When I first started out in the field, I was working at a private hospital in the locked psychiatric unit, and there was a call from one of the med floors requiring someone from our unit to assist with a problem of a young man who had bitten through his cotton restraints on his wrists. They were requesting he be restrained with leather ones. I had not done any restraining and was asked to assist a woman counselor to show me the ropes (no pun intended). When we arrived in the patients room, I was shocked to see a man in his early 20's flailing around spasmodically on the bed with his gums bleeding in between his teeth. The nurse informed us that the patient was dying of a liver disease and his body and brain had become toxic, causing delirium. The counselor instructed me to hold down his arms and she placed him in leather restraints which were fastened to the side of the bed. The most upsetting thing which to this day I can not remove from memory was this man literally snapping his jaws at me like a mad animal with traumatized bloody gums from biting so hard on the cloth restraints. There was nothing I, or anyone could do, except keep him restrained from hurting himself or others. It is the kind of witness to suffering I had never experienced before, and I felt almost relieved when the nurse quietly said, " He will die before morning. " I suppose what is so traumatic about witnessing such situations is the utter sense of helplessness. I was a trained therapist, and in this situation, I was unable to do anything, and was rendered powerless. I recall being plagued by this young man's face for some time when I tried to go to sleep at night. Bruce Kugler Question: What led the author to compare the patient to a mad animal? === The answer to the above question is
OPTIONS:
- not enough information
- because the patient had chewed through his cloth restraints.
- the patient was snapping his jaws at him, with traumatized bloody gums
- the patient was flailing around on the bed
the patient was snapping his jaws at him, with traumatized bloody gums
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I have another guest post for you today. This one comes from Selina from Beautystorm. Beautystorm are proudly the cheapest stockists of Dermalogica products in Australia and provide online skin consultations with their in house Skincare Therapists. Selina will be giving us advice on how to repair sun damaged skin. Whilst we are blessed to be living in such a sun drenched country, here in Australia, as a consequence the majority of us will have sun damaged skin. Here are Selina's tips to repair some of the damage: The severe, Australian suncauses a multitude of cases of serious skin damage every year. However, there are ways, to repair rough, dry, wrinkled skin that may also suffer from redness and brown spots. The very first step to reverse some of that skin damage is some gentle cleansing. Never wash the face with an ordinary bar of soap. This will make the situation worse and cause severe dry skin. In order to wash the sun-damaged skin effectively without causing further injury, use a gentle exfoliating facial cleanser. This will remove, not only dirt and oil, but also the top layer of dead skin cells, providing a nice glow. This will reveal fresh skin cells ready for treatment. After cleansing the skin, follow with a mud mask or a facial mask made specifically for skin that's been damaged by the sun. The purpose of a mask is to draw out impurities in the skin while adding key ingredients like moisturisers and minerals back into the skin. After gently rinsing the purifying mask, a lotion, cream or serum containing key ingredients should be applied to the skin. The difference between the three is that a lotion is best for daytime use, worn under makeup or for those prone to breakouts. Creams are considered heavier and best used at night or for those with dry skin. Serums are usually highly concentrated formulas that can be used day or night, but a little goes a long way. Those with the most severe sun damaged skin should use them. Question: When should you use the facial mask? === The answer to the above question is
OPTIONS:
- after gentle cleansing
- before gentle cleansing
- during gentle cleansing
- not enough information
after gentle cleansing
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The Trump administration's recent airstrikes in Syria just the latest action in a long-running conflict that has challenged U.S. presidents of both parties has prompted a new round of questions on Capitol Hill. Lawmakers are asking where last week's strikes fit in the larger U.S. strategy in response to Syrian President Bashar al-Assad and for greater clarity to prevent an escalation of the conflict. "There needs to be a comprehensive strategy here laid out by the administration for Congress in terms of the options to pursue because of the urgency," House Foreign Affairs Chairman Ed Royce said during a House panel Wednesday. "Does the administration support imposing costs on the Russians and the Iranians for their role in the Assad regime's war crimes against its own people?" In his speech announcing the air strikes to the American people Friday, President Trump said the United States is "prepared to sustain this response until the Syrian regime stops its use of prohibited chemical agents." But later Friday, Defense Secretary Jim Mattis said the latest action against Assad was a "one-time shot." Trump ordered Friday's strikes just weeks after saying the U.S. would "be coming out of Syria like very soon," reflecting changes in the administration's posture in response to Assad's reported use of prohibited chemical agents. "We're at a real risk here of conducting strikes without any clear strategy," Brian Katulis, senior fellow at the Center for American Progress, told VOA. "The Trump administration for the past several months has issued contradictory statements, with former Secretary of State Rex Tillerson and some diplomats saying that the U.S. troops inside Syria, in eastern Syria, would be dedicated to also countering Iran inside Syria. The Pentagon was saying something completely different defeating ISIS and continuing that campaign," he said. Trump administration officials told a hearing of the House Foreign Affairs committee Wednesday the president's goals in Syria remain clear. Question: After Wednesdays hearing, Trump will have: === The answer to the above question is
OPTIONS:
- gone golfing with his children
- not enough information
- clarified his plans in regards to Syria
- gone on a vacation with Melania
clarified his plans in regards to Syria
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