A Brief Note On Race And Gender Oppression - 1880 Words

It is a common fantasy of science fiction writers to imagine a world rid of the social ills of our own–where disease, famine, poverty, and even the hierarchies of race, gender, ability, and class so well known to us are distant memories from a bygone era. These writers, many of whom are white men, in their own eyes might envision these progressive futures, freer societies than ours, as being written specifically for the oppressed–a distraction, meant to give hope for humanity’s future, from the injustices of their present. In the majority of cases, however, they do so with little success, instead mirroring the systems of oppression they sought to subvert in their works. Despite the omission of race and gender oppression their authors sought to implement in their creation, the worlds of both The Stars My Destination and Do Androids Dream of Electric Sheep are occupied in part by the racialized bodies of men and women, with the women in particular struggling in the ir settings for the recognition and affirmation of humanity afforded their narratives’ white-coded, male protagonists. Moreover, these attempts by the science fiction genre’s predominately white, male authors to leave racism and sexism out of their work, while perhaps rooted in a sense of progressivism, are in fact more a representation of their real-world desire to â€Å"move on† from these systems of oppression without sacrificing their privilege inherent to these systems’ continued existence. The erasure of systems ofShow MoreRelatedThe Sexualisation And Popularization Of Feminism Within The 21st Century1296 Words   |  6 Pagescontrolled, manipulated and harmfully misrepresented in an attempt to thwart the movement’s natural evolution and progression. This essay will explore the various aspects to such an argument in a number of steps. Firstly, I will begin with a necessary and brief history of both First and second wave feminism as well as a general evaluation of the current gendered system. I will go on to then discuss new age pop culture and mass media, as well as its involvement with the erroneous, sexulisated and popularizedRead MoreMediation And Race : Mediation1599 Words   |  7 PagesMEDIATION AND RACE 6 mediation or any other reason . Thus, a mediator should decline a mediation if the mediator cannot conduct it n an impartial manner. Still, it is important to note that as humans we all have certain unavoidable notions and we must leave them outside of this process. There is also a need to create a â€Å"safe space† in the session. Though it may be good natured certain â€Å"compliments†Read MoreCommentary and Analysis of the Movie: Matrubhoomi: A Nation without Women1412 Words   |  6 Pagesin what could be labeled as homosexual activities. The men share in communal sexual experiences, viewing porn in a group setting and watching men dressed in drag while dancing, as there are no women for strip tease entertainment. There is even a brief hint of bestiality shown as a man in the film takes on a cow after watching porn. These men have no women to have sex with. 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Not only do I identify as female, but I also consider myself to be a feminist, which is one of my reasons for choosing the feminist framework. I also feel that it is critical to state that I identify as heterosexual, but consider myself an ally to the LGBTIQ community. Therefore, my views on gender may extend to my views on sexuality, since theyRead MoreGender Inequalities: Yesterday and Today Essay1674 Words   |  7 Pages And we still say that gender inequality exists no more. No one raises a brow when a man wanders in night clubs, or gets drunk, or befriends strange women. It is normal. It is common. He is a man. But even in this day and age, a woman frequenting a night club and indulging in alcohol is deemed â€Å"immoral†Ã¢â‚¬ ¦. â€Å"licentious.† We are in the twenty-first century; we call ourselves civilized, modern, liberal. We claim to believe in equality of the sexes, and non-existence of gender-discrimination. 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Mental DisorderSchizophrenia - 1328 Words

Schizophrenia Schizophrenia is a disease of the brain and is known as one of the most disabling and emotionally devastating mental disorders. It is accompanied by a variety of symptoms, such as distortion from reality, emotional, behavioral, and intellectual disturbances. It is somewhat common, with 1 to one and a half of the population diagnosed, but it is usually misunderstood by the public, which is why researchers have been trying to find the exact cause of this disease and how it can be treated so people affected are able to live a healthy lifestyle with this debilitating condition. The symptoms of schizophrenia may be looked at as positive or negative. People with positive symptoms often lose touch†¦show more content†¦Someone who may have a history of psychiatric illnesses in their family , such as bipolar disorder, depression, etc, have an increased risk of developing schizophrenia themselves. A study performed on twins have shown that if one twin has schizophrenia, the other twin who has the same exact genes as his/her siblings, is only a 50%. Another study done in Finland stated that adopted children that had a higher risk of developing schizophrenia, eventually had an 86% lower rate of developing the disease when brought up in a healthy family. In the healthy family, 6% of children developed the disease, whereas in the dysfunctional family, 37% of children are affected. Environmental influences can range from three main types, fetal issues, drug use, and life experiences. Fetal issues deals with things that happen during pregnancy. For example, if a mother is malnourished, it can put the baby at a higher risk for developing schizophrenia in later life. Also high levels of maternal stress, low oxygen levels, and fetal infections can lead to a higher risk for schizophrenia. Another factor is drug use. Drug use is very common among the mentally ill, but it is unclear whether the high use of drugs by schizophrenics actually causes the disease or is a result of it. Schizophrenia is a life long condition, which usually isShow MoreRelatedSchizophrenia- Mental Disorder1002 Words   |  5 Pagesthe mental breakdown that forever changed his life. On an early, extremely cold winter morning in northern Iowa, Ron walked out of the farm house in only his underwear, through the large cornfield, and down to the Yellow River that was frozen over with a thin layer of ice. Luckily, his parents caught him in time before he had fallen through the thin ice. Ron was soon rushed to a mental institution where he was observed by psychiatrists that later diagnosed him with disorganized schizophrenia. SchizophreniaRead MoreIs Schizophrenia A Mental Disorder? Essay1418 Words   |  6 PagesSchizophrenia is a mental disorder in which the individual interprets reality abnormally, this means that the person has â€Å"Hallucinations, Delusions, Thought disorders (unusual or dysfunctional ways of thinking), Movement disorders (agitated body movements)†, and most importantly â€Å"it doesn’t have a cure†, as the National Institute of Mental Health states. If you caused a crime and claim that you have a mental disorder it doesn t mean that you get a free pass and not have to pay for your crime, itRead MoreIs Schizophrenia A Serious Mental Disorder?1578 Words   |  7 Pages Introduction Schizophrenia is a serious mental disorder that affects the way an individual thinks, feels, and acts (MHA, 2017). Diagnosed individuals have trouble deciphering what is real or what their mind is making up. This is caused by hallucinations and delusions with sight and auditory. Individuals full heartedly believe the hallucinations are real and it may be hard for loved ones to watch. Social situations are difficult for patients diagnosed because social norms are harder to express. ItRead MoreSchizophrenia And Its Effects On Mental Disorders992 Words   |  4 PagesSchizophrenia While some may understand the concept of not having control over a specific disorder, fewer are able to imagine living with a disorder in which an altered perception of reality is created. â€Å"Schizophrenia is, in fact, a class of disorders that causes a distortion of reality to occur to its patients and effects the lives of many individuals to this day (Feldman, 2013). 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Trudy Meehan and Malcolm MacLachlan, in the article â€Å"Self Construction in schizophrenia: A discourse analysis†, seek to shed light on the topic of self-construction in those with schizophrenia. The main issue they are addressing is whether or not using the discursive model of self-construction will provide a better and more accurate way of analyzing how people diagnosed with schizophrenia construct self as opposed to using only theRead MorePsychiatric Treatment: Mental Disorders, Schizophrenia, and The Yellow Paper2081 Words   |  9 Pagesyear that are diagnosed with a mental disorder. In the world’s entire population, more than one percent of people have been diagnosed with schizophrenia (Brain and Behavior Research Foundation). When thinking of the billions of people in the world, it might not seem like that many people but once the number of those diagnosed is calculated it seems much larger. Currently there are more than seventy million people in the world that have been diagnosed with schizophrenia, only diagnosed. There are probablyRead MoreSchizophrenia Is A Mental Disorder Essay1319 Words   |  6 PagesSchizophrenia is a mental disorder that affects about 1% of the population world wise between the ages of 16-30 (Nordqvist 2016). The word Schizophrenia means, â€Å"Split mind† but it does not cause a split personality and was first introduced by a Swiss man named Eugen Bleuler (Simon Zieve, 2013). Schizophrenia has different subtypes, including Paranoid-type, Disorganized-type, Catatonic-type, Undifferentiated-type, and Residual-type (Simon Zieve, 2013). Men develop the symptoms in their early teenageR ead MoreIs Schizophrenia A Mental Disorder?1107 Words   |  5 PagesSchizophrenia is a mental disorder that is thought to be brought on by certain genetic factors as well as environmental ones. It affects the way a person perceives reality. The person diagnosed with schizophrenia will often perceive auditory, visual, kinetic, and olfactory stimuli that aren’t actually present. The disease also affects how the person feels and acts as well. Scientist who study Schizophrenia have not clearly defined the core causes of this disease however it is thought to have a strongRead MoreIs Schizophrenia A Mental Disorder?981 Words   |  4 PagesSchizophrenia is a mental disorder, which relentlessly affects approximately 1 percent of the world’s population. This term comes from the Greek, Schizo meaning â€Å"splitting† and Phrenia which means â€Å"of the mind† so therefore Schizophrenia is defined as a split mind. This disorder makes it hard for the person who has it to distinguish between what is real and what is imagined. Reason being is that it weakens their ability to think logically, express normal emotions, and behave properly in social situations

Lack of access to Palliative Care-Myassignmenthelp-Myassignment

Question: Write an Essay on Lack of access to Palliative Care. Answer: Introduction End of life care is particularly challenging for the healthcare professionals as it requires extensive collaboration and critical insight to ensure health and wellbeing of the distressed individuals in need of care. In contrast to the terminally ill patients who require palliative care services for management of their condition, the ones afflicted by dementia like disorders is shrouded with impediments that hamper their quality of life significantly. Dementia has been identified as a debilitating syndrome that causes progressive deterioration of the cognitive brain functioning encompassing memory, perception, reasoning, understanding and behavior. The geriatric population is more vulnerable to acquire this condition and majority of the incidences reportedly occur at age 65 years or more (World Health Organization, 2017). Data in the context of Australia for the year 2014 has revealed that dementia including Alzheimers disease is the second leading cause of death accounting for 7.8% o f total mortalities in Australia (Abs.gov.au, 2017). In consideration of the above situation it is imperative to resort to prudent approaches as offered through palliative care facilities for enhancing the prevalent scenario with respect to the dementia patients living in Australia. The following essay will highlight on three relevant issues that might hinder the provision of person-centered and family focused palliative care for older people living with end-stage dementia in residential aged care facilities in Australia itself. Issues that may hinder the provision of person-centered and family focused palliative care for older people living with end-stage dementia in residential aged care facilities in Australia Rendering person-centered and family focused palliative care for older people thriving with end-stage dementia in case of aged care facilities may be disrupted due to pervasiveness of various issues such as paucity of access to palliative care, communication problems and faulty pain management. These issues impede the proper management of the deleterious health condition of dementia that tends to rob oneself of her personal stand. Lack of access to palliative care Dementia is a potentially debilitating illness in which the declining cognitive status of the affected person majorly influences the judgment, reasoning, memory and communication skills thereby posing threat to the victims. Hence, providing adequate and most appropriate treatment intervention is a challenging task for the healthcare professionals. Moreover, end stage dementia is particularly hard to handle due to insufficient and considerable knowledge acquisition on the part of healthcare professionals in addition to limited resources and dearth of curative therapies. Transcending the traditional care with respect to dementia patients, novel and improved healthcare practices are required to remedy the sufferings of the dementia affected patients as well as their families thereby providing opportunities for maximizing the quality of life of them across various stages of illness. Poor outcomes because of end of life issues in dementia patients is of particular botheration as it tend t o jeopardize the stability in a persons life and incur threats to health (Lee et al. 2017). Further, researches carried out with respect to the provision of end-of-life care depicted that despite being a terminal illness condition; dementia is often undermined that leads to inadequate healthcare delivery. People with end stage dementia do not have access to most suited end-of-life care needs that compromise their healthcare outcomes in a major way. In contrast to other terminal illness, stereotype and stigma is attached with dementia that makes it more difficult to combat the adverse outcomes. Difficulty in dementia diagnosis coupled with lack of education regarding the disorder by the healthcare workforce, families and caregivers predisposes the vulnerable group of elderly population to encounter the wraths and negative repercussions. Inability to detect complications associated with end stage dementia by the healthcare professionals further aggravates the problem and harness poor end-of-life outcomes to strategize suitable interventions based on the individualized needs of the affected dementia person. The composite needs of the victims are not succinctly addressed due to such negative results emanating from dearth of clinical expertise and insight for recognizing the specific symptoms of dementia. Fewer referrals to suitable palliative care facilities are another major hindrance (Dowling et al. 2015). The culturally, linguistically and ethnically diverse groups are particularly susceptible to face discrimination in terms of access to healthcare and equity in service provision. Therefore, timely diagnosis and prompt intervention are delayed that procrastinates the chances of recovery of the dementia patient in a huge manner. Adequate navigation of the healthcare system if not fulfilled satisfactorily has the ability to diminish the service outcomes for dementia patients in spite of exhibition of similar symptoms like that of pain, confusion, agitation, lack of sleep and eating as happens in terminal illness like cancer (King, Goeman and Koch 2015). Communication issues In contemporary healthcare sector, communication is considered crucial and complementary to other modes of therapeutic interventions for deriving optimal benefits for the distressed patient. In case of dementia-affected patients, similar results may be expected out of appropriate following of communication strategies. The affected individuals may not always verbally articulate sufferings instead, they may resort to expressing their issues of concern through behavioral gestures and similar symptoms. Functional decline of the dementia sufferers is commonly noted that may be indicative of the diagnostic presence of dementia in the concerned individual. Thus, the general practitioners through cooperative and synergistic efforts received from other allied healthcare professionals are capable of rendering accurate diagnosis and management for dementia. Empirical evidences have offered resolution in mitigating the challenging issues with respect to the dementia patients through undertaking of proper training, encouraging the dementia-affected to continue with exercise programs, healthy dietary intake and self-sufficient activities of daily living as much as practicable. Therefore, understanding the underlying symptoms through critical reflection is important for the health service providers to address the situation satisfactorily and has been categorically stated in the clinical practice guidelines for elderly dementia patients (Dyer et al. 2016). Apart from the healthcare workers, the family members who remain in close association with the patient might also encounter challenges to comprehend the immediate situation that indicate the behavioral underpinning linked to dementia. The healthcare prioritization of dementia like condition have garnered considerable attention in recent circumstances that further necessitated the need to incorporate all the elements surrounding dementia care to harbor positive outcomes. Emphasis has been attached to consider revision of care givers needs in liaison with the cultural values for reducing the subjective burden associated with dementia. The caregiver support mechanisms has been suggested to rest in conformity with the allied concepts of dementia care for prudent intervention regarding the matter. The ability to listen, respond and construe depending on the patients situation has been identified particularly important (Xiao et al. 2014). Better communication and comprehension of the non-verbal behavioral responses is likely to ensure the smooth implementation of the therapeutic interventions aimed to ameliorate the symptoms of the dementia patient. Non-verbal communication has been recognized as the most suitable therapeutic target through psychological intervention models within the delivery care framework. Specifically dementia and Alzheimers disease has been reportedly lead to the generation of improved outcomes through utilization of various technological resources so that communication between people wi th dementia and their caregivers presents significant transformation (Chenery et al. 2016). The inability to voice their feelings or express with the help of words should not stand on the way of offering appropriate health service to the patient, instead behavioral responses and facial expressions must be taken into consideration while assessing the dementia condition for the concerned affected person. The changing behavioral pattern in course of progressive stages of dementia need to be kept into account by the attending healthcare professionals to deal with the ensuing situation perfectly. Study findings suggest that increased education in addition to support for families circumscribing issues pertinent to end-of-life care decisions is fruitful for advanced dementia. In case, the patients do not have the capacity to take decisions about treatment modalities in end of life, the same must be entrusted upon the near ones of the patient comprising of family members preferably. The nec essary decisions on patients behalf will be taken by that concerned individual, which is to be clearly defined in statements surrounding advanced care planning where explanations for choices in end-of-life care will be documented (Reinhardt et al. 2014). Pain management There has been speculation regarding the use of analgesic medications in case of the dementia-affected individuals that has largely accounted for the reduced use of pain reliving medicines in case of such patients. Improper and decreased pain management is thus noticed. Effective treatment faces barriers in absence of successful communication of pain for severe dementia. Systematic study of facial expressions has brought to the forefront distinguished characteristics specific to the perception of pain that hold potential for future implication to alleviate dementia symptoms through proper therapeutic administration. The reliable indicators of pain has been found to be confounded by factors such as contextual variables, observers bias in addition to overall state of the individuals health and wellbeing. Thus, the susceptibility to pain by the elderly individuals is likely to be resolved by allaying the possibilities of under-recognition, under-treatment and under-estimation (Hadjistav ropoulos et al. 2014). Issues like that of grimacing pain because of progressive illness that cause significant decline of their health status compound dementia patients approaching end of life. The healthcare assistants recruited at the aged care facilities spend a bulk proportion of time with the ailing patients as opposed to other healthcare personnel thereby acting as the frontline healthcare workforce responsible for offering accurate healthcare service to the dementia patients. They conduct the operations related to identification of pain in the dementia-affected persons and reporting to the immediate authority for prompt medical intervention. Literature has supported the up skilling of this group of healthcare team members and reversal of the stigma attached to the role to render safe and quality dementia care for the concerned persons (Jansen et al. 2017). Targeted pain management services through incorporation of relevant pain assessment tools has been highlighted in furthe r study to allow better understanding in relation to the prescribing practices within the aged care facilities thereby accounting for improved quality of life for those affected persons (Tan et al. 2014). Healthcare staff and informal caregivers who remain in close proximity with the dementia afflicted patients in the aged care facilities exhibit attitudinal and knowledge barriers in assessment of pain that threaten the status of those persons because of exerting significant influence over practice behaviour. Thus, discernible attention and prudent intervention with respect to pain management through knowledge and other skills acquisition is desirable to elicit positive responses through better pain handling in the dementia patients during their end-of-life care (Chandler et al. 2017). Critically analyses Management of dementia in aged care facilities calls for greater insight, prudence and pragmatism through utilization of suitable multidimensional composite healthcare interventions that are capable of eliciting positive results on application. A team comprising of interdisciplinary healthcare members may undertake measures that properly address the needs of the dementia patients so that quality of life of both patient as well as caregiver may be improved. Prognosis, management and advanced care planning for the dementia patients are likely to culminate in generating holistic outcomes that will cause emancipation of the individuals health in addition to assessing their palliative care needs (Brody 2016). Delivery of effective dementia care planning has been found to be thwarted due to poor symptom assessment alongside possible inappropriate prescription of antipsychotic medication that may be further attributed to the lacunae in understanding and knowledge in managing dementia patien ts by the healthcare workers during their clinical intervention (OShea et al. 2015). Deeper probe into matters relevant to the dementia patients have referred to both the under-treatment and under-recognition of pain among the elderly dementia patients. The deficits in nursing knowledge and attitudes owing to the complexity and individualization with respect to pain behaviors have been held responsible for such implications. However, a standardized approach to pain management in conjunction with workforce stability and accessibility of proper training for the nurses might lead to successful management of pain in case of dementia patients (McIlfatrick 2015). Further, critical appraisal of dementia patient condition has talked about implementation of a facilitated approach to better equip with relevant resources essential to deal with older patients suffering from dementia. A collaborative nursing home culture supported by activities and ongoing associations for the healthcare workers is desirable to ensure safe and quality healthcare facility for dementia affected, palliative care patients (Luckett et al. 2017). Recommendation Positive healthcare outcomes specific to the elderly dementia patients may be represented through access to palliative healthcare services in residential aged care settings where the nurses and other healthcare staff make endeavors to render all round support for managing their condition. Information available in the context of Australia suggest that the escalating numbers of dementia diagnosed patients require extensive care in the form of palliative care services as accessible in the aged care facilities to ameliorate their declining health status symptoms (Aihw.gov.au, 2017). Empirical evidences have argued in favor of improvising and implementing appropriate interventions for the sake of addressing the end-of-life care services specific to the dementia patients that aim to harp on matters related to the challenges in course of the illness and trajectory. In conjunction with the interactive responses, the non-verbal communication has been considered crucial to better manage the co ndition besides being heed to the sufferings of the caregivers who remain in close association with the patients (Rexach2012). Apart from the traditional modalities of dementia management, it has been increasingly emphasized to recover the knowledge deficits and apply relevant learning, desirable skills regarding palliative care management of dementia patients among the healthcare workers and families of patients surviving with dementia that may be enhanced through evidence based practice. Palliative care has been identified as a potential way of managing dementia to live up to the heightened demands of optimal care for dementia afflicted (Robinson et al. 2014). Further, recommendations have highlighted on maintaining the ethical and legal standards of practice in nursing for safeguarding the choices, autonomy and dignity of the patients by means of providing insight pertaining to advanced care planning (ACP) that in turn may be facilitated through arranging training sessions for th e concerned healthcare professionals in charge of dementia affected patients (Health.gov.au, 2017). Conclusion Critical evaluation of the condition prevalent among the dementia patients receiving end of life care has brought to the forefront the barriers to management of such individuals within the residential setting framework of palliative care unit. Until date no cure for dementia has been discovered, however alleviation of the symptoms associated with the disorder has been found to be effective in tackling the situation specific to the patient. Therefore, it must be ensured so that they get access to specialized palliative care health services at par with others suffering from terminal illness. Accurate assessment and interpretation of the patient situation carried out by the nurses and other healthcare personnel is crucial to treat them holistically by catering to their individualized needs. Pragmatic observation of both the verbal as well as nom-verbal communication is beneficial in this respect where the nurses may satisfactorily acknowledge the distinctive scenario. Further, the pain management regime needs to be well monitored and comprehensive to prevent adverse outcomes and ensure better quality of life for the dementia affected old. Overall the end of life care for dementia patients needs to be framed in coalition with inputs received the respective healthcare professionals, the patient and their families so that all aspects of health including the physical, emotional, spiritual, as well as cultural domains is addressed for harboring optimal outcomes. References Abs.gov.au (2017).3303.0 - Causes of Death, Australia, 2014. [online] Abs.gov.au. Available at: https://www.abs.gov.au/ausstats/abs@.nsf/Lookup/by%20Subject/3303.0~2014~Main%20Features~Dementia,%20including%20Alzheimer%20disease%20(F01,%20F03,%20G30)~10040 [Accessed 25 Aug. 2017]. Aihw.gov.au (2017).Palliative care services in Australia (AIHW). [online] Aihw.gov.au. Available at: https://www.aihw.gov.au/palliative-care/ [Accessed 25 Aug. 2017]. Brody, A.A., 2016. Dementia palliative care. InDementia Care(pp. 247-260). Springer International Publishing. C Chandler, R., MG Zwakhalen, S., Docking, R., Bruneau, B. and Schofield, P., 2017. Attitudinal knowledge barriers towards effective pain assessment management in dementia: a narrative synthesis.Current Alzheimer Research,14(5), pp.523-537. Chenery, H.J., Atay, C., Campbell, A., Conway, E., Angus, D. and Wiles, J., 2016. Using technology to enhance communication between people with dementia and their carers.Alzheimer's Dementia: The Journal of the Alzheimer's Association,12(7), pp.P279-P280. Dowling, M., Dempsey, L., Larkin, P. and Murphy, K., 2015. The unmet palliative care needs of those dying with dementia.International journal of palliative nursing. Dyer, S.M., Laver, K., Pond, C.D., Cumming, R.G., Whitehead, C. and Crotty, M., 2016. Clinical practice guidelines and principles of care for people with dementia in Australia.Australian family physician,45(12), p.884. Hadjistavropoulos, T., Herr, K., Prkachin, K.M., Craig, K.D., Gibson, S.J., Lukas, A. and Smith, J.H., 2014. Pain assessment in elderly adults with dementia.The Lancet Neurology,13(12), pp.1216-1227. Health.gov.au (2017).Department of Health | National Palliative Care Projects. [online] Health.gov.au. Available at: https://www.health.gov.au/internet/main/publishing.nsf/content/palliativecare-program.htm [Accessed 25 Aug. 2017]. Jansen, B.D.W., Brazil, K., Passmore, P., Buchanan, H., Maxwell, D., McIlfatrick, S.J., Morgan, S.M., Watson, M. and Parsons, C., 2017. Exploring healthcare assistants role and experience in pain assessment and management for people with advanced dementia towards the end of life: a qualitative study.BMC palliative care,16(1), p.6. King, J., Goeman, D. and Koch, S., 2015. Dementia care in the community: Access for culturally and linguistically diverse communities.Alzheimer's Dementia: The Journal of the Alzheimer's Association,11(7), p.P581. Lee, E.E., Chang, B., Huege, S. and Hirst, J., 2017. A Complex Clinical Intersection: Palliative Care in Patients with Dementia.The American Journal of Geriatric Psychiatry. Luckett, T., Chenoweth, L., Phillips, J., Brooks, D., Cook, J., Mitchell, G., Pond, D., Davidson, P.M., Beattie, E., Luscombe, G. and Goodall, S., 2017. A facilitated approach to family case conferencing for people with advanced dementia living in nursing homes: perceptions of palliative care planning coordinators and other health professionals in the IDEAL study.International Psychogeriatrics, pp.1-10. McIlfatrick, S., 2015. Palliative care in dementia: literature review of nurses knowledge and attitudes towards pain assessment.International journal of palliative nursing,21(8), pp.400-407. OShea, E., Timmons, S., Kennelly, S., Sin, A.D., Gallagher, P. and ONeill, D., 2015. Symptom Assessment for a Palliative Care Approach in People With Dementia Admitted to Acute Hospitals: Results From a National Audit.Journal of geriatric psychiatry and neurology,28(4), pp.255-259. Reinhardt, J.P., Chichin, E., Posner, L. and Kassabian, S., 2014. Vital conversations with family in the nursing home: preparation for end-stage dementia care.Journal of social work in end-of-life palliative care,10(2), pp.112-126. Rexach, L., 2012. Palliative care in dementia.European Geriatric Medicine,3(2), pp.131-140. Robinson, A., Eccleston, C., Annear, M., Elliott, K.E., Andrews, S., Stirling, C., Ashby, M., Donohue, C., Banks, S., Toye, C. and McInerney, F., 2014. Who knows, who cares? Dementia knowledge among nurses, care workers, and family members of people living with dementia.Journal of Palliative Care,30(3), pp.158-165. Tan, E.C., Visvanathan, R., Hilmer, S.N., Vitry, A.I., Quirke, T., Emery, T., Robson, L., Shortt, T., Sheldrick, S., Clothier, R. and Reeve, E., 2014. Analgesic use, pain and daytime sedation in people with and without dementia in aged care facilities: a cross-sectional, multisite, epidemiological study protocol.BMJ open,4(6), p.e005757. World Health Organization (2017).Dementia. [online] World Health Organization. Available at: https://www.who.int/mediacentre/factsheets/fs362/en/ [Accessed 25 Aug. 2017]. Xiao, L.D., Wang, J., He, G.P., De Bellis, A., Verbeeck, J. and Kyriazopoulos, H., 2014. Family caregiver challenges in dementia care in Australia and China: a critical perspective.BMC geriatrics,14(1), p.6.

Magwitch-a criminal Essay Example

Magwitch-a criminal Paper Dickens uses of short, descriptive sentences help to achieve these visions. Magwitch is a colourful, cunning and manipulative character, yet he loosens up his anger slightly towards Pip, when he learns that he is an orphan. It may show that Magwitch is an orphan too, and so shows slight sympathy towards him. Dickens may also be implying that Magwitch was provoked to turn to crime, as a result of becoming an orphan- fending for his self. This signifies a (very) subtle change in a relationship that was full of fear and intimidation, to one with a form of dependence, and some sympathy attached alongside it too. Pip agrees to follow the commands of Magwitch-a criminal, and therefore despite not really knowing, performing a noble act. In chapter 2, Dickens delves deeper into investigating the life of a typical orphan; in the era. We learn more about the harsh realities of life for an orphan. If you werent killed by the numerous epidemics around, then you were considered lucky. Ironically, the situation is written about quite comically to lessen the impact of the powerful opening chapter. Pip lives with his abrupt, and shrewish sister, Mrs Joe Gargery-who now looks after him, and her husband, Joe Gargery, who is a blacksmith. Pip is regularly the victim of angry beatings delivered by his sister, who has established a reputation by bringing Pip up by hand. Knowing her to have a heavy hand and to be much in the habit of laying it upon her husband as well as upon me, I suppose that Joe Gargery and I were brought up by hand. We will write a custom essay sample on Magwitch-a criminal specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Magwitch-a criminal specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Magwitch-a criminal specifically for you FOR ONLY $16.38 $13.9/page Hire Writer The channelling of problems faced in childhood evokes feelings of sympathy from the reader towards Pip- Dickens successfully does this to make the reader see that society was unjust, he explores this further through out the story. Mrs Joe isnt afraid to let Pip know that she thinks of his as a burden, and so uses him as a cannonball, she regrets looking after him. If it wasnt for me youd have been to the churchyard long ago, and stayed there. Who brought you up by hand? And why I did it, I should like to knowId never do it again! I know that. Mrs Joe believes that Pip should be grateful to her for what she has done for him. She is also quick to say that she is ashamed of her situation. It is bad enough to be a blacksmiths wife (and him a Gargery), without being your mother. This shows that Mrs Joe feels burdened by her position-looking after Pip, she is continuously working. Pip and Joe are in understanding of each others situations and so try to make the best of their situation. Joe tries to protect Pip, rather than lashing out on him too. When Pip hides some bread for Magwitch, Joe thinks that he has been bolting (swallowing without chewing). Mrs Joe makes both Pip and Joe drink repulsive tar-water (disinfectant mixture-wood tar); the cruel conditions of childhood are again depicted. In Dickens view of childhood, he felt that children have certain needs: guidance in a nurturing home, to be free from emotional and physical abuse, to have a good education, and to be allowed to be happy. Lack of parental love and support; in these circumstances have inclined Pip to long for a better future for himself, thinking it be possible if he can become a gentleman, he tries to pursue this ambition. Firing from the Hulks announces the escape of another convict. At dawn he steals food and a file, and hurries to meet the convict, despite his conscious questioning him-he feels that this is a criminal act, although he still carries it out. Chapter 3 opens to a rimy (frosty), miserable morning, where key events are about to occur. Pips guilty conscience is exposed, he thinks that his surroundings are talking to him, everything seemed to run at me and accusing him of crime. The gates and the dykes and banks came bursting at meA boy with somebody-elses pork pie! Stop himThe Cattle came upon me with like sadnessHolloa young thief! Dickens shows through the narrative, that he knew how children thought, and so the reader is able to enter Pips mind and see the world through the eyes of a child. Pip sees another convict in the dangerous fog and escapes from him, assuming that he is the murderous young man Magwitch mentioned was with him. The first convict-Magwitch is waiting for Pip. He devours the food with animal relish, and works to remove the leg iron with the file. He shows a different side of emotions when Pip comes back to meet him, and gives him food, something clicked in his throat as if he had works like a clock, and was going to strike. The usage of a metaphor tries to convey the fact that his burst of softer emotions is surprising, as he has presented his intense, and angry side, the narrative suggests that his presence is not human like, more like a machine. Alliteration helps to pinpoint this And he smeared his ragged rough sleeve over his eyes. Pips fear of him is mixed with pity, pitying his desolation, and watching him as he gradually settled down. The convict had obviously invented the young man to frighten Pip. Their relationship has shifted at this point-its a landmark. Magwitch doesnt act violently towards Pip (although he when he hears about another convict he gets angry-suggesting a mysterious connection between them), although the element of violence is still mentioned. He shivered all the while so violently and He was already handling mincemeat down his throatmore like a man putting it away somewhere in a violent hurry, than a man eating it. This shows us that Magwitch has indecisive violent qualities. Magwitchs almost unsettled state is highlighted again. His manners are compared to that of dogs. The politeness of Pips sympathetic conversation with the convict is an attempt to normalise an abnormal situation, but also, as recognition of the convict as a fellow human being. He is becoming somewhat comfortable with the situation now. Pip: I was glad you enjoyed it (the food Pip bought for Magwitch). Magwitch even thanks Pip, thus creating a noticeable change in their relationship-it is significant. Pips initial referral to Magwitch as my convict shows that an emotional bond/relationship between them is felt and has formed incomparison to previous fear. Pip leaves Magwitch to work on his leg-iron with the file, whilst he runs back home (for Christmas). In Chapter 4, at the forge an abundant dinner is held. Pip has got a guilty conscious, and is feeling terrified that his theft will be discovered. The tar-water that Pip substituted for the stolen brandy is drunk, and the pork pie cant be found. When Pip finally runs for the door but is met by a soldier bearing a pair of handcuffs. We are faced with the worrying question will Pip be arrested for his act? This end on a note of suspense reminds us that Dickens was writing to please a wide audience. In chapters 5-6, we learn that Joe is asked to repair the broken handcuffs. Everyone is forced to follow the soldiers on the search for the convicts, although Pip is reluctant-and worried about what Magwitch will think. Would he believe that I was both imp and hound in treacherous earnest, and had betrayed him? Pip is clearly feeling anxious and guilty about the situation, he is unsure about what may happen to both himself and Magwitch. The convicts are eventually found. Our curiosity about the convicts is aroused when one of them is called a gentleman-a topic that is at the core of the story is questioned. We see Joes humanity when he recognises Magwitch as a poor miserable fellow-creatur. Joe says We dont know what youve done, but we cant have you starve to death for itCould we Pip? to Magwitch. The reader learns that Pip gains his good morals and humanity from Joe, and his teachings. Dickens tries to bring into view of the audience that many convicts like Magwitch) werent necessarily bad people, you should consider that they may have been driven to commit crimes. Before being rearrested and taken back to the Hulks, Magwitch admits that he has stolen food from the forge, but doesnt reveal that Pip helped him; this public spew of protection shows gratitude and reassurance between the pair. Their relationship is still developing, and there has been a rapid shift since their first encounter the previous day, where a whirlwind of violence, and tension was displayed. Since the morning their relationship and attitude has turned into something more meaningful-loyalty has been conjured up; Proving that Magwitch must have been really touched when he was shown kindness from Pip. Criminals like Magwitch were pushed to the bottom of society. It was rare to see any affection shown towards them, as they were treated so badly. Magwitch shows emotion when kindness is shown to him from Pip and Joe. The something I had noticed before, clicked in the mans throat again, and he turned his back. Magwitchs turn around implies that he doesnt really want to show his softer emotions, this may be because criminals were believed to be hard and their emotions werent taken into consideration, as if they lacked them. Pip decides not to confide in Joe about his own part in the theft either; this signifies the start of a break between them.

Sample Recommendation Letters for College Applicants

Sample Recommendation Letters for College Applicants Many colleges, universities, and business schools request recommendation letters as part of the application process. Choosing the person to ask for your recommendation is often your first challenge because you want an honest letter that will improve your chances of being accepted. Also, if you are the person writing a letter of recommendation, it may be difficult to know where to begin.   No matter which side youre on, reading through a few good letters of recommendation will certainly help. With these samples, you can make better decisions about whom to ask, what should be included, and take note of the best format for writing one. Every college applicant has a different situation and your relationship with  a student and recommender is also unique. For that reason, were going to look at a few different scenarios that can be adapted to fit your needs. Choosing the Right Person for a Recommendation A good recommendation letter  from a high school teacher,  college professor, or another academic reference  can really help an applicants  chances of acceptance. Other sources of recommendations might include a club president, employer, community director, coach, or mentor. The goal is to find someone who has had time to get to know you well.  A person who has worked closely with you or known you for a significant period of time will have more to say and be able to offer specific examples to back up their opinions. On the other hand, someone who doesnt know you very well may struggle to come up with supporting details. The result might be a vague reference that doesnt do anything to make you stand out as a candidate.   Selecting a letter writer from an advanced course, extra-curricular group, or volunteer experience is also a good idea. This shows that you are motivated and confident in your academic performance or willing to put in extra effort outside the typical classroom. Although there are a lot of different things that are considered during the college application process, previous academic performance and work ethic are among the most important.   Recommendation Letter From an AP Professor The following letter of recommendation was written for a college student who is also an undergraduate program applicant. The  letter writer  is  the students AP English professor, whose class other students may struggle with, so there are some extra benefits here.   What makes this letter stand out? As you read this letter, note how the letter writer specifically mentions the  students outstanding work ethic and  academic performance. He also discusses her leadership capability, her ability to multi-task, and her creativity. He even offers an example of her record of achievement- a novel project that she worked on with the rest of the class. Specific examples like this are a great way for the recommender to reinforce the main points of the letter.   To Whom It May Concern:Cheri Jackson is an extraordinary young woman. As her AP English Professor, I have seen many examples of her talent and have long been impressed by her diligence and work ethic. I understand that Cheri is applying to the Recommendation Letter From a Debate Coach This letter was written by a high school teacher for an  undergraduate business school applicant. The letter writer is very familiar with the student since they were both members of the schools debate team, an extra-curricular that demonstrates a drive in academics.   What makes this letter stand out?  Getting a letter  from someone who is familiar with your classroom behavior and academic ability can show admissions committees that you are dedicated to your education. It also demonstrates that you have made good impressions on those in the educational community. The content of this letter could be very beneficial to the applicant. The letter does a good job of demonstrating the applicants motivation and self-discipline. It also cites specific examples to support the recommendation. As you are reading this sample letter, take note of the required  format for recommendations. The letter contains short paragraphs and multiple line breaks for easy readability. It also contains the name of the person who wrote it as well as contact information, which helps makes the letter look legit. To Whom It May Concern:Jenna Breck was a student in my debate class and has also been on myRecommendation Letter From Volunteer Experience Many undergraduate business programs ask applicants to supply a recommendation letter from an employer or someone who knows how the applicant works. Not everyone has professional work experience, though. If you have never worked a 9 to 5 job, you can get a recommendation from a community leader or non-profit administrator. Though it is traditionally unpaid,  volunteer experience  is still a work experience.What makes this letter stand out? This sample letter demonstrates what a  recommendation from a non-profit administrator might look like. The letter writer emphasizes the students leadership and organizational skills, work ethic, and moral fiber. Although the letter doesnt touch on academics, it does tell the admissions committee who this student is as a person. Demonstrating personality can sometimes be just as important as showing good grades on a transcript. To Whom It May Concern:As the Director of the Bay Area Community Center, I work closely with many of the community

Critically Evaluate the Balance Between Industrial, Technological and Essay

Critically Evaluate the Balance Between Industrial, Technological and Societal Shifts Which Have Reshaped the Newspaper Industry - Essay Example that golden era, there would be fewer issues that humanity would have faced and a rat race of getting ahead of one another would have subsided, promptly (Couldry, 2010). Newspapers have to be loved like these used to be in the past. If any semblance of sanity has to be revoked again as far as the newspaper industry is concerned, all out efforts within the related ranks are much required. The glory of the past must be brought back to have a culture which is quickly fading away, for all the wrong reasons. Moving ahead with the debate, the role of the newspapers within the past comprised of just about everything that surrounded humanity and its varied manifestations. This has not changed much with the progression that has thus been made all the way through. Yet somehow or the other, the needs have changed of the people. This has called for bringing in sections which were unheard of in the past and which merit attention in this day and age. By this, what one means is the fact that the ne wspapers of present times are more or less inclusive of sections for technology, children, women, the different professionals like doctors, lawyers, pilots and so on. Also there are sections for varied events and reviews on movies, music albums, sports matches and many more. The sections have advanced with the passage of time yet the overall meaning that is conveyed within these sections has remained more or less the same. This calls for an interesting read, more so because separate sections have largely segmented the population so that they can subscribe individually to a single brand of newspaper. However, since the teenagers do not quite appreciate the possession of a newspaper within their folds, this discussion seems to be a lost cause (Keeble, 2005). A lot has been written and said... This paper approves that the newspaper industry is going down merely due to the fact that people have stopped giving it the attention. The young ones do not have an idea as to how to find time to interact and communicate with one another while the seniors are adapting the technological means in order to grow and develop. The community elders should decide for their own selves whether they would like the younger generation to move on towards newer technological front or should they stick to reading newspapers. They have to be the most significant individuals within such a debate because they have experienced how newspapers have been given the respect in the past and how the trends are changing with the passage of time these days. This essay makes a conclusion that it would be correct to state that newspapers must be given the room to exploit the conditions around them and not be seen as a thing of the past. This is because they have no parallels as far as technological tools are concerned. The luxury that these newspapers bring cannot be compared with any other tool or activity that is employed by the people. Also the role of the elders within any society of the world is a quintessential one because they have to get their point across as to what can be compromised upon and what simply cannot be accepted as a changing trend or the need of the time. These elders must adapt to the technological angles yet they should never give up on the physical copy because it used to be their favorite hobby in the past and the same should continue in the coming days as well. If they give up on newspapers, there is little that the industry can do to sustain its own self in the future.

Plagiarism in Education Essay Example | Topics and Well Written Essays - 500 words

Plagiarism in Education - Essay Example The students will be trained accordingly to fulfill the immediate requirements. But due to immense pressure from different quarters students and seasoned professionals tend to plagiarize. Though most of the people want their original work to be published, but due to strict deadlines they fear of missing the deadline. Here they commit the mistake of copying others materials that what we call plagiarism. The most important thing is to realize the responsibilities towards the society and taking up those responsibilities, which is an indication of a good citizen. Non-plagiaristic work is an indication that makes every citizen to know their responsibilities and utilize them properly. The best way to overcome plagiarism is teach students about its effects at very early age. Make students believe that they can be creative and willing to work hard. The best way to make a student understand is the use of pictorial description. Students can easily learn by watching a movie or pictorial description on the subject. Written tests should be conducted regularly so that students can assess their performance. If they get a lower grade teachers should help them through counselling or any other possible way.