Research Proposal Larvae Therapy

Natalie Merrier Student nurse yr Declaration of interest: I have chosen to investigate this topic as I have only worked with one patient using lave therapy treatment (contained) and was often designated the task of redressing and watering the lave, this particular gentleman did not mind the therapy and referred to the lave as â€Å"his little friends† I could not help but wonder f he wound have been so compliant if they were loose in his wound and if this would have made any difference to the healing process.Abstract: This article plans to compare the use of contained or caged maggots to those placed directly onto the wound bed itself (referred to in this research proposal as free range). All care has been taken to ensure that patient safety comes first and if at any point a healthcare professional feels that the treatment is not affective for the patient they will be excluded from the research and commenced on a more suitable or preferred treatment.I expect to find in my resu lts that free range maggots are more effective, however patient tolerance will be better with contained lave due to fear of lave escaping the dressing and sensation if overlapped onto healthy skin. Introduction Maggots, many recent articles comparing debasement versus maggot therapy. Less information available on the application of maggots and how that effects the treatment and effectiveness of the maggots ability to debris, disinfect and stimulate healing. Rotational method of free range maggots Vs.. Contained maggots in gauze or muslin bags. Validity and reliability Lit review/background â€Å"Accounts of maggots used on open wounds date back to the Old Testament. † (Bare 1931; Peachtree and Sherman 1983) Bear 1931, treated a WWW soldier on a battlefield using maggots for a femur fracture and abdominal wound. Observed that the wounds were covered in maggots, after cleaning the wounds noticed that the wound bed consisted of healthy granulating tissue. U to this he began stud ying maggots and there effect on open wounds in detail and pioneered the international treatment of skin infections with childhood fly rave in 1931 it was deemed safe, effective and economical at this time and was widely used until 1950 when antibiotics and surgical debarment therapy became more popular treatment option as suggested by; (Apothecaries Education & Research Foundation [BETTER], 2003; Fleischmann, Grabbers, & Sherman, 2004; Maggots on wounds have been used for Debarment, disinfection, stimulation of healing and billion inhabitation and eradication.Although these benefits have use particularly useful in pressure ulcer treatment and diabetic foot ulcers. As suggested y Bear (1931), Horn Cob and Gates (1976) Sherman (2002), Stevedore (2004) and -rampant (2007) Research has been conducted into the sub-species of maggots that is most effective by: REFERENCE And also research has been conducted into patient tolerance of the treatment by: REFERENCE However, less research has b een done to see if patient tolerance and containment are directly related, and the extent that containment hinders the debarment process.Sample Inclusion and exclusion: No participant's with services sepsis or gangrene and need amputation (due to the risk of patient) one of the sample group shall be diabetic as this will affect the rate of healing and cause results to be skewed. For the same reason the wounds on each patient must be about the same size and depth with equal quality of tissue (ox. CM 70% slough, for example). To keep my research fair and ethical I intend to select clients of similar age and health for a fair opportunity for contained and free ranged maggots.Due to the nature of this research in intend to select 6 patients and use 3 for each option as long as they consent and tolerate the treatment. Hypothesis/predicted results: I predict that although â€Å"free range† maggots will be more effective at debarring the wound quickly, suggested to be more effective in previous research articles Stevedore P, Jacobin CE, Osama a study conducted in the Netherlands.Wimp Fleischmann, Martin Grabbers (2004) patient preference will lie with contained or caged lava, in addition suggested that the staff applying the dressing would generally prefer the contained lava to free ranged ones. METHOD: (quantitative) statistical numerical data, comparing contained to free range goats on open wounds and infected skin tissue. (Quantitative) survey of the experience for the patient using contained or free range maggots, the combination of both meaner that I will use a triangulation method.To determine the patients feelings towards the treatment I will provide a simple questionnaire. To determine the effectiveness of the treatment itself the wounds will be measured every 2 days when the dressings are removed to give water to the maggots with a photo at start and finish helping distinguish the improvement of quality of tissue in the wound bed. Analysis Evaluation Results Ethics Patient aware of research? Know they are able to opt out of experiment at any time? F maggot treatment no longer suitable MET will recommend stopping the maggot treatment and using alternative therapy such as surgical debasement. References Bare, W. S. (1931). The treatment of chronic storytelling with the maggot (larvae of the blowfly). Journal of Bone and Joint surgery, 13, 438-475. 8. Bare WAS. Sacra-iliac Joint?arthritis deformations?viable antiseptic in chronic storytelling.

Meeting the Needs of the Youth

Youth in my books would be defined as Grade 8 – Grade 12. What makes this a challenging ministry, is the ever changing make-up of the youth. It seems that every 6 months or so you have an entirely â€Å"new youth group. It is not â€Å"new' in the normal sense as most of them have been In the youth ministry for a while, It Is that they have all changed and it seems like a â€Å"new† group. They speak of the generational theory, stating that each 20 years or so we have a different generation.I however see a new generation every 2 – 3 years. The culture we live In Is changing at a pace never before experienced. Simply looking at the advancement of technology over the last decade demonstrates for us the enormity of our current growth spurt. Although I fall in the same generation theory category as many of my youth, they are vastly different to me. A change has definitely taken place. I am not sure when It was that I moved out of the â€Å"cool† to â€Å"bo ring† category but It seems that it has happened. As all this change takes place one can only expect that the needs will also shift.What I wanted as a youth is most definitely not what the youth wants today. And it is herein that the difficulty lies, assessing the needs of the day. Meeting this Need Now that the greatest need has been identified, how are we to meet this need. Let me suggest the following methodology: 1. Clear concise exposition of the Word. There Is no other way to bring a person to the point of repentance. Paul while ministering to an Idol riddled generation, did not soften the truth. No In Acts 17 we see that Paul does not shrink in declaring the whole counsel of God. Paul even goes s far as telling the hostile audience that they need to repent.Too often today those ministering to youth do not want to teach on so called hard truths found In scripture. We are being told by the â€Å"experts† that teaching too much doctrine is not good. At a recent yout h workshop we were told that teaching systematically through a book of the Bible â€Å"is Just wrong†. We were told that the youth wants fun filled stories and entertaining challenges and nothing that actually breaks down their self esteem. In saying this however, I do acknowledge that some systematic teaching can be done incorrectly, so as to bore or put anyone off.The clear concise exposition that is needed is one that requires much preparation. The preacher needs to know his audience and has to be diligent to bring the message to bear on that audience. Just as it is no use teaching speed reading to 4 year olds, it is no use teaching Supernaturalism to your youth group. It is my opinion that it takes much more work to teach the scriptures to youth and children than adults. More illustrations are needed, more explanation is needed and bridging the gap requires more work. But at he end of the day Is that not what preaching Is all about? 2.Diligent discipleship 1 OFF to conver t the nations. The youth worker needs to work hard at discipline his youth. This takes the form of personal discipleship and the arranging of other discipleship relationships. It is not a dereliction of duties to ask some of the adults in the church to help with discipleship. One youth pastor cannot himself disciple the entire group. This is the primary reason I prefer not to have the main youth meeting on Sunday nights when the â€Å"adult† church meets next door. No, the young people need to get to now the church members and see how they live their Christian lives.This is not a new concept, but simply the Biblical example of having the older men and women training the younger members of the church. (Titus 2:1-8) Discipleship is hard work and time consuming, but also the most rewarding part of my ministry. What a Joy it is to see a young man growing in his walk with the Lord and seeing the same young man's discernment consistently growing. Loving admonition It is often diffi cult to admonish one of the people we love and enjoy. We perceive that our admonishment will create barriers in our relationship.However â€Å"faithful are the wounds of a friend†. During my ministry I have seen that even though the initial reaction is not always what we would desire, the long term affects are rewarding. The youth sees that you are willing to admonish so that they can grow in Christ. You are not simply standing by and condoning (sometimes nonverbally) their obvious wrong behavior. This should always be done in love though. Admonishing must be done carefully and lovingly always addressing a pattern of sin and not one isolated incident. As a parent I feel the tension of loving and disciplining daily.None of us parents or youth workers delights in admonishing, but we are commanded by God to admonish. While admonishing I always keep the following two Proverbs in mind Proverbs 13:24 â€Å"He who spares the rod hates his son, But he who loves him disciplines him p romptly' and Proverbs 8:9 â€Å"Do not rebuke a scoffer, lest he hates you; Rebuke a wise man and he will love you. † 4. Purposeful ministry The adage is true, â€Å"if you aim at nothing you will be sure to hit it every time. † In order for the youth ministry to be successful it needs to have a defined purpose.A narrow repose, â€Å"having a large youth group† is not specific enough. Each youth ministry is going to have a different local purpose; I say local as the ultimate purpose should be to â€Å"bring them up in the training and admonition of the Lord†. Some local purposes will be to establish an initial vibrant youth ministry; others will be to effectively reach the local High School, or even to establish spiritual growth in a core group. Whatever your purpose, it needs to be defined and a plan of action developed. It is important to know how you plan to achieve your purpose.What steps are you going to take so as to assure (realizing it is God who builds His church) that your ministry meets the intended purpose? Conclusion While I agree that doing the same today as we did 10 years ago is not going to cut it, I argue that at the heart the ministry is the same. The youth of today has the same fundamental need as the youth 30 years ago – regeneration. If you are serious about meeting the needs of the youth this is where you must begin. Take the above begin to minister to the youth of today. Always keeping 1 Corinthians 10: 31 as your guide.

Ethical Egoism and Capitalism Essay

Ethical egoism, in general, is suggestive that every individual would act according to his or her own interests. According to the proponents of ethical egoism, every individual or any group will always be pushed to promote one’s own personal interests regardless of how others would view their decisions. However, a personal interest is viewed as a long-term commitment based on the ideas presented by the proponents of ethical egoism. Here, personal interest does not only cover the basic wants of an individual, but rather the needs of an individual which will benefit the individual or the groups for a longer period (â€Å"Ethical Egoism,† 2007). On the other hand, capitalism is an economic worldview that promotes the accumulation of capital for a long-term period. Capitalism as an economic thought is largely individualistic, and is most of the time focused on the individual who plays as the main player in all capitalist endeavors. As such, the proponents of capitalism greatly believe that every individual or group of individuals is always in pursuit of attaining their goals and interests (Hooker, 1996). Ethical egoism and capitalism, though are two different world perspectives have a distinct connection. In some ways, ethical egoism has widely influenced the growth and the process at which capitalism works. Both ideas are centered on pursuing and fulfilling the individual’s personal interests. And as such, the tenets of ethical egoism have become one of the most motivating factors in the capitalist world. Epicurus had his own idea involving ethical egoism. Epicurus defined self interest based on the pleasure that fulfillment of such self-interest can give. According to Epicurus, pleasure is only attained whenever the idea of pain is quickly vanquished. Hence, one must be ultimately with his or herself in order to become happy and fulfilled. And as such, he added that to live in a pleasant way, individuals must adjust to life in a prudent and honest way (Epicurus, 2002, 278). In accordance to this, Epicurus also added that individuals, while fulfilling their needs and self-interests must also learn to become self sufficient, stable and not reliant on chances, and must be complete (â€Å"Ethical Egoism,† 2007). These characteristics suggest that an individual, while being self sufficient, must only focus on the immediate and basic needs rather than giving up to the pleasures and unnecessary wants. As such, if people have become lured to unneeded pleasure, their desires will not be fulfilled and satiated, and will only cause pain and discontent amongst the people. While Epicurus suggested that the ultimate test for pleasure is the elimination of all causes of pain, he also concluded that reason and virtue are two of the most important factors in attaining happiness. As such, rational choices must be made in order to be fulfilled. Any wrong and irrational choice committed will cause discontent and unrest to the people, thus should be avoided (Younkins, â€Å"Epicurus on Freedom and Happiness,† 2007) Capitalism, on the other hand, is also founded on almost the same tenets. Capitalism is also geared towards achieving fulfillment which can be attained through the accumulation of capital goods, which capitalist entrepreneurs desire. Like how each tenet of ethical egoism is defined, the proponents of capitalism also strongly believe that a capitalist is always in search of satisfaction and fulfillment, which can only be achieved if his or her self-interests are being quenched. Like ethical egoists, capitalists are also focused on the attainment of individual satisfaction. And as such, every single capitalist puts a lot of effort into giving an assurance that each of his own capitalist endeavors is being realized and put into effect. Profit, as the main goal of the capitalists, is the counterpart of â€Å"pleasure† for an ethical egoist. While in ethical egoism, pleasure is only attained by eliminating sources of pain and discontent, profit is being considered as the main source of motivation and happiness for capitalists. In this light, profit is obtained by capitalists through the sheer use of intellect, competitive skills, and thorough reasoning in order to equip themselves in a tough competition among other and fellow capitalists. In addition to this, another character that links capitalism with ethical egoism, is the distinctive pursuit of morality behind the two ideologies. While ethical egoism greatly regards moral and righteousness for the attainment of their goals, in the capitalist perspective, capitalism is an avenue wherein moral is an imperative towards the creation of social system that will help realize the goals of a capitalist. Capitalism, hence is a system that encourages the practice of enhancing self-determination and giving priority to moral agencies for the system to function well (Younkins, 2007). Capitalism is also based establishing a rigid set of moral values. Capitalism is a system that operates on a strictly governed set of institutions that ensures that each move and actions are always watched. And in order to maintain the balance amongst the players in the system, every action made can be open to reward or sanctions. In addition to this, self-interests within a capitalist system are attained by valuing the balance between the needs and material gains. And as such, every value system and social norms are always honored in within the capitalist arena (Cilliers, 2008, pp. 30-31). In a way, the quench for self-interest and pursuit for material wealth are always related within the economic system. Pursuing any kind of self-interest and wishing to attain material wealth are always tied to the economic order, and such, the goal and the means must be properly coordinated. The capitalist system works in hand with the ideals of the ethical egoism in such a way that, both ideologies will suggest that in any kind of self-interest, one must always be able to determine the more prioritized aspect of the individual’s well-being. In both the underlying tenets in capitalism and ethical egoism, self-interest plays a huge role. Both of the ideologies suggest that, self-interest is one thing that should always be satiated by any individual. Failure to attain this will make human beings discontented for their lives, and such will always push to gain more. While in ethical egoism, the individual’s pursuit is directed towards eliminating his or her source of pain in order to attain pleasure; in capitalism, the individual’s self-interest is directed in gaining profit which he or she can attain by eliminating competition or by triumphantly overcoming any kind of competition that comes in his or her way. However, there are certain limitations that must be taken consideration in this pursuit of either self-interest or profit. As stated in ethical egoism, an individual must know how to control his or her pleasures. The excess of wanting too much material wealth will eventually establish discontent, unhappiness and pain on the individual. This goes the same in capitalism – every individual must learn how to control his or pursuit of gaining more profit that how it is supposed to work. If an individual or the whole society believes that they deserve more than what is rightful for them, the society will be in chaos. And as such, the people will become rather more dissatisfied, and order will be more oblivious to the minds of the people. The parallelism of the tenets between ethical egoism and capitalism shows the distinct comparison and similarity of the ideas contributing to both ideologies, with self-interest at the core of ethical egoism and capitalism. In essence, self-interest is what drives both ethical egoism and capitalist to achieve its purpose. Ethical egoism shares its influence with capitalism in such a way that ethical egoism shows that there is something that an individual wishes to attain. Alongside these wants and needs, an individual is ought to follow certain measures in order to fulfill his or purpose. And most importantly, there should always be limits to what an individual should wish to have. Excessively wanting something, in within either the tenets of ethical egoism and capitalism, will always be detrimental to the status of every individual or in any society. References Cilliers, J. (2008). Global Capitalism – Local Values. St. Gallen Symposium. Switzerland: University of St. Gallen. Epicurus. â€Å"Principle Doctrines. † Classics of Political and Moral Philosophy. Ed. Steven M. Cahn. New York: Oxford University Press, 2002. â€Å"Ethical Egoism. † (2007). Center for Ethical Deliberation. Retrieved October 2, 2008, from http://www. mcb. unco. edu/ced/perspectives/egoism. cfm Hooker, R. (1996). Capitalism. The European Enlightenment. Retrieved October 2, 2008, from http://www. wsu. edu/~dee/GLOSSARY/CAPITAL. HTM Younkins, E. W. (2007). Epicurus on Freedom and Happiness. La Quebecois Libre. Retrieved October 2, 2008, from http://www. quebecoislibre. org/07/071111-4. htm Younkins, E. W. (2007). Capitalism: The Only Moral Social System. La Quebecois Libre. Retrieved October 3, 2008, from http://www. quebecoislibre. org/07/071111-4. htm

Diagnosis and the Treatment Planning Case Study Example | Topics and Well Written Essays - 500 words

Diagnosis and the Treatment Planning - Case Study Example The full range of approaches would be based on establishment of a secure therapeutic relationship which may move gradually into formal psychoanalytic therapy. The motivation and life situations are important to understand since they extensively contribute to the development of psychosis, which in this case is manifested by delusions. Family interventions are not possible in this case. The need-adapted approach should be based on idiographic assessment of his needs and the type of treatment suited to these needs. Need-adapted approaches, although difficult to design, are more suitable since the overall therapy would depend on several interventions over time rather than a single approach. The therapy would thus not only aim towards reduction of psychotic symptomatology, but also would address a number of developmental trajectories, the deviations from which are responsible for the current symptomatology. For his alcohol dependency, counseling and psychotherapy again are important compo nents of effective treatment. Although psychosocial interventions are recommended, it would take time to arrange a supportive network for this patient. In this case given his dual diagnosis, apart from psychotherapy improved drug therapy may also be employed.

INSTRUCTION SET Essay Example | Topics and Well Written Essays - 1000 words

INSTRUCTION SET - Essay Example One such forum is www.gimpforums.com. Also, the tutorial itself does not require any artistic skills. Installation of GIMP onto one’s computer may require certain prerequisites. Once installation is complete, there is no further need for any previous knowledge. However, familiarization with the following terms may prove to be helpful: In order to create a digital artwork, you will first need to download GIMP. Once you have downloaded and installed the software on your computer, load the program. The user interface will have an environment as shown below, with the Toolbox and Layers window open. To create a new document, go to File menu and then click New. Alternatively, you can hold Ctrl and N. A dialog box will open, asking you to enter the dimensions of the new image file. For the purpose of this tutorial, we will use an image with the dimensions 500pixels x 500 pixels (width x height in pixels). Click OK. A vignette in the visual sense is a portrait with essentially faded borders as though the color varies in its shading from the center to the corners of the image. The first step is to choose a color for the vignette. You may choose any color you like but for this tutorial I will be choosing a shade of red with the HTML notation, db1515. In order to pick a color, that is, change the foreground color, click on the black palette as shown in the image and this will open a dialog box where you will select your desired color or just paste the HTML notation, db1515, in the textbox. Click OK. Now, fill the image by clicking on the bucket in the Toolbox and clicking on the image. This will color the image red. You will now have to duplicate the layer. To do so, go to the Layers window, and right-click the layer named Background and choose Duplicate Layer. Now add a layer mask on the duplicate layer called Background Copy by right-clicking and choosing Add Layer Mask. A dialog box will open. Select Initialize Layer Mask to White (Full

They Can Get Inside You Essay Example | Topics and Well Written Essays - 750 words

They Can Get Inside You - Essay Example From the opening chapter of the book, we see that even though Winston has somehow been able to resist and question the party, he still absorbs its influence. As he sits writes in the diary for the first time, he remembers a recent two minutes hate session. Even though the charade of Goldstein and the hate sessions is so "exaggerated and perverse that a child should have been able to see through it" (Orwell 14), Winston is not entirely immune to the emotion it is intended to evoke. He feels the hatred that he is supposed to feel: "the very next instant he was at one with the people around him, andhis secret loathing of Big Brother changed into adoration". (Orwell 17) His hatred may not be directed at the intended target, but it indicates that Winston, like everyone else, is at the very least susceptible to the party's brainwashing. He feels the hatred, and that is enough: they are inside him. They are inside Julia, too. Julia appears to be a faithful party member, so much so that Winston suspects she is a spy for the Thought Police. Like Winston, she is a secret rebel, but her view of their world is different from Winston's. She is less concerned with ideologies and does not take much interest when Winston theorizes about the nature of the party. Unlike Winston, who dreams of a different world and a different life, Julia accepts the world as it is, and instead of dreaming, rebels in ways that make her life more bearable. Julia is intelligent but does not think deeply on the corruption within the party and what it means. She accepts the history she was taught in school without question, and does not remember that four years ago the country's enemy was a different one. She is bored and falls asleep when Winston reads to her from Goldstein's book. All these things indicate that Julia, despite her rebellious nature, is still influenced by the party. They are inside her, beca use she is "unwilling and unable to think too deeply on any subject whatever", just as she has been taught by the party. (Orwell 220) Winston and Julia both consider themselves intellectually free. They know the party is a lie and they are both against it, though for different reasons. But Julia is wrong when she says the party can't get inside them, and can't influence how they feel. They don't seem to understand how pervasive the party's influence really is, or perhaps they consider it unimportant because their conscious is free even if their subconscious is not. However when they are caught, they both end up losing that freedom of consciousness, and their loyalty to each other. During his stay in the Ministry of Love, Winston is subjected to mental and physical torture for an undefined length of time. O'Brien shows him that the party control the past and the present and shows him that 2 + 2 = 5 if the party says it does. Eventually Winston is allowed to physically recover, but during a dream he becomes aware that the party has not penetrated the deepest part of his mind - he still loves Julia, and hates Big Brother. He has tried to "keep the inner heart inviolate" (Orwell 293) and this has caused him to commit thoughtcrime. He decides that the only solution is to suppress his hatred towards the party and Big Brother so that it cannot escape from his subconscious, but instead O'Brien takes him to Room 101. In

Human Rescource Management Essay Example | Topics and Well Written Essays - 1500 words

Human Rescource Management - Essay Example Rousseau (1989) defines the psychological contract as â€Å"an individual’s beliefs regarding the terms and conditions of a reciprocal exchange agreement between that focal person and another party† (p. 123). There are various aspects of the work force like variations in the job, nature of job, challenges of the work and other areas that have been considered as growing areas of interests (Hughes and Palmer, 2007). There has been various human resource management issues related to the contingent work force that provided one of the most appropriate areas of studies for the professionals and researchers. According to Feldman (2006 as cited by Hughes and Palmer, 2007) the Bureau of Labour Statistics (2005) revealed that the contingent workers formed nearly 10% of the workforce in early 2005. George and Kelly-Patternson (2007) covered different importance of psychological contract within various professional groups. The present economy has transformed from the manufacturing to service and service to knowledge based economy. The experience and skills of individuals have become base for economy. The psychological contract is high in the knowledge based industry. Success of the projects depends on the psychological contract. Psychological contract is explained with respect to emotional aspects of loyalty of employees and support from the organisation (Grimmer and Oddy, 2006). There are individual perspectives of employees, perception of the employees and mutual promise among the employer and employees (Rousseau, 1995). Working relationship of the individuals and organisation is covered in psychological contract (Sparrow and Cooper, 1998). Psychological contract is explained with the use of the term â€Å"unwritten expectations† (Wellin, 2007). These expectations are ever-changing and continuously operating between the all the members of the organisation. There are transactional psychological contract and relational psychological contract. Transactional