Wednesday, July 8, 2020

Why do Serial Killers Keep on Killing - Free Essay Example

There are sick murderers all over the world and some get sexually aroused from killing, others kill for the fun of it, or some simply hate themselves so they take their anger out on people. Its like once they get a taste of blood, theyll never stop until they are stopped. There are serial killers all over, but Ill be focusing on the serial killers in our state, California. Ill be discussing about 5 serial killers/rapists on their multiple crimes, and how they got arrested. The first serial killer is Joseph James DeAngelo also known as the Golden State Killer. From 1976 to 1986, Joseph spread fear from Sacramento to San Francisco to Los Angeles. He killed 12 people, raped about 45 people and burglarized more than 120 homes. Joseph always planned his attacks and he usually struck at night. He plans to the smallest detail, Joseph would study his victims schedules that way he knows when the right moment is to commit the crime. When the victims arent in their houses Joseph would break into their houses where he would sometimes hide until the victim comes home and goes to bed and from there, he would strike, or sometimes he would just break in so he could unlock all the doors, windows, basically any entrance to the house in preparation for his return. In one attack, Joseph hid in a closet and he waited there until the couple fell asleep, once that happened, he got out of the closet announcing himself, while that was happening the husband reached for his gun but it ended up being emptied which showed that Joseph broke into their house when they werent home and ended up finding the husbands gun which he unloaded so it would make his attack easier. On April 24, 2018, Joseph James DeAngelo was linked to two of the Golden State Killer murders after investigators discovered that his DNA matched with a really old DNA sample that was picked up from his murder spree. It was all thanks to new DNA techniques and complete DNA databases which helped out the investigators tie these cases together. Joseph was finally arrested. The second isnt a serial killer, but a serial rapist and his name is Roy Waller also known as the NorCal rapist. Roy emerged five years after the Golden State Killer and now he terrorized California. He spread fear across six counties in Northern California for more than 15 years. Those six counties were Sonoma, Solano, Contra Costa, Yolo, Butte, and Sacramento. Roy had broken into homes and raped at least 10 women. His first assault began in the summer of 1991 where Roy raped a 21-year-old woman inside her home, he snuck in through an unlocked glass door. In later attacks, Roy broke into more homes and would assault some woman for hours and that the victims were blindfolded so they wont be able to see his face. Sometimes he would kidnap victims and would take them to an ATM where he would take all of the victims money out of their accounts. In 2006, Roy spent 6 hours raping two woman, ages 24 and 28, in Sacramento. A victim passed by Roys vehicle, it was described as a 2001 to 2003 white Toyota 4Runner. After an attack has occurred a security camera caught that described vehicle driving away. The 2006 attacks by NorCal Rapist seemed to be the last ones, because no more attacks rose. Roy was linked by DNA directly to the October 2006 attacks. Luckily it matched the DNA profile of the NorCal rapist. Roy faces 12 counts of forcible sexual assaults and allegations that he had used a gun to commit some of these crimes. More charges may be filed against him. His arrest comes 5 months after the arrest of the Golden State Killer. The same techniques that were used to match the Golden State Killers DNA to the samples was used on Roy Waller. Roy remains in jail without bail. The third serial killer is Randy Steven Kraft also known as the Scorecard Killer. Randy is a monster compared to the Golden State Killer and NorCal rapist. Randy is a serial rapist, torturer, and killer responsible for the mutilation and deaths of about 16 young males from 1972 to 1983. Randy has a list known as the scorecard which lists every single victim he may have come into contact with which he was linked to 40 additional unsolved murders. Kraft tortured and murdered all of his victims. All of known victims were Caucasian males and most of them had been drugged, tortured, mutilated, emasculated, and sodomized. Steven Kraft is extremely weird and a psycho, because he receives pleasure by inserting objects into the victims anus and urethra while they were still alive. All that pain and torture the victims had to deal with. How most of his tortures begin is that whenever Steven Kraft and his lover get into an argument, the victim would pay the price by being tortured to death. On May 14, 1983, two highway patrol officers pulled over a car, because the driver was driving erratically. The driver was Steven Kraft and when he got pulled over, he got out of the car and walked towards the officers. He smelled of alcohol, so the officers gave him a standard sobriety test, which he failed. The officers then checked his vehicle which they found a dead man, his genitals exposed and had strangulation marks on his neck. They also found a scorecard which the officers believed it was a list of Krafts murdered victims. The dead man was identified as Terry Grambrel. Steven Kraft was arrested and charged with the murder of Terry Grambrel, eventually more forensic evidence linked him to additional murders which more charges were filed. He was then charged with 16 murders, 9 sexual mutilation charges, and 3 sodomy charges. Kraft went to trial on September 26, 1988 and after 11 days in trial he was found guilty and was given a death sentence. His death sentence was upheld in 2000 and he remains on death row in San Quentin. The fourth serial killer is Richard Ramirez also known as the Night Stalker. Richard is a serial killer, rapist, and burglar who killed about 13 people from 1984 to 1985. Richard became this monster, because of his cousin who was a Vietnam War veteran. At 12 years old, his cousin showed him pictures of Vietnamese women that he had raped, tortured, then killed. Later on, Richard witnessed his cousin fatally killing his wife, and he stayed there watching the killing. Then after that Richard started committing crimes. He committed his first murder in June 1984, where he raped and stabbed a 79-year-old widow. After his first murder, he stayed lay low for about 8 months then he resumed back to his killing. In the Los Angeles area, most of the deaths were done inside the victims houses. What made Ramirezs killing unique from the other serial killers are that on most of his crimes, he will leave Satanic symbols behind. He was known as the Night Stalker, Richard Ramirez created a p anic that saw a surge in gun sales. The victims that had survived Ramirezs home invasion described that they were sexually assaulted and beaten. A fingerprint was discovered that led to Richard Ramirezs identification. On August 30, 1985 about six days after his last murder, his name and photograph was released to the public and in the same day a man saw Richard in East Los Angeles, so he notified the police. Richard being aware, he tried to steal a car, but wasnt successful since he was surrounded by a crowd and was beaten until the police arrived. In 1989 Richard Ramirezs trial began. In September Richard was convicted of 13 murders and other crimes. About 2 months later Richard was sentenced to death. He was believed to have committed other murders and rapes but he was not charged for it. He was on a death row at San Quentin State Prison, but Richard Ramirez was diagnosed with cancer which he ended up dying from it in 2013. The fifth serial killer is Lonnie Franklin, Jr. also known as the Grim Sleeper. He got the name Grim Sleeper, because his killing started in 1985 and ended at 1988, then about 13 years later he reemerged in 2002 and continued his killing until he was caught in 2007. His targets were young black women in South L.A. These young black women were either prostitutes, or they struggled with drug addiction. Franklin would drive around at night looking for young women and pick them up off the street, offering them rides. Instead of actually offering them a ride, he shot and sexually assaulted them except two women, they were strangled to death. Then after he finished killing or sexually assaulting them, he would dump their dead corpse in back alleys and in trash bins. One woman managed to survive, and she described that she was shot in the chest and was sexually assaulted by what she believed was Franklin in 1988. The problem was that family members were accusing the LAPD for not takin g this case seriously, because the victims were poor and black. In 2010, investigators used a new technique to match DNA found on the women with DNA in a state database. What investigators ended up doing is that instead of searching for a match, they conducted a newly developed familial search for DNA that may be from a relative of the killer. The investigators ended up using Franklins sons DNA, his DNA has been collected by the state when he served his time in prison, and the exciting news is that it ended up as a match. Investigators knew that the son was simply too young to have committed the murders in the 1980s, so the investigators turned to the father which he lived in South L.A. All they needed was Franklins DNA to see if it was a match. So, a detective posed a bustboy at a pizza parlor where Franklin was attending a birthday party. The detective managed to collect a half-eaten piece of pizza from Franklins plate. With Franklins DNA the investigators were able to match his DNA found on seven of the women. Afterwards, Franklins hom e was searched and investigators found a gun that was used in one of the murders and pictures of dozens of women including each of the victims. Then once in trial, Franklin sat there emotionless, and did not testify. It ended up being a three-month trial and from there Franklin was found guilty of 10 counts of murder and one count of attempted murder. These are the 5 sick serial killers/rapists here in California. They all have spread fear in multiple counties. They didnt stop until they were finally arrested. There are many unsolved cases out there but these 5 were caught and punished for their crimes. Joseph James DeAngelo (The Golden State Killer) was responsible for the death of 12 people, raped 45 people, and burglarized more than 120 homes. Roy Waller (NorCal Rapist) faced 12 counts of forcible sexual assaults and allegations that he used a gun in some of his crimes. Randy Steven Kraft (The Scorecard Killer) was charged with 16 murders, 9 sexual mutilation charges, and 3 sodomy charges. Richard Ramirez (The Night Stalker) was convicted of 13 murders and other crimes. Lonnie Franklin, Jr. (The Grim Sleeper) faced 10 counts of murder and one count of attempted murder. These monsters were brought to justice.

Thursday, July 2, 2020

Childhood Asthma Case Plan Justifies Best Practices - 275 Words

Childhood Asthma Case Plan: Justifies Best Practices (Essay Sample) Content: Childhood Asthma  Implementation of Case Management PlanNameInstitutionChildhood Asthma  Implementation of Case Management PlanIntroductionApproximately 23 million people in the USA and 9 million in the UK are affected with asthma, with children infections accounting for 30%. Most developed countries have established national and state clinical guidelines to facilitate the management of childhood asthma. Most of these guidelines are based on international best practices. One of the widely used clinical guidelines in the management of childhood asthma is the National Asthma Education and Prevention Program (NAEPP) which is a part of the National Heart, Lung and Blood Institute (NHLBI). The clinical guidelines provide five key principles that should guide the management of asthma. These principles include: 1 The patient should be treated with long-term control medications to prevent asthma attacks. 2 The patients and the healthcare provider should develop an Ast hma Action Plan 3 Physicians should ensure the patient has short-acting bronchodilator agents to treat asthma attacks. 4 The multidisciplinary team should work to remove the environmental triggers where it is possible. 5 International best practices also recommend that a healthy school environment, physical education, activity opportunities, and asthma education be provided to the child, family, school nurses, and social workers. 6 The management process should also ensure other triggers are managed them effectively.Asthma best management practices dictate that effective asthma interventions should focus on improving the delivery of health care while preventing asthma episodes and promoting improved member outcomes. Patients can benefit immensely from management programs that are designed to improve self-management, enhance health status and reduce unnecessary utilization of medications. Despite the presence of national guidelines in different countries, adherence to quality asthma care remains suboptimal in USA, UK, Australia, and other developed countries. Adherence also differs with race and sociodemographic factors.Case managementThe aim of the individualized case management should be to facilitate families in the daily management of asthma symptoms through personalized care plans. The personalized care plan should integrate home visits, physical and environmental assessments, patient education that deals with the cultural and language needs, follow-ups after discharge and referral to specialty services. Supported self-management, including a personal asthma care plan, reduces the emergency to use the health facilities and improve asthma control. Most of the international guidelines prioritize the establishment of a patient-physician partnership to help children living with asthma to take control with the necessary guidance from healthcare practitioners and recommend the provision of self-management education. However, a large proportion (30%) of people living with asthma have individualized care plan (Kwok, Dinh, Dinh Chu, 2009).Clinical pathwaysDifferent health facilities have different asthma clinical pathways. However, the various pathways have numerous similarities. The clinical management starts with asthma diagnosing. Any child with airflow episodic obstruction is characterized with coughing, sneezing, and shortness of breath that is partially reversible with a bronchodilator. Further tests are conducted to rule out other causes of obstruction, including cystic fibrosis, recurrent aspiration, sinusitis, airway anomalies, and foreign body aspiration. After an asthma diagnosis is confirmed, the healthcare professional conducts an assessment of its severity. A persistent asthma is diagnosed when a child exhibit any of the following symptoms: the symptoms are seen more than twice a week during the day or twice per month at night, the symptoms limit any form of exercise, FEV1 is less than 80% and two or more steroid bursts for a sthma in one year (Pinnock et al., 2015). The clinical assessment includes the evaluation of the severity of the current symptoms and recent use of bronchodilators and exposure to triggers. The clinician also obtains an exacerbation asthma history, including emergency department visits, hospitalization in the past years, and ICU admissions if any. The history allows the physician to classify asthma as intermittent or persistent (Fisher-Owens, BoddupalliThyne, 2011). A physical examination is then conducted to rate the quality of evidence. Physical examination involves the evaluation of a cough, tachypnea, wheezing, and low oxygen saturation. The physical examination is followed by a laboratory a...