapekCoi=fndpg=PT8dq=rvis,+C.,+Forbes,+H.,+Watt,+E.,+(2012).+Jarvis%E2%80%99s+physical+examination+%26+health+assessment++(Australian+and+New+Zealand+ed.).St.+Louis,+Missouri:+Elsevier+Saundersots=3HXi-Ghv90sig=Hn2-S7UKGCemJ6tU97ZqHznMPf4#v=onepageqf=false Craft, J. A., Hudson, P. B., Plenderleith, M. B., Gordon, C. J. (2017). Enrolled nurses entering undergraduate studies at second year to become registered nursesA mixed methods study on commencing perceptions of bioscience.Collegian,24(4), 317-324.DOI:https://doi.org/10.1016/j.colegn.2016.05.002 Forrester, K., Griffiths, D. (2014).Essentials of Law for Health Professionals-eBook. Amsterdam: Elsevier Health Sciences, 85-92. Retrieved from: https://books.google.co.in/books?hl=enlr=id=VlqmBgAAQBAJoi=fndpg=PP1dq=Forrester,+K.,+%26+Griffiths,+D.+(2015).+Essentials+of+law+for+health+professionals+(4th+ed.).+Sydney:+Elsevierots=ajESp-PfRhsig=74kPKhCSQLNBgQb6T95QZiY6XJ0#v=onepageqf=false Gan, T. J., Diemunsch, P., Habib, A. S., Kovac, A., Kranke, P., Meyer, T. A., ... Bergese, S. D. (2014). Consensus guidelines for the management of postoperative nausea and vomiting.Anesthesia Analgesia,118(1), 85-113. doi: 10.1213/ANE.0000000000000002 Hamlin, L., Davies, M., Richardson-Tench, M., Sutherland-Fraser, S. (2016).Perioperative Nursing-EBook-epub: An Introduction. Amsterdam: Elsevier Health Sciences. Retrieved from: https://books.google.co.in/books?hl=enlr=id=_cr1CwAAQBAJoi=fndpg=PP1dq=Hamlin,+L.,+Davies,+M.,+Richardson-Tench,+M.,+%26+Sutherland-Fraser,+S.+().+Perioperative+nursing%3B+An+introduction+(2nd+ed.).+Australia:+Elsevierots=Ebt8oXl2J5sig=YEiMPAYwy4z5ddHR0JaBsZYcGd8#v=onepageq=Hamlin%2C%20L.%2C%20Davies%2C%20M.%2C%20Richardson-Tench%2C%20M.%2C%20%26%20Sutherland-Fraser%2C%20S.%20().%20Perioperative%20nursing%3B%20An%20introduction%20(2nd%20ed.).%20Australia%3A%20Elsevierf=false Hoogervorst-Schilp, J., Van Boekel, R. L. M., De Blok, C., Steegers, M. A. H., Spreeuwenberg, P., Wagner, C. (2016). Postoperative pain assessment in hospitalised patients: National survey and secondary data analysis.International journal of nursing studies,63, 124-131. DOI:https://doi.org/10.1016/j.ijnurstu.2016.09.001 Levett-Jones, T. (Ed.). (2013).Clinical reasoning: Learning to think like a nurse. Pearson Australia, 165-212. Retrieved from: https://books.google.co.in/books?id=rwc0MwEACAAJdq=Levett-Jones,+T.+(Ed.).+(2013).+Clinical+reasoning:+Learning+to+think+like+a+nurse.+Pearson+Australia+ebook.+Elsevier+Health+Scienceshl=ensa=Xved=0ahUKEwjs_8acvIzaAhUKvI8KHZ3UC2AQ6AEIJjAA martin, F. and Bartholomew, E. (2018). anatomy and physiology I. [online] Available at: https://learning.hccs.edu/faculty/auguste.nioupin/biol2401/Spring%2015_2401%20syllabus_-CRN_41813 [Accessed 27 Mar. 2018]. Nursing and Midwifery Board of Australia (2013). Professional codes and guidelines. Retrieved from :https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/CodesGuidelines.aspx

Three Musketeers Essay Research Paper THE THREE free essay sample

Three Musketeers Essay, Research Paper THE THREE MUSKETEERS The Three Musketeers is a fantastic narrative assorted with love affair and action. It is about one immature adult male # 8217 ; s journey from boyhood to manhood. On this pursuit he ironically befriends three of the former musketeers. D # 8217 ; Artagnan, starts his ocean trip in the states of France trusting to do his manner to Paris. D # 8217 ; artagnan leaves his place to go to France and do a luck. His male parent gives him three separating gifts one of them being a missive to Monsieur De Treville. At his first halt, in the town of Meung, the hot-headed vitamin D # 8217 ; Artagnan gets into a battle with a distinguished-looking gentlemen who ridicules him because of his saddle horse. D # 8217 ; Artagnan is beaten unconscious by a group of the gentleman # 8217 ; s flunkies. When he comes to, he sees the gentleman speaking to a beautiful, just adult female in a passenger car whom he calls # 8220 ; Milady # 8221 ; merely as the two of them are siting off. We will write a custom essay sample on Three Musketeers Essay Research Paper THE THREE or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page He prepares himself to go forth the town, but finds that the gentleman has stolen his missive of introductio N to M. de Treville. Upset by the loss of his missive he continues his jaunt to M. De Treville’s place. When he reaches the house he is asked to travel see M. De Treville, but before the two can talk Aramis and Porthos are called into the room. Athos enters tardily but shortly prostrations of his sever lesions. After Athos had been tended to D # 8217 ; artagnan is questioned by M. De Treville who at first suspects him of being a undercover agent sent by the Cardinal. D # 8217 ; artagnan sees the adult male from Meung and darts after him to dispute the adult male. Soon after D # 8217 ; Artagnan chases after the adult male he crashes into Athos who had merely been released from the physicians attention. The two work forces allow choler acquire the better of them and put a affaire dhonneur for midday of that twenty-four hours. D # 8217 ; Artagnan can non happen his mark anyplace but does see Aramis and approaches him. Aramis is in a conversation with some other work forces at the clip and D # 8217 ; Artagnan accidently exposes Aramis # 8217 ; s adulteress relationship with a marrie adult female. Aramis so challenges D # 8217 ; Artagnan to a affaire dhonneur at 1:00 that twenty-four hours.