What is the future of diversity management Essay

What is the future of diversity management - Essay Example Leadership and diversity are among the most discussed topics in scholarly research. The growing diversity of national and international workforce presents a serious challenge for leaders who must develop new approaches for managing diverse employees and using diversity as the source of competitive advantage. Unfortunately, previous research was increasingly concentrated on searching for â€Å"one best way† of leadership in organizations. Put simply, researchers were preoccupied with an idea to find one, universal leadership model, which would be equally effective in all organizational settings. With time, the idea of â€Å"one best way† was gradually replaced with the ideals of contingency leadership, which came to dominate organizational and leadership consciousness in all parts of the world. According to Day (1991), â€Å"implied in the contingency approach to leadership is the need for leaders to be flexible in their choice of leadership style based on the situation † (p.362). Today, contingency exemplifies the key component of diversity management decisions in organizations: a multitude of diversity management models suggests that there can never be a universal solution to diversity management issues. The current state of workplace development suggests that diversity in organizations will continue to persist. The coming years are likely to witness a dramatic shift from diversity management to diversity cultures in organizations, which will serve an essential source of competitive advantage and an instrument of continuous organizational learning in the long run. Literature review Workforce diversity is rightly considered as one of the most popular and controversial topics in contemporary business literature. Globalization and integration of markets and businesses lead to the growing diversity of employees in small organizations and large corporations. Thus, it comes as no surprise that organizations and professionals in organization studi es seek to develop and test new models of leadership and management, which will let organizations utilize their diversity potential to the fullest. It should be noted, that present day organizations are undergoing a dramatic change in diversity philosophies and principles. Today, the scope of diversity management is no longer limited to increasing the share of minorities in the workforce but implies the need to develop and sustain diversity-sensitive organizations (Dreachslin, 2007). In this situation, senior leaders are expected to develop sound commitment to recruiting, retaining, and supporting applicants and candidates that had been previously underrepresented (Dreachslin, 2007). Furthermore, diversity-sensitive ideology in organizations obligate leaders to convince and educate other stakeholders that diversity is the key strategic value and defines the course of long-term development in organizations. Unfortunately, â€Å"the effects of diversity on performance are mixed† (Haas 2010). The factors mediating the relationship between diversity and organizational presentation are numerous and varied. In the meantime, researchers develop and test new models of diversity management and their implications for organizations. The current state of research displays a tendency toward describing and analyzing numerous models of diversity management and their implications for the future of global business. Mitchell and Boyle (2010) tried to create a single, theoretical framework of diversity management and tested a model of leadership, in which diversity management would be closely connected to innovation and creativity, learning, and organizational transformations. The researchers found out that transformational leaders facilitated the creation of knowledge in organizations, leading to increased recognition of diversity and acceptance of diversity management within the staff (Mitchell & Boyle 2010). However, while

Concepts in mental Health Consensus and Controversies Essay

Concepts in mental Health Consensus and Controversies - Essay Example A good understanding of such concept is essentially relevant with mental health care. Origin and Historical Significance of Mental Health Concept The concept of mental health has a polymeric nature, and inaccurate and general borders, which gains from a historical view to be better understood. At present the broadly understood concept of mental health has its origins chased back to advances in public health in different branches of knowledge such as clinical psychopathology and psychological medicine. The origin of the mental hygiene movement can be assigned to the piece of work of Clifford Beers in the United States. A book namely A mind that found itself was published in 1908, which was based on the authors personal experience of admittances to three mental institutions and asylums. Through its origins and in reflecting Beers’ experience in mental hospitals, the mental hygiene movement was chiefly and essentially referred to the betterment of the care of people with mental f olies. In the year 1909 when Beers wrote the book, a Mental Hygiene Society was instituted in Connecticut. Adolf Meyer suggested the term â€Å"mental hygiene† to Beers (Schneck, 1975). This had got tremendous and quick popularity to the initiation of the National Commission of Mental Hygiene. The Beers (1937) states: â€Å"When the National Committee was organized, in 1909, its chief concern was to humanize the care of the insane: to eradicate the abuses, brutalities and neglect from which the mentally sick have traditionally suffered.† The globalization of activities of this Commission led to the administration of some national associations related to mental hygiene in different countries from 1919 onwards. The International... This essay discusses that in a general sense, mental health has established to be a crucial component of the definition of health and also continues to be used both to indicate a state as an attribute of health. It refers to denote to the crusade deduced from the mental hygiene movement, representing the practical application of psychiatry and psychological medicine not only on an individual basis but also to groups such as societies and communities, as is the case with clinical psychiatry. Mental health is, rather unluckily, even so, considered by many as a field of study, either as an equivalent of psychiatry and psychological medicine or any other complementary fields of psychiatry. Above discussed elements can be served as evidence of the importance of mental health cognition as not only a field of study. For psychiatric nurses, the knowledge of mental health and mental illness concepts is particularly important in a way that they are part of the diagnosing of mental disorders an d treatment of mental health patients in outpatient community clinics or inpatient care hospitals. For such a reason, mental health nursing requires specified and specialized training isolated from other segments of care in the field of nursing. Instituting standard concepts of care in mental health nursing ameliorates inter-communication among faculty and the quality of intervention and handling of mental health patients. Dealing with mental health patients interests will better the overall wellness and performance of the patient.

The impact of tobacco smoking on the academic performance Essay

The impact of tobacco smoking on the academic performance - Essay Example The study’s hypothesis is that use of tobacco leads to poor academic performance. The study involves an extensive review of the literature that is associated with this area, and then a primary data collection through face-to-face interview and filling of questionnaires. A total of 40 males students are randomly selected to participate in the study, which takes place at Queens Mary University. The questionnaire and the interview questions are framed in a manner to provide both qualitative and quantitative approach of data analysis. Regression analysis by the use of SPSS is conducted analyses the quantitative data, while the qualitative data is coded and common themes identified. The findings of the study are that the students who have used tobacco for many years score poor grades in their academic work. Some of the reasons identified as the causes of poor academic performance include lack of completion of assignments, absenteeism, poor memory and lack of ability to read. The st udy recommends further research to identify the causation effect of the variables. Key words: Use of tobacco; Addiction; academic performance; cognitive. INTRODUCTION Smoking of tobacco in institutions of higher learning is a common scenario that has caused a lot of concern because of the side effects that are associative with such substances. The impact of smoking in the brain includes occurrence of numerous physical changes, which can significantly impair the process of learning and concentrations hence lower the level of academic performance by in students in the institutions of higher learning. Study conducted by a U.S. Department of Health and Human Services [15] found that smoking of tobacco can have dire consequences on the academic performance of students. Some of the impacts they cited include lower level of concentration and activity, which occurs due to lack of nicotine in the body, for the time that the students stays away from smoking to attend classes; and high rate of absenteeism because the smoker’s immune system is weakened and hence susceptible to myriads of diseases such as asthma, bronchitis, and cold. In view of this, smoking of tobacco is potentially harmful to academic performance. This study will be aimed at identifying the impact of tobacco smoking on the academic performance of the students from Queen Mary University. LITERATURE REVIEW Use of tobacco among university students is a common trend and its impact is potentially hazardous in different ways, including impeding the level of academic performance. Some of the immediate risks include abuse and dependence, as well as numerous others psychological and physical impacts [13]. A study by Jones and Heaven [11] shows that not all smokers experience problems when they engage in smoking, while psychological risk model displays an intricate relationship between personality and individual factors, drug-taking behavior, and family and environmental factors. Lynskey et al. [14] and Ha n, McGue and Iacono [7] demonstrated that social and environmental factors rather than genetic factors influence use of substances. Most of the researchers in this field have cited common risk factors such as delinquent peers, depressive symptomatology, family functioning, child abuse, parenting style and expectancies, substance using, and antisocial behavior [e.g. 9]. It is also believed that use of substances can increase the risk of taking harmful drugs. The theory of gateway explains how the successive use of a particular substance to another is attained, but the issues of causal attribution and the exact sequencing are still not clear and further research is needed to shed more light [12]. Use of substances from very early ages has been associated with poor academic performa

A Taste of Honey by Shelagh Delaney Essay Example | Topics and Well Written Essays - 2000 words

A Taste of Honey by Shelagh Delaney - Essay Example There is no attempt to connect the play to a wider social world, by 'argument' (characters do not debate the issues between themselves); nor does the play articulate a position on that world (there is no obvious authorial 'point of view' on display); nor, despite the contextual readings, does Delaney exploit the metonymic function of the characters, action or set, but rather the issues are visible in the texture of the personal relationships themselves. Stuart Hall noted this aspect of the play: Delaney is not at all self-conscious about her ability to portray Salford life but she accepts this as a framework for what she is really interested in communicating-her extraordinarily fine and subtle feel for personal relationships. No themes or ideas external to the play disturb its inner form: her values are all intensive. A Taste of Honey is remarkable partly because it breaks a number of racial and sexual taboos: Jo's lover is a black sailor and her flat-mate is homosexual, and the main action of the play is the journey into motherhood of a young, unmarried teenager. It is not simply that these things are represented, but that they are represented positively-that the form of the play elicits sympathy for characters that come to us heavy with connotations, who are part of a world that we 'read about every Sunday in the News of the World'. It is precisely such socially marginal and 'a-typical' characters with which the Wolfenden Report-and the press debate that followed it-was so concerned. The action of the play is contained by a 'comfortless flat', and the stage space is clearly marked as domestic. It is, however, an interior in which all the domestic activities are potentially on display; the kitchen area, the double bed, the living and eating areas-these are all visible, delineating a whole 'way of life' in its routines and chores. Very little conventional domestic activity actually takes place in this space, though, and when it does, it is not performed by characters who inhabit traditional roles. This is part of a complex series of reversals and oppositions in the play, in which expected connections are severed. The mother figure, Helen, is very unlike a 'mother', having no domestic abilities, being feckless and sexually active. The caring role is taken initially by Jo, the daughter, and then by Geoff, a man who displays none of the conventional 'male' attributes. The nearest to a white, male, heterosexual gender norm in the play is to be found in Peter, Helen's l over and fianc, who is presented as a lecher and a drunk. The three central characters are all potentially sexually active, and the two women become so. However, sex is destructive to happiness in the world of the play-as it is in Look Back in Anger. It separates mother and daughter (Helen's marriage to Peter) and leaves Jo with a baby. Jo's relationship with Geoff is only possible because it is without sex. The only moments of genuine difficulty between them are when sex is involved; Jo's demand that Geoff tell her what he does with

Human behavior theories Essay Example for Free

Human behavior theories Essay Working as a community facilitator is all about empowering and facilitating change within individuals and communities. As their practice facilitators need to identify any challenges and work with the communities to look at ways of solving these problems together. This then requires first for the facilitator to find out why these challenges or problems come about in the first place. Theories are designed to understand human development, identity and approaches to practice. They help turn complicated human, behavioural and social singularities into ideas that are more accessible. It can be said then that theories provide a basis for understanding and reflecting on what we do which then helps us help communities on a micro, mezzo and macro levels. This essay will look at two of the human behaviour theories and how they help us understand and work with our communities (that we as facilitators serve) better. 2. DEFINITION OF TERMS 2. 1. Theory According to (Body, 2014) â€Å"A theory is a logical system of concepts that helps to explain why something happens in a particular way and to predict outcomes†. This means that by preparing their practice on theory, this leads a facilitator to get a better understanding of his/her own task, do some goal planning and also anticipate whatever outcomes there may be. 2. 2. Community Communities are unique with regard to the people in them, place, interaction meaning. According to (Heaven, 2014) â€Å"While we traditionally think of a community as the people in a given geographical location, the word can really refer to any group sharing something in common†. This could also mean any small geographical areas from e. g. a neighbourhood, housing project or development to any community with a large geographically-defined community. 3. HUMAN BEHAVIOR THEORIESÃ'Ž 3. 1. Social Construction Social construction is influential in changing grounded theory. As a way of trying to understand the social world, social construction views knowledge as being 2 constructed (as the name suggests) instead of being created. In this theory communities are seen as alternating between both subjective and objective reality. Past theorists believed that knowledge is beliefs in which people have rational confidence, a common sense of understanding and consensual notion as to what is knowledge. Social construction came about as a way to deal with the nature of reality. It has its origins in sociology and has been linked with the modern era of qualitative research. Reality is it may be something that we are not even aware of. Things like segregation according to what gender, race and class you are a just basic examples of social construction. These things only have meaning because society gives them meaning. According to Tom Andrews (2014) â€Å"Constructionists view knowledge and truth as created not discovered by the mind and supports the view that being a realist is not inconsistent with being a constructionist†. A person can believe that concepts are constructed other than being discovered yet relate to something in the real world. This is consistent with an idea that was put out that reality is socially defined but this one referred to the subjective experience of everyday life as opposed to the objective reality of the natural world. As Steedman (2000) said, â€Å"most of what is known and most of the knowing that is done is concerned with trying to make sense of what it is to be human, as opposed to scientific knowledge†. Individuals or communities decide or rather create this reality one may then ask how this reality or knowledge emerges or how it comes to have significance for society to which social constructionists may answer as they view knowledge as being created by the interactions of individuals within society which is at the centre of social construction as a theory. Andrews (2014) believes that subjective reality is brought about by the interaction of people with their social world and with this social world influencing them it results to routines and habits. That is to say that any regularly repeated action becomes a pattern which at some point can be done without much effort needed. With time this forms a sort of store of knowledge which is passed on to future generations which is then subjective reality. 3 Society gives you and identity from birth. Our identities as people come not from the inside but from the social sphere. Conversation is the main way of maintaining, modifying and reconstructing subjective reality. It compromises notions that are shared unproblematically between the communities so much so that these notions need not be defined each time they are used in conversation and come to assume reality. 3. 2. Examples of Social Construction The most common of all social constructions is that of men and women. Men are required (by society) to have qualities such as control, efficiency, toughness and coolness under emotional distress whilst women on the other hand are said to be the fragile amongst the two with qualities such as inefficiency, emotional expressiveness, caring and mutuality. This is what society has deemed as normal over the years which is what gives the battle of Patriarchy versus Matriarchy in this modern generation. Women today believe that they are more than able to do whatever the â€Å"men† can do and sometimes do it even better. It is clear though that in society’s opinion of gender that men should hold all the power. Laura Flores (2012) is quoted as saying â€Å"Power looks sexy on men, not on women†. But this could be seen as having a double meaning. Other than the obvious meaning we get, it could also mean that women are seen as unable to learn the skills or unable to do whatever a man can do as well. Feminists have been fighting hard battles in order to change this thinking and they have succeeded in changing some people’s minds but the in the traditional societies, mostly in the rural areas this social construction of men and women is still very much evident. Men still go out to provide for the family while the women is expected to stay behind and take care of the children and the home. One other example one could use is that of the social construction of gender. This is slightly different from the previous example used. When a baby is brought into the world the first thing that the doctor will look at is the baby’s sexual category (whether they are male or female) and this is where this social construction begins. Immediately after they are classified as boy or girl the parents then fall into this shared mechanism by dressing them in colours that are â€Å"appropriate† for their gender. Flores says â€Å"the â€Å"normal† thing to do in this case would be for the 4 baby girl to be dressed in pink and the baby boys to be dressed in blue†. You don’t want to be seen as weird for dressing your baby girl in blue or your baby boy in pink, right? Society has put aside colours as some of the symbols that differentiate between boys and girls. Children will then grow like this and then start to try to be like the people who are the same gender as them, â€Å"girls should start acting like their mommy and boys act like their daddy†. Each one will be expected to dress or act in a certain way (as in the first example) but such things are what leads to stereotypes. 3. 3. Asset Based Community Approach 3. 3. 1. What is Asset Based Community Approach (ABCD)? Asset Based Community Development (ABCD) is an approach for sustainable community development. The basis of ABCD is that it believes that communities can develop themselves by recognizing and using existing but often hidden assets to create economic opportunities. It builds those already existing assets in the community and gets individuals, associations and institutions to band together to build on their assets instead of focusing on their needs. It is a naturally positive approach. A large amount of time is spent in trying to identify the assets within a particular community whether it be from individuals, institutions and associations before they are then organised to build on them to the benefit of the community as a whole. The basic key as mentioned above is to use what is already in the community. The ABC approach aims to change people’s view that their needs can only be met by an outsider (professional). When it comes to working with the community, a facilitator who applies the ABCD approach should be adamant about stepping back and letting the community figure things out for themselves. They enlist the help of associations that are within the community in terms of the community development approach and additional support. However Community driven development is mostly done by outside agencies instead of networks that exist in the community already. 3. 3. 2. Discussion on ABCD ABCD pulls out the strengths and weaknesses within a community’s shared history as a starting point for change. Out of all the assets that a community may 5 have ABCD focuses on the assets that are deep rooted in social relationships and sees them as being both evident in both formal and informal networks and associations. It believes that everyone in the community has something to offer and that no one can be said to unimportant. ABCD view individuals as being as being at the centre of it all. The residents of the community has gifts and skills which they can out on the table. These need to be recognized and noted as in community development you can’t do anything with people’s needs but only their assets. Needs are only valuable to institutions. Institutions are groups of people (usually professionals) who share a common interest out of their own choice. These could be agencies or schools etc. these institutions help the community get resources and that in turn gives them a sense of civic responsibility. In terms of assets one could include physical assets such as land, space, funds etc. as they also could be used. 3. 3. 3. How is it facilitated in communities? As mentioned above ABCD is the development of self-mobilisation for change. This development has been implemented in many communities. The task for any agency that comes into a community such as NGO’s is how to put in place this development in other communities without creating a sense of dependency. There are different methods that are facilitated by NGO’s in communities for ABCD. Methods such as Collecting stories whereby they build confidence, informal discussions and interview that also have the goal of drawing out people’s experiences. Success in this will also enable them to uncover any gifts, skills, talents and assets that people in the community may have. Mapping the capacities and assets of individuals, associations and local institutions. Mapping is more than just gathering data on the community. It is of importance that you let the community and institutions d the mapping for themselves as they build new relationships, learn more about help and talents of other community members and also see any connections between different assets. 6 CONCLUSION Understanding a community is crucial to being able to work in it. Failing to understand it will deny you credibility and make it difficult for you both to connect with community members and to negotiate the twists and turns of starting and implementing a community initiative or intervention. Social constructionism places great emphasis on everyday interactions between people and how they use language to construct their reality. It regards the social practices people engage in as the focus of enquiry. This is very similar to the focus of grounded theory but without the emphasis on language. Social constructionism that views society as existing both as objective and subjective reality is fully compatible with classical grounded theory, unlike constructionist grounded theory which takes a relativist position. The ABCD is a substitute the more known needs-based approach. Instead of focusing on what the communities do not have, ABCD looks at what they have to offer. It not only creates a chance for the community to play a part in but they also lead the community planning process. The ABCD is always successful in getting individual participation in the projects in brings to their communities. 7 REFERENCE LIST Andrews, T (2012). What is social constructionism? [ONLINE] Available at: http://groundedtheoryreview. com/2012/06/01/what-is-social-constructionism/ . [Last Accessed 26 August 2014]. Body, A. (n. d. ). Theories Used in Social Work Practice. [ONLINE] Available at: http://www. socialworkdegree. net/theories-used-in-social-work-practice/ . [Last Accessed 26 August 2014]. Cunningham, G and Mathie, A. (2002). Asset Based Community Development- An Overview. [ONLINE]. Available at: http://www. synergos.org/knowledge/o2/abcdoverview. htm . [Last Accessed 26 August 2014]. Flores, L (2012). What is social construction? [ONLINE] Available at: http://oakes. ucsc. edu/academics/Core %20Course/oakes-core-awards-2012/laura-flores. html . [Last Accessed 26 August 2014]. Hampton, C and Heaven C (n. d. ). Section 2. Understanding and Describing the Community. [ONLINE] Available at: http://ctb. ku. edu/en/table-of-contents/assessment/assessing-community-needs-a nd-resources/describe-the-community/main . [Last Accessed 26 August 2014]. Simmons staff. (n. d. ). Theories Used in Social Work Practice. [ONLINE] Available at: http://socialwork.simmons. edu/theories-used-social-work-practice/ . [Last Accessed 26 August 2014]. Steedman, P. (2000). On the relations between seeing, interpreting and knowing. London: Sage. Suttles G, D. (1972). The social construction of communities. 1st ed. Illinois: University of Chicago Press. Vance S. C. (1989). Social construction theory: problems in the history of sexuality. 1st ed. Amsterdam: An Dekker. 8 Varien M, D Potter, M. J, (2008). The Social Construction of Communities: Agency, Structure, and Identity in the Prehispanic Southwest (Archaeology in Society). 1st Ed. New York: Rowman and Littlefield publishers.

Public Health Issue: Diabetes Mellitus

Public Health Issue: Diabetes Mellitus This assignment will address the public health issue of the increasing prevalence of diabetes mellitus (diabetes) and explore links with health inequalities both nationally and locally. It will discuss the frameworks available which give guidance for standards of care for diabetes patients and their influence on diabetes care. It will then critically discuss the issue of diabetes management in relation to patient education and the ability of patients to self-manage their chronic long-term condition, evaluating both the role of both healthcare professionals and individuals in achieving the best possible healthy outcomes. It will then discuss whether all people get the same level of diabetes care, in particular focusing on people who are not able to attend GP surgeries. Public health is defined as The science and art of promoting and protecting health and wellbeing, preventing ill health and prolonging life through the organised efforts of society (Faculty of Public Health 2008). Health equality is a key element of social justice and as such justifies the government and other health agencies to work in collaboration to develop health policies which improve the publics health regardless of social class, income, gender or ethnicity through promoting healthier lifestyles and protecting them from infectious diseases and environmental hazards (Griffiths Hunter 2007). Yet many health inequalities still exist in the UK, some of which will be discussed in this paper. There are predominantly two types of diabetes mellitus (diabetes); type 1 diabetes occurs when the body does not produce any insulin and type 2 diabetes occurs when the body does not produce enough insulin to function properly or when the body cells do not react to insulin. Type 2 diabetes is the most common and accounts for around ninety five per cent of people with diabetes. If left untreated both types of diabetes can lead to further complications which include heart disease, stroke, blindness, and kidney failure (Who 2011). Life expectancy is reduced by up to 10 years in those with this type of disease (Whittaker, 2004). In the majority of cases, type 2 diabetes is treated with lifestyle changes such as eating healthier, weight loss, and increasing physical exercise (Diabetes UK, 2007b). There are currently 2.6 million people in the UK with diabetes, and it is thought up to a further 1.1 million are undiagnosed. (Diabetes UK, 2010). Other evidence suggests that approx 50% of people are not aware they have the condition, living a normal life with only mild symptoms (reference). Men are twice more likely to have undiagnosed diabetes, than women, possible because on average they tend to visit their GP less (Nursingtimes.net 2009). Diabetes is one of the most widespread chronic diseases, which is potentially life threatening. It is currently thought to be the leading 4th disease causing death in most developed countries worldwide with estimated prevalence of 285 million people. Most experts agree that more than 4 million people in the UK will have Type 2 diabetes by 2025 with potentially 5.5 million living with this chronic condition by 2030 (Diabetes UK 2010, and International Diabetes Federation (IDF)2010). These statistics are startling; type 2 diabetes is one of the biggest challenges facing the UK today with people often treated entirely by the National Health Service (NHS) who provide care for all levels of diabetes. Diabetes control is considered poor in Europe with the UK being identified as having the worst control. The reasons for this are not clearly identified. However what is clear is the potential impact on people in terms of complications and shorter lives (Liebl et al 2002). People with diabetes who have complications cost the NHS 3.5 times more than people who have no evidence of complications (IDF 2006). The NHS currently spends about 10% of its total resources on diabetes, which equates to  £286 per second. This places a significant drain on resources which will potentially rise in line with the growing prevalence of diabetes and associated complications unless alternative ways to reduce the burden of the disease can be found Diabetes.co.uk). There are many reasons for the growing prevalence of type 2 diabetes in the UK, two of the main ones being the modernisation of industrialisation and urbanisation, which has changed peoples lifestyles and eating habits and caused and escalation in obesity (Helms et al 2003). Diabetes and obesity are closely linked; eighty percent of patients diagnosed with diabetes are obese at the time of diagnosis (Diabetes UK, 2006). Kazmi and Taylor (2009) agree and say type 2 diabetes can be linked to genetics, although increased levels are more likely to be attributable to obesity resulting from a decrease in physical exercise and westernised diets. A 2008 survey highlighted the UK as having the highest obesity levels in Europe, currently 24% of adults are considered obese which tends to increase with age. (Organisation for Economic Co-operation and Development 2010). However this figure should be treated with caution as England is one of the few countries who uses actual measurements of weight and height, other countries preferring to use self reported measures. The UK has an increasing elderly population which combined with rising levels of obesity is likely to further increase type 2 diabetes prevalence(DH2010). The links between socioeconomic deprivation and ill health are well established (Yamey 1999, Acheson 1998, Chaturvedi 2004). This can be observed within the UK, as type 2 diabetes does not affect all social groups equally, it is more prevalent in people over 40, minority ethnic groups, and poor people (The National Service Framework (NSF) for Diabetes). Several studies have established people with type 2 diabetes living in deprive areas suffer higher morbidity and mortality rates than those in more affluent areas. (Roper et al 2001, Wilde et al 2008, Bachhmann 2003). However globally the links between deprivation and type 2 diabetes are less clear as there is less information available on diabetes and deprivation related outcomes. In conflict with the UK, studies in Finland, Italy and Ireland found no significant variations in different socioeconomic groups (Gnavi et al 2004, OConner 2006). Reasons which may have negated the impact on socioeconomic deprivation may have been due to differences such in the population studied, health care delivery or available treatments. Links between deprivation and type 2 diabetes appear evident in the locality of Derbyshire. All but three local areas in Derbyshire have a diabetes and obesity levels which are significantly worse than the England average (Derbyshire County Primary Care Trust (PCT) 2008). In Derbyshire there are clear significant variations in levels of deprivation, High Peak has very little deprivation, and yet Bolsover is in the 20 per cent most deprived areas in England, with thirty two per cent of people living in poverty and mortality and morbidity levels significantly worse than the England average (Bolsover District Financial Inclusion Strategy 2009). These worrying levels have triggered the Department of Health to declare Bolsover a Spearhead area for improvement (DH 2009, Derbyshire PCT 2008). Some steps have been taken in Bolsover to reduce morbidity and mortality rates by introducing healthy initiatives aimed at improving peoples life styles (Bolsover 2010). However, although morbidity and mortality rates have reduced over the last ten years they remain significantly higher than the England average (Bolsover District Financial Inclusion Strategy 2009). Derbyshire has a growing elderly population (Derbyshire PCT 2008). This together with proven links of levels of obesity rising with age would suggest a future increase in levels of diabetes. Diabetes is a national priority and Derbyshire has a higher than England average prevalence, but the local NHS strategy (2008) does not specify diabetes as a key priority. This may be a factor why Derbyshire is failing to meet its targets to reducing morbidity and mortality by ten per cent by 2010 in the poorest areas of Derbyshire (DH 2009). Frameworks and policies exist to give guidance on standards of care, improve the quality of life and life expectancy of people with diabetes and lessen the financial burden on health services. (Reference x2). In response to European influence the NHS plan (2000) set out guidance for modernising services, raising standards and moving towards patient centred care. Subsequently the NSF for Diabetes (2001) was published which outlines twelve standards of care aimed at delivering improved services and reducing inequalities over a ten year period with the ultimate vision of people suffering with diabetes receiving a world class service in the UK by 2013. This framework was followed by the NSF for Diabetes: Delivery Strategy (2003) which gives guidance on how the NSF for diabetes could be achieved. Frameworks are a useful outline for action and set out clear goals and targets, but do not address the social, economical and environmental causes of ill health or take account of available financial and staffing resources (Reference from book). The NSF for Diabetes (2001) appears to support this statement; other than retinal screening, no funding was initially made available to implement the twelve standards (Cavan 2005). The availability of this funding will have been significant in the achievement of one hundred per cent of people with diabetes now being offered this service (English National Screening Programme for Diabetic Retinopathy, 2009). It wasnt until 2004 the Quality Outcome Framework offered financial rewards to meet other targets within the NSF, for instance maintaining practiced based registers of people with diabetes, to enable primary care providers to provide proactive care (NHS 2004). Ten years on this framework is still credible and sets the gold standard of care for patients with diabetes in the UK (NICE 2000) which would seem to be an outstanding achievement. There have been significant improvements in caring for people with diabetes since it was published. However, it could be criticised that some standards are not enforceable until 2013 (NSF 2001). Numerous publications have followed the NSF for Diabetes (2001) in an attempt to give guidance for health professionals to follow (NICE 2004, NICE 2008, NICE 2009, RCN, NMC). These frameworks are not intended to work in isolation but collaborate with each other at different levels, whilst attempting to produce a quality health service (Reference). . The main reasons for the onset of diabetes and risk of further complications is due to suboptimal health relative behaviours which include little physical activity, high calorie intake and inadequacy to maintain good glucose control and it is said individuals with diabetes play a central role in determining their own health status (Clarke 2008 Reference 1). Whittaker (2004) concurs and says that much of the burden relating to care lies with individuals themselves. Patient education is seen as fundamental in the treatment of diabetes to ensure the best possible healthy outcomes for individuals (Alexander et al, 2006, Brooker Nicol 2003, Walsh, 2002). Standard 3 of the NSF for Diabetes (2001) clearly demonstrates a move away from medical care to encourage individuals to take responsibility for their own health but also places the onus on health care professionals to educate, support and empower people to enable them to effectively care for themselves. The recent Public Health Whitepap er (2010) endorses future healthcare services should focus on wellness rather than treating disease and supports empowering people to put some effort into staying well. It acknowledges healthcare services only contribute to one third of improvement made to life expectancy stating that a change in lifestyle and removing health inequalities contribute to the remaining two thirds. Giving people the skills, knowledge and tools to take control of their own health logical as people with diabetes spend an average of 3 hours per year with their healthcare professional and around 8700 hours managing themselves (Ref N3. For example there is much evidence concluding that maintaining blood glucose levels as close to normal as possible slows down the progression of long term complications and if patients can be empowered to take control of their diabetes, not only will it increase the individuals quality of life but also reduce the financial burden on the NHS. (Whittaker, 2004). (Ref: 4.1, 4.2). The Diabetes Year of Care programme (2008) has been developed to help healthcare professionals move away from a paternal approach to care planning to a more personalised approach for people with chronic long term conditions. This approach involves both healthcare professionals and patients working together to prioritise individual needs. Helmore (2009) agrees that a personalised approach to care planning which should be holistic and include the persons social circumstances, will empower patients to take a central role in their own healthcare and suggests that nurses and patients should work together to set goals the patient can work towards which would include self care and the services they will use. For example a depressed patient will not want to venture outside to exercise and comfort eating may cause them to gain weight. The priority in this case would be to deal with the patients depression. The nurse could then liaise with other community services and social care to resolve no n medical issues which would enable the patient to manage their weight and increase activities (Helmore 2009). Rollings (2010) believes nurses should take a lead role on behalf of the GP consortia as they are the ones best placed to identify the care requirements of patients with diabetes, they have experience in patient pathways and are able to co-ordinate local and professional services. The Department of Health (2010) has highlighted care planning as an area for improvement to ensure one hundred per cent of diabetic patients have individual care plans (DH 2010). Currently it is thought only sixty per of people with long-term conditions in England have an individual care plan (www.gp-patient.co.uk). Diabetes self-management education programmes (DSME) have been developed to educate and empower patients to take control of their own conditions by improving their knowledge and skills to enable them to make informed choices, self-manage and reduce any risk of complications. DSME also aims to help people to cope with physical and mental of living with diabetes (Ref 21 p 114. These programmes which should be age appropriate can be delivered to individuals or groups. (6 and 40 p 119 and 120). . (reference 7 p119). Programmes available include the Expert Patent Programme (EPP), its derivative X-PERT and Diabetes Education and Self-Management for ongoing and newly diagnosed (DESMOND) which are available in all PCTs in the country. These programmes offer the necessary information and skills to people to enable them to manage their own diabetes care and they offer the opportunity for people with diabetes to share problems and solutions on concerns they may have with on everyday living (N9) . They encourage people to find their own solutions to issues such as diet, weight management and blood glucose control, enlisting the help of diabetes professionals if needed (N9). The literature suggests this will result in well educated, motivated and empowered patients and consistently supports patient education as crucial to effective diabetes care (use many refs). Much research has taken place on the effectiveness of DSME. Some of which suggests that patients who have not participated in DSME are four times more likely to encounter major diabetes complications compared to patients who have been involved in DSME (Reference).Other evidence suggests that it is not possible to establish whether patient education is effective at promoting self-management in the long term to reduce the effects of diabetes or the onset of complications and improve the patients quality of life (reference). From studies that have taken place, it is evident that although knowledge and skills are necessary they are not sufficient on their own to ensure good diabetes control. People require ongoing support to sustain the enable them to sustain self-management and therefore the longer period of time the course run the more likelihood people will remain empowered (Ref) The majority of people in the UK are offered some form diabetes education, the bulk of which is offered at the time of diagnosis. Also the style, length, content and structure of DSME vary. Very few education programmes have been evaluated; therefore it is not conclusive which intervention strategy is the most effective for improving the control of diabetes. The America Diabetes Association suggest that as people are individuals and different methods of education suit different people, there is no one best programme, but generally programmes which incorporate both psychosocial and behaviour strategies appear to have the best outcomes. However the Healthcare commission (2006) found people in England are not being offered adequate information about their condition to facilitate effective self-management. They reported just eleven per cent of respondents had attended an educational course on how to live with diabetes and disturbingly seventeen per cent of respondents did not even know whether they had type 1 or type 2 diabetes (Reference 2 p 119). The success of DSME is dependent many variants which include the patients individual characteristics, the context of their social environment, the extent of the disease, and the patients interface with the care and education provided. Overall there is a great deal of evidence to suggest DSME is the cornerstone in effective diabetes care (NSF 2001). It is recommended that DSME is delivered by a multi-disciplinary team together with a comprehensive care plan (reference 1). Experts agree that effective management of diabetes mellitus increases life expectancy and reduces the risk of complications (NICE Guidenance for the use of patient education models of diabetes Referece 1 p 119 Changing the health related behaviours of people with diabetes has been proved to be successful in reducing or even eradicating the risk of complications (reference). Many different health promotion models of exist which can help a patient to digest health promotion advise and want to change their health related behaviours (Kawachi 2002). Health promotion models are useful tools to assist with this process. The Stages of Change health promotion is a frequently used model for weight management as it identifies 6 stages of readiness to change which helps health professionals identify the intervention actions to recommend and support. Standard 3 has also ensured people with diabetes receive regular care (Hicks 2010), although Hillson (2009) would argue the quality of which is still open to debate. Every person with diabetes should receive the highest standards of individualised care, no matter who delivers it or where or when it is delivered. Access to specialist services should be available when required (Hillson 2009). Diabetes patients receive different standards of care depending on whether or not they can attend their doctors surgery (Knights and Platt 2005). Diabetes patients who are unable to attend the surgery are being overlooked and missed out on screening and reviews of their diabetes, consequently receiving a lower standard of care despite the NSF for Diabetes stating inequalities in provision of services should be addressed to ensure a high standard of care which meets individual patient needs.(Gadsky 1994 ,Hall 2005, Harris 2005,). Until recently the district nursing team were some of the few professionals who provided care in the home for diabetes patients and only usually had input with diabetes patients when treatment was required for a complication (Wrobel 2001). District nurses have historically been seen as generalists and able to provide care and treatment for patients with a wide range of conditions and therefore do not necessarily have specialist disease knowledge (Hale 2004). Sargant (2002) agree with this and suggests the quality and advise district nurses give to diabetic patients is questionable as they dont have the in-depth level of knowledge in relation to diabetes. In recognition of the inconsistency of care being provided to patients with chronic illnesses in their own homes, the role of Community Matron was introduced in 2004 to ensure patients with diabetes receive the first class service advocated by the Department of Health (1999) and the NHS PLAN (2000) by managing their all encompassing care requirements and help patients effectively manage their long term conditions which in theory should result in reduce hospital admissions. (NHS Improvement Plan 2004). However a study conducted by Gravelle et al (2006) would suggest the Community Matron role has not been effective in reducing hospital admissions. Forbes et al (2004) concurs that district nurses, given the time and with the right training could extend their roles and satisfactory undertake appropriate care for housebound people with diabetes. However Brookes (2002) suggests training and resources are big issues and Harris (2005) says that district nurses may not be fulfilling their Professional Code of Conduct by failing to care sufficiently for this group of patients (Nursing and Midwifery Council 2008). The growing prevalence of diabetes and the drain on NHS resources continues to be a concern for the UK, in terms of life quality and life expectancy of patients. Many health inequalities exist for people with diabetes; there are proven links with obesity and deprivation; and diabetes care provided is not equal for all patients. Patients who are able to attend their GP surgery receive better care than those who are housebound, although this inequality is being addressed and care is improving. The NSF for Diabetes is a useful framework for healthcare professionals to follow when providing care for people with diabetes. The quality of diabetes care has improved since this framework has been introduced. However, the implementation of some recommendations has been slow and will not be complete until 2013. Patient education is paramount to successful diabetes control and there appears no doubt that the key to successfully slowing the onset of diabetes and the recognised associated complica tions is to engage patients in DSME.

Ancient Greece :: Ancient Greece Essays fc

Ancient Greece   Ã‚  Ã‚  Ã‚  Ã‚  Ancient Greece is a peninsula located off the Mediterranean Sea, and is surrounded by several islands.   Ã‚  Ã‚  Ã‚  Ã‚  Ancient Greece was made up of different types of government. There were two types of city states an oligarchy , which is ruled by a small group of citizens and a direct democracy ruled by the people . All citizens could make speeches and vote at the Assembly. The Council made up of 500 citizens made new laws which were debated in the Assembly . Only citizens could vote ,women , foreigners, slaves did not have the right to vote Religion and myths were very important in Greek citizens lives . They used Gods and Goddess to explain things which happened in science and everyday life . They built temples to honor their Gods and Goddess and held the Olympics in honor of the king of the gods Zeus . The Parthenon was a temple built to honor the Goddess Athena . The people believed the Gods and Goddess would favor you if you gave them offerings such as gold ,silver ,and the fruit of the harvest .A few of the Gods and Goddess were Zeus king of the gods ,Athena Goddess of wisdom, warfare, and the city , Apollo , god of the sun , light ,truth , music and , prophecy , Hades brother of Zeus and king of the under world and afterlife , and Poseidon, ruler of the seas . All of the gods and goddess lived at Mount Olympus the highest mountain in Greece . The Greeks had many occupations , traders , merchants , architects , philosophers, dramatists , sculptors , doctors , poets , astronomers and , physicists however ; each citizen protected the city state . Every citizen had a duty to defend the state as a hoplite, which is a heavily equipped warrior .They operated in a large rectangular formation of thousands of men all equal in rank .   Ã‚  Ã‚  Ã‚  Ã‚  The Greeks influenced the way we live today .The educated Greeks wanted explanations for the world and things around them . they made observations and came up with theories . These people were known as philosophers which means â€Å"the love of wisdom † Socrates , Plato , and Aristotle were famous philosophers .   Ã‚  Ã‚  Ã‚  Ã‚  Hippocrates is known as the father of medicines today doctors take the Hippocratic Oath , †named after him , which requires them to act ethically and morally . Anaxagras , an astronomer explained that a solar eclipse is caused by the moon passing between the earth and the sun blocking out the suns light .