Cased based essay- Treatment, rationale and management of the iskemic Essay

Cased based - Treatment, rationale and management of the iskemic ulcer - Essay Example Other important findings in the history include presence of intermittent claudication of the left lower limb since one year. John is a chronic smoker. He decreased smoking since one year after onset of claudication symptoms, following advice from a physician. However, he has not been able to completely quit smoking. During the current visit to the hospital, there is no history of fever or any other symptoms. The patient complains that the onset of ulcer started after he began to wear new slip-on shoes with narrow toe box. The patient reported being allergic to penicillin. There is no history suggestive of occupational injury, trauma, varicose veins, previous history of lower limb wounds/ulcers/gangrene, history of amputations and history of any other surgeries. There is no family history of similar ulcers either. The patient is not suffering from any collagen diseases. He is not on any anti-inflammatory drugs or steroids. The condition of the patient is stable. He is afebrile. He looks well nourished. Vitals signs are stable. Systemic examination is within normal limits. The ulcer is located over the lateral malleolus of the left leg. The size of the ulcer is 3cm in length, 2 cm in width and about 0.5 cm in depth. The borders are regular and the wound appears punched out and clean. The color of the ulcer is yellowish. There is minimal granulation tissue. The exudate from the ulcer is mainly serous and minimal. The surrounding skin appears pale, non-edematous, shiny and has decreased hair. Dorsalis pedis pulsation appears normal. Lower extremity ulcers are very common in patients with diabetes and infact, these are the most common causes for limb amputation in diabetic population (Armstrong and Lavery, 1998). Factors which contribute to the development of ulcers in the diabetic population are diabetic neuropathy, peripheral arterial disease and structural deformity (Armstrong and Lavery, 1998). From a podiatrician perspective, it is very

Research Paper Essay Example | Topics and Well Written Essays - 1000 words

Research Paper - Essay Example The gendered roles of men and women institutionalized the supremacy of men which was further reinforced by the fact that being the bread-earners, they were naturally the heads of their families. This kind of male dominance prevailed since centuries, until the mid-twentieth century, when women’s rights activists initiated historical movements. Up till then, women did not have many chances of getting high education as compared with men. However, with the passage of time, they became aware of their political and social rights and sought to fight for them. In many countries of the world, women were deprived of their inheritance, and so much was to be done to earn their birth rights. For instance, the right to express themselves; the right to have a voice or opinion; the right to earn or work; the right to marry the person of their choice; the right to have or not to have children; the right to vote; the right to divorce; the right to adopt a religion; or simply the right to live t heir own lives, rather than being dictated by the norms of society or the patriarchal system. Prior to this awareness, they had no rights over their own bodies or sexuality. Having right over your own body means having the power to decide for yourself. Self determination was denied to women since ancient times; but the dynamics of the twentieth century changed the mindset of all and sundry, once various movements in different parts of the world gained momentum. Perhaps the first step was to step out of the domestic domains and enter the work force with men. As their roles changed, there developed a natural urge to change their social and political status. After a long journey, women today can claim to enjoy equal benefits at workplace, access to therapeutic abortion, maternity leave, etc. The health exception drew additional legitimacy from Britain’s passage of a therapeutic law in 1967. In the late 1960s, reformers succeeded in securing laws for therapeutic abortion in a num ber of states, which set up complicated processes heavily supervised by medical committees that allowed women to end pregnancies in â€Å"hardship cases† involving rape, incest, the probability of a deformed child, or the threat of death. (Stansell, 315) The Abortion Law is yet a controversial topic in many parts of the world. However, women’s rights’ activists that were in favour of this law hailed the decision of the government in this regard. The official law prevented women from aborting themselves at home that posed severe health risks for them. However, abortion by choice is yet not a simple task in many states and is only performed where necessary. If the reasons of abortion are primarily for the health or honour of women, or in case of a deformed child, then women are granted this right. Conservative societies, like Japan were reluctant to change their attitude towards women, as demanded by the women’s rights’ activists. Regarding the abort ion rights in Japan, during the 70’s and 80’s, a massive change was witnessed among women who fought for women’s rights. This movement spread awareness among women about their rights whether to have a baby or not. â€Å"...women in the reproductive health movement diligently prevented the revision of the national law that would have limited access to abortion. The revision would have legally nullified women’