Abstract This report discusses the problem “withholding the truth from dying patients”, which have to be considered by so many factors of dying patients. Telling the truth might cause a terrible impact on patients (Clarence H. Braddock, 2008), and withholding the truth is behavior of disrespect (Ama Kyerewaa Edwin, 2008). Hence this report is considered about both sides of doctors and patients. Introduction The doctors in the hospital are usually the first group of people who know the patients’ conditions, and they will face the options of telling truth to patients or withholding the truth from them. If the patient is dying, what will the option be?
Running head: Sleep paralysis Sleep paralysis and the mind Dylan Bogus Medina County Career Center Mrs. Howard Sleep Paralysis and the Mind Dylan Bogus The brain goes through many forms of emotions when experiencing sleep paralysis. Your mind is in a state of paralyzation, which many people do not like. There are many medications to help prevent sleep paralysis, but how does sleep paralysis affect a person’s brain, and can it be harmful? There are a few forms of sleep paralysis, and one of them is predominate sleep paralysis. Predominant sleep paralysis is the paralyzation of the body and can affect hallucination.
Excessive Daytime Sleepiness Excessive daytime sleepiness refers to the inability to stay alert during the major awake period of the day, resulting in falling asleep at inappropriate times. Excessive daytime sleepiness is more likely to occur in monotonous situations when alerting stimuli are absent, and it is associated with increased risk of accidents, such as when operating motor vehicles or other machinery. The severity of sleepiness can be quantified subjectively using scales such as the Epworth Sleepiness Scale (Table 1) or can be measured objectively in the sleep laboratory using the multiple sleep latency test (MSLT) or maintenance of wakefulness test (MWT).2 The MSLT measures the physiologic tendency to fall asleep in quiet situations, and the MWT measures the ability to stay awake in quiet situations. Table 1. Epworth Sleepiness Scale* How likely are you to doze off or fall asleep in the following situations, in contrast to feeling just tired?
Sleep is one of the most essential part of human lives, however a lot of people received inadequate amount of sleep every night and more are becoming sleep deprived. It is important to understand that people of all ages, and ethnicities are at risk of becoming sleep deprived. More specifically, individuals who have limited time for sleep, such as students, people who work a lot of hours either at either one or more jobs, as well as caregivers. Also, those who have schedules that conflict with circadian rhythms such as; shift workers, first responders and individuals who travel for work can also be at risk of suffering from sleep deprivation. Other individuals that could be included would be those whose life style choices do not allow them to
Communication is one of the most important factors in giving care. A patient in comatose is in state of unconsciousness in which a person cannot be awakened; fails to respond normally to painful stimuli, light, or sound; lacks a normal wake-sleep cycle; and does not initiate voluntary action (Weyhenmyeye, Gallman. 2007). Caring for comatose patients, without a doubt, is a challenge faced by many nurses because of the evident communication barrier during patient care. Studying the semiotics, symbolism and signification is an important factor in the health care system.
One limitation is there were delays for inmates to be put in solitary confinement for rule violations. Since jail is a short-stay setting many of the inmates are sentenced to solitary but never make it to solitary. And the inmates who are waiting to be moved to solitary often self-harm themselves just anticipating going to solitary confinement. The second limitation they had was the lack of data regarding criminal charges or jail rule violations. And the third limitation is that they had no systematic data on the inmates who did self-harm before they were incarcerated, thus they couldn’t examine the extent of which previous acts were independent predictors of jail behavior or self-harm.
2-Look at Symbols Many a times in dreams you won’t be able to read stuff properly because you won’t be able to see symbols in proper form so, once you have done reality checks after waking up look for objects that has something written on it. I prefer to look at clock or calendar for this purpose. 3-Mirror Often in dreams you will not be able to get your proper reflection in mirror so, your next step would be go in front of a mirror and see if you can see your actual reflection there. 4-Calculation Dreams are handled by your subconscious mind and because of that all the logical mind operations are difficult to perform during dreams, using this to your advantage you can prefer to do a little bit calculation to know if you are able to do it correctly. 5-Sleeping at Right Times Changing your sleep timings or not getting proper sleep may cause your mind to be more active the usual which can lead to various dream related problems like sleep paralysis or false awakenings.
Some things to keep in mind when it comes to Factitious Disorder are that people who have it tend to be in the hospital all the time; their condition is getting worse but no one seems to know why; and they are always eager to see a doctor, take medications, and sometimes even be operated on. You guys still look confused…let’s put this into perspective! An article published on Listverse, September of 2015, listed 10 eye-opening cases of Factitious Disorder, ranging from mothers lying about their kids being sick, to mothers poisoning their children and in some cases killing them. According to a Fox News article published April 8, 2015, Lacey Spears was sentenced twenty years in prison for poisoning. She loved the attention she got from her
Finally, the cells in the human body cannot perform their functions fully and naturally during the aging time, this lead to the weakness of the mind. That means the human in the aging time, maybe cannot remember the small information and details which he was known in the past. For instance, some elderly cannot remember what are their homes’ numbers and unfortunately a lot of them forget their friends’ names. According to the website Harvard Medical School (4), there are many cases lead to forgetfulness, but we will mention the most common of them. First, “lack of sleep” (4), that is mean not getting enough sleep can create many problems with the memory and it can lead to mood changes and stress.
All of us have had nights that we have struggled to sleep, or were prevented from sleeping due to our busy lives. Correspondingly, our brains on the mornings after these nights of little sleep may feel the effect in a major way. There are fluids in the brain, that are only produced during a time of slumber, which remove wastes from the cells and allow us to think clearly and focus more. If the brain did not produce cerebrospinal fluid wastes would build up and clog the spaces between blood vessels and tissues. The long lasting effects of poor sleeping habits are thoroughly explained in a TED Talk by Jeff Illiff, where he states that, “worsening sleep quality and sleep duration are associated with a greater amount of amyloid-beta building up in the brain” (Illiff).
According to National Institute of Neurological Disorders and Stroke narcolepsy is a chronic brain disorder that involves poor control of sleep-wake cycles. Narcolepsy significantly influences daily activities. So people may unexpectedly fall asleep while working, studying, chatting, playing, eating, or, most dangerously, while driving or operating other types of machinery. Therefore, it is extremely important to help patients understand the pathophysiology of narcolepsy. A part pf my teaching plan, I would try to help Mr. K. understand the pathophysiology of narcolepsy and how stimulants work to relieve symptoms by including the following teaching points.