The Effect on Smoking Cigarette Banned in Public Essays

Cigarette smoking â€Å"There Is Nothing either Good or Bad, Hard or Easy, It’s How We Choose to Think That Makes It So.† ~ William Shakespeare~ Cigarettes are drugs that have a high risk of dangerous drugs that cause the disease to the body of smokers and people who live nearby. Currently, there are many more smokers are aware of the adverse effects of smoking. But the number of smokers is still increasing. Especially worrisome and continue to cause adverse effects in both polite society and the environment. Smoking is much more to keep the population down to health problems and premature death. Of death, with smoking rates higher than other causes of death combined, including AIDS drugs, alcohol, accident and murder and suicide. Its†¦show more content†¦Smoking, the more it can be easily purchased in the market are inexpensive, easy to spread the sale of cigarettes to young people. There are laws out. Prohibit sale of cigarettes to persons under the age of 18 years, but the defense is not good enough. I shop for my hand in the matter. I bought it for them and when they are smoking. Drug users are more and more peop le may lead to other drugs such as alcohol and smoking before they start. Heroin, marijuana, amphetamines, ecstasy, and may have come from if we look at the overall youth as a major force in the future to develop the nation if the substance is negative consequences. The capacity of developing countries, less than the social, economic, environmental risks, according to the second cause is the cause of this problem with other people as well. Young people often need friends. And friends are important variables that can lead us into the good and not good. Teens tend to think of it with a group of friends. We are like friends if your sport is played by a friend. If your friends smoke, drink alcohol, we want as friends to the group. I have no friends if we have good friends. Who will lead us in a good way, if you get worse? Who will lead us to the poor? So its important to choose my friends. When my friends do is not good. Should alert friends and should not do. I think that the future we will also find many other friends and the third is by a parent or someone in the house, the behavior of aShow MoreRelatedBans on Smoking in Public Areas1476 Words   |  6 Pagespeople that die because of smoking each year! Smoking is the leading preventable cause of death in the U.S. Each year more than 480,000 people die because of smoking. This is just one of the many reasons why I believe that cigarette smoking should be banned in public areas. I will argue this point in three ways. First, I will argue that the health effects of smoking are so harmful that cigarettes should not be allowed in public areas. Next, I will argue that the negative effects go beyond just healthRead MoreShould Cigarette Smoking Be Banned?1365 Words   |  6 PagesShould Cigarette Smoking be banned? The United States Surgeon General’s report stated that cigarette smoking is the major single cause of cancer death in the United States. This statement is so true today. Smoking a cigarette is an acquired behavior and that makes it the most preventable cause of death in our society. Cigarettes contain nicotine, tar, and carbon monoxide, as well as formaldehyde, ammonia, hydrogen cyanide, arsenic, and DDT. The main ingredient in cigarettes is tobacco. The nicotineRead MorePersuasive Essay Smoking885 Words   |  4 Pagessuch as smoking. People smoke for numerous reasons. These reasons include: socializing, coping with emotions, parental influences, advertising, and for the thrill of risk taking behaviors. In consequence, many people are unaware of the negative aspects to smoking. Smoking not only affects the individual but has negative impacts on others that are around the smoker and the environment as well. In result of these harmful aspects of smoking, smoking should be ba nned in public places. Smoking shouldRead MoreShould Cigarette Smoking Be Banned?1376 Words   |  6 PagesSurgeon General’s report stated that cigarette smoking is the major single cause of cancer death in the United States. This statement is so true today. Smoking a cigarette is an acquired behavior and that makes it the most preventable cause of death in our society. Cigarettes contain nicotine, tar, and carbon monoxide, as well as formaldehyde, ammonia, hydrogen cyanide, arsenic, and DDT. The main ingredient in cigarettes is tobacco. The nicotine in cigarettes is very addictive and when smoke containingRead MoreEssay about Smoking Should be Banned in All Public Places1133 Words   |  5 PagesSmoking Should be Banned in All Public Places Every year thousands of people die because of having cancer or other tobacco related illnesses due to smoking. Smoking is seen everywhere from our own television screens to even the world wide web; the internet. Tobacco is the substance that is in these cigarettes. These tobacco products are promoted through tobacco ads that are found almost everywhere you turn. They are in magazines, television screens, on the internetRead MoreEssay about Cigarettes Should be Banned939 Words   |  4 PagesSmoking cigarettes is common among most adults in the United States, yet it is one of the most dangerous things you can do to yourself. Many people feel that smoking should be made illegal. The reason they may feel this way is because it is very harmful to your health and can lead to death. I strongly agree that cigarettes should be banned from being sold and produced because to me they’re considered a dangerous drug. The first reason that supports my claim of smoking cigarettes should be Read MoreThe Negative Effects Of Smoking In Public Places1157 Words   |  5 Pages Smoking should be banned in public places The government of the United States, should ban smoking in all public places because of the adverse effects of passive smoking on smokers, non-smokers and the environment. In the recent years, the population of people who smoke in the US has significantly increased. People still choose to smoke even when they have adequate knowledge of how unhealthy smoking can be. Smoking is a personal choice for any individual. Moreover, it is a highly addictive habitRead MoreShould Cigarette Smoking Be Banned?1137 Words   |  5 PagesBiology 101 Should Cigarette Smoking Be Banned? Should there be a ban on cigarette smoking in the United States? Since cigarettes were introduced to Americans, questions have been raised concerning the legality of smoking and if it should be allowed everyone, in public places, or not at all. Recently, with the increase knowledge in cost and healthcare, the controversy with cigarette smoking has significantly risen. Across the country, states have banned smoking in public areas and inside buildingsRead MoreShould Cigarette Smoking Be Banned? Essay1278 Words   |  6 PagesSmoking is an expensive habit. People who smoke cigarettes can spend as much as $2,500 a year on them. Smokers’ claim that it helps relax them and it releases stress but the negative aspects of smoking outweigh the positive. Smoking is a health hazard for smokers and non-smokers. Smokers should have the right to choose what to do with their own health but they should respect non-smokers. Many people believe that there are good and bad outcomes from smoking . I believe that smoking is bad and thatRead MoreEssay On Cigarettes Should Be Banned707 Words   |  3 PagesIf you had the chance to save your own life, or even the lives of everyone around you, would you take it? Choosing to light another cigarette is choosing to commit another murder and taking another stab at your lungs. Smoking is the cause of one in five deaths each year in the United States alone. Since cigarettes can be considered a mass murder, they should be banned. They are dangerous to smokers and everybody around them, and that makes them vulnerable to secondhand smoke. Smokers are more prone

Psychological And Cultural Behavioral Traits Yahoo...

C. Psychological and Cultural Behavioral Traits in Yahoo Cybersecurity Attack Actors Aforementioned, it’s unclear what cultural or identified behavioral influences contributed to the Yahoo malvertising incident as the perpetrators weren’t publically identified. Culturally, crime rates are closely linked to the lack of financial opportunities. (Kshetri, 2010). In general, there are psychological and sociological drivers of cybercrime. Malvertising is a prevalent anonymous threat and to understand a person’s intention and motivation one must first analyze their psychological background and social environment. The attackers, also known as unethical or black hat hackers, are thrill seekers who break into systems to satisfy their inquisitiveness, they’re intrigued by the challenge of knowing they â€Å"can† infiltrate a system thereupon emerging their technical skills. (Fà ¶tinger Ziegler, 2004). Sometimes, when they meet their challenge it intensifies into addiction where other factors come into play such as financial gain. Common behavioral traits of these attackers is that they minimize or miscomprehend the ramifications of their activity, rationalizing that their service is really a benefit to the organization because they could identify security loop holes. (Fà ¶tinger Ziegler, 2004). It’s important to note that not all hackers are criminals, there’s a group of ethical or white hat hackers that execute pre-approved attacks for the good of the security landscape of the

The Power of a Little Girl’s Photo Free Essays

The picture from Sudan, which won Kevin Carter a Pulitzer Prize in 1994, is memorable because it shows the seriousness of the situation in Sudan during that time; reflects the role of photographers in conveying the unknown circumstances to us; and   tells the impact of covering such events on photographers as manifested by Carter’s suicide. The winning picture depicts a pitiful, starving little Sudanese girl with her head bowed to the earth; obviously very weak and dying. Behind her back is a vulture which seems to be waiting for her to die so it could have something to eat. We will write a custom essay sample on The Power of a Little Girl’s Photo or any similar topic only for you Order Now The story behind the picture is related by Mac Leod Scott in his article, The Life and Death of Kevin Carter. Mac Leod wrote how Carter was able to shot the photograph. Carter went to Sudan to photograph the rebel movement in the country. When he reached the country, he started taking pictures of famine victims. He saw lots of people who are starving. They were so thin and terribly malnourished. In his attempt to find another view, he went to an open bush. While in the bush, he heard a soft whimpering sound and found a little girl trying to walk her way to the feeding center. He came nearer to photograph her. As he tried to shoot, a vulture landed just behind the girl. He captured the scene. Carter later confessed that he waited for another 20 minutes expecting the vulture to spread its wings but it did not. After taking all the shots that he needed, he chased the vulture away. He saw the helpless little girl attempting to walk toward the feeding center. Carter remained in his position under the tree. He smoked and cried. He became depressed afterwards. To stress why the Pulitzer-prized picture is memorable, four supporting claims are written below. Firstly, the picture itself shocked the world. According to Scott’s words, the photograph â€Å"made the world weep†. The emotional impact of the photograph is hard to forget.   In the picture, the vulture is just waiting for the girl to die so it could eat her. Imagine a big bird is preying on the flesh of a child for its food. Many find it gruesome as they don’t usually such kind of pictures and news in the headlines. The photo got many reactions from different people around the world. When someone sees it, there is something in the emotion that makes one feel more than pity for the little girl. Further, Scott reported how the picture was seen by millions of people.   The New York Times was looking for pictures about Sudan back then when Carter sold the photograph to the famous newspaper in March 26, 1993. The NY Times published the picture and many readers were overwhelmed by it. Many papers also published the picture and were stared by millions of people around the globe. The media picked up on the story and the picture. Those who saw the picture pity the Sudanese girl and wondered what have become of her. Hundreds of readers called the NY Times office to inquire what happened to the girl. The NY Times said it did not know if she reaches the feeding center. The paper said that no one knows the fate of the poor little girl. Likewise, the readers also wanted to find out if Carter was able to help her in her struggle. Secondly, the picture reveals the real condition of Sudan during that time. The world came to know Sudan because of the picture. Sudan is a large country in North Africa. Until now, the political unrest in the country continues and the civil war is killing many people. On top of that, famine has been ravaging the land regularly. Based on an article by Bruce Nelan, published in Time Magazine on July 27, 1998, the country experiences famine every three or four years. Both the civil war and the famine resulted to the death of hundreds of thousands of Sudanese. The year 1994 marked the most devastating famine – the year when the picture was taken. Nelan added that hunger is always a threat in the country of roughly 40 million people. In 1989 alone, 250,000 died. In a related article, written by another Time reporter, Maryann London in 2001, about 1.5 million of people have already died either in the civil war or in famine. Sadly, the famine affects everyone most especially the children who are the most vulnerable segment of the population. Nelan further wrote that, usually, the only way to get to a feeding center is by walking which usually takes days or weeks to reach these centers run by international relief agencies. Mostly die along the way as what might have happened to the girl in the picture. According to Bill Keller, in his article in the Time Magazine published on July 29, 1994, the girl collapsed as she was on her way to the feeding center. Thirdly, the photographer who took the picture committed suicide by carbon poisoning three months after receiving his prize. Carter is from Johannesburg, South Africa. He won the Pulitzer Prize for Feature Photography that year together with Paul Watson who took a picture from Somalia (Gordon, 1994). But, as Keller reported, the people blamed him for not helping the dying little girl. Carter’s action was criticized. Many suggested that he should have decided to help the little girl by giving her something to eat or by carrying her to the feeding center. He has the chance to help one starving little girl but he walked away after taking her picture. Moreover, as Scott said, Carter was haunted by what he had seen during his career- the violence, famine, dying people and war. Maybe he could not take it any more. Presently, there is a documentary film that seeks to explain Carter’s suicide, entitled as The Death of Kevin Carter: Casualty of the Bang Bang Club by Dan Krauss. On a personal note, I do not want to judge Carter as many have already blamed him in the past. However, I am one with others in saying that he should have somehow helped the dying girl by offering food or water. I do not know what was in his mind then. Blaming is the readers’ reaction on Carter which I think had much effect on him and his decision to end his life. Lastly, the picture highlights the role of photographers in showing the unknown to us. Before Carter took the picture, many people were not aware of the gravity of the situation in Sudan. Most people in the West are not even familiar with the country. Through the picture, the world suddenly realized that there is so much happening in many countries that we are not aware of. It is the photographers who connect us to the unfamiliar sufferings around the globe. They give us pictures which tell stories. As Susan Sontag wrote, â€Å"to collect photographs is to collect the world† and photographs provide evidences. More so, Nathan Thornburgh of Time Magazine penned that photography has the power to trap moment in time and he ascribed photojournalism as the perfect medium for showing stories. I say, without photographers, there would be no pictures to behold. Nevertheless, capturing the scenes of a war-torn area or other violence-related activities is tough. From here, one can infer that covering such violence and heart-wrenching events have impact on the photographers as evidenced by Carter’s suicide. The drama and the difficulty of recording such delicate situations may have its negative influence on the photographers. It can be noted that Carter sunk into depression before he committed suicide. The violence, famine, and dying children- Carter remembered while he lived- and made him more depressed. He maybe was too sad. He might have remembered the dying little Sudanese girl from time to time. In conclusion, I guess the picture is powerful enough that’s why it is too memorable. My reasons are all cited above. Pictures show us reality. And the photographers who took them for us deserved to be affirmed as they serve as our link to many realities around the world. As what the picture of the dying Sudanese girl tells us, we can say that photographers are very important as they show us the different situations in the world. Without them, there will be no pictures which will show us how blessed we are because we have more than enough food to eat and how other people in the world are suffering because of famine. Without the pictures and the photographers, we will never know what is really happening. We will remain ignorant of the people who need our help – even just for a piece of food. Works Cited Gordon, Jim.  Ã¢â‚¬Å"Judges have a difference of opinion†¦.†Ã‚  News Photographer  49.n5  (May 1994):  4(1).  General OneFile.  Gale.  Northern Virginia Community College Annandale campus.  21 Apr. 2008 http://find.galegroup.com.ezproxy.vccs.edu:2048/itx/start.do?prodId=ITOF. Keller, Bill.  Ã¢â‚¬Å"Kevin Carter, a Pulitzer winner for Sudan photo, is dead at 33.† The New York Times  143  (July 29, 1994):  C16(N) pB8(L).  Expanded Academic ASAP.  Gale.  Northern Virginia Community College Annandale campus.  21 Apr. 2008  http://find.galegroup.com.ezproxy.vccs.edu:2048/itx/start.do?prodId=EAIM. London, Maryann B. â€Å"Baroness who Frees Slaves†. 19 March 2001. Time Magazine. 30 April 2008 http://edition.cnn.com/2001/WORLD/africa/03/29/sudan.famine/index.html. Mac Leod, Scott.  . â€Å"Lightning from the lens Powerful photos foment change, experts believe; [Final Edition]†Journal – Gazette. Ft. Wayne, Ind ( Aug 18, 2006) pg. 9.A. Proquest. Northern Virginia Community College Annandale campus.  21 Apr. 2008 http://proquest.umi.com.ezproxy.vccs.edu:2048/pqdweb?did=1097163221sid=3Fmt=3clientId=1364RQT=309VName=PQD. Mac Leod, Scott.  Ã¢â‚¬Å"The life and death of Kevin Carter.†Ã‚  Time  144.n11  (Sept 12, 1994):  70(4).  General OneFile.  Gale.  Northern Virginia Community College Annandale campus.  21 Apr. 2008 http://find.galegroup.com.ezproxy.vccs.edu:2048/itx/start.do?prodId=ITOF. Nelan, Bruce. â€Å"Sudan†. 27 July 1998. Time Magazine. 30 April 2008. http://www.time.com/time/world/article/0,8599,103088,00.html. Sontag, Susan. On Photography. New York: Farrar, Anchor Books, 1990. Thornburgh, Nathan. â€Å"The Best Photos of the Year†. 18 December 2006. Time Magazine. 30 April 2008 http://www.time.com/time/yip/2006/ How to cite The Power of a Little Girl’s Photo, Essay examples

Clinical Case Conference Report

Question: Discuss about the Clinical Case Conference Report. Answer: Introduction This is a clinical case conference report of a patient who is 51 years of age who has been admitted to the hospital with the chief complaints of severe headache, blurred vision and vomiting and a diagnosis of Astrocytoma. Prior to admission, the patient had a very supportive family as he lived with his wife and two children and his relatives visited him often. At the time of admission, he needed a little bit of assistance with his daily life activities but presently, he is no more independent. He needs nursing care with sling lifter, suffering from a stage 4 sacral ulcer and has got VRE. Apart from this, he has the past medical history of lung fungal infection, high cholesterol, UTI, high blood pressure, chronic back pain, B-cell lymphoma and diabetes type 2. This report will explore the medical condition of the patient and consider the assessment of his pathophysiology, nursing interventions, medications, problem evaluation and nurse to patient-specific education. Case Management Presently, the patient has been diagnosed with the pathophysiological condition of astrocytoma along with severe headache, blurred vision and vomiting. Astrocytoma is a type of brain cancer that originates in the cerebrum in star-shaped brain cells called astrocytes. This tumor does not tend to spread out of the spinal cord and brain and does not affect other organs. It is the commonly occurring form of glial tumor and can appear on several parts of the nervous system and the brain that includes cerebrum, cerebellum and other central parts of the brain, spinal cord and the brainstem. The exact pathogenesis of the tumor is unknown like many other types of tumors (Wick et al. 2012). As symptoms of the diagnosis, severe headache with vomiting and blurred vision occurred. Along with this, he needs the management of some of his chronic problems like subdural hemorrhage, VRE, high cholesterol, high blood pressure, diabetes and chronic back pain. Since the patient is suffering from astrocyt oma, it aggravated his other chronic problems. Clinical assessment using a system based approach like ISBAR can be used to explain the relationship of nursing management with medical management. Since the patient is suffering from astrocytoma, he is having severe headache as a symptom for which analgesic medication like paracetamol has been prescribed. Apart from this, nursing intervention like setting the administration of narcotics can be done with the rationale of providing sedative effect and elimination of anxiety and discomfort. The involvement of interdisciplinary teams of healthcare professionals like social worker, psychologist, palliative team, nurses and dietician is essential as each team member contributes their unique expertise. It is also required to overlap their professional skills and practice areas for providing seamless care coordination in a complex situation of astrocytoma to minimize morbidity, optimize survival and maximize the quality of life. Primary healthcare strategies for astrocytoma include operativ e intervention by the application of radiation therapy and chemotherapy (Jones et al. 2013). The primary strategies are decided by the team of professionals involved in the care process and include input from the concerned neurologist and oncologists. For the nursing management of his chronic back pain, the lumbar flexion can be improved by changing the sleeping position and encouraging him for bed rest. Assessment of his standing and moving posture by the nurse can also help in the management of his chronic back pain. For the nursing management of his diabetes type 2, encouragement of physical activity and enteral nutrition support are provided for improving his functionality and dependence and for providing diet that is low in carbohydrate and high in monounsaturated fat for improving his quality of life. Medical management and treatments described for the patient include pharmacological and non-pharmacological treatments with pain management for his pathophysiological condition. Considering his present diagnostic condition of astrocytoma and other problems like subdural hemorrhage, diabetes, chronic back pain, UTI and other problems, he has been prescribed medications like Enoxaparin, Dexamethasone, Enoxaparin, Novorapid, Paracetamol, Fentanyl, Vancomycin and other medications respectively for management of the problem and the side effects emerging out of the medications. This is evident from the prescribing of the medications Movicol and Coloxyl Senna as they are the laxatives and has been prescribed for the management of constipation occurring out of the medication side effects like antibiotics. This is the pharmacological management provided for pain and discomfort. For the non-pharmacological management of astrocytoma, mechanical thromboprophylaxis is an effective tool to reduce bleeding as the patient is also suffering from subdural hemorrhage. Foot pump devices, intermittent pneumatic compression and graded elastic stockings are other non-pharmacological measures for the management of astrocytoma (Fontebasso et al. 2014). For cancer-related pain, muscle relaxation, diaphragmatic breathing and guided imagery are the preferred non-pharmacological treatment and for the management of his chronic back pain, behavioral therapy can be effective for short-term pain management and as an adjunctive therapy, hypnosis can be used. For his diabetes 2, stress management, physical activity and diet are the preferred non-pharmacological treatment (J?wiak, Nabbout and Curatolo 2013). The relevant diagnostic tests for astrocytoma include physical examination and along with that several other methods can be employed like biopsy, magnetic resonance imaging (MRI) and computed tomography (CT) scan. Biopsy can definite the diagnoses of tumor while the other two types can suggest the presence of a tumor. The diagnosis of chronic back pain will include physical exam that will be followed by CT scan, X-rays and MRI. MRI can be the most effective way to determine the damage of the pinched nerve and disk compared to X-rays and CT scan (Center et al. 2012). For his diabetes type 2, glycated hemoglobin (A1C) test, oral glucose tolerance test, fasting blood sugar test and random blood sugar test will be included (Inzucchi et al. 2012). Screening tests can be included for the patient that will include initial glucose challenge test and follow-up glucose tolerance test. Apart from these diagnostic tests, other tests will be carried out for determining his other medical complicat ions that include rectal swabs or urine and stool samples for VRE, lipid profile tests for high cholesterol and a pressure measuring gauge for measuring the blood pressure. Psychosocial, environmental and economic aspects can be discussed concerning the patient condition since he is suffering from a number of complications apart from astrocytoma. With such a burden of diseases, the patient will undergo a number of medical procedures during his stay in hospital. Therefore, psychosocial support has to be provided to the patient to avoid the stress of the treatment and diagnostic procedures and make him realize the meaning of the results of the tests. This will lessen the psychological pressure on the aged patient and aid him with emotional support (Johnson and Galanis 2014). Environmental aspects can be the root cause of the burden of disease for the patient and therefore, it is advised that a healthy environment has to be provided to the patient for his quick recovery. The key areas of risk have to be identified and eliminated since the patient is suffering from VRE, he should be provided with a protective environment to control the further growth of the disease. Since the treatment of such a large number of diseases can be another economical burden on the patient and his family, it can be reduced by avoiding the developing of the diseases like sacral ulcer by effective nursing management by constant changing of his sleeping posture and maintaining a moist environment (Strowd et al. 2016). Ethical aspects included, in this case, will be to make the treatment cost-effective and maximize the health benefits with the provision of limited resources. The patient should be discussed with his prognosis and diagnosis, his quality of life should be monitored during and after the procedure of treatment and there should be respect for non-maleficence, beneficence, justice and autonomy (Frederickson and Ghere 2013). The legal aspects can be stated as according to the common and statute law of Australia, the confidentiality and privacy of the medical information of a patient should be well maintained. This is particularly important in this case as the patient is suffering from many diseases and a multidisciplinary team of professionals is involved in the care management of the patient. The Health Services Act 1988 states that disclosing of the patient information is strictly prohibited that leads to his identification unless he has committed an offense under the law (Legislation.vi c.gov.au 2016). Education needs of the patient and the family will include a detailed description of his complications by the nurse including astrocytoma along with any relevant grouping or classification, associated symptoms, diagnostic tests and the treatment guidelines. The family will be provided with the education materials and education regarding care providing at home after discharge. Nurse to patient-specific education will also include the guidance on his activities of daily living where he needs assistance as he has lost his independence post his admission to the hospital (Bastable 2016). Discharge planning will include considering him to get admitted in a nursing home or hospice as the patient is in need of active treatment like transfusion. Since he requires the support of three persons with his sling lifter, it would not be safe for him to return to his home. Therefore, the factors like available assistance, architectural barriers, quality of life and availability of home therapy has to be considered while planning his discharge. As the patient is not safe physically or cognitively and there is no assistance available at his home, facility with assisted living has to be planned on discharge (Altfeld et al. 2013). Hospice can be preferable for the patient as his prognosis is poor and it can provide him with tremendous support for the patient and his family for improving his quality of life. Evidence for Current Practice The patient presented with the diagnosis of astrocytoma along with several other complications like subdural hemorrhage, chronic back pain, diabetes type 2, high blood pressure, high cholesterol and VRE. Apart from this, he was having sacral ulcer stage 4 and complaints of severe headache and vomiting with blurred vision. For these complaints, he has been provided with the necessary pharmacological and non-pharmacological interventions and discharge plans have been prepared. However, there are several research findings that are relevant to the case management. Few of the critical complications like astrocytoma, chronic back pain and diabetes type 2 will be selected and associated with the research findings for critiquing the provided management and suggesting alternative management. Ouyang et al. (2014) carried out a research work that discussed the present and future of the management of astrocytoma. The research work is relevant to the case management of the patient as it focused on medication and surgery and for the patient, medications were prescribed for management of the disease. The article also expressed the various parameters of the disease that were in alignment with the clinical condition of the patient and its subsequent management. Kahn, Cooper Del Prato (2014) carried out a similar study to explore the treatment and pathophysiology of diabetes type 2 and this has resemblance with the present case of the patient as it discussed the treatment procedure which was similar to that of the patient. Novorapid is the insulin analog that has been prescribed to the patient and the article also discussed about the potential benefits for the using insulin as the frontline treatment of diabetes type 2. Gatchel et al. (2014) carried out a similar research work f or discussing the aspects of chronic pain management and it had relevance to the case of the patient as it suggested interdisciplinary therapy for pain management and the patient was also provided with a multidisciplinary team for managing his pain and discomfort due to the burden of a number of diseases. The management and care provided to the patient can be compared and critiqued with the research finding and best practice that has been included in the literature. For astrocytoma, the research finding by Ouyang et al. (2014) stated that surgical management is the standard treatment procedure for the disease whereas, the patient has been prescribed with medications like Enoxaparin, Filgrastim and Dexamethasone. Pharmacological management of astrocytoma has been proposed by mTOR inhibitors like everolimus and sirolimus in the research finding for maximum therapeutic benefits but the patient has not been prescribed these medications for his management of the disease. Since the mTOR inhibitors have been proved to be potentially beneficial for the treatment of astrocytoma, prescribing them could have been considerably reduced the burden of the diseases that the patient is suffering from. So, it can be stated that there have been deviations in the management of astrocytoma of the patient when compared to the best practice provided in the literature. A similar finding has been derived from the research literature by Kahn, Cooper Del Prato (2014) for the management of diabetes 2 of the patient where the researchers have found that the second generation sulfonylurea antidiabetics like Gliclazide, Glibenclamide and Glipizide can be equally effective as insulin. Although the researchers have proposed insulin as the first line of therapy for diabetes 2, it has several side effects like hypoglycemia, neuropsychological impairment, ocular disturbance and lipohypertrophy. These can be avoided with the use of the proposed medications of the researchers that can act to reduce the disease burden effectively, without adding up the side effects of insulin with the administration of Novorapid. Keeping in tune with the research findings, Gatchel et al. (2014) has described chronic pain as a costly and significant problem and considering the economic aspects of the patient, it can be stated that he is a huge burden of expenditure due to the treatment of the large number of diseases that he is suffering from. For providing cost effective treatment of his chronic back pain, the authors have proposed interdisciplinary programs of pain management considering the social, psychological and physiological factors including family, cognitions and medications. However, in the present case, although there has been an involvement of the multidisciplinary team for his treatment and medications has been provided, incorporation of the psychological parameters like attention, behavior, emotions and cognitions can improve his pain without adding up to the extra cost. The nurse will be required to play an integral role in the process by monitoring and evaluating the treatment outcomes and maintaining effective communication with the treatment team. There have been these deviations when the best practice was compared and critiqued with the nursing care and management of the pat ient. Apart from the treatment procedures adopted in the research literature, several other options can be suggested for the alternative management or nursing care of the patient. Corticosteroid therapy can be effective in the management of astrocytoma and medical therapies can be complimented with the application of biobehavioral nursing interventions (Seyfried et al. 2012). Alternative approaches of taking Chromium, Alpha-Lipoic Acid, Aloe Vera and Cinnamon can significantly control the diabetes type 2 of the patient and the nurse educators are expected to provide appropriate guidance to the patient regarding these alternative therapies (Ley et al. 2014). Chiropractic manipulation can be an effective alternative for the management of chronic back pain and the nurses providing physical and psycho-social support to the patient can add up to the procedure (Chaparro et al. 2014). Conclusion From the case, it is evident that the patient is under a huge burden of several diseases that requires effective management and nursing care. An effective clinical case conference report will aid to understand the case of the patient better and find out the gap in the present treatment regime. Filling up of the gap by the management strategy from the research findings can help to support the multidisciplinary team with the easy management of the diseases and provide psychosocial and economic support to the patient. The ethical and legal aspects have to be considered to provide effective treatment and support to the patient and his family within the permitted regulations by the Australian authority of healthcare. This report identified several crucial aspects that can effectively modify the treatment procedure and efficiency of the patient. References Altfeld, S.J., Shier, G.E., Rooney, M., Johnson, T.J., Golden, R.L., Karavolos, K., Avery, E., Nandi, V. and Perry, A.J., 2013. Effects of an enhanced discharge planning intervention for hospitalized older adults: a randomized trial.The Gerontologist,53(3), pp.430-440. Bastable, S.B., 2016.Essentials of patient education. Jones Bartlett Publishers. Center, C., Relief, P., Covington, L.A. and Parr, A.T., 2012. Caudal epidural injections in the management of chronic low back pain: a systematic appraisal of the literature.Pain Physician,15, pp.E159-E198. Chaparro, L.E., Furlan, A.D., Deshpande, A., Mailis-Gagnon, A., Atlas, S. and Turk, D.C., 2014. Opioids compared with placebo or other treatments for chronic low back pain: an update of the Cochrane Review.Spine,39(7), pp.556-563. 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