Medication adherence with clients with schizophrenia Essay

Medication adherence with clients with schizophrenia - Essay Example The prevalence of medication non-adherence has been reported to be almost half of the total population of patients with schizophrenia (Tabor & Lopez, 2004). The prevalence could even be higher considering that the figures do not count patient with schizophrenia who decline treatment or quit routine check-up. Hence, a frequent cause of treatment failure is medication non-adherence, and the most widespread kind of non-adherence is inadequate use of these drugs. The consequences of non-adherence involve disruption of work activities and home life, re-hospitalization, and recurrence of psychotic symptoms. Monitoring adherence to medications and evaluating side effects is an important medical task when caring for patients with schizophrenia (Higashi et al., 2013). This essay reviews the literature on medication adherence and non-adherence in patients with schizophrenia. Determinants of non-adherence to medication can be classified into four, namely, patient-based aspects (e.g. gender, age , income, education), health-based aspects (e.g. substance abuse, duration of ailment, symptomatology), aspects related to antipsychotic medication, and socio-environmental aspects (e.g. social support, relationship between healthcare provider and patient). The literature review of Higashi and colleagues (2013) explains that there are numerous studies that investigated the correlation between socio-demographic factors (e.g. gender, age, education) and medication non-adherence but discovered no consistent relationship. There are findings revealing that adolescents are less likely to adhere to medication than their older counterparts. Several studies have discovered no relationship between gender and non-adherence, but some researchers, like Tunnicliffe and associates (1992 as cited in Higashi et al., 2013), discovered that females have a greater tendency than males to adhere to anti-psychotic medication. It has also been reported that certain ethnic minority groups, such as African A mericans, tend to be noncompliant. But there are other researchers, such as Owen and colleagues (1996 as cited in Higashi et al., 2013), who found no correlation between ethnicity and medication non-adherence. The researchers conclude that almost all studies report little or no correlation between socio-demographic factors and medication adherence. Lack of insight is a major attribute of individuals with schizophrenia. It is easy to understand why individuals with poor awareness have showed a greater risk for noncompliance to medication. There is no definite explanation of awareness in psychotherapy, but usually, it means understanding of one’s sickness and its outcomes or effects (Kozuki & Froelicher, 2003). Rusch and Corrigan (2002) enumerate four features of awareness: cognitive features, adherence based features, symptom based features, and temporal features. Lack of awareness has major therapeutic, clinical, and social significance. Nevertheless, its repercussions on med ication adherence are most vital in the recovery period of schizophrenia. The patient’s extent of awareness of the disorder is directly associated with his/her attitudes toward or beliefs about the treatment. Rusch and Corrigan (2002) found out that psychological coping mechanism and neurocognitive problems may worsen lack of awareness. They also discovered that awareness predicted adherence to psychosocial therapies for

Nike Research Paper Example | Topics and Well Written Essays - 1500 words - 1

Nike - Research Paper Example In this paper, some of the main matters have been questioned and thrown into the open as to how the company has faced accusations from different sections of society and the world, and what led to it. Since the mid 90s, Nike has been accused of being a violator of women’s’ rights, child labour, exploitation of labour in terms of wages, as well as forced labour. Many of these cases have been uncovered and let out of the bag, thus making the company lose a great deal of its goodwill. This brand has been known to violate a number of Articles present in the Universal Declaration of Human Rights as well. These are a certain set of rights that are universally applicable to all human beings, not taking into account anything about their race, colour, gender or age. According to the Universal Declaration of Human Rights, it has been set out and stated in Article 1 that â€Å"All human beings are born free and equal in dignity and rights.† Article 3 and 4 state, â€Å"Everyone has the right to life, liberty and security of person†andâ€Å"No one shall be held in slavery or servitude; slavery and slave trade shall be prohibited in all their forms.† Article 5 says â€Å"No one shall be subjected to torture or to cruel, inhuman, or degrading punishment and treatment.† All these Articles and more have been laid down with a view to respect human beings all over the world, however, Nike has been found to be violating them in many ways, in its run d own factories in the third world countries. A better look has been taken during the course of this report, into how the company has been violating these Articles of the Declaration of Human Rights. The main concerns for the company have been coming in from their factories which are located in South Asia. Here, in places like Vietnam, China, Indonesia etc, there are people who have been contracted by Nike, and work under their name. They mass produce the sports equipment as well as sports apparel, but their

An examination of employee perception of womens adoption of Essay - 1

An examination of employee perception of womens adoption of stereotypically male leadership styles in traditionally male dominated organisational positions in the 21st century - Essay Example Other studies have been done, but the root cause of the problem in Arabian countries is yet to be identified. This research proposal thus will examine a myriad of factors that hinder the progress of women towards CEO positions in traditionally male dominated organizational positions even in the 21st Century. Womens unequal status has been contributed by various factors such as their absence from managerial and leadership positions. A lack of cultural consensus probably plays the most basic role in determining the lengths at which women can stretch their ambition and this vacuum is itself part of the problem and as it is, as a social concern to development in the 21st century. Corporate management and organizational leadership has been a domain of men. Statics in various organizations have shown that the number of men in leadership and management is far much above that of women (Stephan 145). However, the difference in number of women and men in leadership varies from country to country depending on a countries culture, religion, and population demographics among other factors (Kottke, Janet and Mark 191). A conglomeration of committees, consultancies, commissions, conferences etc have been assembled over the last few decades in an attempt to address womens underrepresentation in positions of power. However, it is still remains a dispiriting distance in the quest for providing solutions to this problem (Gary and Laura, 25). Case in point, Arabian countries have fewer women in corporate management and organizational leadership. This has been caused by a variety of factors that will be investigated by this research. Previous studies have been done, but the root cause of the problem in Arabian countries is yet to be identified. This research will employ different methodologies such as questionnaires and interviews in order to come up with the relevant data to answer the research questions. From a theoretical perspective, this research paper criticizes

Strategic Management Essay Example | Topics and Well Written Essays - 2000 words

Strategic Management - Essay Example 1-13). The different strategies are analyzed and their sustainability evaluated. Also, recommendations and justification are given for other relevant strategies. Discussion The Samsung Electronics has been involved in accumulation of knowledge over the last few decades. However, the company is facing tough competition from other companies. The increase in the overseas production has impacted on the strategic response in Korea. The production network in Samsung extends beyond the ASEAN region through to China and India. Ration of the overseas production to the total production has in the recent years increased sharply. The competition is intense towards the cost-driven struggle for the low-end markets (Leachman & Jeenyoung 2002, p. 61-77). The three major electronics producers in Korea; Samsung, Daewoo and Goldstar, have expressed their intention in increasing the overseas production. By early 1990s, the Samsung Electronics performed an organization integration meant to increase the c oordination between the marketing, production and research across and within the product lines. By 1992, the multiple product sectors were fully under the control of Kim Kwang Ho, who was the CEO and the head of the semiconductor operation. The company started initiating more radical reforms by mid 1993 who improved the dissemination of knowledge within the group. The semi-conductor sector enhanced the technological synergy in other related businesses. For instance, the production of the DRAM technology led to the precision of the Samsung electronics leading to significant improvement in technology. The product design capability is an important strategy by Samsung to enhance the internationalization of production where the low-value-added goods were produced while new products prevented hollowing out of production in Korea. The increased changes of the competition conditions increased the difficulties in foreign licensing and the designs turned out to be very complex. Samsung began acquiring some new capabilities through direct acquisition of foreign firms. The R&D operations in Samsung have been continually centralized Samsung Electronics had strategized on the release of new devices to expand the line-up based on the conditions in the market. This was to prevent overreliance on the android Platform from Google. This sought for the reduction of dependency on Android (Bong & Jinjoo 2004, p. 16). The company produces TFT monitors with the corporate customers being in mind. This strategy necessitates an approach where the company identifies potential markets among the business users whose employees have a high likelihood of spending long hours on a computer screen. The company also targets other markets such as the high street shops that use TFTs for the point of sale terminals. The company uses the radical market strategy to encourage high purchases of their products. The head office in Korea has played a crucial role in introducing strong brand awareness as we ll as instilling good product perceptions. Assessing the sustainability of this strategy, the company has been able to realize high profiles as well as creating high profile for their brand (Chung & Karen 2009, p. 20-27). Samsung Electronics is relatively new in mobile communications. Having established in CDMA markets in Korea and USA, Samsung has decided to incorporate global

The Value of Human Life in the Poems To His coy Mistressby Andrew Essay

The Value of Human Life in the Poems To His coy Mistressby Andrew Marvel and Out, Out by Robert Frost - Essay Example Both poems show that human life has less value than the reader might wish to think, Marvell’s poem by showing that the woman only has value as long as she is beautiful and Frost’s because he shows that the death of the boy has little effect on the continuation of life. The poem â€Å"To His Coy Mistress† love poem written with the idea that the woman he desires is not letting him close enough to her. The narrator desires her and wants to have sex with her, but she is not letting him. He tells her all of the wonderful ways in which he sees her. Yet, the beauty that she has he know will fade and be lost to them, He wants to consummate their lust for one another before she has aged and no longer has the desires of her youth. His first lines provide his first argument as to why she should not be coy. He states â€Å"Had we but world enough, and time,/This coyness, lady, were no crime† suggesting that by being coy she is not committing a crime. In order to woe her, however, he discusses all the way that time would give him to praise her beauty and wait for her to give in to him. In the second verse, however, he shows that he does not have the time to praise her beauty the way that he would want to do it. ... thers both his devaluation of the woman and his argument why she should give into his lust by saying â€Å"Now therefore, while the youthful hue/ Sits on thy skin like morning dew,† describing her through references to the fresh dew of the morning. He his argument by saying â€Å"Thus, though we cannot make our sun/ Stand still, yet we will make him run†, showing that the sun will dry the dew from her beauty as well as using the sun to show the passage of time. Andrew Marvell tells in his poem that time will take away the value that the object of his desire holds. He shows that she is without any other value to him than that which her physical beauty gives. Frost shows a similar message in his poem, although he gives honor to the one who is the object of that poem. Frost sets up a story within his poem of a boy who has a terrible accident. He shows how quickly everything can turn from being normal towards a terrible event. The narrative is the story of a saw that cuts t he boy’s hand, his approximate age indicated by the lines â€Å"Then the boy saw all - /Since he was old enough to know, big boy/ Doing a man's work, though a child at heart –â€Å". In this poem, the individual is valued. The narrator of the poem shows sentiment towards the boy, his words â€Å"Call it a day, I wish they might have said/ To please the boy by giving him the half hour/ That a boy counts so much when saved from work† suggesting that he wanted him to have a good experience. Of course, what happens next is terrible and the narrator describes the event by personifying the saw. The say cuts the boys hand. By writing phrases like â€Å"The buzz saw snarled and rattled in the yard† which suggested that the buzz saw was an aggressive and alive thing, and through saying â€Å"As if it meant to prove saws

The Virgin Suicides by Jeffery Eugenides Thesis Example | Topics and Well Written Essays - 250 words

The Virgin Suicides by Jeffery Eugenides - Thesis Example A handsome young teenager named Trip Fontaine manages to charm Lux and also impress Ronald (the girl’s father). He gets the parent’s permission to take Lux along with other three girls (Bonnie, Mary and Therese) to a homecoming dance. That day on a football ground Trip and Lux have sex. This makes Lux miss the curfew and hence starts a torturous time for all of the sisters. They are taken out of the school and restricted to their house and their liberty is curtailed. In one incident the mother even orders Lux to destroy all the music records she has. After some resistance Lux submits to the demands. From here the lives of the sisters takes a downturn. Smoking and sex on rooftop become common features. A strange smell comes from the house and permeates the neighborhood. All these spectacles create a big interest of the neighborhood in the lives of these girls. It is during this time that the neighborhood boys, who are infatuated by the Lisbon girls, communicate with them by using various methods. For example, they play music records over the phone. All these activities don’t continue for a long time as in the end all the girls kill themselves. When invited by the girls to the house, the boys enter it and find all of them dead. Bonnie is found hanging in the house, Theresa takes overdose of sleeping pills and Lux dies of Carbon Monoxide poisoning. Although Mary doesn’t die immediately she takes overdose of sleeping pills and dies one month after putting her head in the oven. The girl’s parents sell the house and leave the neighborhood. For the senior thesis I would like to explore the relationship between parents and their teenage girls. In the novel parents tried to make their daughters happy by being more lenient in terms of permitting interaction with the opposite sex. But probably what the girls needed was more displays of love and affection. The theme of difference between perception and expectation of parents and teenage

The Power of Truth Essay Example for Free

The Power of Truth Essay Novelist Tim O’Brian once said â€Å"A lie, sometimes, can be truer than the truth, which is why fiction gets written. † In his novel The Things They Carried, O’Brian argues that â€Å"story-truth is sometimes truer than happening-truth† (171). O’Brian opposes the idea of absolute truth, and believes that all truths are subject to change. He believes that a fictional story can be more true than an actual event. However, a story, no matter what story, cannot be more true than an actual event; a â€Å"story version† of an event is merely a shadow of that event—a make-up-caked, dramatized, Hollywood shadow. It is impossible for â€Å"story-truth† to be truer than â€Å"happening-truth. † In The Things They Carried O’Brian creates a daughter, Kathleen, for the fictional version of himself. O’Brian, however, does not have a daughter in real life. While it may be a â€Å"story-truth† that Tim O’Brian had a daughter, it will never be a â€Å"happening-truth. † A made-up daughter will never be more real than O’Brian’s actual son. In the novel, O’Brian â€Å"return[s] with [his] daughter to Vietnam† where he buries a belonging of a fellow soldier (173). This story can never be more true than an actual event solely because of the involvement of a fictional character. A man can tell a story about his last trip to the grocery store, and most people would count it as true. However, if the man told a story about going to the grocery store with a magic genie, it would be assumed that he is lying, even if every other facet of his story was believable. This is no different than O’Brian weaving a fictional character in to his novel. The â€Å"story-truth† of Kathleen can never be more true than â€Å"happening-truth. † Furthermore, in a crime investigation, it is illegal to interfere with evidence involved with a case. Any disruption or corruption of evidence is termed â€Å"falsifying evidence. † This is a serious offence because it could seriously disturb the process of solving a crime. Devoid of sound evidence, it is difficult to determine how a crime was committed. Evidence is an example of â€Å"happening-truth;† it conveys without any bias, exactly what happened at the scene of a crime, or at the events leading up to a crime. Investigators cannot solve a crime based solely off of â€Å"story-truth,† such as the testimonies of witnesses, because of the numerous individual accounts of a crime which are subject to dishonesty, human error, and prejudice. Therefore, investigators rely on â€Å"happening-truth† because it is trustworthy, whereas â€Å"story-truth† is inconsistent. Moreover, the popular film The Titanic is bursting with examples of â€Å"happening-truth† and â€Å"story-truth. † Director, James Cameron, designed many of these â€Å"story-truths† to provide an increased dramatic tone in the film. He created a grand staircase on the ship while in reality this staircase was so small passengers had to go up and down single file. A Pablo Picasso painting is featured in the film, although Picasso was not popular during the time of the Titanic, and his work was not widely distributed. The diamond necklace in the film, titled â€Å"The Heart of the Ocean,† never existed, much like the love story between invented passengers Rose Bukater and James Dawson. These creations served Cameron’s purpose to paint a theatrical telling of the event, but the movie was just that—theatrical. Although these â€Å"story-truths† indicate the sinking of the Titanic was a romantic event, it is the â€Å"happening-truths† that send chills through the viewers’ astonished bodies. The most powerful aspect of the film The Titanic is not the love story. It is not the grand staircase, or the luxurious dining room. It is not the interaction between characters, or the extravagant â€Å"Heart of the Ocean. † The most powerful aspect of The Titanic is that it actually happened. At the end of the film, there were 1,502 dead bodies sinking and in the freezing salt water of the Atlantic. No â€Å"story-truth,† no matter how elaborate, could create a greater tragedy than a â€Å"happening-truth. † Why not? Since â€Å"story-truths† are not as true as â€Å"happening-truths. † Therefore, the notion that a story could ring truer than an actual event is in the wrong. A lie cannot reveal a deeper truth; only truth can uncover truth. Stories provide an escape for the imagination. They allow the reader to imagine a different reality and to glimpse into an alternate world. However, stories are only stories. They are not real. The only way the reader can understand a true reality is to read a true account of that reality. Although this account may be less dramatic than the â€Å"story version† of the reality, it is in fact the reality. It is the truest truth; the â€Å"happening-truth. † Works Cited OBrien, Tim. The Things They Carried: A Work of Fiction. Boston: Houghton Mifflin, 1990. Print. Tim OBrien Quotes. Tim OBrien Quotes (Author of The Things They Carried). N. p. , n. d. Web. 18 Feb. 2013. . Titanic Facts vs. Titanic Fiction. HubPages. N. p. , n. d. Web. 18 Feb. 2013. . The Titanic Gazette: R. M. S. TITANIC vs. Titanic Movie. The Titanic Gazette: R. M. S. TITANIC vs. Titanic Movie. N. p. , n. d. Web. 18 Feb. 2013.