How Effective Repositioning is in the Prevention and Treatment of Essay

How Effective Repositioning is in the Prevention and Treatment of Pressure Sores in ITU - Essay Example This study is meant to throw light on the effectiveness of repositioning as a premier curative component in the case of pressure sores. It will help widening the existing knowledge in this area to a new qualitative dimension. Repositioning has been considered as one among the components which is manual, while the other methods are either technical or equipment based. Focusing on repositioning, given its easy availability and less complication in practice, the study will supplement the existing knowledge in this area. This essay makes a conclusion that the most important advantage of the study will be its high reliability, because the data is collected directly from patients who are the real beneficiaries of the proposed study; and Medical professionals who are the care givers, and who over a long period of time, have been practicing in this area. Therefore they have vast practical experience and a very realistic understanding as to the effectiveness of each method on different types of patients. They have a clear idea about which method suits which patients, which is the ideal method for a larger segment of the population. Moreover, they have dealt with numerous cases and through practices over a long period of time, they have gained sufficient insight into the effectiveness of each method and also which method suits which individual. Another advantage is that, the hospitals one located in the local area and therefore data collection will be easier, and can be done within a limited period of time and resources.

Indian Gaming Act 1988 Essay Example | Topics and Well Written Essays - 750 words

Indian Gaming Act 1988 - Essay Example The previous policies had left them in a state of abject poverty and social disintegration in spit of the outpouring of federal funds for massive welfare and social service costs. However, in order to make the policy of self determination work Indian tribes had to find new enterprises to replace the old economies of hunting and fishing no longer viable in the restrictive reservation environment. For some tribes, one path to develop a new sustainable reservation economy was gaming. The Indian Gaming Act 1988 was designed to provide parameters for tribes wishing to develop this industry with some degree of tribal control. Some tribes did not want to pursue this avenue as it was against their cultural values. Other tribes were interested but were not allowed to pursue this activity in states which forbade it for all their citizens. (Gunn eNotes.) The IGRA represents a compromise between competing interests and powers of Indian tribes, states and the federal government. Prior to this, tr ibes had the right to engage in all forms of gaming irrespective of state laws. Many states had concerns about possible infiltration by organized crime. While Congress in 1988 did give some gaming rights to federally recognized tribes, it sought to allay state fears by insisting that profits from gaming activities be used to fund tribal government operations such as hospitals, schools, police and fire departments, make donations to charities and help fund neighboring cities. The IGRA divides Indian gaming into 3 classes. Class one includes Indian gaming in connection with tribal ceremonies and is participated in socially for prizes of minimal value. This class is left to the exclusive jurisdiction of Indian tribes. Class 2 includes bingo and non banking card games where players bet against each other rather than the house. This is permitted in states allowing this type of gaming and the governing body of the tribe adopts a resolution approved by the chairman of the 3 member National Indian Gaming Commission created by the LGRA to monitor classes 2 and 3 gaming activities of tribes throughout the country. Under the Act tribes are primarily responsible for regulating class 2 gaming activities subject to Commission oversight. Class 3 includes all other forms of gambling especially casino style. This class is subject to 3 conditions; (1) it must be in a state that authorizes this form of gambling, (2) the tribe must negotiate a compact with the state concerning the nature and extent class 3 gaming the tribe may conduct and its’ regulation, approved by the secretary of the interior and (3) the tribe must have a tribal gaming ordinance approved by the chairman of the NIGC. The Seminole Experience The Seminoles of Florida correctly decided that the gaming industry was their path to developing a profitable tribal economy. They started off in 1979 with high stakes bingo and were able to circumvent Florida state laws against gambling ( Ewen 1996) The Seminoles th en tried to expand their operations to casinos, prompting states including Florida to petition Congress to enact the IGRA. The tribe then tried to negotiate a compact with Florida allowing them to operate and regulate casinos but the state refused to cooperate. Alleging bad faith, the Seminoles then attempted to sue the state in federal court as provided for in the IGRA, but this was disallowed by the Supreme Court on the basis that Congress had no authority to subject a state to the jurisdiction of a federal court . Some Seminoles consider this loss as a victory, arguing that it means that technically they only need NGIC approval to operate casinos. However, the