Murder Manslaughter And Infanticide Philosophy Essay

Murder Manslaughter And Infanticide Philosophy Essay Murder is the crime of intentionally causing the death of another human being, without lawful excuse. The definition of murder was given in the case of Chris Rwakasisi, Elias Wanyama v Uganda (1991) UGSC 2. The appellants where indicted for 16 counts of murder and kidnapping with intent to murder. The justices of the supreme court defined murder thus à ¢Ã¢â€š ¬Ã‚ ¦Ãƒ ¢Ã¢â€š ¬Ã‚ ¦.It consists of the unlawful act or omission of one person, which causes the death of another person with malice aforethought. The elements of the offence are thus (1) the unlawful act or omission; (2) the death being caused as a result of the act or omission; and (3) malice aforethought, that is the intent to cause death or knowledge that the act or omission would, probably cause death (at least serious bodily harm). When an illegal death was not caused intentionally, but was caused by recklessness or negligence (or there is some defense, such as diminished capacity), the crime committed is manslaughter. The first element in murder is causing death. It is impossible to give a precise definition of this, but some legal principles have been developed to help. The penal code act section 196 states that A person is deemed to have caused the death of another person although his or her act is not the immediate or sole cause of death in any of the following cases- (a) If he or she inflicts bodily injury on another person in consequence of which that person undergoes surgical or medical treatment which causes death. In this case it is immaterial whether the treatment was proper or mistaken, if it was employed in good faith and with common knowledge and skill; but the person inflicting the injury is not deemed to have caused the death if the treatment which was its immediate cause was not employed in good faith or was so employed without common knowledge or skill; b) if he or she inflicts a bodily injury on another which would not have caused death if the injured person had submitted to proper surgical or medical treatment or had observed proper precautions as to his or her mode of living; c) if by actual or threatened violence he or she causes such other person to perform an act which causes the death of such person, such act being a means of avoiding such violence which in the circumstances would appear natural to the person whose death is so caused; d) if by any act or omission he or she hastened the death of a person suffering under any disease or injury which apart from such act or omission would have caused death; e) if his or her act or omission would not have caused death unless it had been accompanied by an act or omission of the person killed or of other persons. Many common law jurisdictions abide by the year and a day rule, which provides that one is to be held responsible for a persons death only if they die within a year and a day of the act. Thus, if you seriously injured someone, and they died from their injuries within a year and a day, you would be guilty of murder; but you would not be guilty if they died from their injuries after a year and a day had passed. Malice aforethought is the second ingredient when determining murder. Originally malice aforethought carried its everyday meaning-a deliberate and premeditated killing of another motivated by ill will. It is the intent and knowledge of committing an unlawful act. section 191 of the Penal code Uganda defines malice aforethought as an intention to cause the death of any person, whether such person is the person actually killed or not; or knowledge that the act or omission causing death will probably cause the death of some person, whether such person is the person actually killed or not, although such knowledge is accompanied by indifference whether death is caused or not, or by a wish that it may not be caused Murder necessarily required that an appreciable time pass between the formation and execution of the intent to kill. The courts broadened the scope of murder by eliminating the requirement of actual premeditation and deliberation as well as true malice. All that was required for malice aforethought to exist is that the perpetrator act with one of the four states of mind that constitutes malice. It is not murder to kill someone with lawful excuse; lawful excuses include killing enemy combatants in time of war (but not after they surrendered), killing a person who poses an immediate threat to the lives of ones self or others (i.e., in self-defense), and executing a person in accordance with a sentence of death (in those jurisdictions which use capital punishment). Sometimes extreme provocation or duress can justify killing another as well. Under English law, it is murder to kill another human being for food, even if without doing so one would die of starvation. This originated in a case of R v Dudley and Stephens (1884) 14 QB shipwrecked sailors cast adrift off the coast of South Africa in the 1920s; two of the sailors conspired to kill the other sailor, and having killed him ate his flesh to survive. Most countries allow conditions that affect the balance of the mind to be regarded as mitigating circumstances against murder. This means that a person may be found guilty of manslaughter on the basis of diminished responsibility rather than murder, if it can be proved that they were suffering from a condition that affected their judgment at the time. Depression, Post-traumatic stress disorder and medication side-effects are examples of conditions that may be taken into account when assessing responsibility. Manslaughter is a legal term for the killing of a human being, in a manner considered by law as less culpable than murder. The law generally differentiates between levels of criminal culpability based on the mens rea, or state of mind. This is particularly true within the law of homicide, where murder requires either the intent to kill a state of mind called malice, or malice aforethought or the knowledge that ones actions are likely to result in death; manslaughter, on the other hand, requires a lack of any prior intention to kill or create a deadly situation. Manslaughter is usually broken down into two distinct categories: voluntary manslaughter and involuntary manslaughter. Voluntary manslaughter occurs either when the defendant kills with malice aforethought (intention to kill or cause serious harm), but there are mitigating circumstances which reduce culpability, or when the defendant kills only with an intent to cause serious bodily harm. This can be seen in the case of Francis Masaba v Uganda 1989 UGSC 1. The appellant was a bar tender and was involved in a fight with the deceased after a night of drinking. The appellant is said to have stab the deceased three times in the chest. The learned justices upheld the verdict of manslaughter Voluntary manslaughter in some jurisdictions is a lesser included offense of murder. The Penal code act 1950 sets out three partial defences that reduce murder to voluntary manslaughter; diminished responsibility, provocation and suicide pact. Diminished responsibility. This covers diminished mental responsibility for a crime falling short of the requirements of the complete defence of Insanity. Under Section 194 Penal code Act 19570 there are three requirements for the defendant to raise the defence of diminished responsibility: The defendant suffered from an abnormality of mind at the time of the killing. An abnormality of mind is a state of mind so different from that of ordinary human beings that the reasonable man would term it abnormal. The abnormality was caused by one of the causes specified by the Act: a condition of arrested or retarded development of mind, any inherent cause or a disease or injury. The abnormality substantially impaired the defendants mental responsibility for the killing. Substantial means the lack of control must simply be more than trivial. Under s194 (2) of the Act it is for the defendant to prove he suffered from such a condition on the balance of probabilities. Provocation. Provocation was originally a common law defense to murder, but it was reformed by s3 Homicide Act 1957. There are two limbs to the defence, first the defendant must have actually been provoked, and second the provocation must be such as would have made the reasonable man act as the defendant did. Provocation can come from someone other than the victim and be aimed at someone other than the accused. Further the defense is not defeated by the fact that the defendant induced the provocation. Provocation in fact: It is a question of fact for the judge whether the defendant was in fact provoked. The loss of control must be sudden and temporary; however it can be the result of slow burn with a relatively minor final straw. This can be evidenced the case of John Bisset Stenhouse v Uganda 1972 UGCA 1. In this case the appellant was a school teacher who was attacked by riotous students. The teacher and his wife were attacked by stones. The teacher fired two shoots from his gun killing two students. The learned judges held that the teacher was under provocation and acted in self defence. The reasonable man test: The provocation must be enough to make a reasonable man do as the defendant did. The reasonable man has the same sex and age as the defendant and such characteristics as affect the gravity of the provocation to the defendant, but characteristics irrelevant to the provocation such as unrelated mental disorders are not given to the reasonable man. Finally, the reasonable man always has reasonable powers of self control and is never intoxicated. Suicide pacts. Penal Code 1950 introduced the defence of suicide pact. The intention was to show some compassion for those who had been involved in a suicide pact but failed to die. A suicide pact is a common agreement between two or more persons having for its object the death of all of them, whether or not each is to take his own life. The accused must have had a settled intention of dying in pursuance of the pact to avoid him entering into a supposed pact with the real intention of committing murder. This is in section 195 of the penal code Act It shall be manslaughter and shall not be murder for a person acting in pursuance of a suicide pact between him or her and another to kill the other or be a party to the other killing himself or herself or being killed by a third person Involuntary manslaughter is the unlawful killing of a human being without malice aforethought. It is distinguished from voluntary manslaughter by the absence of intention. It is normally divided into two categories; constructive manslaughter and criminally negligent manslaughter. Constructive manslaughter is also referred to as unlawful act manslaughter. It is based on the doctrine of constructive malice, whereby the malicious intent inherent in the commission of a crime is considered to apply to the consequences of that crime. It occurs when someone kills, without intent, in the course of committing an unlawful act. The malice involved in the crime is transferred to the killing, resulting in a charge of manslaughter. For example, if a person throws a brick off a bridge into vehicular traffic below they could be found to intend or be reckless as to assault or criminal damage DPP v Newbury. There is no intent to kill, and a resulting death would not be considered murder, but would be considered involuntary manslaughter. The accuseds responsibility for causing death is constructed from the fault in committing what might have been a minor criminal act. Criminally negligent manslaughter occurs where death results from serious negligence, or, in some jurisdictions, serious recklessness. A high degree of negligence is required to warrant criminal liability. A related concept is that of willful blindness, which is where a defendant intentionally puts himself in a position where he will be unaware of facts which would render him liable. Infanticide. Another form of voluntary manslaughter is infanticide. This offense is in the Penal Code of Uganda Section 213. Generally, a conviction of infanticide will be made where the court is satisfied that a mother killed her newborn child while the balance of her mind was disturbed as a result of childbirth; for instance, in cases of post-natal depression. It is a form of manslaughter, and carries the same range of sentences as a manslaughter conviction. While infanticide is a separate offense from murder, and not a reductive defense to murder, in practice it works in much the same way as a reductive defense. Such was in the case of Miriam Muthoni Kariuki v Republic (2008) KLR Court of Appeal. The appellant was convicted of murdering her 1year son by strangulation by the high court. On appeal the Justices of the Court of Appeal found her to have been with a disturbed at the time of the act and consequently substituted the conviction of murder with infanticide.

Ralph and Jack in “The Lord of the Flies” Essay

Question 1 There are a number of differences and a few similarities between Jack and Ralph. First of all the main similarity is the fact that both boys are roughly the same age. Then furthermore, there is the fact that both pf them are boys. In addition their share the quality of leadership, or in other words both of them have the abilities to be a leader. Then on the other hand there are the numerous differences they in clued; different style of leadership, different believes, maturity, and the symbol that they represent. Jack and Ralph have a very different style of leading. Ralph has a democratic leadership and Jack is more of a dictator figure. Then furthermore, there is the difference of believes, Jack believes that the main objective on the island is to hunt and Ralph believes that it is to be saved. Then there is the maturity, Ralph is more mature that Jack. And the last difference in the symbols that these characters represent, Jack represents the bad side of human nature and Ralph represents the good side or democracy. Question 2 Piggy represents intelligence and thinking. This idea is proven through out the whole book, until his death. Fist of all there is the fact that because of Piggy the boys were able to create the fire. The secondary, idea is the fact that Piggy acts very mature through out the book. He is even more mature than Ralph. Piggy comes up with ideas that not a single other boy had though of. For example there is the fact that Piggy though of the sundial. Furthermore there is the idea that Piggy constantly reminds Ralph of their objective to the island, and which is to be saved.

The Special Economic Zone Act of 1995: How Special Is It?

Cabatos 1 Lawdemhar T. Cabatos Ms. Louyzza Maria Victoria H. Vasquez English 10 21 March 2013 The Special Economic Zone Act of 1995: How Special Is It? Approved on February 24, 1995, the Special Economic Zone Act of 1995, the â€Å"act providing for the legal framework and mechanisms for the creation, operation, administration, and coordination of special economic zones in the Philippines, creating for this purpose, the Philippine Economic Zone Authority (PEZA), and for other purposes,† took effect on the very day President Fidel Valdez Ramos imprinted his signature on the bill (â€Å"Republic Act No. 7916).It is the government? s declared policy to materialize state policies and provisions of the 1987 Philippine Constitution. Section 20, Article II of the 1987 Constitution states, â€Å"The State recognizes the indispensable role of the private sector, encourages private enterprise, and provides incentives to needed investments† and Section 12 of Article XII declares that â€Å"The State shall promote the preferential use of Filipino labor, domestic materials and locally produced goods, and adopt measures that help make them competitive,† (â€Å"The 1987 Constitution of the Republic of the Philippines†). By virtue of Republic Act No. 916, the Philippine government hopes to fulfill the mandates of its constitution. Before we deal on how special Republic Act No. 7916 really is, what are special economic zones (SEZs)? Defined in Republic Act No. 7916, Special Economic Zones (SEZs) or ECOZONES are â€Å"selected areas with highly developed or which have the potential to be Cabatos 2 developed into agro-industrial, industrial, tourist/recreational, commercial, banking, investment and financial centers. An ECOZONE may contain any or all of the following: industrial estates (IEs), export processing zones (EPZs), free trade zones, and tourist/recreational centers. The law defines an industrial estate (IE) as â€Å"a tract of land subdivi ded and developed according to a comprehensive plan under a unified continuous management and with provisions for basic infrastructure and utilities, with or without pre-built standard factory buildings and community facilities for the use of the community of industries. † An export processing zone (EPZ) is â€Å"a specialized industrial estate located physically and/or administratively outside customs territory, predominantly oriented to export production. A free trade zone is â€Å"an isolated policed area adjacent to a port of entry (as a seaport) and/or airport where imported goods may be unloaded for immediate transshipment or stored, repacked, sorted, mixed, or otherwise manipulated without being subject to import duties† (â€Å"Republic Act No. 7916†). For years, industrialization has been centered in key cities – the National Capital Region for Luzon, Cebu for Visayas and Davao and Cagayan de Oro for Mindanao – leaving other regions trailin g behind the Philippine industrialization scheme.Thus, special economic zones, as stated in the objectives of the law, are created to promote rural industrialization by transforming selected areas in the country into highly developed industrial, commercial and financial centers thereby promoting flow of both foreign and local investors and generating employment opportunities for the area? s labor force and ultimately supporting the government? s effort to reduce unemployment (â€Å"Republic Act No. 7916†). Economic zones are also thought to promote balanced growth by providing jobs especially to rural areas.Employment generation by special economic zones, in theory, bridges the poverty gap among social classes and balances the regional income inequality among regions (Clarete and Veron). Cabatos 3 To promote the flow of local and foreign investors into special economic zones, the law provides special incentives to enterprises located in special economic zones, including exemp tions from taxes under the National Internal Revenue Code. The law states that no taxes, local or national, shall be imposed on business enterprises operating within the ECOZONES.Instead, five percent (5%) of the gross income within the ECOZONE shall be remitted to the national government. Incentives are also given to enterprises located in export processing zones (EPZs) and free trade zones. Special permits for the importation of capital equipment and raw materials that are not subject to duties, taxes and other import restrictions are given to these businesses (â€Å"Republic Act No. 7916†). Through giving prospective investors tax incentives, the government aims to reel in foreign investors and urge local investors to establish businesses in special economic zones.Prior to the establishment of special economic zones in the Philippines, other Asian countries have already created special economic zones with the goal of attracting foreign direct investment, easing extensive u nemployment, supporting a wider economic improvement policy, and as experimental laboratories and test economies for the application of new policies and approaches (Farole and Akinci). Studies have been conducted in recent years to look into the cost-to-benefit ratio and economic and social impacts of policies enacted for the creation of special economic zones in these countries.In China, for example, the Third Plenum of the 11th Congress of the Chinese Communist Party adopted the Open Door Policy in 1978 and in 1980, four municipalities in two provinces were designated as special economic zones, opening China to global contact and influences. Almost immediately, the four special economic zones accounted for 59. 8% of the total Foreign Direct Investment (FDI) in China. Since then, the SEZs continued to result in high rates of Cabatos 4 economic growth in China (Yeung, Lee and Kee).Analysis on the economic statistics of Chinese municipalities from 1978 to 2007 showed how special econ omic zones benefit the economy of China. Special economic zones increase per capita municipal foreign direct investment by 58% in foreign-invested and export-oriented industrial enterprises. Further analysis on the statistics also showed that the special economic zones increased municipal foreign owned capital stock while keeping the domestic capital and investment at a competitive level.Special economic zones also bring more advanced technology and increased total factor productivity by 0. 6% (Wang). Despite the economic benefits special economic zones have brought to China, several cases have turned up showing unsuccessful implementation of special economic zones in several countries. Quite a number of zones have become „white elephants? , zones that resulted in an industry taking advantage of tax breaks and incentives but are unable to generate substantial employment or export returns (Farole and Akinci).Similar to the SEZs, Industrial Development Zones (IDZs) have been est ablished in South Africa. However, unlike the impressive performance of special economic zones in other countries which transformed their economies into tiger economies, IDZs in South Africa have failed to sufficiently attract foreign investments or compete internationally (Altbeker, McKeown and Bernstein). In India, the designation of special economic zones has generated and constantly increased employment in regions where special economic zones are established. Figures may seem large, but when employment enerated by special economic zones in India is analyzed on a national level, special economic zones in India accounted for only less than one percent (1%) of the total manufacturing employment since their establishment in 1966 (Aggarwal). Cabatos 5 In the Philippines, special economic zones have already been established even before the Special Economic Zone Act of 1995 became a law. It was in 1923 that the Chamber of Commerce of the Philippines first conceptualized the creation of export processing zones or special economic zones.By 1967 the first export processing zone, the Bataan Export Processing Zone (BEPZ) was established by virtue of Presidential Decree No. 66 of then-President Ferdinand Marcos. Since then, several others have been established including two of the country? s major special economic zones – the Clark Special Economic Zone and the Subic Bay Freeport Zone (Mallari and Padilla). The Special Economic Zone Act of 1995 was the government? s response to the call of rural industrialization of the 1993-1998 Medium Term Philippine Development Plan.In pursuit for the aim of dispersing the industrialization scheme outside the National Capital Region, the government developed special economic zones through its Philippines 2000 program (Mallari and Padilla). With the SEZs? goal of promoting the flow of investments and generation of employment, studies have been conducted focusing on three of the major special economic zones in the country, the Bataan Export Processing Zone (BEPZ), the Clark Special Economic Zone (CSEZ) and the Subic Bay Freeport Zone, to look into the benefits and drawbacks of creating these special economic zones to Philippine economy and society.Looking into the working conditions of the Bataan Export Processing Zone, survey results have shown that majority of the labor force was composed of female workers, accounting for seventy-four percent (74%) of the total workforce, 67% of which are young or are 24 years old and below. Moreover, workers have been found to be well-educated relative to the job they have been hired for in the Bataan Export Processing Zone. Sixty percent (60%) had finished high school education and 16% pursued a post-secondary education (Mallari and Padilla). Cabatos 6 Significant difference in the wage of male and female workers was lso observed. Female workers were given a lower basic wage relative to that of male workers. Furthermore, one-third of the employees were paid below the minimum wage for the Bataan region. Despite the uneven and insufficient wages of workers, laborers sill work six days per week. A quarter of the labor force worked for 60 hours and 5% worked for more than 70 hours per week, where 46% worked overtime. The study reported that the working hours of workers per week in the Bataan Export Processing Zone were greater than the standard working hours of 8 hours per day and 48 hours per week (Mallari and Padilla).In conclusion, the Bataan Export Processing Zone was observed to have failed in creating sufficient opportunities of employment for the labor force in Mariveles, Bataan because of the limited capacity of enterprises to absorb the ever-increasing supply of labor in the area. The BEPZ, despite being momentarily able to generate adequate employment opportunities, has not catalyzed the growth of other economic activities in the region (Mallari and Padilla). The Clark Special Economic Zone (CSEZ) and the Subic Bay Freeport Zone were creat ed by virtue of Republic Act No. 227, otherwise known as the Bases Conversion and Development Act of 1992. The act aimed to convert Clark and Subic U. S. military bases, together with their extensions and substations, into productive civilian and economic use of lands through the establishment of special economic zones (â€Å"Republic Act No. 7227). Similar to the performance of the Bataan Export Processing Zone, the Clark Special Economic Zone, despite having been able to continuously expand employment opportunities in Pampanga and increased the value of exports, has not proven to have generated substantial employment.The thousands of job opportunities provided for the labor supply in Pampanga is not significant in proportion with total employment of Pampanga (Mallari and Padilla). Cabatos 7 A study on the decisive factors in establishing enterprises in Subic concludes that investors opt to create businesses in Subic because of competitively-priced raw materials and the abundance of skilled and literate labor force (Go and Tatad). Add the incentives given to these enterprises and you get a multi-million dollar business enterprise booming in profit while compromising the benefits and quality of their labor force.How special then is the Special Economic Zone Act of 1995 and its SEZs? We recall that the goal for the enactment of this law and the creation of special economic zones is to take the Philippine industrialization scheme outside of Metro Manila, promote rural industrialization and the spur of economic activity in less urbanized regions, generate employment and ease the regional income inequality and the poverty gap among social classes. However, there seems to be a mishap, not on the law but on the implementation of the law.In policy, special economic zones promote balanced growth by spreading the industrialization in rural regions and SEZs are indisputably effective in promoting foreign and local investments in areas where they are located. Although S EZs have been established outside the National Capital Region, it is evident that a large number of these SEZs, especially the largest and most dynamic ones have been established in areas proximate to NCR and still leaving behind Visayas and Mindanao in the economic progress of Luzon.There have been improvements in the national regional income inequality but are largely due to changes in inequality between top ranking regions in Luzon (Clarete and Veron). Just how special is it then? Cabatos 8 China and other Asian countries have done it. Why haven? t we? Is it because of the law? No. It is because of the poor system that we have, a system driven by money and stained by corruption. And unless we start the change to a cleaner, more efficient and a better system, „special? would only be in the name of Republic Act No. 7916, not on Philippine society. Cabatos 9 Works Cited Aggarwal, Aradhna. Impact of Special Economic Zones on Employment, Poverty and Human Development. † Wo rking Paper. Indian Council for Reserch on International Economic Relations. May 2007. Web. 15 March 2013 Alejandro, Ethel P. and Roselie B. Tubeo. Clark Special Economic Zone: An Assessment of Costs and Benefits. Quezon City: University of the Philippines Diliman – School of Economics, October 1998. Print. Altbeker, Antony, Katie McKeown and Ann Bernstein. â€Å"Special Economic Zones: Lessons for South Africa from international evidence and local. † Centre for Development and Enterprise Round Table.Johannesburg, South Africa: The Centre for Development and Enterprise, June 2012. Web. 15 March 2013 Anderson, Eric Moltzau. Economic Implications of Clark and Subic. Quezon City: University of the Philippines Diliman – School of Economics, September 1996. Print. Beltran, Barbara and Ma. Lumen B. Isleta. The Establishment of Industrial Estates in the Philippines: an Inquiry into the Impact of Bataan Export Processing Zone on the Philippine Economy. Quezon City: Univ ersity of the Philippines Diliman – School of Economics, 18 March 1981. Print. Clarete, Kenneth Jordan M. nd Alvin F. Veron. Economic Zones and the Regional Income Inequality in the Philippines. Quezon City: University of the Philippines Diliman School of Economics, April 2009. Print. Cabatos 10 Farole, Thomas and Gokhan Akinci. Special Economic Zones: Progress, Emerging Challenges and Future Directions. Washington DC: The World Bank. 2011. Web. 16 March 2013 Go, Marie Fleurdeliz Uy and Maria Raissa Cantero Tatad. A Case Study on Foreign Investment in Philippine Special Economic Zones: The Analysis of the Factors Significant to Foreign Firms Investing in the Subic Bay Freeport Zone.Quezon City: University of the Philippines Diliman – School of Economics, March 1995. Print. Inciong, Leslie M. and Ma. Joy Kathleen U. Rabago. An Evaluation of the Economic Performance of Two Hybrid Ecozones: Subic Bay Freeport and Calabarzon Growth Network. Quezon City: University of the P hilippines Diliman – School of Economics, 16 October 1998. Print. Mallari, Christine Mae G. and Mary Prudence H. Padilla. Employment Generation and Working Condition at Clark Special Economic Zone. Quezon City: University of the Philippines Diliman – School of Economics, 2000. Print. â€Å"Republic Act No. 7227. † 13 March 1992.Philippine Bases Conversion and Development Authority. 20 March 2013. Web. 20 March 2013 â€Å"Republic Act No. 7916. † 24 February 1995. Official Gazette. Web. 11 March 2013. â€Å"The 1987 Constitution of the Republic of the Philippines . † 11 February 1987. Official Gazette. Web. 11 March 2013 Cabatos 11 Wang, Jin. â€Å"The Economic Impact of Special Economic Zones: Evidence from Chinese Municipalities. † Job Market Paper. London School of Economics. November 2009. Web. 13 March 2013 Yeung, Yue-man, Joanna Lee and Gordon Kee. China's Special Economic Zones at 30. The Chinese University of Hong Kong. 2009. Web. 19 March 2013.

Dementia and Diarrhea Essay - 2103 Words

Clinical History Comprehensive: Nursing Home, dementia, diarrhea DOB: 3-17-13 March 14, 1995 ANNUAL HP DICTATION – Completed/Dictated 3-9-95 CODE STATUS: DNR/DNI This resident is an 81-year-old gentleman who is pleasant and cooperative but not a good historian due to his dementia. Chief complaint: Resident has been having diarrhea according to his records for the past week, since the 24th of February. He has been having two to three large loose brown stools per day primarily in the evening and at night. He has no nausea, no vomiting, no decrease in appetite, no abdominal pain and no fever. He has some vague complaints of heart burn from time to time, pain in both groins and in both legs. These complaints are†¦show more content†¦He has no siblings and no known relatives. He has never married and has no children. He lived alone all of his life. He served in World War II. He did farm work and worked at a Meat Packing factory. He had a good friend who was quite close to him and looked after him the later years of his life. Resident has a positive outlook on life. REVIEW OF SYSTEMS: A review of systems was attempted but not completed because the resident was unable to concentrate and his answers were not reliable. PHYSICAL EXAM: Height 5’6†. Weight 221 pounds. Weight 1 year ago: 205 pounds. Blood pressure: 130/70. Pulse: 78. (What is the temperature? What is the respiration rate?) Skin: Warm and dry, no rashes, bruises or suspicious lesions, numerous seborrheic keratoses over the back, neck and head. (No skin turgor evaluated due to diarrhea?) Head: Hair thinning, scalp and skull normal. Eyes: Vision good in right eye but very poor in left eye; has corrective lenses but does not wear them. Unable to test EOMs or fields because resident does not cooperate. Red reflex seen in both eyes and vessels appear normal. Discs not visualized. PERRLA, conjunctiva pink, sclera clear. Ears: Drums obscured by wax bilaterally, acuity good to whispered voice. Nose: Mucosa pink, no sinus tenderness. Mouth: Mucosa pink, poor dentition, tongue midline, no lesions on tongue or under tongue or on buccal surfaces, pharynx pink. Neck: tracheaShow MoreRelated Dementia and Alzheimers Disease Essay examples638 Words   |  3 PagesDementia and Alzheimers During an average lifetime, one can expect to have at least occasional memory lapses from time to time. Usually its something as simple as forgetting what you just did a few minutes ago, forgetting if you turned the stove off, or if you left your keys on the table or in the bathroom counter. Such lapses are relatively normal, but when they become a recurring theme, its a more serious problem. As people age, it is natural for them to experience a mild degree of memoryRead MoreDifferentiate Between Delirium And Dementia938 Words   |  4 Pages ABNORMAL PSYCHOLOGY Student’s name Prof’s name Course title Date Qsn. 1 Differentiate between delirium and dementia Delirium is also referred to acute state of confusion that presents in three forms. Its symptoms are severe confusion and bewilderment in the hyperactive form it is also characterized by an equally sudden pulling out from dealings with friends and the rest of the outside world. In the third form that is mixed delirium all these symptoms occur in an individualRead MoreIdiopathic Parkisons Disease779 Words   |  3 Pagesdifficult to identify 4. DEMENTIA WITH LEWY BODIES: Dementia with Lewy bodies is similar, in some ways, to Parkinsons and Alzheimers. Symptoms differ slightly from Parkinsons and include problems with memory and concentration, attention, language and the ability to carry out simple actions. People who have dementia with Lewy bodies commonly experience visual hallucinations and some Parkinsons-type symptoms, such as slowness of movement, stiffness and tremor. Dementia with Lewy bodies is alsoRead MorePlay Therapy Is Used As A Modality1398 Words   |  6 Pagesthemselves and they constantly will need someone around just in case they need something. Dementia is a symptom that affects a person’s memory as well as their thinking and their social abilities. This disorder interferes with a person’s daily functions of life, and it affects their function on the day-to-day activities. Many treatments can be used to treat dementia. According to the mayo clinic most dementia cannot be cure but there are ways to manage disorder so that a person can live a somewhatRead MoreA Look At Non Alzheimer s Disease1684 Words   |  7 PagesA Look At Non-Alzheimer’s Disease Dementias By Katie Bergstrom, PA-S ABSTRACT: The most common tendency in assessing patients who display signs of dementia is to evaluate them for Alzheimer’s Disease. This means that Vascular Dementia, Dementia with Lewy Bodies, and Parkinson’s Disease Dementia are conversely overlooked as possible diagnoses. Special attention to clinical presentation and the use of diagnostic tests (such as the MRI) and assessment scales (like the Mini Mental State Exam) aid inRead MoreThe Decline Of The 21st Century1527 Words   |  7 Pagesconversations; on the contrary, our healthcare system has numerous issues to address. Among of them, dementia may be one of the most important. Why, you may ask? Let us begin with the fact that dementia is the sixth leading cause of death in America. According to the RAND Corporation, backed by the federal administration, â€Å"15 percent of people aged 71 or older, about 3.8 million people, have dementia†5. That information might sound irrelevant to some but it is vital in understanding the future. InRead MoreThe Medical Management Of Alzheimer s Disease2536 Words   |  11 PagesDementia is a syndrome of gradual onset and continuing decline of higher cognitive functioning (Alderman and Daly, 2005, p.1745). The term dementia is derived from Latin word demens (meaning without mind). Alzheimer’s disease (AD) is a most common form of dementia and a neurodegenerative disease with more than 25 million cases worldwide. The disease was first described by Alios Alzheimer a German physician in 1906 and published it in 1907 under the title â€Å"A characteri stic serious disease of the cerebralRead MoreThe Origins Of Hiv ( Immunodeficiency Syndrome )1031 Words   |  5 Pagesexperience only generalized flu-like symptoms such as malaise, nausea and vomiting, decreased appetite, rash and diarrhea. In the latent stage of the disease the patients may begin to experience frequent and persistent infections. Complaining of fever, night sweats, swollen lymph nodes, headache, skin lesions that do not heal, sore throat, difficulty breathing, burning with urination or diarrhea. Patients also may report extreme fatigue and weight loss. Any of these symptoms coupled with a history of unprotectedRead MoreGluten Food And Gluten Free Diet1097 Words   |  5 Pagesaccidentally eats gluten they may have abdominal pain, diarrhea, headache, trouble concentrating, fatigue, weight loss, or malnutrition. Some may not have symptoms, however, the gluten may still be damaging to their intestines. Overtime it may lead to serious complications such as small inte stinal cancer (Nutrition and Healthy Eating, 2014). According to the Harvard Health Letter, even a crumb of food with the gluten protein can cause sever indigestion and diarrhea, which may be so severe it can cause life-threateningRead MoreGathering Cues And Coming For Know The Patient1266 Words   |  6 PagesSynopsis of Patient My patient was a 68 year old female that was brought to ER via EMS on Feb 15 with nausea, vomiting, and diarrhea x2 days. The pt had not been able to eat or drink for the last 1.5 days, and felt weak and dizzy for the past 2 days. The patient lives at home alone in Kitchener, her spouse resides in a long term care home as he suffers from advanced dementia, they have no children. For IADL’s the client is able to cook her own meals, drive, and do her own shopping. However she receives