Literature Review And Analysis Paper Social Work Essay

Literature Review And Analysis Paper Social Work Essay Ageing is the universal phenomenon encountered by every human individual across the life span. All human beings expect for a healthy and happy old age but not many of them manage to get all those in reality. In this current century, world scenario is changing rapidly in the form of rise in elderly population than before. Many developing countries including Pakistan are affected by this global change. A report on global health and ageing shared recent statistics that in 2010, an estimated 524 million were aged 65 years or older making 8% of world population. It is interesting to note that by 2050 this number is expected to triple to about 1.5 billion signifying 16% of worlds population (WHO Report, 2011). Ironically, in developing countries, geriatric population between 2010 and 2050 is expected to increase more than 250 percent as compared to developed countries. Ali and Kaini (2003) add that this trend in ageing is the result of the demographic shift in fertility rates in combinatio n with mortality rates resulting in ageing of the population (p. 1). Having a glance at our national scenario, it is estimated that the proportion of population 60 years and above in Pakistan will increase from 5.8 percent in the year 2000 to 7.3 percent in 2025 and 12.4 percent in 2050 (United Nations, 2002). Reason for the selection of this topic I came up with my thesis topic as every year particularly on festivals such as Eid, different media channels broadcast programs where views of elderly who are residing in the shelter homes are taken. The eye catching moment was the pain and cry these ageing parents expressed, when their children neglected and dumped them in shelter homes, when they most need support in their last years of life. This event influenced me to work for my thesis in the field of geriatrics. Therefore, based on the significant global and national figures, increase in ageing will predispose the elders to suffer in chronic illnesses, disabilities and new disease patterns. Another, considerable growing fact is that, due to the shift of societal paradigm, elderly population will be the most vulnerable group requiring health attention currently and in the years ahead. Therefore, it is recommended that older adults should remain socially active in their later years (Bergstrom, Holmes Pecchioni, 2000). The findin gs from the proposed research contribution in this area particularly in Pakistani context will assist in filling the gap where elderly population can regenerate themselves without being isolated from social life, and can live with quality, dignity and free of violence in their empty nest days. Significance of the problem Many decades ago the concept of violence against women and children was objected throughout the world but researches in these areas have resulted in the protection and formation of laws for these groups. Likewise, elderly abuse is yet another novel and critical public health and social issue that need prompt attention. Infact, it is one of the most serious subject which is under reported nationally and internationally resulting in thousands of silent victims. Numerous studies are being conducted in the developed countries on the various aspects of the ageing population in order to ensure optimum quality in the later phase of life time. However, many of the South Asian countries including Pakistan are facing serious challenges of decreased economy, low savings, high inflation rates; financial benefits for few percentages of government employees, lack of health insurance coverage are making the life of this vulnerable group questionable. Apart from these encounters, elderly population are confronting with the decline of extended family system and the emergence of nuclear families (Jalal Younis, 2012). In Asian cultures, many of socio cultural practices are grounded on concept of extended family system. Old members of the family are taken care by the young generation and it is regarded as dishonorable if any elder lives alone or in nursing home. In addition to it, this transition has led to the decline in elder decision making power and position and to enjoy later years with dignity and self-worth. Due to this conversion the elderly are at risk, as the younger and more productive members of the family take over, marginalizing the elderly into positions of dependence both social and economic(Subzwari Azhar, 2010, p. 2). Another important change that has taken place in the last couple of years is that younger individuals are migrating for better employment opportunities leaving behind parents with no one to care for them, causing elderly to live alone or they are shifted to shelter homes. Sabzwari and Azhar (2010) supports that one in five patients at the tertiary care hospital in Karachi are elderly. It is estimated that at least 6-7 % of the elderly visiting geriatric clinics at the Aga Khan University Hospital Karachi are living alone with little assistance. Increase in life expectancy has led to substantial increase in aging population globally and it is predicted that the worlds elderly population will continue to increase with an estimated rate at 67 % residing in developing countries by the year 2020 (Karunakara Stevenson, 2012, Ageing population section, para. 1). In Pakistani context, 60 years is designated as the age of elderly. Jalal and Younis (2012) shares WHO report that: 5.6 % of Pakistans population was over 60 years of age, with a probability of doubling to 11 % by the year 2025. Pakistans life expectancy was increased from 45.6 years in 1950 to 66.8 years in 2008 with a probability of increasing to 72 years by 2023 (p. 2). Hence, the decline of popular extended family system and rise of career oriented families, and change in familial values compounded by substantial increase in ageing, subjects older population to maltreatment and this area requires immediate consideration. Jamuna (2003) rationalizes that a series of developments, such as urbanization, industrialization, and migration, and a growing sense of materialism and individualistic orientations have threatened the culture of yesteryear (p.129). One significant cause for underreporting of abuse in Asian cultures is compliance to the value of respect for their elders whereas western cultures sideline them. Research question Older people are left with countless problems in their later phase of life where these years are believed to live in respect, solemnity and self-worth with their married children and grandchildren. On the contrary, this age group has to spend their lives in isolation at home or in shelter homes due to neglect and cruel treatment by them. Although, these old homes are answer to most in need yet they still not provide a solution to majority of the population. Our culture despite its gradual transformation still adheres to the value of caring for their elderly at home (Subzwari Azhar, 2010). Elder abuse is the alarming public health issue present in both developed and developing countries. Very little information is available regarding the extent of maltreatment in elderly especially in developing countries, it is estimated that 4-6% of elderly people have experienced some form of maltreatment at home. (WHO fact sheet, 2011). However, older people are often afraid to report cases of ma ltreatment to family, friends, or to the authorities. There is no reliable data or research conducted in Pakistani context, where sufferings of these elderly populations living in nursing homes could be researched and addressed. Dildar, Saeed and Sharjeela (2012) mentions that elder abuse and neglect are difficult to quantify as these occur in the privacy of the home, institutions and under reported in our country (p. 662). Based on the above facts and literature I came up with the research question that, what are the experience and the perception of elderly people living in nursing home in Karachi, Pakistan? Literature search strategy Literature search was conducted in a systematic way by utilizing available electronic databases, in order to review and explore existing literature related to abuse of elderly population in nursing home. In order to detect relevant literature, two major databases, CINAHL plus with full text and PUBMED was used. Another search engine like Google scholar was also searched to find the relevant literature sources. These databases were searched for the time period between the year 2000 and 2012. Different key words or combination of key words along with the use of Boolean operators were used for all search engines, like elder abuse and nursing homes, elder maltreatment and nursing homes. A synonym for elder abuse like geriatric abuse and for nursing home like shelter home was typed on the search bar. Relevant articles were hunted when the key words were written in research title, abstract of review articles of all data bases. A separate search was carried out for identifying the available literature in Pakistan for this purpose the term Pakistan was added along with other key words to search relevant Pakistani sources. Reference lists of retrieved articles from these databases were also checked for relevant literature. Search from all data bases were narrowed down by the use search filters like year range, gender, age and language. For detail literature search and number of hits (See appendix A). Literature review analysis on elderly abuse in nursing homes Definition The subject of elder abuse began to receive recognition since 1970, and the first boom on elder abuse appeared in UK medical journals in 1975 as granny battering. It was identified by British Gerontologist and the first population based study was done in USA in 1988. International Network for the Prevention of Elder Abuse (INPEA) defines elder abuse is a single or repeated act or lack of appropriate action, occurring within any relationship where there is an expectation of trust which causes harm or distress to an older person (INPEA, 2002, p. 3). Age bracket for elderly is 60 years and above. Some predictions indicate that one million people turn 60 every month and 80 % of these are from the developing world (WHO/INPEA, 2002). All the susceptible victims of abuse who are 65 years or more largely depend on the funded institutions but if there is financial constraint then these vulnerable groups have to be confine to home (Paranitharan, Eidrisinghe William, 2009). There is considerable debate on the definition of elder abuse because some cultures foster certain behaviors that may be considered as abuse in different cultural context. In Australia, elder refers to older local people who have specific positions of power within native communities. It was recommended that elder abuse be replaced with senior abuse in an Australian context as it referred to original and senior population (Ryan, 2009). It can be argued that abuse occurs within a relationship where there is an expectation of trust, no matter different cultures gives different definitions on elder abuse. However McFerran (2009) asserts that research on domestic violence in elderly women, is based on unequal power relations and traditional devaluation of women, not on relationships based on trust (as cited in Ryan, 2009, Definition of elder abuse, para. 3). Therefore, irrespective of the type of abuse, it will definitely result in pointless miseries, pains and sorrows, and decrease quali ty of life of elderly. Types of elder abuse Elder abuse is categorized into five different types: physical abuse, psychological /emotional abuse, financial/material abuse, sexual abuse and neglect (WHO/INPEA, 2002). Most recent data from USA states that, there are about 570,000 cases of elder abuse reported each year, 55% of the cases suffer from neglect which is the most common form of elder maltreatment (Facts on elder abuse, 2012). Economic abuse is one of the most frequently reported forms of abuse, followed by neglect, psychological or emotional and finally physical abuse. Sexual abuse of elders is not reported as frequently as any other type of abuse (Ryan, 2009). Another dimension of elder maltreatment is that it is not restricted to home environment, risk is even leaving them in nursing homes, hospitals and long term care facilities. An empirical study in New Zealand reveals that psychological abuse (59%) is followed by material/financial (42%) and physical abuse (12%) were most frequently identified types of abuse. Sexual abuse occurred in 2% of reported cases (Gadit, 2009). Implications of the proposed research in nursing It is a challenging task for all health care providers to efficiently assess the elderly group so that abuse can be identified and reported for the immediate interventions. Proposed research on this subject will make people aware, that elder abuse will prevent older members from being favorable and positive members of the society. Furthermore, evidence based knowledge on this matter will assist in safeguarding and promoting welfare of the elderly clients. According to Lachs and Pillemer (1995) guidelines from the American Medical Association suggest that all older adults be asked by their physicians about family violence, even in the absence of symptoms potentially attributable to abuse or neglect (p. 438). A careful history taking and interviewing technique is crucial in identifying accurate information on the possible abuse. If the violence on elder is confirmed then priority is to ensure safety of the elderly person by separating from the perpetrator. In the western countries, bas ed on their cultural background, majority of the old age population resides in shelter homes. In Karachi, nursing homes are managed by private NGOs or religious organizations. The Catholic Church runs three old homes in Karachi, and people residing in these old homes pay a minimal fees, and rest are generated through the church (Subzwari Azhar, 2010). Some nursing homes are governed by religious communities functioning with the help of volunteer and donation support. Gadit (2009) identifies that Edhi Foundation is one glaring example of a service where abandoned elderly people are housed. These elderly people are avoided by their children under different grounds like poverty, illness among elderly and general intolerance (p. 3). Recommendation for the prevention of elder abuse A national policy for the promotion of better health of the elderly was designed in 1999, but implementation is yet to be seen. This policy involved the training of health care professionals. An equally important recommendation is the initiation of awareness programs among health care professionals on the subject and the formulation of assessment tools to detect abuse. Another suggestion is the workshops for nursing and medical graduates should be conducted to detect and manage elder abuse more effectively resulting in prompt treatment measures. Potential research on various aspects of care of elderly can urge in the development of policy at governmental level for the protection of geriatric population1. At national level, electronic and print media can play a key role in raising awareness on this subject. It can act as a medium for the provision of specially funded and recreational shelter homes, free health care facilities, and formation of legislative policies (Marshal, Benton Barzier, 2000). Research Methodology The research approach which would best fix on the research question would be qualitative in nature. I would like to go for Phenomenological method as it deals with the truth about reality built in peoples lived experience (Polit Beck, 2008, p. 227). This approach can be applicable on those concepts which are central to the life occurrences of the human being. The core goal is to completely understand persons lived experience and perceptions that it will generate. Inclusion Criteria and Exclusion criteria The inclusion criteria of this proposed research will be all elderly people with an age of 60 years and above in both the genders. Another standard would be all elderly population living in nursing homes in Karachi. The exclusion criteria of this planned study would be all elderly below 60 years of age. Conclusion Transition into old age is another experience which everyone has to encounter. Importance lies in the fact that to be old and live with self-respect, dignity and free from violence, neglect and maltreatment should be an important objective. Geriatric has always been a neglected area, but due to an increase in ageing population, challenge to meet the needs of the elderly is extremely crucial. Elder abuse occurs as a result of strained intergenerational relationship along with the gradual cultural transformations. This critical and under reported phenomenon needs prompt attention by the researchers and government in order to enhance quality of life in their remaining years of life.

Movie: Delta Force - Suicide In Chinatown :: essays research papers

Movie: Delta Force - Suicide in Chinatown There was a normal afternoon in Chinatown. Everybody was really interested in Silvester Stalone's new action movie that was being played for the first time this weekend.   Ã‚  Ã‚  Ã‚  Ã‚  Delta Force was the movie. Stalone was acting as a very famous cop. He became popular because one year before he killed all a group of terrorists that was planning to put a bomb in the Empire State Building. Now he is fighting against some bank robbers.   Ã‚  Ã‚  Ã‚  Ã‚  The critics and also the public were complaining about the violence that the film shows. The critics said that too much blood and fights would incite a bad behavior from the public.   Ã‚  Ã‚  Ã‚  Ã‚  Because of all these complaints the public opinion was discussing the possibility of cut of some parts of the movie or even stop playing it.   Ã‚  Ã‚  Ã‚  Ã‚  During the 8:00pm movie session, one fact worked to decide quickly the situation...   Ã‚  Ã‚  Ã‚  Ã‚  There were many couples in the movie theater and during one of the most violent part of the film, a couple stood up and pulled out two gun machines that were in a suitcase.   Ã‚  Ã‚  Ã‚  Ã‚  They were, apparently, a normal couple. The blond man using beard was wearing sport clothes. He was carrying a medium black and white suitcase, from where they pulled the gun. The woman was also young, may be working to 20 or 22 years old. She was wearing shorts and a red shirt.   Ã‚  Ã‚  Ã‚  Ã‚  She was the most nervous and she was the one who ordered everybody to line on the floor and picked the guys as hostages.   Ã‚  Ã‚  Ã‚  Ã‚  When they ordered the hostages to line on the floor, one girl escaped from the place and called the police. The couple didn't ask for anything special. They just began to scream saying that they had the power and wanted the public attention.   Ã‚  Ã‚  Ã‚  Ã‚  Five minutes after the girl escape from the cinema, the police arrived. There were more than fifteen police cars around the cinema, nobody could escape. The sergeant got out of the car and began to negotiate with the couple, trying to release the hostages safely. The sergeant asked how could he finish the situation and the couple asked for a TV team to record something very important to them.   Ã‚  Ã‚  Ã‚  Ã‚  The sergeant permitted the CNN team to go into the movie theater but, for doing it, he asked the couple to release the half part of the hostages that were there.   Ã‚  Ã‚  Ã‚  Ã‚  The guy accepted and when the CNN team went into the cinema he released seventy-five people.   Ã‚  Ã‚  Ã‚  Ã‚  When the CNN group began to record the place, the couple put their weapons on their own head and shot themselves.

Promote good practice in handling information Essay

OUTCOME 1- 1.1- IDENTIFY LEGISLATION AND CODES OF PRACTICE THAT RELATE TO HANDLING INFORMATION IN HEALTH AND SOCIAL CARE The Data Protection Act 1998 (2000). This Act gives the individual, the right to see recorded information about them. The Human Rights Act 1998 details the right to a private life. The Health and Social Care Act 2008. This Act established the Care Quality Commission as the regulator for health and social care settings. The Care Quality Commission (registration) Regulations 2009. These regulations apply to all regulated activities that an individual may want to participate in. The Freedom of Information ACT 2000.This act allows people to access information held by the national health service. All relevant personal information held on different individuals cannot be accessed under this act and is protected under the Data Protection Act 1998 (2000). All relevant and personal information should be recorded accurately and factual. Essential Standards For Quality And Safety 2010. Every social care setting is legally responsible for meeting new essential standards. All individuals have the right to be safe to have dignity and respect; they have the right for opportunities, to complete tasks. All individuals have the right to be protected from abuse; they have the right to have a duty of care provided for their well being. 1.2-summarise the main points of legal requirements and codes of practise for handling information in health and social care- Anyone processing personal data must comply with the eight enforceable principles of good practice laid down in the Data Protection Act 1998. These say that data must be: * Fairly and lawfully processed * processed for limited purposes * Adequate, relevant, and not excessive * Accurate * Not kept for longer than necessary * processed in accordance with the data subject’s rights * kept secure * Not transferred to countries without adequate protection The Care Quality Commission also have national minimum standards about how confidentiality must be maintained. The inspectors from the organisation will check the systems for recording and storing information, and make sure that that they comply with regulations. All people who work in social care, regardless of whether it is for a large organisation or an individual employer should be bound by the professional codes of practice which give guidelines for professional behaviour that set out clearly the expectations of those who are working in a professional area. OUTCOME 2- 2.1- describe features of manual and electronic information storage systems that help ensure security- within the home in which I work there are many security blocks in place to ensure confidentiality is maintained at all times for the service user and the staff team. Regarding the service user all information relating to them is kept both on a hard copy, which is kept within our office within a  lockable cabinet which can only be accessed by those that need or have permission to access. Also we have a computerised copy which is protected so that only those working with the service user may have access. There is also other information present within the computer that only managers and seniors may access and this is only Kim Hare 01.07.14   possible through their individual log ins meaning other staff members may not access this at any time. Staff information is also kept as a hard copy and this is locked away within a metal cabinet and only the manager and deputy manager have access to this via a key which is kept with them at all times. This is also where staff 1:1 meetings information is kept safe. Again some of this information is kept on the computers but thanks to the information log ins for staff again only management can access this. Within our computers we also have encryption information meaning only those who have the authority to access this information are able too.

The Orientation Packet to the Nation of Islam - 6353 Words

TABLE OF CONTENTS PAGE WELCOME 1 THUMBNAIL SKETCH OF THE HONORABLE ELIJAH MUHAMMAD 2 THUMBNAIL SKETCH OF THE HONORABLE LOUIS FARRAKHAN 3-4 OFFICIALS OF THE MOSQUE 5-6 PRINCIPALS OF ISLAM 7-9 CHARITY DISCUSSION 10-11 OPENING AND CLOSING PRAYER 12-13 AIMS OF ISLAM 14 INTRODUCTION OF M.G.T. G.C.C. 15 EXPRESSION OF A MUSLIM 16 STUDENTS CLASS CREED 17 POSSESSIONS OF A CIVILIZED WOMAN 18 FOODS WE EAT DO NOT EAT 19-23 CONCLUSION 24 WELCOME TO THE NATION OF ISLAM As-Salaam-Alaikum, On behalf of Minister Louis Farrakhan CONGRATULATIONS!! You have successful satisfied requirements put before us by Allah and His Messenger that qualify you to enter amongst us. Your persistence in doing so has awarded†¦show more content†¦He began to rebuild from the remains of the Nation of Islam. During the early 1960s, Elijah Muhammad became known as the Honorable Elijah Muhammad and was well on the way to establishing governmental order for black people. He always showed tremendous love for the black community. IN 1974, The Honorable Elijah Muhammad completed a 40 year period (1934-1974). The year 1934 , represents the time in which he was left on his own by Master Fard Muhammad. The completion of this period climaxed a historic Saviors’ Day address, when he spoke on â€Å"The Black God.† 2 MINISTER LOUIS FARRAKHAN As a boy, his mother would give him the CRISIS MAGAZINE (an NAACP publication) to read as well as the black newspapers that were available. His mother, being a very dark and beautiful woman, wanted him to have a healthy respect and love for black people. Many times as a young child he would cry himself to sleep after hearing his mother and her friends talk about the plight of black people. He remembers how he would lay on the floor, looking up at the blue sky, asking God,† why he would send help to other people and not to the black people in America?† One day when Minister Farrakhan was eleven years old, he visited his uncle in New York City and he saw a picture of a black man on the wall of his uncles apartment, which was something very strange in the forties. He askedShow MoreRelated‚Äà ºa Contemporary View on Health Care System in Bangladesh.‚Äà ¹14806 Words   |  60 Pagesnumber of seats Name (alphabetical order) | Estd. | No. of Seats | Bangladesh Medical College, Dhaka | 1985 | 110 | Samaj Vittic Medical College, Dhaka | 1989 | 70 | Institute of Applied Health Sciences, Chittagong | 1990 | 200 | Jahurul Islam Medical College, Kishoregonj | 1992 | 100 | Medical College for Women and Hospital, Dhaka | 1992 | 100 | Z.H Sikder, Women Medical College, Dhaka | 1992 | 90 | Community Based Medical College, Mymenshing | 1995 | 100 | Dhaka National Medical