Nursing care to transgender Research Paper Example | Topics and Well Written Essays - 4250 words

Nursing care to transgender - Research Paper Example Nursing care to transgender: Current state of knowledge Both the National Center for Transgender Equality and the National Gay and Lesbian Task Force define transgender â€Å"broadly to include those who transition from one gender to another (transsexuals), and those who may not, including genderqueer people, cross-dressers, the androgynous, and those whose gender non-conformity is part of their identity† (NTDS, 2011, p. 12). Gender non-conformists include lesbians, gay, and bisexuals (NTDS, 2011, p. 12). Provision 1 of the Code of Ethics for Nurses of the American Nurses Association (2001) pointed out that â€Å"the nurse, in all professional relationships, practices with compassion and respect for the inherent dignity, worth, and uniqueness of every individual, unrestricted by considerations of social or economic status, personal attributes, or the nature of health problems.† The preamble of the Code of Ethics prescribed by the International Council of Nurses clearly and unequivocally pointed out that nursing care must be respectful and unrestricted by gender and gender orientation (ICN, 2006, p.1). In line with the codes of ethics mentioned, this review of literature seeks to find out the current state of knowledge in gender-orientation-sensitive health care. ... literature seeks to find out what material can be considered as the material that can provide a basic reference for protocols and approach towards a gender-orientation-sensitive health care. This review covers materials from 2009 to 2012 and starts from a review of literature conducted on the subject in 2009. Thus, the inclusion criteria followed for the literature review are works written from 2009 to 2012, published in nursing or health journals, and must have the word transgender in the title of the material. The exclusion criteria included materials that are unpublished or non-journal articles, published earlier than 2009, and those that are only online materials. Other materials appear in the bibliography because they are relevant to be discussed in elaborating the points articulated in the selected materials. In a review of literature Addis et al. (2009, p. 647) pointed out that â€Å"member of various groups will have different needs, risks and expectations which impact on he alth, well-being and patterns of accessing health and social care services.† Primarily based on this point, the authors justified why a review of literature on social and health care are important among the lesbian, gay, bisexual and transgender older people. The focus of the authors’ integrative review of literature was to find out what research has indicated to be the appropriate guidelines or principles in health care among transgender people. Addis et al. (2009) pointed out that transgender people have been largely unknown, together with the gays, lesbians, and bisexuals. Based on their 2009 review of literature, Addis et al. observed that among the main themes that can be derived in the health care studies involving the social groups are isolation and their state of mental health.

Apply The Prescribed Ethical Decimation Making Model (P.30 ) Using The Essay - 1

Apply The Prescribed Ethical Decimation Making Model (P.30 ) Using The case the Torture in Iraq - Essay Example However, the issue of torture has in recent times, enthused debate surrounding the interrogation methods used by the United States. In 2003, the entire world was shocked by numerous snapshots of prisoner abuse at Abu Ghraib prison in Iraq. The photos were taken by U.S. soldiers using cell phones and digital cameras, and showed detainees subjected to harsh and humiliating treatment by the U.S. troops. For instance, one photo portrayed a handcuffed, horrified prisoner accosted by a snarling military dog straining to break loose from its leash. Other photos showed nude prisoners forced to lie on top of each other in a stack or to act out sexual deeds. Numerous pictures displayed nude, hooded inmates manacled in painful conditions to beds and cell bars. In other photos, some inmates had bleeding wounds; others seemed to have wires attached to their bodies However, what was more shocking or disturbing is that, some of the photos displayed soldiers (both males and females) posing next to the maltreated prisoners, smiling, seeming to sadistically enjoy the abuse. In their response to the public outcry generated by the pictures, soldiers clarified that they had been given orders to â€Å"soften up† the detainees for more methodical interrogation there can be little doubt that the prisoner abuses at Abu Ghraib and some of the interrogation techniques used by the United States qualify as torture by the standards of international law. As it has been outlined above, torture is unethical and governments and it personnel refrain from. In order to clearly understand the ethics behind it this paper is going to focus on a case study, The Torture in Iraq, moreover, this paper is going to dwell on the prescribed ethical decimation making model as proposed by terry Cooper in his book, the Responsible Administrator: An Approach to Ethics for the

Diabetes mellitus, Essay Example for Free

Diabetes mellitus, Essay Since diabetes is such a complex disease with many different forms, we decided to focus on diabetes type I. This is known as insulin-dependent diabetes mellitus (IDDM). This type of diabetes includes people who are dependant on injections of insulin on a daily basis in order to satisfy the bodies insulin needs, they cannot survive without these injections. OVERVIEW OF DIABETES TYPE I What is diabetes type I? In order to understand the disease we firstly need to know about insulin. Insulin is a hormone. The role of insulin is to convert the food we eat into various useful substances, discarding everything that is wasteful. It is the job of insulin to see that the useful substances are put to best use for our well-being. The useful substances are used for building cells, are made ready for immediate expenditure as energy and also stored for later energy expenditure. The cause of diabetes is an absolute or lack of the hormone insulin. As a result of this lack of insulin the processes that involve converting the foods we eat into various useful substances does not occur. Insulin comes from the beta cells which are located in the pancreas. In the case of diabetes type I almost all of the beta cells have been destroyed. Therefore daily injections of insulin become essential to life. Health implications of diabetes type I One of the products that is of vital importance in our bodies is glucose, a simple carbohydrate sugar which is needed by virtually every part of our body as fuel to function. Insulin controls the amount of glucose distributed to vital organs and also the muscles. In diabetics due to the lack of insulin and therefore the control of glucose given to different body parts they face death if they dont inject themselves with insulin daily. Since strict monitoring of diabetes is needed for the control of the disease, little room is left for carelessness. As a result diabetic patients are susceptible to many other diseases and serious conditions if a proper course of treatment is not followed. Other diseases a diabetic is open to: Cardiovascular disease, stroke, Peripheral artery disease, gangrene, kidney disease, blindness, hypertension, nerve damage, impotence etc. Basically there is an increased incident of infection in diabetic sufferers. Therefore special care needs to be taken to decrease the chances of getting these other serious diseases. PHYSICAL ACTIVITY What is physical activity? (Bouchard 1988) States that physical activity is any bodily movement produced by skeletal muscles resulting in energy expenditure. Therefore this includes sports and leisure activities of all forms. Why do we need physical activity in our lives? Physical activity and exercise helps tune the human machine, our bodies. Imagine a car constantly driven only to stop for fuel. It would be a client for all sorts of damage, rusting, oil leaking, dehydration and the chances are most likely it would die in the middle of the road not long after. This is what the body would be like if we didnt exercise at all. We would be and as a result of todays lifestyle many of us are, the perfect target to all kinds of diseases and infections. For those of us who are carrier of some disease or illness we are still encouraged to exercise by our physicians if we have the strength to. This is to help make our organs, muscles, bones and arteries more efficient and better equipped to fight against the disease or illness. This is our way of counter attacking. And if we are still healthy then we reduce the chances of getting an illness or a disease. PHYSICAL ACTIVITY AND DIABETES (EPIDEMIOLOGY) Recently insulin injections have become available to dependant patients. However in the pre-insulin era physical exercise was one of the few therapies available to physicians in combating diabetes. For an IDDM carrier to benefit from exercise they need to be well aware of their body and the consequences of exercising. If an IDDM carrier has no real control over their situation and just exercise without considering their diet, time of insulin intake, type of exercise, duration of the exercise and the intensity, then the results can be very hazardous to the patient. In the first journal article that I used for this part of the research (Sutton 1981) had conducted an investigation on drugs used in metabolic disorders. The article is designed to provide some background information on previous beliefs and research conducted early this century. As well as his own investigations conducted during the beginning of the 1980s. He has compared the results and came to the same conclusion as the investigations done early in this century. Suttons findings show that decrease in blood glucose following an insulin injection was magnified when the insulin was followed by physical activity/exercise (see figure 1). This shows that if a person gets involved in physical activity or exercise after insulin the volume of glucose drops dramatically. This leads to symptoms of hypoglycemia. The reason this occurs is that glucose uptake by muscles increase during exercise, in spite of no change or even a diminishing plasma insulin concentration. As a result of this type of information we know now that if a patient is not controlled through a good diet and program then they could put themselves in danger. A person who might be poorly maintained and ketotic will become even more ketotic and hypoglycimic. Good nutrition is of great importance to any individual especially one that exercises. In the case of diabetes even more consideration must go into the selection of food before and after exercise. Doctors suggest large intakes of carbohydrates before exercise for diabetes carriers to meet the glucose needs of the muscles. The second article that I used was that of Konen, et al. He and his colleagues conducted testing and research on changes in diabetic urinary and transferrin excretion after moderate exercise. This article was a report of the way the research was conducted and its findings. The researched found that urinary proteins, particularly albumin, increase in urinary excretion after moderate exercise. Albumin which is associated with micro- and macrovascular diseases in diabetic patience was found to increase significantly in IDDM patients, while remaining normal in non-diabetics. (See table 1 and 2 for results) These results cannot be conclusive to say that this shows that exercise causes other micro- and macrovascular diseases in diabetics. Since albumin is not associated with any disease in non-diabetics then the same may be the case for diabetics as well. However further research is required to find out why such a significant increase occurs in diabetic patients and what it really means. It obvious that there are many very complicated issues associated with diabetes which cannot be explained at this stage. Therefore much more research is required and its only a matter of time for these complications to resolved. Although there are no firm evidence to suggest that exercise will improve or worsen diabetes still it is recommended by physicians. Aristotle and the Indian physician, Sushruta, suggested the use of exercise in the treatment of diabetic patients as early as 600 B.C. And during late last century and early this century many physician claimed that the need for insulin decreased in exercising patients. The benefits of exercise in non-diabetic individuals is well known. For example reduce the risk of heart disease. This makes exercise very important to diabetic carriers since they are at a greater risk of getting heart disease than non-diabetics. Unquestionably, its important for diabetics to optimise cardiovascular and pulmonary parameters as it is for non-diabetic individual. Improved fitness can improve ones sense of well-being and ability to cope with physical and psychological stresses that can be aggravated in diabetes.

Case study: Aging Mind and Memory

Case study: Aging Mind and Memory abstract Hearing loss is one of the most common problems of aging affecting older adults. Hearing loss, in particular happens for many reasons. The purpose of this research is to find the age related causes of decline in cognitive functions and hearing abilities of older adults Research indicates that loss of hearing is a serious condition faced by almost one third of aging adults. Hearing loss also has an impact on the cognitive function. This results in forgetting and memory loss. Hearing aids can help improve the quality of life for aging individuals as it betters the hearing process. Hearing loss has several implications on our lives. Populations worldwide are aging. Modeling techniques are required to reach valid inferences about age effects and age changes. A human brain goes through changes during the ageing process. As the population continues to grow older age and life expectancy increases the certain problems arise. The Multiple problems of ageing are that in older ages minor problems may have a greater psychological impact because of age related reasons. Introduction This research proposal is an attempt to study the effects of Aging on the most complex organ of the human body, the brain and to assess the associations between perceptions of aging and behavior. Hypothesis 20% or less of hearing loss or decline experienced by elderly adults result from injury or chronic disease. Hearing loss is one of the most common problems of aging affecting older adults. Normally from what we see every one in three person whose older than 60 has a hearing problem. These hearing problems can make it harder for the older people to understand the instruction, respond to any kind of warnings, to hear doorbells, phone bells and alarms. This can all be frustrating for the other family members and will make it hard to enjoy talking to friends. Moreover such issues could be embarrassing and dangerous as well. (hearing loss and aging, 2009) Therefore its very important to understand why such problems occur. Hearing loss, in particular happens for many reasons. Mostly many people lose their hearing slowly as they age, a condition which is known as presbycusis. This problems runs in families and reasons for it have not yet been figured. (hearing loss and aging, 2009) At times hearing loss could also be caused by exposure to too much loud noise, a condition known as noise-induced hearing loss. Examples of this kind of hearing loss could be found in many construction workers, musicians, farmers, tree cutters and people in the army. Sometimes these hearing problems can cause ringing sounds in the ears as well. Other than this hearing loss can also be caused by head injuries, virus or bacteria, tumors, certain medicines and heart conditions or stroke. However all these reasons contribute only less than 20% of the causes of hearing and memory losses because in majority these problems along with decline in cognitive functions are significantly a consequence of aging. (hearing loss and aging, 2009) Purpose statement To find the age related causes of decline in cognitive functions and hearing abilities of older adults Primary Research question What are the causes of decline in cognitive functions of the older adults? Other research questions Qs1) aging is the most significant reason why older adults suffer from hearing loss? Qs2) injuries and chronic diseases mostly cause memory loss on older adults? Qs3) older people are less productive because of the sensory losses they suffer from? Qs4) study of gerontology is important to get rid of problems like hearing and memory loss? Objectives The purpose of this research is primarily to find out the most important causes of hearing loss and decline in other cognitive functions in older adults. The research will emphasize also on effects of ageing on psychological and social issues such as Learning, Memory, Reaction time , Intelligence, sexuality, and stress along with certain neurological problems that incur as a result of changes in the brain associated with ageing. The biological and chemical changes taking place in our brain which result in psychological effects have been studied. Methods Research tool The research would be carried out with the help of a Questionnaire including both open ended and close ended questions. Sample populaion The Questionnaire would be filled by randomly selecting 1000 individuals from various localities of the City, with diverse backgrounds and economic situations. By doing so, the sample would be a true representation of the elderly in the whole society and not just a biased one representing a minority. These people would include both males and females and individuals only between the ages of 50 and 70. In order to avoid biasness they will be allowed to anonymously answer the Questionnaires. Where will the research be conducted? Questionnaires would be provided to these individuals at various hotspots for the elderly which include hospitals, golf courts, parks, jogging tracks , shopping centers, workplaces and Old Homes. Also this in turn will allow us to get a diverse sample which would include the elderly from all spheres and conditions of life. Analysis of the data The data obtained from the questionnaire would be weighted prior to the performance of the statistical analysis that shall be carried out so that the results would better reflect the age, gender, marital status and the educational level of the individuals. Thus by dividing our data collected on the basis of gender, marital status, educational status, economical conditions, we would be better able to study the effects of Aging on these individuals and also be able to determine whether any of these elements have a direct correlation with the psychological effects on the brain. Limitations However, every method used to collect research data has a few limitations attached to it thus affecting the Research. Similarly, in our research method used, participants may be unwilling to answer certain questions or may inaccurately answer them. Thus data may not be so accurate. Also they may respond by providing us with biased answers which also in turn affects the quality of our research. Discussion As we grow older, we may grow wiser, but we can also experience memory loss and cognitive slowing that can interfere with our daily routines and impact our personality. Chronological ageing as a frame of reference for the study of developmental phenomena is widely used but not very well understood. Much remains unknown about how normal ageing affects the neural basis of cognition, but recent research on individual differences in the trajectory of ageing effects is helping to distinguish normal from pathological origins of age-related cognitive changes. Two thirds of all people eventually experience some  significant loss of mental lucidity and independence as a result of aging. Individuals who are 60 years and older experience significant cognitive declines, including a weaker memory (memory loss or absentmindedness or both), decline in levels of concentration, clarity of thought, focus and judgment with an increase in the onset of several neurological problems like Alzheimers disease, Parkinsons disease and stroke. (W.Browne, 2003) Many problems are due to memory loss in older ages. Some common age related dementia includes:. Recent memory loss. Usually people suffering from age related Dementia forget things, and never remember them. They might ask the same question again and again each time forgetting that the question had already been answered. Difficulty performing familiar tasks. They might perform a task and then forget to perform it or will forget about performing it at all. Problems with language: people in older ages may forget simple words or use wrong words, making it hard to understand what they want. Time and place disorientation. They may forget where they are, where they were supposed to go or where they live. Misplacing things. Patients may put things in the wrong places. Then they cant find them later. Changes in mood. Everyone is moody at times but as people grow older they have faster mood swings, going from calm to tears to anger in just a matter of minutes. Cognitive Functioning e.g., impairments in concentration, distractibility, lack of planning, poor judgment, rapid forgetting, failure to learn. (Andrews, 2009) The community also suffers from the loss as these conditions will have a large amount of social cost. What this research means to: The aging community This research will help the aging community to better understand the problems it faces and also how to get rid of these problems by having an insight on the root causes. Aging individuals tend to ignore the developing loss of hearing and avoid getting it treated or examined at the early stages. If hearing problems are prolonged then it becomes even more difficult to treat them. Research indicates that very few people actually use hearing aids (roughly about 24% of those with hearing loss). 16.7 hearing aid that have been sold remain unused, as indicated by a recent study. Although hearing aids produce a 77% satisfaction rate, yet its usage is quite low. The researchers The researchers would know what aspects they need to study further and what other sort of researches need to be conducted in order to find answers to problems. Furthermore, research on the aging mind necessarily entails an applied orientation; therefore, future research also needs to include more specific focuses on identifying age-relevant knowledge, aging-friendly social and environmental contexts, and aging-rectifying training programs to help old people better allocate and compensate their declining cognitive resources. (Davies, 2004) Older adults Loss of hearing is a serious condition faced by almost one third of aging adults. If precautionary measures are not taken then this condition gets worsened and has serious detrimental effects on the aging individual as well as his/her personality. The most feared aspect of aging is losing mental function. In fact this constant fear directly affects our quality of life. Many individuals often believe that they are losing their mental functions and as a result, they experience a loss in their self-esteem and withdrawal from society and social settings. Relationship of age-related physiological changes and hearing loss As individual ages, certain changes take place within the body that are chemical, biological or physical. In a similar manner the human brain also goes through a structural change which is a process known as ventriculomegaly in which the cerebral ventricles expand. As a result of this some of the connections between the neurons are reduced or become inefficient. This is the reason why these physical changes directly affect the psychological processes in the brain. (Browne, 2003) Hearing loss also has an impact on the cognitive function. A recent Brandeis University study found out that people with mild to serious hearing loss may find it difficult to retain what they have heard because most of their concentration span diverts towards trying to listen what is being said rather than trying to comprehend what is being said. This results in forgetting and memory loss. Physical and psychological problems will make people more dependent on others in their everyday life. They can have an impact on the individuals ability to work or engage himself into any meaningful activity and will negatively affect the social attitude of the person. Creating better support systems In cases like these the support systems help patients live as actively as possible until death. These support systems address the needs of the older aged patients and their families and provide them with necessary counseling. This is done in order to solve all sort of psychological, social or spiritual problems. The goal is to achieve the best quality of life for the individuals and their families. (Davies, 2004) Neuroscience researcher Dr. Arthur Wingfield suggests that individuals who communicate with people with hearing problem should pay special attention to the decline in cognitive function that may be accompanied along with it, and hence should speak more clearly, concisely and pausing after each clause in their sentence. In order to develop a good support system for individuals who face loss of hearing, guidance should be given to avoid feelings of anxiety, passivity, learned helplessness, paranoia, cognitive decline, hopelessness, withdrawal, isolation and depression. With patience, love and care the condition of individuals who suffer from loss of hearing could be made better. Depression may be avoided if such individuals are given company and care. Hearing aids can help improve the quality of life for aging individuals as it betters the hearing process. Due to this the aging individual can develop better social, family and work relationships. The recovery from all these problems will depend on some factors like the severity of the condition, age, health status , personality and the availability of support services. Social attitudes towards memory loss/decline Hearing loss has several implications on our lives. Those aging individuals who face this condition cannot converse well and hence leads to social cut off. It also causes embarrassment, feeling of isolation and loneliness. After Arthrisis and hypertention, hearing loss is the third most prevalent disabling condition. A lot of aging individuals do not take loss of hearing seriously, although it can have serious implications on their lives. The quality of life of people who have to face loss of hearing deteriorates and their involvements and socializing reduces along with loss of confidence. They feel embarrassed and hence avoid conversation. Conclusion Populations worldwide are aging. True experimental work on aging is not possible because age levels cannot be manipulated. Sophisticated theoretical frameworks and modeling techniques are required to reach valid inferences about age effects and age changes. Aging naturally causes changes in physical, cognitive, and social capabilities of a person. Age related changes like declining strength and difficulty in remembering is experienced as a kind of loss. Such Experiences of loss negatively affect health however some people maintain a positive health attitude instead which gives rise to a variety of these experiences. A positive health attitude is associated with persistent beliefs and behaviors. So even in older ages people can maintain their health if their beliefs are positive and they find themselves less susceptible to diseases. Optimism in an individuals personality and people with a perceived control of life events are those aspects of the personality which help in maintaining good physical health as well. (Carroll Estes, 2009) The Multiple problems of ageing are that in older ages minor problems may have a greater psychological impact. Older people suffer from additional problems of mental impairment, economic hardship and social isolation which can cause distress and other the cumulative effect of which could be greater than any disease. How are the families and community being affected? Researchers are involved in finding ways to keep our brains young so as to prevent it from ageing and to delay the onset of disease that follows from it as a result. A very well known age related disease is Alzheimer. This disease and other age related dementia can cause many problems for the individuals and their families. Families of people with neurological conditions suffer from considerable emotional distress and burden, which can have an impact on their own mental health. A consequence would be Feelings of grief, anger, frustration and guilt which will eventually lead to depression. In fact family and community stress is associated more with a persons alterations to personality and interpersonal behavior. It results in conflicts and frustration. As more people survive into old age they also begin to suffer chronic illnesses and need some form of help from their families and people around.(Rama K. Jayanti, 2004) Importance of this research The research on age related problems of personality and cognitive function can help in raising awareness of the implications that an aging population can have for the society. More research needs to be conducted and investment needs to be done for the care and treatment of people with such illnesses. (Carroll Estes, Maggie Kuhn: social theorist of radical gerontology, 2009). Ageing and its effects on the psychological functioning of a person will influence his ability to mix in with the community, access services like treatment, rehabilitation and education, create problems in family and social relationships, ability to get any emotional support from people and develop a positive quality of life. (Committee, 2005) Therefore, with the help of this research the impacts of aging can properly be understood which help the individuals, their families, communities and the caregivers in better understanding all these problems. More solutions could also be found and better support services caan be created withmore awareness. Moreover, new aspects of research that has stillnot been conducted can be discovered. literature review There are several different types of hearing loss, it may be very serious such as significant decline in hearing capability or it may be quite mediocre which is a slight decline in hearing capacity. Biologically hearing loss is classified into Presbycusis, Sensorineural and Tinnitus. Presbycusis, people who have this type of hearing loss find it difficult to hear what others are saying and cannot stand loud noises. It has age related causes. (hearing loss and aging, 2009) Sensorineural hearing loss is a type of hearing loss that results from damage to different tissues of the inner ear. People with tinnitus may hear different kinds of loud noises inside their ears, such as ringing, roaring, and screaming etc. Tinnitus may be caused by loud noise, hearing loss, certain medicines, and other health problems, such as allergies and problems in the heart and blood vessels. The causes of this unusual loud noises being felt inside the ears is unknown. According to a study by National Council on Aging (2008), aided hearing loss improves the quality of life. (hearing loss and aging, 2009) Early diagnosis is extremely important to slow down or curb the hearing loss. If it is caused by some drug or allergy then that may also be detected. A survey in 2006 by Marke Trak found that nearly 32 million American (10% of the total population) have hearing loss. The survey stated, The greatest increase is among baby boomers due to noise exposure and among those who are age 75 and older, due to aging. A research by Dr Robert D Frisina (Ph.D.), an expert on age related hearing loss, and his team at the International Center for Hearing and Speech Research (ICHSR) in Rochester, NY, funded by the National Institutes of Health (NIH) indicates that feedback and timing that influence the older persons ability to distinguish speech sounds. (Mares-Perlman JA, 1998) He explains that, There are many people with good inner ears who just dont hear well. The human brain starts to develop problems with filtering, sorting and making sense of the massive information flowing in through sensations, when an individual reaches the age of 40s or 50s. Dr Frisina has noticed this change in him as well as in other aging individuals he counsels. (Mares-Perlman JA, 1998) The slow processing of sensations in the brain due to aging, reflect the cause why so many older adults experience speech discrimination difficulties in noisy situations. Older adults with normal hearing also face the same circumstance. There are a lot of books and studies which tell us that as a person grows older certain personality disorders develop. These Personality disorders are reflected in their interpersonal skills also that older people tend to give unexpected responses to clinical treatment. Patients with such personality disorders are often described in as difficult. (Committee, 2005) A human brain goes through changes during the ageing process. As a person grows older every organ of his body deteriorates and same is the case with the human brain. These changes and deteriorating factors in this organ impact the personality of the individual as a whole because it is the most sensitive and crucial part of the human body. The cognitive declines usually associated with aging are observed in the processing speed and reaction  times, Cognitive control, Executive functions and Memory. The most frequent personality disorders among the old age people are paranoid, schizoid and self defeating disorders. There are also treatments of these disorders. (Jason.L.Powell, 2004) According to the recent studies the older people as compared to the youth are becoming more economically and demographically attractive. However, there are costs of an ageing population that the society bears as a whole. (Andrews, 2009) Our society nowadays discriminates the elderly and they are being ill treated. However Primitive agrarian cultures very existence depended upon the knowledge earned from experience, valued their elders, but even they were o moved to killing the non productive members of society because of harsh conditions of subsistence living. (Carroll Estes, 2009) As the population continues to grow older age and life expectancy increases. As a result continued awareness, study and research concerning the psychology of adult development and aging is becoming highly important. The journal tells about the importance of building support systems with awareness programs. (W.Browne, 2003) appendix QUESTIONNAIRE Demographics: Age: Gender: Marital status: Education level: QUESTIONS: Question 1 Aging is the most significant reason why older adults suffer from hearing loss? A) Strongly agree b) agree c) not sure d) disagree e) Strongly disagree Question 2 Injuries and chronic diseases mostly cause memory loss on older adults? A) Strongly agree b) agree c) not sure d) disagree e) Strongly disagree Question 3 Older people are less productive because of the sensory losses they suffer from? A) Strongly agree b) agree c) not sure d) disagree e) Strongly disagree Question 4 Study of gerontology is important to get rid of problems like hearing and memory loss? A) Strongly agree b) agree c) not sure d) disagree e) Strongly disagree Question 5 Building of better support systems can lessen the costs of aging suffered by the individual? A) Strongly agree b) agree c) not sure d) disagree e) Strongly disagree Question 6 Age related physiological changes are a cause of alterations in personality of older adults? A) Strongly agree b) agree c) not sure d) disagree e) Strongly disagree

International Public Health Policy Essay example -- Graduate Admission

International Public Health Policy    As a student of international public health, I intend to obtain an essential part of my instruction overseas. My formal education, with the potential to undermine more culturally appropriate knowledge and practices considering its decidedly Western perspective, is still incomplete. The Harvard Public Health Program will allow me the flexibility to learn Asian public health policy and programming, the benefit of which is undeniable. Asia has dealt admirably with the effects that rapidly changing socioeconomic conditions have had on health, particularly the emergence of chronic diseases that characterize industrialized nations side by side with infectious diseases that characterize still developing nations. All of this has been made even more complex by the emergence of new diseases such as AIDS. The decision to pursue public health was not a haphazard one, but the result of a thoroughly thought out estimation of my interests, concerns and capabilities. When I was seventeen, I wrote an essay for college that described my motivation and commitment to learning a subject well for a purpose. Sitting under covers in a small, poorly lit room, listening to my father swear at the walls during a cocaine high, I wanted to understand substance abuse and addiction. The purpose then was to "grow up and learn why people become addicted to things that hurt them, their bodies. . . and their children," and my intent was to use that information in my work as a substance abuse rehabilitation counselor. During my undergraduate years, I participated in numerous and rigorous courses related to my interest in substance abuse, one of which led to my involvement with a university-sponsored program called... ..., considering the World Health Organization's revised definition of health: "...a state of complete physical, mental and social well-being, and not merely the absence of disease," and one that cannot be accomplished with too narrow a perspective. Similar to when I was seventeen, I am still learning for a purpose, having recognized that I will always feel the obligation to do so. Yet it is now with the blessing and encouragement of an international community with whom I attempt to bridge the growing inequity between our countries, actualizing that obligation through the transfer of the knowledge and experience that I am fortunate enough to receive. Most importantly, I wish to apply, on their terms, the theory, methodology, and technology that I have been taught, thereby fulfilling the responsibility that I have to use this knowledge in the most beneficial manner.

Gays and Homosexuality: Personal Choice or Act of God? Essay -- Explor

Homosexuality: Personal Choice or Act of God? "Do you not know that the unrighteous will not inherit the kingdom of God? Do not be deceived. Neither fornicators, nor idolaters, nor adulterers, nor homosexuals, nor sodomites, not thieves, nor covetous, nor drunkards, nor revilers, nor extortionists will inherit the kingdom of God." (1 Corinthians 6:9-10) Homosexuality has been around as long for as there is recorded history. Through the years, however, the opinions towards homosexuality have changed. Now, homosexuality is being labeled as a genetic trait rather than as a psychological problem. Not everyone believes this to be true, however. I have always believed that homosexuality is genetic and I decided to search the web for some evidence. I first checked out a site written by a supporter of the "gay gene." http://voyager.dvc.edu/~bmckinney/www.pilot.infi.net/~susanf/aolgay.htm is written by Don Robertson. Don Robertson is a gay teacher of biochemistry and molecular biology. In his article, he states that many experiments have proved the genetic connection to homosexuality. He names some of the experiment's methods but he doesn't include who ran the experiments, where they were done, why or why not they would be reliable or whether they would have the same results if the experiments were repeated. He comes up with figures like if one identical twin is gay there is a sixty- percent chance that the other identical twins will also be gay. This is included to prove that since identical twins share identical genes, they must have had the "gay gene" passed down to both of them. This claim brings up a few problems. First, there is nowhere in the article that cites where this information was collected or if the informat... ...all the aspects of the experiments while Robertson didn't question anything he read about; the author from the second article questioned them based on outdated beliefs. Altogether, I didn't feel that I was convinced on either side. Were there any more experiments? Were any of the ones listed proven to be true? Are there any alternatives to the cause of homosexuality other than genetics and environment? Is religion the true way to look at the matter? "That is why God gave them up to disgraceful sexual appetites, for both their females changed the natural use of themselves into one contrary nature and likewise even the males left the natural use of the female and became violently inflamed in their lust toward one another, males with males, working what is obscene and receiving in themselves the full recompense, which was due for their error." (Romans 1:26-27)

Biography of Andrew Jackson Essay

From his early childhood to his days in presidency, Andrew Jackson’s fueled a revolution in politics and the search for vindication of the American people. In this psychoanalytical biography of Andrew Jackson, James C. Curtis explores Jackson’s tenacious personality and lifelong quest for power, which was deeply rooted in his troubled past. Beginning in the backwoods of the Carolina’s, young Andrew Jackson was born to a couple from Northern Ireland that migrated here during a time of social and economic turmoil. Arriving in the late 1760’s, Jackson explored the prospective rolling countryside with the uncontrolled freedom that encouraged his wild behavior. By the age of fourteen, Jackson had lost his brothers and both parents, leaving a young troubled boy to fend for himself in the turbulent south. Evidently, Jackson’s rebellious attitude brought him nowhere in school. The local schoolmaster barley taught him to read or write, but he expressed himself directly. Even into his presidency his advisors had to revise his public writings due to his horrid grammar and spelling. Throughout the beginning of the book, Curtis extensively relates Andrew’s early encounters to his future motivations in personal and political thought. Andrew’s break came at the age of seventeen when he landed a job with a lawyer to practice law. Soon Andrew had a legitimate chance in frontier diplomacy. In 1784 he was involved in the Spanish Conspiracy. In this conflict the colonists were looking for a bold, reactionary person to represent them. Andrew took to this and forcefully went after the Indians. Obviously, his rashness toward the Indians was rooted in his own struggles with authority as a child. † They were doubly evil, reminding him of a past he was trying to forget and threatening a future he was trying to achieve. The Indian was a fit target for wrath.†(23) Curtis’ style emphasizes that Jackson was relating the unconstrained conditions of the frontier to his own unconstrained behaviors. As a result, Jackson wanted to suppress this feeling and took out his angers on the Indians. Finally in 1796, Jackson’s political chieftain, William Blount, selected the young judge advocate of the Davidson County Militia. After two years he  replaced Blount’s seat in the senate. Senator Jackson sat in office for about a year before he realized that his brash public speaking skills and high temper could not contest with the polemical persuasion the other Senators possessed. Once again Jackson returned to the profitable judgeship that the Blount regime offered. He served giving six years of crude but fair justice as a prominent judge. In 1806, Jackson once again revealed his reckless and impulsive behavior when he challenged a fellow opponent to a duel. Jackson exercised his boldness after allowing the sharpshooter take the first shot. Wounded, he immediately raised his gun and killed the other man. Curtis showed that this level of bravery would be his greatest alibi in future encounters. With the return of peace in 1815 allowed for more productive use of transportation. Consequently, the Market Revolution was born, as well as a time for political change. The old regimes were being taken over by new ones that represented a different generation of Americans. The majority favored Americans that were born and raised in the light of the Revolution. Andrew Jackson was and acted like that kind of person. His unstable past caught the admiration of the working class as well as the slave owners, but the old political parties saw Jackson as a frantic militiaman. He disappointed those † whose minds were prepared to see me with a Tomahawk in one hand and a scalping knife in the other.†(82) These reactions concerned Jackson and inspired him to seek a different course of action. Curtis showed, † the candidate desperately wanted such vindication.†(82) From 1828 to 1836 Jackson served the presidency with the same motivation that got him there. Tragedy struck again with the death of his wife, a serious illness, and the Eaton affairs. In 1831 allegations from the banks were swarming Jackson. The pressure of presidency was taking its toll. The fight with the Indians was showing progress, but the south was deteriorating. Jackson soon elected a new cabinet that contained federalists and Bank members. He even went to the extent in terminating his administration. Later in his retirement, he claimed,† It was the sovereign people that†¦.enabled me to terminate my administration so satisfactorily.†(179) This partisan  split showed Jackson’s trust in the people. Thus, his vindication was cured by the endorsement of the American citizen. For most he showed that the poor and unfortunate individuals could rise to the top, but he didn’t realize the human costs of economic expansion. During this time period Curtis presents Jackson as a resilient and self-promoting individual. However, there were just as important issues that should have been addressed besides the Market Revolution, issues with state banks, and Jackson fulfilling his need to clear his name from criticism. For instance, minorities, primarily blacks, didn’t have the slightest chance in rising to the point to make social change. The slaves were used as economic fuel to ignite the Market Revolution. I think this book did address Andrew Jackson as a genius in promoting change, but lacked in promoting his moral character and I would not recommend it. It seemed to me, Curtis represented him as an American hero more than a dynamic political figure. Andrew Jackson was the result of the troubled lives Americans lived during the Revolutionary period. The emotions of those people were the catalyst in Andrew Jackson’s search for vindication.