Mellow Assignment #2 Essay Example | Topics and Well Written Essays - 500 words

Mellow Assignment #2 - Essay Example One such example can be given by the popularized total white prison gang founded after the state prisons started to become desegregated, The Brand. According to the article in The New Yorker, The Brand became the most lethal prison gang in the history of America, starting from California and spreading in other state prisons around the country. They brutally stabbed, strangulated and poisoned their inmates, rival gang members, blacks and homosexuals, child molesters, prison guards and anyone that annoyed them. Apart from the killings, the Brand leaders ordered contracted hits extorted the victims, robbed from them and were involved deeply into drug trafficking inside the prison wall. Also popularly known as the Aryan Brotherhood, they had the motto of Blood In/Blood Out meaning a person had to take a life to become a member and losing ones own life was how the membership ended. Another example in time is the incident that took in the California Institution for Men, which serves as a Level I, II and III prison where the designed capacity is overshadowed with present number of inmates. On January 10, 2005 the correctional officer Manuel A. Gonzalez, Jr. was stabbed by an inmate Jon Christopher Blaylock, who was transferred six months before from a Level IV maximum security prison. The inquiry in the matter found out that the inmate was inappropriately housed in a minimum security Level I area, was long awaiting transfer, had easy access to weapons and security was lax among several findings. According to the article in the Prison Journal, prisons in California are facing an increasing threat of overcrowding and high service costs. The goal to classify the inmates was to protect the public and help prisoner rehabilitation, was left in the dark when the budget constraints hit. Prisoners are either uselessly held in expensive facilities to maintain the ‘public safety’ while others are kept in minimum security zones. In California only 11%

Clinical Case Study- Hyperosmolar Hyperglycaemic Syndrome Study

Clinical - Hyperosmolar Hyperglycaemic Syndrome - Case Study Example She was accompanied by her daughter. Mrs. L had a three-day history of confusion, lethargy and drowsiness. She complained of thirst for the last one week, drinking more than eight pints of water a day. Upon registration at the ambulance registration desk of the Emergency Department by administrators, Mrs. L was placed in a separate room, within the department for exceptional care. She was intubated and ventilated because of hypoxemia and poor conscious level, after which her fracture was attended to. Examination showed that the patient had a heart rate of 130, body temperature of 38.2 degrees Celsius, blood pressure of 150/80 and fair chest excursion, with loose wheezes, and serum pH of 7.5. Mrs. L was also dehydrated, as evidenced by her dry mucous membranes. Mrs. L’s spO2 reading was 80%. A blood sample was taken for checking. After the Doctor’s check ups, Mrs. L’s blood glucose was diagnosed with excess of 56. 5mmol. Therefore, her blood glucose was elevated. Tests involving Mrs. L’s urine were positive for glucose; however, she took long to pass urine. She was transferred to the resuscitation room to receive specialised care because she was categorised as having life-threatening conditions and injuries. After investigation from her close family member, the accompanying daughter, it was revealed that Mrs. L had fallen while she at the bathroom. That is why she had a fracture femur. Her family history was also significant for diabetes and hypertension. Clinical Manifestations Dehydration Dehydration is the insufficiency in the amount of water in the human body. It is prudent to identify and treat dehydration early enough to prevent further complications (Konrad, Corrigan, Hamilton, Steiger, & Kirby, 2013). This is because mild dehydration is known to cause tension and fatigue (Ganio & Armstrong, 2011). It can also cause lack of focus, according to (Szalavitz), 2012. It was established from clinical tests that Mrs. L had dry lips an d was dizzy, as well as, confused. Mrs. L also had dry mucous membranes. This was enough evidence that the patient was dehydrated. Most of the patients who are dehydrated are normally confused, dizzy, with dry lips and mucous membranes (Campbell, 2011) and (Heit, 2013). It was found out that the patient had complained of thirst for the previous one week, drinking more than eight pints of water a day, from the history of Mrs. L, provided by her daughter. It is healthy to drink lots of water but excessive thirst, and the frequent urge to drink too much water, exhibited by Mrs. L was a sign of dehydration. Finally, the fact that it took long for the patient to pass urine that was required for urine tests was a sign of dehydration. Hyperosomar Hyperglycaemia Syndrome is characterised by hyperglycaemia, extreme dehydration and hyperosmolar plasma (Balasubramaniyam, Palanis, & Rajamani, 2011). Hyperosomar Hyperglycaemia Syndrome is characterised by severe hyperglycaemia. This is a marked increase in serum osmolality and clinical evidence of dehydration, without the accumulation of acetoacetic ketoacids (Venkatraman & Singhi, 2006). Hyperglycaemia results from either an absolute or relative insulin deficiency. It ca also be a result of decreased tissue responsiveness to insulin, which is an increased insulin resistance. This results into gluconeogenesis and glycogenolysis, leading into a reduced rate of glucose uptake and utilization by peripheral tissues. A rise in