Wednesday, February 26, 2020

Choose one macrovascular and microvascular complication and discuss Assignment

Choose one macrovascular and microvascular complication and discuss the best evidence based assessment & management to identify and prevent secondary complications from the disease process - Assignment Example One of the most likely microvascular complications that they are likely to develop is retinopathy commonly known as retinopathy. The complication can be easily identified in individual with type 1 and type 2 diabetes. One can use several features in easy identification of the condition. One of the common characteristics that can be easily used in the identification of the complication is the presence of small haemorrhages in the central part of the retina (Fowler, 2008). Haemorrhages in this section of the eye appear as dots. The other characteristics that can be easily used in the identification of the condition in these individuals is the presence of hard exudates in the skin. The other common attributes are the presence of small vascular dilatations that occur in the retina commonly known as microaneurysms (Fowler, 2008). The location of the small vascular dilations can help in direct identification of the complication as they are usually the first to develop. Moreover, an individ ual is most likely to have retinal oedema that indicates microvascular leakage. Hence, individual retina is most likely to be greyish in colour. The severity can be easily identified by noting individual visual capability. The management of the disease is crucial in preventing the development of the complication. One of the key things in preventing of complication is by ensuring the three take part in dietary changes (Lewis, Dirksen, Heitkemper & Bucher, 2013). Change of diet will involve a reduction of carbohydrate intake and at the same time increase the fibre intake (Australian Indigenous HealthInfoNet. (2007). Another way of reducing complication is ensuring the affected individuals take part in eye screening. Eyes should be regularly checked by ophthalmologist especially on a yearly basis (Australian Indigenous HealthInfoNet. (2007). On the other hand, Nick, Marty, and Sam are likely to develop macrovascular complications. One of the common types of this complication is

Monday, February 10, 2020

A, Critically explain an account for the equitable maxim equity will Essay

A, Critically explain an account for the equitable maxim equity will not assist a volunteer and B, Critically explain an account for the differences between equitable and common law remedies - Essay Example A donatio mortis causa is where property is transferred to another in expectation that the maker will be dying soon after the item has been transferred. The transfer is conditional that the death is imminent. Such a gift is effective form the moment it has been made subject to the death of the testator soon after making the bequest. The gift is classed as an inter vivos gift such that if the testator does not die as expected the gift will be revoked. Blackstone talks of donatio mortis causa as occurring when a person ‘in his last sickness, apprehending his dissolution near, delivers or causes to be delivered to another the possession of any personal goods to keep in case of his decease’. Swinburne identifies 3 types of donatio mortis causa, these being a gift in anticipation of death, a gift moved by imminent danger which takes effect immediately and a gift where a person in peril of death gives something to the donee that only becomes the property of the donee if the donor dies. The Lord Chancellor disagreed with this stating that only the first of these was a donatio mortis causa. The Lord Chancellor made the comment that the second type would be an inter vivos gift whilst the third type would be a testamentary disposition. ‘for an effectual donatio mortis causa three things must combine: first, the gift or donation must have been made in contemplation, though not necessarily in expectation, of death; secondly, there must have been delivery to the donee of the subject-matter of the gift; and, thirdly, the gift must be made under such circumstances as shew that the thing is to revert to the donor in case he should recover’ As a result of cases such as Sen v. Headley2 the courts have adopted a different approach to the application of donatio mortis causa. The new conditions require that the gift was made in contemplation of death, rather than expectation; that the gift is made subject to the condition that it will only