Domestic Violence And Its Effects On Children - 1694 Words

Domestic violence involves and affects all the family women in general including pregnant women, men, children, including children with special needs, adolescents, teenagers, and even the animals are abused by humans. There is no way to stop or control domestic violence. It involves physical abuse by both men and women, hitting with objects and even when you push someone is an act of violence or abuse, when you hit your child is an act of abuse. The most affected in the family are the children because they are too young to understand certain things that happen in life. Domestic also depends or varies because of family culture, background, and the experiences that some people have had in the past in their house and in the communities in†¦show more content†¦Only few women report it to the police and make justice because they know that their life and their children life if they have any is more important than the love they can feel for their partner. That’s the reason w hy violence against women will never end. If all women decided to talk and report all the cases of violence against women, the government will take care of this matter and put all this abusive people in jail. Domestic Violence 2 Men abuse of women because of many reasons, some of them are just violent because of her family background, others because the enjoy doing it, because of jealously if they see their girl talking to somebody else as friend they already admit that is cheating and hit their partner. The alcohol and drugs play a big role on domestic violence this is another reason why men abuse of their partner, but in this case is because they can’t control themselves when they are under the effects of alcohol or drugs they get violent and the alcohol don’t let them think. It is estimated that millions of women are terrorized by their partner and some cases by other men. Men are also witness domestic violence by women, including homosexual and heterosexual relationships, domestic violence in same sex partners are very commons now days. Violence against, men is not that common as against women but it still happens in many forms in our society. Some women wants to control the men in all the aspect, they think that men have to do what they want all the

Tobacco Of Tobacco And Tobacco - 1406 Words

The younger the individual when they initially start smoking, the greater the possibility of addiction and becoming a lifelong smoker (King, 2015). Tobacco addiction is an issue the United States is struggling with, partially due to the fact that 90% of adult smokers began before or by the age of 18 (Ahmad, 2015). Researchers believe that since younger people become easily addicted to tobacco and older people have an easier time quitting tobacco product use, raising the minimum age for tobacco sales could prevent this addiction from spreading (Ahmad, 2015). Public opinion about tobacco use, the Tobacco 21 bill, California’s computer model, retail, and the comparison in impact between alcohol and tobacco purchasing ages are all considered†¦show more content†¦The state hopes to accomplish this through their Tobacco 21 bill, but they worry about compliances with the retailers of tobacco products. In order to ensure compliance, the State Department of Health Services i n California will conduct 4 random checks annually at tobacco outlets (Ahmad, 2015). There are an estimated 73,700 tobacco selling outlets in California which means there will be a total of 294,800 inspections per year (Ahmad, 2015). To help support the Tobacco 21 bill, the government of California has developed an elaborate computer model. The model calculates the possibilities if the legal tobacco age was raised from 18 to 21 while including multiple aspects in the consideration of the results presented by the model. The model presents drastic changes in smokers of all different age categories over a fifty year span (Ahmad, 2015). The 14-17 year old category is estimated to drop from 15.4% to 2.4%, the 18- 20 year old category could drop from 16.8% to 7.9%, and the 21 and older category could drop from 16.7% to 12.6%. The model also presented the results for the legal age being increased to 19 or 20, and while those results proved that the prevalence dropped, it is not as drastic as if the age were raised to 21. This proves that the age gap between 21 year olds and underage tobacco users is significant enough to reduce the start of use and

Attitude Toward Elderly Free Essays

Old Age Attitudes towards Older People Attitudes and treatment towards elderly people can be said to vary drastically across cultures. From Europe, Asia, the Middle East, the America’s, Africa and Australia, the attitudes expressed by the community towards older people are very different when compared to one another. 1. We will write a custom essay sample on Attitude Toward Elderly or any similar topic only for you Order Now In the 1960s, Robert Butler coined the phrase ageism, which he defined as: â€Å"A process of systematic stereotyping of and discrimination against people because they are old, just as racism and sexism accomplish this with skin color and gender. Old people are categorized as senile, rigid in thought and manner, old-fashioned in morality and skills . . . . Ageism allows the younger generations to see older people as different from themselves; thus they subtly cease to identify with their elders as human beings . . . â€Å". People of older age who were once respected and admired are now being dehumanized and being categorized as â€Å"undesirables†. People looked up to them as someone who have been around the block a couple more times and therefore they held a certain level of knowledge in their life banks that society thought of as useful. Society has robbed them of those life banks now and is holding them hostage in â€Å"homes†. Instead of grandchildren getting to enjoy stories of war, love, life, and experiences from their grandparents around the dinner table they are subject to visiting them in retirement homes. Those same people who took care of the new society and gave up so much to raise them are now being â€Å"punished† for aging and al the affects that come along with it. People use to hold doors open, do lawn work, fix things, anything they could to help and show respect for their elders who were incapable of doing such for themselves. Now-a-days those people have turned their cheeks on elders and just throw them in a retirement home to make it easier on themselves. However there is a town in New York that is reviving the respect owed to all elders. 2. The community was built on the backs of our seniors,† said Melissa Lee of the Coalition for the Improvement of Bedford-Stuyvesant, which is in charge of the program. â€Å"It’s important that now they reap the fruits of their labors and are able to age in place. † Treating older people as if they are completely useless and incompetent is not only demoralizing them but it is also dehumanizing them. Not only are people handing over the well being of their parents/grandparents/ect. over to a caregiver, but they are not putting in effort to see who some of these care givers truly are. They bully them by: withholding medication from or overmedicating the elderly person, keeping the elderly person in unclean living quarters, not maintaining the elderly person’s physical appearance, sexual abuse, preventing the elderly person from having any or meaningful contact with his or her family, neighbors, or the public, psychological abuse which includes name-calling or a systematic plan to dehumanize the elderly person and make him or her more dependent upon the caregiver, the caregiver prompting the elderly person to answer questions and putting words in the elderly person’s mouth. . Before the early 1980s, there was little, if any, reference made to elder abuse in literature that did address family violence. However, as the years pass, more and more studies have been made, and research conducted on this subject. In 1990, the information of two incidence studies and their results was released, which revealed shocking statistics: anywhere between 1. 6 million and 2 million Americans considered elderly were abuse victims each year. Some of this abuse occurred in the family home; some in institutions. In 2003, the Elder Justice Act was implemented. The neglect and shame put upon the elderly has reached such a peak that they are now the â€Å"undesirables† among society. Set aside and cast away from the new age society, elders have become invisible to today’s youth. Elders are seen to have no purpose or abilities left, which makes them completely and utterly useless to society. Therefore society continues to go on and change leaving elders where they are and not doing things to improve their lives. Stories making headlines such as 4. â€Å"To Be Elderly And Unwanted In Mohegan Lake† show the shameful act of some communities to rid of their elderly. shameful story of how a respected local nonprofit group has tried to winterize four summer cottages to house eight elderly poor people – and how neighbors and town officials have fought them so that the case has dragged on three years. † These kinds of stories are too often seen and there is a heightening need for young people to come down a few level s and see their elders and respect who they are. The scarce respect that is left for elders is rapidly being taken over by dehumanizing and demoralizing traits. Instead of just sitting and talking or oing to play games with all of the people of old age in society, the new age people of society decide to take the elders to â€Å"homes† that will do it for them. However society is not looking long term, they are only looking at instant gratification moves. In twenty to thirty years when this society becomes the elders karma is going to come back and have some harsh payback to hand them. The only thing to be done to stop this awful cycle would be to start respecting, admiring and helping out the old age of today because nobody stays young forever. Works Citied The New York Times. The New York Times. Web. 27 Apr. 012. . Elizabeth, Jessica Anne. â€Å"The Elderly Abuse Prevention Act. † EHow. Demand Media, 21 July 2009. Web. 27 Apr. 2012. . â€Å"Respect Your Elders: Bed-S tuy Launches an ‘AgingA Improvement District’A . † NY Daily News. Web. 27 Apr. 2012. http://www. nydailynews. com/new-york/brooklyn/respect-elders-bed-stuy-launches-aging-improvement-district-article-1. 1067380? localLinksEnabled. â€Å"Sonnet 127: In the Old Age Black Was Not Counted Fair – Poem by William Shakespeare. † Famous Poets and Poems. Web. 27 Apr. 2012. . â€Å"Why Has the Elderly Lost Society’s Respect? † HubPages. Web. 27 Apr. 2012. . Old Age Formal Outline I. Attitudes and treatment towards elderly people can be said to vary drastically across cultures. From Europe, Asia, the Middle East, the America’s, Africa and Australia, the attitudes expressed by the community towards older people are very different when compared to one another. 1. In the 1960s, Robert Butler coined the phrase ageism, which he defined as: â€Å"A process of systematic stereotyping of and discrimination against people because they are old, just as racism and sexism accomplish this with skin color and gender. Old people are categorized as senile, rigid in thought and manner, old-fashioned in morality and skills . . . Ageism allows the younger generations to see older people as different from themselves; thus they subtly cease to identify with their elders as human beings . . . â€Å". People of older age who were once respected and admired are now being dehumanized and being categorized as â€Å"undesirables†. II. People looked up to them as someone who have been around the block a couple more times and therefore they held a certain level of knowledge in their life banks that society thought of as useful. A) Robbed of cherished memories with grandchildren. 1. being placed in â€Å"homes† 2. unable to see family B) Going from being honored to abandoned by all. III. Treating older people as if they are completely useless and incompetent is not only demoralizing them but it is also dehumanizing them. A) Caregivers bullying elders. 1. withholding medicine, keeping away from family 2. calling names, planting mental attacks on them. B) Elder abuse on a rise. 1. 1980 almost unheard of 2. 1990 research shows shocking high results of abuse 3. 2003 Elder Justice Act put to work IV. The neglect and shame put upon the elderly has reached such a peak that they are now the â€Å"undesirables† among society. A) Cast aside from society 1. invisible to younger society 2. left in the dust of new age change B) Fought to be kept hidden 1. neighbors don’t want them 2. court cases filed to keep away 3. numerous stories making headlines suggesting the â€Å"unwanted† C) Society steps down to analyze what needs to change. V. The scarce respect that is left for elders is rapidly being taken over by dehumanizing and demoralizing traits. Instead of just sitting and talking or going to play games with all of the people of old age in society, the new age people of society decide to take the elders to â€Å"homes† that will do it for them. However society is not looking long term, they are only looking at instant gratification moves. In twenty to thirty years when this society becomes the elders karma is going to come back and have some harsh payback to hand them. The only thing to be done to stop this awful cycle would be to start respecting, admiring and helping out the old age of today because nobody stays young forever. Sonnet 127: In the old age black was not counted fair by William Shakespeare In the old age black was not counted fair, Or if it were, it bore not beauty’s name; But now is black beauty’s successive heir, And beauty slandered with a bastard shame. For since each hand hath put on nature’s power, Fairing the foul with art’s false borrowed face, Sweet beauty hath no name no holy bower, But is profaned, if not lives in disgrace. Therefore my mistress’ eyes are raven black, Her eyes so suited, and they mourners seem, At such who, not born fair no beauty lack, Sland’ring creation with a false esteem. Yet so they mourn, becoming of their woe, That every tongue says beauty should look so. How to cite Attitude Toward Elderly, Papers

Evidence Based Practice and Nursing Research

Questions: 1. Analysis of key elements of the article? 2. Potential impact of the article on clinical practice? Answers: Introduction: Many instances of infection at the health care settings due to Clostridium difficle is evident through researches. This research highlights the hypervirulent strain of C. difficile BI/NAP/27 and its association with the incurrence of Clostridium difficle infection (CDI) and its recurrence. It also points to the incidence of adverse health outcomes as increased toxin production and diarrhea. This study identifies the high cost of over $13,000/relapse of RCDI (recurrence CDI) in hospital patients. As per the declaration of the IDSA (Infectious Diseases Society of America), a major emphasis is put on recognizing an effective treatment for RCDI immediately. Through an extensive study of the various eminent treatments prevailing in this context, the current article intends to present a clear and in-depth idea of the most effective treatment to be used for RCDI among all. 1. Analysis of key elements of the article: Treatment approaches and their effectiveness- The 8 methods of treatment approaches identified in this article are extensively evaluated for their efficacy in preventing any further Clostridium difficile infection. Around 1/3rd of the patient reveals the recurrence of a Clostridium difficile infection (CDI). A highly considerable recurrence CDI (RCDI) shows close association with high rate of morbidity, expense and mortality (Gough, Shaikh Manges, 2011). However, through the systematic review conducted on the 64 selected articles it is evident that the lack of extensive examination regarding the treatment of RCDI. The drugs identified in this article that proves effective for treating CDI include Metronidazole, rifampin, vancomycin, probiotics, fidaxomicin, fecal bacteriotherapy, immunoglobins and nitazoxanide. The article highlights the efficacy of Vancomycin and metronidazole are similar for treating RCDI. However, the efficacy of Fidaxomicin is found to be more effective than the earlier two medicines. A high level of effica cy is revealed by the Fecal bacteriotherapy (FBT) as well. Search strategy- Electronic databases such as CINAHL, Cochrane Review Database, EMBASE and MEDLINE are searched to select the most appropriate research articles on the topic of RCDI treatment. As opined by Wenisch et al. (2012), the adoption of a suitable inclusion and exclusion criteria enable the correct selection of materials to study. This systematic review depicts inclusion criteria of human trials and reports identifying results for a particular intervention application. Relevance of the criteria with PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement increases the efficacy and reliability of the search strategy. The specific data considered to select the articles for the review are of vital significance to ensure that the review covers a wide range of information related to the topic. Treatment interventions- Vancomycin: This drug depicted efficiency in treating RCDI with pulsing or tapered doses in small studies or subgroups. Moderate evidence supporting its efficacy is present in the study. With considerable variability in dose and duration of the RCDI, vancomycin stands as the standard of care for treatment of RCDI currently. However, its comparative study with metronidazole shows the latters efficacy slightly higher than vancomycin (OHoro et al. 2014). Metronidazole: The study of large RCTs with metronidazole treatment revealed high efficacy in initial response. However, it fails with the new strain of BI/NAPI/027 C. difficile thus restricting its use after a first recurrence. As conveyed by Lo Vecchio Zacur (2012), it risks the accumulation of neurotoxic metabolites. Immunoglobulins: Monoclonal immunoglobulin treatments reveal high (80%) initial response to RCDI prevention. Oral immunoglobulin treatment is more effective with promising outcome potential. However, its expense is still higher than vancomycin thus giving the latter a higher preference (Drekonja et al. 2011). Probiotics: These seem to be highly effective in recolonization of colon preventing pathogenic invasion from C. difficile. It works in preventive manner and proves beneficial in treating RCDI in many cases. The study identifies species providing probiotic formulations. They include Enterococcus faecium, Saccharomyces boulardii, Lactobacillus spp. and Bifidobacteria spp. The S. boulardii is the only one showing moderate evidence of its efficacy in treating RCDI. The others lack sufficient support data. Fecal bacteriotherapy (FBT): It is a highly efficient treatment option for RCDI since a long time. Studies reveal its efficacy over vancomycin use. With an initial response rate of 81% and subsequent rate of 94%, the FBT provides sufficient evidence to support its effectiveness in treating RCDI. However, this intervention bears the concerning risk of gastrointestinal bleeding from the nasogastric tube placement (Jorup-Ronstrom et al. 2012). Other antibiotics: Other antibiotics as nitazoxanide, an anti-parasitic agent depicted safe and well-tolerated initial response as metronidazole. Rifaximin also shows similar response rate. Fidaxomicin showed very high response rate at 93% initially overcoming the efficiency of vancomycin. However, its higher expensiveness puts vancomycin on a more preferable option. 2. Potential impact of the article on clinical practice: This study highlights the limitations in the number of treatment approaches to avail for RCDI prevention and cure. It however, asserts the effect of the RCDI on patients due to the health concerns and the high expense of the available treatment methods. With a moderate amount of support evidence for the treatment options for RCDI the study identifies the immense need of researches to be conducted on the treatments to derive higher evidential support for their efficacy and risks. As put forward by Ghantoji et al. (2010), the clinical practice regarding any treatment option for a disease needs to have a sound evidence and information regarding the significant aspects as its doses, concerns, methods to deal with any complications and effectiveness criteria. This study highlights the relevant dosing regimen present for the interventions with identified medicines, concerns associated and the areas that need research for improvement. By identifying the weak and strong areas of the interven tions for RCDI this article seems to drive the clinical practice towards a better, relevant and more effective standard. Going through the study of the article, a limited range of available treatments for RCDI is recognized. The treatment approaches of RCDI with oral metronidazole and oral vancomycin showed consistent efficiency to cure the infection clinically. As asserted by Mezoff et al. (2011), the evidence for proper dosing regimen of a drug is highly essential for its application towards an effective treatment outcome. However, the identification of the lack of proper evidence for the optimal dosing regimens for these drugs is a major issue in RCDI treatment. It drives the clinical practice sector of the healthcare system to put higher emphasis on identifying the optimal dosing regimen for the drugs to treat RCDI. This review points out a lack of research regarding the intravenous metronidazole therapy for treating RCDI. The clinical professionals can opt for this technique to identify its effectiveness in the clinical practice. The study identifies the maximal use of fidaxomycin in primary RCDI treatments. However, a lack of parameters to ensure appropriate use is identified. This study exerts a higher focus on examining the effect of nitazoxanide and deriving better quality evidence for its use in RCDI treatment. A lesser research on the application of non-antimicrobial treatment options is evident thus, driving the clinical professionals to put stress on evaluating its efficacy for RCDI treatment (Rohlke et al. 2010). The study is efficient in identifying one treatment intervention with high quality evidence for its effectiveness. It is the use of S. boulardii as an adjunctive therapy in combination with high dose of Vancomycin. A scope for future research in the identification of efficacy of monoclonal and oral immunoglobulin for treating RCDI is evidence in this study. It encourages the clinical practice professionals to work towards identifying the effectiveness of this immunoglobulin (Abougergi Kwon, 2011). The study is able to identify the high (89%) success rate of FBT in treating RCDI. The clinical practice can be highly improved with these information and enable a more effective treatment of RCDI patients. The current study identifies the most effective clinical approach to apply for treating RCDI as initially removing the infection triggering antibiotics, followed by drugs as vancomycin or metronidazole in combination with adjuvant probiotics. Fidaxomicin can also be used considering the expense factors. Finally, a FBT is effective. Although not examined but this study mentions two more interventions as colonic irrigation and tigecycline with success reports but inadequacy of sufficient support data. The clinical practice system can employ to examine these interventions more precisely to identify their efficacy. The study also highlights the Antimicrobial stewardship programs to prevent CDI. It thus presents the ways to improve the treatment and healthcare services efficacy regarding treating patients with CDI and RCDI. The study provides eminent and effective steps to adopt for the clinical practice to improve its efficiency in the context of RCDI treatment. Conclusion: The current study thus highlights efficient treatment options available for RCDI patients with identification of vancomycin, metronidazole and FBT as the most effective ones to use. It recognizes the lack of sufficient data regarding efficacy of other drugs and treatment options as nitazoxanide, non-antimicrobial treatment options and intravenous metronidazole therapy. It also points out the potential treatment interventions as monoclonal and oral immunoglobulins use with high success rate and adopting antimicrobial stewardship programs to prevent RCDI. It thus efficiently provides adequate scopes of future research and improvement in the clinical practice for treating RCDI with effective interventions. Reference Abougergi, M. S., Kwon, J. H. (2011). Intravenous immunoglobulin for the treatment of Clostridium difficile infection: a review.Digestive diseases and sciences,56(1), 19-26. Drekonja DM, Butler M, MacDonald R, Bliss D, Filice GA, Rector TS, et al. (2011) Comparative effectiveness of Clostridium difficile treatments: a systematic review. Ann Intern Med, 155:83947 Ghantoji SS, Sail K, Lairson DR, DuPont HL, Garey KW (2010) Economic healthcare costs of Clostridium difficile infection: a systematic review. J Hosp Infect. 74, pp.30918 Gough, E., Shaikh, H., Manges, A. R. (2011). Systematic review of intestinal microbiota transplantation (fecal bacteriotherapy) for recurrent Clostridium difficile infection.Clinical infectious diseases,53(10), 994-1002 Jorup-Ronstrom C, Hakanson A, Sandell S, Edvinsson O, Midtvedt T, Persson AK, et al. (2012) Fecal transplant against relapsing Clostridium difficile-associated diarrhea in 32 patients. Scand J Gastroenterol. 47, pp. 54852. doi:10.3109/00365521.2012. 672587. Lo Vecchio A Zacur GM. (2012) Clostridium difficile infection: an update on epidemiology, risk factors, and therapeutic options. Curr Opin Gastroenterol. 28, pp.19 Mezoff E, Mann EA, Hart KW, Lindsell CJ, Cohen MB. (2011) Clostridium difficile infection and treatment in the pediatric inflammatory bowel disease population. J Pediatr Gastroenterol Nutr. 52, pp.43741. OHoro , J. C. Jindai, K. Kunzer B. Safdar, N. (2014) Treatment of recurrent Clostridium difficile infection: a systematic review, Infection (2014) 42:4359, DOI 10.1007/s15010-013-0496-x Rohlke F, Surawicz CM, Stollman N. (2010) Fecal flora reconstitution for recurrent Clostridium difficile infection: results and methodology. J Clin Gastroenterol. 44, pp. 56770. Wenisch JM, Schmid D, Tucek G, Kuo HW, Allerberger F, Michl V, et al. (2012) A prospective cohort study on hospital mortality due to Clostridium difficile infection. Infection. 40, pp. 47984. doi:10.1007/s15010-012-0258-1.