DIRECT CONNECT MANUAL :: essays research papers

How use Direct Connect behind a firewall/router in Active Mode instead of Passive 1.  Ã‚  Ã‚  Ã‚  Ã‚  Determine your WAN IP address and your LAN IP address; this can be done either by using winipcfg.exe or ipconfig.exe in my case looking on the status page of my Linksys router configuration. 2.  Ã‚  Ã‚  Ã‚  Ã‚  Now set up DC by going to settings connection and marking the block use Direct Connect in Active Mode, In the force DC to accept connections on this port: I have 412 (I’m not sure if this matters but it has worked for me) you may want to play around with it a bit but I believe it has to be a port between 375-425 because these are the ports Direct Connect has to have open to function in Active Mode. 3.  Ã‚  Ã‚  Ã‚  Ã‚  Check the block force direct connect to report this IP and put in the WAN IP address obtained for your situation in Step 1. This completes the setup of DC. This will vary slightly for Individual Situations I will explain it for a linksys cable/dsl router but the same should apply regardless of what your using for a firewall. 1.  Ã‚  Ã‚  Ã‚  Ã‚  On the linksys router go to the advanced/forwarding tab in the service port range boxes on the left in the first one put 375 and in the second put 425 this will open this range of ports on your router and forward them from the WAN side of your Firewall to the LAN side (the same probably applies to whatever you are using for a Hardware/Software Firewall solution these ports need to pass from the internet side of your Firewall to the intranet side of your Firewall. 2.  Ã‚  Ã‚  Ã‚  Ã‚  Now in the next block (at least on the linksys you need to select forward both I tried just udp and just tcp individually it didn’t seem to work correctly until I selected forward both. 3.  Ã‚  Ã‚  Ã‚  Ã‚  In the IP address box this is where you will want to fill in the place to forward the ports to at least on the linksys you can do this by individual IP address. Put the IP Address of the machine on your LAN that you are using Direct Connect on. If your are running DC on multiple machines you may have to repeat steps 1-3 for each IP on your LAN running DC. Click Apply restart DC and you should now be able to use DC and search multiple hubs behind your route/firewall without any problems.

Communication: Death and Life Essay

Describe ethical dilemmas that may arise in own area of responsibility when balancing individual rights and duty of care. Nurses and other medical personnel normally confront ethical dilemmas when caring for terminally ill patients. Correct understanding of the fundamental ethical principles aids the nurses to examine major dilemmas in the delivery of healthcare to the very sick patients or terminally ill patients. Due to a boost in medical knowledge and expertise, so are alternatives for healthcare. These alternatives present intricate moral dilemmas when decisions arise regarding the treatment of dying patients. Majority of the medical personnel are faced with the decisions related to the treatment of dying patients to ease a patient’s final misery. Conceivably, a decision will need to be made about whether to allow a patient to continue living or to end his or her life by terminating treatment when all’s said and done. Often, these decisions concerning the care of a dying loved one confront people from all walks of life (Butts and Rich, 2005) End of life is a concept that is often ignored despite the fact that everyone will die some day. It is because death is a part of life that people are familiar with palliative care given at the end of life. Yet, the end of life concept is generally thought to be something equated with human life. At least, that is what people tend to think of when the phrase â€Å"end of life† is uttered. Today, palliative care is offered when someone is dying, and when the end is predictable. Some people die a slow death from issues like cancer or heart disease, but others die abruptly from an accident or heart attack when life ends. In the latter case, the end of life is only known in retrospect. How is the end of life defined? Death is very difficult to define. Yet, doctors have determined some criteria to at least allow someone into a hospice program. Still, the end of life can be looked at philosophically, and examined in regard to a number of different domains. For everyone, death is inevitable, and each loss is personally felt by those close to the one who has died. It is very important that nurses, the medical staff and or love ones understand the end of life process of the being in order to care for them. The dying person should be allowed to have a peaceful, pain free, and dignified death. The World Health Organization (2009) has defined palliative care as: â€Å"an approach that improves the quality of life of patients and their families facing the problem associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems such as physical, psychosocial and spiritual.†Caring for those receiving palliative care in the community during the end stages of life requires an extraordinary commitment from the nursing team, not only human resource but also competence, compassion and focus in anticipating the needs of the patient and family. It is a complex activity involving a holistic approach, building relationships together with expert professional skills and decision making processes (Melvin 2003). Similarly, in caring for older people the Gerontologists and ethicists argue that nursing home residents would receive more humane care at the end of life if they remained in nursing homes rather than were transferred to hospitals. Yet, there are legitimate concerns when advocating that nursing homes care for dying residents. Nursing homes recognize the need to earn society’s confidence in their ability to provide the dying the highest standard of care. Many homes do, in fact, deliver principled and compassionate are. Yet, even those homes that adhere to high standards point to the lack of industry guidelines on what constitutes quality end-of-life care as a barrier to their ability to assure that care to dying residents conforms to the highest quality. Nursing homes need public policy that supports their efforts to explore the use of palliative care models. Explain the principle of informed choices People approaching the end of life should have the opportunity to make informed decisions about their care and treatment, in partnership with health and social care professionals and with their families and carers. Good communication between health and social care professionals and people approaching the end of life and their families and carers is essential and should be sensitive to personal preferences. Treatment and care, and the information given about it, should be culturally appropriate. It should also be accessible to people with additional needs such as physical, cognitive, sensory or learning disabilities, and to people who do not speak or read English. People approaching the end of life should have access to an interpreter or advocate if needed. Workforces involved in end of life care should adopt an agreed, consistent approach and attitude to end of life care that encourages and accepts patient choice, regardless of their own background, culture and views. (Www diversity, equality and language, NHS, NICE guidelines) These principles should include: 1. The choices and priorities of the individual are at the centre of all End of Life care planning and delivery. 2. Effective, straightforward, sensitive and open communication between individuals, families, friends and staff underpins all planning and activity. Communication reflects an understanding of the significance of each individual’s beliefs and needs. 3. High quality End of Life Care is delivered via the process of close multi disciplinary and inter-agency working. Collaborative working ensures that the needs of the individual are articulated, shared, understood and reviewed. By developing and utilising networks the right resources and support are identified and provided. 4. Individuals, their families and friends are well informed about the range of options and resources available to them to enable them to be involved in the planning, developing and evaluating of End of Life Care plans and services. 5. Care is delivered in a sensitive, person-centred way that takes account of the circumstances, wishes and priorities of the individual, their family and friends 6. Care and support are available to, and continue for, anyone affected by the end life, and death, of the individual 7. Workers are supported to develop knowledge, skills and attitudes that enable them to initiate and deliver high quality End of Life Care, or where appropriate to seek advice and guidance from other colleagues Workers recognise the importance of their continuing professional development, and take responsibility for it

Health Promotion And Improvement Or Maintenance, Self...

Change is certainly not a concept that is easily accepted or achieved by most members of society because it requires efforts outside of what has become the â€Å"norm† or familiar and most comfortable for people. In regards to health promotion and improvement or maintenance, self-assessment, along with professional guidance, is necessary to examine a patient’s potential to change. Identifying in which stage of the Transtheoretical Model a patient exists is imperative to application of theory, to predict success as well as enable movement in a positive direction and promote a desirable outcome. For one patient, G. H., grief, depression, and genetic factors – none of which were of her own choosing or any fault of her own, have resulted in the†¦show more content†¦Ã¢â‚¬Å"Evidence suggests that the explicit use of an appropriate theory will significantly improve the chances of effectiveness† (Hutchison, Johnston, Breckon, 2013, p. 109). For G.H., application of the family ecosystem and it’s concepts of the patient, her environment, and the interactions between the two will be utilized to identify the changes which will be necessary in order to improve her life and overall health. Additionally, consideration will be given to discern how her family and health care team members can contribute positively to her change process. G.H. is a 39 year old white female patient, who is 5’4, and 240 lbs. Since her brother died five years ago of a self-inflicted gunshot wound, she has experienced weight gain and depression. She feels both are the result of her grief, a concept which is congruent to the ecological systems theory, which maintains that different environments throughout a person’s lifespan may influence their behavior in various ways (Bronfenbrenner, 1979). G.H. is currently being treated for her depression and hypertension with the medications Effexor and Losartan, respectively. She claims to be in a happy marriage of 8 years, and speaks with joy about her six year old son. She states job satisfaction in her current and stable position of employment and feels close to her co-workers. She receives enjoyment from social outings planned with her