The Relationship Between Individuals And Their Environment Social Work Essay

The Relationship Between Individuals And Their Environment Social Work Essay Health visiting is governed by four principles which are the search for health needs, the stimulation of awareness for health needs, raise awareness of health needs and the influence on policy affecting health (). Performing a holistic Health needs assessment is a fundamental part of health visiting. The assessment process is one of the principles set out in the standards of proficiency for Specialist Community Public Health Nurses (Nursing and Midwifery Council, 2004). Wright (1998) explains assessment of health needs is not a process of relying on personal experience or listening to clients, but is a systematic method of recognising health needs that are unmet and making changes by encouraging clients to meet these unmet needs. Using a model or a framework is a systematic method of collecting information allowing a clear identification of problems or needs that need to be addressed. Such framework would also go on to guide the planning and implementation of interventions required to meet the priorities for individuals and families. The framework taken from system one, Child Individuals needs assessment was used to perform an assessment. System one is a computer system used in the authors practice area to record patient information. The Child individual needs assessment has been developed from the Framework for the Assessment of Children in Need and their Families (DoH, 2000). This assessment framework supported the shift in policy from one that focused on abuse and significant harm to an assessment that adopted a broader view of childrens needs and wellbeing and identified impairment in terms of developmental need (Cowley, 2008). Consent has been gained to use the information. In accordance with the Nursing and Midwifery Council (NMC) The Code (2008), and to protect confidentiality the names mentioned will remain anonymous. This case study focuses on a mother, Jody who is a single parent of three children. Due to the current demands on the Health Visiting team an antenatal contact visit had not been done. The Health Visiting team had been notified about the birth of baby Harrington and therefore this was a planned home birth visit at 14 days. Health visitors have core contacts they make with families as part of the Health Child Programme () and one them is an antenatal contact. This contact allows health visitors to establish a relationship with families and identify their need. Cowley (2008) states visiting clients in their homes allow health professionals to identify a families area of need and then target services appropriately for their need. However research has demonstrated an antenatal contact is useful to in helping health professionals to identify the risk and resilience factors and create a therapeutic relationship with the client which is necessary for the delivery of future services (Puura et al, 2002, Robert et al, 2002). Recommendations made recently suggest any preventative strategies need to be initiated in the antenatal period (Cowley, 2008). Coles et al () explains a starting point for assessing individuals needs is to analyse whether the need is normative which is defined by professionals, felt need which is defined by the client, expressed need when a felt need become a demand and comparative needs when comparing to others around them and fall short of the established standard. Wills (2007) explains it is important to consider that needs will be thought of differently depending on who is being consulted. The assessment covered Economic Wellbeing Observations which included residence and accommodation status as this can impact on a child. Jody living in a third floor council flat with three children, explained that she would like more space as the flat had two bedrooms with a living room she thought was not big enough. She explained the first bedroom was where she slept and would now have baby Harrington with her in the room. The second bedroom which was small, had a bunk bed and had no room to play in was shared by her eldest daughter Rosie, eleven years old and her younger daughter Ella four years old. The early life environment of a child shapes their life course and in turn can have an effect on their health status over a course of time (Wills, 2007). Housing is an environment where children spend most of their time in the first few years of life therefore require adequate space to live and sleep in. Good quality homes are important for the health and well-being of adults as well as children (). A childs development and wellbeing is shaped by factors such as family characteristics and the social, economic and physical environments in which they are raised. Poor housing environments and overcrowding can have significant impact on childrens physical and mental health as well as emotional and cognitive development (Marsh et al, 1999). The House of Commons () explains overcrowding as having too many people in one room or a room that is not an adequate size. Living in an overcrowded house has found to be linked with ill health costing the NHS approximately 600 million a year (House of Parliament, 2011). Research suggests that poor housing and overcrowding can have a physical impact on a childs healthy development leading to increased risk of asthma, respiratory distress, anxiety as well as lead to accident and injury. Adequate sleep, nutrition and exercise also contribute to a childs healthy physical functioning. Jody revealed she had visited the GP several times in the course of three months complaining that Ella had recurrent chest infections, and taken baby Harrington to the GP the day before as she felt he was having difficulty breathing. Jody went on to say that the bedrooms were showing signs of damp and she had reported this to the housing company and was yet to come out review this. Jody saw the need for mor e housing space as an expressed need as she wanted more living space for herself and children to play in. The housing report (2012) states the latest data found that the number of people living in overcrowded conditions continues to rise, as in 2009 2010 there were 630,000 in overcrowded housing which has risen to 655,000 in 2010 2011. The assessment revealed Jody had no extended family support as her family live in the south of England therefore are far to offer consistent support. Jody had moved to the area over eight months ago following the breakdown of her relationship. The father had left the family due to drinking habits and since the family had struggled to make ends meet. Jody is in receipt of benefits and has not made many friends in the area. Parents are an essential part of a childs development and require support to enable them to provide the right environment. Jody appears to be socially isolated, Armstrong (2002) articulates social isolation can occur when there is a lack of family and peer support. With the lack of this support Jody had it indicated that she had a risk of developing postnatal depression which can have detrimental effects on baby Harrington and her elder two daughters (Bee and Boyd, 2009). Honey, Bennett and Morga (2002) suggest research indicates postnatal depression can hinder a mothers ability to look after the child as well as affect the relationship between mother and child. This can cause problems in the childs emotional and cognitive development. Jody revealed since she had come home from the hospital she had a few teary moments but now felt fine, and also said she had postnatal depression following the birth of Ella. The author planned another visit which would be in a fortnight. This visit wo uld include an assessment of postnatal depression which is carried out at four to six weeks in the practice area. A tool called the Edinburgh postnatal depression scale would be used, which is a ten question self report questionnaire designed by Cox, Holden and sagovsky (1987). (ADD STRENGTHS/ WEAKNESSES OF TOOL?) Meredith and Noller (2003) proposed maternal depression increases the risk of difficult attachment with the infant, developmental, social problems and may lead to suicide. Baby Harrington being 14 days old was in the infancy stage of lifespan development. During infancy a baby will change physically more than any other stage of their life (Bee et al, 2009). Early childhood is consequently the most crucial and vulnerable period of brain development during lifespan. The start of Baby Harringtons life will lay the foundations of good health and well being for later years. Therefore what happens during pregnancy and the early years of life lays the foundations for future development of cognitive, language, physical, emotional, behavioural and social. Language and cognitive development is important during the first six months to three years of life. Sheridan (2008) proposes stimulation, warmth and positive parenting from parents during the early years is vital for the infant to gain maximum growth in the brain. The brain is increasingly sensitive to the influences of the external environment during early childhood. A child in an environment with increased s timulation will mean a child will learn and develop more. A child in an environment with less stimulating, emotionally and physically supportive, development of the brain is affected leading to cognitive, social and behavioural delays. High levels of stress during early childhood increases the risk of learning problems and stress related disease in to the adult years of life. The author found support to be a normative need for Jody, as a supported family environment is a fundamental component in raising a child. Jodys perception was that she was coping with the current situation and did not need support from family or friends as she felt she would be judged by them for not being a good parent to her children. Income was another factor identified through the assessment. The low income was a felt need for Jody as she said her parents were helping her financially. The author saw that having adequate income as a normative need in order to provide the children as well as Jody herself adequate healthy nutrition and a healthy future of well being. A newborn baby can increase expenditure on a family. This may cause Jody stress as it is an increase on feeding another child, Health in the UK is strongly associated with income and is a key determinant of health (Naidoo,). Naidoo () explains having a low income can affect children and adults health directly; this can be due to not having enough to eat or enough to buy a healthy diet. Research suggests obesity in low income families to be linked (). Jody does not drive therefore finds it difficult at times to access the larger supermarkets and is reliant on her local grocery store which can have limited choice and be more expensive. Mostyn et al (2011) suggest if money is an issue parents will feed children food they know they will be likely to eat to avoid wastage. Obesity in children can lead to health problems later in life such as heart disease and diabetes (). Living with a low income can also cause multiple stresses such as lead to parents worrying about their future well being of their children (). Children who live in families in poverty with a low income are also at an increased risk of lower academic achievement (). Jody revealed that she would start looking for employment in the area. Naidoo et al () states individuals who are unemployed are at a greater risk of ill health and mortality. Neumans systems model is a theory based on the importance of an individuals wellness in relation to stress and their reaction to these stressors. Neuman defines stressors as any condition or situation that cause an alteration in the individuals normal state of wellness. The stressors are determined by variables affecting the client system; physiological condition, developmental status, sociocultural influences, cognitive skills and spirituality. The model proposes a continuum of wellness to illness, with the focus on the individuals continuum being influenced by the interaction they may have with a variable and the stressors they encounter. Neuman identified environment that surrounds an individual at any given time can affect their well being. Environment and the individual Clients are influenced by environmental factors The role of the health professional is to focus on the stressors and keep the stressors and the stress response from having a detrimental effect on the individual. This is done through three levels of prevention. Firstly primary prevention is protecting client wellness through prevention and reducing the possibility of an encounter with a stressor as a reaction to the stressor has not yet occurred. This is done by strengthening the individuals line of defence. Secondary prevention is treating symptoms to stabilize the individuals system by strengthening the internal line of resistance reducing the reaction to the stressor. Tertiary prevention focuses on educating an individual to prevent a reoccurrence of an stress response to the stressor through strengthening resistance to these stressors. Jodys environment was a stressor for her as it was affecting her and her children as they did not have enough space to live in and the children did not have space to play. According to neumans model this will affect jodys stability and The absence of ill health and disease is not solely dependent on health. Robinson et al (1996) explains this as only one determinant of health. Health is the state of an individuals optimal well being (WHO,). There are wider determinants of health. Factors such housing, having a safe physical environment, lifestyle, health beliefs, cultural norms, education, socio economic factors employment, emotional and mental state of an individual affects health (). The author found the child assessment to be holistic. Assessing infant development holistically has never been so important (Cowley, 2008). Robinson (2010) purposes having this holistic approach of assessment allows an understanding of a child within the context of their family, community and culture in which they grow up in. Cowley et al () suggests that the framework should not be used as a checklist to assess needs. A needs assessment should include a client centred approach. The framework used for the holistic assessment did not consider the cultural beliefs of an individual or have space were their beliefs could be recorded. There were no prompts of what information was required if an individual had low income or housing that was not adequate. Apply neuman and weaknesses and strength of model! Marmot? http://www.aifs.gov.au/institute/pubs/fm2011/fm88/fm88d.html

An Exploration of Morality and Privacy Essay

Shakespeare’s Measure for Measure is a play that is hard to like. It is stark, structured, and monotoned in dialogue and plot. The characters within the play are overwhelming disgusting specimens of humanity who are one dimension characters which seem to not be fully developed. Central character, The Duke, is a cruel and calculating leader that is more like a puppet master than a living, breathing man. He is responsible for manipulating the characters’ and free will within the play, Measure for Measure. The Duke’s actions are morally wrong. While The Duke claims his motivations are pure and he is trying to observe the governance of Vienna, there are other motives. The Duke likes to control people, by pretending to be a Friar is able to emotional rape and manipulate people and their free will. The Duke, who lives Italy, is in charge and it is his civic duty to maintain order. However, he seems unable to do so on his own. He employs the indifferent and unemotional Lord Angelo to carry out the gruesome work as punisher. The Duke, instead, decides that he should go out and mingle with his citizens. He decides to dress like and pretend to be a Friar. Lord Angelo, like many corrupt official, becomes intoxicating with power, using it for his own gain. The Duke shrugs off his duties to another individual which is obviously not trust worthy. He does this because he is lazy and is not entirely comfortable with enforcing the law. The Duke believes that he is incapable of enforcing the law himself and therefore his authority is reduced. He comments, to Thomas, â€Å"our decrees, / Dead to infliction, to themselves are dead, / And Liberty plucks Justice by the nose† (1. 3. 27-29). Thomas responds â€Å"It rested in your Grace / To unloose this tied-up Justice when you pleased† (1. 3. 31-32). It is clear that Thomas also believes that The Duke has intentionally stop doing the job he is responsible for. The Duke acknowledges Thomas’ point and explains that he wants to remain a kind leader and not one known for punishment. He states â€Å"‘Twould be my tyranny to strike and gall them / For what I bid them do; for we bid this be done / When evil deeds have their permissive pass, / And not the punishment† (1. 3. 36-39). Instead of completing his civic duties, The Duke chooses to go down to the prison and pretends to be a Friar. In pretending to be a religious figure he breaking the trust which individuals place in God and the people who are chosen to represent God. His behavior is questionable and his motives are clear — he wants to be a voyeur. He claims he wants to be closer to the people he was chosen to lead however, this is the ultimate control. The Duke is supposed to be civic minded and ethical yet he easily chooses to deceive the people, in prison, that need him, whether a Friar or a Leader, him most. As he takes people’s confessions he taunts them. For example when he speaks with Juliet who has conceived out of wedlock, his approach is callus. The Duke informs her that it is her fault the man, Claudio, she loves will be punished by Lord Angelo through execution. Then the Duke talks to Claudio, and advises him that he should just give up hope of life and seeking Juliet again and hoped he is â€Å"prepared to die† (3. 1. 4). This is followed by a long, unemotional speech about how life is not worth living and that nothing in life really matters, as way to encourage Claudius to be thankful for his early demise. The Duke is not done yet, he continues to make people believe he is a Friar and uses this power to manipulate them. The Duke becomes aware that Claudio’s sister, a virgin, has agreed to have sex with him. In doing so, Lord Angelo has agreed that Claudio will not be killed. Isabella explains the situation to her brother. However, The Duke insists on listening. He requires the prison to offer him a â€Å"concealed† (3. 1. 53) spot. Eventually, The Duke reveals himself and claims that Lord Angelo was never serious and â€Å"had never the purpose to corrupt her; only he hath made an assay of her virtue to practice his judgment with the disposition of natures† (3. 1. 161-164). Once again The Duke is manipulating the lives of the people he is supposed to protect and look after. He creates situations and causes people to react in certain ways. He is amused and satisfied with himself. The Duke then tells Claudio that his execution will happen. Then The Duke changes his mind and decides that he will sleep with Lord Angelo’s ex finance instead of Isabella. The Duke insists that this is a good thing because â€Å"the doubleness of the benefit defends the deceit from reproof† (3. 2. 262-263). The Duke’s manipulations continue when Lord Angelo demands that Claudio be executed and The Duke suggests that they should just substitute another inmate for Claudio. Even after Claudio’s live is saved, The Duke insists on telling Isabella that Claudio is dead. It is morally unacceptable that The Duke pretends to be a Friar. While The Duke claims that he is monitoring Lord Angelo’s virtue as a governorship it is clear that The Duke has his own motives in pretending and ease dropping. He believes that he has the power to a be a puppet master and pull the strings of everyone below him. If The Duke’s true motive was in measuring how well Lord Angelo is doing his job, he would have confronted him much sooner then he actually does. The Duke inflicts unnecessary harm on people for his own pleasure and feeding of his own ego.

Unit Paper

There isn't an American citizen in the world ho doesn't know of the painstaking terror that swept through the country as we witnessed the scene via the myriad of media coverage on every channel. Watching these news sources and seeing the aftermath, and watching the government response as they tried to figure out why it happened was actually detrimental to the healing process of the country. Hearing the scientists discuss how the towers fell, and listening as the government talked about how these terrorists gained access to the planes Just worked to spread more fear into the minds of the American citizens.Had the media Just gone dark, had the government Just said, â€Å"k, this happened, we need time to clean this up and discuss options, trust us,† Then the country may have been able to relax a little more. American citizen's now have some level of post- traumatic stress simply from being exposed to what was going on in real time. I will never forget the video of the people Jum ping from the buildings before their collapse, or the ash falling like snowflakes, covering everything around the city. I'll never forget the clouds of thick black smoke, and the exact moment that the towers finally elapsed.And I'll never forget the days after, and the images of the towers missing from that NYC skyline. And yet, Vive never even been to New York. The media showed every horrifying angle as things progressed, making it as though we were all standing on the roadway, gazing up at the horrors as they occurred. The news provided every view point and every option, even though 95% of them were speculative and so far from the truth. The terrorists' goal was to make the US fearful of them in order to make their point, and while they did a decent Job of that, the media Just added icing o the cake.For months afterwards, people were too afraid to fly; people were too fearful to use public transportation. This fear was Just perpetuated by the media's involvement. On the opposing e nd of the spectrum, the media can sometimes have a positive effect in minimizing the effectiveness of the terrorist attack. While flying into Boston in April of last year, I was amazed to hear the news of the city being in Lockwood. Sitting outside of Logan airport, the lack of people was eerie, and I pulled up the news on my phone to follow what was going on.The city was in Lockwood and police were requesting that people stay in their homes and off the roads to make it easier to search for the bombing suspect; a nice way of suggesting that Marshall Law was being imposed, but not exactly. The good thing about the media being involved in this was that people quickly heard that they should stay inside, which cleared the roads and made it possible for the police and government to really focus and search for Tsarina's. Would they have found him if they hadn't put the city on Lockwood?Probably, but you can't be certain, ND it was more effective to do so to ensure that he was located as q uickly as possible. Social networking is almost as bad as the media. Daily, there are posts about a child with cancer or a family whose home burned down that are asking people to like the photo. This is all misinformation and useless. Not to mention the things people post about terrorists or even the government, where you can tell that they have heard one thing and assumed the rest. That being said, social networking has a knack for escalating facts really quickly until they are more lie than truth.It's important to be informed, but when you're getting your facts from a post that's majority misinformation, it Just snowballs and leads to a bunch of confusion and panic. That's not always the case, however. Sometimes, social networking can be a fantastic tool when it comes to terrorist activity. The ability to share posts on Backbone, for example, can be an excellent tool if the police are searching for a particular suspect. A picture or description can be released, and people can spre ad it to millions of others in mere minutes.Not Just relating to terrorism, but crime in mineral, this is incredible and has been known to assist with finding many people, suspects and victims. While the media can be a useful aspect when it comes to terrorist activity, it is generally more of a hassle than an aiding tool. It's our civil right to be kept informed on the events in our country, but in times of an attack, our government should focus on responding before they should worry about letting us bystanders know what happened. A terrorist attack is performed with the objective of instilling fear in the targeted audience, and when facts are misconstrued, this is Just perpetuated.

Affirmative Action Gender Action Essay - 970 Words

Affirmative Action (ADD PROPER INTRO) Affirmative action, in its broadest sense, are attempts to help create labor and educational opportunities for groups that have been disadvantaged in the past. (Miriam Webster). Evidence has shown that throughout history, many groups have been discriminated against, and because of past (discriminations?), they continue to experience obstacles in areas of hiring, promotion, renting, buying, gaining education, and everyday economic activities. Thus, affirmative action does not refer to a specific law, but instead a set of practices and policies that aim to include stigmatized groups in preferred positions of society. (Aja Bustillo 27) Oftentimes, even in cases of legality, affirmative action is used interchangeably with preferential treatment, however, the two hold different meanings. Preferential treatment simply means that when practicing certain things (change this), one group or individual is preferred over others, an example being the use of race as a defining factor in selecting a candidate for higher education (rephrase). Affirmative action, in contrast to popular belief, can be implemented without preferential treatment. (maybe add one more sentence) History The history of affirmative Action in the United States has been an extremely turbulent one, with views for and against swaying every decade. (Swaying tho?) The Civil Rights Movement (Caps?) of the 1960s pressured many politicians to pass anti-discriminationShow MoreRelatedGender And The Board Of Education And Affirmative Action2864 Words   |  12 Pagesunderrepresented and unsuccessful in higher education. 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