Environmental Problems in Prenatal Development Essay

Abstract For my research topic, I chose environmental problems in prenatal development. I chose this topic because I have a great interest in prenatal development and the care the mother provides that will negatively affect the fetus while it is still developing. Learning about the problems that occur will be an enormous advantage with my future career in nursing. Throughout my research, I hope to discover what the symptoms, of environmental influences, a fetus can contract during development. During prenatal development there are so many problems that you cannot even count them. There are two types of problems in development, genetic and environmental. The environmental problems are caused by the care the mother provides for her unborn child. Whatever the mother puts her body through, she puts her child through. Teratogens are drugs or other substances that are capable of restricting the development of a fetus, causing birth defects. Although the embryo is sensitive during all stages, there are more critical time periods when the fetus is more susceptible to the defects. During these critical periods, there are three major environmental problems that affect the fetus, which can cause birth defects, by the mother’s use of drugs, diseases, and mental and physical health. There are three major teratogens that affect the fetus in development; one is by the mother’s use of drugs. There are many mothers throughout the world use and abuse prescription, legal and il legal drugs. The use of prescription drugs can be just as dangerous as illegal drugs. Some mothers need to take prescribed drugs for their own health problems. Women who have seizures must take anticonvulsants to stop the seizures from occurring. The seizures the pregnant mother has can cause just as much damage than the drugs they are taking (Boyd and Bee, 2009, p. 72). Pregnant women taking Trimethadione for their seizures can cause the fetus to obtain many progressive defects such as eyebrows shaped like a V, cleft lip, cleft palate, and having delays in their development (Slater and Lewis, 2006, p. 9). Another drug pregnant mothers might be prescribed for would be blood thinners, because of possible blood clots, to prevent heart attacks or strokes (DirectGov, 2010). An expecting mother who has been taking Warfarin to slow down blood clots should assume that her child can be born with mental retardation and an unusually small head, known as microcephaly (Slater and Lewis, 2006, p. 9). Certain infants with microcephaly develop normally and have the intellect as an ordinary child. Typically, infants with microcephaly possibly can have facial distortions, mental retardation, deferred motor skills, hyperactivity, dwarfism, seizures, difficulty with balancing and coordination, and other neurological irregularities (DirectGov, 2010). Every mother experiences fatigue and nausea. Decades ago, doctors would prescribe Thalidomide, a sedative, to treat the fatigue and nausea. After these mothers gave birth, doctors have detected that the Thalidomide has many defects on the fetus. Infants were born with only half developed or absent arms or legs (Mayo Clinic Staff, 2010 p. 1). Antibiotics are normally safe to take when consulted with a doctor. Pregnant women take antibiotics for certain types of infections. One often prescribed antibiotic to pregnant women is Tetracycline which can cause damage to the infant such as yellowing or graying of the teeth. It also can be passed through breast milk and if the child infant drinks the milk, there will be a chance they might affect the growth of bones and teeth (Cerner Multum, 2009). Despite the abuse of prescription drugs, there is also the use of legal drugs. There are many women who are pregnant and smoking. The use of nicotine during pregnancy will cause a few deficiencies in the infant’s development. Nicotine users may have the chance to have an ectopic pregnancy, where the baby connects to the fallopian tubes instead of the uterus. This could result in a miscarriage. Mothers who smoke, throughout the entire pregnancy, can give birth to a stillborn or child with low birth weight (Bucher, 2010). The long term effects on children, whose mothers smoked during pregnancy, could develop attention deficit hyperactivity disorder (Boyd & Bee, 2009, p. 74). Attention deficit hyperactivity disorder (ADHD) is a disorder that causes absent- mindedness and spontaneity (ADAM, 2011). Another illegal drug that is very highly abused in pregnancy is alcohol. Mothers who are heavy drinkers or alcoholics are highly likely to give birth to infants with fetal alcohol syndrome (FAS). Fetal alcohol syndrome is a problem with mental and physical growth that occurs when the mother abuses alcohol during pregnancy. Infants with fetal alcohol syndrome have many symptoms. They include stunted growth before and after birth, reduced muscle usage and dexterity, deferred mental and physical development, possible mental retardation and heart weaknesses including ventricular septal defect and atrial septal defect (Adam, 2011). These children will also have very distinctive facials features that stand out. Infants will typically have smaller heads, a flattened nose with a big space between the nose and mouth, narrow eyes and small upper jaw Depending on the period in pregnancy, alcohol might cause a miscarriage and premature birth (Boyd & Bee, 2009, p.74). Along with prescription and legal drugs, illegal drugs are especially dangerous during the course of pregnancy. So many people become addicted to drugs and have a hard time getting clean. Expecting mothers who are hooked on any type of illegal drug can be incredibly damaging to the infant. Marijuana is the most common manipulated illegal drug. Infants born to mothers that are marijuana users have more trouble concentrating, problems sleeping, and a short term memory (Boyd & Bee, 2009, p. 73). Additional drugs that are mistreated are heroin and methadone. Mothers addicted to these two drugs will have babies addicted to them as well and are at possible risk of miscarriage, premature birth and preterm death (Boyd & Bee, 2009, p. 73). The symptoms of the heroin addicted infants are underprivileged growth, premature birth and stillbirth (March of Dimes Foundation, 2011). After birth, these addicted babies go into withdrawal and suffer from bad temper, intense shuddering, vomiting, seizures and sleep complications (Boyd & Bee, 2009, p.73). Babies who are addicted to methadone have almost similar symptoms to those addicted to heroin. The difference is that methadone addicted infants have a higher birth weight compared to infants addicted to heroin. Methadone babies are comforted more easily then heroin babies (March of Dime Foundation, 2011). A drug also abused by expectant mothers is cocaine. Cocaine can be in two formations, both powder form or crack; they equally have the same effects on babies. Many problems of cocaine use during pregnancy are exceedingly threatening. These problems include placenta problems, such as, placental abruption which is when the placenta pulls away from the uterus prior labor starts. When this happens, there could be an exceeding amount of bleeding; the baby may be deprived of oxygen and a proper blood flow. The symptoms after birth can be harsh for the infants, for instance, they experience jumpiness, irritability, and are very easily frightened. These infants cry often because they have trouble finding comfort with their mothers or caregivers. Luckily for these babies, they usually do not experience these symptoms through their entire life, normally just first month of life (March of Dimes, 2011). Besides the issues that are caused by pregnant mothers drug use, there are many complications with the mother’s diseases. There are three different types of infections that could be passed down from mother to child, congenital infections, perinatal infections, and postnatal infections. Congenital infections are passed through the placenta and infect embryo. These infections include toxoplasmosis, syphilis, hepatitis B, Coxsackie virus, Epstein virus, chickenpox virus, human parvovirus, Rubella, Herpes virus, and Cytomegalovirus (Koo, 2009). Rubella is also known as the German measles and expecting mothers can pass this down to her infant in utero. Symptoms the fetus may develop are cataracts, hearing loss, and heart defects. CMV, also known as Cytomegalovirus, is a sexually transmitted disease and is a type of herpes virus. Having this disease while pregnant can be severe to the fetus’ life and cause eye, ear and brain defects in the early stages of prenatal development (Boyd & Bee, 2009, p. 74). Infants who developed CMV after birth are less likely to have harsh symptoms then those developed in utero. Those symptoms are vision and hearing loss and possible cognitive learning disabilities (Koo, 2009). Herpes is another congenital infection that can be extremely harmful in the development of the fetus. Mothers infected with herpes can pass down to her child many unpleasant symptoms. The significant symptoms include eye diseases, callous brain damage and skin lacerations (Koo, 2009). Substantial symptoms of herpes include seizures, neurological complications, microcephaly and microophthalmia. Microophthalmia is an eye abnormality that occurs before birth. This condition makes both eyes smaller than an average child and in some individuals their eyes may be nonexistent connected with blindness (Slater & Lewis, 2006, p. 9). The perinatal infections, also known as the infection that happens in labor and delivery, take place in the birth canal while the baby is in the process of being born. Many of these infections are sexually transmitted diseases such as CMV, gonorrhea, chlamydia, herpes, HPV (genital warts), and group B streptococci. Mothers with gonorrhea giving birth to their child will distribute the infection to her child. The main symptom the infant could experience is difficulties with the eyes and possibly goes blind. The mother can encounter complications including miscarriage, early labor and likelihood of obtaining HIV (Baby Center Advisory Board, 2007, p. 1). Chlamydia is the most common sexually transmitted infection in the world. Mothers with this disease are capable of passing the disease to her child through delivery. When delivering the child vaginally, the infant could contract serious eye infections. Infants exposed to chlamydia also have the possibility of acquiring pneumonia. Fortunately, if treated properly children will usually do well and have a suitable recovery. If mothers receive treatment before delivery there would be a greater chance of the infant not obtaining the infection altogether (Baby Center Advisory Board, 2012). Expecting mothers with HPV do not really transfer the infection to their infants but if it is transferred, the baby’s system will normally disperse it from their bodies. However, women with genital warts may transfer this virus to their child and can be extremely life- threatening. These infants infected with genital warts form warts in their throat causing respiratory papillomatosis. The children with respiratory papillomatosis must receive laser treatment to stop the warts from multiplying and obstructing the child’s airway. Doctors say that the women with HPV can deliver their children safely with little or no complications (WebMD, 2012, p. 1-2). Along with congenital and perinatal infections, postnatal infections are also particularly hazardous. Postnatal infections are caused after birth and are usually spread through breastfeeding. These infections include CMV, HIV, and group B streptococci. HIV can also be transmitted congenital and perinatal but HIV can be transferred postnatal via breastfeeding (Stewart, 2012). Babies who obtain this virus normally become sick within the first two years of their life. This illness will decline the infant’s immune system which makes them easily susceptible to getting other virus than the average baby (Boyd & Bee, 2009, p. 74-75). Another illness that infants attain after birth is group B streptococci (GBS). Group B strep is bacteria found in a woman’s vagina. GBS is transferred to infants after birth with symptoms of issues with the respiratory system, and erratic cardio problems. These babies may also have severe digestive tract problems. Along with these issues, the most familiar complications involve sepsis, an increasing amount of bacteria in the bloodstream, pneumonia, and meningitis, a bacterial infection of membranes concealing the brain and spinal cord. Group B streptococci usually will occur earlier than later after the delivery and have fewer problems if it appears later (American Pregnancy Association, 2011). There are many problems affecting the fetus that arise from the mother’s mental and physical health throughout her pregnancy. The age of the mother can make an immense difference in child birth. Mothers over the age of thirty five can have many complications to her health and child’s health. Women who push back pregnancy to later in life have the risks of developing gestational diabetes, infertility, possible miscarriage, early labor and extensive bleeding during labor. High blood pressure and chronic illnesses are also potential threats in older mothers (Baby Center Medical Advisory Board, 2012). These infants have a chance of developing chromosomal defects, cardiac abnormalities and growth retardation (Boyd & Bee, 2009). On the other hand, teenage pregnancy has just as many risks as women over thirty five. Teenage girls who are pregnant sometimes do not receive proper prenatal care, which can lead to issues in the fetus’ development. Pregnant teens can also experience high blood pressure which could result in preterm labor. Preterm labor may cause infants to have cognitive, respiratory and other physical complications. Teens that go into preterm have a chance of low birth weight infants that might not be fully developed. Teenagers are highly likely to obtain STD’s and pass them to their infants during delivery which can be vital in their growth and development. Young mothers are potential victims for postpartum depression, making them feel alone, isolated and feeling like no one is there for them (Nihira, 2010, p.1-2). Along with age, other maternal influences affect the fetus such as emotions and ill mothers who go through radiation for medical purposes. Pregnancy can mess with women’s emotions tremendously. Mothers who are really stressed or have anxiety might have troubles eating properly and may be prone to viruses which can cause the infant to be born with low birth weight. Children born to really distraught mothers will usually develop slower than the average child (Boyd & Bee, 2009, p. 77). Pregnant women with an inconsistent metabolism could have heavier infants and are more likely to have problems early in development (Slater & Lewis, 2006, p. 9). Women with certain medical problems may need to go for radiation although they are pregnant. Radiation while pregnant can affect the fetus by killing the cells in its body, injuring the chromosomes, and retarding the mental and physical growth (Brent, 2011). Despite all of these developmental problems each infant goes through, the illness and defects can be somewhat prevented if treated early in the pregnancy. Each woman should think twice about what they put through their bodies when expecting a baby. Environmental problems are life threatening and women need to consult with their doctors immediately to lessen the risk of their child developing any symptoms. There are critical periods when the fetus is the most vulnerable to these environmental influences. Even though there are critical periods, the mother’s use of drugs, diseases, and mental and physical health are very serious through the entire pregnancy. Bibliography Adam Medical Encyclopedia. 2011. Fetal Alcohol Syndrome. Retrieved from: http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001909/ Adam Medical Encyclopedia. 2011. Attention Deficit Hyperactivity Disorder (ADHD). Retrieved from: http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0002518/ American Pregnancy Association. 2011. Group B Strep Infection: GBS. Retrieved from: http://www.americanpregnancy.org/pregnancycomplications/groupbstrepinfection.html Baby Center Advisory Board. 2010. Chlamydia during Pregnancy. Retrieved from http://www.babycenter.com/0_chlamydia-during-pregnancy_1427376.bc Baby Center Advisory Board. 2007. Gonorrhea during Pregnancy. Retrieved from: http://www.babycenter.com/0_gonorrhea-during-pregnancy_1427382.bc?page=1 Bee, H & Boyd, D. 2009. Fifth Edition Lifespan Development. Boston: Pearson Education, Inc. Brent, Robert MD. 2011. Pregnancy and Radiation Exposure. Retrieved from: http://hps.org/hpspublications/articles/pregnancyandradiationexposureinfosheet.html Bucher, Jordan. 2010. The Effects of Drug Use During Pregnancy & Developmental Stages. Retrieved from: http://www.livestrong.com/article/254142-the-effects-of-drug-use-during-pregnancy-developmental-stages/ Cerner Multum. 2009. Tetracycline. Retrieved from: http://www.drugs.com/tetracycline.html Direct Gov. 2010. Anticoagulants, Warfarin. Retrieved from: http://www.nhs.uk/conditions/Anticoagulants-warfarin-/Pages/Introduction.aspx Government. 2012. Microcephaly. Retrieved from: http://www.medicinenet.com/microcephaly/article.htm Koo, Ingrid, Ph.D. 2009. Infectious Diseases During Pregnancy-Risks to Babies. Retrieved from: http://infectiousdiseases.about.com/od/kidsinfections/a/Congenital.htm March of Dimes Foundation. 2011. Illicit Drug use during Pregnancy. Retrieved from: http://www.marchofdimes.com/pregnancy/alcohol_illicitdrug.html Mayo Clinic Staff. 2010. Thalidomide: Research advances in cancer and other conditions. Retrieved from: http://www.mayoclinic.com/health/thalidomide/HQ01507 Net Industries. 2012. Prenatal Development- Prenatal Environmental Influences. Retrieved from: Prenatal Development – Prenatal Environmental Influences Nihira, Mikio A. 2010. Teen Pregnancy: Medical Risks and Realities. Retrieved from: http://www.webmd.com/baby/teen-pregnancy-medical-risks-and-realities?page=2 Pierce, Martha. 2010. Pregnancy Risks After 35. Retrieved form: http://www.parents.com/pregnancy/getting-pregnant/age-factor/pregnancy-risks-after-age-35/ Slater, A. and Lewis, M. 2006. Prenatal Development. Retrieved from: http://www.oup.com/uk/orc/bin/9780199283057/slater_chap03.pdf Stewart, Grace John. 2012. Prevention of HIV transmission through breastfeeding in resource-limited settings. Retrieved from: http://www.uptodate.com/contents/prevention-of-hiv-transmission-through-breastfeeding-in-resource-limited-settings WebMD. 2012. HPV and Pregnancy. Retrieved from: http://www.webmd.com/sexual-conditions/hpv-pregnancy

Childbirth and Midwife

In many parts of the world today there are still many women who use a midwife verses using an Obstetrician Gynecologist. However in the United States fewer than three percent of women who give birth are attended to by midwives (Kram and Eckstein,1990). It is stated that â€Å"In the United States that childbirth has become increasingly medicalined and specialized, first with family doctors or general practitioners taking over the process, then obstetricians, and today, perinatologist.These physician specialists are trained to see birth as an abnormal or pathological process requiring heroic interventions, rather than a natural process† (Kram and Eckstein, 1990). Midwives however view childbirth and pregnancy in a different light. They tend to view childbirth and pregnancy as a natural process. â€Å"Midwives are trained to see birth as a normal, physiological life event throughout which women must make their own choices in order to have control over their own experience †Å"(Kram and Eckstein,1990).The model of care that midwives go by is the belief that pregnancy and birth are normal life processes. The model of care includes monitoring all aspect of the woman well-being throughout the childbearing cycle, provide individualized care with hands on assistance during the birthing process, minimizing technological interventions, and identifying and referring women to obstetrical attention if needed (Midwife Alliance of North America,2013). I choose to do my research on midwives because I want to become one.The who process pregnancy and birthing intrigues me. The process is unique with every case and every woman handle and go through their pregnancy differently rather it be because health reason, religion, or simply because they wanted to go about the experience in a particular manner. Being a midwife I will see a lot of different things and face a lot of different challenges but the most rewarding part of the whole thing is bringing a new life into the world unharmed and healthy. I really like the care model that midwives believe in as well.I think that as a midwife you have a more intimate and closer relationship to your patient because instead of just telling a woman how her pregnancy is being planned out, most midwives take the time out to make a birthing plan and make sure to use the least amount of medicine possible is used so that there are no prolonged or future complications on the mother or unborn child. Though midwives do have comfort medicines that they will use in cases where the pain is unbearable or needed. The nursing care steps are related to just bout all aspect of nursing no matter what area. The nursing care steps are used frequently by a midwife. When a woman becomes a patient for a midwife the woman is first assessed. All her present and pass history is given and the midwife looks her over and gives her gives her a complete and thorough physical examination and make sure all her blood work is checked. After al l test and physical examinations are complete the midwife in conjunction with a doctor diagnosis the patient if needed and provide any extra care to ensure a healthy pregnancy.In most cases is a woman is considered high risk the midwife will refer her to an OB/GYN. Midwives tend to only take in low risk pregnancies because there is less complications that they will encounter being that most midwives lean toward all natural pregnancy’s. After all diagnoses are made the midwife and the patient formulates a birthing plan in which the midwife follows through on as long as the pregnancy goes according to plan with no complications.The implementation phase of the birthing process is how the midwife is actually handling the patient at all visits and how the pregnancy is progressing along. The evaluation phase like always is when the midwife evaluates if the birthing plan being accomplished in a healthy manner and to the patient liking, if there is found to be complications or someth ing that needs to be changed here in the evaluation phase is it done and then it is implemented into the nursing care plan once again. This ongoing cycle is not complete until the child is born and all postpartum care is complete.As a nurse midwife if would be my job to ensure that the patient is well educated about the pregnancy and what is to be expected. It is also the responsibility of the midwife to ensure that the patient is comfortable with every aspect of the birthing plan and feels comfortable being able to discuss what’s going on in her pregnancy. It is the responsibility of the midwife to ensure the safety and well-being of the patient and the unborn child. The midwife is to make sure that the pregnancy is going

Analysis of the Marks of an Educated Person Essay

In an analysis of â€Å"The Marks of an Educated Person† the author writes about three different individuals and shows whether or not they qualify as educated people. He also writes about the purpose of education and what it means to be an educated Christian. The author refers to three individuals in his writing: Mary, Tom, and Pat. He talks about their personalities and their concentrations towards education. Mary is a narrowly focused individual that focusses on her major, her electives, her extracurricular activities, and her work experience. Mary is trained in her specific area but she is not educated. I see myself as being a lot like Mary. I feel like I spend a lot of time focusing on the same things as Mary. Tom is a popular, socially successful person. He is a social conformist, therefore he is not educated. Pat enjoys learning and has a broad education in many different areas. She has skills in other areas other than her major. It is my desire to be more like Pat. I want to find enjoyment in learning and hope to become a â€Å"jack of all trades† in the field of education. Being broad is one important thing to me; I would like to be able to have a wide range of knowledge instead of only having knowledge in one area. The author then introduces Aristotle stating that education should prepare a person for an active life marked by excellence. To me this means that a person should have a wide array of knowledge. Aristotle refers to the good life as â€Å"fulfillment† or â€Å"self-actualization†. Unlike during the time of Aristotle, fulfillment now seems to bring feeling of satisfaction and Aristotle meant is as an achievement. Self-actualization now sounds individualistic and self-centered; for Aristotle it represents the full actualization of human capacities in the activities of their lives. This is significant because it shows the change in thought over the generations. This supports my thoughts that people of earlier generations were â€Å"more educated† than people of our times. I do not know if this is lack of good education or the mindset of the people now-a-days. I think that Aristotle is right when he says that education should prepare a person for an active life marked by excellence. Characteristics of an educated person show that they should be reflective and moral in everything that they do and be thoroughly responsible of everything they do. I think that I have at some points in my education shown these characteristics but also had lack of these. I think that I have shown the lack of reflective ness and morality because of not having someone there to make me do things that I am responsible for doing and being away from home has affected me also. I feel like I am a responsible person who Aristotle says is one of the things you need to have to be an educated person, but here of late I have realized that I have fallen away from being a responsible agent and am working back to that state. In the section titled â€Å"The Marks of an Educated Christian† the author talks about â€Å"spiritual virtues† which are an unreserved commitment to God and his purposes for us in this world, a confidence in the gospel, and a self-giving devotion, also known as faith, hope, and love. I believe that spiritual virtues are important because they give direction to people in all aspects of their lives. If a person has faith, hope, and love for God, they can find answers to any problems they may be facing. Moral virtues are qualities of character like love and fairness, the courage of one’s convictions, a thorough going integrity, and a commitment to justice and love in every area of life. The importance of both spiritual and moral virtues should be a big thing in the lives of Christians but what is important to Christian colleges is breadth of understanding, openness to new ideas, intellectual honesty about other views and about the problems in one’s own, analytic and critical skills, not just verbal skills and powers of communication but grace and eloquence therein as well, the ability to say the right thing in the right way at the right time. This is important because this builds us as human beings not just students. As human beings be are to gain as much knowledge as possible to bring us closer to God. In non-Christian colleges the focus is solely on education. I think that the approach of a Christian college is more beneficial to its students because it builds them as people more so as just students. But moral and intellectual values are not enough. Being responsible we need to have conscientiousness, helpfulness, a servantly but not servile manner, decisiveness, self-discipline, persistence, the ability to correct one’s course and start afresh, to maintain good family relations, active involvement in church and community, to be an effective agent of needful and helpful change. You can see all of these at work here at Greenville College. Here at GC the importance of all of these things are equally stressed. Community is a big word used here at Greenville and having a requirement of volunteer work in the courses enforces students to be a part of their community. After reading â€Å"The Marks of an Educated Person† I now realize areas that I need to work on in my life as I strive to be both an educated person and an educated Christian. I feel like in some areas that were mentioned in this reading I have been better in the past than I am now. I hope to work towards these goals and be more of an educated person and to be more like Pat.

Organizational Plan Implementation I Research Paper

Organizational Plan Implementation I - Research Paper Example The Need for Electronic Medical Records in Psychiatric Hospital Setting The term Electronic Medical Records (EMR) refers to clinical and managerial utilities of technologies, which include electronic prescribing, billing, computerized physician order entry (CPOE), reporting, record keeping as well as documentation. Psychiatric hospitals are characterized by bulk data records and the kind of patients who are likely to complain on the quality of services given by nurses. EMR implementation will enhance proper, essential, and up to date record keeping for amicable resolution of any controversies or ligations and ensure quality services in psychiatric hospitals. Nurses play a major role in psychiatric hospitals and are required to keep records used by other colleagues such as physicians in making decisions regarding mental patients. Implementing Electronic Medical Record keeping procedure to substitute paper-based medical records will give medical care givers including nurses more time t o focus on caregiving (Sharfstein, Dickerson, & Oldham, 2009). By implementing EMR, it will be easy for nurses to notice and correct any inefficiency. Additionally, EMR will allow installation of other programs such as automatic communication, which helps in improving the quality of services in psychiatric hospitals where patients require frequent attention from nurses (Sharfstein, Dickerson, & Oldham, 2009). Implementing EMR in psychiatric hospitals will enable cooperation between different departments thus enhance making of decisions regarding patients since electronically saved data will be easily and simultaneously accessed by different departments (Luo, 2006). Proper use of EMR will promote early identification and apposite treatment of potentially violent psychiatric patient behaviors. In the long run EMR will protect individual nurses and other care providers from allegations of bad record-keeping. Additionally, EMR keeping is easy and will ensure that professional and legal welfare of nurses are not undermined by lack or incomplete records (Luo, 2006). Organizational and Individual Barriers to Implementation of EMR There are significant challenges that would affect the implementation of EMR in psychiatric hospitals. One of the major challenges would be finances. Implementation of EMR requires a lot of money to buy the EMR systems and training. Psychiatric hospitals are characterized by financial limitations since the services offered cannot yield sufficient funds to implement and maintain such a program. To resolve this I would advise the hospitals to seek financial assistance from donors in addition to seeking government funding. Another challenge concerns patient’s privacy since EMR would lead to possible access of patient’s information by other parties who may use it for selfish or harmful motives. Most psychiatric hospitals are still lacking technological clarity regarding disclosure of patient health information to secondary sources. This problem will not be too rampant since the HIPPA act clearly explains on disclosure of private health information. Additionally, I will encourage hospital management to offer training regarding prevention of PHI to wrong parties (Luo, 2006). An additional challenge is that psychiatric hospitals possess a lot of bulk paper records thus it would be difficult and burdensome to convert such records to electronic records. To ease the work, the conversion

Business Law Assignment Example | Topics and Well Written Essays - 250 words - 19

Business Law - Assignment Example It becomes a parole because it was an oral agreement made before the final written contract was made. I therefore agree with the court for rejecting Canopy’s evidence. It is against the principles of parole evidence rule which categorically states that there should not be a parole to a written contract. Meaning, evidence made prior to a written contract ca not be accepted for consideration in case of a dispute. It is therefore appropriate for the court to make such a decision it is in compliance with the law. Apart from being oral evidence made prior to the actual contract, it contains evidence which contradicts the written contract itself. Despite Canopy not being a party to the written contract, it went ahead to give this evidence. This is uncalled for and should not be entertained. Instead, the court should go ahead to consider the case filed by Novell Inc to protest against the deductions made by Canopy because it breaches its contract with Caldera

Anthropology Essay Example | Topics and Well Written Essays - 500 words - 8

Anthropology - Essay Example Scientific theories are accurate, comprehensive, and reliable aspect of the scientific knowledge, which is different from the theory definition that explains its common usage of something that exploratory or unproven. When there are evidences to support the hypothesis, the testing changes its name to a theory, which becomes a convincing justification of the phenomena. As mentioned earlier, when a theory is used in non-scientific perspective it refers to something, which is speculative or unproven. However, when used in the scientific context, it refers to a model based on experimentation, reasoning, observation, and one that is confirmed and tested as a principle that clarify and forecast natural phenomena. Typically, a scientific theory should base its concept on a rational and careful examination of facts that can be measured and observed for evidences purposes. This is because although scientists may have different analysis of the experiments observations and outcomes, the facts of the scientific method cannot change. For a theory to be a scientific theory, it should be tested regularly by different scientists in different places and should pass the test when tested. Still, it should fit in other scientific theories of difference branches such as chemistry, biology, physics, astronomy, geology among others. In this case, a scientific theory in one of the mentioned branch should hold the truth in other branches of science. For instance, atomic theory of matter was discovered in physics. However, it was later applied in other branches of sciences such as chemistry through chemicals used, biology on the living tissue, rocks learnt in geology, and planets studied in astronomy. With this in mind, it stands out that the atomic theory of matter hold true in all branches of science. The following are lists of major scientific theories with no invalidity when tested. These are atomic theory of matter, cell theory, evolution theory,

The Pentateuch Torah Essay Example | Topics and Well Written Essays - 1250 words

The Pentateuch Torah - Essay Example Why was Abraham chosen It does not reflect on the reason. Yet such a choice shows that either god did not know what he was doing or that what he has befriended is just a manner of showing how priviledged a person could be to be a messenger of god for no reason apparent but that god 'feels' like choosing him. Also, if Abraham was the father of all prophets and has his descendants to be kings and prophets and the chosen people among humans who will carry out the love and message of god to all his creations, then why bestow it on his children Why wasn't the choosing of a prophet something relying on intellect from people who have exhibited understanding of the universe by sole understanding through and by themselves which makes them deserve such choice Why is it that children who were only lucky to be children of prophetic parents and messengers of god get the priviledge of being prophets in return without having to seek it at all in their life Is it because god sees that they will be raised a good raise and that they will be directed to the right path since their childhood and that they will never have to exert effort to make people like or fight for their purpose after paining efforts to convince them but that god will do that for them What is the reason of such priviledge Also, why is it that Moses believes that his brother aaron could be more of an orator to the pharaoh other than himself whom he fears might complicate things and not deliver the message properly because he has killed someone against their fight with an Israelite Isn't he a child of god And why does he face a stained reputation as a killer of someone who is not Israelite when god could have given him the reputation worthy of kings without having to kill someone to face the pharaoh in such as the manner indicated in the torah(the fear of confrontation and of being killed) Also, why is it that such a person has to live away from his family and friends when he has to become a prophet Why does a prophet seek seclusion to meet god and talk to him Why couldn't he do it in public Why leave out all the other people Why would god want this Why would he want people to believe in his presence without seeing him and for prophets such as Moses to see him to confirm to them that what they are delivering from messages of god to ordinary people is not a hoax to them What is the purpose The Pentateuch has some difficulties to be confronted throughout reading it, one of the major difficulties are understanding the linguistics and vocabulary of the language which has been evolving throughout the ages of its writing and exposure to changes of social and understanding of the world and universe when explaining the world to people who know nothing beyond what is in the papers of the book, the Pentateuch The torah has problems such as understanding what the word of god is and how extremely important it is. Giving the followers of Moses the privilidge of talking to people and saying that they are the chosen children of god, why are they massacred throughout history and hated so much Is it because of the ancestors' misunderstanding of the torah and of Moses and his teachings when he returned back from the mountain after having spoken to god about the teachings which must be ruling the earth Why haven't they accepted it Why has god chosen a people