Natural resources Curse or blessings

Natural resources Curse or blessings Abstract: The resource curse refers to a complex phenomenon that resource rich countries fail to take the advantages from their natural resources. According to this term countries with abundance of natural wealth are unable to gain the benefits of having the resources that they are supposed to get in comparison to the countries with fewer natural resources. This paper describes the existence of resource curse, how to deal with this curse and its implication to development of Middle East. Introduction Even though a country with plenty of natural resources should progress in terms of GDP and economic growth at far more pace as compared to countries with far less resources or with no resources at all as compared to them, studies and experiments do tend to suggest otherwise. True, natural resources reserves do help a country raise individual living standards, economic growth, nevertheless, unless made full use of it can result in a negative GDP too. Experiments after being carried out in this regard has shown that in some countries despite resources being available in plenty their progression was not in line with it. On the contrary, countries which should have struggled to make their way through, as they had little resources or none at all, in reality have out-performed countries with abundant resources through the help of their service and manufacturing industries. While on the other hand some natural-resources rich countries have done exceptionally well as they utilized their wealth with perfection. To sum up, it can neither be said having less natural resources will mean a country can not progress nor can it be said that having enough of it will prevent a country from moving further forward. The whole thing has got to do more with whether proper utilization of it was made or not. Is there a resource curse? If a closer look is taken at some countries in the Middle Mast, for example, Saudi Arabia, Kuwait, Iran and Iraq, it can be seen that they all share some things in common. These countries have more oil reserves than any other countries in the world; they are governed by Islamic laws, the fate of the people lies at the hand of their leaders, and where democracy is not present at all. General people have nothing to say as to how the country would be run and armed forces are often used as a weapon by the leaders to ensure that power does not come out of their hands. Despite having natural wealth, these countries have not performed as per expectation. Still they have slow population growth and poor life expectancy than average, low quality education and health care, low market diversification, poor socio-political development indices. There are some other natural resource-rich countries, where natural resources could not bring blessings. In some African countries civil war occurred over the control of the resources which may lead to separatism. People from natural resource areas want to keep control over their resources. Thus they get engaged in conflict with their Government. The Governments abilities to perform go down badly. For instance, in Angola and Sierra Leone, some rebel groups in the area where natural recourses like diamond, gold etc are located, are engaged in different forms of crimes like extortion, drug dealing, kidnapping foreign executives of multinational companies for ransom. The revenues from natural resources can go up and down. When the prices of the natural resource rise the economy of the countries dominated by natural resources booms and again if the price falls down the economy also plummets. For instance, the price of crude oil shot up from $10 per barrel in 1998/1999 to $140 per barrel in the middle of 2008. Again in December 2008 the price plunges to $40 per barrel. On 29th of December 2009 the price was $76.19 per barrel. The wild fluctuation of the price of natural resource can have a great impact in the Governments annual development budget if the economy depends absolutely or mostly on natural resources. In the resource rentier countries, the Government does not tax the citizens because they have fixed sources of income from resource rent. They do not have to explain about their policies, rules, and laws to the public. People also do not or can not complain about their living standard, health, Government policies etc even though they are poorly served by the Government. As a result, the relationship between the rulers and public collapses. In the Middle East people can not protest against any Government policy. In fact the rulers, dependent on natural resource rent, tend to be repressive, corrupt and poorly managed. In the resource abundant countries human resources are often ignored. Instead of investing in the development of education, health and research, Government make huge expenditure on buying luxurious products, military, police from which the only rulers or elite societies get benefited. The countries which have natural resource, the giant multinational companies gather there. They want to get control over the resource to mine it by paying a token money. They try to get the control either by bribing money or other forms of gifts to the rulers of that country, or by creating pressure from their own country to the resource owner country. If the Government is not accountable to its citizens, it is very tough to avoid such pressure or the greed of bribe. Thus the multinational companies are spreading corruption in the poor, but with natural resource, countries. For example, Niko, a Canadian company is in charge of gas exploration in Bangladesh. In 2005 because of the incompetence, technical fault of Niko, two huge blowouts of gas occurred. Bangladesh faced a loss of tk7.4650 billion in local currency ($1=tk70 approximately) including gas and environmental damages. But instead of paying the compensation they gave a luxurious car which cost 10 million in local currency to the state minister for energy as a bribe to avoid compensation. There are many countries with little or no natural resources at all, which have been able to develop. Resource-rich countries like Middle East could not perform well in terms of economic growth. Even the growth of some countries with ample natural resources was negative. On the other hand countries with low natural resources performed extremely well. Most of the resource poor countries like Singapore, Korea, Taiwan, and Hong Kong grew rapidly during the period. They achieved rapid economic growth from export industries based on manufactured products. Lack of natural resources could not be an impediment in their development. Some countries with affluent natural resources used this wealth effectively and thus they became developed. USA for example, was a resource rich country. But unlike others it used its mineral resources as a ladder of progression. Natural resources played an important role in the technological and industrial development. US made a huge investment in exploration, geological knowledge, transportation and the technologies of mining, refining and utilization. US excelled other countries in the world in mineral sector. Mineral sector contributed a lot to enhance the knowledge and technological capabilities. In the way to leadership in manufacturing, the mineral sector of the USA was an important issue. According to Wright (2004) resource extraction in the United States was more fundamentally associated with ongoing processes of learning, investment, technological progress, and cost reduction, generating a manifold expansion rather than depletion of the nations resource base. It had a great effect in the progress of education. By the nineteenth century, the education system of the US in mining engineering and metallurgy came out as the world leader. Columbia School of Mines which was opened in 1864 became the leader. Later University of California at Berkeley developed into worlds largest mining college. Wright (2004) wrote in his journal that The most famous American mining engineer, Herbert Hooverà ¢Ãƒ ¢Ã¢â‚¬Å¡Ã‚ ¬an early graduate of Cals cross-bay arch rival, Stanfordà ¢Ãƒ ¢Ã¢â‚¬Å¡Ã‚ ¬maintained that the increasing assignment of trained engineers to positions of combined financial and managerial, as well as technical, responsibility was a distinctive contributing factor to U.S. leadership in this sector. In 1917 a survey was conducted which found there were 7500 mining engineers in the USA. Thus natural resources contributed in the progress of law, investment and education which led to overall development in America. Considering all the evidences, it can be said that natural resource is neither a vital element of development nor a curse. Development depends on lots of factors like Government policies, accountabilities, human resource development, education, fiscal policy, manufacturing industries etc. When a Government can not rule the country properly, it becomes authoritarian and repressive. It uses the rent from natural resource to dominate the public and avoid accountability, transparency. At that time resource becomes a curse. But for this natural resource can not be blamed rather the mismanagement can be blamed. If the natural resource is utilized appropriately, it can be blessing. How can a state overcome the resource curse? Some evidences suggest that there is a negative relationship between natural resources and growth. So resources were called a curse by many researchers. But it is not always true. A country can get rid of this curse by taking some steps. The guaranteed income from natural wealth can be used as a source of investment rather than a source of public disbursement. The transformation of natural assets into manufacturing capital can lead to break the curse. The country can use the resource rent to develop the infrastructure. The country can invest the rent in different sectors like manufacturing, health, education, development of law and order, human rights. If the country can manufacture goods in a large volume, it can export them. Income from exports will reduce the dependence on natural resource. The government can launch a comfortable taxation system. It will establish the relationship between the ruler and the public. Whenever government will take money from the citizens, it will have to explain the incomes and expenses of the country. It will provide accountability and transparency. The Government can share the revenue with the local people. When the local community was given the power to handle resources of the country, it not only motivates long-term investment but also takes the pressure off the shoulder from central government, and also helps to alleviate poverty. Through the proper management of natural resources, a government can sustain the welfare of the country; can raise the life standards of the people living below the poverty line and thus make the natural resources as a blessing. The Middle East will not develop until its oil reserves run out. Discuss. Most countries in Middle East, if not all, have some things in common such as monarchy system, oil reserves, no accountability and transparency, absence of democracy, repressive. Economy of these countries relies on their oil income. As they do not rely on tax from its people, they can avoid accountability and other responsibilities to the people. Because of oil being present there in plenty and the income the government extracts from selling them to other parts of the world being more than enough for them to run their country, the government do not feel it important to build manufacturing industries in their country. But at some point down the line this oil reserve will come to an end. Then these countries will be forced to find other sources of income and only then they will really start thinking to build other service and manufacturing industries. This may open the doors for private sector. When the private sectors thrive, it will bring investments from different places which will also in turn create plenty of job opportunities. Government will have to invest for the development of human resource to cope with demand for skilled people. As a result there will be a literate society. The rulers will loose legislation blocks to investment, private employment, exorbitant regulatory barriers, poor enforcement of commercial contracts and dispute resolution, taxation barriers. The multinational companies (other than Oil companies) will be attracted to these countries to expand their businesses. Huge investment will come that will contribute to the development of the countries. Another thing, when rulers will tax the citizens, they will have to explain their policies, incomes and expenses. As a result accountability and transparency will grow up. It can lead to democracy. When the rulers will start thinking of the welfare of the public, it will help to sustain the democracy and development of the country. The example of UAE can be taken. It is expected that the oil reserve of UAE will run out in twenty years. The rulers realised this. So they are trying to move to other sectors, for example tourism. Now Dubai is one of the most lucrative tourist places. Every year millions of tourists from all over the world visit Dubai. Government are earning a substantial amount of revenue from tourism sector. Dubai is attracting the business companies from the western world. Currently Dubai is one of the best places for business. Almost all of the international companies have branches in Dubai. Thus the Government of UAE is reducing dependence from oil. Another example is Kuwait. They are utilizing the rent from oil for off-shore investment. This way they are trying to stabilize the economy. As long as the countries of Middle East will get revenue from oil, they will remain averse to make changes. They will stay in vicious circle until the oil reserve will be depleted. The sooner they realize that oil reserves are not unlimited, they will move to the way to development. Conclusion: Though some of the evidences identify natural resources as a curse, but the resources themselves are not a curse. Mismanagement of the resources makes them a curse. But there is no short term option to get out of the curse. Oil in the Middle East is a sensitive issue. When the Government will decide to use the resource for the development of the living standards of citizens, they will transform into a good government from authoritarian rulers. International pressure and internal pressure can shake the rulers. But because of having a large oil reserve, the rulers can avoid all forms of pressure. This paper has illustrated all the facts related to natural resources. According to Kirk Hamilton and Giovanni Ruta, (2006) Whatever the level of government, good management is a precondition for good performance. Natural resources are governance-intensive. Sound management of these natural resources can support and sustain the welfare of poor countries, and poor people in poor countries, as they move up the development ladder. Bibliography: Class Lecture Journals Moore, M. (2004) International Political Science Review. Revenues, State Formation, and the Quality of Governance in Developing Countries, 25(3), pp. 297-319 Sachs Jeffrey D. and Warner Andrew M. (2001) European Economic Review. Natural Resources and Economic Development The curse of natural resources, 45, pp. 827-838 Wright, G. and Czelusta, J. (2004) WHY ECONOMIES SLOW. The Myth of the Resource Curse, 47(2), pp.6-38 Online Resources Bannon, I. and Collier, P. (2003) HUMAN SECURITY IN CONFLICT SITUATIONS. Natural resources and violent conflict: options and actions [Online]. Pp.242-245. Available from [Accessed 2nd January 2010] Hamilton K. and Ruta, G. (2006) Environment Matters. From Curse to Blessing Natural Resources and Institutional Quality [Online]. pp. 24-27. Available from [Accessed 2nd January 2010]. Humphreys, M., Sachs Jeffery D. and Stiglitz Joseph E. (2007) Escaping the Resource Curse. USA: Columbia University Press. [Online] Available from [Accessed 2nd January 2010]. Sachs Jeffrey D. and Warner Andrew M. (2001) European Economic Review. Natural Resources and Economic Development The curse of natural resources, 45, p. 829

Essay --

Hello everyone! I am thrilled to announce that I will once again be miniaturized along with my submarine and take you on another Fantastic Voyage inside the human body. In case you have forgotten the details of our last journey, my sub and I will be shrunken down to be 8 microns long. This time I will be swallowed by Fred, a 55 year old man, while he enjoys a hamburger, French fries, and root beer. As I pilot my way through his body, I will be describing the process of digestion and what major structures I see and come across. Can you imagine being part of someone’s meal? Neither can I, yet here I am being chewed and mixed with a juicy burger by Fred’s teeth. As Fred enjoys his meal, the first part of digestion is happening in his oral cavity. Fred’s burger is a mixture of carbohydrates, lipids, and proteins. As he chews and moves his food around with the help of his tongue, I can see his saliva coming from different angles and mixing with his food. There are three pairs of salivary glands, the parotids, submandibulars, and sublinguals. They secrete most (about 1L) of the saliva produced each day in an adult. (Thibodeau & Patton, 2008, pg397) Saliva contains mucus and a digestive enzyme called salivary amylase. As you can see here, the process of chewing combined with this mucus is allowing the food to break down into a small bolus. After this process I am now mixed up with the bolus and with the help of Fred’s tongue, I have began moving down into the pharynx and then down t o this muscular tube called the esophagus. The esophagus is a stretchy pipe, about 25 centimeters that carries food and liquids from the throat to the stomach for digestion after it has been chewed and chemically softened in the mouth. (InnerBody, 2013) ... ...nce: Thibodeau, G., Patton, K. (2008). Structure and Function of the Body (13th ed.). St. Louis, MO: Mosby Elsevier Publishing. InnerBody, Digestive System. (2013). Retrieved from http://www.innerbody.com/image/digeov.html KidsHealth (1995). Your Digestive System, On the way down. Retrieved from http://kidshealth.org/kid/htbw/digestive_system.html# Inner Body, Superior Mesenteric Artery. (1999). Retrieved from http://www.innerbody.com/image_dige08/card25.html Coffman, M. A. (n.d.). The Absorption of Food by the Human Body | Healthy Eating | SF Gate. Retrieved from http://healthyeating.sfgate.com/absorption-food-human-body-4100.html Oza, N., & Cooper, D. (2011, May 18). How Does the Human Body Maintain Homeostasis? How Chemicals and Organs Work Together to Keep the Body in Balance. Retrieved from http://www.brighthub.com/science/medical/articles/111342.aspx

Evidence-based Interventions for a Patient Suffering from Dementia

Introduction Evidence-based practice has been promoted in all healthcare levels in the NHS (Department of Health, 2012). This is done to ensure that interventions are supported by current evidence in healthcare and have been found to be effective for most patients (Pearson et al., 2009). The use of evidence-based practice is rooted in the belief that patients should only receive quality care (Pearson et al., 2009). The same approach is used when caring for patients with mental health conditions. In the policy, No Health without Mental Health (Department of Health, 2012), the NHS has emphasised that patients suffering from mental health conditions should receive quality and evidence-based care. This brief aims to critically discuss the case of an 80-year old woman who is suffering from dementia and the different forms of interventions that could be applied to the case. Consistent with the Nursing and Midwifery Council’s (NMC, 2008) code of conduct, a pseudonym will be used to hide the identity of the patient. This brief discusses the purpose of evidence-based practice in managing patients with a progressive condition such as dementia. An investigation on the different forms of evidence-based interventions and their potential impact for promoting inclusion would also be presented. A discussion on interventions as means to develop a shared understanding of the patient’s needs would also be done. Legal, ethical and socio-political factors that influence the intervention process would also be explored. Finally, the last part discusses my role as a nurse in the intervention process. Using Evidence-based Interventions for Patients with Dementia The Nursing and Midwifery Council’s (NMC, 2008) Code of Conduct has stressed the importance of delivering quality evidence-based care that is patient-centred. Fitzpatrick (2007a) emphasised that the past model of evidence-based intervention relies only on current evidence from literature to support clinical decisions. Current studies that are of high quality are often used to inform current practices. Fitzpatrick (2007b; 2007c) exmphasised that nurses and other healthcare professionals should have the skills to critically assess the quality of a study and determine whether the findings are applicable to one’s current and future practice. Evaluating the strength of the evidence presented in a research study would require understanding of the search process and whether themes or findings from the study are credible or trustworthy (Polit and Beck, 2010). In recent years, this definition has included best practices, personal experiences of healthcare professional on providi ng care, experiences of colleagues, opinions of experts and current guidelines on a health condition (Fitzpatrick, 2007a; 2007b, 2007c; Greenhalgh, 2010). This new definition embraces other sources of evidence that could be used to help healthcare practitioners and patients make decisions regarding their care. Greenhalgh (2010) specifically points out that while there is reliance on good evidence from published studies, including the experiences of nurses, expert opinion and best practices to aid decision-making would ensure that patients receive quality care. Communicating evidence from published literature is also essential in helping patients decide on the best form of intervention. Morrisey and Calighan (2011) emphasises that effective communication is needed to convey findings of a study in a manner that is understandable to the patient. Successful use of evidence depends first on the quality of relationship between the healthcare providers and the patients (Croker et al., 2013. Kizer (2002) argued that for better care, the relationship between the healthcare professionals and the patients should be strengthened first. Kizer (2002) observe that, â€Å"this intimate relationship is the medium by which information, feelings, fears, concerns, and hopes are exchanged between caregiver and patient† (p. 117). In the UK, The National Institute for Health and Clinical Excellence (NICE, 2006) and the National Collaborating Centre for Mental Health (2007) have provided evidence-based guidelines on how to care for patients with dementia. These guidelines along with current literature, my own and my colleagues’ experiences, expert opinion and the experiences of my patient and her carers will form evidence on the best form of interventions for the patient. My patient’s name is Laura (not her real name). She is 80 years old with dementia, a condition that is progressive and characterized by deterioration of mental state, aggressive behaviour and agitation (Department of Health, 2009). A psychiatric consultant oversees the management of her condition. She has been receiving medications for her dementia but her GP and psychiatrist are discussing alternative drugs to reduce her anxiety level and regulate her sleeping patterns. She is diagnosed with type 2 diabetes and is mobilised with a frame following a broken hip. While she is still lucid and can communicate clearly, it is a challenge to care for her during nighttime when she becomes more anxious and shows signs of confusion. Patients with dementia suffer from progressive cognitive impairments (Department of Health, 2009) that could have an impact on how they receive information from their healthcare professionals and carers and in their adherence to medications. In the case of my patient, she is now showing signs of advanced dementia (NICE, 2006). This could be a challenge since her ability to refuse treatment or engage in healthcare decisions is severely reduced (Department for Constitutional Affairs, 2007). In the UK, the Mental Health Act 2007 (UK Legislation, 2007) and the Mental Capacity Act (Department for Constitutional Affairs, 2007) serve as guides on how to care for patients with mental health conditions such as dementia. These acts serve to protect the rights of the patient by locating a representative of the patient who could decide on her behalf. Hence, any interventions introduced for the patient should be agreed by the patient’s immediate family members or appointed guardian (Depart ment for Constitutional Affair, 2007). Since dementia is a progressive condition that could eventually lead to palliative care, the nurses have to ensure that the patient receives appropriate support during the trajectory of the condition. In my patient’s case, she needs immediate interventions for anxiety and sleep disturbance. She is also currently taking medications for her type 2 diabetes. The NICE (2006) guideline has stated the use of psychological intervention for patients with dementia. These include cognitive behavioural therapy, which will include the patient’s carers, animal-assisted therapy, reminiscence therapy, multisensory stimulation and exercise. Evidence-based Interventions and Potential Impact for Promoting Inclusion A number of studies (Casartelli et al., 2013; Monaghan et al., 2012; Ewen et al., 2012) have shown that exercise could improve the mobility of patients following hip surgery. Most of these studies use the randomised controlled trial study design, which ranks high in the hierarchy of evidence (Greenhalgh, 2010). This type of design reduces selection bias of the participants and increases the credibility of the findings of the study (Polit and Beck, 2010). The NICE (2013) guideline for fall also supports exercise intervention for improving patient’s mobility. My patient Laura is using a frame to aid her walking following a fall and an exercise intervention would improve her mobility. Considering that Laura is also suffering from anxiety, I counseled with the carer that we might consider an exercise intervention to both manage anxiety and improve mobility of the patient. This was well-received by the carer who expressed that they could help the patient with a structured walking e xercise. Meanwhile, cognitive behavioural therapy (Kurz et al., 2012; Hopper et al., 2013) has also been shown to be effective in reducing anxiety amongst patients and in regulating sleep behaviour. This form of intervention was also introduced to Laura and her carer. A programme was created where she would receive CBT on a weekly basis. It should be noted that the psychiatrist and the GP in the healthcare team are considering on alternative pharmacologic therapy to regulate sleeping behaviour and anxiety of the patient. While this might have a positive effect on the patient, it should be noted that medications for anxiety have side effects. For instance, the acetylcholinesterase inhibitors such as rivastigmine, galantamine and donepezil are known to have side effects on the cognition of patients (Porsteinsson et al., 2013; Moncrieff and Cohen, 2009). As a nurse and part of the team, I suggested to the team to consider the effects of pharmacologic interventions on the patient. Further, the NICE (2006) guideline also states that only specialists, that include GPs specialising in elderly care or psychiatrists, should initiate pharmacologic interventions. This guideline also emphasises that the Mini Mental State Examination (MMSE) score of the patient should be between 10 to 20 points. In Laura’s case, she is pro gressing from moderately severe dementia to its severe form. Introducing pharmacologic interventions might only worsen the cognitive state of Laura. Meanwhile, there is strong evidence from a systematic review (Filan and Llewellyn-Jones, 2006) on the effectiveness of animal-assisted therapy in reducing psychological and behavioural symptoms of dementia. A systematic review also ranks as high as randomised controlled trials in the hierarchy of evidence (Greenhalgh, 2010). Findings of Filan and Llewellyn-Jones (2006) also reveal that it can promote social behaviour amongst patients. This form of therapy was initially considered in Laura’s case due to its possible effects on the sleep behaviour of the patient. However, current evidence is still unclear on whether the effects could be sustained for prolonged periods. In application to my patient’s case, the use of animal-assisted therapy might be difficult to carry out since the patient has to depend on a carer for her daily needs. However, our team decided on using music therapy for the patient. Similar to animal-assisted therapy, there is also strong evidence on the e ffectiveness of music therapy in managing anxiety, depression and aggression amongst patients with dementia (Sakamoto et al., 2013; Wall and Duffy, 2010). Importantly, cognitive behavioural and music therapies and exercise interventions all promote inclusion of the patient in the care process (Repper and Perkins, 2003). In cognitive behavioural therapy, the patient and her carer receive support on how to manage anxiety and sleeping behaviour. Since carers are highly involved during CBT, there is a higher chance that the intervention would be successful (Hopper et al., 2013). It has been shown that carers of patients with chronic conditions such as dementia are also at risk of developing depression and anxiety (Department of Health, 2009). Smith et al. (2007) explain that this might be due to the realisation that the patient would not recover from the illness. Further, these carers have to prepare themselves for the patient’s end-of-life care. All these realisations could influence the carer’s own mental health (Smith et al., 2007). Hence, it is important that interventions are not only holistic for the patient, but should also include the carers in the process. Hence, implementing CBT would promote inclusion in practice (Wright and Stickley, 2013). The patient in my care is also suffering from type 2 diabetes. Pharmacologic interventions would include metformin and insulin therapy (NICE, 2008). Non-pharmacologic interventions include exercise, behavioural modification and diet. This presents a complex problem for Laura since it has been shown that elderly patients are also at greatest risk of malnutrition due to the aging process (Department of Health, 2009). Patients with dementia could experience feeding behavioural problems. When patients are admitted in hospitals, the new environment and lack of social interaction with peers could act as triggers in behavioural problems (Department of Health, 2009). Since patients might lack the cognitive ability to express themselves, this might present as aggressive behaviour (NICE, 2006). Hence, ensuring that Laura receives appropriate nutrition during her hospital stay could be influenced by changes in her behaviour. It is important that patients with type 2 diabetes do not only receive pharmacologic interventions but should also have sufficient diet. This is seen as a challenge in Laura’s case since she could experience feeding problems due to loss in cognitive abilities. For instance, she might be reminded on how to chew food or why she needs to eat (Department of Health, 2009). In patients with severe forms, the main aim of feeding is now focused on comfort feeding rather than allowing patients to eat the proper amount of food (Department of Health, 2009). Hence, managing Laura’s type 2 diabetes through proper feeding would be an added challenge to her care. Legal, Ethical and Socio-Political Factors that Influence the Intervention Process Decisions on the care and interventions received by the patient are influenced by several factors. First, the Mental Health Act 2007 (UK Legislation, 2007) states that patients with mental health condition could seek voluntary admission to hospitals and leave whenever they want. This Act also states that patients could only be forced to receive treatment in hospital settings if they are detained under this Act. Laura and her carer could refuse treatment or interventions at any point of her care and my team and I would respect her decision. Observance of this provision under the Mental Health Act would also be consistent with patient-centred care where patients are empowered to act for own benefit and to choose appropriate interventions. Apart from the legal aspects that influence the delivery of interventions, ethical issues should also be observed. In the ethics principle of beneficence, nurses and ot her healthcare practitioners should ensure that the interventions would be beneficial to the patient (Beauchamp and Childress, 2001). In Laura’s case, all the interventions cited previously have been shown to be beneficial to the patient. Only the pharmacologic interventions are associated with adverse and side effects for the patient (Popp and Arlt, 2011). Hence, as a nurse, I lobbied for inclusion of non-pharmacologic interventions instead of reliance on anticholinergic drugs to control the patient’s behaviour. In addition to beneficence, Beauchamp and Childress (2001) also add the ethics principles of autonomy, non-maleficence and justice. In Laura’s case, her autonomy would be respected. Allowing patients to participate in the decision-making process is crucial. However, patients with dementia suffer from cognitive impairments that could influence their decision-making ability (Wright et al., 2009). In accordance with the Mental Capacity Act 2005 (Department for Constitutional Affairs, 2007), the carers of Laura could be appointed to act on her behalf. In non-maleficence, the main aim of the interventions is to promote the health of the patient. There are no known side effects of the psychosocial and exercise interventions. Justice will be observed if Laura receives tailored-interventions that would address her needs. It is important that regardless of the patient’s background, religion, race, gender, ethnicity, she should receive healthcare interventions fit for her needs. This ethics principle is observed since a healthcare team has been addressing Laura’s healthcare needs. While all interventions are patient-centred, socio-political issues that could influence the interventions include the recent changes in the NHS structure where local health boards are primarily responsible for allocating funds to healthcare services (Department for Constitutional Affairs, 2007). Hence, if dementia care is not a priority in the local health board, health programmes for dementia might not receive sufficient funding. This could pose considerable problems for the elderly who are dependent on the NHS for their care. Laura has been receiving sufficient support for her mental health condition. This demonstrates that dementia care remains a priority in my area of care. A survey of the support system in my community reveals that support groups for carers are available. This is essential since supporting carers is also a priority in the NHS (National Collaborating Centre for Mental Health, 2007). Role of the Nurse in the Intervention Process On reflection of the case, I have a role to coordinate care with other team members and to ensure that the patient receives patient-centered care. As a nurse, I have to adhere to the NMC’s (2008) code of conduct and observe patient safety. Recognising that dementia is a progressive condition, I should also focus on interventions that not only addresses the current behavioural problems of the patient but also on preparing the carer and Laura’s family members on palliative care. The NICE (2006) guideline has stated that nurses have an important role in preparing patients of dementia and their family members on end-of-life care. This could be a highly stressful stage in the patient’s disease trajectory or could be one of acceptance and peace for the family. As a nurse, I have to ensure that interventions are appropriate to the stage of dementia that the patient is experiencing. Since nursing is a continuing process, I have to inform the family members that the patie nt will increasingly lose her cognitive abilities and would have difficulty feeding in the last stages of the condition (National Collaborating Centre for Mental Health, 2007). I have to ensure that the patient receives both spiritual and physical support at this stage. Evidence-based care is crucial in ensuring that patients receive the appropriate intervention. In my role as a nurse, I have to ensure that interventions are acceptable to the patient. I should also consider the preferences of the patient, their past experiences and their own perceptions on how to best manage their condition. Since I would be caring for a patient with declining cognitive abilities, I should ensure that her dignity would be maintained (Baillie and Gallagher, 2011). As part of my future learning development, I will attend courses on how to conduct end-of-life care for patients with dementia. Through Laura, I realised that a patient’s dignity should always be observed. It is recommended that in my future and present practice, I will continue to rely on literature on the best form of interventions of my patient. I will also consult with my colleagues, seek expert opinion and the patient’s experiences on how to choose and deliver interventions. Conclusion Evidence-based practice is important in helping patients achieve quality care. In this case, Laura is an 80-year old patient with dementia. She exhibits the moderate form of the condition but is beginning to show signs of advance dementia. As her nurse, I have the duty to observe ethics in healthcare and to seek for interventions that are evidence-based. However, I also realised that other factors also influence the delivery of interventions. These include socio-political, legal and ethical factors. As a nurse, I have to protect the patient’s rights, act as her advocate and ensure her safety during the trajectory of the condition. For future practice, I will continue to practice evidence-based practice. I will also encourage others in the mental health profession to always consider the patient’s preferences when caring for patients with dementia. When patients are unable to decide for their own care, the carer of the patient could act on her behalf. Finally, as a mental health nurse, I should constantly update myself with the best form of interventions for patients with dementia. This will ensure that my patients will receive evidence-based interventions. References Baillie, L. & Gallagher, A. (2011). ‘Respecting dignity in care in diverse care settings: Strategies of UK nurses’. International Journal of Nursing Practice, 17, pp. 336-341. Beauchamp, T. & Childress, J. (2001). Principles of biomedical ethics. 5th ed. Oxford: Oxford University Press. Casartelli, N., Item-Glatthorn, J., Bizzini, ., Leunig, M. & Maffiuletti, N. (2013). ‘Differences in gait characteristics between total hip, knee, and ankle arthroplasty patients: a six-moth postoperative comparison’. BMC Musculoskeletal Disorder, 14:176 doi: 10.1186/1471-2474-14-176. Croker, J., Swancut, D., Roberts, M., Abel, G., Roland, M. & Campbell, J. (2013) ‘Factors affecting patients’ trust and confidence in GPs: evidence from the national GP patient survey’, BMJ Open, 3(5). Pii: e002762. Doi: 10.1136/bmjopen-2013-002762. Department of Health (2012). No Health Without Mental Health. London: Department of Health. Department of Health (2009). Living Well with dementia: A National Dementia Strategy. London: Department of Health. Department for Constitutional Affairs (2007). Mental Capacity Act 2005 Code of Practice. Norwich: The Stationery Office. Ewen, A., Stewart, S., St Clair Gibson, A., Kashyap, S. & Caplan, N. (2012). ‘Post-operative gait analysis in total hip replacement patients- a review of current literature and meta-analysis’. Gait Posture, 36(1), pp. 1-6. Filan, S. & Llewellyn-Jones, R. (2006). ‘An animal-assisted therapy for dementia: a review of the literature’. International Psychogeriatrics, 18(4), pp. 597-611. Fitzpatrick, J. (2007a). ‘Finding the research for evidence-based practice: Part one- The development of EBP’. Nursing Times, 103(17), pp. 32-33. Fitzpatrick, J. (2007b). ‘Finding the research for evidence-based practice: Part two-selecting credible evidence’. Nursing Times, 103(18), pp. 32-33. Fitzpatrick, J. (2007c). ‘How to turn research into evidence-based practice: Part three- Making a case’. Nursing Times, 103(19), pp. 32-33. Greenhalgh, T. (2010). How to read a paper: the basics of evidence-based medicine. West Sussex, UK: John Wiley and Sons. Hopper, T., bourgeois, M., Pimentel, J., Qualls, C., Hickey, E., Frymark, T. & Schooling, T. (2013). ‘An evidence-based systematic review on cognitive interventions for individuals with dementia’. American Journal of Speech and Language Pathology, 22(1), pp. 126-145. Kizer, K. (2002). ‘Patient centred care: essential but probably not sufficient’. Quality and Safety in Health Care, 11, pp. 117-118. Kurz, A., Thone-Otto, A., Cramer, B., Egert, S., Frolich, L., Gertz, H., Kehl, V., Wagenpfeil, S. & Werheid, K. (2012). ‘CORDIAL: Cognitive rehabilitation and cognitive-behavioral treatment for early dementia in Alzheimer disease: a multicenter, randomized, controlled trial’. Alzheimer Disease and Associated Disorders, 26(3), pp. 246-253. Monaghan, B., Grant, T., Hing, W. & Cusack, T. (2012). ‘Functional exercise after total hip replacement (FEATHER): a randomised control trial’, BMC Musculoskeletal Disorder. 13:237 doi: 10.1186/1471-2474-13-237. Moncrieff, J. & Cohen, D. (2009). ‘How do psychiatric drugs work?’. British Medical Journal: 338 [Online]. 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Cognitive-behaviour therapy for severe mental illness: An illustrated guide. USA: American Psychiatric Publishing Inc.

Birth Control Movement Margaret Sanger - 1980 Words

The birth control movement was created in early 20th century by Progressive and Socialist reformers like Margaret Sanger. She and other birth control activists would fight for women’s access to birth control through the 20th century which has gone on to affect American women today. In order to analyze the affect that birth control has had on America, it is necessary to look at the works of Margaret Sanger and the birth control movement of the progressive era. A good primary source with information that assesses the birth control movement is the collection of anonymous letters sent to Margaret Sanger entitled Motherhood in Bondage, published in 1928. A secondary source used is the book Margaret Sanger And the Birth Control Movement In America, written by Ellen Chesler in 1992. Lastly, a tertiary source is the PBS website, http://www.pbs.org/wg1}bh/amex/pill/timeline/ that discusses the timeline of birth control in America. If it were not for the progressive thinking and radical changes promoted by the socialist party, birth control would have never been able to make its mark on American history First to promote the Birth Control movement was radical political activist, Margaret Sanger. At nineteen years old, Margaret watched her mother of only fifty years old die from tuberculosis. Out of anger she immediately blamed her father for putting the strain of eleven childbirths and seven miscarriages on her mother (PBS). This would begin her career for helping women. SangerShow MoreRelatedMargaret Sanger And The Birth Control Movement Highlighted1187 Words   |  5 PagesMargaret Sanger and the Birth Control Movement highlighted a variety of important issues. These issues include women’s right to make decisions privately versus the right of a community to regulate moral behavior; the ethnic demographics of the American people; the ability of women to control their own physical destinies by limiting family size; and the idea that small families were the way to keep the American dream alive. The debate over birth control spoke to personal and political issues, whichRead MoreMargaret Sanger s The First Birth Control Movement1288 Words   |  6 PagesMargaret Sanger revolutionized the world in a important way. Margaret Sanger was known for leading the birth control movement. She financed the research needed to develop â€Å"the pill†, an easy form of birth control that women could take themselves. She also founded the Planned Parenthood Federation Of America continuing her legacy of authoritative work to allow parenthood and birth control to be much easier. Margaret Sanger left a legacy of leading the birth control movement. Margaret Sanger was bornRead MoreMargaret Sanger, An American Nurse, Pioneered The Modern Birth Control Movement1159 Words   |  5 PagesMargaret Sanger, an American nurse, pioneered the modern birth control movement in the United States. She began her movement in 1912, with the publication of information about women s reproductive concerns through magazine articles, pamphlets, and several books. In 1914, Margaret Sanger was charged with violating the Comstock Law, a federal legislation prohibiting the mailing of obscene material including information about birth control and contraceptive devices. Despite being imprisoned for herRead MoreWomens Rights Of Women1434 Words   |  6 PagesThis moment released the beginning of the fight to make contraceptives available to the public by advocate, Margaret Sanger, who would fight for the rights of all women to have access to health education and contraceptives from institutions. Growing up in a family of eleven siblings, which could have been more since her mother also had seven miscarriages, Sanger went to nursing school. Once Sanger was done with school, she started working in New York City where she tended to lower-income and immigrantRead MoreBirth Control Is A Powerful Tool1475 Words   |  6 PagesBirth control is a powerful tool. It gives women the power to choose when they are ready to have a baby, with whom they wish to have it with, and how many children to limit the family to. In the past, women had no control over childbearing due to many restrictions. With Margaret Sanger’s efforts, birth-control awareness became accepted by the people and the legal system, changing the lives of countless women in their fight towards equal opportunity. She changed the way that childbearing was viewedRead More margaret sanger Essay752 Words   |  4 Pages Nearly 70 years ago, one woman pioneered one of the most radical and transforming political movements of the century. Through the life that she led and the l essons she taught us, many know her as the â€Å"one girl revolution†. Though Margaret Sangers revolution may be even more controversial now than during her 50-year career of national and international battles, her opinions can teach us many lessons. Due to her strong influence in history, our society has increased health awareness for women, madeRead MoreAnalysis Of The Right To Ones Body By Margaret Sanger911 Words   |  4 PagesJake Siford History 1152 Professor Graves 4 November 2017 Primary Source Review #3 Margret Sanger, writer of the essay â€Å"The Right to One’s Body† will be the author for this primary review. Sanger, as described by biography.com, was â€Å"†¦ an early feminist and women’s rights activist who coined the term ‘birth control’ and worked towards its legalization† (â€Å"Margaret Sanger†). Margret was also responsible for the creation of the first planned parenthood center, and later was a founding member of theRead MoreEugenics and Planned Parenthood Essay1405 Words   |  6 Pagesways. Likewise, Margaret Sanger’s feminist, contraceptive movement was not originally founded with this purpose. It was marketed as a way to control the population and be merciful to those yet to be born, again determined also by race and intelligence. The similarities in purpose actually brought the two organizations together to form a â€Å"liberating movement† to â€Å"aid women† known today as Planned Parentho od (Schweikart and Allen 529-532). The name may sound harmless, but the movement hid a darker purposeRead MoreMargaret Sanger And Birth Control1060 Words   |  5 PagesMargaret Sanger, Also known for being a feminist and womens rights activist, and coined birth control to become legalised. Margaret started her mission to legalise birth control in 1916, she was know as a racist for the reason she wanted to have birth control was to â€Å"get rid of black babies†, but she had also believed in womens rights. In a 1921 article, she wrote that, â€Å"the most urgent problem today is how to limit and discourage the over-fertility of the mentally and physically defective.† whichRead MoreMargaret Sanger : An Influential Women Of The 20th Century1375 Words   |  6 PagesI. Introduction Margaret Sanger was one of the most influential women of the 20th century. She worked tirelessly as a nurse tending to female patients in the slums of New York’s Lower East Side. This experience converted her into an activist, not only for feminism, but for fair working conditions in the textile industry. Margaret was a polarizing figure. She was seen as antagonistic, even by the groups she fought for. Nevertheless she continued to fight for her causes. The United States owes much