Assessment and Management of Pain

Morphine is one of the prevalent analgesic opioid that is considered as potent and effective pain relievers and has been undertaken for past many years. This is used for undertaking both acute and chronic pain management. Morphine targets the pain due to myocardial infarction, surgery, injuries and others (Macintyre and Schug 2014). Morphine is an opiate drug that targets opioid receptors leading to the formation of the analgesia with the help of the mechanism of hyperpolarisation of interneuron and decrement in the release of the transmitters of pain. Human body consist of inbuilt analgesic and pain relieving system that regulates in the body by minimizing the sensations in the spinal cord that further transmits the sensations of the pain to different locations with the help of synapse within the neurons. Activation of the pain management in the spinal cord occurs by the supraspinal mechanism. This mechanism includes opioid system that is responsible for the release of endorphins, the adrenergic system that is responsible for the release of norepinephrine and serotogenic system that is responsible for the release of serotonin. Synergy and communication among all leads to the activation of analgesic activity. When the inbuilt analgesic system fails to control pain, additional analgesic drugs such as morphine is used to increase the working capacity of this inbuilt system. Besides this, morphine also regulates the generation of supraspinal structures leading to the activation of the whole system. Adrenergic drugs react with specific receptors for the production of the analgesia and morphine further reacts with these drugs for the regulation of the analgesia (Stang et al. 2014). Visceral pain targets the thoracic, abdominal and pelvic organs of the body and it is considered to be one of the most common types of the pain a doctor responds to. Visceral pain targets chest, prostate gland, pelvis, gastrointestinal tract, gall bladder, scrotum and vulva (Mayer et al. 2015). Surgical treatments available for the treatment of Angina pectoris and other chest pain is coronary artery bypass surgery or grafting and percutaneous coronary intervention that undertakes the change in the oxygen concentration in the body with the help of certain channel blockers such as nitrates and calcium. Alteration in the oxygen demand and supply leads to the reduction of the pain. Besides this, Cordotomy is another surgical procedure that is used for the treatment of visceral pain due to terminal maladies or illness such as cancer, AIDS, pulmonary fibrosis and many others. This surgery is undertaken percutaneously with the help of fluoroscopic or computerized tomography scan. The laminectomy surgery is undertaken in the spinothalamic tract under the presence of anaesthesia. Another technique that is appropriate as the surgical treatment for the visceral pain is myelotomy which are of two types Commissural and Punctuate or limited Midline. Commissural Myelotomy undertakes the m ultiscale laminectomy in the spinal cord. This targets the nerve fibre joining the brain with spinal cord and interrupts the pain there. While Punctuate or Limited Midline is a neuroablative surgery that undertakes the treatment of bladder, pancreas and colon by interrupting the center of dorsal column. This is one of the most effective methods as it can be used for the treatment of posterior columns of the organs (Lazzeri et al. 2015). Lazzeri, L., Vannuccini, S., Orlandini, C., Luisi, S., Zupi, E., Nappi, R.E. and Petraglia, F., 2015. Surgical treatment affects perceived stress differently in women with endometriosis: correlation with severity of pain.  Fertility and sterility,  103(2), pp.433-438. Macintyre, P.E. and Schug, S.A., 2014.  Acute pain management: a practical guide. CRC Press. Mayer, E.A., Gupta, A., Kilpatrick, L.A. and Hong, J.Y., 2015. Imaging brain mechanisms in chronic visceral pain.  Pain,  156(0 1), p.S50. Stang, A.S., Hartling, L., Fera, C., Johnson, D. and Ali, S., 2014. Quality indicators for the assessment and management of pain in the emergency department: a systematic review.  Pain Research and Management,  19(6), pp.e179-e190.

Basseri of Iran Research Paper Example | Topics and Well Written Essays - 2000 words

Basseri of Iran - Research Paper Example The author analyzes the aforementioned aspects in a view of general concept of the Basseri tribal organization as an example of tribal chiefdom form. In the end, the conclusion is reached according to which the Basseri may be regarded as one of the vivid examples of this form of societal organization. Keywords: ethnography, nomadic societies, pastoralism, chiefdom, tribe, Basseri Basseri of Iran As the study of the social structure of the Basseri tribe by Barth (1961) is one of the classical examples of the research in the field of ethnography of nomadic peoples of Iran, it is instructive to closely analyze the modern state of the Basseri people. In this essay, I will deal with the various aspects of social life of the Basseri, focusing on their subsistence patterns, but paying appropriate attention to their kinship practices, social and political organization. Accordingly, the essay will be divided into four sections in which the relevant aspects will be analyzed. My basic argument with regard to the Basseri is that they represent a stage of development transitional between the primitive lineage form and more developed chiefdom organization, which is itself a necessary prerequisite to the fully stratified society, and the organization of the essay will reflect that argument. Subsistence Mode The traditional mode of subsistence of the Basseri strongly depends on the use of extensive pastures, as the pastoral produce is the most important component in the maintenance of their socio-economic structure. Their socioeconomic structure evolved on the basis of limitations and opportunities provided by the climate and ecological conditions of South Iran; therefore, their economy is strongly dependent on following the patterns of natural changes. As Cohen (1976) observed, the subsistence of the Basseri nomadic community is generally derived from their herds of sheep and goats, while the use of dairy products and the meat obtained through market exchange with the surroun ding populations complement it (p. 276). The Basseri also use the other domesticated animals, including horses, dogs, donkeys and camels, but they do not play direct role in the subsistence of the tribe. The migratory patterns of the tribe are especially interesting from the point of view of the researcher. According to Barth (1961), the forced sedentarization of the Basseri under the reign of Reza Shah led to the decline of their economic life, and it was only after 1941 that they returned to their traditional migratory practices (p. 3). The traditional territories of the Basseri lie in the hot and arid lands near the Persian Gulf, encompassing both salty deserts of Larestan at elevations of 2,000 to 3,000 ft. and the mountainous areas near Kuh-i-Bul, with the highest altitude of 13,000 ft. (Barth, 1961, p. 3). The diversity of this terrain forces the Basseri to undergo seasonal migration so as to provide subsistence to their flocks of sheep and goats. According to Cohen (1976), th e area of the tribe’s migration stretches from the southwestern part of the Iranian Plateau to the coast of Persian Gulf, going through the Zagros Mountains (p. 276). With the beginning of the summer, the Basseri begin their coordinated movement from the lands adjacent to the Gulf to the territories of their winter pastures, where the climate allows the flocks of their

Zha Scapegoat Assignment Example | Topics and Well Written Essays - 2500 words

Zha Scapegoat - Assignment Example ReneÃŒ  Girard’s theory of scapegoat is a theory based on the origins of sacrifice. The theory advocates that historical collective murders arise at the commencement of primitive ritual sacrifice. Rituals and myths memorize and disguise these distressing, violent origins (Girard 92). A fundamental concept in the thought of Girard is that of contagion. Markedly, both the mythic falsification of collective murder and contagious transfer are well illustrated in Girard’s scrutiny of the symbol of Oedipus. According to ReneÃŒ  Girard, the attribution of evil and crime to an innocent individual is neither motiveless nor arbitrary, but is a reaction to the actual social risk. However, in the collective murder, the instantaneous cause is the breakdown of the social order. The breakage is provoked by famine, war, plague, or any other major social disaster. During this situation, every person turn out to be the enemy of all: the rich against the poor, neighbour against neighbour, brother against brother. According to ReneÃŒ  Girard the scapegoat comes in as a safety value in the condition of spiralling violence whereby every person resorts to retribution so as to attain what is rightfully theirs. The conflict of all against all, the violence that looms to pouch t he community, is revolutionized to a war against one person. ReneÃŒ  Girard denotes that with the death of the scapegoat, the violence cycle ends. The title of the film ‘The Wrong Man’ recognizes one of the main persistent themes in Hitchcock’s work that is the theme of the innocent man or the mistakenly accused. The film tells a story of the erratic arrest and incarceration of Balestrero. This occurred after he was wrongly identified as the thief of an insurance company office aside from other several stores. The basis of the film is on a true story, the factual life case of Christopher Balestrero. As evident