Compare and contrast analysis paper Term Example | Topics and Well Written Essays - 500 words

Compare and contrast analysis - Term Paper Example These three articles present three different cultural settings each with a particular cultural background ranging from human relations to animals and objects culture. Geertz (2005) "Notes on the Balinese cockfight", the author presents a community deeply rooted cultural observance despite the educational purpose of the cockfight function. As a way of raising school fees a role that government should have undertaken, this closely-knitted community comes together through a cultural event. In this article, symbolic interactionism theory plays out quite well. The community is united, and as theory suggests, they should be understood at their social level. In addition, ethnographic communication of the community need for school is clear. Through a cultural cockfight, the community communicates the social philosophy called verstehen that emphasizes on understanding the event from participants point of view (Geertz 2005). Certainly, Geertz knowledge on social theories in practice was put to test. In addition, the Actor-Network Theory (ANT) significantly applies to the cultural event. As this social theory suggests, the objects and animals use ought to be understood as part of the community communication and social network. Unlike Phillipsen and Hernandez articles, this article focuses on a cultural communicative ritual that is viewed noble and undertaken to pass crucial message. Besides, the article by Fordham Hernandez " A white Mothers muse" brings into light intercultural interaction theories. Certainly, a Mexican raising American-Mexican children present a sociological challenge. According to the social construction theory, the philosophy of typification bedevils the character of this article. As a product of a different culture in a totally new environment with a varied background of the children, she is prone to create cultural standards. However, the challenge of ethnocentrism would not allow the children to adopt their mothers culture. Perhaps,

Case Study Based On Arab Culture Example | Topics and Well Written Essays - 500 words

Based On Arab Culture - Case Study Example Nasser into accepting the vaginal examination for Samia. Negotiation, according to Schim and Doorenbos (2011, p. 1), is a suitable approach in cases where cultural appreciation and cultural accommodation alone cannot permit care objectives. An understanding of cultural orientations that establish a barrier is necessary, a factor that is consistent with the fourth standard of the Expert Panel on Global Nursing & Health (2010, p. 7). With background knowledge of reasons for the barrier to vaginal examination, the nurse can engage Mrs. Nasser, focus her attention on the issue, and help her understand that the examination will not compromise the girl’s virginity and that the girl’s health, which could extend to her reproductive health, is far more important than the value of virginity. This would allow for consent and preventive care that Mrs. Nasser, as an Arab, values (Purnell, 2014, p. 172).   Accommodation and negotiation are the suitable culturally congruent strategi es that may be effective in addressing Mrs. Nasser’s needs. Accommodation involves accepting a client’s need because the performance of the need is possible and the need offers no harm. In the case, Mrs. Nasser’s concern is a direct examination of her daughter’s genitals and if an alternative test criterion exists, such as analysis of urine or blood sample, then the nurse should accommodate the client’s demand and use the alternative measures. Negotiation would, however, be suitable if alternative tests are either ineffective or not applicable to the case. It would then require a tactical approach, which demonstrates cultural competence, to convince Mrs. Nasser against her position. The understanding value on virginity as the barrier, convincing Mrs. Nasser that the virginity would not be compromised or convincing her that the traditional value for virginity is not as important as the real value for the girl’s reproductive health would help.

The Issue Of Elder Abuse And Neglect Social Work Essay

The Issue Of Elder Abuse And Neglect Social Work Essay Elder abuse and neglect is a critical health care issue that must be brought to the attention of health care providers and older adults family members. Adults older than 65 who live at home or in long-term care facilities may be at risk for abuse. Nurses should be aware of the causes, screening questions, symptoms of abuse, and resources in the community. Armed with information and a better understanding about the issue, nurses can minimize the devastating effects of abuse on older adults and their families. Every man, woman, and child deserves to be treated with respect and caring. Individuals of all ages deserve to be protected from harm by caregivers (American Psychological Association, 2006). Significant policy developments during the past 20 years have focused on eliminating abuse. However, a deficit in health care providers knowledge and clinical skill application remains. The purpose of this article is to define and describe the kinds of abuse, their potential clinical presentations, and theoretical explanations for abuse to enhance nurses knowledge and understanding of their role in its assessment and management in older adults. BACKGROUND Abuse is defined as the infliction of injury, unreasonable confinement, intimidation, or punishment, with resulting physical harm, pain, or mental anguish (Table 1). It can also be the willful deprivation by a caregiver of goods or services that are necessary to maintain physical or mental health (American Psychological Association, 2006). Elder abuse and neglect has plagued society for centuries but only recently has the issue come to the attention of health care providers, law enforcement agencies, and protective services. Fewer research studies exist about the maltreatment of older adults than about other forms of family violence, including child abuse, rape, and intimate partner violence. The earliest reports of elder abuse and neglect in the United Kingdom in the 1970s dramatized case reports of the phenomenon, termed Granny battering. The health care community and the public were shocked and appalled. A decade later, studies confirmed that the problem was common in the United S tates as well. In the late 1970s, the U.S. Senate Special Committee on Aging issued a series of reports on abuse and neglect occurring in nursing homes. In 1981, the U.S. House of Representatives Select Committee on Aging conducted hearings in which victimized older adults gave firsthand testimony of their experiences with abuse. In 1986, the Institute of Medicine published recommendations for preventing the maltreatment of older adults in institutions, and several years later, the Elder Abuse Task Force was created by the Secretary of the U.S. Department of Health and Human Services. The task force developed an action plan for the identification and prevention of maltreatment of older adults in their own homes, health care facilities, and communities. The action plan included data collection, research, technical assistance, training, and public education. The National Center on Elder Abuse was established as part of the Administration on Agings Elder Care Campaign. Adult Protective Services progra ms now exist in every state to serve vulnerable adults, particularly older adults, who may be at risk for abuse and neglect. Many law enforcement agencies and Offices of the District Attorney have investigative staff specifically trained to address abuse of older adults and other vulnerable populations, in collaboration with health care and protective service professionals. Such actions have led to increased public and health care provider awareness about elder abuse and neglect. Researchers have also sought to grasp the full scope and causes of maltreatment among older adults. Laws that require health care providers to report suspected cases have been instituted in nearly every state. The Joint Commission on Accreditation of Healthcare Organizations (2006) standards for emergency departments and ambulatory care centers call for improved identification and management of elder abuse, in addition to intimate partner violence and child abuse. As the U.S. population ages, demands placed on health care systems to care for older adults are increasing. More than 36 million people who live in the United States are older than age 65, and 600,000 older adults will require assisted living (U.S. Department of Health and Human Services, Administration on Aging, 2006). Currently, there are approximately 17,000 nursing homes in the United States, with 1.6 million residents (U.S. Department of Health and Human Services, Administration on Aging, 2004). Unfortunately, older adults are becoming victims of intentional abuse and neglect within their own homes, as well as in assisted living and long-term care facilities. Each year in the United States, 1 to 2 million adults older than age 65 are injured, exploited, or mistreated by their caregivers (National Research Council Panel to Review Risk and Prevalence of Elder Abuse and Neglect, 2003). One community-based, cross-sectional survey reported that 32 of every 1,000 older adults reported that they had experienced some form of maltreatment at least once since reaching age 65 (Pillemer Finkelhor, 1988). Underreporting is typical with all kinds of abuse, and it is estimated that only 1 in 14 elder maltreatment cases are reported. Health care providers can expect to see a steady increase in the number of cases of elder maltreatment as the older adult population rapidly increases. THEORIES OF ELDER ABUSE Elder abuse is a complex problem with multiple risks and causes. Dysfunctional family lives, cultural issues, and caregiver inadequacies have been implicated as contributing factors. Awareness of such factors may help nurses understand and anticipate situations where maltreatment may be preventable. Several theories attempt to explain the existence and increasing occurrence of elder abuse. The transgenerational, or social learning, theory asserts that violence is a learned behavior. Individuals who have witnessed or been victims of family violence are more likely to try to resolve challenging and difficult life situations with violent tactics they learned in their formative growth. Although 90% of perpetrators of elder abuse are reported to be family members, this cannot account for all cases (Fulmer, Guadagno, Bitondo, Dyer, Connolly, 2004). Situational theory supports the idea that the greater the burden on caregivers, the more likely caregivers are to abuse. Exchange theory addresses the dependence of older adults on their caregivers as a risk of abuse, along with inadequate methods of problem solving as an established pattern of family behavior. Political economic theory addresses the changing roles of older adults. Their loss of independence and income may cause them to look to others for care and support (Fulmer et al., 2004). Psychopathology of the caregiver theory studies caregivers with severe emotional or mental health problems or addictions that put the older adults for whom they care at risk of being abused. For example, a caregiver with a mental health problem who cares for a frail older adult with cognitive impairment is a dangerous combination and may lead to resistant behavior and maltreatment. Although theoretical frameworks cannot explain all cases of elder maltreatment, they can provide a foundation for nurses to begin to understand the combination of factors responsible for the occurrence of elder abuse and initiate a holistic plan of care. NURSING ASSESSMENT INTERVENTIONS Nurses are in an ideal position to play a significant role in the detection, management, and prevention of elder maltreatment and may be the only individuals outside of the family who have regular contact with an older adult. Nurses are uniquely qualified to perform physical and psychological assessments, order confirmatory diagnostic tests (e.g., blood tests, x-rays), and collaborate with physicians and protective services. They may authorize services, such as home health care, or recommend hospital admission as they initiate further investigation by the appropriate local agencies. Opportunities for abuse detection and intervention occur daily in health care settings. In institutional settings, nurses may monitor patient health and perform health history interviews and physical, psychological, sexual, and financial abuse assessments that may be crucial to elicit reports, expose or prevent abuse, and intervene for patients safety (Wieland, 2000). Nurses and other health care providers are part of an interprofessional team collaborating to ensure appropriate, sensitive, and safe outcomes for older adult patients. Institutional maltreatment occurs in long-term care facilities, board-and-care homes, and other assisted-living facilities. Institutional medical directors, private practitioners, nurses, and all health care workers in daily contact with older adults have a responsibility to identify, treat, and prevent abuse. Abuse may be perpetrated by a staff member, another patient, an intruder or a visitor, or a family caregiver. Abuse may include failure to implement a plan of care or provide treatment, unauthorized use of physical or chemical restraints, and use of medication or isolation for punishment or staff convenience. Nurses must be aware of patient diagnoses, medical orders for care, and medications and their side effects to recognize what is suspicious and needs further evaluation or warrants a report to supervisors. However, most elder maltreatment does not occur in institutions but in the home at the hands of a caregiver, often a family member. Unless nurses are educated about abuse and how to observe suspicious injuries, elder abuse may be difficult to detect. Definitions of the kinds of abuse and their signs and symptoms should be included in the training and education of family members and health care workers who care for older adults. Older adults experiencing abuse may be unable to communicate clearly, their bruises may be attributed to the aging process, or they may be fearful and hesitant to report abuse (Wieland, 2000). Indications of physical abuse should signal health care providers to evaluate for other kinds of abuse, such as sexual abuse. In addition to inadequate information, training, and the caregivers experience of caring for older adults, older adults are at risk for maltreatment due to other vulnerabilities. Older adult residents in institutions are typically dependent and chronically ill and may have cognitive, visual, and auditory impairments. They are usually more frail than are younger patients and may not have regular visitors who monitor their mental status, physical condition, or health care. In older adults, each vulnerability increases their mortality risk (Fulmer et al., 2004). Co-existing conditions and medical diagnoses may lead to worse outcomes for older adults who are abused. They may have a decreased ability to heal after injury and may experience greater trauma from physical injuries than do younger people. Their bones are more brittle and tissue more easily bruised, abraded, and lacerated with minimal trauma. Injured older adults differ from the younger population in terms of cause of injury, physical and psychological responses to abuse and injury, and outcomes. Dementia is common in 50% of residents of long-term care facilities (National Center for Health Statistics, 1985), and cognitive impairments often cause older adults to behave in a more resistant manner toward caregivers. Impaired cognition, along with insufficient resources, staff shortages, high staff turnover, and inadequate supervision and training, may increase the risk of elder maltreatment. In addition, societal ignorance about required standards for quality care and victimized older adults acceptance of abusive or neglectful behavior can lead to exacerbation of elder abuse in institutions. Routine questions related to elder abuse and neglect can be incorporated into daily nursing practice. Diminished cognitive capacity does not necessarily negate older adults ability to describe maltreatment. It is always reasonable for nurses to ask about abuse or neglect. A brief mental status examination can be helpful in evaluating patients cognitive status. Assessment for elder abuse should include caregiver, as well as victim, evaluation. Nurses should conduct interviews and examinations with the patient first, in a private setting separate from the caregiver. Clinical settings should have a protocol for the detection and assessment of elder maltreatment. Protocols should consist of a narrative, checklist, or standardized forms that enable rapid screening for elder abuse and provide guidelines for sound documentation that may help disclose patterns of abuse over time and will withstand scrutiny in court. Basic demographic questions should be included and should allow the interviewer to determine the family composition and socioeconomic status. Interviews should proceed from general questions that assess the patients sense of well-being to those focusing on specific kinds of abuse. Common signs and symptoms of maltreatment should be evaluated (Table 2). Elder abuse screening instruments are summarized by Fulmer et al. (2004). Questions recommended by Wieland (2000) for general abuse screening and assessment include: * Do you feel safe where you are living? * Who is responsible for your care? * Do you often disagree with your caregiver(s)? If so, what happens? * Does anyone scold or shout at you, slap or hit you, or leave you alone and make you wait for care or food? After general screening questions, more specific questions about kinds of abuse may follow: * Has anyone ever touched you without your consent? * Has anyone ever made you do things you did not want to do? * Has anyone ever taken something that was yours without asking? * Have you ever signed any documents that you did not understand? Health care providers do not have to prove that elder maltreatment has occurred. They need to screen and document suspicious verbal and physical findings, which may be as simple as stating that the patient seems to have health or personal problems and needs assistance. Sound documentation may include drawings of injuries on body diagrams or photographs to support written reports. Suspicious claims for abuse and neglect may be difficult to quantify. Diagnosis of elder maltreatment depends on education about abuse and application of that knowledge by the multidisciplinary team of health care providers, law enforcement agencies, advocates, and patients. Protocols for elder abuse screening, assessment of risk factors, and documentation should be posted in all health care facilities. ABUSE AND THE LAW National standards for care in nursing homes are based on the Nursing Home Reform Act of 1987. The law is part of the Consolidated Omnibus Budget Reconciliation Act of 1987, often referred to as OBRA 87. The intent of the law is to promote high-quality care and prevent substandard care. The law also seeks to ensure that the rights of nursing home residents are respected. These include: * The right of protection against Medicaid discrimination. * The right to participate in health care decisions and to give or withhold informed consent for particular interventions. * The right to safeguards to reduce inappropriate use of physical and chemical restraints. * The right for provisions to ensure proper transfers or discharges. * The right to full access to a personal physician, long-term care ombudsman, and other advocates. * The right to be free from verbal, sexual, physical, or mental abuse, corporal punishment, and involuntary seclusion. * The right to be free from physical restraints or psychoactive drugs administered for the purpose of discipline or convenience. Nearly all states have mandatory reporting laws that require health care professionals and paraprofessionals to report suspected elder abuse and neglect to a designated authority. Some state laws specify that after authorities have been alerted to suspected elder abuse or neglect, an agent of the state must make an onsite investigation in an attempt to corroborate the report. Uniform reporting systems are established, and cases are assigned and investigated by protective services in a timely fashion. Cases are assigned and investigated by protective services in a timely fashion. Nurses may play an important role in preventing and identifying elder abuse, as well as in the subsequent investigation. CONCLUSION Elder abuse is a significant problem in the United States and often goes unreported and unrecognized. Elder abuse may be physical, emotional, psychological, sexual, or financial. Immediate care, overnight housing, and care in a safe location, in addition to long-term care and home-delivered food, may be necessary. Elder abuse may be a minor issue that can be easily resolved or it can result in severe and life-threatening debilitation. The more knowledge health care providers have, the more likely they are to institute strategies for abuse prevention and management. No matter how minor or severe the abuse, nurses have a duty to assess elderly patients according to recommended protocols and report suspected abuse to designated authorities. The multidisciplinary team then works together to help resolve the issue. The application of knowledge about elder abuse includes screening, assessment, and sound documentation in an attempt to enhance the quality of life and maximize the functional ability of older adults. [Sidebar]

Two Languages and Two Cultures Essay -- immigration, China, Two Kinds,

Two Languages and Two Cultures United States was built on immigrants and some of the immigrants were pushed from their homeland because of some reasons while other reasons such as America dream pulled them to the United States. Most of these immigrants came from China in 1949, when the communist party took over. These immigrants came with their cultures and languages which are significant in everyone's lives because they play a major role in the development of individual’s characteristics. Many observers believe that these cultures and languages lead to conflict between immigrant parents and their American-born children. This is certainly the case. Interestingly enough, while history and culture contribute to the American way of life, they also create disagreements between the immigrant’s culture and American culture. Perhaps this is why Amy Tan's story, â€Å"Two Kinds,† explores the conflicts and confusions of relationships in the Chinese immigrant communities through the effects of Chinese immigrant’s ethnic heritage, child performance during this time of American culture and, communication divide during this period. First, Amy Tan successfully demonstrate how Chinese immigrant’s ethnic heritage contributed to the conflicts and confusions of relationships in the Chinese immigrant communities during that era. Back in China, the Chinese culture during the narrator's mother's era encouraged social stratification and as such no one can move out of their respective social class. Consequently, this way of thinking remained part of the narrator's mother's life when she arrived into the United States. For example in the story, the narrator's mother believed that she could be anything in America. Consequently, she wanted her daug... ...cessive control is not a forced decision. With the adequate public information and dedication, parents can guide their children to become productive citizens. When a parent confront an obstinate child, all it takes is for her not to take it personally. Works Cited Bloom, H. (Ed.). (2001). Amy Tan. Philadelphia: Chelsea House. Huntley, E.D. (1998). Amy Tan: A Critical Companion. Wesport, CT: Greenwood Press. Jottedlines.com. Literature, Critical Analysis of â€Å"Two Kinds.† February 7, 2013. Kazdin, Alan E., Phd. Encyclopedia of Psychology, Volume 8, March 2000. Tan, Amy. â€Å"Two Kinds.† Literature Reading, Reacting, Writing. Ed. Laurie G. Kirszner and Stephen R. Mandell. 8th ed. Boston: Wadsworth, 2013. 687-695. print. Nelson, E . S. (Ed.). (2000). Asian Amerincan Novelists: A Bio-Bibliographical Critical Sourcebook. Westport, CT: Greenwood Press.

Movie Review of Canterbury Tales

The British film entitled A Canterbury Tale was released in 1944 and directed by Michael Powell and Emeric Pressburger. The movie was successful enough in adapting the themes of Chaucer’s creation. It is a mixture of Comedy Drama which enticed the audience and kept them tuck in their seats. The magnificent genre and plot was performed artistically by actors and actresses in the film.The film depicts the era of the 14th century, giving audience a glimpse of what really happened during that time. The Canterbury Tales (written form) is one of the greatest works done during the 14th century but for a work to be considered â€Å"the work of the century† it must exemplify the major events that happened during that period. Good thing that the directors successfully gave audience a clear representation of the book by Chaucer.The film was set in Britain and deals with the system of locking up young daughters as part of the policy adopted by Thomas Colpepper, J.P. (Erick Portman) in the film. In order to escape from he claws of Portman, Sgt. Peter Gibbs (Dennis Price) who is a British tank sergeant led the troop on a journey towards many discoveries.He traveled with Alison Smith (Sheila Sim) a shopkeeper and American GI Bob Johnson (John Sweet). They traveled towards Canterbury. The journey of the main characters made them discover many things about life. The stereotypical notion about Yankees was reversed by Sweet’s experience as he met his true love along the way to Canterbury. There is magic in every life of the characters and the actors and actresses played their part very well.The movie is also magnificent in terms of cinematography since there are scenes that made it possible for audience to see themselves united with the characters. The camera angles are set in a way that viewers will see the emotion of the characters more clearly.The Canterbury Tales as it were, holds a mirror to the life of the Chaucer’s age and shows it manners and m orals completely, â€Å"not in fragments†. The director of the film replaces effectively the shadowy delineations of the old romantic and allegorical school with the vivid and pulsating pictures of contemporary life that made the film more appealing. Chaucer’s tone as a poet is wonderfully instinct with geniality, tolerance, humor, and freshness which are absent from that of his contemporaries and predecessors who are too dreamy or too serious to be interesting.Another thing that made the film outstanding is the variation of characters in terms of profession, experiences in life and point of views. Although the film was made in black and white, viewers can still enjoy watching because of the plot and the theme. A Canterbury Tale film was adopted from The Canterbury Tales of Geoffrey Chaucer, and loosely uses Chaucer's theme of unconventional characters on a pilgrimage' to highlight the period of war, the experiences of the citizens of Kent and persuade the friendship a nd understanding of Anglo-American.The film was shot in locations like Kent countryside. It is a representation of the real environment were war is rampant and in Canterbury itself. Large participation of people was also utilized since there is a need for crowd performances like river battles and children activities. It creates a dynamic and interactive environment that made viewers enticed.The directors of the film made the characters detailed and true to life-like because he intended to make the viewers of the time reflect on their actions. The film shows clearly the good and bad situations in Canterbury, and it was intended to be easily understood by the audience.

Human Virtues Essay

Virtues consist of a set of character strengths, these strengths represent good character. They are wisdom, courage, humanity, justice, temperance, and transcendence. Wisdom and courage are two virtues that my Grand Father encompassed. He was a very strong and knowledgeable man. His life revolved around going against all odds, he truly believed in beating whatever he was at battle against. His perseverance was with him till the day he died. He passed away at the age of 65, he wasn’t that old, yet he was a very wise man. His personality was filled with love, care and compassion for others. Very open-minded, when he met someone he was the one who always found the good in them, no matter who they were. If a situation would arise, he never just considered what was likely to occur, he looked at the â€Å"whole† picture. His love for learning was obvious, one of his hobbies was reading. When asked why, he would reply, â€Å"the more you read, the more you know†. He was a stickler for making us do well in school. He wanted each of us to have a good education to build our lives out of. He was a Lieutenant in the Federal Prison System for 25 years, after retiring from the Army, his life here was to provide for and protect his family, which he done with a happy, energetic, and determined attitude. His gratitude for life was amazing, he taught us all the meaning of Live, Laugh, Love. He walked this life on faith, while teaching others how to do the same along the way. Although his life at home was well rounded and energized by his love, his life at work was a very emotional one. It became as if life in prison, was life for him too. He developed emotional attachments to the inmates, He cared for them, he knee their situations, and he knew why they were there. His courage allowed him to become involved in their lives, which paid off in his favor the night he and some others were held hostage in Virginia Federal Prison, by a convicted serial killer. Yet once again, he put forth is faith, his knowledge and courage and talked the inmate down. He helped release the others, and saved many lives includ8ng his own. Wisdom and courage I think are two virtues that we all should possess. I try to live by good character, I think back on all of the talks me and my Grand Father had, and all the years in between. I smile and think to myself, â€Å"yes, I sure wish I could be just like him†.