Wednesday, May 27, 2020

Depression in the Older People Aged 65 and Above In Care Homes - 2475 Words

Depression in the Older People Aged 65 and Above In Care Homes (Essay Sample) Content: StudentProfessorCourse Date Depression in the Older People Aged 65 and Above In Care HomesIntroduction Depression is a common challenge among the old. It is prevalent in men and women aged above 65 years. Depression is difficult to diagnose for the old and requires systematic observation (Orrell et al. 942). Care Homes for the old face serious challenges in dealing with depression owing to the large population of older people, who undergo depression from time to time. This exploration, seeks quantitative and qualitative data regarding depression cases among older people in care homes. It pays special attention to the care homes in the United Kingdom. Quantitative data include statistics regarding depression in care homes, percentage of aging people suffering from the mental disorder, and statics regarding psychiatrists available to provide psychological therapy. Qualitative data include aspects such as types of depression, symptoms of depression, factors leading to de pression, diagnosis processes applied, treatment processes involved and other types of care for the depressed. Prevalence of Depression among the Old in Care Homes within the United KingdomDepression is a common mental illness among the aged. Therefore, 15% of people aged 65 and above experience the mental illness. Depression increases physical challenges among the old and increases mortality rate. A recent study carried out in care homes within the United Kingdom revealed the following, 54% of those studied revealed symptoms of depression. 72 % of those with depression were being managed with antidepressants and other psychiatric strategies while 28% of those remaining were receiving little or no effective treatment. Among those that were being managed 39.1% showed improvement while the remaining percentage still remained depressed. From the study it was clear that 89.4% of those in care homes had been properly diagnosed as either depressed or not depressed (Morrell et al. 200-276) . Another study carried out in 2006 by the Royal College of Psychiatrists showed that approximately 28% of women and 22% of men above 65 years of age in the United Kingdom live with depression. The study further revealed that 40% of older people living in care homes are depressed. Types of Depression experienced in Care Homes for the OldThere are three types of depressions experienced by the old in care homes. These are; major depression, minor depression and Dysthymia. Major Depression. Major depression in older people living in home cares is associated with various symptoms which inhibit the ability of the patient to enjoy various activities, which include eating, interacting, and sleep. This type of depression is characterized by recurrences of symptoms such as weight loss, mood swing, loss of appetite, lack of interest in activities, loss of sleep, frequent thought of suicide, feelings of worthlessness and hopelessness. Major depression is easy to disorganize due to the recurren t nature of various symptoms. If untreated, major depression can lead to suicide and other illnesses, including high blood pressure and ulcers. Major depression degrades a persons quality of life by causing multiple problems. Minor Depression. Minor depression also affects a persons quality of life. This type of depression differs from major depression in that it occurs intermittently and may be easy to manage. However, due to its intermittent occurrence, it may be hard to diagnose and treat. This type of depression is characterized by many symptoms with the most common once being loss of appetite, mood swings, impaired sleep and lack of interest in activities. These symptoms may occur with a two week break and cannot persist beyond two years. Dysthymia. This type of depression is less severe than major depression. However, it is characterized by long term chronic consequences which inhibit bodily functionalities in aging persons. Like major and minor depression, this type of depres sion also leads to degradation of the quality of life of an individual. Major symptoms of this type of depression include negative personality, feelings such as worthlessness and hopelessness. People with this form of depression are easy to recognize and are generally characterized as depressed persons. Symptoms of Dysthymia may persist for a period of about two years. Causes of Depression among the AgedThere are various causes of depression among the old in the United Kingdom and beyond. These factors are discussed in this section. Social Isolation. According to statistical data available from the United Kingdom, there are approximately 11.4 million people who are aged 65 years and above. Approximately 3.5 million, which translates to around 36% of those aged 65 and above live alone. 70% of those living alone are women. Further statistics reveal that the United Kingdom practices age discrimination and there is a tendency to isolate the aged from the society by taking them to care h omes or other areas where they are isolated from the rest of the society. Consequently, these people feel isolated and tend to develop psychological disorders that lead to depression. There is medical evidence linking social isolation to depression. People living in care homes feel isolated from their families, culture and property, making it hard for them to adapt. This makes them demoralized and initiates a series of thoughts that leads to depression. Physical Challenges. Old people living in care homes within the United Kingdom experience numerous physical challenges. These challenges include hearing impairment, visual problems, aching teeth, walking problems, joint pains, and headaches among others. These challenges inhibit various activities including; effective communication, ability to carry out simple tasks and creates dependency for the old. Additionally, these challenges inhibit the normal functioning of the body, such as adjusting and proper feeding. For example, there ar e approximately 3.2 million people experiencing above 65 years of age living in care homes experiencing urinary challenges in the United Kingdom. As a result, these challenges induce mental stress on individuals leading to depression. Illnesses. Occurrence of diseases among the old is another major cause of depression. Illnesses like physical challenges inhibit normal operation of people, making it extremely hard to carry out their personal obligations. The prevalence of some diseases increases considerably with increase in age. Some of these diseases include cancer, and thyroid disease. Such illnesses cause a sense of being a burden to others, and loss of dignity. Ultimately, this yield stress and depression. Illnesses in old age also lead to other problems, which are likely to cause depression. These problems include aspects such as the use of financial resources which causes fear and instability in homes. Some of the medications used to treat these diseases are also known to in duce depression. These medications include: drugs for treating steroid and high blood pressure, painkillers and tranquilizers. Overall, the occurrence of an illness among old people living in care homes increases the chances of depression (Baldwin, 35). Death and Loss. Death of loved ones and loss of property for people living in care homes are major triggers of depression. Old people are poor receptors of bad news. Such bad news may induce psychological disorders leading to stress and depression. Loss of simple things such as pets may also trigger depression. The most significant type of loss causing depression among people living in care homes is the loss of lifestyle. People living in these homes feel that their new environments do not provide what their initial homes would provide, thereby, triggering depression (Chew 8). Depression Risk FactorsRecent IllnessLoss of Loved OnesNatural calamities leading to loss of propertyChronic Illnesses Drug and Alcohol use PovertySocial Isol ationPhysical ImpairmentPoor care in home cares Family problemsCultural factors Depression Symptoms for Older People Living in Care HomesDiagnosing people with depression at ages above 65 years are extremely difficult and require consistent observation by the doctor. This is because common symptoms of depression include, isolation, loss of appetite, mood swings, fatigue and loss of sleep. Unfortunately, these are common symptoms among the old and do not necessarily symbolize depression. Consequently, doctors and caregivers in care homes must keenly observe old people for symptoms such as sadness, being downcast for long hours mood swings; persistent thoughts, suicide; loss of interest in various activities; worthlessness, guilt and helplessness; poor social interaction, feelings of being slowed down or keyed up; difficulty in initiating new activities, poor concentration and memory and difficulty in making decisions (Declan et al. 16). Diagnosis of Depression in Care Homes within the United KingdomCaregivers and doctors work hard in hard to diagnose depressed persons within the homes. This is done through consistent observation of the symptoms outlined earlier. Once a person exhibits any or most of the symptoms listed, they are then subjected to a doctors examination. The doctor examines various aspects including psychiatric and medical history, prevalence of depression in the individuals family line, physical examinations, biological examination through laboratory tests, current medical condition, as well as drug and substance use information (Substance Abuse and Mental Health Services Administration et al) . This examination may be carried out for some time before one is diagnosed positively or negatively (Declan et al. 23). TreatmentMany people assume that depression is a normal part of aging. However, this assumption is not ... Depression in the Older People Aged 65 and Above In Care Homes - 2475 Words Depression in the Older People Aged 65 and Above In Care Homes (Essay Sample) Content: StudentProfessorCourse Date Depression in the Older People Aged 65 and Above In Care HomesIntroduction Depression is a common challenge among the old. It is prevalent in men and women aged above 65 years. Depression is difficult to diagnose for the old and requires systematic observation (Orrell et al. 942). Care Homes for the old face serious challenges in dealing with depression owing to the large population of older people, who undergo depression from time to time. This exploration, seeks quantitative and qualitative data regarding depression cases among older people in care homes. It pays special attention to the care homes in the United Kingdom. Quantitative data include statistics regarding depression in care homes, percentage of aging people suffering from the mental disorder, and statics regarding psychiatrists available to provide psychological therapy. Qualitative data include aspects such as types of depression, symptoms of depression, factors leading to de pression, diagnosis processes applied, treatment processes involved and other types of care for the depressed. Prevalence of Depression among the Old in Care Homes within the United KingdomDepression is a common mental illness among the aged. Therefore, 15% of people aged 65 and above experience the mental illness. Depression increases physical challenges among the old and increases mortality rate. A recent study carried out in care homes within the United Kingdom revealed the following, 54% of those studied revealed symptoms of depression. 72 % of those with depression were being managed with antidepressants and other psychiatric strategies while 28% of those remaining were receiving little or no effective treatment. Among those that were being managed 39.1% showed improvement while the remaining percentage still remained depressed. From the study it was clear that 89.4% of those in care homes had been properly diagnosed as either depressed or not depressed (Morrell et al. 200-276) . Another study carried out in 2006 by the Royal College of Psychiatrists showed that approximately 28% of women and 22% of men above 65 years of age in the United Kingdom live with depression. The study further revealed that 40% of older people living in care homes are depressed. Types of Depression experienced in Care Homes for the OldThere are three types of depressions experienced by the old in care homes. These are; major depression, minor depression and Dysthymia. Major Depression. Major depression in older people living in home cares is associated with various symptoms which inhibit the ability of the patient to enjoy various activities, which include eating, interacting, and sleep. This type of depression is characterized by recurrences of symptoms such as weight loss, mood swing, loss of appetite, lack of interest in activities, loss of sleep, frequent thought of suicide, feelings of worthlessness and hopelessness. Major depression is easy to disorganize due to the recurren t nature of various symptoms. If untreated, major depression can lead to suicide and other illnesses, including high blood pressure and ulcers. Major depression degrades a persons quality of life by causing multiple problems. Minor Depression. Minor depression also affects a persons quality of life. This type of depression differs from major depression in that it occurs intermittently and may be easy to manage. However, due to its intermittent occurrence, it may be hard to diagnose and treat. This type of depression is characterized by many symptoms with the most common once being loss of appetite, mood swings, impaired sleep and lack of interest in activities. These symptoms may occur with a two week break and cannot persist beyond two years. Dysthymia. This type of depression is less severe than major depression. However, it is characterized by long term chronic consequences which inhibit bodily functionalities in aging persons. Like major and minor depression, this type of depres sion also leads to degradation of the quality of life of an individual. Major symptoms of this type of depression include negative personality, feelings such as worthlessness and hopelessness. People with this form of depression are easy to recognize and are generally characterized as depressed persons. Symptoms of Dysthymia may persist for a period of about two years. Causes of Depression among the AgedThere are various causes of depression among the old in the United Kingdom and beyond. These factors are discussed in this section. Social Isolation. According to statistical data available from the United Kingdom, there are approximately 11.4 million people who are aged 65 years and above. Approximately 3.5 million, which translates to around 36% of those aged 65 and above live alone. 70% of those living alone are women. Further statistics reveal that the United Kingdom practices age discrimination and there is a tendency to isolate the aged from the society by taking them to care h omes or other areas where they are isolated from the rest of the society. Consequently, these people feel isolated and tend to develop psychological disorders that lead to depression. There is medical evidence linking social isolation to depression. People living in care homes feel isolated from their families, culture and property, making it hard for them to adapt. This makes them demoralized and initiates a series of thoughts that leads to depression. Physical Challenges. Old people living in care homes within the United Kingdom experience numerous physical challenges. These challenges include hearing impairment, visual problems, aching teeth, walking problems, joint pains, and headaches among others. These challenges inhibit various activities including; effective communication, ability to carry out simple tasks and creates dependency for the old. Additionally, these challenges inhibit the normal functioning of the body, such as adjusting and proper feeding. For example, there ar e approximately 3.2 million people experiencing above 65 years of age living in care homes experiencing urinary challenges in the United Kingdom. As a result, these challenges induce mental stress on individuals leading to depression. Illnesses. Occurrence of diseases among the old is another major cause of depression. Illnesses like physical challenges inhibit normal operation of people, making it extremely hard to carry out their personal obligations. The prevalence of some diseases increases considerably with increase in age. Some of these diseases include cancer, and thyroid disease. Such illnesses cause a sense of being a burden to others, and loss of dignity. Ultimately, this yield stress and depression. Illnesses in old age also lead to other problems, which are likely to cause depression. These problems include aspects such as the use of financial resources which causes fear and instability in homes. Some of the medications used to treat these diseases are also known to in duce depression. These medications include: drugs for treating steroid and high blood pressure, painkillers and tranquilizers. Overall, the occurrence of an illness among old people living in care homes increases the chances of depression (Baldwin, 35). Death and Loss. Death of loved ones and loss of property for people living in care homes are major triggers of depression. Old people are poor receptors of bad news. Such bad news may induce psychological disorders leading to stress and depression. Loss of simple things such as pets may also trigger depression. The most significant type of loss causing depression among people living in care homes is the loss of lifestyle. People living in these homes feel that their new environments do not provide what their initial homes would provide, thereby, triggering depression (Chew 8). Depression Risk FactorsRecent IllnessLoss of Loved OnesNatural calamities leading to loss of propertyChronic Illnesses Drug and Alcohol use PovertySocial Isol ationPhysical ImpairmentPoor care in home cares Family problemsCultural factors Depression Symptoms for Older People Living in Care HomesDiagnosing people with depression at ages above 65 years are extremely difficult and require consistent observation by the doctor. This is because common symptoms of depression include, isolation, loss of appetite, mood swings, fatigue and loss of sleep. Unfortunately, these are common symptoms among the old and do not necessarily symbolize depression. Consequently, doctors and caregivers in care homes must keenly observe old people for symptoms such as sadness, being downcast for long hours mood swings; persistent thoughts, suicide; loss of interest in various activities; worthlessness, guilt and helplessness; poor social interaction, feelings of being slowed down or keyed up; difficulty in initiating new activities, poor concentration and memory and difficulty in making decisions (Declan et al. 16). Diagnosis of Depression in Care Homes within the United KingdomCaregivers and doctors work hard in hard to diagnose depressed persons within the homes. This is done through consistent observation of the symptoms outlined earlier. Once a person exhibits any or most of the symptoms listed, they are then subjected to a doctors examination. The doctor examines various aspects including psychiatric and medical history, prevalence of depression in the individuals family line, physical examinations, biological examination through laboratory tests, current medical condition, as well as drug and substance use information (Substance Abuse and Mental Health Services Administration et al) . This examination may be carried out for some time before one is diagnosed positively or negatively (Declan et al. 23). TreatmentMany people assume that depression is a normal part of aging. However, this assumption is not ...

Saturday, May 16, 2020

Operations Management McDonalds Supply Chain - 737 Words

McDonalds Supply Chain McDonalds is a global fast food chain which is known to exercise a great deal of control over the supply chain. The firm relies in a large number of different inputs which are principally products that are sold. The process is diverse, but highly controlled with a limited number of suppliers and the effective use of outsourcing to specialized firms. The process is all supported by complex information technology which makes demand forecasts of up to three months, to ensure that there are sufficient goods in the supply chain, without waste created through the over supply of perishable goods. The supply chain may be broken down into different layers. At the start of the supply chain there the initial sources of the input goods, for example, this will include arable and dairy farmers. These are referred to as tier 2 suppliers. In order to ensure that the supply meets the required criteria McDonald will often work with the tier 2 suppliers to improve output. This he lps to ensure quality and increased efficiency will help to ensure costs are controlled. In some cases the company may make loans or even take equity in upstream suppliers. A good example of supply chain collaboration was seen when the firm started operations in India. There were no local suppliers growing iceberg lettuces, the company worked with some supplier to create a year round supply, aiding with seeds, equipment and relevant agricultural knowledge. The tier 2 suppliers originateShow MoreRelatedMcdonalds Operations Management Essay1145 Words   |  5 Pagesand time in the operation management department of the business. This report will focus on the business, McDonald’s and what practices they have put in place to ensure that they are producing their products efficiently and sustainably. The business will also be compared and contrasted alongside the American fast-food restaurant chain famous for its fried chicken, providing recommendations on how McDonald’s co uld further improve their business in the area of waste and time management. Business BackgroundRead MoreA Research Project On Mcdonalds Canada1513 Words   |  7 Pagesand value for every customer, every time†. (McDonald’s Canada, 2015). For McDonalds to achieve their mission statement they will have to create some internal strategies to help push for perfection. Strong training is one strategy that McDonald’s uses for overall success. McDonald’s has one of the Worlds best training with hands on skills development, teaching employees time management, teamwork, and customer service/ communication skills. McDonald’s ability to offer opportunity is another internalRead MoreMcDonalds Supply Chain Management1142 Words   |  5 PagesMcDonald’s Supply Chain Supply chain management, or SCM, is concerned with managing the inputs of goods or services for final users from acquiring the raw materials through the end of the product’s useful life. The inputs of goods or services include a wide variety of activities not only in a single department in a company but also from different departments and outside the company; they are cross-functional activities that contain increasingly complex networks supply chains in the businessRead MorePhysical Distribution and Logistics of Mcdonalds1182 Words   |  5 Pages A company the size of McDonalds requires the value chain to be increasingly important. Not only does McDonalds want to add value for the customers, but also the firm looks for ways to improve the operations that makes McDonalds a more efficient business .McDonalds is constantly striving to add value to the firm for their customers, and in doing so, the firm has created efficiency in getting the products to the customers quickly and as fresh as possible. McDonalds is constantly looking forRead MoreProduct Design Development and Product Lifecycle Analysis of McDonalds Corporation811 Words   |  3 PagesProduct Design, Development and Product Lifecycle Analysis of McDonalds Corporation McDonalds competes in one of the most mercurial and fast-changing industries there are, where product lifecycles must be aligned both to rapidly changing customers preferences and tastes. The inherent need for the McDonalds product strategy to stay relevant, topical and in demand for consumers also requires a highly integrated, real-time supply chain that can react quickly to changes in product strategy and theRead MoreThe Four Level Processes That Works850 Words   |  4 PagesProcesses: The four level processes that works in the Mc Donald’s are 1. Operations excellence: they have a specific way of making burgers, that a person cannot see and once it gets completed they put it in a certain shoot. These shoots only contain their runner products (runner products are the products who have high frequency and volume). Their runner products would be, chips, big mac, hamburger etc. the person behind shoot is taught in a very specific way so that they can produce X number of burgersRead More McDonalds in India Essay examples1083 Words   |  5 Pages McDonald’s Corporation, established in 1955, owns one of the world’s most well-known and valuable brands and holds a leading share in the global branded quick service restaurant segment. The Corporation has more than 30,000 restaurants in 119 countries serving 47 million customers each day. McDonald’s entered India in 1996 through joint ventures with two Indian entities, Hardcastle Restaurants Pvt. Ltd. and Connaught Plaza Restaurants Ltd .Hardcastle Restaurants Pvt. Ltd. owns and operates McDonald’sRead MoreThe Logistics Of Mcdonald s Supply Chain983 Words   |  4 Pagesinfluence on the amount of supply required from suppliers. Increase in demand results in increase of supplies to meet the required inventory. In addition, a decrease in demand will also require the inventory to be reduced. Hence, demand has a one way direction effect on the supply chain. The logistics of McDonald’s is divided into three phases just like in most other companies. Inbound logistics phase involves the activities that take place between the delivery of supplies and their storage. The nextRead MoreMarketing Plan For Mcdonalds Company1101 Words   |  5 PagesOffering more products or offering more complex products makes operations management more difficult in multiple ways. One way an operations manager’s job gets more difficult with complex product offerings is inventory becomes more difficult to manage. The more items you offer in your product line, the more suppliers you will need to supply you with the materials to produce the offerings. For example, the operations manager for McDonald’s currently might deal with a fish supplier for their fish-filetRead MoreFast Food Feast - Mcdonalds Versus Whataburger1643 Words   |  7 PagesFast Food Feast-McDonald’s versus Whataburger Student Name Course Date Instructor Fast Food Feast - McDonald’s versus Whataburger Operation and Supply chain management (OSCM) is one of the foundations that successful businesses count on to provide a competitive advantage within their industry. The goal of OSCM is to develop and maintain a system that effectively and efficiently manages the flow of raw material resources into useful end products for consumer use (Chase, 2006). In the

Wednesday, May 6, 2020

A Tale Of Two Cities By Charles Dickens - 1363 Words

Tale of Two Cities A Tale of Two Cities is a 19th century novel that conveys the terror of the French Revolution through the story of the Manette and Darnay family. Charles Dickens intertwined characters throughout the novel to convey the equivocal viewpoint of the citizens throughout England. The ambiguous characters of Charles Darnay, Madame Defarge, and Mr. Carton, work to show both the innocence and savagery of the revolution. Charles Darnay spent the early years of his life as nobility, but later transformed into a commoner. He, serving as an ironic foil for another Charles by the name of Dickens, voluntarily went from riches to rags in an attempt to connect any ties that he had with the Evremonde family. Dickens, on the other†¦show more content†¦Along with this, he also went to Paris when his old friend begged for his assistance. This may be seen as selfish because he did not consider his wife and child, but Lucie and their daughter had Dr. Manette, Mr. Lorry, and Mr . Carton to watch over them. Still, throughout this, his veins were filled with flowing Evremonde blood. Much like the actual revolution, if someone were connected to the aristocracy in any way they were considered malevolent and ultimately would be executed. The innocence of the ideals of the revolutionaries was irrelevant because of the way they went about achieving their goal. The overabundant use of inhumane treatments on those who were not in favor of the revolution is also seen in A Tale of Two Cities. An example of this is when Madame Defarge mercilessly wrenches the head of the governor of the Bastille. The mere fact that Charles has any relation to the nobility is an automatic assumption that he is untrustworthy, which ultimately led to what was supposed to be his execution. This ambiguity is present in multiple characters, all of which have an ill fate. In the early parts of the novel, Madame Defarge is seen as an innocent woman who owns a wine shop with her husband. â₠¬Å"Madame Defarge knitted with nimble fingers, and steady eyebrows, and saw nothing† (Dickens, 35). To an outsider, it would seem as though she was being muted and dutiful. ItShow MoreRelatedA Tale of Two Cities, by Charles Dickens1420 Words   |  6 Pageshistory – the best of times and the worst of times. The violence enacted by the citizens of French on their fellow countrymen set a gruesome scene in the cities and country sides of France. Charles Dickens uses a palate of storm, wine, and blood imagery in A Tale of Two Cities to paint exactly how tremendously brutal this period of time was. Dickens use of storm imagery throughout his novel illustrates to the reader the tremulous, fierce, and explosive time period in which the course of events takesRead MoreA Tale Of Two Cities By Charles Dickens1024 Words   |  5 PagesAt the beginning of A Tale of Two Cities, Charles Dickens writes, â€Å"every human creature is constituted to be that profound secret and mystery to every other (14).† Throughout the novel, Dickens incorporates the theme of secrets to connect characters and add mystery to the story. The three characters with the significant secrets are Charles Darnay, Alexandre Manette, and Madame Defarge. Darnay, Manette, and Defarge are all of French blood, living in either France or England in the heat of the FrenchRead MoreA Tale Of Two Cities By Charles Dickens1704 Words   |  7 PagesA Tale of Two Cities by Charles Dickens is a novel set during the time of the French Revolution in England and France. The Revolution is a time of great danger and constant change. Dickens’ novel expresses the theme of fate through metaphors in many different ways. These metaphors connect the fates of Dickens’ characters that are intertwined in some way whether they are aware of how they are connected or not. Charles Dickens illustrates to his readers that fate is predetermined as shown throughRead MoreCharles Dickens Tale Of Two Cities1079 Words   |  5 PagesFated Coincidences Charles Dickens was a distinguished writer during the 1800s and was inspired by Thomas Carlyle’s book French Revolution. Dickens was influenced by this book to write his novel Tale of Two Cities. Even though he wrote the book seventy years after the French Revolution, he studied many different books from two wagons from Carlyle which he sent as a joke. Throughout the book Tale of Two Cities, Dickens has a recurring theme of fate. Dickens illustrates that everyone’s lives areRead MoreA Tale Of Two Cities By Charles Dickens1831 Words   |  8 Pagesthese horrific acts, there was a revival of French spirit after the Revolution had ended, in the sense that the French are resurging after being an inch from death. In A Tale of Two Cities, Charles Dickens shows the reader that the general idea of resurrection can occur at any given point of time. The novel is set in two cities, London and Paris, during the French Revolution. The story begins with Mr. Lorry, an official from Tellson’s Bank in London, and Lucie Manette as they make their way to ParisRead MoreA Tale Of Two Cities By Charles Dickens987 Words   |  4 PagesIn a Tale of Two cities. Dickens juxtapositions suspense and humor in a intricate tale of love and loyalty. The book takes place in the late 18th century, during the french revolution. the book is set in England and France, more specifically London and Paris. These are the two cities that the book centers around. In the city of London, the neighborhood of SoHo, and Paris, the french countryside, and city of Dover. b city houses, palace of Versailles. The house in Paris where the Darnay s stayedRead MoreA Tale Of Two Cities By Charles Dickens1426 Words   |  6 Pagesanxiety, and misery, the French Revolution was a trying time for all involved, even the characters crafted by Charles Dickensâ€℠¢ imagination. Charles Dickens’ strongly enforces the hardships of this arduous era in his remarkable novel, A Tale of Two Cities, while exhibiting his keen ability to leave hints for the readers, allowing them to predict upcoming events in his skillfully fashioned plot. Dickens utilizes vivid imagery to construct menacing settings. He presents his characters as impulsive to indicateRead MoreA Tale Of Two Cities By Charles Dickens1398 Words   |  6 PagesHuman Cruelty is a Result of Hatred Charles Dickens is a very famous novelist, who was born on February 7, 1812, in his home of Portsmouth, England. He was a very dedicated man with a great imagination, and he shows his writing skills in his book A Tale of Two Cities, a historical fiction that focuses on the French Revolution. In this book Dickens uses both atmosphere and imagery to describe how brutal and inhumane men can be to each other. He uses scenes of a man’s need for tyranny, a man’s needRead MoreA Tale Of Two Cities By Charles Dickens1301 Words   |  6 PagesThe famous paradoxical line throughout history, â€Å"It was the best of times, it was the worst of times†¦Ã¢â‚¬  captures the essence of the French Revolution. Charles Dickens, the Victorian age author of A Tale of Two Cities vividly captures the fright and upheaval of the Pre-Revolution time period. By evoking the French Revolution, love is evident throughout all characters in the novel. Love eclipses tyranny, poverty, and all ot her problems that sansculottes in the novel face as love cannot be taken awayRead MoreA Tale of Two Cities, by Charles Dickens1381 Words   |  6 PagesOf the extraordinary amount of literary devices available to authors, Charles Dickens uses quite a few in his novel A Tale of Two Cities, which is set during the French Revolution. One of his more distinctive devices is character foils. The five sets of foils are Carton and Darnay, Carton and Stryver, Darnay and the Marquis de Evremonde, Madame Defarge, and Mr. Lorry and Jerry Cruncher. Dickens uses foil characters to highlight the virtues of several major characters in order to show the theme of

Tuesday, May 5, 2020

Aversive Racism and Inequality in Health Care free essay sample

Running Heading: Aversive Racism and Inequality in Health Care Aversive Racism and Inequality in Health Care: Kenisha Wilkerson Walden University Socioeconomic conditions of persons and the places where they live and work do strongly influence their health. In the United States, as elsewhere, the risk for mortality, morbidity, unhealthy behaviors, reduced access to health care and poor quality of care increases with decreasing socioeconomic circumstances (CDC Health Disparities and Inequalities Report, 2011). Bias in the health care situation is most often indirect and universal (Halwani, 2011). Indirect discrimination occurs when exactly the same services are provided to everybody, but when cultural, religious, linguistic or other reasons it is not possible for members of one or more black and minority ethnic groups to benefit equally from them (Halwani, 2011) . Yet, when African Americans, Native Americans, Asian Americans, and Latinos are compared to European Americans, these minority groups have higher rate of chronic diseases, higher mortality, and poorer health outcomes which is documented due to health disparities. We will write a custom essay sample on Aversive Racism and Inequality in Health Care or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page While, aversive racism is caused by clever bias and ignorance rather than any malicious feelings towards minorities. Persons who often interact with minorities as equals (ei. coworkers, friends) rather than on a different level (employee/employer) will find themselves less likely to have hidden prejudices (Cannon, 2011). However, there are methods that can be used for reducing such racism for some but for others; simply understanding that aversive racism exists can help. In conclusion being in the know about racial or ethnic inequality in health care and aversive racism can help eliminate problems. Raising public and provider awareness of racial/ethnic disparities in care, expanding health insurance coverage (Obama Care), improving the capacity and number of providers in underserved communities, increasing the knowledge base on causes and interventions to reduce disparities, examining your own behavior, and techniques aimed at its roots at both the individual and collective levels. Bibliography