Dementia Needs, Types and Treatments

Dementia Needs, Types and Treatments Specific needs of the older person INTRODUCTION MAIN BODY Dementia is a term used to describe symptoms such as loss of memory, language, motor skills, judgment and other intellectual functions caused by permanent damage or death of the brains nerve cells. (Alzheimer’s foundation of America, 2014) Most dementias are reversible. Reversible dementias are caused by nutritional deficiencies or infection or from a bleed on the brain or the side effect of a medication; the symptoms of these dementias can be stopped or reversed as long as the underlying causes can be treated. Dementia consists of 3 stages: Early stage (difficulty concentrating, poor orientation, decreased memory, withdrawal from friends and family, poor socializing skills and denial of their symptoms) This stage usually lasts up to two years. Mid stage (major memory loss, client needs help carrying out their activities of daily living (ADLS), they can lose control of their bowels or bladder, ability to speak declines, agitation occurs, compulsions or anxiety) This stage lasts up to two and a half years. Late stage (people in this stage lose the ability to communicate or speak, they need assistance with nearly all their ADLS, they often lose the ability to walk) This stage usually lasts up to two and a half years. There are many types of dementia but I have listed the four major ones below and have given the physiological and psychological changes that occur for the older person with these dementias. Type of Dementia Physiological Psychological Client’s needs Alzheimer’s Problems with speaking. Decreased judgement. Difficulty solving problems or puzzles. Disorientation in familiar surroundings. Depression. Psychosis. Agitation. Sleep disorder. Resistance to care. Memory loss. Assess and reverse agitation factors. Memory therapy. Language therapy. Vascular Difficulty finding the right words. Confusion and disorientation. Aggressiveness. Memory loss. Depression. Slowness of taught. Hallucinations. Memory therapy. Speech therapy. Lewy body Confusion followed by alertness. Tremors. Shuffling gait. Rigidity. Fainting-loss of consciousness. Hallucinations in touch and feelings. Visual hallucinations. Sleep disorder. Aggression. Depression. Speech therapy. Physical therapy which includes gait training. Front temporal Language comprehension declines. Tongue tie occurs. Ability to read or write is impaired. Lack of co-ordination. Shaking. Balance problems. Eye twitching. Muscle spasms and rigidity. Inability to relate to people. Personality changes. Speech therapy. As a carer it is very important to understand the Lewy body dementia disease and its symptoms so that the appropriate treatments can be implemented. The carer should also act as an advocate to ensure the client with dementia Due to word limitations I will only be discussing Lewy body dementia in detail below. LEWY BODY DEMENTIA In the early 1900s scientist FREIDERICK H. LEWY discovered that the brains activities was disrupted by deposits of abnormal protein while he was researching Parkinson’s disease. The Lewy body proteins were found in the brain stem where they kill off the neurotransmitter Dopamine causing symptoms similar to Parkinson’s symptoms. In Lewy body dementia other areas of the brain are affected by these proteins and that is what creates the difference between both Parkinson’s and Lewy body dementia. When the protein attacks the brain chemical acetylcholine it causes the client to suffer disruption in their thinking, behaviour and perception. Lewy body dementia can be its own disease or it could act in conjunction with brain changes in Alzheimer’s disease and Parkinson’s disease. This is why Lewy body disease can be miss diagnosed and the client ends up been told they have Parkinson’s disease instead. When diagnosing Lewy body dementia an experienced member of the multidisciplinary team should carry out a diagnostic evaluation of the client. This evaluation should include both physical and neurological examinations. The client should also be examined on their language skills, memory skills and their functioning skills. The client’s family should also be interviewed as they might have noticed changes in the client which would be helpful in their diagnosis. The client should also undergo a MRI or CT scan to determine what areas of the brain are affected. Blood tests may also help in the client’s clinical diagnosis. Lewy body dementia can only be conclusively diagnosed when the client has passed, through a post-mortem autopsy. Unfortunately there is no known cure for Lewy body dementia and treatment only relieves symptoms. People live up to seven years with the disease but some have lived up to twenty years with the disease. Medication is not always the best option for clients with Lewy body because what works with one client might not work for another client. It is also important to know that clients with Lewy body are extremely sensitive and may react negatively to medication. If using medication then there are different medications for the different symptoms. Cognitive symptoms Cholinesterase inhibitors (Aricept, Exelon, and Raza dyne) are used as they are drugs that increase the level of acetylcholine in the brain. Acetylcholine is a chemical which helps in memory and learning functions. These were developed to treat Alzheimer’s clients but it has been discovered they work better on Lewy body clients. Movement symptoms Levodopa is a drug which is also used on Parkinson’s clients. This medication is only used if the symptoms are severe. Visual hallucinations Antipsychotic medication (haloperidol) which are tranquillizers that block the dopamine receptors in the brain are used but only if the hallucinations are upsetting or disruptive as the side effects can be severe. Rem sleep behaviour disorder Melatonin or clonazepam medication can be used and have been proven to be very effective. â€Å"50% of clients with lewy body dementia who are treated with any antipsychotic medication may experience severe neuroleptic sensitivity, such as worsening cognition, heavy sedation, increased or possibly irreversible parkinsonism, or symptoms resembling neuroleptic malignant syndrome which can be fatal.† (Lewy body dementia association, 2014) Non-medical treatments Speech therapy This may help the client with their voice volume. It is also helpful in clients who have swallowing difficulties and may improve their facial muscular strength. Physical therapy This includes strengthening, flexibility and cardiovascular exercises as well as gait training. Occupational therapy This may help the client in promoting his independence and maintain their skills. Individual and family therapy This can be useful in managing emotional and behavioural symptoms and help with any concerns the family might have for the future. Support groups These are helpful for the client and the carers as they can help in day to day frustrations and provide emotional support for all.

Landscapes from the Age of Impressionism

Born in Florence, Italy having American parents, the most flourishing portrait painter during his time John Singer Sargent becomes a part of an exhibition at the Virginia Museum of Fine Arts, through his eye-catching landscapes and masterpieces. During his time, the world of art is dominated by Cubism, Fauvism and Impressionism.However, John Sargent accomplished his masterpieces through his own form of Realism. His skills, as well as his form, were honed under the tutelage of Emile Auguste Carolus-Duran in Paris from 1874 to 1878, after studying rigorously in both Italy and Germany. John Sargent’s paternal grandfather was a Spanish descent and he carefully studied the paintings in the Prado during an extended residency in Madrid from 1866 to 1868 (Boone, 117).Constantly the internationalist, John Sargent journeyed by train from Paris to Madrid, and he was in the Prado by October 14, and the several of copies that he completed, such as the painting of a dwarf then credited to V elasquez and a detail of Velasquez’s â€Å"Las bilanderas† in 1879, recommends or advocates a stay of just more than one month. Sargent also has several collections of photographs after Velasquez’, â€Å"Don Antonio el ingles† and â€Å"Las Bilanderas†.In addition to this, he also had â€Å"The Surrender of Breda†, â€Å"the Forge of Vulcan† and â€Å"Las meninas†, which he stored or set aside in a scrapbook. These photographs served as souvenirs from his trip as well as reference material for his study of art history, and motivation for fresh works of art (Boone, 280).John Singer Sargent is fond of life. John Sargent finds the the people portrayed rather than the setting to be exotic. His love for life, as well as being a painter, can be observed in some of his masterpieces such as in â€Å"Dolce Far Niente† and â€Å"The Sketchers†.â€Å"The Sketchers† (1856-1925) is John Sargent’s 22 by 28 inches masterpiece which uses oil on canvas as medium. The Virginia Museum of Fine Arts was able to acquire this artwork through the help of Arthur and Margaret Glasgow Fund, in the year 1958. In â€Å"The Sketchers†, there is an interplay of light and dark or chiaroscuro which can be instantly recognized.The left side of the painting shows scuro (dark), while the right side shows chiaro (light). The chiaro can be observed through the shadows and darker shade or hue of colors used through the trees and on the left side of the white umbrella. In addition to this, the background â€Å"sky† on the left side is darker as compared to that on the left side. These darker shades or shadows are results of the light from a source which can be observed to be coming from the right side of the painting.

Bamana Ci-Wara Headdress

Before visiting the museum, my teacher in African History class taught us the basic concept about Chi-ware. According to Professor Russ, there are three types of masks associated with Chi-ware namely; the vertical style which represents the East, the horizontal style which represents the West, and the composite style which represent the South. An addition, Chi-ware can be male or female. Notably, a female Chi-ware mask can be noticed by the presence of a baby antelope and straight horns on it. On the other hand, male Chi-ware mask is recognized by bent horns and a phallus.Moreover, a Chi-ware mask is used in the initiation in the society as it is used in agriculture and as costume in dancing. Furthermore, the mask is used to teach young Bamana men for social values and agricultural techniques . On the day we visited the gallery of Spurlock Museum: Africa section: Champion Cultivators of the Land, I discovered that I missed a lot of information. In the museum, there were various masks , paintings, sculptures, and pots. The specific sculpture of Bamana Chi-Wara Headdress called my attention. The sculpture was also labelled Mali or Guinea, ca.19th-20th c. Wood pigment; it is Gift of Drs. Albert V. and Marguerite Carozzi. 1990. 10. 0014. Sinificantly, in Bamana society, the term Chi-ware, pronounced as â€Å"Chee wah-rah† indicates a man who is champion cultivator and the social organization through which he attains that distinction. Upon examining at the sculpture of Chi-ware, I noticed that the size was bigger that what I expected. The size was approximately 50cm x 30cm. According to our professor, Mr. Rush, a Chi-ware can be easily recognized whether it is a male or female.However, it was quite a difficulty for me. But them, I looked closely at the Chi-ware and fugured that it is a male one because it has no baby back on the body. Moreover, the Chi-ware looked like a Roan Antelope with an almost human face attached. The bottom the body is also elongated an d short legged which represents the aardvark. Furthermore, Bamana is carved with texture and is polished smoothly with palm oils. I learned more about Ch-i-ware in didactic label. In didactic label, Ci-wara is said to be a mythical being, half man and half animal, and the son of Muso Koroni.Meanwhile, Muso Koroni is the mother of all living things and the matron of agriculture. After teaching humans to farm, Ci-Wara became offended at their laziness. So, he dug a hole with his great claws and buried himself. According to the myth, men carved a mask in the memory of Chi-ware and used it as a trophy in farming contests to encourage the young and able-bodied men to exert greater efforts in farming. Eventually, Chi-ware then became the name of the Banana masquerade society devoted to the development of manhood and social responsibility.More importantly, Chi-ware was said to be the mother of tall living things and matron agriculture. The didactic explanation about Chi-ware led me realize that a Chi-ware headdress is used i honoring the mythical antelope that introduced and brought agriculture to the Bamana people of Mali. But I consider interesting the part of the story where Chi-wara was offended at people’s laziness and dug a hole where he buried himself. To sum up, the visit to the Spurlock Museum: Africa section: Champion Cultivators of the Land is fun. It is so because it was my very first time to personally encounter a Chi-ware.In addition, I was so happy that I had acttually seen what was discussed to us in class about Chi-ware. Moreover, I learned more anout the hidden story about Chi-ware and its importance in the present day. Today, the people wear the Chi-ware when they dance as a symbol of hope for a greater crop for the year. Although Chi-ware has been considered merely as a mask, the Mali people consider it as a valuable thing as they use it when they pray and celebrate. Thus, the visit to the museum is not only interesting but also educational .

Book Summary, Notes, and Study Guide for Frankenstein

Frankenstein  was originally written by English author,  Mary Shelley (1797- 1851). Its complete title is  Frankenstein: or, the Modern Prometheus. It was first published anonymously in London on January 1, 1818. The second edition, under Shelleys name, was published in 1823.  A third  edition,  which included  a preface by Shelley and tribute to her late husband  who drowned in 1822, was published in 1831.  The book is a  Gothic novel  and  has also been called the first  science fiction  novel.   Author Mary Shelley was born in London August 30, 1797. She  developed the story of Frankenstein while on a summer trip to Switzerland in 1816  when she was twenty years old and  was traveling with her then married lover, Romantic poet  Percy Bysshe Shelley.   The story arose out of a competition between herself, Percy Shelley and their companions, Lord Byron and Byrons physician, John William Polidori, to write a tale about a supernatural occurrence. Mary initially struggled with an idea, but eventually, through listening to conversations between Percy and Lord Byron about attempts to reanimate corpses, current news stories, a dream, her imagination and own life experiences, a story emerged. According to Francine Prose, author of the introduction to a new illustrated  Frankenstein: or, The Modern Prometheus, in the New Republic: One night, still puzzling over Byron’s assignment and trying to sleep, Mary had a vision in which she saw â€Å"the pale student of unhallowed arts kneeling beside the thing he put together. I saw the hideous phantasm of a man stretched out, and then, on the working of some powerful engine, show signs of life and stir with an uneasy, half-vital motion.† She lay awake, trying to imagine a story that would frighten the reader as much as she had been frightened, then realized that she had found it. â€Å"What terrified me will terrify others; and I need only describe the spectre which had haunted my midnight pillow. On the morrow I announced that I had thought of a story,† and set herself to making â€Å"a transcript of the grim terrors of my waking dream.†Ã‚   The book,  Frankenstein, was completed almost a year after their trip to Switzerland. Shortly after the  trip to Switzerland, Percy Shelleys pregnant wife committed suicide. Mary and Percy married soon thereafter, in 1818, but Marys life was marked by death and tragedy. Marys half-sister committed suicide soon after the trip to Switzerland, and Mary and Percy had three children who died in infancy before Percy Florence was born in 1819.   Setting The story begins in the icy northern waters where a captain is traveling to the North Pole. Events take place throughout Europe, in Scotland, England, and Switzerland. Characters Victor Frankenstein: The Swiss chemist who creates the monster. Robert Walton: The sea captain who rescues Victor from the ice. The Monster: The ugly creation of Frankenstein, who searches for companionship and love throughout the story. William: Victors brother. The monster murders William to punish Victor and sets the stage for more tragedy and torment for Victor. Justine Moritz: Adopted and loved by the Frankenstein family, Justine was convicted and executed for killing William. Plot Rescued by the sea captain, Frankenstein relays events that begin as he pieces together a man using old body parts. Once he manages to create the horrible being, however, Frankenstein regrets his action immediately and flees his home. When he returns, he finds the monster is gone. Shortly after, Frankenstein hears that his brother has been murdered. A series of tragic events follow as the monster searches for love  and Frankenstein suffers the consequences of his immoral act. Structure The novel is a frame story with a three-part structure. The Creatures story is the core of the novel, which is presented to us framed by Victor Frankensteins story, which in turn is framed by Robert Waltons narrative. Possible Themes This book raises many compelling themes and thought-provoking questions and is as relevant today as it was two-hundred years ago. The search for love reflects a strong theme in Shelleys own life. The monster knows he is horrid and will never be loved, although he attempts to find love several times. He is constantly rejected and disappointed. Frankenstein, himself, searches for happiness through love, but he meets with the tragic loss of several loves. Mary Shelley was the daughter of Mary Wollstonecraft, who was an early feminist.  Tragic, weak, women are portrayed in the story -- Frankenstein actually begins to make a second female monster, to provide companionship for his own first creation, but he then destroys it and dumps the remains in a lake; Frankensteins wife dies tragically, as does the accused Justine—but is this because Shelley actually believes women are weak or does their subjugation and absence send a different message? Perhaps it is because female autonomy and power are perceived as a threat to the male characters. Without the presence and influence of women, everything that is important to Frankenstein is destroyed in the end. The novel also speaks to the  nature of good and evil, what it means  to be human  and to  live morally.  Ã‚  It  confronts us with our  existential fears  and  explores the boundary between life and death. It causes us  to reflect on the limits and  responsibilities of scientists  and scientific inquiry, and to think about what it means  to play God, addressing human emotion and hubris. Resources and Further Reading How Frankensteins Monster Became Human, The New Republic,  https://newrepublic.com/article/134271/frankensteins-monster-became-human Its Alive! The Birth of Frankenstein,  National Geographic, https://www.nationalgeographic.com/archaeology-and-history/magazine/2017/07-08/birth_of_Frankenstein_Mary_Shelley/ Monstrosity and Feminism in Frankenstein, Electrastreet, https://electrastreet.net/2014/11/monstrosity-and-feminism-in-frankenstein/

Sociological Concepts Of The Family, Marriage, And...

1. Objective – Explain basic sociological concepts of the family, marriage, and intimate relationships. (Pg. 365) The sociological concept for family is a group of people that are related to by decent, marriage, or adoption. Many sociologist view families as a universal social institution that is central to social life, meaning families play a role of how people learn to be social and how their role in a society. Sociologists are interested in studying families because of how families are created through marriage and how they are formed and maintained. Also they are fascinated of how families expand, contract, or even dissolve. The basic sociological concept of marriage is the socially acknowledged and approved and often legal union of two people, allowing them to live together and to have children by birth of adoption. Marriage typically is the start of how families are created and sociologists like to study marriages by seeing how the union between two people expand or dissolve. Most common marriages are a monogamy, or marriage between two people. In some laws, a marriage not only is between a man and a woman but also between two males or two females. Lastly, the basic sociological basic of intimate relationships are a close, personal, and domestic relationship between partners. Intimacy is a close and personal relationship that occurs when the two partners are identified as a couple after a period of dating. Intimacy usually leads to love and changes over time, anShow MoreRelatedThe Effects Of Divorce On Children And Their Behaviors1410 Words   |  6 PagesIn modern day society, many people are finding it is becoming more and more acceptable to get a divorce. Even the word family itself has changed so drastically, it’s no wonder divorce is so high. What many people don’t realize is that divorce can possibly have a serious effect on children and their behaviors. Many studies have been conducted and have shown a variety of long term, as well as short term effects that children have developed after they’ve experienced going through divorce, one effectRead MoreThe Deinstitutionalization Of Marriage And The Sanctification Of Gendered Marital Roles1316 Words   |  6 Pages Baker, E. H., Sanchez, L. A., Nock, S. L., Wright, J. D. (2009). Covenant marriage and the sanctification of gendered marital roles. Journal Of Family Issues, 30(2), 147-178. This article contains research on the deinstitutionalization of marriage and the changing gender roles by focusing on a unique group of marriages. The authors use quantitative and qualitative research data from previous studies. The article reveals that covenants are more traditional than standards across religious, maritalRead MoreFamily and Religion : Influence on People Essay1602 Words   |  7 PagesFamily and Religion: Influence on People If you asked people to describe their families, some would describe single-household families, some would describe stepfamilies, some would describe gay or lesbian or adoptive families and many would describe divorced families. The word family has become a diverse institution it is very difficult to give it a meaning. In a wide sense especially in the biological sciences the term family refers to a group of individual beings linked by blood relations,Read MoreEssay about Applying the Sociological Imagination to Sole-parent Familes1352 Words   |  6 PagesThere is much debate on what constitutes as a family today. However, Ball (2002) states, â€Å"The concept of the traditional family†¦is not an immutable one. It is a social construct that varies from culture to culture and, over time, the definition changes within a culture† (pp. 68). There is a growing diversity of families today including the commonality of sole-parenting. In order to explore aspects of sole-parent hood objectively, I need to reflect and put aside my personal experience of growing upRead MoreSociological Imagination Essay1622 Words   |  7 PagesSociological Imagination Nicole Badders Galen College of Nursing Professor Sanjay Sociological Imagination Social Imagination is defined as the ability to connect the most basic, intimate aspects of an individual’s life to seemingly impersonal and remote historical forces (Conley, 2012, 5). C.Wright Mills’s theory was thought to help us connect what happens to us on a personal level to what is happening to society as a greater whole. This concept can be seen as a way to also help us realizeRead MoreSexual Fidelity Is Part Of The Institution Of Marriage1204 Words   |  5 PagesSexual fidelity is part of the institution of marriage and any form of extramarital sex could often lead to the dissolution of marriage. This research provides an overview to identify cues on infidelity. This article also examines the relationship between people’s relative income contributions, a measure of household specialization and infidelity something that has received little regard (Munsch 2015). Any form of emotional or sexual intimacy with someone other than your spouse qualifies as infidelityRead MoreHow Legal Constraints Affect Marriage And Family Formations1714 Words   |  7 PagesConstraints Effect Marriage and Family Formations in Lesbian and Homosexual Couples Anna Gonzales The University of North Florida Word Count: 4364 â€Å"I Would Rather Have a Traditional Wedding†: How Legal Constraints Effect Marriage and Family Formations in Lesbian and Homosexual Couples ABSTRACT Lesbian and homosexual couples, in many ways, have the same familial goals and expectations as heterosexual couples. The question is how they experience and navigate marriage and family formationsRead MoreRole Theory3336 Words   |  14 PagesUnderstanding Intimate Partner Violence through Role Theory: A Concept Paper Introducing Role Theory Role theory is a sociological framework that has been used to explain sets of relational patterns between people across varying contexts. It seeks to explain one of the most important characteristics of human social behavior – the fact that how people act, behave and speak are not separate, unique, disconnected but rather, are reflective of certain patterns and arrangements that depend onRead MoreRole Theory3327 Words   |  14 PagesUnderstanding Intimate Partner Violence through Role Theory: A Concept Paper Introducing Role Theory Role theory is a sociological framework that has been used to explain sets of relational patterns between people across varying contexts. It seeks to explain one of the most important characteristics of human social behavior – the fact that how people act, behave and speak are not separate, unique, disconnected but rather, are reflective of certain patterns and arrangements that depend on the socialRead MoreThe Idea Of â€Å"Family† Holds Various Meanings For Everyone1534 Words   |  7 PagesThe idea of â€Å"family† holds various meanings for everyone depending on their rituals, symbols, ideology, and situatedness in time, place, and culture. A biologist may define family as a group involving all descendants of a common ancestor. A criminologist may define family as a group of people united in criminal activity. A sociologist may define family as a fundamental social group in society consistent of one or two parents and the children they raise. Historically, people have considered a nuclear

Uniforms in Schools Dont Make Sense - 566 Words

Imagine you walk into school and everyone is wearing the same jeans,same striped scarf and the same hairstyle. Dont you want to stand out? Be yourself?Wentzville School District should not have uniforms but what’s happening now is that we are voting on uniforms and a dress code is getting stricker. We can’t show our shoulders, no tanks etc. People that are involved, the school administrators, teachers,students, parents. I think we shouldn’t have school uniforms because it doesn’t give us to be unique and our own style,it cost money some families can’t afford these things,you can still get bullied. One reason we shouldn’t have uniforms doesn’t give us to be unique and our own style, we would all have to wear the same thing.†It stops us from showing their unique side and expressing themselves in ways uniforms can’t.†(www.debate.ur/opinions/doesimposeing-school-uniforms-prevent-students-fromshowing-unique.) Being able to express yourself and dress the way you like is everything to me. I know I would be tempted to wear my cute clothes rather than my uniform. Gillian Sanford from Frontier Middle School said,†I don’t like going to school knowing that everyone is going to wear the same thing. I would also get tired of wearing the same thing everyday.† † Uniforms don’t give anyway to express yourself, it would take away one of the few things that students can choose in school.† says Justin Qualley from Frontier Middle School. Another reason why we shouldn’t haveShow MoreRelatedSchool Uniforms Persuasive Essay1069 Words   |  5 Pagesmany schools around the world enforce uniforms, requiring students to wear specific clothing. School uniforms, which was first established in 16th century England, are a topic of much debate in the public school system of the United States. Many people feel that uniforms reduce competition among students and bring a sense of unity in school. People who are against school uniforms think that they prevent students from expressing themselves and inhibits creativity. Many students dislike school uniformsRead MoreThe Orderly Key For Triumph932 Words   |  4 Pagesfor schools to implement a policy on school uniforms. Students aren’t as distracted by what the other classmates are or aren’t wearing, and they feel a sense of likeness as they are all wearing the same clothes. Uniforms improve order and discipline, self-esteem and self-respect, focusing the attention upon learning and away from such distractions as fashion competition and gang intimidation. Uniforms help to create unity and diversity by encouraging values of tolerance and respect. Uniforms allowRead MoreWhat s The Whole Point Of School Uniforms?801 Words   |  4 Pagesthe whole point of school uniforms? Do we really need to spend billions of dollars on them? Let’s express our style with the clothes and the colors we wear by getting rid of school uniforms! School uniforms make the school plain and we need to express our own style, make it colorful! School uniforms don’t change the way people act, and you can still bully others. Proponents say that school uniforms are an advantage on how to judge an intruder, but opponents say that school uniforms are a disadvantageRead MoreDebate on School Uniforms1191 Words   |  5 PagesHowever, most public schools are turning to something more casual and more acceptable to parents and students: khakis or jeans and knit shirts of varying colors. The latter appear to be more affordable too because they can be used outs ide of school. Many school districts that have implemented school uniforms have provided some sort of financial assistance for families that can not afford the extra expense. 2. Potential Benefits of School Uniforms • Decreasing violence and theft because of clothingRead MoreSchool Uniforms827 Words   |  4 PagesSchool Uniforms are a Waste About one in five public schools in the US are requiring students to wear a uniform (Flam). Children at these schools are all forced to wear the same bleak clothing as everyone else, day after day. They have little outlet for self expression which often makes students feel worse about themselves or resort to unsafe behaviors as a method of showing their personality. Advocates claim school uniforms might help kids feel a sense of community and contribute to academic successRead MoreUniforms Or No Uniforms?1496 Words   |  6 PagesUniforms or No Uniforms? Aurene Carey Lisa Clark English 122 One of the students’ issues they face in this society, is school uniforms and what they should and should not wear. Do you think that they should be allowed to wear street clothes or wear the school uniforms that the school provides? There some various point of views that are presented, plus there is a definition of what a school uniform is just in case some people don’t know. A school uniform is basically a shirt (school choice) whichRead MoreSchool Uniforms Essay686 Words   |  3 PagesSchool uniforms should definitely be used in school systems. Uniforms are both good for schools as well as for the students. Wearing uniforms will help build a sense of unity within the school. Instead of everyone as a separate team, everyone will be in the same team. Wearing uniforms will help free students of the stress of what to wear in the morning. Wearing school uniforms will help improve student individuality and improve their self-esteem. First, wearing matching uniforms can make studentsRead MoreShould School Uniforms Be Mandated?944 Words   |  4 PagesShould School Uniforms Be Mandated in Public Schools? Educators and parents, alike, want safe, respectful learning-oriented schools for their children. In 1996, President Bill Clinton challenged schools â€Å"to teach character education, †¦ And if it means that teenagers will stop killing each other over designer jackets, then our public schools should be able to require their students to wear school uniforms.† (Boutelle 36). As a result, the Manual on School Uniforms was issued by the government toRead MoreSchool Uniforms And The School Uniform Policy964 Words   |  4 Pageslearning-oriented schools for their children. In 1996, President Bill Clinton challenged schools that â€Å" †¦ if it means that teenagers will stop killing each other over designer jackets, then our public schools should be able to require their students to wear school uniforms.† (Boutelle 36). As a result, the Manual on School Uniforms was issued by the government to provide guidelines for those considering establishing a school uniform policy. Ever since, proponents and opponents of mandated school uniforms haveRead MoreSchool Uniforms, Good Or Bad? Essay1740 Words   |  7 Pagesstudents and parents who don’t agree with school uniforms. They will immediately reject them because to them these uniforms restrict the student s’ freedom of expression. After picking this topic. I wanted to take the negative of it because I want to freely choose the clothes that I want to wear. I didn’t want someone to choose the clothes that I’m going to wear. After, a while of researching this topic, I decided to take the positive side of school uniforms. In fact, these uniforms will help students

Achieving Cultural Competence in Nursing

Question: Discuss about theAchieving Cultural Competence in Nursing. Answer: Introduction Australia is a plural society that is made up of people from diverse cultural and linguistic diversities. The diversity of the nation is demonstrated by the fact that it has more people who speak than 500 indigenous languages. Therefore, in order to obtain equity, the country should have brilliant strategies in its healthcare system. Over the years, the country has been known to be having a skewed healthcare system that mainly benefits the privileged non-indigenous communities at the expense of the social and economically-deprived indigenous groups like the Aboriginals and the Torres Strait Islander people. This is an unfortunate scenario that should be rectified. As a country, Australia should be in a position of delivering a culturally-competent healthcare to appeal to, accommodate and meet the needs of all the diverse cultural groups within its jurisdiction (Fredericks, Lee, Adams Mahoney 2015, p. 371). This paper presents an in-depth analysis of the ideology of cultural competen ce in healthcare in Australia. It does this by analyzing the role of healthcare providers, government, and community organizations in the delivery of cultural competent healthcare, barriers, and opportunities to explore in the establishment of a culturally competent healthcare nation and goes ahead to present a convincing argument to a practitioner attending to a non-English speaking female immigrant who is recently married and practices a different religion. Cultural Competence in Healthcare Australia is a seriously diverse nation with numerous ethnic groups. Meaning, there are a large number of people speaking different languages as well as practicing cultural traditions unique, but essential to them as a people. These populations are distributed both within states, territories, urban centers and remote rural areas. Therefore, for the country to attain equality in healthcare, the service delivery should be designed to be culturally competent. A culturally competent healthcare system is characterized by many factors (Parker Milroy 2014, p. 31). Most importantly, it recognizes the diverse nature of the society which of course consists of people from different cultural backgrounds. The acknowledgement that the society is composed of diverse populations is a major milestone in the accomplishment of cultural competent healthcare. Each community has its own uniqueness that must be considered when designing the healthcare framework. The first step in the realization of a cultural competent healthcare is the training of healthcare providers. After making the decision to create a cultural competence in healthcare, the government should collaborate with the education and healthcare sector to provide a cultural sensitive healthcare education to the healthcare practitioners. This can help in bringing up a caliber of diverse professionals who are aware of the cultural plurality of the nation and can dedicate their time to fit into the multicultural job market and be able to serve the patients regardless of their cultural background (Doolan, et al 2015, p. 234). Knowledge on cultural diversity is a paramount resource to the healthcare providers because it provides them with an ample opportunity to know that all cultural traditions are important and should be respected. Only when a patient feels that their cultural values are respected can they accept and embrace the healthcare services provided to them at any given tim e. This is the strategy that should be adopted by a healthcare practitioner serving a non-English speaking female immigrant who is recently married and practices a different religion. Another important consideration to make regarding the delivery of cultural competence healthcare is the involvement of the local communities in healthcare provision. Since the government has a primary responsibility to deliver quality healthcare to its citizens, better outcomes can be achieved if smart decisions are made. One such decision should be the collaboration of healthcare sector with the local cultural community-based organizations which are also concerned with healthcare delivery to their respective community members. When this happens, culturally-acceptable and responsive healthcare services can be rendered. For example, when serving the indigenous groups like the Aboriginals and the Torres Strait Islander people, the local community organizations such as the National Aboriginal Community Controlled Health Organization (NACCHO) should be actively involved (Kirmayer 2012, p. 3). This is commendable because NACCHO uses local professionals who have a deeper understanding of t he cultural traditions of the community hence better placed to deliver cultural competent healthcare to the indigenous communities (Almutairi, McCarthy Gardner 2014, p. 271). It should be adopted by a healthcare practitioner serving a non-English speaking female immigrant who is recently married and practices a different religion. The successes in the delivery of cultural competent healthcare should be credited to the presence of competent leadership. Meaning, without a competent leadership structure, quality healthcare services cannot be rendered to the satisfaction of the patients. Competent leadership is necessary in cultural competent healthcare delivery because it can benefit it in many ways (Grant, et al 2012, p. 353). Apart from promoting the spirit of commitment, it instills the value of accountability and transparency in the healthcare providers. An accountable healthcare system can be of great value to the society because it makes the healthcare professionals to discharge their duties much responsibly than they would do if no such requirements are put in place (Hunt, et al 2015, p. 466). Accountability is a key element of cultural competence in healthcare because it makes the healthcare providers to be transparent in their work and always remain committed to ensuring that the services provided are cu lturally-acceptable and beneficial to the target beneficiaries. As a student, I know for certain that I have a heavy task ahead of me. Developing my career as a professional nurse is a challenging endeavor that requires a lot of commitments from my side. I need to carry out a self-assessment to reflect on my strengths, weakness, opportunities, and threats because this will help me to soldier on and eventually accomplish my goal and emerge as a successful professional who can be relied upon to deliver quality and culturally competent healthcare services to those who need it (McDermott, et al 2015, p. 1). By doing so, I would be doing a great job by contributing towards the realization of a disease-free society in which everyone is willing to live and help in delivering quality healthcare to a diverse population including a non-English speaking female immigrant who is recently married and practices a different religion. One of the challenges I have to overcome is to fit in a diverse society in which I operate. as a professional, I should be ready to serve in any part of the country. My acceptance and readiness to move across the country will grant me an ample opportunity to serve people from diverse cultural backgrounds. However, to do so, I need to be a flexible professional who respects, acknowledged, and tolerates other peoples culture (Truon, Paradies Priest 2014, p. 1). This is what I need to do in order to contribute towards the realization of a cultural competence healthcare. Even if I should be operating under a stringent guidance of specified standards, I can only succeed if I am convinced that I should have a positive attitude towards other cultural traditions. As a white student, I have sets of beliefs, values and traditions with which I identify. However, this does not mean that I am more important than other people (Donato Segal 2013, p. 238). Instead, I should consider myself privileged for getting a chance to train as a medic. I have managed to reach this point, not only because of my personal efforts, but due to support from my parents, tutors, friends, and the community at large (Russell 2013, p. 2). Therefore, to give back to the community, I need to accept to be a culturally-conscious professional who understands that Australia is a diverse nation with people from different cultural backgrounds. At the same time, I should use my privilege to serve everyone without considering their cultural background. Meaning, I would have to treat everyone with the dignity that they deserve (Renzaho, et al 2013, p. 2). This will enable me to be an ideal professional who can positively contribute towards the establishment of cultural competence i n healthcare for the benefit of diverse cultural groups in the society and greatly contribute towards satisfying the needs of diverse patients such as a non-English speaking female immigrant who is recently married and practices a different religion. Effective healthcare delivery cannot be achieved without the contribution of individual professionals. The professionals have an invaluable contribution to make towards the creation of a cultural competence in healthcare. Nonetheless, to achieve this, the professional needs to be thoroughly trained and provided with education on cultural diversities in the society. A knowledgeable professional can be of great help because of the ability to analyze the situation before making reasonably justifiable decisions to help in improving the culture of tolerance in healthcare delivery (Donato Segal 2013, p. 238). Such mechanisms can play a significant role in satisfying the diverse needs of patients including a non-English speaking female immigrant who is recently married and practices a different religion. How to Improve Cultural Competence in Healthcare Despite taking deliberate measures to address the issue of cultural competence in healthcare, desired results cannot be attained because of many barriers: inadequate resources, lack of enough experts to deliver cultural competent healthcare, and limited active community participation in the delivery of culturally competent healthcare in the country. Nevertheless, cultural competence in healthcare can be a reality if the following measures are taken. First, the government should consider collaborating with the community organizations to ensure that appropriate healthcare programs are designed and provided to each community whenever necessary (Brown, et al 2015, p. 125). To do this, adequate resources should be set aside to support the operation of the organizations. This strategy is commendable because it creates platform for the locals to be actively involved in major decision making processes on matters regarding their health. At the same time, such organizations are managed by loca l professionals who are accepted because of their understanding of the local cultural traditions (Mitrou, et al 2014, p. 1). Besides, there should adequate training of individuals on the significance of cultural diversity in the country. The government should bank on education because it can be a better tool in creating awareness to individual Australians as well as the other healthcare professionals who are entrusted with the delivery of cultural competence in healthcare. The first to achieve this goal is to provide adequate training to the healthcare professionals. The healthcare curriculum should incorporate the elements of cultural diversity (Grant, Parry Guerin, 2013, p. 253). The other strategy to apply is to carry out public awareness on individual Australians. An appeal should be made to every individual to support the efforts to deliver cultural competent healthcare. At the same time, the government should heavily invest on research. Adequate studies can help in bringing information that can enable the healthcare providers to deliver evidence-based cultural competence healthcare services (Gajjar, et al 2014, p. 385). The carrying out of such researches can enable the government to come up with responsive policy frameworks to lay out strategies on how to improve the face of healthcare in the country. Conclusion It is quite disheartening that Australia that, for a long time, has been credited for having the best healthcare system in the country still faces the reality of unequal distribution of healthcare services amongst its populations. This has been partly been caused by the diverse nature of the nation. However, one way of bridging this gap is through the provision of cultural competence in healthcare. All the healthcare professionals should be empowered to actively contribute towards the delivery of culturally competent healthcare services in the country. To do so, the government should partner with ethnic and cultural communities and give them the necessary support to contribute towards this cause. At the same time, the government should allocate adequate resources to use in research and providing education and awareness on the significance of having culturally-competent healthcare services in the country. References Almutairi, A.F., McCarthy, A. Gardner, G.E., 2014. Understanding Cultural Competence in a Multicultural Nursing Workforce Registered Nurses Experience in Saudi Arabia. Journal of Transcultural Nursing, p.1043659614523992. Brown, A., et al., 2015. A strategy for translating evidence into policy and practice to close the gap-developing essential service standards for Aboriginal and Torres Strait Islander cardiovascular care. Heart, Lung and Circulation, 24(2), pp.119-125. Donato, R. Segal, L., 2013. Does Australia have the appropriate health reform agenda to close the gap in Indigenous health?. Australian Health Review, 37(2), pp.232-238. Doolan, I., et al., 2015. A retrospective comparison study of Aboriginal and Torres Strait Islander injecting drug users and their contact with youth detention and/or prison. Australian Indigenous Health Bulletin, 15(4). Fredericks, B.L., et al., 2015. Aboriginal and Torres Strait Islander Health. Introduction to Public Health [3rd Ed.], pp.355-376. Gajjar, D., Zwi, A.B., Hill, P.S. Shannon, C., 2014. A case study in the use of evidence in a changing political context: an Aboriginal and Torres Strait Islander health service re-examines practice models, governance and financing. Australian Health Review, 38(4), pp.383-386. Grant, J., Parry, Y., Guerin, P. 2013, An investigation of culturally competent terminology in healthcare policy finds ambiguity and lack of definition. Australian and New Zealand journal of public health, 37(3), 250-256. Hill, R., et al., 2012, A typology of indigenous engagement in Australian environmental management: implications for knowledge integration and social-ecological system sustainability. Ecology and Society, 17, pp.1-17. Hunt, L., et al., 2015, Nursing students' perspectives of the health and healthcare issues of Australian Indigenous people. Nurse education today, 35(3), pp.461-467. Jongen, C., et al., 2014, Aboriginal and Torres Strait Islander maternal and child health and wellbeing: a systematic search of programs and services in Australian primary health care settings. BMC pregnancy and childbirth, 14(1), p.1. Kirmayer, L., 2012, Rethinking cultural competence. Transcultural Psychiatry, 49(2), 149. McDermott, R.A., et al., 2015, Community health workers improve diabetes care in remote Australian Indigenous communities: results of a pragmatic cluster randomized controlled trial. BMC health services research, 15(1), p.1. Mitrou, F., et al., 2014, Gaps in Indigenous disadvantage not closing: a census cohort study of social determinants of health in Australia, Canada, and New Zealand from 19812006. BMC Public Health, 14(1), p.1. Parker, R. Milroy, H., 2014. Aboriginal and Torres Strait Islander mental health: an overview. Working together: Aboriginal and Torres Strait Islander mental health and wellbeing principles and practice. 2nd ed. Canberra: Department of The Prime Minister and Cabinet, pp.25-38. Renzaho, A.M.N., et al., 2013, The effectiveness of cultural competence programs in ethnic minority patient-centered health carea systematic review of the literature. International Journal for Quality in Health Care, 25(3), pp.261-269. Russell, L.M., 2013, Reports indicate that changes are needed to close the gap for Indigenous health. Med J Aust, 199(11), pp.1-2. Truong, M., Paradies, Y. Priest, N., 2014, Interventions to improve cultural competency in healthcare: a systematic review of reviews. BMC health services research, 14(1), p.1.