Tuesday, August 6, 2019

Marriage at an Early Age Essay Example for Free

Marriage at an Early Age Essay Marriage is regarded as a moment of celebration and a milestone in adult life. The age at first marriage varies across the globe. Being married before the age of 18 has been a social norm in third world countries [refer to Appendix A]. The percentage of women being married before age 18 is estimated to be 20 to 50 percent in average in developing countries (Joyce, et al. , 2001). On the other hand, western countries are unlikely to experience the similar pattern of marriage. The marital union is normally delayed too long although this is the most apparent reason for the breakdown in sexual ethics (Orsi, 2001). Because of its wealth, western society chooses to marry later in life until they have built an adequate maturity in age, education and financial state. Nowadays, many international organizations have made an effort to reduce the number of early marriage worldwide (Yudkin and Robert, 1996). Many believe that the practice of early marriage can hinder self-development of young girls. However, in western countries, there are several efforts to promote young marriages (Orsi, 2001). They believe that early marriage should be looked as a platform to cultivate maturity together but not as an institution just for the grown-up individuals. As we are concern, early marriage is widely practice in developing countries hence a global issue has arisen as to whether early marriage does really hinder self development due to the consequences it brings to young girls. The practice is believed to bring several benefits to some extent. However, the adverse effects it brings can impede the self-development of young adolescences in many aspects including health consequences, character building and education as well as career opportunities. 2. 0Statistical Studies of Early Marriage This aspect highlights the prevalence of early marriage across the globe and the very reasons of early marriage especially in developing countries. This aspect is important to illustrate the situation regarding early marriage worldwide. 2. 1Prevalence of Young Marriage The practice of young marriage is most common in developing countries (United Nation Children’s Fund (UNICEF), 2001). According to Joyce (2001), an analysis of Demographic and Healthy Survey data shows that Latin America, Sub-Saharan Africa and Southeast Asian countries are having the most cases of early marriage. Of these countries that have high cases of young marriage, Niger is the leading country with 88 percent of the women married before age 18. Adapted From: Joyce, L. F. , et al. (2001). Future Options Foreclosed: Girls Who Marry Early. Reproductive Health and Rights. 139-143. Retrieved January 25, 2006, from the World Wide Web: http://www. path. org/files/RHR-Article-14. pdf. 2. 2Major Factors That Lead to Early Marriage The huge number of young marriage in developing countries is due to several reasons. Poverty is one of the major factors underpinning early marriage (Joyce, 2001). A young girl may be regarded as an economic burden for a family thus early marriage is looked as a strategy for economic survival. A current study of five very poor villages in Egypt shows that young girls are being married off to much older men from oil-rich Middle Eastern countries for family survival (UNICEF, 2001). Besides, early marriage is one way to ensure that a girl is protected from physical disturbance (UNICEF, 2001). Parents believe that their daughters are safer when they marry early as there is always a man to guard them. For instance, some families in Northern Uganda encourage the young girls to marry to militia members in order to secure protection (UNICEF, 2001). For third world countries, marriage shortly after puberty is common among those living traditional lifestyles (Joyce, 2001). The girls as early as 14 years old have to carry responsibilities as a wife. As it has become a social custom, the tradition is carried on from one generation to the next. 3. 0Opponents’ Views Against Early Marriage This aspect discusses some of the opponents’ views against early marriage. It mostly talks about the disadvantages of early marriage to the girls including the lack of education, health problems and psychosocial disadvantages. The arguments given agree that early marriage does hamper self-development. 3. 1 The Denial of Education The opponents believed that early marriage denies the right of young adolescents to the education they necessitate for self-development. In traditional societies, the investment in a girl’s education is thought to be wasted as the girl is going to marry and stay at home doing household chores (UNICEF, 2001). For instance, in Northern Nigeria, early marriage is the very reason girls are often withdrawing from school (UNICEF, 2001). Because of the early end of female education, they have limited opportunities to develop skills and acquire knowledge ‘that serve them well throughout their lives’ hence restricts their economic and career opportunities (Joyce, 2001). This is because withdrawal from school that results in illiterate and unskilled women will lead to no recognition in professional field. 3. 2 Health and Reproduction Problem The opponents also argued that early childbearing which always occurs in early marriage endanger the lives of both the mother and her baby (Joyce, 2001). The early pregnancy increases the risk of complications and dying during delivery. A report shows that the risk of death due to pregnancy-related cases is doubled among women aged 15 to 19 compared to adult women (Adhikari, 2006). They further stressed that these girls are also more susceptible to sexually-transmitted diseases (UNICEF, 2001). Hormonal fluctuations and permeability of vaginal tissues experienced by these girls can lead to infertility. Moreover, according to a study in Rwanda, 25 percent of women who were pregnant before 18 were infected with HIV although they only had sex with their husbands (UNICEF, 2001). 3. 3Psychosocial Disadvantages When early marriage takes place, the girls will confront with great emotional damage. Sociologists suggested that this is due to their confinement at home to do household chores hence their mobility is denied (UNICEF, 2001). Most of the girls are depressed with this situation that eventually affects their emotional well being. An Indian research conducted in Rajasthan and Madhya Pradesh found that the spouses of early marriage usually suffered from great psychosocial damage (UNICEF, 2001). Another concern raised by the opponents is that the young girl loses her social life outside family cycle and this has affected her chance of cultivating her own identity (UNICEF, 2001). The most important implication of this is that her self-esteem is silently hindered from being developed and this will make her vulnerable to sexual and physical violence. In Eastern Africa for instance, a young wife has no right to refuse sex to her husband even though her partner is suspected with HIV (UNICEF, 2001). 4. 0 Proponents’ Views on Early Marriage This part will enlighten several views that support early marriage in our society. This includes health benefits, social stability and character advantages. In this argument, early marriage is looked upon as a better practice than delayed marriage. 4. 1 Health Benefits The proponents believed that body functions are more effective and healthy at early stage in life. For women, the body is particularly geared towards reproduction during early adulthood (Orsi, 2001). Early marriage is beneficial because desire and energy from young couples also produce healthy offsprings. They also highlighted that later marriage has led to problematic births and birth defects. This can happen as the body is unlikely to negotiate any burden like pregnancy at a late age. Not surprisingly, later marriage which is always associated with cohabitation and premarital sex increase the risk of sexually-transmitted diseases (Orsi, 2001). The hazardous infections like HIV will spread widely if the practice of premarital sex has became a lifestyle. 4. 2 Early Marriage as a Solution to Cohabitation Another issue raised by the proponents is that the trend towards later marriage has led to a great social deterioration in the society in term of cohabitation. In the United States of America, cohabitation is more prevalent than other countries as the people choose to marry later in life (Henslin, 2005). A study found that cohabitation before marriage is the very reason for breaking up after they were married (Henslin, 2005). Besides that, the increasing case of cohabitation in the United States of America is clearly illustrated by the graph on the next page. Adapted From: Henslin, J. M. (2005). Cohabitation. Sociology- A Down to Earth Approach (2nd Ed. ). 468. Boston: Pearson, Allyn Bacon. They further argued that married couples including young spouses gain more benefits in terms of physical health, general happiness and longevity than cohabitants. This is proven from a study which was cited as strong evidence that cohabiting couples experienced the rate of depression three times more than married couple (Popenoe and Dafoe, 2006). . 3 Self-development Improvement It is also believed that early marriage helps in cultivating maturity. Early marriage is looked upon as a platform for young people to grow in maturity together. Moreover, they share experiences at an early age before egoism is deposited in their heart. This is important to ensure a successful marriage is established (Orsi, 2001). They further emphasized that early marriage is a natural institution to grow emotionally by everyday give and take at an early age. This foundation is hard to build later in life. Also, through The London Telegraph, Emma Besbrode has reported that individuals that are unmarried by early age are more vulnerable to depression and loneliness (Orsi, 2001). This unbalance in emotional development will lead to a stressful life. 5. 0 How Does Early Marriage Hamper Self-development? In this area, both arguments from proponents and opponents are being evaluated in terms of health, character building and education. This is important to determine whether the practice of early marriage does impede self-development. 5. 1 Health Aspect Health is a very important aspect in self-development of an individual. Early marriage greatly affect the health of young adolescents especially girls. Although women who marry later in life are also vulnerable to problematic birth, (Orsi, 2001) the girls who are particularly still growing up have to struggle with the risks associated with early pregnancies (UNICEF, 2001). This is because the physical features of the girls are not fully developed and therefore both the girls and their babies have to compete to obtain the necessary nutrients for themselves. This means that early marriage endangers both mother and her baby. Besides those, sexual intercourse that takes place at a very young age can enhance the risk of sexually-transmitted diseases (STD) (UNICEF, 2001). It is also true that STD can also infect unmarried people as well especially among cohabitants, but a recent study conducted in Rwanda shows that the younger the age at sexual intercourse, the higher the risk of STD (UNICEF, 2001). This proves that early marriage set off a poor cycle of health. 5. 2 Character Building Aspect Each and every individual has his/her own character. The practice of early marriage limits character development as a girl who marries early experiences less socialization outside her family cycle (UNICEF, 2001). This reduces her opportunities for building her own identity which is vital for her successful self-development. On the other hand, some individuals believe that early marriage is a stage for maturity to be acquired and it is not just for matured individuals (Orsi, 2001). However, it is not the case as these girls are affected by great emotional disturbance and depression. Inter-American researchers have discovered that these emotional consequences are ‘unavoidable part of life’ for those who choose to marry early (UNICEF, 2001). Therefore, it is clearly shown that early marriage does hinder personal development. 5. 3 Education and Intellect The importance of well-developed education is vital for an individual to survive. Since early marriage is the major reason for young adolescents to quit from school (Adhikari, 2006), it can restrict career prospects of a girl by limiting her chances to acquire important skills and knowledge. Without those qualities, the girl’s future seems to foreclose to any opportunities for economic survival. In fact, unemployment rates are higher for those who have limited education (Baker and Dryden, 1993). This is clearly illustrated from the table below. Unemployment Rate by Educational Attainment for 15 to 24 year-olds, Canada, 1991 Educational AttainmentUnemployment Rate 0 to 8 years29. 5 Some secondary education20. 7 High school graduation15. 7 Some post-secondary12. 6 Post-secondary certificate11. 7 University degree 8. 1 Total16. 2 Source: Baker, M. and Dryden, J. (1993). Patterns in Employment and Unemployment or Young People. Families in Canadian Society (2nd Ed. ). 93-94. Canada: McGraw-Hill Ryerson Limited. For those reasons, early marriage is proven to bring more harm than benefits. This practice consequently hampers one’s personal development. 6. 0 Conclusion The practice of early marriage in our society today does hinder personal development of individuals in terms of health, character building and intellectual qualities. First, a girl is more vulnerable to diseases and complications when sex intercourse takes place between the spouses occur at an early age. Early pregnancies followed by childbearing can also bring harm to the girl by increasing the risks of dying and problems during delivery. Apart from this, character building which is important to determine one’s unique identity will be affected as well when a girl enters marriage at a young age. The loss of mobility and social life due to the early marriage will result in lack of self esteem and great emotional damage. In addition, limited education is obvious among those who marry early. In the long run, this lack of schooling will restrict economic and career prospect in the future because withdrawal from school means no qualifications and recognition. This will foreclose the future options of one’s self. Therefore, the practice of early marriage is proven to hinder personal development and should be reduced among young adolescents especially in developing countries with high incidence of young marriage. Effective steps should be executed by international organization to reduce the number of this practice worldwide. For instance, each country should rise up the legal age for marriage. Besides that, education should be promoted among young couples so that they acquire adequate level of education for their future. Although it is difficult to reduce the number, by helping the young spouses with their life, it more or less, reduces the burden they carry.

Monday, August 5, 2019

New Zealand Services to Support the Elderly

New Zealand Services to Support the Elderly Abstract Elderly care is a steady industry in New Zealand. It is one of the most stable industries in New Zealand because the New Zealand population is an old population. In light of this attempts to improve the geriatric care standards in New Zealand should always be a priority. Present services and healthcare organizations should always be reviewed and accredited to make sure that they are qualified and their services are not obsolete or redundant. Introduction There are different organizations which provide services to the elderly in New Zealand. We should take the time to know these organizations because since most of us work in a healthcare setting with a lot of geriatric clients, we should know the services that are made available to them. We should always provide accurate and useful information about the elderly care system in New Zealand because there are still a number of misconceptions about it. Question 1 a.) Age Concern NZ Age Concern NZ has 6 main services, and I will discuss three of the services. The first service is about eliminating the feeling of loneliness in elderly people. The purpose of this service is because most elderly people feel that they are neglected and abandoned by their families or the society. The effects of loneliness can have negative repercussions on the mental and physical health of elderly clients. They may often feel left out because they can no longer keep up with the fast paced world that we live in. Age Concern NZ is offering a service which includes visiting elderly clients and spending time with them. This can be a learning experience which can greatly benefit both the client and the volunteer. The client will no longer feel lonely and will somehow be alleviated from their feelings of isolation from the society. The volunteer will be able to learn and correct about some of the misconceptions that society has about the effects of aging, and will greatly make a positive i mpact on the elderly clients they are visiting. The second service that they offer is about Elderly Abuse. The elderly are especially susceptible to being victims of abuse because usually they are no longer at the peak of their physical and mental health, which is interpreted by others as a sign that they can abuse an elderly person and get away with it. What some people tend to forget is that elderly people still deserve to be treated with dignity and respect. I believe that elderly clients should always have a say in what they want and they should be given choices rather than other people deciding what is best for them, unless they are no longer able to decide what may or may not be good for them, or if they may inflict harm to themselves and to others if left to their own means. Some elderly people are also victims of exploitation because most of these people are looking for someone to help them care for themselves. There may be some people who are only showing love and support to these clients because they know that they can g et something from them in return or because they can manipulate their decisions. The company offers support to the people going through any form of elderly abuse and they educate people who work with elderly clients and their families about the different types of abuse and their warning signs. The third service is about the wellbeing of the elderly clients. If the clients are happy, have healthy relationships there is less risk for depression. Depression can be avoided even in the later years of life by promoting the wellbeing and happiness of the client. One way of promoting the happiness of a client is allowing him or her to continue doing his or her hobbies if it is still safe for him or her to do so. It minimizes the negative effects of aging and can make the client feel uplifted and empowered. We can also introduce new activities to emphasize the fact that we are never too old to try new experiences. b.) GreyPower GreyPower provides superannuation or what is more commonly known as pension. They try to provide a better level of pension to people aged 50 and above. They argue that what the pensioners are currently getting is not enough for them to live a relatively comfortable life in their old age. They are forced to make some compromises to their standards of living. One of the main problems that they are trying to solve is that when the prices of commodities go up, the pension stays the same. It does not adjust to the economy. What some of the people at GreyPower are trying to do is to lobby for the increase of pension as the costs of living in New Zealand also increase. They primarily focus on providing the adequate health needs of each pensioner and help them in being able to pay their electricity bills. c.) SuperGold Card The SuperGold Card is given to seniors and it gives the card holder certain discounts from different businesses, free public transportation, and free services from the local government. Residents who are 65 and above are eligible to avail the SuperGold Card. They can use the public transport system for free after the peak hours, which is an extremely useful benefit because public transport in New Zealand can be very expensive especially when you have to take 2 or more buses to get to where you want to go. They can also avail of discounts on petrol prices and when buying gadgets at certain electronics stores in New Zealand. I don’t know about you but this card makes me want to grow old! d.) Seniorline Seniorline promotes â€Å"Positive Ageing† and it is all about giving more attention to the elderly and still appreciating what they can do for our society. I will liken the elderly to the predators of the ecosystem. Most of us think they are nuances and dangerous but without them, there will be imbalances in nature. It’s the same with the elderly. They may seem like they have no use at all except for bothering us but they are excellent sources of wisdom and advice, and they are able to help us more than we think. e.) Global Action on Aging The Global Action on Aging does not offer any concrete services but they do one of the most important jobs towards the advancement of elderly rights and care, which is advocacy. They advocate for the rights of the elderly and in doing so, help prevent theft, abuse, and neglect of the elderly. Question 2 1.) Hospitals Hospitalization is the last resort for elderly patients because this means that there are complications with regards to the client’s health which cannot be handled at the rest home or the out-patient level. It is a risky place to be in as an elderly patient because aside from the reason for their hospitalization, there is a risk of nosocomial infection, which is an infection acquired in the hospital. Since elderly patients are at a higher risk of acquiring infections because of their decreased immunity, we should safeguard against these risks meticulously. The benefits of the elderly patient staying in hospital care are that the staff and are trained for any possibility or situation that may arise and they are equipped to respond to these situations, and it is easy to refer them to another department if it is needed. Another benefit is that if they experience a medical emergency, they do not need to be transported anymore to a facility which can cater to them because they are already in the hospital. They are also at less risk for falls because hospitals usually assign a watcher if a patient has an elevated risk for falls (confusion, disorientation, etc.) and the hospitals beds usually have side rails installed. The most important advantage that the hospital has is that it can assess the risks associated with a patient and in theory, they can prevent these risks from happening instead of having a client stay at his or her home, where most risks are not identified. These interventions can prolong the length of the life of the individual and elevate the standards of living that the patients enjoy and give the relatives of these patients some peace of mind knowing that most of the probable emergencies and scenarios are being prevented. 2.) Respite care Respite care is usually given during a stay in the hospital to take the pressure off the usual caregiver. It is usually a short-term arrangement and lasts about less than a month per year. It can be done in the hospital which is advantageous because the patient does not need to be transferred anymore and will save the patient time, money, and the energy which is required when moving from one healthcare facility to another. It can also be done at the home of the patient and an agency will provide care for the patient, which is also has its advantages one of which is that the patient will return to a familiar environment and may feel more relaxed during his stay at home. The potential disadvantage of this is that when a medical emergency occurs, the patients has to be taken back again to the hospital in short notice and the process may give unnecessary stress to the patient. 3.) Nursing homes Nursing homes are very popular here in New Zealand and are heavily subsidized by the government. Based on what I’ve heard from my friends and classmates, the elderly clients living in a nursing home are very relaxed and are well taken care of. They eat at the right time, have people to talk to, and it decreases the chance of them feeling alone and isolated. They are checked-up by a physician before being admitted to a nursing home because each client is unique and they need to find out what medications they need and the additional care that they may require. The staff working at nursing homes is also trained to deal with geriatric clients. These healthcare facilities also retain most of their staff and has a low rate of staff turnover to ensure that the continuity of care is established and maintained so that the patients will have less adjustment every time that there is a new staff member in the facility. 4.) Domiciliary Care In Domiciliary care, the patient is living in his own home but he is still being assisted by support workers in doing activities of daily living, which includes assisting with the personal care of the client, and accompanying the client in going to appointments, and helping the client in preparing meal. The family of the client should always be involved in planning his care because they are the ones who know the client the best and would know what he would want in a certain situation and they can then pass these information to the support worker assigned to the client. 5.) Pharmacists Pharmacists are essential since they educate the client in knowing what drugs to take and their indications, contraindications, side effects, and adverse effects. They also educate the client in knowing the different drug interactions so that they know if drugs are safe to take together and if they should take the drugs with meals or without. They also teach the client how to take the drugs when there is a special indication (sublingual, inhaler, etc.) needed to take the drug. They also educate the client in what they can’t and can do with the drugs, like splitting a tablet into two, and giving the client a complete printout of the schedule of the drugs. 6.) End of Life Support The client can choose where he wants to stay during the last days of his life. Whether it is in a nursing home, a hospital, or at home, the client deserves to be treated with dignity and respect. There is a type of care which we call palliative care. This type of care alleviates the symptoms of a certain client. For example, if the client is suffering from colon cancer and he suddenly obtains a cough or a flu, then the treatment of that cough or flu is part of the palliative care of that client. It is about maintaining the â€Å"quality of life† of the patient. Question 3 Social Isolation of the individual and their families Most of the elderly clients feel isolated from the community because most people don’t want anything to do with them due to the misconception that most people who are retired or over the age of 65 are fragile and weak people who will only be liabilities and not assets. This can lead to depression of the elder because he or she feels disconnected to the society and he or she may feel unwelcome by the world or the community that they grew up in. the family may feel that they are isolated because of the elderly patient who is with them and this pressure from society makes them disassociate themselves with the elder in their care, and in turn will make the individual more isolated. Assumption of automatic loss of independence Out of all the stigmas related to geriatric care, I think this is the one stigma that has the most impact on how individuals, families, and society as a whole view caring for the elderly. This has the most negative effect on how geriatric care is viewed because most people are unwilling to care for a fully dependent patient, not knowing that the patient can still perform activities of daily living. Family members and healthcare providers should try to help the patient maintain their skills for them not to be fully dependent on the people who are taking care of them. Unable to make decisions about own care One of the worst stigmas that elderly clients have to undergo is that there is the misconception that they can no longer decide for themselves and that they are merely living out the rest of their days. They are fully capable of making their own informed decisions about how healthcare professionals should handle their care plan and they should always have a say in their plan of care. Dissatisfying interactions with the medical community Unfortunately, this is a recurring problem in most medical fields not only in geriatrics. Sometimes members of the healthcare community do not have or do not take the time in talking to the clients and most will not explain properly to the patient what they are experiencing and what their options to treatment are and only expect other healthcare professionals to do it. This makes the patient confused and doubtful of how the medical community is treating him or her. This may lead to loss of established rapport between the healthcare providers and the patient because a healthcare professional did not have a few minutes to spare to talk to the client and reassure the client properly that the healthcare team will make sure that the client is comfortable and that the team will properly carry out all medical procedures with care and the client will be treated with dignity and respect at all times. Uncertainty of support services and treatments Due to the lack of time of some of the medical professionals in explaining treatment options and services to the patients, the client is now unsure of what will happen to him or what his plan of care is. The patient is kept in the dark about how his care will be handled by those assigned to take care of him. This is a fundamental flaw in providing care because the client should always be included in planning his care because he knows best what he wants and he should always be given choices on whether he wants a certain service or treatment and he should be given the right to decline the treatment or the service if he so chooses. Conclusion There are a lot of healthcare organizations in New Zealand that provide useful services to the elderly clients. Most of them are advocates of the elderly and prevent abuse and isolation. Some of them offer monetary benefits, discounts, and even free fare when using the public transport system. All are very useful especially because elderly clients usually only get their money from their pension. There are also a variety of healthcare facilities to choose from when choosing where the best place to receive care is. Each one has its own advantages and disadvantages and it is up to the individual, his family, and his healthcare provider to determine which facility will be the best for the needs of the client. Recommendation As person with experience working with geriatric clients, I recommend that the general public be properly educated about geriatric care. I believe that with proper education, we can eradicate most of the misconceptions surrounding geriatric care. I also recommend that we look into the current services provided to the elderly people here in New Zealand and find ways to improve on them. We can start by doing a survey of people ages 65 and above as to what they feel is needed so that we can get a better insight about their priorities and what services and benefits they want. Bibliography GreyPower. GreyPower History. (2008-2014) Retrieved from http://greypower.wpengine.com/history/ Age Concern. Accredited Visiting Service. Retrieved from http://www.ageconcern.org.nz/ACNZPublic/Home/Loneliness/ACNZ_Public/Loneliness_and_Social_Isolation.aspx Age Concern. Elder Abuse and Neglect Prevention. Retrieved from http://www.ageconcern.org.nz/ACNZPublic/Services/EANP/ACNZ_Public/Elder_Abuse_and_Neglect.aspx Age Concern. Wellbeing, Health and happiness. Retrieved from http://www.ageconcern.org.nz/ACNZPublic/Information/Wellbeing/ACNZ_Public/Wellbeing.aspx SuperGold. Retrieved from http://www.supergold.govt.nz/ Global Action on Aging. Elder Rights. (2004) Retrieved from http://www.globalaging.org/elderrights/index.htm Seniorline. Positive Ageing. Retrieved from http://www.adhb.govt.nz/SeniorLine/PositiveAgeing/Positive%20Ageing.htm Merck Sharp Dohme Corp. The Merck Manual, Respite Care. (2010-2014) Retrieved from http://www.merckmanuals.com/professional/geriatrics/provision_of_care_to_the_elderly/respite_care.html Merck Sharp Dohme Corp. The Merck Manual, Hospital Care and the Elderly. (2010-2014) Retrieved from http://www.merckmanuals.com/professional/geriatrics/provision_of_care_to_the_elderly/hospital_care_and_the_elderly.html Merck Sharp Dohme Corp. The Merck Manual, Skilled Nursing Facilities. (2010-2014) Retrieved from http://www.merckmanuals.com/professional/geriatrics/provision_of_care_to_the_elderly/skilled_nursing_facilities.html Merck Sharp Dohme Corp. The Merck Manual, Assisted Living Programs. (2010-2014) Retrieved from http://www.merckmanuals.com/professional/geriatrics/provision_of_care_to_the_elderly/assisted-living_programs.html Merck Sharp Dohme Corp. The Merck Manual, Pharmacists and the Elderly. (2010-2014) Retrieved from http://www.merckmanuals.com/professional/geriatrics/provision_of_care_to_the_elderly/pharmacists_and_the_elderly.html National Institute on Aging. End of Life: Helping with Comfort and Care. Retrieved from http://www.nia.nih.gov/health/publication/end-life-helping-comfort-and-care/finding-care-end-life

Sunday, August 4, 2019

Are You Experienced? :: essays research papers

The Jimi Hendrix Experience released its first album in early 1967. Popular music had been leaning towards psychedelics for a couple years already and Are You Experienced? came out at about the same time as the Beatles' Sergeant Pepper's Lonely Hearts Club Band. Are You Experienced? far exceeded the Beatles' triumph in complexity, capturing the essence of the late 1960's culture. Naturally the newer band did not share the immediate success of the Beatles. But its staying power has been testified to by several generations. The British version of Are You Experienced? contained a few subtle differences. Most prominent were the absence of "Purple Haze" and the addition of Hendrix standard "Red House". "Purple Haze" caught fire in America after the Monterey Pop Festival and became Jimi's signature song. Although it was said to have endless verses, Jimi generally sang only the shortened version from the album (with a few ad lib changes). The single was sent to radio stations with a note: "This song was intentionally distorted. Do not adjust." Are You Experienced?, as with most of the Experience's music, sounds heavy no matter how many times you listen to it. In actuality, the stony "Purple Haze" is about as close as they ever come to hard rock. The next song, "Manic Depression" comes in strong with the opening chords and then reveals Mitch Mitchell's trademark rolling drums. It also contains another of Jimi's solos worth listening to by any new or Experienced fan. Chas Chandler chose the quietest song on the album to give the world its first taste of Jimi Hendrix's talents. Its first single, "Hey Joe", a song written by turn-of-the-century bluesman Billy Roberts debuted at number on the pop charts. No other song written or performed by Jimi Hendrix had as much success as this one. It topped out at number 2, behind the Beatles' "Lucy In the Sky With Diamonds". When there are other people around, it makes you feel alive. But when you sit alone and listen to the music, every chord catches in your throat. "Love or Confusion" has happened upon me more than once when I was suddenly realizing the dispair of yet another relationship. If the answer to his question is not obvious during the song itself, Jimi answers it for you with his very last whisper. "Love or Confusion" is a wicked twister of emotion. It shakes you up and when you lose your sense of direction, it drops out from under you, leaving you to fall mercilessly to

Saturday, August 3, 2019

The revolt of Israel congregation against Aaron and Moises Essay

The pericope that I choose for this reflection paper is Numbers 17:1-13. This pericope is the last in the series of three narratives about the revolt of Israel congregation against the high priest position of Aaron and the leadership of Moses. The first revolt came from Korah. Korah was a member of the tribe of Levi, the same tribe of Aaron (Exodus 6:16-20). Korah’s rebellion is not merely a personal attack on Aaron but also on his appointed-by-God priesthood. The second revolt led by Dathan and Abiram and the 250 other lay leaders defied and rejected the leadership of Moses. These revolted leaders have a very democratic argument, which is the will of the people must have higher authority than the leadership appointed by God. God answers by kill all the leaders and the followers of these two revolted parties. All those events establish the context for the text in Numbers 17:1-13. In this pericope, God instructs Moses to set up one final test in order to show His approval for A aron’s prietshood. This final test is intended to put an end to the people’s questioning and challenging of the authority of both Aaron and Moses. In this final test, Moses is instructed to take a staff from each tribal leader. The name of each leader is written on his staff. Aaron’s name is inscribed on the staff represents for the Levi tribe. Moses puts all these staves in the Tent of Meeting before the Lord. The next morning, Moses comes to the Tent and the staff of Aaron is sprouted, budded, blossomed and produced ripe almonds. There is something interesting in the way the text describes the staff of Aaron. The text does not simply say the staff of Aaron reaches the final stage of the production cycle and has ripe almond fruit on it. The text lists in det... ...ope that Jesus will come back in the same way He was lifted into heaven (Acts 1:11). The message of this pericope for Christian today is very clear that is honoring your spiritual leaders even when they fall short of fulfilling their callings. God gives salvation universally available for all, but God elects some to save and among whom He saves, He calls a few to lead. There are always failures and corruptions waiting to happen in the ministries of whom God calls to lead, that is inevitable. God wants Christian to honor their spiritual leaders not because who they are but because what they do. A true spiritual leader does two main things: preach the Word of God (Hebrews 13:7) and care for the souls of other Christians (Hebrews 13:17). As long as a spiritual leader commits to do these two things, the church as the God’s people ought to submit to his leadership.

Louisbourg Report :: essays research papers

The Fortress Of Louisbourg   Ã‚  Ã‚  Ã‚  Ã‚  In all of North America, you will not find a more power fortress than Louisbourg. It was said to be indestructible, but was proven otherwise on a number of occasions. Established in 1713 and located on Northern Cape Breton Island, Louisbourg was not only a fortress but a major commercial center as well. Louisbourg was originally known as Port St. Louis, and its main purpose was protecting Quebec and Montreal by guarding the entrance to the St. Lawrence River against hostile ships. The other main job for Louisbourg was serving as a base for the cod fishing industry. French fishing ships could come to Louisbourg to unload their catch instead of taking it all the way back to France. This arrangement saved time and money and allowed the ships to catch more fish in a season, since they didn’t have to make the long trip back to France with each load. However, Louisbourg was also sending out raiding parties to attack New England villages along the coast. The New Englanders soon heard of the mutiny at Louisbourg, so the villages decided to fight back against this threat. In 1745, 4000 New Englanders, along with the Royal Navy, launched an attack against the fortress, but Louisbourg didn’t think them of as a threat. Louisbourg thought that the New Englanders wou ld not be able to launch a serious attack with any kind of heavy artillery, since they attacked the weak rear side, travelling over marshy, wooded areas to reach the fort. The people of Louisbourg were wrong, however, as the New Englanders did indeed manage to bring in artillery over the marshy terrain. Had Louisbourg attacked the New Englanders now with their entire garrison, the English may very well have turned and ran, but they chose to attack from within their walls with only muskets. This allowed the English to pound the fort with their cannons, as well as exchange musket fire with the French. Since the Royal Navy prevented the bringing in of supplies and reinforcements, Louisbourg was soon forced to surrender to the New Englanders, who banished the French back to France.   Ã‚  Ã‚  Ã‚  Ã‚  The War of the Austrian Succession, which began in 1940 in Europe, ended in 1948 with the signing of the Treaty of Aix-La-Chapelle. As part of this treaty, Cape Breton Island, along with Louisbourg, is returned to France, outraging the New Englanders who fought so hard to take it just 3 years earlier.

Friday, August 2, 2019

Behavioral and Social/Cognitive Approaches to Forming Habits Essay

While analyzing the formation of habits using behavioral and social/cognitive approach I will use personal scenarios to back my research on how habits form personalities. I will provide the reader with sequence of developmental habits and role models if any that contributed to the formation of my own habits. Next, I will discussing the reason why I’ve continue to repeat these habitual acts and how I have succeeded in break the negative habit. Then using the behavioral personality theory and the components of social/cognitive theory I will explain why and how I developed these habits. Last, using supportive facts from course readings of chapter six and seven with online citing and facts, I will compare the theories behavioral and social/cognitive and develop my own hypothesis on which theory I believe best describes my personality. When developing habits the self conscious mind forms an image to what it perceives to be a positive emotional connection, satisfaction, or rewarding feeling. Thus rejecting the negative approach and replacing it with capitalize or self sufficient compensation. The conditioned response would occur in response to stimuli that were similar to the conditioned stimulus, indicating that there was generalization of the conditioning, but the conditioned response would not occur for all possible similar stimuli, indicating the difference between different stimuli; this is called discrimination.(Friedman & Schustack, p. 187, 2012) Growing up I developed a few positive and negative habits that has helped me shape my personality and image. The positive habit being basketball and the negative habit being smoking. When I was about four or five years old I would watch basketball games with my cousins on television. At the time I don’t understand what was really going on, but I did know that all I wanted to do was dribble a basketball. Whenever I had a change to dribble a ball, any ball I did. By the time I was ten years old I was able  to dribble with both hands in an equal manner, basically hiding any dominate traits of my left hand dribble. At the age of seven I discovered the ultimate basketball player that lives to this day, Michael Jordan! I wanted to be like Mike, but the female version. Becoming the first woman to play basketball in the NBA. Losing the opportunity when the WNBA was developed and I was only about fifteen, I just settle with being the best that I could be. In high school I was consider popular because I was on the basketball team, but to me the popular students where the one’s everyone knew the seniors and juniors. During my sophomore year the older students started to notice me because of how well I played on the freshmen JV squid the year before. I was now on the varsity team and I wanted to fit in with the rest of the popular students. Some were a great influences and some werenâ €™t. The wrong influences had me try cigarettes. At first it was cool, but I hated the taste and I notice that my breathing wasn’t the same so I quit, but quickly developed a new habit. I began to use smoking as a cover up of my feeling of my relationship with my mom, but it was no longer cigarettes I had moved up to marijuana. I continued doing both habits for a very long time mentally training myself to smoke only on the weekends or breaks during my seasons of basketball and other sports I played. I was an A-, B+ student never causing any issues at home with my grandmother and going to church every Sunday, but like my grandma always said â€Å"eventually what in the dark will come to light.† I never truly notice how the weed was affecting me grades and social life. During my senior year in high school I was hanging with pot heads and barely going to class if I went to school. My A- and B+ were now B-, C’s, D’s, and a few F’s. It also started to effect my playing the coach would just let me sit o n the bench until I was ready to play. This was a very sad situation because M had been excepted to Syracuse University with a full ride as long as I keep me grade up and continued to flourish during the next basketball season. After losing my scholarship because of my grades slipping and my lack of participation on the court that year I know I hand to stop the weed habit because it was causing me to lose everything I worked hard to achieve. Quitting the marijuana habit I was able to go to the local community college and working my way back up the scale. I never got back the basketball scholarship opportunity, I did grow up to become a physical education teacher who also coaches basketball now and has  been an undefeated Charter School Girls champion for four year straight. Living me with the only habit of my love for basketball and teaching my developed skills to other potential basketball star athletes. Use the behavioral personality theory to explain why I had a smoking habits it has come to my attention that my smoking habit only occurred because I made it a routine act in my life. By giving the sustain a meaningful generalization of why it was needed created a repetitive action of usage that had a tr ue meaning. For example, this form habit could be compared to taking a shower, a essential act that must be preformed daily. â€Å"Consistency of everyday established life habits or behavioral dispositions to repeat well practiced actions given recurring circumstances.†(Smith, 2012, para.2) Through components of social/cognitive theory my habits may have formed because of my daily interaction with the wrong associates and environment. By constantly being around people who smoke cigarettes and marijuana it became a negative influential social gathering. Learning occurs in a social context with a dynamic and reciprocal interaction of the person, environment, and behavior which unique feature of SCT is the emphasis on social influence and its emphasis on external and internal social reinforcement.(â€Å"The Social Cognitive Theory,† 2013). When I decide to quit smoking I remember looking down at the joint in my hand and saying â€Å"this isn’t going to solve my problems it jus t seems to make things worse† and I vowed to never smoke again and I’ve been drug free for thirteen years with no urge to ever smoke again. Unfortunately everyone do not have as strong of a mind set as I had and must develop a plan that applies operant conditioning to change their habit. If I had to create this plan for me the first thing I would do is develop a goal in which I feel is a reasonable amount of time to quite, let’s say thirty days. Next I would give myself a daily amount in which I can smoke and find a substitute of gum chew, healthy snack, or fun activity to do whenever I get the urge to smoke outside of my scheduled time. Each week I would make my intake smaller and increase my substitution activities until the urge has complete vanished. The decreasing of the substance is known as the extinction process that frequency of the organism’s producing a response gradually decreases when the response behavior is no longer followed by the reinforcement (Friedman & Schustack, p. 188, 2012) The social cognitive theory of personality must be deployed in two stages, first  develop awareness of problems and develop the motivation to change, and second involve the actual plan and implementation of change behavior. (Smith, 2012) After learning about the process between the behavioral and social/cognitive theories, I can say that both theories do represent part of my personality and cannot devote myself to any particular theory. I truly feel even though I may have started smoking because of who I socialized with. I do believe I only continued on with the addictive behavior because I made excuses for the behavior, creating my own valid reason to repeat this social substance abuse act even on my own. In conclusion I believe that both theories have a very strong base, but doubt that any real person can consist of only one theory when it comes to forming normal or additive habits. References Friedman, H. S., & Schustack, M. W. (2012). Personality: Classic Theories and Modern Research (5th ed.). Retrieved from The University of Phoenix eBook Collection database Smith, N. (2012, January). How Personality and Behavior Influence Psychology. Article Myriad. Retrieved fromhttp://www.articlemyriad.com/personality-behavior-influence-psychology/ The Social Cognitive Theory. (2013, January). Behavioral Change Models, (), 1-7. Retrieved from http://sph.bu.edu/otlt/MPH-Modules/SB/SB721-Models/SB721-Models5.html

Thursday, August 1, 2019

Source text

Write the reference Near-perfect reference Write the citation (Krakow 1994) (FDA consumer health Information 2009) Relevance audience / type of language currency connection/relevance to topic in depth information General public with specific interesting.No limit of age, no limit of education. Language: easy to read for anyone, good writing and understandable language, very simple. Currency: new York, 1994 without date. Tattoos, copyright Connection: the legal and forensic Issues General public, people who are interesting. The website has some deep vocabulary; however, it is easy to understand. Currency: the last report update was October 2009. Connection: the site has a lot of information about tattoos, supplies history Depth information: the site provides the advantages and disadvantages of tattoosAuthority reputable author other sources referred to (or links supplied) organization type Author: My Krakow is expert at tattoos. The main content of the book is about what are the tattoo s, history, and the shortages of tattoos. Warner books press is an educational and academic publisher. – consumer health information Author: FDA There are a lot of references supplies for information given E. G. History, advantages and disadvantages.Organization: FDA consumer health information Reliability goal/purpose & kind of information objectivity remarry or secondary source Goal: inform the public about most of information of tattoos; make them know more about tattoos. Objectivity: Workbooks. Com is a one-stop online source It should be primary source Goal: inform the public information about advantages and disadvantages of tattoos Objective: the website no any advertisement. There are a lot of evidences. Primary: a highly recommend as a primary source for academic report. General comment on suitability of resource (I. E. Why you would or would not use this resource)