Sedation

Decompressive Craniectomy and the Return of Functionality in Traumatic Brain Injury Patients with Increased Intracranial Pressure The brain and its surrounding protective bony layer provide for a unique situation with regards to traumatic brain injuries (TBI). Unlike other tissue in the body, which are free to expand outwards when inflammation or trauma occurs, the brain cannot. In the average adult, the cranial vault has the ability to accommodate for up to 1500mL of volume. When cerebral…

Should Euthanasia be banned? The topic of euthanasia arouses much ethical debate and controversy. Euthanasia is the termination of a person’s life to end their suffering, usually through the injection of drugs. Debates about the ethics of euthanasia and medical assisted suicide date from ancient Greece and Rome. Nowadays, euthanasia comes in four main different forms. The first one is “active” euthanasia, which happens when a person directly and deliberately causes the patient's death. The…

assessment and planning of care. When in practice using a structured discussion with the patient allows for an understanding of the patients’ needs and expectations. If the patients are unable to participate due to the various reason, for example, sedation we should act in the patient 's best interest and involve family and carers about their wishes and…

As the Australian population ages, nurses will play an important role in caring for older adults in the hospital setting. This demographic shift will mean that that nurses will care for adults over 65 more than any other patient group (Van Leuven, 2012). It is important for nurses to take the opportunity to think critically about the specific complex needs of older Australians and ensure they are practicing in a way that is safe, considered best practice and is aimed at bringing the patient back…

Euthanasia Euthanasia is an extremely controversial aspect in today’s world. Euthanasia is the act of assisted suicide to end a life of suffering. However, it is debated under circumstances on whether it should be legal or not. Although Euthanasia is not morally correct, it’s necessary in certain situations. While modern medicine can replace euthanasia and end suffering, sometimes people become so ill their condition is hopeless. Medication can extend life for a period of time but isn’t able to…

During the 17th and early 18th centuries, physical restraints were deemed a necessary and acceptable feature of refuge life (RCP 2009) (Fig. 1). Early physicians had considered psychiatric illness as “the loss of reason” and many supported the use of physical restraints to aid violent patients reclaim their “reason” (Iversen 2009). Therefore proving that the use of physical restraints in mental health is not an original tactic to managing disruptive behaviors, but this method has historically…

Introduction Smoking cessation refers to the process of discontinuing smoking of tobacco. Though Smoking cessation normally seems to be a very simple process, in real sense it is one of the most challenging processes bearing in mind that tobacco contains a high level of nicotine and is very addictive hence making the process of quitting not only difficult but also prolonged. Though many people have tried to abandon smoking completely, it is disturbing to note that it is only a few who have…

accidental overdose, or addiction when abused. The combination formulation is by far the safest and most frequently prescribed formulation. Benzodiazepines, alcohol, and similar types of drugs should be avoided because they can slow breathing, increase sedation, or result in an…

Breeding: Luyster et al. (2006) state that before breeding season starts, around January, the breeding animals should be given a physical exam, and any health problems should be addressed. During this time, the facilities need to determine the SSP breeding recommendations. A list of up to four males should be made, with the first choice being housed in the adjourning cage. It is found that females are more fertile in their first three years, and males are more fertile until they are about five.…

SRIs to be approved by the U.S. Food and Drug Administration for treatment of OCD (Bjorgvinsson et al., 2007). While its benefits have been proven for treatment, Clomipramine is accompanied by many side effects, such as dry mouth, headaches and sedation which make adherence difficult for some patients (McGuire et al, 2012). For this reason, SSRIs can be favored over clomipramine and are now the leading pharmacological treatment base for OCD (Pittenger & Bloch, 2014). Fluvoxamine is the most…