The Trosack Family Decision Essay Example | Topics and Well Written Essays - 1250 words

The Trosack Family Decision - Essay Example The social worker would also identify and facilitate local and community based programs such as support groups and grief counselors since depression could become an issue for both Rita and Peter. The educator would provide education on Tay-Sachs disease. This could be a physician who specializes in genetic diseases or a nurse educator with an advanced knowledge of Tay-Sachs disease. Understanding the disease, including cause, expectations, and prognosis would be of utmost importance to Rita and Peter to help them grasp their situation on and begin to cope with it (Kaback, Rimoin and O'Brien, 1977). The genetic counselor could provide information regarding the risks of subsequent pregnancies and possibly shed some light into their family history related to the development of the disease. The case manager, in collaboration with the other healthcare team members, would be responsible for designing a unique and patient specific approach to Rita’s healthcare and both Rita and Peter ’s emotional wellbeing. Nurses have knowledge and decision-making skills in health assessment, diagnosis, offer therapeutics and health care management to the patient. They provide health care services that encompassing prevention of diseases and injuries and other support services. Their integration to the team would provide access to a wide range of primary health care services (Lapham, Kozma and Weiss 1996). Teaching plan Definition Tay Sachs disease (TSD) is also referred to as Hexosaminidase or GM2 gangliosidosis. It is an autosomal recessive disorder that is genetic. Infantile Tay Sachs disease causes a persistent deterioration of physical and mental abilities that begin at six months old more often than not results to death by age four (Lapham, Kozma and Weiss 1996). Genetic diagnosis TSD is caused by a genetic defect in a single gene which has one faulty copy gene inherited from the parents. The disease arises when dangerous amounts of cell membrane gangliosides build up in the nerve cells of the brain. They finally lead to the early death of those cells. A genetic mutation in the HEXA gene on chromosome 15 is the main cause of TSD. It is a hereditary disease. TSD takes place when the body lacks hexosaminidase A. This protein assists in the breaking down of gangliosides. Gangliosides build up when the protein is missing. When both parents carry the faulty TSD gene, their child has a 25 percent chance of getting the disease (Feetham, 1999). Treatment of TSD At present, no treatment is available for TSD. However, anticonvulsant medicine may be used to control seizures initially. Supportive treatment such as proper nutrition and hydration can be applied (Lapham, Kozma and Weiss, 1996). Prognosis of Tay-Sachs disease Children with TSD die usually by age 5 due to recurring infection. This is due to the complications that arise after the child is born. Support Groups Stress of the illness may be relieved by joining support groups whose members share c ommon problems and experiences such as the National Tay-Sachs and Allied Diseases Association. Its aim is to lead the fight of treating and finding a cure for TSD. It also supports affected individuals and families to lead fuller lives. Such groups may also offer financial and emotional support. Pregnancy information Screening should be done before pregnancy and if possible before marriage. One partner can be screened and if the

Consider the Consequences of Reducing a Balance of Payments Deficit Essay

Consider the Consequences of Reducing a Balance of Payments Deficit - Essay Example So as the consequences are the results of relative actions/measures, it makes sense to review the measures of reducing the BOP deficit and consider the impact of each measure on economics. Definition of balance of payments and balance of payments deficit Pippenger (1973, p.6) defines balance of payments as a record of the value of all transactions between foreign and domestic residents over a certain period of time, usually one year; the balance of payments is based on the principle of double entry bookkeeping where the dollar value of every transaction is recorded as both a debit and a credit (Pippenger, 1973). Debit or minus entry in the balance of payments reflects the purchase or import of anything from a foreign partner, while a credit or plus item in the balance of payments reflects the sale or export of anything to a foreign partner (Pippenger, 1973). Applying double entry bookkeeping, the payments received for exports are recorded as debit and the payments made on imports are recorded as a credit (Pippenger, 1973). Balance of payments deficit is an imbalance in a nation’s balance of payments in which payments received by the country are less than the payments made by the country (Economic Glossary, n.d.). This term is also known as unfavorable balance of payments because less currency is flowing in to the country than is flowing out (Economic Glossary, n.d.). Thus, balance of payments deficit causes unequal flow of currency and results in reducing the supply of money in nation, imposing negative implications for unemployment, inflation, production, and other aspects of import-prevailing economy (Economic Glossary, n.d.). In order to minimize these implications it is necessary to understand better how balance of payments deficit can be reduced and what are the consequences of possible measures of reducing BOP? Measures of reducing BOP deficit and its consequences There exist different measures aimed at reducing balance of payments deficits; these measures are divided into two groups: automatic correction and deliberate correction of BOP disequilibrium. In this paper, we will review only deliberate measures as tools for reducing the deficit in BOP. Deliberate measures, broadly applied in different economics of the world, are differentiated by three main categories, including monetary measures, trade measures, and miscellaneous measures. Monetary measures – monetary contraction Monetary contraction or money supply allows a country to influence its level of aggregate domestic demand, demand for exports and imports, and price level of domestic production (Cherunilam, 2008). Contraction of money supply results is applied in order to reduce the purchasing power and consequently, aggregate demand of nation (Cherunilam, 2008). By adopting monetary contraction in the country, domestic output decreases, while domestic real interest increases. Increase of the rate of interest is caused in result of decrease in money supply (Dwiv edi, 2010). Increase in interest rate leads to reduction of domestic investment, and fall of investment leads to reduction of income levels of population (Dwivedi, 2010). Additionally, increase in the interest rate leads to the inflow of foreign capital, which reduces deficits in capital account of BOP (Dwivedi, 2010). In result, demand for imports is reduced because of the fall in domestic prices and domestic aggregate demand, while demand for