Sunday, October 20, 2019

Explore The Increasing Cost Of Providing Community Care Social Work Essay Essays

Explore The Increasing Cost Of Providing Community Care Social Work Essay Essays Explore The Increasing Cost Of Providing Community Care Social Work Essay Essay Explore The Increasing Cost Of Providing Community Care Social Work Essay Essay The cost of supplying community attention in the UK is increasing significantly. In this essay an effort will be made to discourse on the lifting costs of supplying community attention particularly concentrating on older people with dementedness and those under residential attention in UK by utilizing assorted research methods including research informations and literature analysis. The chief focal point would be on factors which lead to increase economic load on societal and wellness attention services. Besides a elaborate treatment on analysis and review of the current support system and its results on the reforms made are categorised by understanding the rationing function of attention directors to get the better of such load. This would be followed by an in-detail treatment on the importance of ego attention and informal attention and some issues originating with them with more focal point on the importance of informal attention utilizing a instance survey. Before continuing farther, allow us concentrate on the term community attention and discourse about its development in the UK. Community attention was invented in 1993 with the execution of community attention reforms. However, harmonizing to Bulmer, as mentioned by Victor ( 1997 ) , the first functionary usage of the term community attention was made in 1957 and related to the field of mental unwellness. Bulmer besides puts frontward that during the late fiftiess, the long-run attention services for mentally sick patients in communal or institutional scenes led the development of community attention policy in this state. It was found that Community attention was more effectual and efficient for long-stay attention unlike institutional scenes which were perceived as being inhumane, uneffective and highly expensive. Titmus ( 1968:4 cited by Victor, 1997:8 ) quoted: What some hope will one twenty-four hours be is all of a sudden thought by many to be already what of the bungalow garden trailor community attention . Does it non raise up a sense of heat and human kindness, particularly personal and comforting, every bit loving as the wild flowers so bewitchingly described by Lawrence in Lady Chatterley s Lover? Harmonizing to the 1989 White Paper Caring for People, community attention was defined as: supplying the right degree of intercession and support to enable people to accomplish maximal independency and control over their lives. For this purpose to go a world, the development of a broad scope of services provided in a assortment of scenes is indispensable. These services form portion of spectrum of attention, runing from domiciliary support provided to people in their ain places, strengthened by the handiness of respite attention and twenty-four hours attention for those with more intensive attention demands, those sheltered lodging, group places and inns where increasing degrees of attention are available, to residential attention and nursing places and long-stay infirmary attention for those whom other signifiers of attention are no longer plenty ( DoH, 1989 cited by Means et Al, 2008:6 ) . Community attention as explained by Victor ( 1997 ) is provided by both informal and formal suppliers. Classifying farther, he adds that formal suppliers of community attention constitutes assorted statutory bureaus, voluntary every bit good as private sector whereas informal suppliers constitutes household and friends. However, there has been a important concern over increasing cost of the formal attention and demographic alterations which will be discussed in item in this essay as I proceed. The economic load of supplying a formal community attention has led to the retrenchment of statutory bureaus and as proposed by Victor ( 1997 ) has increased accent upon the function of informal sector. Let us now discuss demographics of long-run attention concentrating more on residential attention and the attention of older people with dementedness. As mentioned by Laing ( 1993, cited by Victor, 1997 ) , an one-year outgo for long stay attention in UK in the yesteryear was ?10.2 billion a twelvemonth of which ?9.1 billion was accounted for older people. Outgo on residential attention proviso was ?6.6 billion a twelvemonth and ?2.5 billion was spent on supplying services in older peoples ain place. Hence older people accounted more for residential attention than for services provided in their ain places. Let us besides now seek to concentrate on an mean per-capita outgo on the personal societal services for older people in England. As per the information obtained from the NHS wellness and societal attention information Centre ( 2006 ) , gross current outgo on older people in 2003-2004 was ?8 billion which constituted about 44 % of the entire outgo ( 18.2 one million millions ) and merely ?4.4 billion was spent on kids s and household services. Harmonizing to the types of proviso for older people in England, outgo on residential attention proviso was ?4,490 1000000s and that of twenty-four hours and domiciliary attention proviso was ?2,620 1000000s in 2004-2005 ( National statistics, 2006 ) , whereas in 2006-07, the outgo raised to ?4,710 1000000s for residential proviso and ?2,620 1000000s for twenty-four hours and domiciliary attention proviso ( National statistics, 2008 ) . Thus it is apparent that mean per capita outgo additions markedly with the age and is besides much more for residential attention services than twenty-four hours and domiciliary attention services. One of the grounds can be dementia that creates a important load through the costs placed on long-run institutionalized attention like nursing places or residential attention places. As per the statistics obtained and published by Fernandez ( 2010 ) in the United Kingdom, 683,597 people suffer ed from dementedness in 2005, which increased to 821,884 in 2006 and is proposed to hold increased up to 940,110 by 2021 and 1,735,087 by 2051. In 2008 it was estimated that 37 % of all dementedness patients in the UK were in long-run attention establishments bing an surplus of ?9 billion per twelvemonth in societal attention. Overall, dementedness was found to be ?23 billion in footings of wellness and societal attention, informal attention and productiveness losingss in 2008 ( Fernandez, 2010 ) . Furthermore, increasing population has besides been one of the factors for lending in such job. Harmonizing to the Government Actuary s section ( 2007 ) the United Kingdom population is projected to increase by 7.2 million by 2031 and by 2025, the figure of people in the UK aged over 85 will hold increased by two-thirds as mentioned by Department of wellness ( 2007 ) in its article, A formula for care- Not a individual ingredient. Such an addition in the figure of older people is one of the of import factors for increasing cost of supplying community attention because it is them who are the chief donees of wellness and societal attention services as they are more likely to endure from dangerous infections, falls and craze and to remain in infirmaries. As per the statistics published by the Department of Health ( 2007 ) , people over 65 old ages accounted for 43 % of the NHS s entire budgets in 2003-04 and at the same clip accounted for 65 % of acute infirmary beds. In 2004-2005, the y accounted for 58 % of societal services budgets and received 71 % of societal attention bundles ( DoH, 2007 ) . Having identified the increasing figure of aged persons in the state as one of the of import factors, allow us besides focus on some other factors that may impact the cost of wellness and societal attention services in close hereafter. Other factors we can see are fewer working age, addition in pensionable age and addition in older age. As per the statistics given by GAD ( 2007 ) , in 2004 there were 3.33 individuals of working age for every individual of province pensionable age. This demographic support ratio is expected to worsen to about 2.40 around the twelvemonth 2040. The figure of people of province pensionable age is projected to increase by 9.3 per cent from 11.1 million in 2004 to 12.2 million in 2010. Furthermore, the population will bit by bit go older with the norm ( average ) age expected to lift from 39.5 old ages in 2004 to 43.3 old ages in 2031. Thus we see that demand for attention is set to lift significantly as a consequence of the ageing population. The cost for supplying attention service has been and is likely to go on to lift faster. Let us now focus on the current support system in England particularly residential attention. Forder ( 2009 ) explains that England falls into the means-tested grouping which means that parts to the system are mandated harmonizing to ability to pay, and hence low income groups are subsidised with public support through general revenue enhancement. He farther adds that in England, about all public disbursement on societal attention is made via local councils, with most of the financess allocated from general revenue enhancement and some besides rose through council revenue enhancement. The sum to be spent on societal attention is budget-constrained. Therefore if the demand is higher than the existent or proposed budget, councils have to raise the FAC ( Fair Access to Care ) eligibility thresholds ( Forder, 2009 ) . Sing long-run attention, nursing attention is free to service users in any scene, whether be that a infirmary or attention place after an appraisal being done. Forder ( 200 9 ) besides points out that there are national regulations for agencies proving of residential attention support as given by Department of Health. Analysing recent policies of the Department of Health Forder ( 2009 ) , points out that if the assessed individual has assets over a specified sum ( the upper capital bound ?23,000 as of April 2009 ) , they themselves will be apt for their full cost of the attention place except for any eligible free nursing attention. Eligible assets in this instance include the individual s house every bit long as no partner or other eligible dependant is populating in that place. Anyone with entire assets of less than the upper capital bound will be asked to lend all their hebdomadal eligible income including pension and other province benefits, less a personal disbursals allowance of around ?20 a hebdomad, up to the cost of the arrangement. In add-on, for people with assets above ?14,000 ( the lower capital bound as on April 2009 ) , a tariff income of ?1 for every ?250 between the upper and lower capital bounds is assessed for the individual on top of existent income. However, in-spite of current support services there are issues sing unmet demands due to increase in outgo with the increasing demands of attention for older people. Unmet needs like wealthy people get really small public aid and that they need to see against the fiscal and other hazards of necessitating attention. As it was besides argued in the past by Robins and Wittenberg ( 1992, cited by Victor, 1997 ) , that in-spite of developments made in policies in the past, wellness and societal services for older people was still being a political issue and one of the chief grounds behind this was ageing. Consequently, the community attention policy had been subjected to a strict examination by a series of authorities studies ; the Audit committee ( 1986 ) , the House of Commons Select Committee on Social Services ( 1985 ) and the Griffiths study ( 1986 ) which resulted in 1989 White Paper lovingness for Peoples and the NHS and Community Care Act 1990. These had required some alterations in pattern every bit good as administration of attention. The most important alterations were the debut of attention direction and appraisal and the development of the assorted economic system of attention ( Means et al, 2008 ) . The NHS A ; Community Care Act 1990 formed a new epoch in community attention in the UK. Needs-led appraisal and attention direction were to organize the basis of high quality attention ( Beth-Pary Jones, 2001 ) . The services were provided after a thorough appraisal of the person. It was the responsibility of attention directors to make appraisal and consequently present flexible bundles of attention for single clients. The appraisal was to guarantee that entry to publically funded long-run attention was based upon demand and to place those persons who can outdo be supported in their ain places ( Victor, 1997 ) . The White paper ( DoH, 1989, cited by Victor, 1997 ) had placed some indexs for the appraisal of separately based demands like mobility, personal attention, domestic undertakings, fiscal offers, adjustment, leisure and employment. It was stated that Assessment should take into history the wants of the person and his or her carer, and of the carer s ability to go on to supp ly careaˆÂ ¦efforts should be made to offer flexible services which enable persons and carers to do picks ( DoH, 1989:3.2.6, cited by Victor, 1997:70 ) . I intend to explicate this by taking an illustration of a 72 twelvemonth old widow who lives entirely without household support and exhibits agitated, violent and eccentric behaviour ; from Community attention and Older people by Victor C. ( 1997:151 ) . This single needs aid to acquire frock, provender and lavatory. The assessors had identified her as a individual with extended societal and personal demands and have placed in a nursing place. The client was placed in a nursing place after placing dementedness and her societal and personal demands. Thus argued by Henwood ( 2008 ) such an issue of eligibility became progressively of import in societal attention, and had moved from being localised and sometimes comparatively informal, towards a formalistic national model which was locally interpreted and implemented as Fair A ccess to Care. The Fair Access to Care Services ( FACS ) model was introduced in England in 1998 to turn to incompatibilities across the state about who gets support and to supply a more crystalline system. It originated in the 1998 White Paper, Modernising Social Services. Its chief rule was to guarantee a needs-led services instead than service-led. It besides incorporated non-discriminatory and human rights attack. The FACS counsel was issued in May 2002 that provided a national model for eligibility standards for grownup societal attention and focused upon people with the greatest assessed demands. Eligibility standard was graded into four sets as critical, significant, moderate and low as per the earnestness of the hazard ( CSCI, 2008 ) . However, there have been many challenges related to FACS. Since the debut of FACS, there have been increasing demands on societal attention budgets due to increasing figure of older people, populating longer and frequently with more complex demands, and besides increasing Numberss of younger grownups with terrible physical and learning disablements. Therefore seting the model into pattern was hard due to miss of fiscal resources, service commissariats and staffs. Another job was that most of councils were runing at substantial or critical degree which means most people with moderate or low demands were non eligible for publically funded support. Furthermore, harmonizing to the High Court, the council s determination to curtail eligibility to critical demand as defined by FACS was improper ( CSCI, 2008 ) . As evaluated by Henwood ( 2008 ) , the fastening budgets as of all time and service eligibility standards indicated a displacement of focal point from appraisal of demand to ra tioning explicating the FACS policies to be operationalised with two distinguishable issues at interest. The first being precedence puting which denotes an allotment of resources to particular services or programmes, and 2nd is rationing which refers to the distribution of resources to persons at the point of service bringing ( Henwood, 2008 ) . It is hence apparent that because of the fiscal load precedence scene has become the important parametric quantity for rationing ; moreover the local governments will so hold to find the local budget for grownup societal attention. This in bend makes it necessarily a complex country within which local governments along with local politicians have to weigh up a scope of factors as identified by Henwood ( 2008 ) such as the demands of the local population, the cost of run intoing those demands, and the likely responses of cardinal stakeholders such as cardinal authorities, the electorate, fellow politicians and officers and staff members. As many Councils had been seeking to pull off their resources by fastening their eligibility standards, Government policy placed increasing accent on bar and personalisation by implementing a policy of Puting People First in 2007. It enables people to populate their ain lives as they wish, confident that services are of high quality, are safe and able to advance their single demands and penchants for independency, well-being and self-respect. Peoples utilizing societal attention services and their households committee their ain services. Personal budgets will guarantee people having public support usage available resources to take their ain support Services ( CSCI, 2008 ) . Rationing is the duty of attention director whereas precedence scene is the duty of authoritiess. Therefore, attention directors, after exhaustively measuring the demands of the clients, will so apportion resources to people who are deemed to hold a demand for community attention and therefore besides pull offing the economic load. Harmonizing to Klein ( 1996, cited by Tull, 2010 ) there are seven chief methods of rationing which are by denial, by choice, by warp, by disincentive, by hold, by dilution and by expiration. Service refused to clients on the evidences of ineligibility is the rationing by denial. Rationing by choice agencies that merely those who are deemed meriting are selected by assorted service suppliers. Rationing by warp takes topographic point when clients are steered towards other budgets, for illustration, a wellness services job becomes a societal services job. Rationing by disincentive makes entree to a service highly hard. Examples of rationing by hold are the waiting list and assignments made many hebdomads or months in progress. Rationing by dilution agencies that clip and services which would usually be spent on people are reduced. Rationing by expiration means an intercession ends, such as the discharge of a patient. Another attack to cut down the economic load of community attention can be adopted by stressing on ego attention and informal attention. Let us now focus more on informal attention in inside informations. Informal attention as defined by Finch ( 1995 cited by Victor 1997 ) as a attention provided by members of the household, close relations, friends and neighbors which is non organized through a statutory or voluntary bureau. Typically, such attention is non provided with an purpose of gaining a pecuniary addition, but it is by and large taken as moral and ethical duties within households and society. It was in 1980s that the true extent of informal attention was identified. It was enshrined in 1930 Poor Law Act which stated: It should be the responsibility of the male parent, gramps, female parent, grandma, hubby or kid of a hapless, old, blind, square or impotent individual or other hapless individual, non able to work, if possessed of sufficient agencies, to alleviate and keep the individual non able to work ( Means and Smith, 1994:19 cited by Victor, 1997:118 ) . The importance of the informal sector in keeping older people and those with long-run attention demands in the community is now an accepted and acknowledged portion of community attention policy. Now let us discourse the human ecology of informal attention services provided to older people with the aid of a instance survey of older people with dementedness given by Fernandez ( 2010 ) . The figure of instances of dementedness was obtained from the European Community Concerted Action on the Epidemiology and Prevention of Dementia ( EURODEM ) survey. Surveies were conducted in several European states, including the UK, for work forces and adult females in 9 different age groups ( 30-59, 60-64, 65-69, 70-74, 75-79, 80-84, 85-89, 90-94 and 95-99 ) for the UK and 30 other European states. In 2006, the estimated figure of patients with diagnosed and undiagnosed dementedness in the UK was 821,884 stand foring 1.3 % of the UK population. It was estimated that 304,850 patients aged 65 old ages or more with dementedness were populating in institutionalized long term attention, stand foring about 37 % of all dementedness patients in the UK. With adjustment in long-run nursing and residen tial attention scenes bring forthing an one-year cost of about ?30,000 per patient, the one-year cost of long-run attention adjustment due to dementia was in surplus of ?9 billion. A sum of 1,509 million hours of informal attention was provided by friends and relations of the 517,033 dementedness patients populating in the community. Approximately 34 % ( 512 million hours ) of this attention was provided by economically active and employed relations or friends, with the bulk of attention ( 997 million hours ) being provided by retired, inactive or unemployed informal carers. Combined, the entire one-year costs of informal care-giving were estimated at ?12,383 million. Consequences from this study had shown that the wellness attention, societal attention, informal attention and productiveness costs of dementedness were about ?23 billion a twelvemonth. Over 55 % ( ?12 billion ) of these entire costs was due to informal attention, stand foring 1.5 billion hours of unpaid attention provided by relations and friends of dementedness patients ( Fernandez, 2010 ) . Hence it is apparent that promoting informal attention for the dementedness patients will cut down the economic load on the authorities and the saved fund can be utilised towards farther publicities for a better societal attention. We can besides state that informal attention of older people is of import at present because of the lifting figure of older people particularly aged 65 and over, who have the greatest demands for attention. However, Pickard ( 2004 ) cites Parker s ( 1992 ) statement that informal carers are non a homogeneous group as a differentiation had been drawn in the societal policy literature between informal assisting and to a great extent involved lovingness. Heavily involved carers are normally defined in footings of long hours of caring ( normally over 20 hours a hebdomad ) ; sharing a family with the cared-for individual ( co-residence ) ; or transporting out personal and/or physical undertakings. And it is them who are most likely to necessitate support. Maher and Green ( 2002, cited by Pickard, 2004 ) points out that harmonizing to General Household Survey ( GHS ) , that was carried out in 2000 in Great Britain, there were a sum of 6.8 million informal carers with around 27 per cent ( a bout 1.8 million ) disbursement 20 hours or more a hebdomad on caring undertaking. Besides there were over a 3rd of a million partner carers and about half a million kids caring for an older parent/parent-in-law for 20 hours a hebdomad or more harmonizing to the study. Several issues have been raised for informal carers by placing the demands of the carer. Spouse carers are frequently aged and in hapless wellness themselves. Carers of parents and parents-in-law are normally of working age and are involved in full/part clip employment, raising issues to make with the relationship between caring and paid work. The proviso of informal attention to frail older people have a great impact on the carers, as the duties of caring frequently constrain societal engagement and necessitate backdown from the work force. Intensive lovingness has profound inauspicious effects on the psychological wellness of carers, peculiarly emphasis, depression, choler, anxiousness and guilt and besides physical wellness issues such as terrible back jobs and others. Harmonizing to Bauld et Al ( 2000, cited by Pickard 2004 ) , these negative impacts are seen largely among the carers who provide informal services to older people with dementedness. So at that place have been a fi gure of developments in policy relating to informal carers. These include the community attention reforms, associated with the NHS and Community Care Act 1990 ; the Carers ( Recognition and Services ) Act 1995 ; the National Strategy for Carers ( 1999 ) ; the Carers and Disabled Children Act 2000 ; and the National Service Frameworks for Mental Health and for Older Peoples ( DoH 1999 ) . These developments are of import in the present context because they shape the proviso of services to carers and older people today ( Pickard, 2004 ) . Now let us discourse on self attention in brief. Self attention can be defined as any signifier of attention which is taken by persons towards improvement of their ain wellness and good being, which besides includes the attention extended to their kids, household, friends and others in vicinities and local communities. In other words the actions that people take for themselves, their kids and their households to remain fit and keep good physical and mental wellness ; meet societal and psychological demands ; prevent unwellness or accidents ; attention for minor complaints and long-run conditions like diabetes, arthritis, asthma, epilepsy, etc ; and keep wellness and well-being after an acute unwellness or discharge from infirmary is included as a portion of their Self Care ( Department of wellness, 2005 ) . Finally it is believed that cognition and experience about the long term conditions could greatly profit the quality of patients attention and finally their quality of life. But this has been mostly ignored. So the construct of Expert Patients was set out in the Government s 1999 White Paper, Salvaging Lifes: Our Healthier Nation. Harmonizing to this construct, they are empowered to take some duty for their ain direction and work in partnership with their wellness and societal attention suppliers. Self-management programmes are designed to cut down the badness of symptoms and better assurance, resourcefulness and self-efficacy. A farther committedness to implementing a formal programme was made in the NHS Plan published in July 2000 ( Department of wellness, 2001 ) . However, there are some issues with self care that service suppliers should concern about like the hazard of patient safety, guaranting equality of entree, factors such as poorness, entree to resources or hapless lodgin g ( Department of wellness, 2005 ) .

Saturday, October 19, 2019

African American Women Speak Out Essay Example | Topics and Well Written Essays - 2500 words

African American Women Speak Out - Essay Example African Americans in general have come a long way from the dark days of slavery; this is especially the case for women. There are so many challenges and issues that this group has faced over the year thus making it very difficult to summarize all this information in one piece. First of all, Black People were struggling with the revolutionary agenda and in order to garner support for their movement, most of the members of this party had to construct certain identities that were unique to the black person. Another issue that cropped up in this period was the fact that there high levels of Sexism in the Black Panther party. This was largely depicted by the Actions of the Party's leaders-Huey Newton and Bobby Seale. In a book Published by Doubleday "A taste of Power" by Elaine Brown (1994), the author describes her experiences as a member of the Black Panther party. Elaine Brown was brought up in a poor Black community but had the opportunity to access education.During her time in the Black Panther party, Elaine Brown, along with other women in the movement were largely interested in transforming African American welfare. These actions were the things that took up most of her time. Some of the activities that Ms. Brown focused on included increasing medical assistance to her community, provision of food assistance among many other aspects related to the social well being of her community. However the men in this party had a more radical approach to their coz. Most of them applied as doub le thronged approach in the revolutionary activities; there was the political dimension and the militant dimension. Leaders like Huey Newton and Bobby Seale wanted to create a defensive system for the Black people through military techniques. These ideas even permeated into the running of their daily activities. For instance, the Black Panther party used to publish a newspaper in which Elaine Brown was one of the editors. At one time, it happened that Brown (1994) had delayed with the newspaper's production by one hour. In response to this action, the tough disciplinarian Booby Seale sought to find out who had caused this delay. When it was revealed that the editing took longer than required, Seale commanded his subordinates to disciple Elaine Brown. They did this by flogging her with ten lashes on her back. Brown (1994) explains that while going through the beating, she was "burning with rage" at the actions of her leader Seale who seemed to be applying double standards in the administration of justice within this party. Within the Black Panther movement, women were expected to silently obey the words of the male leaders. Even the manner in which codes of practice were established in the Black Panther Party reflected this deeply engrained Sexism. No one was expected to vote or contribute to the rules governing the party. Instead, women were to listen and abide by the decisions made by their male counterparts. It is also interesting to note that within this party, there were no female leaders as all of them were predominantly male. This goes to show that women were almost invisible. To the men in top positions, women were seen as instruments that could be used to implement the party goals and nothing more. However, despite this seeming mistrust, on cannot overlook the fact that some women in the Black Panther Party contributed towards Black empowerment in their own silent way. One such case is the latter mentioned author who chose to change her society in whichever little way she could. Cleaver (1968) in his book Soul on Ice brings in a totally different dimension to the sentiments and feelings

Friday, October 18, 2019

Fredrickson's Various Models Essay Example | Topics and Well Written Essays - 1000 words

Fredrickson's Various Models - Essay Example Sherman Alexie’s assimilation story revolves around an Indian woman named Mary Lynn. She is married to a white man, Jeremiah, and they are blessed with three children. Due to conflicting cultures, she finds herself at a cross-road since she cannot find her own identity (McClinton-Temple & Velie 44). Her husband is such a racist man who even extends his hatred of other ethnic groups onto his own sons. He only loves his daughter who looks more like him. In addition, he does not just associate with all the whites, but with a subset of people, most of them being educated and affluent whites. He, however, successfully manages to get rid of some social burdens in one way or the other. Lynn spent most of her free time listening to Indian songs. This means that she could not let her culture go off her. Jeremiah believes that his wife can be fully assimilated into the white culture, if only she changes her behaviors and attitudes (McClinton-Temple & Velie 44). Ethnic Hierarchy  The a ncient American society categorized ethnic groups into different levels and classes. There was the predominant group, the whites, who are perceived as superior to other ethnic groups. The whites claimed that other ethnic groups were unfit and unready to acquire equal rights and full citizenship (Frederickson 633). Frederick’s hierarchical model can be traced back to the colonial period when blacks were enslaved and Indians were conquered. From Alexie’s assimilation story, it is obvious that all the problems that existed.... Lynn spent most of her free time listening to Indian songs. This means that she could not let her culture go off her. Jeremiah believes that his wife can be fully assimilated into the white culture, if only she changes her behaviors and attitudes (McClinton-Temple & Velie 44). Ethnic Hierarchy The ancient American society categorized ethnic groups into different levels and classes. There was the predominant group, the whites, who are perceived as superior to other ethnic groups. The whites claimed that other ethnic groups were unfit and unready to acquire equal rights and full citizenship (Frederickson 633). Frederick’s hierarchical model can be traced back to the colonial period when blacks were enslaved and Indians were conquered. From Alexie’s assimilation story, it is obvious that all the problems that existed between Jeremiah and Lynn were triggered by their cultural and religious differences. None of them was willing to abandon his or her culture and adopt other p eople’s culture. This is the reason why Lynn cheated on her husband with a fellow Indian man (McClinton-Temple & Velie 44). In the early 20th century, Americans of English ancestry, the dominant group, were not simply whites but Anglo-Saxon White Protestants. Mary Lynn found it difficult to accept and adopt Anglo-Saxon’s culture her husband belongs to; because she believes she does not qualify to join the dominant group. Jeremiah, on the other hand, believes that her wife can get fully assimilated into their culture if she changes her behaviors (McClinton-Temple & Velie 44). In the contemporary American society, the presence of socially deprived, physically unsafe and improvised barrios, ghettos and Indian reservations, indicate that

Long term Care in USA vs. Europe and East Asia Essay

Long term Care in USA vs. Europe and East Asia - Essay Example The major limitation associated with this informal arrangement of long term care provision by the USA is that there is no uniformity in the manner in which the frail, disabled and the individuals with chronic illnesses are attended to. Thus, those who are dependent on private long term care insurance and out-of-pocket spending eventually end up missing on quality long term care, considering that their resources are easily depleted, to a point where they can no longer be able to cater for such medical and non-medical needs of the deserving individuals (Saltman, Dubois & Chawla, 2006). It is against this background that the U.S. Congress is assessing the Community Living Assistance Services and Supports (CLASS) Act, with a view to establishing a formal program through which uniform long term care can be offered in the USA (Campbell, Ikegami & Gibson, 2010). According to the data released by the Center for Disease Control (CDC) in 2008, Medicaid accounted for 71% of the long term care services that were provided in the USA, while out-of-pocket spending followed at 18% and finally private long term care insurance at 7% (Harris-Kojetin, Sengupta, Park-Lee, Valverde, 2013). These statistics indicate that the only individuals who benefit from long term care in the USA are those capable of meeting the expenses through out-of-pocket paying, joining private long term care insurance or enrolling for the Medicaid plan. This leaves out the bulky of the frail, disabled and the deserving dependent senior citizens in the USA without the access of long term care services. This is contrary to the situation in Europe, where countries such as Germany, Norway and Denmark have a formalized program for supporting long term care for all the deserving citizens, without causing them to deplete their resources (Saltman, Dubois & Chawla, 2006). Additionally, long term care services in some of the East Asian countries such as

Thursday, October 17, 2019

The Virgin Komi Forests Essay Example | Topics and Well Written Essays - 1500 words

The Virgin Komi Forests - Essay Example However, there are a number of threats to the Forests, including illegal logging and gold-mining, which could cause irreversible damage to the area and the loss of species. This paper aims to illustrate the natural diversity of the area to convince you to provide money for the support of conservation programs in the Virgin Komi Forests. The Diversity of Life As previously mentioned, the Virgin Komi Forests are an incredibly large virgin forest, and encompass a number of important and iconic species. The grey wolf (Canis lupus) inhabits the area, and was once the world’s most widely distributed mammal but is now extinct in a number of areas. Most significantly, the grey wolf used to inhabit a huge amount of territory in Europe, and thus a safe ecological zone within Europe may be of great benefit in protecting this species. The wolverine (Gulo gulo) is also present in the Virgin Komi Forests. Although the wolverine is classified as ‘least concern’ by the IUCN Red L ist, this may be in part due to the fact that it is still common in North America. In Europe, however, trapping and habitat fragmentation have reduced the range of the wolverine and they are now absent in many of the areas in which they were once present. Again, a European protection area for this animal may be of great benefit (Bobretsov & Yakushev, 2008). Although these species are important, there are a number of further species which are classified as rare or endangered by the IUCN Red List. The Ural Mountain anemone species Anemone uralensis is also under threat in the area, mostly because of flooding and human agricultural efforts. The artic sorrel plant is also declining in the area, in part because of its use in Russian soups and in part because of the changing environment of the Forests. The Ecology of the Forests The aforementioned wolverine and grey wolf are just two of the important animals in the area, both of which have been greatly affected by the habitat fragmentatio n common in other parts of Europe. Protection of the Virgin Komi Forests should, therefore, not just focus on saving this creatures but the habitat in which they live, including a number of tree species which are necessary for their livelihood. The black woodpecker (Dryocopus martius) is an example of a bird species in the area. These birds rely on tree species in the Virgin Komi Forests, such as the fir (Abies sibirica) and the Siberian larch (Larix sibirica) for their nesting sites and food (Kuuluvainen, Syrjanen & Kalliola, 1998). The black woodpecker also plays an additional ecological role, in that they abandon the holes they have made in the tree bark, which can then become important nesting sites for the smaller birds in the area. The Eurasian beaver (Castor fiber) is also found in the Virgin Komi Forests. Beaver species are often important keystone species within their environment for a number of reasons. Firstly, beavers are involved in the creation of wetlands which can he lp to increase biodiversity, as well as providing a suitable habitat for other species. Beavers are also involved in tree coppicing, which again alters the natural habitat and provides tree cover for other species. Finally, beavers also play in important role in protecting fish species because their dams trap sediment and improve water quality (Gawthrop, 1999). Although the Eurasian beaver is of

GRADUATE LETTER FOR ADMISSION Essay Example | Topics and Well Written Essays - 1000 words

GRADUATE LETTER FOR ADMISSION - Essay Example My interests in pursuing graduate studies had intensified during my practice as a supervisor of Hematology department in Alhada armed forces hospital in Saudi Arabia. I have realized the urgent need and demand for skilled technologists, at my work place and other laboratories in developing regions. I believe, by gaining more knowledge in Hematology and management skills, I would be of greater help in the laboratory medicine field worldwide, Saudi Arabia in particular. Besides updated skills in the early diagnosis of many blood related diseases such as anemia, leukemia etc; better management and leadership skills are very important in developing countries like Saudi Arabia. With the transition of most laboratories to acquire accreditation of the college of American Pathologists (CAP) and other regulatory agencies, the need for professional and comprehensive managerial capabilities in the developing countries are becoming crucial. This has triggered the need for more sophisticated knowledge in the updated laboratory methods, and quality control and quality assurance concepts. At my last job, I was able to adhere to the highest professional Laboratory standards, despite the fact that I was working under different working environment, tradition, and dress code. It was very interesting, challenging and great learning experience. In addition to background skills and knowledge in the medical laboratory science, my balanced personality, and open minded nature, made me successful supervisor. Some of my accomplishments include, constructing and updating hematology department’s procedure manuals, evaluation of new analyzers, organizing and passing successfully the bi annual inspection conducted by of the college of American pathologists (CAP) etc. Through my job, I have greatly improved my analytical ability and pressure management techniques. The process

Wednesday, October 16, 2019

The Virgin Komi Forests Essay Example | Topics and Well Written Essays - 1500 words

The Virgin Komi Forests - Essay Example However, there are a number of threats to the Forests, including illegal logging and gold-mining, which could cause irreversible damage to the area and the loss of species. This paper aims to illustrate the natural diversity of the area to convince you to provide money for the support of conservation programs in the Virgin Komi Forests. The Diversity of Life As previously mentioned, the Virgin Komi Forests are an incredibly large virgin forest, and encompass a number of important and iconic species. The grey wolf (Canis lupus) inhabits the area, and was once the world’s most widely distributed mammal but is now extinct in a number of areas. Most significantly, the grey wolf used to inhabit a huge amount of territory in Europe, and thus a safe ecological zone within Europe may be of great benefit in protecting this species. The wolverine (Gulo gulo) is also present in the Virgin Komi Forests. Although the wolverine is classified as ‘least concern’ by the IUCN Red L ist, this may be in part due to the fact that it is still common in North America. In Europe, however, trapping and habitat fragmentation have reduced the range of the wolverine and they are now absent in many of the areas in which they were once present. Again, a European protection area for this animal may be of great benefit (Bobretsov & Yakushev, 2008). Although these species are important, there are a number of further species which are classified as rare or endangered by the IUCN Red List. The Ural Mountain anemone species Anemone uralensis is also under threat in the area, mostly because of flooding and human agricultural efforts. The artic sorrel plant is also declining in the area, in part because of its use in Russian soups and in part because of the changing environment of the Forests. The Ecology of the Forests The aforementioned wolverine and grey wolf are just two of the important animals in the area, both of which have been greatly affected by the habitat fragmentatio n common in other parts of Europe. Protection of the Virgin Komi Forests should, therefore, not just focus on saving this creatures but the habitat in which they live, including a number of tree species which are necessary for their livelihood. The black woodpecker (Dryocopus martius) is an example of a bird species in the area. These birds rely on tree species in the Virgin Komi Forests, such as the fir (Abies sibirica) and the Siberian larch (Larix sibirica) for their nesting sites and food (Kuuluvainen, Syrjanen & Kalliola, 1998). The black woodpecker also plays an additional ecological role, in that they abandon the holes they have made in the tree bark, which can then become important nesting sites for the smaller birds in the area. The Eurasian beaver (Castor fiber) is also found in the Virgin Komi Forests. Beaver species are often important keystone species within their environment for a number of reasons. Firstly, beavers are involved in the creation of wetlands which can he lp to increase biodiversity, as well as providing a suitable habitat for other species. Beavers are also involved in tree coppicing, which again alters the natural habitat and provides tree cover for other species. Finally, beavers also play in important role in protecting fish species because their dams trap sediment and improve water quality (Gawthrop, 1999). Although the Eurasian beaver is of