Underlying depression in orthopedic patients Essay

Underlying depression in orthopedic patients - Essay Example Depression in orthopaedic patient are overlooked and seldom treated because of the misconception that it will eventually recovered by the patient itself.Depression occurs not only in adult orthopaedic patients but with children as well. The purpose of this paper is to identify the role of nurses, doctors, and other healthcare providers in the orthopedic department with regard to how we identify depression, and what needs to be done to thoroughly recognize these cases and initiate the appropriate treatment. Identifying such issues is important because it is vital both to their recovery and to the healthcare provider. How do we effectively detect depression during the assessment and carry out proper intervention in treating their depression as well as their medical illness. As part of the patient safety goal campaign of Hoag Hospital, should we change how we systematically assess our patients at the bedside and routinely screen for depression and / or suicide These are the problems that we consider because of the severity of the case that it may lead if the depression in an orthopeadic patient will be taken for granted.There are researches and study that elderly recovering from an orthopaedic surgery is normal to experience depression. According to some doctors, some depressions are caused by some of the medicines they are taking; some are the non acceptance of their situation mostly in amputated legs or arms. According to Baker and Ashbourne of Children's Mental Health Ontario (2002) on e is considered to be depressed if they have the following symptoms: depressed appearance, anxiety, irritability and frustration, lack of interest, lack of cooperation, change in appetite and sleep patterns, weight loss and gain, loss of energy, withdrawal from family and friends and others. Patients are not aware that they are having the said depression resulting in the misconception of the doctors and medical staff that the patient is recovering. The physicians and other medical staff overlooked the fact that depression may originate from the lack of communication with the patient. Doctors and nurses are ignoring the fact that orthopaedic patient may have depression during recovery. Involved medical staff should be aware of the signs and symptoms of depression in order to prevent the further development of it. The older orthopaedic patient with depression usually experience severe pain thus prolonging their rehabilitation. There are also some factors from the situation of the orth opaedic patient that may cause their depression. Since surgery is usually costly they may have financial problems causing the patient to severe depression. The patient may tend to isolate themselves from others causing a great sadness that leads to depression. There are some cases wherein patient would have any complications such as diabetics causing the patient to feel helpless. These are the common factors that causing the orthopaedic patient to feel depressed. Solution Generation The first thing to do in treating depression in an orhtopedic patient, is understanding what is depression Herbalmedicine.com (2007) defined depression as a mood disorder that is often triggered by a chemical imbalance or stressful situations. People suffering from depression experience ongoing sadness, low energy, irritability and general disinterest in daily activities. Depression is a medical condition and should not be considered a personality flaw or weakness of character. It is best to determined first if the patient is having the said condition before admission in the rehabilitation ward. As the physician you must be aware of the possibilities that your patient might have this condition because of the signs and systems that is present in the patient's attitude. Usually depression is associated with

Salary packaging and Taxation Essay Example | Topics and Well Written Essays - 5250 words

Salary packaging and Taxation - Essay Example Fringe benefits tax will apply to both Chris and his employer for this agreement during the FBT year that begins in 1st April 2011 up to 31st March 2012. Superannuation is money put in for a person's retirement. Strict government policy prevent untimely access to conserved benefits except in extremely limited and constrained circumstances, as well as severe financial adversity or on a compassionate basis, such as for medical cure not obtainable through Medicare. Usually, superannuation benefits are in three categories: conserved benefits; restricted non-conserved benefits; and unhindered non-preserved benefits. Mainly superannuation is concessionary taxed at a level charge of 15% at two key points: on contributions, and on salary. Capital Gain Tax inside the fund though is taxed at a charge of 10% if the properties held for longer than twelve months. Contributions whether in the type of employer superannuation, or associate salary sacrifice are levied at this rate. In the majority of the industry funds, the salary tax is paid prior to profits are disbursed to associates so it appears as a lesser level of interest on the worker’s statement. From the time when it was introduced, employers have been obligated to make compulsory contributions to superannuation in place of the majority of their workers. ... Superannuation contributions made by Chris are not treated as fringe benefits but as employer contributions. The initial contribution that Chris was making was $17,000. He however, decided to increase it by $15,000. This contribution has to meet three conditions, which are; it must be an arrangement before service there should be an agreement between West Gate Pty Ltd and Chris and Chris should not have an access to the sacrificed salary (Marsden, 2010). According to the Australian tax office ruling, the superannuation contributions are taxed in the superannuation funds such as 15% (Australian National Audit Office, 1999). West Gate Pty Ltd will therefore, pay the following amount in tax for contribution: 15/100 x $32,000 = $ 4,800 Chris has salary packaged other items apart from the superannuation contributions. The first item is a laptop that one of his children requires for school. It is worth $3,300. This is a fringe benefit for Chris. According to the Australian tax office rulin g S23, the tax is levied at 46.5% for the FBT year ending 31st March. West Gate Pty limited will pay the following amount for the benefit; 46.5% x $3,300 = $1,534.50 Under this, the income test will take into account the fringe benefit received. This fringe benefit is not included in the employee’s assessable income. The employer will be giving a benefit directly to a relative of the employee. Anything is accomplished by the employer in any agreement, arrangement or transaction so as to award any benefit upon any individual other than the member of staff, whether directly or obliquely. The benefit would have been taxed if it had been contracted to the employee. The next item that Chris has packaged is a new car. A taxable benefit is be