Archive for the ‘Human Rights’ Category

New Video Discussion Program Aims to Redefine Social Justice (review)

November 16, 2015
Civil human liberties rights

 

 

 

NewsUSA) – When most people think of social justice, they think solely in terms of the government redistributing wealth, rather than individuals and churches tackling the deeper personal issues associated with poverty.

But a program being piloted by the Richard and Helen DeVos Center at The Heritage Foundation aims to show thoughtful young American churchgoers and seekers that there is more to social justice than government intervention, which is unable to cure the spiritual and personal ills that so often accompany poverty.

“A lot of people today, especially in the rising generation, are interested in social justice,” said Ryan Messmore, the DeVos Center fellow who served as the lead writer on the project. “But there isn’t a clear understanding of what exactly it means. That’s problematic because a lot of actions championed in the name of social justice end up hurting the very people they are trying to help. Many young adults today lack a framework for thinking about social justice and engaging the personal needs of the less fortunate.”

The new Heritage program is called Seek Social Justice. It is a six-part DVD presentation with an accompanying study guide. It addresses topics like: “Relational Justice,” “The Power of Family and Friends,” “Working Toward Justice” and “Justice as a Way of Life.”

“The DeVos Center is doing remarkable work. They are brilliantly sharing the concept of social justice and taking that message to a whole new generation of young Americans,” said Tim Goeglein, vice president for external relations at Focus on the Family.

The videos, which may be ordered without charge at www.seeksocialjustice.com, aim to show those afflicted by poverty as real human beings with inherent dignity and worth rather than merely a sociological category on a government chart. The accompanying discussion guide may be downloaded for free at the same site.

“We need to put the human person front and center in the discussion and not talk about abstract categories such as ‘the poor.’ That betrays an impersonal perspective that more often than not leads to ineffective solutions,” Messmore said.

 

 

 

Civil human liberties rights

 

A Petition for the review of “Stand Your Ground” laws

August 12, 2013

Please sign the petition regarding U.S. justice for Trayvon Martin and the review of the “Stand Your Ground” laws in several states.

Perception of Coercion

May 13, 2013

I believe that Ukraine should allow a neutral international team of forensic nurses and experts speak with and exam Yulia Tymoshenko. She is the ex-prime minister who has been jailed since 2011 in Ukraine. I would be happy to take a trip from America to Ukraine to be part of the international team. I would ask for an office for rent in Kharkov and one of the short-term apartment rentals in Kharkov.

The importance of the material covered on health history interviewing cannot be over emphasized in forensic psychiatric nursing. The ability to communicate with accurate empathy, non-judgment and skillful use of specific techniques is essential for accurate risk assessment and monitoring of mental status changes. People who are impaired with paranoid delusions, mistrust, and extreme sensitivity to the motives of others (such as the government of Ukraine), are more inclined to provide information to clinicians that they perceive to be competent. Monahan and colleagues at the MacArthur foundation found that the manner in which providers communicated affected the recipient’s perception of coercion for better or for worse. That is, even when recipients were being subjected to involuntary treatment, their scores on the “Perception of Coercion” scale were lower when the clinician communicated with empathy and respect. Violent events in psychiatric settings can be reduced when staff is competent in assessment and forming working alliances with the patients.

Informed Consent Post

April 10, 2013

Specifically in Psychiatry informed consent is a major concern for patient safety and care. Before each patient is given a psychotropic medication, the doctor must first explain what medication the patient will be taking for their specific disorder and what symptom they are targeting. For example the doctors must explain to the patient all psychotropic medications that the patient will be taking; Risperdal for psychosis and delusional thought content, Ativan for anxiety or agitation. The patient is also informed of side effects, and that they may or may not get better from the medication. Both patients and doctor sign the consent form which then becomes part of the medical record. Before a nurse can give a psychotropic medication, the consent form must be signed. When emergent medications are needed secondary to patient agitation, direct threats, bodily harm to self or others then the consent is waived for the safety of both staff and patients. However, IM medications are only given for emergent medication needs and the safety of the unit. Patients do have the right to refuse any and all medications in the psychiatric unit including medical medications and procedures. When patients refuse to sign the Psychotropic Medication Consent Form or agrees to take the medication but may refuse to sign the form, then a witness must also sign the form along with the doctor’s signature. If the patient refuses any or all of their psychotropic medications as is their right, a Riese hearing can be applied for by the doctor to force a patient to take medications against their will. This is a court hearing with the doctor, judge, patient and patient advocate (attorney for patient). Each side states why the patient should or should not be forced to take medication against their will. If the finding is that the patient will benefit from the medications more than be hurt from the medications, then the psychotropic medication can be given against the patients will usually with IM medication. Patients are always offered PO medications first, however, if they refuse then the medication will be given IM against their will. As is the law in California, all medications that could possibly be given to the patient must appear on the Riese form. Patients have the right to refuse medication if they are voluntary or involuntary (placed on a legal hold for observation). The only time patients do not have a legal right to refuse psychotropic medications is if they have lost their Riese or if they are on a Permanent Conservatorship and that person’s Conservator then has the right on behalf of the patient to make psychiatric decisions for the patient. I believe that California law covers informed consent and the right for least restrictive treatment and environment for psychiatric patients.

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Female Genital Mutilation

March 27, 2013

Female genital mutilation (FGM) is recognized internationally as a violation of the human rights of girls and women. It reflects deep-rooted inequality between the sexes, and constitutes an extreme form of discrimination against women. It is nearly always carried out on minors and is a violation of the rights of children. The practice also violates a person’s rights to health, security and physical integrity, the right to be free from torture and cruel, inhuman or degrading treatment, and the right to life when the procedure results in death. Procedures are mostly carried out on young girls sometime between infancy and age 15, and occasionally on adult women. In Africa, about three million girls are at risk for FGM annually. Between 100 to 140 million girls and women worldwide are living with the consequences of FGM. In Africa, about 92 million girls age 10 years and above are estimated to have undergone FGM. The practice is most common in the western, eastern and north-eastern regions of Africa, in some countries of Asia and the Middle East, and among certain immigrant communities in North America and Europe. Since 1997, great efforts on the part of the World Health Organization (WHO) have been made to counteract FGM, through research, work within communities, and changes in public policy. Progress at both international and local levels includes wider international involvement to stop FGM, development of international monitoring bodies and resolutions that condemn the practice, revised legal frameworks and growing political support to end FGM, and in some countries, decreasing practice of FGM, and an increasing number of women and men in practicing communities who declare their support to end it. Research shows that, if practicing communities themselves decide to abandon FGM, the practice can be eliminated very rapidly. WHO efforts to eliminate female genital mutilation focus on developing publications and advocacy tools for international, regional and local efforts to end FGM within a generation; generating knowledge about the causes and consequences of the practice, how to eliminate it and how to care for those who have experienced FGM; and developing training materials and guidelines for health professionals to help them treat and counsel women who have undergone procedures. WHO is particularly concerned about the increasing trend for medically trained personnel to perform FGM. WHO strongly urges health professionals not to perform such procedures. (2008). Female genital mutilation. World Health Organization Fact Sheets, (no. 241).

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Legalization of Marijuana, comment

March 27, 2012

I saw the Judge Judy show yesterday. I don’t like the way she and the guest made fun of marijuana growers. It is legal for us to grow weed in California. I would have thought Judge Judy would realize and accept this especially since she tapes her shows in CA. I would think that the audience is from CA also. I wonder if the audience was given cue cards to laugh about the 2 pot growers that were on the show yesterday.

We grow a lot of things that other states don’t grow. Oranges are grown here. I do not hear about people laughing because we grow oranges. I think we should be treated with respect.

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Legalization of Marijuana, comment

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Legalization of Marijuana, comment

August 16, 2011

I was planning to move to California because marijuana is legal in this state. Today, I read that marijuana is legal in 17 states (including the District of Columbia). So now I have 16 more reasons to live. I have severe arthritis and pain from a hit-and-run automobile accident. My doctors have prescribed a lot of medications. Some of them work and other do not work. The ones that do work last for a few weeks or months. My family is packing my bags right now. In a few days, marijuana will be giving me some needed relief.

Original Post

Medical Marijuana

Legalization of Marijuana; November 2, 2009

Legalization of Marijuana, comment; November 6, 2009

Legalization of Marijuana, comment; February 15, 2010

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President Obama will not release public pictures of the dead Osama bin Laden

May 5, 2011

Is President Barack Obama correct on this decision not to release disfigured photos of the dead Osama Bin Laden? Yes, he is.

The spirit of international and US laws prohibit the public release of photos of the deceased. Note that the US is unhappy when pictures of dead Americans are broadcasted publicly.

Morally speaking, most Americans would not want pictures of their disfigured passed away loved one broadcasted publicly. The moral, social and spiritual beliefs of a victim and family members should be taken into account. Also the moral, social, and spiritual belief of the country in possession of the pictures should be taken into account.

Ethically speaking, members of the Forensic Medical and Nursing profession are not permitted to show public pictures of the deceased. This brings me to another point. Forensic physicians, nurses, and personnel should be involved with the handling of Osama bin Laden and others. Forensic healthcare personnel are trained to be objective. They will confirm the cause of death, the time of death, the identification, and identify extra factors. The forensic healthcare personnel are removed from political and military biases. Their training includes caring for victims of war on both sides and innocent bystanders.

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Effective Measures Toward Pain Management, comment

July 15, 2010

Nurses as caregivers in primary, secondary and tertiary roles play an important part in caring for patients experiencing pain. While assessing pain as nurses, we need to collect a substantial amount of subjective data in order to properly address a patients level of discomfort.  Because pain is influenced by a variety of factors such as culture, chronic verses acute pain, sleep deprivation, individual thresholds and other sensory stimuli, one of the best measures of pain is to pain is what the!?? patient tells you it is.  Visual cues as well as vital signs should be gathered in the assessment to support the patients complaint of pain.  Patients will often compare their pain to other pain they have experienced before, for example.  Documenting the description of pain and initiating a scale by which to continue to assess the relief of pain through medication and other means of providing comfort is the most effective way to ensure relief.  Patients may respond to certain interventions better than others.  If a medication is ineffective in relieving pain, the physician should be notified and the patient should be assessed for another type of analgesic.  The nurses role as an advocate to the patient should always be at the forefront when addressing a patients need for relief from varying degrees of discomfort.  By knowing your patients individual pain thoroughly from assessment nurses are in a position to help decrease and or alleviate suffering early on in intervention.

Original Post

July 12, 2010

Title: Effective Measures Toward Pain Management, comment

Nursing assessment plays a significant role in the management of pain in caring for a patient.  Pain being a very subjective area to measure you can not only take the subjective level of pain you must also take into account the objective level of pain observed.  The level of pain is a grey area; it is not as simple as being in pain or not being in pain.  There are different levels to the pain and this varies from patient to patient.  Each patient has their own level of pain tolerance.  For example; in the practice I work in now we use a NIBP to measure the patients’ blood pressure in which most patients are not affected by this instrument.  However there are some patients that cannot tolerate the NIBP, it is too painful for them to use to measure their blood pressure; these patients have a lower threshold for pain.  They experience pain in a different way, however their pain is real.  As a nurse you need to be alert and conscious of each patient’s pain threshold.

An accurate pain assessment holds such an imperative function of a nurses advanced health assessment when caring for their patients.  When a nurse is functioning in the role of some area of forensic nursing their experience and knowledge of pain assessment may be called upon to use in their responsibility as a forensic nurse.  For example; if a forensic nurse is being called upon in the court of law to provide testimony in a legal matter they may have to incorporate this experience and knowledge of assessing pain to give an honest and accurate testimony.  Another example of pain assessment being incorporated into forensic nursing would be when a forensic nurse is assessing a possible victim of abuse; the victim may downplay their pain.  As a victim they may try to hide their pain and the forensic nurse will be required to be able to observe accurately any objective signs of pain to give the victim the care they need.

Original Post

September 2, 2009

Title: Effective Measures Toward Pain Management

Pain is an alteration in ones comfort level, which can significantly impact the physical, emotional, and psychological well-being. Pain is a subjective experience that can only be explained by the patient. Cultural and ethnicity are a few factors that influences patients response to pain, to improve outcomes nurses must be able to understand pain from a cultural perceptive. People respond to and view pain differently. Among various groups for various reasons emotions may or may not accompany pain it is viewed by some as an act of punishment or as a spiritual test. Having knowledge of patient’s views and how they define pain is very valuable in that it can assist the nurse in achieving positive outcomes by incorporating this information in the plan of care. Nurses who ignore or refuse to develop cultural sensitivity not only do they violate patients’ rights but also a chance of having a trustful relationship and without this you can expect poor outcomes. Pain is often poorly assessed and poorly managed due to reasons like misconceptions and nurses lack knowledge. This usually leads to under medications and poor outcomes, such as the post-op abdominal surgery patient that develop pneumonia because is unable to perform cough and deep breath exercises every 2hrs secondary to pain because of the nurses’ misconceptions about administering pain medication to a patient with history substance abuse. To achieve goals of effective pain management nurses must first be aware of their values and personal beliefs concerning pain and the behaviors associated with it, this will assist in developing an awareness and sensitivity to the patient’s need. Nurses must be knowledgeable and skilled in collection of both subjective and objective data (by accepting the patients’ assessment of pain by using pain assessment tools and observation of emotional behaviors such as crying or moaning), which will assist in identifying the intensity of patients’ pain and promote better outcomes. Misconceptions must be explored and addressed because these also impact outcomes, such as administering pain med on regular basis will lead to addiction or those who abuse drugs usually over exaggerate their pain, by acknowledging these misconceptions nurses will be able address patients’ pain related issues more professionally and improve steps toward effective pain management.

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Effective Measures Toward Pain Management, comment

July 12, 2010

Nursing assessment plays a significant role in the management of pain in caring for a patient.  Pain being a very subjective area to measure you can not only take the subjective level of pain you must also take into account the objective level of pain observed.  The level of pain is a grey area; it is not as simple as being in pain or not being in pain.  There are different levels to the pain and this varies from patient to patient.  Each patient has their own level of pain tolerance.  For example; in the practice I work in now we use a NIBP to measure the patients’ blood pressure in which most patients are not affected by this instrument.  However there are some patients that cannot tolerate the NIBP, it is too painful for them to use to measure their blood pressure; these patients have a lower threshold for pain.  They experience pain in a different way, however their pain is real.  As a nurse you need to be alert and conscious of each patient’s pain threshold.

An accurate pain assessment holds such an imperative function of a nurses advanced health assessment when caring for their patients.  When a nurse is functioning in the role of some area of forensic nursing their experience and knowledge of pain assessment may be called upon to use in their responsibility as a forensic nurse.  For example; if a forensic nurse is being called upon in the court of law to provide testimony in a legal matter they may have to incorporate this experience and knowledge of assessing pain to give an honest and accurate testimony.  Another example of pain assessment being incorporated into forensic nursing would be when a forensic nurse is assessing a possible victim of abuse; the victim may downplay their pain.  As a victim they may try to hide their pain and the forensic nurse will be required to be able to observe accurately any objective signs of pain to give the victim the care they need.

Original Post

September 2, 2009

Title: Effective Measures Toward Pain Management

Pain is an alteration in ones comfort level, which can significantly impact the physical, emotional, and psychological well-being. Pain is a subjective experience that can only be explained by the patient. Cultural and ethnicity are a few factors that influences patients response to pain, to improve outcomes nurses must be able to understand pain from a cultural perceptive. People respond to and view pain differently. Among various groups for various reasons emotions may or may not accompany pain it is viewed by some as an act of punishment or as a spiritual test. Having knowledge of patient’s views and how they define pain is very valuable in that it can assist the nurse in achieving positive outcomes by incorporating this information in the plan of care. Nurses who ignore or refuse to develop cultural sensitivity not only do they violate patients’ rights but also a chance of having a trustful relationship and without this you can expect poor outcomes. Pain is often poorly assessed and poorly managed due to reasons like misconceptions and nurses lack knowledge. This usually leads to under medications and poor outcomes, such as the post-op abdominal surgery patient that develop pneumonia because is unable to perform cough and deep breath exercises every 2hrs secondary to pain because of the nurses’ misconceptions about administering pain medication to a patient with history substance abuse. To achieve goals of effective pain management nurses must first be aware of their values and personal beliefs concerning pain and the behaviors associated with it, this will assist in developing an awareness and sensitivity to the patient’s need. Nurses must be knowledgeable and skilled in collection of both subjective and objective data (by accepting the patients’ assessment of pain by using pain assessment tools and observation of emotional behaviors such as crying or moaning), which will assist in identifying the intensity of patients’ pain and promote better outcomes. Misconceptions must be explored and addressed because these also impact outcomes, such as administering pain med on regular basis will lead to addiction or those who abuse drugs usually over exaggerate their pain, by acknowledging these misconceptions nurses will be able address patients’ pain related issues more professionally and improve steps toward effective pain management.

Online Forensic Nursing introduction course
Online Forensic Nursing certificate program
Online Nursing Assessment undergraduate education
Online Nursing Assessment graduate class


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