Urinalysis of Four Urine Samples

Urinalysis of Four Urine Samples Urinalysis Practical Background: As you have learned, the urinary system performs many vital functions in the body including: Regulating blood volume and pressure by regulating water excretion, Regulating plasma ion/solute concentrations by adjusting urine composition, Assisting blood pH stabilisation, Removing nitrogenous waste, Conserving water and important nutrients and Assisting the liver in detoxifying poisons. Therefore, analysing a sample of urine from a person can provide important information on the health of that person. Urinalysis can reveal diseases such as diabetes mellitus, urinary tract infections and renal (kidney) infections such as glomeronephritis and kidney stones (renal calculi). A medical professional may perform a urinalysis for several reasons: As a general health check-up, Diagnosing metabolic or systemic diseases that affect renal function (heart failure will lead to decreased blood flow to the kidneys, pre-eclampsia during pregnancy will lead to increased protein in the urine), Diagnosis of endocrine disorders e.g. infertility (low levels of FSH and/or LH), Diagnosis of urinary system disease, Monitoring of glucose levels in patients with diabetes, Testing for pregnancy (hCG levels secreted by the embryo), Screening for drug use. Urinalysis is a technique involving physical, chemical and microscopic analyses of a sample of urine. Physical parameters: Normal urine is a clear yellow colour due to the presence of uribilin. Abnormal urine may be dark orange, red or brown and cloudy in appearance. This can be due to the presence of red and/or white blood cells or pigments and may indicate a urinary tract or renal infection or disease, liver or gall bladder disease. Normal urine has a specific gravity of between 1.002 – 1.028 (this is a measure of the number of particles/solutes in the urine, its concentration). A urine sample that has an elevated specific gravity can indicate dehydration, diarrhea/vomiting, glucosuria, inappropriate ADH secretion. A diminished specific gravity may indicate such diseases as renal failure or pyelonephritis. Chemical parameters: The chemical analysis of urine is routinely performed using an inexpensive and relatively accurate dipstick test (Uristix from Bayer or other brands). The test uses a reagent-coated plastic stick that is placed or dipped into the urine sample. The reagent areas change colour according to the presence of glucose and/or protein. (a) Figure 1. Colour chart (a) for determination of glucose and/or protein.   Ã‚   The glucose test on the dipstick is based on a double sequential enzyme reaction. One enzyme, glucose oxidase, catalyses the formation of gluconic acid and hydrogen peroxide from the oxidation of glucose (if present in the urine). A second enzyme, peroxidase, catalyses the reaction of hydrogen peroxide with a potassium iodide chromogen to oxidise the chromogen to colours ranging from green to brown. Normal urine has less than 0.1% glucose concentration. The protein test on the dipstick is based on the protein-error-of-indicators principle. At a constant pH, the development of any green colour is due to the presence of protein. Colours range from yellow for ‘negative’ through yellow-green and green to green-blue for ‘positive’ reactions. Normal urine has a protein concentration of less than 100  µg/ml. Although the dipstick test is semi-quantitative, significantly more accurate levels of glucose and protein can be determined by other means. In this practical you will use a BCA Assay (discussed later) to quantify the amount of protein present in a sample of urine. Urinalysis may also include assaying for levels of ketones (an indicator of diabetic ketosis, fasting or starvation), blood cells (indicating infection or kidney stones), bilirubin (liver or gall bladder disease), drugs and many other substances. Microscopic parameters: The urine sample can also be analysed by a microscope, often after staining to reveal any pathogens such as bacteria, urine crystals, cells and/or mucous. The presence of any of these may indicate infection or disease and further medical investigation will provide a thorough diagnosis. Aim: The aim of this practical is to perform glucose and protein urinalysis techniques on five samples of ‘urine’ provided by five ‘patients’ and use this information to provide an initial diagnosis for each patient. Part One: Using Dipsticks To Provide A Qualitative Measure of Protein And/Or Glucose. Materials: 5 samples of urine labelled A – E (these will be required for Parts One and Two), 5 Uristix dipsticks. Method: Perform a basic physical analysis of the urine samples noting the colour and cloudiness of each sample: Urine A Urine B Urine C Urine D Urine E Colour Cloudiness Immerse a dipstick into each of the samples, wait 60 seconds and record your results using the colour chart in Figure 1 to determine if the sample contains glucose and/or protein or neither substance: Urine A Urine B Urine C Urine D Urine E Glucose Protein Ketones Negative Negative Negative Negative Strongly positive Blood Negative Negative Trace Negative Negative Part Two: Using A Commercial BCA Assay To Provide A Quantitative Measure of Protein. Background: The BCA Protein Assay exploits the chemical reduction of Cu2+ to Cu1+ by protein in an alkaline medium with the selective colorimetric detection of the cuprous cation (Cu1+) by bicinchoninic acid (BCA). The first step is the chelation of copper with protein in an alkaline environment to form a blue coloured complex. In this reaction, known as the biuret reaction, peptides containing three or more amino acid residues form a coloured chelate complex with cupric ions in an alkaline environment containing sodium potassium tartrate. Single amino acids and dipeptides do not give the biuret reaction, but tripeptides and larger polypeptides or proteins will react to produce the light blue to violet complex that absorbs light at 540 nm. In the second step of the colour development reaction, BCA, a highly sensitive and selective colorimetric detection reagent reacts with the Cu1+ that was formed in step 1. The purple-coloured reaction product is formed by the chelation of two molecules of BCA with one Cu1+. The BCA/Cu complex is water-soluble and exhibits a strong linear absorbance at 562 nm with increasing protein concentrations. The rate of BCA colour formation is dependent on the incubation temperature, the types of protein present in the sample and the relative amounts of reactive amino acids contained in the proteins. Figure 2. Reaction diagram for the bicinchoninic acid (BCA) protein assay. Materials: The 2 samples of urine from Part One that were positive for protein, Protein stock standard (BSA, bovine serum albumin) at 1mg/ml, 0.9% Saline (diluent) BCA (bicinchoninic acid) Working Reagent (labelled BCA WR), 6 Tubes for dilutions for the standard curve, 96 Well microtitre plate, P100, P200 P1000 pipettes tips, Marker pen, 37ËÅ ¡C Incubator, Microtitre plate reader set to read at a wavelength of 562 nm. Method: Set up the dilutions for your standard curve, Label your tubes as 1,2,3,4,5 6, Prepare your standards according to the table below: Dilution tube # Volume of diluent ( µl) Volume of BSA or from tube # ( µl) Final BSA (protein) concentration ( µg/ml) 1 0  µl 300  µl BSA 1000 2 250  µl 250  µl bsa 500 3 250  µl 250  µl Tube 2 250 4 250  µl 250  µl Tube 3 125 5 800  µl 200  µl Tube 4 25 6 Blank 250  µl 0 0 Label your microtitre plate so that you know which wells hold your standards and which contain your samples (perform in triplicate), Pipette 25  µl of each standard (in triplicate) and sample (in triplicate) to each well, Add 200  µl of the Working Reagent to each standard or sample and shake for 30 seconds, Cover the plate and incubate at 37ËÅ ¡C for 30 minutes, Cool the plate to room temperature, Measure the absorbances at 562 nm on a microtitre plate reader, insert the average values in the table below: Dilution tube # Average absorbance at 562 nm (add 3 values divide by 3) Subtract blank (Tube 6) from value in previous column Final BSA (protein) concentration ( µg/ml) 1 1000 2 500 3 250 4 125 5 25 6 Blank 0 Sample 1 Sample 2 Prepare your standard curve: use the corrected absorbance readings for standards 1 – 6 (in column 3 in the previous table) and plot them against the amount of BSA in each tube, Once you have plotted your standard curve, you can determine the protein concentration in your samples, enter this value into the table above.   The patient scenarios are outlined below. You now need to match the urine samples with their corresponding patient scenarios and include justification for your decisions in your practical report: Patient Scenarios: Kidney Stones: Nida is a 17 year old student. She arrives at her GP feeling nauseous, feverish with acute pain in her lower back. She is also passing large amounts of blood in her urine. Glucose Drink: Thomas has just started a new job but is feeling quite stressed has lost weight. He arrives to see his GP but has had to skip lunch so drinks a litre of cola to maintain his energy levels. Diabetic: Jenny is studying for her A levels. Recently she has been losing weight although she is eating much more than usual is always hungry. Athlete: Dave is a professional athlete requires a blood urine test before competing in his next event. His test results are negative for drugs but are positive for another substance. Nephrotic syndrome: Keely is a 20 year old student. She has been feeling very unwell for some time with general fatigue, listlessness, weight loss puffiness around her eyes ankles. Her urine is very sparse very dark in colour

I have chosen to study the poems Uphill and Remember. Uphill is Essays

I have chosen to study the poems Uphill and Remember. Uphill is based on the theme of afterlife. Rossetti was always known to have a strong belief in the afterlife, I have chosen to study the poems 'Uphill' and 'Remember'. Uphill is based on the theme of afterlife. Rossetti was always known to have a strong belief in the afterlife, and symbolises this in 'Uphill'. The poem itself is written in a unique style. A style which I feel interacts the poet and the reader. The poem is an exchange of questions and answers that compares life to a journey. The journey is "Uphill all the way ".However at the end is an inn, a resting place that cannot be missed and which has a room for everyone! The poem is typical of Rossetti's religious beliefs; being part of an Anglo-Italian family which had strong religious convictions. Christina Rossetti's portrayed image of life being recognised as a painful task: "it's uphill all the way". Consequently it is the duty of mankind to undertake the trip in hopes of a peaceful rest in heaven as a reward, a reward for all obstacles that obstruct you in life. All the pain and suffering are to be expected, not resisted. One benefits from them in the end. I have noticed that particular words such as "road", "the days journey" have the same symbolic meaning in my opinion. As well as links between words like "resting place", "inn", "that door" and "beds" all interpret the same thing; death will come for all. Rich or Poor. From my previous statements I will say again that the poems perception; end of life, could well be saying that it is the end of all our work and problems that evolve or evolved around us. "Remember" is seemingly similar to uphill, but I think it illustrates a c... ...because she would rather know that he is happy than that he is, in a sense, dead while alive. We should all apply this message to our lives because it is truly the best way to deal with the death of one we love in my opinion. From comparing these two poems they both signify interpretations of her life but "Uphill" sounds like it is her own beliefs and ambiguous thoughts on what life beholds for everyone. Although she states that there are "beds" and "doors" free for opportunity. However she doesn't deliver us a true meaning which suggests everyone has a "door" at the end of life. Only for "those who come". From this point of view, the end of life is not seen as sending the believer to heaven and the unbeliever to hell. All it simply portrays is that it is the end of life's problems. Now this clearly reflects Rossetti's life, so on an overall I do agree.

Social Concerns in the Novel “The Kite Runner”

In the novel The Kite Runner by Khaled Hosseini, there are plenty of examples that prove this to be correct, walking through the life as an upper or lower class citizen, dealing with tough situations. As upper class citizens, it is much easier to receive a proper education due to the fact that it isn’t necessary for one to get an occupation to help support their family because no additional support is needed. Since upper class citizens can have the luxury of being able to read and write, they are more likely to become successful, for example,Amir, a young boy who is born into the wealth of his father, Baba, talks about how he is using his education to excel in language arts, â€Å"In school, we used to play a game called Sherjangi, or â€Å"Battle of the Poems. † The Farsi teacher moderated it and it went something like this: You recited a verse from a poem and your opponent had sixty seconds to reply with a verse that began with the same letter that ended with yours. Everyone in my class wanted me on their team, because by the time I was eleven, I could recite dozens of erses†¦One time, I took on the whole class and won† (17). This example shows how Amir has the advantage over most kids, who aren’t as fortunate to receive an education and is able to excel by becoming one of the most prominent students in poetry of his class. It also shows that Amir has a good chance of being a success by using this education to advance him for when he’s older. Rahim Khan, Baba’s best friend, also notices that Amir is becoming more knowledgeable in language arts when he reads Amir’s first story, â€Å"I enjoyed your story very much.Mashallah, God as granted you a special talent. It is now your duty to hone that talent, because a person who wastes his God-given talents is a donkey. You have written your story with sound grammar and interesting style. But the most impressive thing about your story is that it has irony. You ma y not even know what that word means. But you will someday. It is something that some writers reach for their entire careers and never attain. You have achieved it in your first story† (28). This again further displays that because Amir is able to receive a good ducation, he is able to write impressively. Not only does this example show that he is a good student, but it also shows that if one is given the chance to be educated and takes advantage of it they can become successful. People in the upper class have the opportunity to gain an education because they have the wealth to be able to do so, however people in the lower class aren’t as fortunate. People who are in the lower class are forced to work hard for what they have because, they haven’t been blessed with the luxury of being born into a wealthy family.This is true for Hassan, Ali’s friend and servant, who must stay with his father and work at Ali’s home to earn a living and isn’t abl e to educate himself by going to school, however Hassan learns to appreciate life and everything that is given to him, for example, Amir describes a normal day for Hassan and himself, â€Å"During the school year, we had a daily routine. By the time I dragged myself out of bed and lumbered to the bathroom, Hassan had already washed up, prayed the morning namaz with Ali, and prepared my breakfast.While I ate and complained about homework, Hassan made my bed, polished my shoes, ironed my outfit for the day, packed my books and pencils. I’d hear him singing to himself in the foyer as he ironed, singing old Hazara songs in his nasal voice. Then, Baba and I drove off in his black Ford Mustang† (23). This excerpt shows very wonderfully, how Hassan is a hard working young boy, in the lower class, who appreciates things and makes the best of his situation, he is awake bright and early, full of energy, singing and enjoying the day he has before him, happy to be alive.It also sh ows the fact that people in the lower class are able to enjoy the little things in life much more than that of the upper class, because they have to work hard and appreciate the things they work hard for. However people in the upper class may become snobby and take for granted the things that they have, for instance, when Amir is reading to Hassan, and Hassan stops him to ask a question, â€Å"what does that word mean? ‘which one? ’ ‘imbecile’ ‘you don’t know what it means’ I said, grinning. ‘Nay, Amir agha. ’ ‘But it’s such a common word! ’ ‘Still, I don’t know it. ‘Well everyone in my school knows what it means’, I said. ‘Let’s see. ‘Imbecile. ’ It means smart, intelligent. I’ll use it in a sentence for you. ‘When it comes to words, Hassan is an imbecile’(25). This shows that Amir doesn’t appreciate the fact that he is able to be so educated and demeans Hassan for not being able to have an education. However, Hassan shows that he is eager to learn more and appreciates the stories that Amir reads to him and wants to have the full understanding of the story, thus showing that people of the lower class usually show reater appreciation for what they have and earn. Some may like to think that living life prosperously is always a good thing, and to most it is a very positive experience because it represents hard work that one has done in order to earn that rich lifestyle, but to others who come into prosperity without earning it find it hard to deal with the struggles one finds in life. People, such as Baba, know what hard work is and are generous to others who are less fortunate because they know what its like to work hard to become successful, for example, Rahim Khan refers to Baba’s enerosity when speaking with Amir,†I think that everything he did, feeding the poor, giving money to friends in need, it was all a way of redeeming himself. And that, I believe, is what true redemption is, Amir Jan† (302). This shows how Baba, although wealthy, is very caring and shows a true commitment to helping others who need it. It also displays the character that Baba has been instilled with through life experiences, such as trials and tribulations, which help him to appreciate what he has earned. However to others, such as Amir, who is born into prosperity, don’t know the meaning of hard ork or how to deal with problems they are faced with, for instance when Baba is discussing his son’s inability to deal with problems, such as bullies, with Rahim Khan he says, â€Å"Self-defense has nothing to do with meanness. You know what always happens when the neighborhood boys tease him? Hassan steps in and fends them off. I’ve seen it with my own eyes. And when they come home I say to him, ‘how did Hassan get that scrape on his face? ’ And he says, †˜he fell down. ’ I’m telling you, Rahim, there is something missing in that boy† (20). This is a good example of how Amir is unable to esolve matters on his own while Hassan is able to deal with situations and predicaments because of his tough upbringing. It also shows that Amir is incapable of working with conflicts because he has always been protected and dependant on others, unlike Hassan who hasn’t had that luxury of having things handed to him and has always fought for everything he has. In closing, the lifestyle of the upper class can be very fulfilling if the hard work that goes into it is understood, however if it isn’t and one becomes spoiled, it can be detrimental to one’s life and personality.

35 Common Prefixes in English

35 Common Prefixes in English If you were a prefix, you could change the same word in different ways.You could make a cycle a unicycle, a bicycle, or a tricycle.(Marcie Aboff and Sara Gray,  If You Were a Prefix. Picture Window Books, 2008) A prefix is a letter or a group of letters attached to the beginning of a word  (or word root) that partly indicates its meaning. For example, the word prefix itself begins with the prefix pre-, which generally means before or in front of. (By contrast, a letter or group of letters attaching to the end of a word is called a suffix.)   Many of todays English words contain prefixes from Greek or Latin. Understanding the meanings of the most common prefixes can help us deduce the definition of new words that we run across in our reading, especially knowing that they can make a word mean its opposite, such as the difference between possible and impossible.Still, we do need to be careful.  The same prefix may be ​spelled in more than one way (pre- and pro-, for instance), and some prefixes (such as in-) have more than one meaning (in this case, not or without versus in or into). Even so, being able to recognize prefixes can help us build our vocabularies.   To Hyphenate or Not? Rules vary as to when a word should have a hyphen separating it from  its prefix. Go by the dictionary if you are unsure. If you are writing a paper for a class and a particular style guide is used, such as MLA, the Chicago Manual of Style, or APA, the stylebook may have a hyphenation guide or a preferred dictionary to follow for which words to hyphenate and which to close up. If a prefix is attached to a proper noun, you generally hyphenate, such as pre-World War II or anti-American.   The following table  defines and illustrates 35 common prefixes.   Common Prefixes Prefix Meaning Examples a-, an- without, lack of, not amoral, acellular, abyss, achromatic, anhydrous ante- before, earlier, in front of antecedent, antedate, antemeridian, anterior anti- against, opposite of anticlimax. antiaircraft, antiseptic, antibody auto- self, same autopilot, autobiography, automobile, autofocus circum- around, about circumvent, circumnavigate, circumscribe co- with, together co-pilot, co-worker, co-exist, co-author com-, con- together, with companion, commingle, contact, concentrate contra-, contro- against, opposite contradict, contrast, contrary, controversy de- down, off, away from devalue, deactivate, debug, degrade, deduce dis- not, apart, away disappear, disagreeable, disbar, dissect en- put into, cover with enclose, entangle, enslave, encase ex- out of, from, former extract, exhale, excavate, ex-president extra- beyond, outside, more than extracurricular, extramarital, extravagant hetero- different, other heterosexual, heterodox, heterogeneous homo-, homeo- same, alike homonym, homophone, homeostasis, homosexual hyper- over, more, beyond hyperactive, hypersensitive, hypercritical il-, im-, in-, ir- not, without illegal, immoral, inconsiderate, irresponsible in- in, into insert, inspection, infiltrate inter- between, among intersect, interstellar, intervene, interpenetrate intra-, intro- within, inside intravenous, intragalactic, introvert macro- large, prominent macroeconomics, macrostructure, macrocosm micro- very small microscope, microcosm, microbe mono- one, single, alone monocle, monologue, monogamy, monotony non- not, without nonentity, nonaggressive, nonessential, nonfiction omni- all, every omniscient, omnivorous, omniscient, omnidirectional post- after, behind postmortem, posterior, postscript, postoperative pre-, pro- before, forward precede, predict, project, prologue sub- under, lower submarine, subsidiary, substandard sym-, syn- same time, together symmetry, symposium, synchronize, synapse tele- from or over a distance telecommunications, telemedicine, television, telephone trans- across, beyond, through transmit, transaction, translation, transfer tri- three, every third tricycle, trimester, triangle, triathlon un- not, lacking, opposite of unfinished, unskilled, ungraceful, unfriendly uni- one, single unicorn, unicellular, unicycle, unilateral up- to the top or north, higher/better upbeat, updo, upgrade, upload, uphill, upstage, upscale, up-tempo

Metamorphosis by Franz Kafka

Metamorphosis by Franz Kafka Franz Kafka’s â€Å"Metamorphosis† is a well knit literary piece in the fiction genre that puts together the shifting events of Gregor; a good man who turned into an insect and his world completely changed. The author takes the reader through Gregor’s black comical escapades that are more satirical than their surface depiction. Advertising We will write a custom book review sample on â€Å"Metamorphosis† by Franz Kafka specifically for you for only $16.05 $11/page Learn More This context embarks on an analysis of the key aspects of this book in a bid to unravel the author’s message, while at the same time noting the literary worth of Kafka’s masterpiece. A thorough scrutiny into Gregor experiences casts real scenes in Franz Kafka’s past life which was miserable and pathetic just like the symbolic cockroach Grogor metamorphosized into. Told from the third person perspective, Kafka uses an intelligent approach b y narrating the story from the protagonist’s viewpoint, and all the readers use Gregor’s eyes as the lens to view the events in the story. Significant emphasis is attached to his feelings and thoughts in an effort to bring out his current understanding of the world prior to his mutation and after his metamorphosis. It is important to note that, irony is used to disapprove Gregor’s thoughts which were exactly the opposite in reality. The target audience in this story is the people who spend their entire life working to please others and forget about their own needs. Kafka’s choice of diction is sufficient and well calculated. The opening of the story clearly introduces the main story to the reader with the creation of a pathetic image in the mind of the readers. The words that Kafka uses to describe the insect Gregor changed into. †¦Ã¢â‚¬ ¦Ã¢â‚¬Å"domelike brown belly divided into stiff arched segments on top† creates an image of a cockroach in the readers mind though Kafka does not directly mention the actual name of the insect. In addition, Kafka’s use of simple words and sentence structures that are easy to understand, makes reading this book an interesting experience. However, the author’s tone from the surface may be termed comic but a deeper analysis portrays a lot of satire and sarcasm. In the midst of comedy, the protagonist fights for his salvation from his guilt and alienation; all resulting from his working conditions. Among the major themes portrayed is alienation, which is facilitated by the irrational nature of the universe. Gregor was a good person who sacrificed his own life to work and take care of his family yet when the worst happened to him, they left him all alone. Disconnection of the mind from the body poses as another major theme. Though Gregor’s body has changed into an insect, his humanity remains. Advertising Looking for book review on literature languages? Let's se e if we can help you! Get your first paper with 15% OFF Learn More This further shows the unending conflict in the story as Gregor tries to make sense of his insect life on one side, and his family takes him for the pathetic cockroach he has become on the other side. Sympathy and its limits emerges as a theme when all his family members find jobs and finally give up on him and leave him all alone. A look into the stylistic devices adopted, metaphor is widely used throughout the story. Gregor’s transformation into an insect is metaphorical as it incapacitates him; he cannot talk, when he talks he cannot be heard, his family cannot see his need to live a free life even in his transformed shape and he is a disgrace. The insect clearly explains Gregor’s state and he has to bear it all alone because no one understands him. The setting is also used as style: It is suffocating and mentally disturbing as well psychologically distressing. This can be evidenced by the four walls of Gregor’s room and their dining room. Through the setting, Kafka uses character development to take the reader through the stages of transformation of Gregor till his death. This text is important as it shows the predicament of the modern man. The world relationships have become more parasitic and people value others based on what they can give. With reference to â€Å"Metamorphosis† by Kafka, the bad always get away with their actions and the good suffers in the hands of the bad. Though this story can trace back into the 20th century, it perfectly fit in the real arena of the 21st century survival.

Managerial Economics Coursework Example | Topics and Well Written Essays - 500 words

Managerial Economics - Coursework Example This will put off the company that is to enter the market as the profit margin will seem to be very low and might even constitute to losses. This leaves the first company to enjoy monopolistic markets. The manager of this company will reduce the products’ prices to monopolistic market prices there by enjoying the monopolistic profits. By decreasing the prices of the products the company that is to enter into the market will be discouraged as the profit margin will be very low and may also leading to losses. The profitability of the firm with the marketing power will decrease with increase in capital interest as the borrowing costs increases there will be a decrease in supply there by attracting another company to satisfy the demand. This forces the companies to sell at a lower price than the monopolistic market price. If this continues, the company is bound to go into losses in the long run. 2. IHC hospitals are thinking of using a smart phone system to send health record data, laboratory test results data, and charge/payment data to the Mountain Star hospitals system when patients use any combination of medical services between the two hospital organizations. Mountain Star has been thinking of a similar idea of exchange. Going forward with such inter-hospital data communication means that a given data sharing network has to be developed. The cost savings involved in initiating such a system are the driving force of the decision but there are questions about these savings and the standard upon which the intercommunication is to be operated. The projected cost savings (in $millions) for each standard (Apple relative to Android) are given in the normal form payoff table below for each hospital conglomerate, with IHC cost savings given first in going from left to right. It reflects a good technology. This is because independent of the smart phone mountain star opts for IHC will go for apple phone as it yields the best pay off. The

Discussion Board 5-1 Research Paper Example | Topics and Well Written Essays - 250 words

Discussion Board 5-1 - Research Paper Example onships leads to loss of objectivity of the counseling problems and clients may encounter problems when counselors evade their professional responsibility. Clients having their employers as counselors experience problems outside the counseling relationship. Employees may expect empathy in the work ratings since they perceive their supervisors as sympathetic listeners and counselors. Counselors can also have problems in keeping client information confidential and respecting the privacy of clients, which may lead to exposure of personal problems in the workplace. Counselors are supposed to evaluate the consequences of dual relationships before crossing the client-counselor boundary (Remley and Herlihy, 2010). The counselor has to assess the expected benefits to the client before entering into a dual relationship. Some clients have borderline personality disorders and manipulate their counselors into relationships that may harm the therapeutic intervention. Patients with mental problems may misinterpret the intentions behind the relationship caused by impairments in understanding the boundaries. This can lead to ineffective therapy or legal issues that can affect the career of the counselor. The counselor can minimize harm and risks by evaluating the long term outcomes of the relationships. Emerging risks can be avoided by redefining the boundaries since the client-counselor boundaries are not static. This can help prevent jeopardy to the therapeutic gain caused by the