Native American History Essay - 2122 Words

Popular culture has shaped our understanding and perception of Native American culture. From Disney to literature has given the picture of the â€Å"blood thirsty savage† of the beginning colonialism in the new world to the â€Å"Noble Savage,† a trait painted by non-native the West (Landsman and Lewis 184) and this has influenced many non native perceptions. What many outsiders do not see is the struggle Native American have on day to day bases. Each generation of Native American is on a struggle to keep their traditions alive, but to function in school and ultimately graduate. The long history between Native American and Europeans are a strained and bloody one. For the time of Columbus’s subsequent visits to the new world, native culture has†¦show more content†¦A more pressing matter is that of the history in the classroom. With the one sided history being instructed to Native students bring a message that â€Å"Their history does not matter,† alienation begins to form and all motivation soon leaves the students (Laura). History class is not the only issue among students; the nation’s standardized test also leaves Native students behind their peers. Many questions are â€Å"Eurocentric and culturally bias† resulting in many students who have grown in a traditional customs unable to answer the questions (Robertson). Many school curricula does not build on the students strength of the student, it is only if the strength and skill is of the dominate culture that it will get attention (Landsman and Lewis 182). Many native parents are reluctant for their children to be taught by non native teachers. The experiences through boarding schools has caused generation to have negative thought of formal education has influence current attitudes to today’s education system and teachers. Non native teachers are also at fault for the reluctance of education. Teacher’s who do not try to learn the culture of their native students never learn of many customs that do not appear in European culture. Eye culture and participation in class are expected in schools by teachers. When teachers do not receive the jesters they believe the student is being disrespectful orShow MoreRelatedNative American History : Native Americans1099 Words   |  5 Pages Native Americans A few thousands of years before the famous and high recognized explore Christopher Columbus’ ships landed in the Bahamas, a distinctive group of people discovered America. The ancestors of modern Native Americans who hiked over a â€Å"land bridge† from Asia more than 12,000 years ago. In fact, there is an estimate that more than 50 million people were already living in the Americas. As time passed, these migrants and their descendants pushed south and east, adapting as they wentRead MoreNative American History : Native Americans1879 Words   |  8 Pages†¯Ã¢â‚¬ ¯Native American Lives Since the beginning of time, conquering other societies has been a common occurrence. Almost every battle that has taken place has been documented. When stories of past battles are retold, only one side of the tale gets told, the victor’s side. In history, the ones who have been defeated never get to present their perspective of the tragic quarrels. Most never even lived to tell the stories, but the ones who do survive are not thought of as important accounts in history.Read MoreNative Americans And American History988 Words   |  4 PagesThroughout history, relationships between the Native Americans and the United States have been nothing but battle torn, and unfortunately have followed a consistent path of betrayal. There is no denying the universal fact that Native Americans have been unfairly treated and portrayed throughout American history. According to American history written during and after the war the Indian Wars that occurred were very subjective, and prejudiced in its depiction of the Native Americans. For example oneRead MoreNative American History And History785 Words   |  4 PagesAs we speak and history verifies the very fact of the long-standing planning practices of American Indian that had enabled them to survive through every hurdle placed in the way. Although many Native American societies didn’t have a written language, many tribes were advanced enough and had written history or organized spiritual ceremonies and practices. Many tribes were destroyed and others moved far away from their ancestral home. Since the origin, and till now, American Indians have been ableRead MoreNative Americans History1879 Words   |  7 PagesWhen asking a child, educated or not, what they ideas are when they hear the term Native American where does they mind venture to? More than likely do they not consider the former House of Representative, Charles D. Curtis or professor pitcher Joba Chamberlain. But they also do not think of a Native A merican as being an average person, a boy/girl like themselves. What children believe to be Native American are descriptions such as, feather headdresses, tomahawks, and long braided hair or scalpedRead MoreNative Americans And American History1036 Words   |  5 PagesNative Americans do not experience enough social, political, and economic equality today because their stereotypes are portrayed in media, they do not have enough government representation, and they are not as well off as most Americans. Education plays a big part in how Native Americans are represented. Many schools, according to â€Å"The Coddling of the American Mind,† are overprotective of their students, thus censoring and limiting some important topics that students are required to learn. ThisRead MoreNative Americans And American History1396 Words   |  6 PagesNative Americans have remained a prominent aspect of American history; not just a history of the people, but a history of the land and the extensive traditions that shadowed it, like footprints in the sand. However, when the Europeans staggered over with indifference towards the natives and their unusual customs, a conflict erupted that dates back hundreds of years and continues into the present. As the United States grew further more intolerant of the natives, the daring judgment to either assimilateRead MoreAmerican History: Native Americans 829 Words   |  3 PagesHave you ever wondered what it would be like to be Native American during the European invasion? In American history Native Americans were treated unfairly. The American government mistreated the Natives by lying to them and treating them as foreigners. After years of fighting for freedom the Natives did not achieve their goal for freedom. The Trail of Tears, being the most tragic event in American history, was due to the Removal Act in the 1830s, the misguidance of President Andrew Jackson, theRead MoreNative Americans And American History Essay969 Words   |  4 PagesNative Americans, or Indians, as they were mistakenly called, have been the â€Å"pathetic footnotes to the main course of American history† (Axtell 981). But James Axtell, the author of Colonial America without the Indians: Counterfactual Reflections, would beg to differ. He says that instead, Indians played a key role in making America great. James Murray gives another term to describe America’s greatness: America’s â€Å"exceptionalism.† Throughout his art icle Axtell makes many points as to why IndiansRead MoreThe American Of Native American History Essay2006 Words   |  9 PagesLong before Europeans landed on the east coast of the American continent, native peoples were living and thriving across the land. This is historical fact that is taught in schools across the country. However, much of the rest of Native American history that we are exposed to in schools really does not reflect truth. While the broad lessons capture parts of the story, the reality is that much of the history is distorted and paints an inaccurate picture of the tribes and how they were treated by settlers

Kant s Theory On Personal Enlightenment - 1196 Words

Tariq Al-Bakri Dahlia Guzman PHI1103.006 12/04/2015 Kant’s theory on personal enlightenment Immanuel Kant is definitely one of the most pivotal thinkers in the history of philosophy. His enlightenment theory has become well-known throughout the world and at the same time it immortalized the name of this great German philosopher. Kant defined enlightenment as ability of man to use his own understanding without guidance from another and hence to escape from his self-imposed immaturity. According to the philosopher, the cause to this state is the man himself, as he experiences it not because of his poor intelligence. He believed that such human traits as laziness, cowardice and lack of courage substantially hinder enlightenment and make individuals pass the burden of comprehension to others. Instead of using their own minds people choose to entrust thinking to others. It seems to them as an easier and more comfortable way, which is not surprising since the self-established guardians have been frightening people with prospective mistakes and difficulties. Therefore Kant believe d that one can achieve enlightenment by having enough courage to cultivate his own mind and overcome the fright of understanding which was imposed on him and became a part of his nature (Kant 1). Kant carefully explores the subject of freedom and its limitations. He states that freedom to use reason publicly is a necessary condition for the achievement of enlightenment. He also makes a clear distinctionShow MoreRelatedThe Enlightenment By Thomas Paine And John Locke1709 Words   |  7 PagesFinal Paper: The Enlightenment The eighteenth century embraced the beginning of an opinionated movement for new thinking about once unquestioned truths and actions. This movement, known as the enlightenment was more than a period of advanced ideas, as this unfamiliar way of thinking also lead to a change in the way that people began to operate within society. The ambition was lead by the attempt to break free from the past, overturning old ideas and moving forward. Enlightenment thinkers helpedRead MoreKantian Ethics And The Categorical Imperative Essay1581 Words   |  7 PagesKantian Ethics and critiques In Elements of Pure Practical Reason Book, I, Immanuel Kant, a prominent late Enlightenment Era German philosopher discusses his most famous ethical theory, the â€Å"Categorical Imperative.† The â€Å"Categorical Imperative† is a proposed universal law in stating all humans are forbidden from certain actions regardless of consequences. Although this is the general definition of this ethical theory, the Categorical Imperative† exists in two above formulations, A strict interpretationRead MoreRomanticism Essay1493 Words   |  6 Pagespsyche. Romanticism was seen as a revival of the essentially modern, spiritual and fantastic culture of the middle Ages. Romantics were involved in emotional directness of personal experience and individual imagination and aspiration. It was partly a revolt against aristocratic social and political norms of the Age of Enlightenment and a reaction against the scientific rationalization of nature, and was embodied most strongly in the visual arts, music, and literature. It is one of the curiosities ofRead MoreAnalysis Of Mary Shelley s Frankenstein 1527 Words   |  7 PagesShelley s narrative is seen to symbolize romantic fears, offering a tale of certain demise, one that gives technology negative connotations in the form of the creature whom is represented as an outcast of society. To emphasise this, the sublime settings in the text, provide a space where the marginalised can be heard, however, for in contrast to the power of beauty which works to contain and maintain social distinctions, the sublime in Frankenstein opens the way for the excluded to challenge theRead MoreKants Non-Consequentialist Approach to Ethics,2038 Words   |  9 PagesReflective Essay Kant s non-consequenlialist approach to ethics The name of Comm101 is Principle of Responsible Commerce. Before I enrolled the Comm101, I have no idea about principle of responsible commerce. At the lecture on week two, teacher had the presentation about this subject what the responsible commerce is. Generally speaking, the corporation has the responsible for animal, thing or person and so on. In my own understanding, to a person, if one person wants to have success on the commerceRead MoreThe Key Ideas of the Enlightenment Essay1865 Words   |  8 PagesThis essay will be examining the key concepts of the ‘Enlightenment’ also known as â€Å"The Age of Reasonâ€Å" that occurred from the 16th and 17th century, before considering the manner in which it helped to shape the sociological view on societies and how it has linked to the birth of sociology. Before doing so I will give a brief historical context. All the profound questioning that emerged during the Enlightenment came out of the undermining of the old Catholic authority over all social truth thatRead MoreKant and Equality7623 Words   |  31 PagesKANT AND EQUALITY Some readers of this essay will have become impatient by now; because they believe that the problem that perplexes me has been definitively solved by Immanuel Kant. It is certainly true that Kant held strong opinions on this matter. In an often-quoted passage, he reports a personal conversion from elitism: â€Å"I am myself a researcher by inclination. I feel the whole thirst for knowledge and the eager unrest to move further on into it, also satisfaction with each acquisition. ThereRead MoreImmanuel Kant : An Persuasive Mastermind Of The Enlightenment Essay2642 Words   |  11 PagesIMMANUEL KANT Historical Context Immanuel Kant (1724-1804), was a German philosopher who today is viewed as the most persuasive mastermind of the Enlightenment time and one of the best Western thinkers of all times. His works, particularly those on epistemology (which is the study of what differentiates belief from opinion), feel and morals impacted later philosophers, including contemporary ones. Other than setting up himself as one of the well-known Western scholars, Kant additionally made a vitalRead MoreThe Ethical Theories Of Utilitarianism And Deontological Morals1917 Words   |  8 Pagesin the development of business ethics and which include an extremely rational significance in assessing ethical concerns in contemporary business: Utilitarianism and deontological morals (Hartman, L., 2017). Part A: Comparison/contrast the ethical theories of Utilitarianism and Kantian The first ethical tradition is Utilitarianism, an ethical hypothesis constructed and cultivated in the contemporary world in the conformations of Jeremy Bentham and John Stuart Mill. Utilitarianism is a philosophy ofRead MoreJohn Locke And Jean Jacques Rousseau Essay1583 Words   |  7 Pagesagree to live together in harmony for their mutual benefit, after which they are said to live in a state of society, including concepts such as equality, fairness and equal distribution. During the Enlightenment of the 17th and 18th centuries, was when philosophers contributed to the social contract theory, as this was a time marked within history to be a time when intellectuals first began to explore established views in relation to religion, science, economics, goverments and laws. Dating back to

Enron Collapse Free Essays

What are the main reasons that Enron collapsed? I think the reasons for the collapse are three fold. Firstly Enron’s accounting practices(mark to market accounting- companies estimate how much revenue a deal is going to bring in and state that number in their earnings the moment the contract is signed) Its managements goal was to maintain the appearance of value by always having rising stock prices rather than focus on creating real value for the company. Secondly its reliance on Special Purpose Entities to constantly raise capital without increasing its indebtedness. We will write a custom essay sample on Enron Collapse or any similar topic only for you Order Now It allowed losses to be kept off the books while assets to be stated. Enron had its own executives manage these partnerships and would make the deals work by guaranteeing that if whatever they had to sell off declined in value, enron would make up the difference in its own stock. So basically it was selling part of itself to itself. It was these financial bolications to the SPE’s that ended up triggering the collapse. Thirdly its lack of a truly independent auditor to stand up to Enron ultimately caused its downfall. 2. Do you think Enron could have survived? I think if the company had acted internally when Sharon Watkins reported suspicious accounting, and dealt with it internally , Im sure the share prices would have dropped upon reporting of the actual financials but maybe the company could have avoided bankruptcy. 3. Crisis Management Consultant of Arthur Anderson, what would your advice be to the CEO? I think I would have admitted the absurdity of performing both auditing and consulting functions I maybe would have focused on the hiring of of Arthur anderson employees as enron employees, who then managed the affairs of their old colleagues. Ethical lines got blurred. Then use this platform to lead the industry to reforms and act oversear of how to avoid their mistakes and breakdowns of communication within their corporation. How to cite Enron Collapse, Papers

The Practical guidelines on the management - MyAssignmenthelp.com

Question: 1. Identify and briefly describe a specific area of your practice in which you have a particular interest or where there is uncertainty differing opinions about the provision of care. 2. Develop a specific searchable question using the PICO format or similar based on the area of practice described in task 1 3. Conduct a search for the highest levels of evidence that you can find to answer your question. The 3 highest pieces of research evidence found should be selected. Succinctly describe your search process and provide justification of the resources that you chose to search and the evidence selected. Include the abstract/s or summary/summaries of the high level evidence to your final assignment. 4. Compare and contrast the answer to your question found in the high level evidence to the current practice in this area. Your discussion should highlight the level of evidence or strength of the recommendations and clearly discuss any differences that exist between the evidence based recommendations and your existing practices, and whether the practice adheres to the current research evidence. If you are unable to find high level evidence and/or clear evidence based answers to your question then this should be discussed, including reasons why you think this evidence does not exist or is poorer quality evidence. 5. Discuss the barriers to using/implementing EBP that may exist in your specific clinical setting and how these barriers may be overcome, and/or strategies that exist to promote EBP within your practice setting. Answer: Introduction The occurrence of foot ulcers is common in any individual and the foot ulcers are referred to a small region of broken surficial skin especially beneath the feet or lower leg. However, when the level of sugar in blood rises and due to the damage in the nerves, skin loses its capability to heal itself. The worst part is that even a small injury to the skin can initiate the formation of foot ulcers. Foot ulcers are closely linked with the diabetic nerve pain and diabetic neuropathy and this is the reason, many people with diabetes are frequently affected by foot ulcers. Studies have revealed that 10 percent of people with type 2 diabetes have a tendency to develop foot ulcers. People suffering from both the type 1 and type 2 diabetes are both affected by foot ulcers. Foot ulcers are influenced by diabetes and the people suffering from diabetes must understand the fact that, if foot ulcers are left untreated then there are severe consequences (Bakker, Apelqvist and Schaper 2012). This s tudy focusses on the nursing intervention required for the reduction of the diabetes in patients and also to reduce foot ulcers in patients with diabetes mellitus. Answer 1 In diabetic patients, the awareness regarding injury and healing is very scarce. Which makes it an effective field to carry out nursing intervention for effective dealing the issues which arise in such patients. Regarding the identification of a specific area which I have a particular interest is for the reduction of diabetic foot ulcers in patients suffering from type 2 diabetes mellitus through nursing intervention. The occurrence of the foot ulcers is approximately 1 to 2 percent and the prevalence is slightly high in older adult people. Venous ulcers are considered to be the most common form of foot ulcers which accounts around 80 percent of all the ulcers that occur in the lower extremities (O'Meara et al. 2012). The incidence of the venous ulcers is majorly seen within people aged between 60 to 80 years. Also studies have shown that, patients with the chronic venous insufficiency have a tendency to develop venous ulceration around 40 years of age. Whereas, it was also found tha t venous ulcers have the highest occurrence and as well as has the highest chances of recurrence. Majority of the ulcers that occur in adults are a direct result of the sense of sensation. Around 15 percent of persons having diabetes have an increased chance of having foot ulcers during their lifetime. At the same time, nursing interventions on foot ulcers have differing opinions regarding which procedure is proper. Nursing intervention like education from a specialist nurse, anti-fungal management of the injured area, decompression, dressing and debridement (Dorresteijn and Valk 2012). There are other sorts of treatments which include drugs that control the glucose level in blood, drugs that work to nourish the nerves, improvement in the supply of blood to the lower extremities of the body through the proper administration of drug. Answer 2 Foot ulcers are common in diabetic patients exhibiting the type 2 diabetes mellitus. Thus, a nursing intervention is required for effective treatment of the diabetic foot ulcers. There is an effective therapy called the Hyperbaric Oxygen Therapy which can effectively reduce and treat the diabetic foot ulcers. A PICO analysis of this therapy can consolidate its validity. Population- Type 2 diabetes mellitus adult patient that are experiencing the diabetic foot ulcers. Intervention- Hyperbaric Oxygen Therapy for the individuals suffering from the type 2 diabetes mellitus. Comparison- Wound dressing management versus Hyperbaric Oxygen Therapy in patients that are having diabetic foot ulcers. Outcome- Reduction of the diabetic foot ulcers within a period of 12 months. PICO QUESTION: Does the Hyperbaric Oxygen Therapy is able to reduce the occurrence of Diabetic foot ulcers in the individuals suffering from the type 2 diabetes mellitus within 12 months, compared to the wound dressing management therapy? Answer 3 The search for the highest levels of evidence related to the hyperbaric oxygen therapy can be found in the research journals and articles that emphasize on the reduction and treatment of the diabetic foot ulcer. The search process includes searching in various databases like ResearchGate, PubMed, NCBI, Elsevier, ProQuest. Whereas, the searching keyword used for the search is Prevention and Treatment of Leg and Foot Ulcers in Diabetes Mellitus, Hyperbaric oxygen therapy to cure the diabetic foot ulcer. The papers were shortlisted based on the exclusion and inclusion criteria. The inclusion criteria were based on the treatment of diabetic foot ulcer. Whereas, the exclusion criteria were based on the hyperbaric oxygen therapy for the cure of other types of ulcers. The resources selected emphasize curing of the diabetic foot ulcers, efficiency of the hyperbaric oxygen therapy for the cure of diabetic foot ulcers Abstract 1- the objective of the essay is the efficiency and the safety of the hyperbaric oxygenation therapy for the cure of diabetic foot ulcers and includes the meta-analysis and systematic review of the literature. The methods employed are searching the Embase, Medline and Cochrane library database for the relevant articles published. The controlled trials based on the management and cure of diabetic foot ulcers through the hyperbaric foot ulcers. Also a meta-analysis was carried out for the safety and efficiency of the hyperbaric oxygen therapy. The results of the study include thirteen trials (624 patients), involves the 7 prospective randomized trials. the analysis revealed that the hyperbaric oxygen therapy treatment procedure yielded significant reduction in risk associated with the amputations. The adverse events of amputations were rare and not frequent. From the study it can be concluded that, treatment with the hyperbaric oxygen therapy improves the healing rate and as w ell as reduces the rate of amputations in patients affected by the diabetic foot ulcers (Liu et al. 2013). Abstract 2- the study speaks that 10 to 15 percent of the individuals with the diabetes mellitus have a tendency to develop the foot ulcers. These percentage of the individuals also experience of amputations which is 85 percent. The hyperbaric oxygen therapy along with the increased incidence of oxygen can encourage the healing process and it reduces the risk associated with amputation. The main objective of the study is to evaluate the efficiency of the hyperbaric oxygen therapy for the treatment of diabetic ulcers in the lower limbs. The methods employ a systematic search using a keyword lower limb diabetic ulcer, HBOT. Databases that were used for the initial searches include Embase, Medline, Biosis, PubMed, CINAHL, Wileys Cochrane Library. The Randomized control trials were included for the observational studies. The pooled estimates of the data were determined as per its appropriateness. the results of the study indicate that of the 654 papers identified, around 157 articles cam e under a full text review. Data from the 12 publications were abstracted among which 6 papers were based on the comparative analysis and 6 were based on the randomized controlled trials. After the pooled data were analyzed then it was found that, hyperbaric oxygen therapy reduced the risk of amputation when compared with the standard form of wound of care by 60 percent. The conclusions stated that, due to the limited randomized control trial evidence, the harms and the benefits of the hyperbaric oxygen therapy. No significant difference was found within the data reflecting the randomized control trail over the usage of the hyperbaric oxygen therapy (O'Reilly et al. 2013). Abstract 3- the background of the study reflects the role of the hyperbaric oxygen therapy to treat the diabetic foot ulcers. This has been analyzed from the medical literature for over a decade. The study has been undertaken by the Undersea and Hyperbaric Medical Society, Grading of Recommendations Assessment Development and Evaluation Working Group (GRADE). The study included a literature review and focused on the assessment of the evidences and generate the correct practices for the care of diabetic foot ulcers. The results indicated that, hyperbaric oxygen therapy is beneficial in both promoting healing and preventing amputation in the patients. However, in comparison to the surgical debridement of the foot ulcers, the hyper oxygen therapy yielded much better results. From the conclusion it can be derived that the policy makers, patients and the clinicians must include hyperbaric oxygen therapy for the effective cure of the diabetic oxygen therapy. The current state of evidence s uggest that this therapy is underutilized (Huang et al. 2015). Answer 4 The cure of the diabetic foot ulcer with the assistance of the hyperbaric oxygen therapy involves cross reference from the high level evidences like the research journals that were previously done. However, with the development of the medical science of the, newer procedures are developed like the management of the diabetic foot ulcer medically, surgical management, percutaneous transluminal angioplasty of the occluded and the stenosed lower extremity arteries (Sinwar 2015). Management of the wound area through the usage of alginate, hydrofiber, transparent film, low-adherence dressing, hydrogel, hydrocolloid debriding agents, foam. Surgical options include skin grafts, tissue cultured skin substitution, surgical wound closure, xenograft (Zelen et al. 2013). The efficiency and potentiality of Hyperbaric Oxygen Therapy can be established from the high level evidences from the research articles and journals. According to the Liu et al. (2013), the primary outcome of the study was based on the haling of the ulcer which is categorized as the epithelization of the wound. The secondary outcomes of the study on the other hand included the minor and major amputations. A study was conducted based on thirteen trials which included a total of 624 patients, which also included 7 randomized trials (meta- analysis) and a search of the relevant articles on database like Embase, Medline and Cochrane database. A total of 89 relevant articles which were also used for the comparison of the hyperbaric oxygen therapy with the conventional therapy for the cure of the diabetic foot ulcer. Healing of the ulcers over the short term and the long term follow up were considered. The short term follow-up was taken as less than 6 months, while the long term follow up included a period of more than one year. The short term follow-up included 10 studies that showed that healing to occur within the short term follow-up. Healing according to evidence based nursing practice was defined as the complete cover of the wound area with the epithelial tissue. The pooled data showed a positive response on the patients who were treated with the hyperbaric oxygen therapy. The short term follow-up revealed that the hyperbaric oxygen therapy effectively reduced the diabetic foot ulcer and improved the rate of healing without any heterogeneity. Whereas long term follow-up included an over the 1-year period included 7 trails of 366 patients which almost included about 58.6 percent of the patients of the whole study process. The results showed that there is a large increase in the healing process of the diabetic foot ulcers in the patients who were administered with the hyperbaric oxygen therapy. The long term follow-up showed more positive response in comparison to the short term follow up. For the Randomized control trial, a total of 300 patients were used for the 4 randomized control trial. This randomized control trial was assessed based on the primary outcome. A large amount of heterogeneity was noticed in the sub analysis and also in the total population. The major and the minor amputations are also considered for the secondary outcome, and after the assessment 11 patients undergoing amputations. Considering the size of the study the number of patients with the amputations were considerably low. The minor amputations showed amputations of the ankle joint. Thus, from this study, the Hyperbaric oxygen therapy demonstrated a better outcome in comparison with the conventional therapy (Liu et al. 2013). The existing practice of the hyperbaric oxygen therapy for the patients having diabetic foot ulcer is in accordance with the current research practice. The current research emphasizes on the positive outcome of patients having the diabetic foot ulcers. The foot ulcers of the patients have shown total recovery over the period of both the 6 months and 1 year. Although, there is only a marginal number of patients who had undergone amputations. However, the complete recovery of the wound region with the growth of epithelial tissue consolidates the validity of the hyperbaric oxygen therapy. Answer 5 When an evidence based practice is implemented, there are certain barriers that acts to inhibit and hinder the nursing practice within a clinical setting. The same way there exists numerous barriers in the implementation of care to the diabetic foot ulcer patients. The barriers involved are: beliefs and attitudes of the doctors and patients as well as the other healthcare professionals; the structure of the healthcare system also pose as a barrier in the care delivery to the diabetic foot ulcer; the other problems include; unavailability of the healthcare in some geographical areas; patient related factors (Houtum 2012). A study conducted on the barriers to the care delivered to the patients of diabetic foot ulcer. The study involved a questionnaire which showed that, whether the patients had experienced any barrier in the foot care. It was found that 52 percent of the patients responded yes, whereas 48 percent of the patients responded no. For the identification of the barriers, a total of 162 respondents were used. Among which, 92 respondents (56.8%) cited that poor communication between the health care providers and the patients. Whereas, 82 respondents (50.6%) reported to be neutral or have no idea. While 72 respondents reported inconveniency for work (Seid and Tsige 2015). In certain geographical areas visit to the healthcare clinics is not feasible due to the distance and thus makes regular visits impossible. Even if the clinics are available, the proper healthcare professionals are not available who can be properly administer the necessary care in a clinical setting. The variations that exist in clinical decision making affect the different layers of care. It has been found that some clinicians might not have the idea to consult another expert from a different field before performing an intervention. For an example, a general surgeon might not consult a vascular surgeon before performing an amputation (Margolis et al. 2013). Medical treatments also depend on the local attitudes, beliefs and conventions which to a great extent influence the outcomes of health. The cultural aspects influence the health care delivery because the specialists that are involved in a diabetic foot team belong from different communities. Effective care delivery to the patients is also affected by the barriers. If patients exhibit neuropathy, then it results into inability to perceive the pain and it renders the patients to unaware of the ulceration or the trauma (Callaghan et al. 2012). Whereas, retinopathy results in to inability of a patient to detect and inspect foot problems. Also, lack of u nderstanding plays a major role in which patients who are aware of the risk associated with the diabetic foot ulcer, might avoid referring to a clinic. This further increases the severity of amputation. Overcoming the barriers, incorporate an effective intervention strategy. The effective intervention includes policies by the government that focusses on the set up of clinics geographically that can effectively work to treat the diabetic foot ulcer patients that stay away from the city limits (Batta, Lejeune and Prasad 2014). Communication has been found to be the major barrier that hinder the care and treatment delivery to the patients. Thus promotion of the effective communication between the patients and the health professionals can to a great extent reduce the time period required for the treatment of the diabetic foot ulcer (Monteiro?Soares et al. 2014). The diabetic team that assist the patients to recover from the diabetic foot ulcer sometimes include team members that belong from the different cultural community. Thus to overcome such barriers, it is necessary to act on building team which will have members from the same cultural background (Rubio et al. 2014). There are also other issues that hinder a patient to recover from a diabetic foot ulcer, like the food habit and uncontrolled glucose concentration in blood (Inzucchi et al. 2012). Effective medication is one of the best strategy that will reduce the concentration of glucose in blood (Kahn et al. 2014). At the same time a strict diet plan can effectively work to prevent the occurrence of diabetic foot ulcer (Ley et al. 2014). Conclusion Thus from the above study it can be concluded that, diabetic foot ulcer is common in patients having type 2 diabetes mellitus. There are several developments in this field for the effective management and cure of the diabetic foot ulcer. The effective cure strategy involves the usage of the hyperbaric oxygen therapy; this therapy has been found to effectively heal the wound with the epithelial tissue. Reference Bakker, K., Apelqvist, J. and Schaper, N.C., 2012. Practical guidelines on the management and prevention of the diabetic foot 2011. Diabetes/metabolism research and reviews, 28(S1), pp.225-231. Batta, R., Lejeune, M. and Prasad, S., 2014. Public facility location using dispersion, population, and equity criteria. European Journal of Operational Research, 234(3), pp.819-829. Callaghan, B.C., Cheng, H.T., Stables, C.L., Smith, A.L. and Feldman, E.L., 2012. Diabetic neuropathy: clinical manifestations and current treatments. The Lancet Neurology, 11(6), pp.521-534. Dorresteijn, J.A. and Valk, G.D., 2012. Patient education for preventing diabetic foot ulceration. Diabetes/metabolism research and reviews, 28(S1), pp.101-106. Houtum, W.H., 2012. Barriers to implementing foot care. Diabetes/metabolism research and reviews, 28(S1), pp.112-115. Huang, E.T., Mansouri, J., Murad, M.H., Joseph, W.S., Strauss, M.B., Tettelbach, W. and Worth, E.R., 2015. A clinical practice guideline for the use of hyperbaric oxygen therapy in the treatment of diabetic foot ulcers. Undersea Hyperb Med, 42(3), pp.205-247. 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