Wednesday, October 30, 2019

Family Related Issues Assignment Example | Topics and Well Written Essays - 1250 words

Family Related Issues - Assignment Example Department of Labor, 2010). Logically, if a loco parentis is a suitably related person to the employee to qualify for care under the FMLA, then a biological father, regardless of the quality or quantity of his parenting, qualifies. Legally, the law designates â€Å"biological† parent, but that brings up an interesting dilemma: what about a biological parent who gave up his/her child for adoption? In recent years, many adopted children have found their biological parents, or vice versa. Does the parent who relinquished his/her rights as the child’s parent qualify as a parent under the FMLA? Taking the law literally, s/he does because s/he is the biological parent. However, a judge may not interpret the spirit of the law in that way. The caveat for such tenuous relationships between employee and parent is the fact that the employee must document his/her relationship with the parent before taking family leave. In the same paragraph of the FMLA that defines the relationship s eligible for family leave, section j, titled â€Å"Documenting relationships,† it says, â€Å"For purposes of confirmation of family relationship, the employer may require the employee giving notice of the need for leave to provide reasonable documentation or statement of family relationship. This documentation may take the form of a simple statement from the employee, or a child's birth certificate, a court document,  etc.  The employer is entitled to examine documentation such as a birth certificate,  etc.† (U.S. Department of Labor, 2010). It seems as if the employer could demand some sort of unrealistic documentation of the eligibility of parent or employee to qualify for the family leave especially if time was an issue (i.e., the parent was dying), so if an employer wanted to prevent an employee from taking family leave, s/he could be in compliance with the law, but just unreasonable about the proof of the right to do so. That would probably discourage mos t employees from attempting to take family leave. 2. Explain whether the size of the business can have any effect on whether Tony is eligible for family leave under the FMLA.   The size of a business does matter. In the video, â€Å"Family Related Issues: Family and Medical Leave Act,† in response to Tony, the employee’s verbal request for leave, Herman, the boss, replies, â€Å"That's out of the question. This is a small business. Everyone is crucial.†Ã‚  Tony answers, â€Å"Small? You've got more than fifty employees, if you count everyone.† Herman counters with â€Å"Not full-time employees.† In Herman’s mind allowing Tony three weeks for family leave would cause him to lose money. He has just praised Tony for being the top salesman (Family and Medical Leave Act, 2004). However, Herman is wrong. Not all employers are required by federal law to allow family leave, but those with 50 or more employees are. Paragraph 825.105 of the FMLA giv es a lengthy description of how an employer, by virtue of the number of employees s/he employs, must comply with the federal law. Some of the more obvious characteristics that make an employer obliged to comply is the location of his/her business. That is, it must be within the United States or

Monday, October 28, 2019

The Social Determinants Of Health Health And Social Care Essay

The Social Determinants Of Health Health And Social Care Essay We will look at the effects this communicable disease has on the wellbeing and health of individuals infected and their family members. You will see regional, national and global issues, we will be able to identify the causes of HIV and look at what steps have been put into place to help reduce and prevent levels of HIV cases. There are encouraging signs that show changes in the epidemiological direction of this maturing pandemic. Background I met my client through a friend whose father had died from Aids. For the purpose of confidentiality I will follow the Nursing and Midwifery Council code of conduct (NMC, 2008) I will not use my clients real name and will refer to them as Mavis. I will discuss how HIV had an effect on Mavis and how this disease changed her life. When I first met Mavis she was aged 43 but her story started when she was aged 29. Mavis was a young South African women, she was happily married with one daughter. Mavis and her husband were both successful in business, this job took her husband away from home quite a lot; he would travel to various locations across Europe and Asia. Tragically in December 2002 Maviss husband was killed in a car crash, at this stage Mavis was not aware how her life would change drastically. It was arranged for Mavis to marry her deceased husbands brother, she explained to me that her family suggested this was best for her and her daughter financially, Mavis was shocked and appalled, she did not want this marriage to go ahead. Mavis fled her native Botswana and arrived at an Airport within the United Kingdom in January 2003, immediately Mavis was stopped by immigration control, Emotions were running high for Mavis throughout the day, how she could return after fleeing, what could she say; what would happen to her. At around 4pm that day Mavis collapsed and was taken to hospital were a series of tests were taken, she was later diagnosed with suffering from Tuberculosis. After two weeks of being on medication more tests were taken, at this point her life would change forever. Mavis was later tested and diagnosed with HIV which stands for: Human Immunodeficiency Virus (Weller, 2009) which affects the human being; the virus attacks and terminates the immune system. Viruses such as HIV are unable to grow or reproduce on their own. The virus targets the immune system and weakens the defence system, they need to infect cells that belong to a living organism which allows them to copy themselves and pass out into tissue fluid and blood and infect other host cells, the disease then spreads though the body. HIV has affinity cells that contain a protein called CD4 in their membranes. These cells are known as T- lymphocytes. Once these cells are infected their number is reduced which causes T-cells to be suppressed affecting immunity (Ross. Wilson, 1990). HIV can be passed on immediately after becoming infected, symptoms vary depending on the stage of the infection, many people are most infectious in the first few months of contracting the virus, and at this stage many infected individuals are unaware that they have HIV. In the first few weeks after the initial infection individuals do not experience any symptoms but some may experience flu-like symptoms and possibly develop a rash, The only way for an individual to find out if they are infected with the virus is for them to be tested (Bupa, 2010). Mavis cried out, how this could be, I was a good faithful wife, the only explanation for her contracting HIV was from her husband, but she could not ask him for answers as he was now deceased. Doctors explained to Mavis what drugs were available and that this would be for life, they suggested a combination she should try, Maviss immune system became resistant to the first combination; doctors then put her on a second combination which she also became resistant to. With the third combination Mavis suffered serious side effects and was eventually put on a fourth combination. Social determinants of health and well being Stigma associated with HIV/AIDS is a worldwide issue and can have a huge impact on the social determinants of the individuals health through prejudice, abuse, maltreatment and negative attitudes directed at people living with HIV and AIDS they may receive poor treatment in healthcare and education settings, be shunned by family, peers and the local community (Avert, 2013), individuals are afraid to see a doctor or seek treatment leading it to be a silent killer, the fear of stigma allows the epidemic the ability to devastate societies around the world (un.org,2008). Individuals with HIV can experience stigma and discrimination In healthcare settings such as receiving access to facilities, HIV testing, and a lack of confidentiality and most detrimental being refused medication. This can often be fuelled by ignorance of HIV transmission routes (Nelson, 2012). Everyone is entitled to a fair and respectful treatment of healthcare, treating someone less favourably because they have HIV it is illegal this is identified in 2010 Equality Act (legislation.gov.uk, 2010). In South Africa HIV is known as AIDS, this is down to lack of education with this virus, this region carries the greatest burden of the epidemic. The World Health Organization claims that advanced stages of HIV is AIDS, once an individuals immune system has broken down it progresses to AIDS; AIDS is the later stages of HIV. AIDS stands for Acquired Immune Deficiency Syndrome; progressing from HIV to AIDS can take between 10 and 15 years to develop (WHO, 2011). In 2010 1.8 million people died globally from AIDS the figures were 1.5 million adults and 250,000 children (Avert, 2011) however; this is all dependant on the social determinants of health Lifestyle, gender, sexuality, income, age and employment can affect an individuals health, someone who is undernourished will progress from HIV to AIDS quicker than someone with a healthier lifestyle. Currently the highest levels of individuals affected are black African migrants, Section 21 (1) (a) of the 1948 National Assistance Act required Local Authorities to provide support and accommodation to those who are in need of care and attention (legislation.gov,2013), but in 2009 the House Of Lords changed this ruling, if individuals do not need care and attention they are not entitled to extra support to qualify for the entitlement you need to meet certain criteria: such as requiring supervision when going outdoors, help with domestic chores and administering medication (nat.org, 2009) Effectively this will cause issues for the individuals diagnosed with HIV leading to poverty, unemployment and further health complications. Trends in illness and disease and epidemiology HIV is amongst the worlds leading infectious killer which has claimed around 25 million lives over the last three decades. USAID states that since the pandemic began more than 60 million people have been infected with HIV (USAID, 2011). In countries such as, Africa, HIV rates are significantly high. In the Republic of South Africa around 11 per cent of the population are HIV positive (Delvin, 2010), the magnitude of this pandemic is shocking. Although the global prevalence of people infected with HIV is stabilising the actual percentage of people living with the virus is increasing yearly. At the end of 2010 33.3 million people were estimated to be living with HIV worldwide this represents a 27% increase over the last decade when rates were 26.2 million individuals. (Avert, 2011). Globally the number of new infections has been decreasing over the last few years, this is due to developments in treatment and testing of the virus especially in developing countries as testing and treatment is becoming more of a reality, nevertheless there are still parts of the world were new diagnoses are increasing (WHO, 2011), progressively more people are living with HIV. These numbers have risen in every region of the world over the last 10 years displaying a decrease in mortality rates. In 2010, 91,500 people were living with HIV in the UK, thirty years after the start of the epidemic, according to the Health Protection Agency at least 21,000 people were unaware that they had the infection. It is predicted that over 100,000 people will be living with the infection by 2012 (HPA, 2011). Globally 34 million individuals were living with HIV, 3.4 million were children and 13.3 million were men the highest rate at 16.8 million was women. Diagnosis of heterosexual individuals in 2010 was reported at 37% (190) cases and these individuals stated they had acquired HIV through sexual intercourse. Out of the 190 people, 44 stated that they had become infected in the UK (23%) and 66 (34%) said they contracted the virus in Africa. (THT, 2011). Homosexual diagnosis in the UK in 2010 was 244 cases which were acquired through men having sex with men, 176 stated that they had become infected in the UK. In the North West in 2010 People aged 30-34 were the most common age group to be d iagnosed with virus. (THT, 2011) In the UK homosexual men who have sexual intercourse with other men are the highest risk group for contracting the virus the second group most affected is those that have migrated from regions such as sub Saharan Africa, 1.3 million People died in Africa from HIV in 2009. This is a decrease of 17% since 2004; this is due to better access to treatments. In Eastern Europe and central Asia HIV prevalence currently has the largest regional increase. Overall the epidemic in these regions continues to rise. The highest rate of cases is amongst adults, globally, the rate of adults living with HIV is 0.8% (WHO, 2011). In 2010 there were 6,660 individuals diagnosed with HIV in the UK. According to the Terrance Higgins Trust at least 680 people died in the UK from HIV in 2010; however these figures are well below the peak year of 1995 when figures reached to 1,723. Dr Valarie Delpech a consultant epidemiologist stated that HIV can be treated and that early diagnosis can lead to longer life expectancy (WHO, 2011). Figures of people contracting HIV in the UK now exceed those of people who contracted it abroad. In the UK at least 43% of people diagnosed with HIV live in south, this figure was previously higher, the biggest increase in the last 10 years occurred in the East of England, the West Midlands and the North East. The HIV virus is growing in North West England, the region population is approximately 6.9 million people according to Online Statistics (ONS, 2011). In the US and Europe there are currently more than 20 antiretroviral drugs which are approved for the treatment of HIV infection, there are also many new HIV drugs undergoing trials. (Avert, 2011). Access to antiretroviral treatment in some parts of the world is still limited due to a lack of funding, antiretroviral drugs keep the levels of HIV low in the body, this allows the immune system to recover and work more effectively. Antiretroviral drugs allow HIV positive people to live a healthy life and increases life expectancy. The drugs provided need to be taken daily, individuals who are infected will need to take the drugs for the rest of their lives. Avert (2011) suggests that individuals should Adhere to HIV treatment as it is highly important for their health and wellbeing; if individuals do not follow the guidance given they increase the chances of the drug becoming resistant (Avert, 2011). Structure and functioning of health and social care systems and teams NHS Primary Care trusts (PCTs) currently have a responsibility for HIV healthcare, according to the Department of Health; PCTs will be abolished in April 2013 (DH, 2012). Once the PCTs are abolished these will be replaced by locally clinically led commissioning groups (CCGs) and will be overseen by a new national NHS commissioning board. The local government will commission HIV prevention and sexual health promotion,STI testing and treatment, sexual health services including HIV testing, community contraception and family planning and the NHS commission will run HIV prevention campaigns and take care of HIV treatment and care (Kelaart, 2012). The latest report from WHO, UNICEF AND UNAIDS in November 2011, suggests that sustaining investment in HIV/AIDS over a longer period will have global benefits and progress will be made with prevention and treatment of the virus the report indicates that there was a 15% reduction of new infections over the past decade and a 22% decline in aids related deaths in the last five years due to better access of services. Gottfried Hirnschall, Director of the World Health Organizations HIV Department believes it is now very possible to get ahead of the epidemic, he states the level of momentum we are at has taken the world ten years to achieve (WHO, 2011). Globally there is improved access to HIV testing and counselling. Antiretroviral therapy (ART) helps to improve the health and wellbeing of infected individuals; however there is still work which needs to be done. Many countries are already showing a substantial level of efficiency in managing HIV programmes; such as South Africa who reduced their drugs costs by at least 50%, this was achieved by an initiative that was implemented by WHO and UNAIDS in 2010 which launched; Cheaper, simpler and easier HIV treatment and diagnostic tools. They intend to Develop new guidance on the use of Antiretroviral drugs for prevention and treatment, Use a range of different approaches to reduce the risk of infection. An improvement of womens rights and ensure adequate access to contraception will all be vital in tackling the female HIV epidemic. (WHO, 2011). The contribution of the health care professional to the provision of health and social care A report produced by the Health Protection Agency (HPA, 2011) called for a universal testing on HIV after it identified that one in five people who visited an STI clinic did not accept a HIV test, the HPA want to ensure that no one leaves the STI clinic without being tested. The HPA ask that in areas where the virus has a high prevalence patients registering new with GPs and entering Hospitals should be tested using the universal testing this would help with late diagnosis and ensure that patients receive the treatment and care they require (HPA, 2011). Public Health Minister Anne Milton announced that over the next three years there will be an  £8 million investment to help build on previous work by the Terrence Higgins Trust and Family Planning Association (FPA) (DH, 2012), this investment is aimed to drive down HIV infections and help improve peoples sexual health. HIV prevention is vital, This investment will be split between Terrance Higgins trust who will receive  £6.7 million to continue their campaign and work on HIV prevention which saves lives and money, social determinants of health can be addressed, national campaigns for gay men and African communities can have a vital impact and access to HIV testing can be expanded and the FPA will receive  £1.13 million which will be used to reach the public and health workers through there specialist comprehensive sexual health information service. Conclusion Most sexually transmitted infections can be avoided by practicing safer sex (e.g. using a condom); also by having fewer sexual partners will help lower the risk of infection. HIV can have a huge impact on patients who live with this virus, there are many factors that affect the patients quality of life; not only their physical health, it also affects mental health and social wellbeing. The label HIV can influence the way others act towards the infected individual. HIV is included in the Equality Act 2010, this Act protects people living with HIV against discrimination in employment, education and housing as well as access to services and goods (aidsmap.com, 2012). Contracting a sexually transmitted infection has a large psychological, physical and social impact on infected individuals and their families; this can be down to discrimination and stigma especially towards adolescents, drug users, homosexuals and asylum seekers. This can cause problems when it comes to prevention and treatment. In low and middle income countries at least half of the infected people are still unable to access ART; this is down to lack of information and education and the fact that many of these individuals are unaware that they even have the HIV virus.

Friday, October 25, 2019

Ethical Journalism During the Vietnam War Essay -- Vietnam War Essays

Ethical Journalism During the Vietnam War During the Vietnam War, a rift between government officials and journalists emerged. The American government felt the need, for various reasons, to censor many war developments. In an attempt to act ethically, the press fought the censors, trying their hardest to report the truth to the general public. Despite claims of bias and distortion by several prominent government officials, these journalists acted completely ethically, allowing the general public to obtain a fair, informed opinion. The Society of Professional Journalists (SPJ) provides a very clear and thorough Code of Ethics, which serves as a good definition of ethical journalism. According to this code, an ethical journalist must try to minimize any potential harm done to people directly involved with the event being reported. Such a journalist should also act independently of any personal biases, and be responsive to any criticism of their work. Finally, a truly ethical journalist must seek to find and report the truth (Society). Common sense reaffirms these guidelines. When one thinks of ethical behavior, one usually thinks along terms of being truthful, appreciative of others, acting responsively and using fair judgement. All of these concepts are explicitly stated in the SPJ's Code of Ethics. Minimizing harm done by journalism in times of war is a difficult task. Naturally, there are bits of information that the government needs to keep secret for one reason or another. There is also the danger of victims' stories being exploited and sensationalized. The SPJ's Code of Ethics recommends that journalists should "treat sources, subjects and colleagues as human beings worthy of respect" (Society). During the extreme... ...t 29, 1968: 71. Hallin, Daniel C. The Uncensored War. New York: Oxford University Press, 1986. Janson, Donald. "Police Assault on 21 Newsmen in Chicago Are Denounced by Officials and Papers." New York Times August 28, 1968: 36. Kenworthy, E W. "Agnew Says TV Networks are Distorting the News." New York Times November 14, 1969: 1-2. Kifner, John. "On the Road to Chicago With Some Protestors." New York Times August 23, 1968: 22. Mitchell, Michael C. "Television and The Vietnam War." Naval War College Review 37.3 (1989): 42-52. Nixon, Richard. No More Vietnams. New York: Arbor House, 1985. Roberts, Steven V. "McCarthy Group Seeks to Put Antiwar Candidate on Ballot." New York Times August 22, 1968: 1. "The Parties Respond." New York Times March 17, 1968: E12. "Violence of Police Decried by Callers." New York Times August 29, 1968: 21.

Thursday, October 24, 2019

Belonging Is More Than a Connection to a Place; It Also Means Being at Home Within Yourself and Knowing Who You Are

Belonging is an essential part of human life that is not always just a connection to a place; it is a feeling of being at home within yourself and having the patience to discover who you are. Being at home within yourself is a process that is not instantaneous and this is evident in the film Ten Canoes and the poem ‘Digging’. Through characters and text specific techniques, the film and poem portray processes of how developing an understanding of group dynamics and relationships allows one to gain a sense of personal belonging, deeper than merely a connection to a place. Understanding the group dynamics and laws relating to specific cultures allows one to avoid alienation and feel comfortable as an individual. The narrative voice of David Gulpilil in Ten Canoes invites the audience into his story of the covetous youth, Dayindi and his older brother who has three wives, Minygululu. Minygululu also has a story to tell, diachronically through time to that of the ancestors, Yeeralparil and Rijimiraril, not to the audience but to Dayindi, â€Å"to help him live the proper way†, however the audience is still involved through the narration of David Gulpilil, â€Å"it is Minygululu’s story for Dayindi back then, and it is my story for you now† so the audience can learn this ‘proper way’ too. Dayindi is introduced through the voice over as a young and somewhat naive boy who lusts for his brother’s youngest wife and resents living in the single mans camp. It is obvious Dayindi does not quite belong to this clan, despite his connection to the tribe and the land through birth, â€Å"they make fun of Dayindi, they know he is liking the younger wife of his brother Minygululu†. Dayindi steps outside what is socially accepted as the proper way, the law and this alienates him. Dayindi is impatient and throughout the story states, â€Å"the only thing he learned is that Minygululu take long time to tell a story†, but through this drawn out story Dayindi learns that understanding the right way is not an instantaneous process but it requires patience. By learning the laws, the ‘proper way’, Dayindi overcomes his wrongful desires of the young wife and achieves a sense of belonging to the tribe that comes from his own personal realisation of who is he is and what is right. The poem ‘Digging’ also depicts how an understanding of what is morally accepted within a culture enhances how an individual belongs within themselves. The Irish poem arrests the attention of the reader with a smile, â€Å"the squat pen rests; as snug as a gun†, hinting at the fraught context of poem, written during a time of war. The persona then seems to escape the brutal reality of life at this time by going back diachronically in time, a technique similar to that of the ancestral story within a story, depicted in Ten Canoes. He goes back to a memory of watching his father digging, through the proud memory of the hard working men of his family, â€Å"could cut more turf in a day than any other man on Toner’s bog† inspires within him a new determination. â€Å"I’ve no spade to follow men like them†, however, â€Å"the squat pen rests. I’ll dig with it†. The pen is no longer associated with a snug gun and its unlawful violence, but the concept that ideas win wars and he will dig for ideas. He can still belong to this family of hardworking diggers now he has an understanding of how he can work hard with the other tool available to him, the lawful one, and through this understanding a new determination and sense of home within oneself is gained. Through relationships of kinship and ancestors one can achieve a sense of belonging within themselves from knowing where they come from and what this means. In Ten Canoes, Dayindi’s kinship with his brother and link to his ancestor Yeeralparil allow him to overcome his lust for Minygululu’s young wife and feel at home within himself. Minygululu, does not chastise Dayindi in the film for having feelings for his younger wife, but casually tells him a story to help him. This strengthens the somewhat disrupted relationship between the two brothers and Dayindi learns, â€Å"one important thing in his life. He is learning to be patient†. With the patience that his brother teaches him, Dayindi accepts his position in the tribe and knows one day he will have a wife, but he must wait and do things the right way. Through the story being told of Yeeralparil, Dayindi relates to this ancestor and in the film, the two characters are played by the same actor, Jamie Gulpilil which enhances this relationship between the two young men. Dayindi learns that for Yeeralparil, the fantasy of the youngest wife never become a reality, even when his brother Rijimiraril dies, and so he too knows within himself the same fate is for him. Through the two relationships Dayindi learns to accept that he will never be with the young wife and this realisation allows him to lose his resentment and do what is right in the tribe in order to belong. In the poem ‘Digging’ the persona maintains a sense of belonging through the relationship he has with his family. â€Å"The old man could handle a spade, just like his old man. † The proud recognition of his family history is obvious through the finely observed memory with strong details that engage all of the senses, allowing the audience to be a part of this diachronic experience, â€Å"the cold smell†, the â€Å"soggy peat†, and â€Å"straining rump†. Through this detailed description and admiration of his hardworking family the audience can see that he feels a strong sense of belonging with these people. But he is not immediately apart of that group as the audience is informed at the beginning of the poem, he is an office man, an educated man with not a shovel but a â€Å"squat pen† rested in his hand. It is only through a feeling of being at home within himself, and the feelings of home that he has held onto from his past that he can still belong to his ancestors. Although Dayindi belongs to his tribe and the land through his birth rights he needs more than a connection to a place in order to belong. It is only when he learns the process of understanding the laws and accepting his place through a strengthening relationship with his brother that he feels he belongs within himself and ultimately his tribe. The poem ‘Digging’ enforces similar processes of family kinship and understanding how to overcome breaking the law in order to belong within oneself. Through knowing group dynamics and having strong relationships, a deeper sense of belonging is created, a feeling of being at home within yourself.

Wednesday, October 23, 2019

Egamova transfigered night

The time of first World War, a young enthusiastic man enlists as a volunteer gunner in the artillery as he has reached an impasse and sees war as a remedy. In a bar he comes across his fellow soldier, a surgeon lieutenant for whom war is an impasse, as he is trying to avoid sober realization of detrimental consequences of his civic duty by getting drunk. A lot of problems can be observed in the passage, but the most evident and tricking one is the irretrievable effect the brutality and gore of the war produces on human psychic, which comes as a quite contradictory fact since the narrator presumes that the war saved his life.To provide a profound feeling of that horrible days routine life the author inflates his text with parallel constructions, simple sentences and abundant use of lexical units representing negative connotation; these are (morbid despair, impasse, ferocious concentration, detest, etc. ) so it becomes clear that a war is by no means a remedy which the narrator was so desperately trying to find.What is more, when analyzing George's discourse a reader realizes the ambiguous nature of a war as his character is quite dual – despite all the redundancy of negative description of his appearance (ill-looking, ugly, fairly drunk, hunched over) and the absolute hopelessness in his talk (l want to go somewhere cold and dark, God preserve me from sanity) George still possessed of sinners energy which indicates to the fact that he has something background to fight or and that gives him this very kind of energy to overcome all the harsher, brutality and intoxication of that odious war.In the light of all this, any reader must not be influenced only by the superficial sense of the text, but go deeper to reveal the genuine authors message, inasmuch as any war is not merely a succession of human dying but also a glorious ground of evoking patriotism and marvelous bases for tear-jerking love stories.