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At about 4 p. Two uniformed policemen accompanied by four armed men in civilian clothes detained Lafuente and took him away in a marked white police van. Mirano never made it. Instead, just hours later, four armed men in civilian clothes and face masks burst into his home, dragged him into the street, and shot him six times execution-style while his family looked on. Police allowed the gunmen to leave the scene unimpeded through a nearby checkpoint. On the afternoon of September 20, six masked, armed men in civilian clothes detained Aljon and took him away on a motorcycle. When family members arrived on the scene, they found him dead from gunshot wounds while the masked armed men who detained him stood nearby. Those men remained on the scene when uniformed police investigators arrived, indicating they were coordinating with the police. Six days later, uniformed and plain-clothes police detained Danilo Mesa and took him into custody at the local municipal government office. His family could not afford the required bribe to free him, but assumed he would be safe in the custody of municipal authorities. At about 6 p. Shortly afterward, passers-by found his body. His entire head had been wrapped in packing tape and he had been shot execution-style through the mouth. There are no police records of his killing. The extraordinary brutality of the Duterte drug war is undeniable. Many of the victims are found in back alleys or street corners wrapped in packing tape, their bodies bullet-ridden or bearing stab wounds and other signs of torture. The Philippine National Police has claimed responsibility for 2, of those killings, an astronomical rise from the 68 killings by police in anti-drug operations between January 1, and June 15, Human Rights Watch research into the deaths of Lafuente, Mirano, the Mesa brothers, and 28 other people killed since Duterte took office exposes the narrative of the Duterte drug war as a blatant falsehood. The incidents analyzed by Human Rights Watch demonstrated police coordination and planning, in some cases with the assistance of local government officials. That research paints a chilling portrait of Filipino victims, the majority of whom are impoverished urban slum dwellers, who have been gunned down in state-sanctioned death squad operations that demolish rule of law protections. Duterte has defied the highest profile international criticism of the drug war killings. Duterte has also effectively eviscerated meaningful domestic opposition to his drug war. Duterte and pro-Duterte lawmakers have politically attacked his most vocal domestic critic, Senator Leila de Lima, a former justice secretary and chairwoman of the official Commission on Human Rights. The hearings prompted a torrent of hateful, misogynist invective from Duterte and other government officials. Davao City is synonymous for many Filipinos with the Davao Death Squad, a shadowy group of gunmen linked to the killings of hundreds of alleged drug dealers, petty criminals, and street children as young as During the presidential election campaign, Duterte marketed his links to Davao and the existence of the Davao Death Squad as a vote-grabbing branding opportunity rather than a career-derailing political handicap. On the eve of the May 9 presidential elections, which Duterte won against four other candidates with nearly 40 percent of the vote, Duterte told a crowd of more than , people exactly what to expect if elected. But that probe did uncover involvement of Davao City officials and police. Duterte himself has done little to distance himself from allegations of involvement in the death squads. In May , he publicly admitted having a role. Duterte retracted that admission days later, but has made numerous statements over the past few decades that seek to justify the extrajudicial killings of criminal suspects. Meanwhile, the killings in Davao City continue, and in other Philippine cities the Davao Death Squad has apparently inspired copycat death-squad operations. Since September, two self-confessed former members of the Davao Death Squad have come forward and testified to the Philippine Senate that Duterte was the mastermind behind the killings. A Philippine presidential spokesman, Ernesto Abella, dismissed those concerns as evidence of EU ignorance about the Philippines. The Chinese Embassy in Manila issued a statement in July vowing unconditional support for the drug war. We understand well your legitimate concerns. Duterte has also benefited from the reticence of close bilateral allies to publicly criticize his drug war. But they will not negate the lingering threat to his longer-term legitimacy posed by the threat of eventual domestic or international prosecution for killings linked to his anti-drug campaign. No evidence thus far shows that Duterte planned or ordered specific extrajudicial killings. But his repeated calls for killings as part of his drug campaign could constitute acts instigating the crime of murder. Duterte and senior officials in his government may also face possible charges of crimes against humanity for their repeated calls encouraging the killing of alleged drug dealers and users, indicative of a government policy to attack a specific civilian population. Duterte may well find that domestic or international efforts for justice for the drug war killings may derail that goal. Get updates on human rights issues from around the globe. Join our movement today. Countries Africa All Africa. Burkina Faso. Central African Republic. Democratic Republic of Congo. Equatorial Guinea. 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Gifts in Wills and Trusts. Partners for Justice. Stock or Wire Transfer. Give from Your IRA. Donate Now. English Choose your language. More Languages. Would you like to see a version of this page that loads faster by showing text only? Yes No, don't ask again. Human Rights Watch. Click to expand Image. Your tax deductible gift can help stop human rights violations and save lives around the world. More Reading. October 18, News Release. October 3, News Release. March 2, Report. May 20, Report. Most Viewed. August 15, Dispatches. August 29, Dispatches. October 29, Report. July 17, News Release. September 21, News Release. Protecting Rights, Saving Lives Human Rights Watch defends the rights of people in close to countries worldwide, spotlighting abuses and bringing perpetrators to justice. Enter an email address Leave blank Leave blank Leave blank. An error occurred while subscribing your email address. Please try again.

Philippine President Rodrigo Duterte's 'War on Drugs'

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Download now. More Related Content. Get Homework Done Homeworkping. This is our first time to encounter this kind of case and because of that, our group was interested in it. This case study will help the group in understanding the disease process of the patient. This would also help the group in identifying primary needs of the patient with Acute Pulmonary edema with severe preeclampsia. By identifying such needs and health problems arise the group can now formulate an individualized care plan for the patient that would address these needs and problems effectively. Effective management of the problems identified will help the patient to recover faster and maintain a holistic sense of wellness even while in the hospital. This case study would also equip the group with knowledge, skills and attitude on how to manage future patients with the same or similar disease. GLOBAL Cohort study - 62, consecutive pregnancies from , to describe the incidence, predisposing factors contributing to pulmonary edema in the pregnant patient. Fifty-one women 0. Most common causes: Tocolytics Aya et al. Address: Prk. History of present illness D. Past medical and Nursing History E. Personal, family and socio-economic history F. Hematocrit 0. Air is taken in via the upper airways the nasal cavity, pharynx and larynx through the lower airways trachea, primary bronchi and bronchial tree and into the small bronchioles and alveoli within the lung tissue. Move the pointer over the coloured regions of the diagram; the names will appear at the bottom of the screen The lungs are divided into lobes; The left lung is composed of the upper lobe, the lower lobe and the lingula a small remnant next to the apex of the heart , the right lung is composed of the upper, the middle and the lower lobes. Mechanics of Breathing To take a breath in, the external intercostal muscles contract, moving the ribcage up and out. The diaphragm moves down at the same time, creating negative pressure within the thorax. The lungs are held to the thoracic wall by thepleural membranes, and so expand outwards as well. This creates negative pressure within the lungs, and so air rushes in through the upper and lower airways. Expiration is mainly due to the natural elasticity of the lungs, which tend to collapse if they are not held against the thoracic wall. This is the mechanism behind lung collapse if there is air in the pleural space pneumothorax. Physiology of Gas Exchange. Each branch of the bronchial tree eventually sub- divides to form very narrow terminal bronchioles, which terminate in the alveoli. There are many millions of alveloi in each lung, and these are the areas responsible for gaseous exchange, presenting a massive surface area for exchange to occur over. Each alveolus is very closely associated with a network of capillaries containing deoxygenated blood from the pulmonary artery. The capillary and alveolar walls are very thin, allowing rapid exchange of gases by passive diffusion along concentration gradients. CO2 moves into the alveolus as the concentration is much lower in the alveolus than in the blood, and O2 moves out of the alveolus as the continuous flow of blood through the capillaries prevents saturation of the blood with O2 and allows maximal transfer across the membrane. Tightness and pain in the chest Wheezing, coughing Paleness Due to inadequate blood perfusion. Sweating Bluish nails and lips Due to inadequate blood perfusion. The cause of pulmonary edema in the presence of a hypertensive crisis is probably due to a combination of increased pressures in the right ventricle and pulmonary circulation and also increased systemic vascular resistance and left ventricle contractility increasing the hydrostatic pressure within the pulmonary capillaries leading to extravasation of fluid and edema. Acute pulmonary edema. N Engl J Med ; Pathophysiology Preeclampsia is a result of generalized vasospasm. The underlying cause of the vasospasm remains a mystery, although some of the pathophysiologic processes are known. In normal pregnancy, vascular volume and cardiac output increase significantly. Despite these increases, blood pressure does. This is probably because pregnant women develop resistance to the effects of vasoconstrictors, such as angiotensin II. In preeclampsia, however, peripheral vascular resistance increases because some women are sensitive to angiotensin II. They also may have a decrease in vasodilators. TXA2, produced by kidney and trophoblastic tissue, causes vasoconstriction and platelet aggregation clumping. PGI2, produced by placental tissue and endothelial cells, causes vasodilation and inhibits platelet aggregation. Vasospasm decreases the diameter of blood vessels, which results in endothelial cell damage and decreased EDRF. Vasoconstriction also results in impeded blood flow and elevated blood pressure. As a result, circulation to all body organs, including the kidneys, liver, brain, and placenta, is decreased. Blood urea nitrogen, creatinine, and uric acid levels begin to rise. This may result in edema and a reduction in intravascular volume, which causes increased viscosity of the blood and a rise in hematocrit. In response to reduced intravascular volume, additional angiotensin II and aldosterone trigger the retention of both sodium and water. Generalized edema may occur. This is manifested by elevation of liver enzymes in maternal serum. Dyspnea is the primary symptom. Blockage of lymphatic vessels Inability to remove excess fluid from interstitial space Accumulation of fluid in interstitial space Pulmonary Edema. Pulmonary edema is excess water in the lung. The normal lung contains very little water or fluid. It is kept dry by lymphatic drainage and a balance among capillary hydrostatic pressure, capillary oncotic pressure, and capillary permeability. Pulmonary edema result from obstruction of the lymphatic system. When lymph drainage is blocked, fluid accumulates in the lungs. Drainage can be blocked by an increase in systemic venous pressure, which elevates the hydrostatic pressure of the large pulmonary veins into which the pulmonary lymphatic system drains. Drainage also can be obstructed by compression of lymphatic vessels by edema, tumors, and fibrotic tissue. Unya cge pa jud kog ka lipong. Mao nang paminaw nako laing jud kaayo ako lawas. Assist client in performing ADL Place the client in trendelenbur g position. Maintain adequate ventilation. Instruct client to sit and dangle the feet before standing. Advise client To promote safety To promote venous return To promote oxygenatio n and good blood circulation To prevent orthostatic hypotensio n After 4 hours of nursing interventio n, the client will exhibit decrease in oxygen demand and ability to conserve energy. Iron and folate are necessary for red blood cell production. You may urinate more often when you take this medicine. This may decrease the pressure in your blood vessels and improve your symptoms. Tell him if you are allergic to any medicine. Keep a list of the medicines, vitamins, and herbs you take. Include the amounts, and when and why you take them. Bring the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency. Follow up with your primary healthcare provider or pulmonologist in 7 to 10 days or as directed. Write down your questions so you remember to ask them during your visits. Manage pulmonary edema. Too much liquid can increase your risk for fluid build up. Weigh yourself at the same time every morning after you urinate, but before you eat. Weight gain can be a sign of extra fluid in your body. Return to activities slowly, and do more each day. You may have trouble breathing when you are lying down. Use foam wedges or elevate the head of your bed. This may help you breathe easier while you are resting or sleeping. Use a device that will tilt your whole body, or bend your body at the waist. The device should not bend your body at the upper back or neck. Alcohol can worsen your symptoms and increase your blood pressure. If you have heart failure, alcohol can make it worse. Do not take street drugs, such as cocaine. Smoking and drugs can make your condition and symptoms worse. Ask for information if you need help quitting. Ask your primary healthcare provider about the symptoms of high altitude pulmonary edema HAPE. Ask what to do if you get these symptoms. Wrap IV infusion solution in foil or opaque material to protect from light Monitor for possible adverse effects, such as apprehension, restlessness, retrosternal pressure, palpitations, diaphoresis, abdominal pain Furosemide Lasix Diuretic action, inhibiting the reabsorption of sodium and chloride from the ascending loop of Henle Pulmonary edema Administer via slow IV bolus at a dose of 10—40 mg over 1—2 minutes Monitor urine output hourly Assess for possible adverse effects such as dizziness, vertigo, orthostatic hypotension, anorexia, vomiting, electrolyte imbalances, muscle cramps, and muscle spasms. It also helped us understood the causes and effects of the diseases that enabled us to determine the predisposing and precipitating factors and traced the pathophysiology of these disorders. This also had given us the knowledge to identify where and when it had started and how the disease progressed and we had also interpreted the laboratory and diagnostic exam results of the client and recognized the implication of it. We also identified the different pharmacologic treatments indicated to the condition, considering the effects, actions and different nursing considerations with regards to the. We have also identified and formulated the nursing interventions that we could render to the patient that will help us attain our goal of care to our patient basing from the nursing care plan we have formulated. Furthermore, vital signs are expected to stabilize. Recommendation On the basis of the findings of this study, the following measures are recommended: 1. Client should take his prescribed medications religiously. He must create a schedule in order for him to be guided as when to take the medicines and for him not to be able to forget in doing so. Follow the prescribed diet. His prescribed diet is a low-salt, low-fat diet, therefore client should avoid salty and fatty foods and client must take note that all canned goods are high in sodium even if it says that it is good for the heart. Have an oral fluid intake with in cardiac tolerance. Lifestyle modification is also important in order to prevent the severity of the condition that will further contribute complications such as cessation of smoking and drinking alcoholic beverages. Visit his doctor regularly for constant check-ups and to continuously monitor his condition. Evaluation of the objectives of the study After few days of conducting study about the case of lorna, we were able to trace the history of her disease locally, nationally and globally. By understanding fully the mechanism and effects of the disease to the patient, we have interpreted different laboratory results related to her condition. Appropriate therapeutic care was well planned and provided to the client.

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