Criticisms of Disability Legislation in the UK

Criticisms of Disability Legislation in the UK Do you agree that mentally ill and disabled people are the poor relatives of anti-discriminatory thought and practice? Introduction Disablism and disability The introduction of new legislation against discrimination of disabled people in 2005 marks a temporary milestone in the heated debate on appropriate legislative measures.[1] The last two decades have seen an enormous transformation of anti-discriminatory policy, theoretical and conceptual approach and attempts to solidify these changes in the practices of public life. Arguably the changes have been long overdue, given that antidiscrimination law was hopelessly outdated (1944) and did not reflect the shift in attitudes towards the notions of social justice and inclusion as it affected the relationship between disabled and able-bodied people in society. Whether the most recent proposals for legislative review (2005) redefine the disability agenda in a sufficiently radical manner is debatable. Yet, it seems a shared view in the literature that huge strides have been made towards achieving more equality for disable persons and that the urgency and validity of constant legislative review is recognised by the government. This essay explores the extent to which the changes in law, practice and general attitudes of the public reflect sufficiently the needs of disabled people for adequate recognition of their social, economic and domestic needs in modern society. It will focus mainly on the debate that has taken place in the UK following the first significant changes introduced by parliament in 1995 (under the Major government) and leading up to the last round of public consultation under the Blair government. It will look at three distinct but interrelated fields that seem relevant for a comprehensive answer to the question: first, what are the legislative changes and how did they affect the status and societal position of disabled people in Britain. Second, what policies are currently favoured by the government and local authority effectively addressing the problems that originate in widespread discrimination against disabled persons. And third, what are the conceptual difficulties that underlie the l egal and practical problems with framing the disability agenda in the UK. The aspects one and three will be discussed in the section below, aspect three will be explored in more detail in the last section of this essay. Prior to sketching all three fields of inquiry, however, we need to introduce a concept that has informed more recent critical discussion of discrimination and disability. Disablism is supposed to denote a particular constellation of cultural values, forms of personal prejudice and social constraints that result in severe but often unnoticed types of discriminating behaviour. Outlining the structure and content of discrimination therefore would allow us to identify hidden components of the problem that may escape critical consideration. Disablism attempts to redefine the nature of the various barriers that are discriminatory in character but unrecognised since they are part of habitual human conduct. A sociological critique of disablism would enhance out understanding of the underlying patterns of discrimination. Sociologists speak of PCS which stands for the three elements that make up disablist attitudes in public.[2] Personal prejudice, cultural values and social stratification th at originates in disability and the exclusion of disabled people from mainstream public life. Theorists also highlight the complex interaction between concepts of disability and the capitalist economy which emphasises wage labour and the pursuit of profit.[3] All these various factors act as building blocs for disablism which in turn diminishes the chances of public participation by disabled persons. It fosters an attitude which frames disability as a personal tragedy and de-publicises its impact. Seen as an individual misfortune disablism tends to ignore the social dimension of disability and hence underplays the social and political leverage in alleviating some of the effects of discrimination. It echoes therefore the predominant medical model of disability and rejects any social involvement in rectifying the various instances of discrimination by disabled people. Law and the concept of disability Ever since parliament passed the Disability Discrimination Act in 1995, the criticism by academics and practitioners has focused to a large degree on the legal foundations and the conceptual basis of the legislation. Although the literature is fundamentally critical to the implementation of the Act (henceforth DDA) the bulk of the literature deals with the profound conceptual flaws of the law. Since conceptual and legalistic facets go together and combine to detrimental effects, this section of the essay will explore both aspects together rather than separately. With the ostensible failure of the previous legislation to tackle the problems of discrimination in any consistent fashion, the Major government brought in the new law in 1995 to base anti-discriminatory policies on a updated and more coherent conceptual framework. The shortcomings of this new legislation in the face of numerous challenges for disabled people in modern society however contributed to an almost universal understanding that another consultation process on new legislation was needed and the Blair government anticipates to pass the new DDA this year. The DDA in 1995 marks a significant shift from the original quota requirement to a more regulatory approach which basically emphasises the individual responsibilities of disabled persons in achieving similar status and positions in society. The state acts only as a regulatory body, placing constraints on players in the economic and social domain. This concurs with the broadly liberal theory of society where similar life chanc es are stressed and any bias against irrelevant aspects of individuals are being removed in considering their abilities to function as social agents. In general, the idea is to minimise subjectivity and standardise any decision-making process. Although the various strategies for intervention take place at different stages in the discriminatory process[4], legislation focuses on providing the broader framework within which discriminatory behaviour is identified and possibly prosecuted. Such a liberal notion of individuals and society can accommodate special treatment under certain circumstances for example when equality of opportunity is compromised by the lack of a level playing field. In fact, most of the anti-discrimination legislation of the 1990s has favoured a similar approach and it will be argued later in this essay that such a convergence of approach when dealing with different origins of discrimination is gravely mistaken and enshrines complex conceptual problems into the DDA. (SDA and RRA were drawn up under the Major government and subsequently superseded by more advanced legislation. New legislation on ‘Incitement of racial hatred’ is being debated currently in both houses of parliament. As such the legislative is pretty much in flux). Let us now look at the problems that the DDA has created for disabled persons in the UK. Practitioners and theorists often locate the main dilemma in what they call the medical model of disability which informs the DDA in its current form. They contrast this medical model with a social model which recognises the social dimension of disability and hence widens the fields of societal responsibilities in combating discrimination considerably. Roulstone remarks: ‘The social construction of when harm occurs is entirely central to discussions about the workings and effectiveness of anti-discrimination legislation.’[5] But why is this so? How exactly do the two models differ? Woodhams and Corby outline the problematic nature of the definition of disability in the DDA. The statutory definition identifies somebody as disabled who has ‘a physical or mental impairment which has a substantial and long-term edverse effect on his [sic] ability to carry out normal day-to-day activities.’[6] The core problem with this definition extends to three areas. First, it attributes disability to a form of impairment, second, it contrasts disability against a norm of human behaviour which asserts a complete and paradigmatic functioning of body and brain, and third, it articulates a benchmark for validating disability by introducing the notion of substantiality and long-term affliction.[7] The medical model thus contributes to a certain bias in evaluating the severity of the disability by (a) assuming that disability supposes a lack of ability which spills over into a lack of functioning ‘normally’. It thus presupposes normality as a criterion while failing to define it accurately. The definition enshrines a picture of difference between people who suffer from a disability and those who do not. Impairment becomes tantamount to ‘abnormality’ which is thought to derive from a personal tragedy not to be able to perform certain activities .[8] Consequently this medical model asserts (b) the need to assist and help the disabled person and therefore often exacerbates the tendencies for patronising or as Woodhams puts it, ‘the impaired individual remains subservient to the teams of ‘disability experts’ charged with ‘helping’, ‘rectifying’ (pitying and patronising) them.’[9] In contrast the social model which some theorists advocate as reflecting more accurately the social dimension of any disability, suggests that the origin of any disability lies in the perception of difference that is prompted by notions of normality. Hence, any anti-discrimination strategy must take into account the cultural values and social construction of normality upon which discriminatory behaviour is built. Woodhams writes: ‘As a result, the territory of ‘correction’ becomes society and the environment, rather than the person with the impairment.’[10] Recognising the role of socialisation and perception are central for any serious programme for change. Some theorists even go further and argue that although the social model widens the field of anti-discriminatory policies and correctly acknowledges the responsibility of social attitudes in discrimination against disabled people, it still lacks recognition of another vital element in debasing or derogatory practice. Even the social model, they note, excludes that group of people who may be subject to discriminatory conduct simply because they are being associated with a disabled person or because they are perceived to be disabled.[11] Additionally, there is a lack to have appreciation for discrimination that ‘may be based on other people’s fears of contracting illness’[12] such as HIV. In general the DDA fails to acknowledge the varied and complex nature of disabilities and therefore also falls short in grasping the multifaceted character of discriminatory behavi our. Woodhams concludes: ‘Disability†¦is frequently invisible, indecipherable and unstable.’[13] With respect to the way in which the legislator has framed the notion of disability various problems arise. The essay will summarily point to some but will not be able to explore them comprehensively and in detail. The current practice in employment tribunals (henceforth: ET) illustrates some of the crucial shortcomings of the DDA. ET very often lack the expertise to deal with the complex issues that are involved in disability litigation. The small number of cases (only 2% of ET cases deal with infringement of rights by disabled persons) means that there will be no radical change in this situation and ET personnel will for a long time coming still work under conditions of insufficient medical proficiency. Since the DDA clearly locates the burden of proof with the disabled person, claimants often have to procure (frequently heavily contested) medical evidence, a process which is costly and often prohibitive given the divergence of medical assessment and the vagueness of thresholds of ‘impairments’ in defining disability. In effect, it is noted in the literature that a remarkable gap between the legal stipulation and the practical application of the DDA by human resources has already opened up. Human resources personnel often apply the DDA intuitively and therefore come closer to recognition of impairment than medical experts, consequently undermining the strict and rigorous application of the law.[14] In practice, it seems also customary to ignore the impact of environmental factors which often contribute to the development and persistence of a disability, while hidden aspects of disabilities are failed to be recognised routinely. Sociologists also point out that the DDA places the claimant in a position where decision-making power is firmly located in the hands of defendants. Successful claims are therefore extremely rare, even when taking into account the number of out of court settlements. The DDA works with an underdeveloped notion of judicial harm as well as constructs formidable hurdles when it comes to defining the nature and origins of harm. This often diminishes the confidence of claimants to articulate grievances and contributes to the fact that many unseen or contested impairments are underrepresented in claims. Effectively the success rate of disability litigation is very low, ‘not because treatment less favourable is not established, but because specific legal tests are not met.’[15] The absence of legal aid in many cases exacerbates the problem for disabled persons who feel their rights have been infringed upon and, consequently many practitioners and theorists propose to introduce a set of prima facie criteria which would make it easier for claimants to get a particular impairment acknowledged. Such a set of criteria would also ensure that an unambiguous acknowledgment of rights and their possible infringement would be easier to obtain in particular cases. The small amount of compensation and the small number of successful cases for such compensation in ET indicates that the DDA still failed to define a clear benchmark for discriminatory behaviour.[16] Some sociologists have gone as far as characterising the DDA as being grounded ‘on profoundly social meanings masquerading as pure realms of law.’[17] We do not need to share this slightly Marxist criticism of the DDA to recognise that the current law is heavily biased against disabled victims of discrimination and rests on incoherent conceptual framework. Policy and Discrimination Most policies initiated by the government after the introduction of the DDA in 1995 focuses on the barriers disabled people face in public life and employment. The inbuilt bias of the DDA against disabled persons is exemplified neatly by the underlying motivation for incorporating disabled persons into the competitive labour market. Although participation in the first labour market is as such a desirable intention, it is widely suspected that the government’s motivation to push this agenda forward has more to do with decreasing expenditure than improving the quality of life for disabled people.[18] It is equally regrettable that for comparative purposes there is still no reliable data on the various groups of disabled people across Europe. The reason why this may be important in the future is that the European Union has, after an initial period of hesitation, become a main driver in anti-discriminatory legislation which has full application in the UK. As the EU becomes a more proactive player in the field and begins to formulate policies that are implemented on a European scale, the conflicts between national and European legislation creates problems. Hvinden uses the concepts of crowded and vacant policy fields to distinguish between those policy areas that are likely to creatively absorb new legislation from the EU and those that are not. He argues that, in addition to various disability legislation, anti-discrimination policies often have to take into account that victims are subject not simply to singular dimensions of discrimination but that attempts to discriminate against others are often motivated by concepts of normality which rests on multiple aspects of human existence. For example, discrimination against disabled people can carry significant elements of gendered behaviour, which anti-discriminatory practice must recognise to be effective.[19] The policy instruments available to European governments differ widely amongst the member states, but there seems to be a sort of convergence emerging when it comes to what Hvinden calls the rights and opportunity discourse.[20] Although this is something that the DDA failed to appreciate in all its complexity, practitioners have gradually come to understand this dimension as the inevitable core of anti-discriminatory strategy in the field of disability. As the European Commission redefines its role in the fight against discrimination, national governments are gently pushed towards a notion that equal opportunities for disabled people should occupy the heart of any future legislation. While the DDA was still far removed from stipulating full active citizenship and participation in public life as the main objective and following this up with effective policy implementation, the increasing involvement of European lawmakers in this field may exert considerable weight to such an agenda.[ 21] Much depends on the future decisions of the European Court of Justice and the articulation of legal competence by this body.[22] Conclusion The DDA was clearly based on a flawed definition of disability, resting it on the medical model which made it difficult for disabled persons to articulate the social dimension of any disability. Policies that were supposed to combat discrimination against disabled people were thus misdirected and neglected the cultural and social component in discriminatory behaviour. Although since 1995, the need for further and more sophisticated legislation is almost universally recognised, the current proposals for consultation must place the social construction of disability at the heart of the debate if it wants to avoid similarly misguided policies and ineffective strategies to combat discrimination. Bibliography Bjoern Hvinden. The Uncertain Convergence of Disability Policies in Western Europe, in Social Policy and Administration, Vol. 37, No.6, December 2003, pp.609-624. Carol Woodhams and Susan Corby. Defining Disability in Theory and Practice: A Critique of the British Disability Discrimination Act 1995, in Journal for Social Policy. Vol. 32, No.2, pp.159-178. Alan Roulstone. The Legal Road to Rights? Disabling Premises, Obiter Dicta and the Disability Discrimination Act 1995, in Disability and Society, Vol. 18, No.2, 2003, pp.117-131. Liz Sayce. Beyond Good Intentions. Making Anti-Discrimination Strategies Work, in Disability and Society. Vol.18, No.5, August 2003, pp.625-642. Neil Thompson. Anti-Discriminatory Practice. Second Edition. Basingstoke: MacMillan 1997. Rights of People with Intellectual Disabilities. Access to Education and Employment. Monitoring Report United Kingdom. Budapest: Open Society Institute 2005. 1 Footnotes [1] For an overview of legislation cf. Rights of People with Intellectual Disabilities. Access to Education and Employment. Monitoring Report United Kingdom. Budapest: Open Society Institute 2005, pp.51-58. [2] Neil Thompson. Anti-Discriminatory Practice. Second Edition. Basingstoke: MacMillan 1997, p.107-109. [3] Thompson, Practice, p.108. [4] Liz Sayce. Beyond Good Intentions. Making Anti-Discrimination Strategies Work, in Disability and Society. Vol.18, No.5, August 2003, p.633. [5] Alan Roulstone. The Legal Road to Rights? Disabling Premises, Obiter Dicta and the Disability Discrimination Act 1995, in Disability and Society, Vol. 18, No.2, 2003, p.122. [6] quoted in Carol Woodhams and Susan Corby. Defining Disability in Theory and Practice: A Critique of the British Disability Discrimination Act 1995, in Journal for Social Policy. Vol. 32, No.2, p.163. [7] Woodhams, Defining Disability, p.163. [8] Woodhams, Defining Disability, p. 164 [9] Woodhams, Defining Disability, p.164. [10] Woodhams, Defining Disability, p.164. [11] Woodhams, Defining Disability, p.164. [12] Woodhams, Defining Disability, p.165. [13] Woodhams, Defining Disability, p.165. [14] Woodhams, Defining Disability, p.168. [15] Roulstone, Legal Road, p.124. [16] Roulstone, Legal Road, p.126. [17] Roulstone, Legal Road, p.129. [18] Bjoern Hvinden. The Uncertain Convergence of Disability Policies in Western Europe, in Social Policy and Administration, Vol. 37, No.6, December 2003, p.616. [19] Hvinden, Convergence, p. 612. [20] Hvinden, Convergence, pp.617-618. [21] Hvinden, Convergence, p.620. [22] Hvinden, Convergence, p.624.

Natural Variations In Climate And Human Health Environmental Sciences Essay

The El Nino/Southern Oscillation is a natural fluctuation in the Earth ‘s clime. The fluctuations associated with the El Nino/Southern Oscillation may be used as a theoretical account for future clime alteration and its attendant wellness effects. It is no premise that anthropogenetic clime alteration is happening and the environmental wellness effects associated with it are traveling to be one of the greatest challenges of our clip. As our apprehension of anthropogenetic clime alteration increases it is every bit of import to hold a basic apprehension of natural fluctuations in the Earth ‘s clime. Furthermore, a better cognition of those countries that experience extremes associated with the El Nino/Southern Oscillation ( ENSO ) may clarify some of the future impacts of planetary clime alteration. The focal point of this literature reappraisal is an scrutiny of the natural fluctuations associated with the ENSO and its impacts on human wellness globally. I reviewed major findings from publications, thesiss, and internet media sing clime alteration, ENSO, and public wellness. My aim was to reexamine articles that clarify the planetary effects of natural fluctuations in clime, specifically ENSO and wellness by integrating the undermentioned inquiries: What is the El Nino/Southern Oscillation? What are the wellness effects of three chosen illustrations of environmental alterations ( catastrophes ) associated with ENSO. I have designed my research and reappraisal to follow an Earth scientific discipline position on planetary alteration, adapted from a publication by the Johns Hopkins university imperativeness ( Aaron and Patz 2001 ) .WHAT IS THE EL NINO/SOUTHERN OSCILLATION?Get downing with the empirical literature on Earth scientific discipline and public wellness, I foremost reviewed the work of Aaron and Patz ( 2001 ) . The work is a digest of research related to the subject of ecosystem alteration and human wellness. The chapter by Fisher ( 2001, 233-250 ) was peculiarly enlightening and descriptive. It provided a good starting point in understanding what ENSO is. This chapter provided a reasonably comprehensive yet apprehensible account on the â€Å" forces † behind ENSO, peculiarly the Earth ‘s energy rhythm. Although this publication is clear, it did n't further a solid reading of the ENSO anomalousness. I attributed this ambiguity to the fact that the range of this book is much broader than the focal point on natural clime variableness. In seeking to associate proposed and observed wellness effects to the ENSO it is critical to hold a reasonably comprehensive apprehension of what it is. For this intent, I reviewed publications by the National Oceanic and Atmospheric Administration ( NOAA ) , the Intergovernmental Panel on Climate Change ( IPCC ) , and the United Nations Food and Agriculture Organization ( FAO ) . The publication by NOAA was presented in an apprehensible yet simplistic format. A part of their web site a page is dedicated to the ENSO, but it does non provided a clear account of what it is. Further research into the NOAA web site led me to the National Weather Service ( NWS ) â€Å" Climate Prediction Center † , where they have a measure by measure tutorial of ENSO and clime variableness. I performed a qualitative comparing of all ENSO specific literature from the IPCC, NOAA, NWS, and FAO. The four studies had the same basic information, while the IPCC was by far the most comprehensive. The lite rature reappraisal for this part must be limited to merely a qualitative analysis because the forces behind ENSO are immensely interrelated and complex. A full synthesis of this information is good beyond the range of the paper. The most of import facet of my comparing is specifically related to assorted definitions of ENSO. EL NINO DEFINED I decided to add this subdivision due to the ambiguity I encountered sing the scientific discipline behind ENSO. As my research progressed it became clear that this ambiguity was non due to a deficiency of information, but due to a general consensus that the factors doing ENSO are extremely legion and interconnected. In consequence, a quantitative definition of ENSO can non be exactly developed. Furthermore, what constitutes a quantitative ENSO in one portion of the universe is different in other parts, hence any quantitative definition of ENSO would hold to be location specific ( Ternberth 1997 ) . In my comparing of the above literature, the definitions of ENSO were all qualitative and similar. For this ground I sought specific literature sing the definition of ENSO. The most formal definition that encompasses the battalion of utilizations is as follows: El Nino ‘el ne – ‘ nyo – noun [ Spanish ] 1: The Christ Child 2: the name given by Peruvian crewmans to a seasonal, warm southward-moving current along the Peruvian seashore & lt ; la corriente del Nino & gt ; 3: name given to the occasional return of remarkably warm H2O in the usually cold H2O [ upwelling ] part along the Peruvian seashore, interrupting local fish and bird populations 4: name given to a Pacific basin-wide addition in both sea surface temperatures in the cardinal and/or eastern equatorial Pacific Ocean and in sea degree atmospheric force per unit area in the western Pacific ( Southern Oscillation ) 5: used interchangeably with ENSO ( El Nino-Southern Oscillation ) which describes the basin broad alterations in air-sea interaction in the equatorial Pacific part 6: ENSO warm event equivalent word warm event opposite word La Nina [ Spanish ] the immature miss ; cold event ; ENSO cold event ; non-El Nino twelvemonth ; anti-El Nino or anti-ENSO ( dyslogistic ) ; El Viejo ‘el vya- Ho – noun [ Spanish ] t he old adult male. ( Glantz 1996 )EL NINO RELATED DIASTERS AND HEALTH EFFECTSHarmonizing to Kovats ( 1996 ) , â€Å" The consequence of El Nino on catastrophes is strong plenty to be evident at a planetary degree. In an mean El Nino twelvemonth, around 35 per 1000 people are affected by a natural disaster-more than four times that in non-El Nino old ages, based on 1963-93 informations † ( 1483 ) . The wellness impacts of natural catastrophes are both immediate and long lasting ( Haines, et Al. 2006 ) . In order to derive a better apprehension of the specific wellness impacts of ENSO catastrophes I reviewed literature based on the two major conditions events associated with ENSO, heavy rainfall and drouth. I farther separated these events into three degrees of badness: 1 ) Drought ; 2 ) increased rainfall ; 3 ) Deluging. In add-on, I want to synthesise this information to give an overview of the planetary effects of ENSO from developing to developed states.DroughtENSO as defined above is an addit ion in sea surface temperature in normally cool H2O in the eastern Pacific Ocean. During a terrible ENSO the warm H2O that remains suspended in the western Pacific travels east, therefore diminishing rainfall in the West Pacific and increasing it in the eastern Pacific. This alteration alters the rainfall patterns across the Earth. Harmonizing to Haines et Al. ( 2006 ) , the figure of people worldwide affected by drouth is influenced strongly by the ENSO rhythm. Droughts have a broad consequence on wellness runing from nutrition to forest fires doing air pollution, peculiarly in low-income states. Haines et al. raise of import inquiries on the construct of exposure and unexpected wellness results. Vulnerability has been discussed in literature as a cardinal construct for understanding how populations adapt to climate alteration and variableness ( Mertz, et al 2009 ; Moran, et Al. 2006 ; Patz and Kovats 2002 ; Solomon, et Al. 2007 ) . It is widely accepted that the most vulnerable populations to climate alteration and fluctuation occupy the low income developing states. This has a great trade to make with the fact that many dwellers of developing states rely to a great extent on subsistence agribusiness. Furthermore, with drought one would anticipate malnutrition but there can be many other unanticipated wellness effects. As a specific illustration I refer to Moran et Al. ( 2006 ) and the survey of ENSO related drouth in Amazonia. This paper provides a good description of the exposures of developing states to drought and its unexpected wellness results. Moran et Al. depict this relationship by associating increased forest fires due to ENSO and swidden agribusiness with inauspicious respiratory wellness effects caused by fume and particulate affair. The most ENSO drought prone countries include: Sub-saharan and southeasterly Africa, northern Australia, Indonesia, Papua New Guinea, western Pacific Island Nations, and north-east Brazil. Most of these countries lay within developing states of the southern hemisphere, which are besides the most vulnerable to these conditions extremes.Increased RainAlthough the most vulnerable groups to climate alteration and fluctuation are the developing states, this does n't intend that effects are limited to these geographic countries. ENSO has really of import wellness effects around the Earth. Literature sing increased rainfall and increased incidence of hanta virus pneumonic syndrome ( HPS ) in the sou'-west United States serves as an illustration of ENSO wellness effects in developed states. Harmonizing to the Centers for Disease Control ( 2004 ) , during an ENSO event increased rainfall across the southern parts of the United States every bit good as parts of Central/South America creates an improved gnawer home ground, the major vector of HPS. The literature by the CDC is web-based and although it has been updated in is in direct relation to the 1998-99 ENSO event. In a thesis by Conley ( 2006 ) , an in-depth survey of HPS in the sou'-west United States is conducted. Conely ( 2006 ) describes the increased incidence of HPS in the southwest U.S. with endorsing from the trophic cascade hypothesis. The southwesterly cervid mouse is the primary vector for HPS in worlds. During an ENSO event the sum of flora is increased due to increased rainfall. In consequence, the population denseness of cervid mice is increased and so is HPS. As the ENSO warm event passages into a cold event ( La Nina ) , rainfall lessenings in the southwest U.S. and these rodent populations begin looking for nutriment in human homes. The increased contact between septic gnawers and worlds increases the incidence of HPS. Other literature ( Kovats 1999 ; Patz and Kovats 2002 ; Haines 2006 ; Parmesan and Martens, 2009 ) describes farther instances of ENSO and increased infective disease incidence as a consequence of increased rainfall. Further surveies have found positive correlativities between ENSO and malaria, rift vale disease, cholera, and others.DelugingImplosion therapy is the most common natural catastrophe in both development and developed states ( Ahern, et al 2005 ) . For this part of the paper I reviewed epidemiologic grounds of inundation related wellness impacts and ENSO events. On a planetary graduated table, ENSO is non associated with hazard of flood-related catastrophes because inundations are really localised ( Kovats 1999 ) . However, the increased rainfall associated with ENSO has specific effects on the water partings of many states throughout the universe. Harmonizing to Patz and Kovats ( 2002 ) ENSO frequently increases the hazard of implosion therapy of rivers. Besides: â€Å" Immediate effects are mostly decease from submerging and hurts caused by being swept against difficult objects. Medium term effects include additions in catching diseases caused by consumption of contaminated H2O ( for illustration, cholera or hepatitis A ) and contact with inundation Waterss ( for illustration, swamp fever ) . † ( pg. 1096 ) In inundation conditions, there is a greater possible for increased transmittal of disease, particularly in countries where the population does non hold entree to clean H2O and sanitation ( Ahern, et Al. 2005 ) . Direct illustrations of increased disease transmittal as a consequence of ENSO related implosion therapy is seen in Brazil where hazard factors for swamp fever included implosion therapy of unfastened cloacas and streets. Furthermore, the 1982 El Nino event caused extended implosion therapy in several states in Latin America and fostered crisp additions in malaria ( Ahern, et al 2005 ) .DecisionThis reappraisal provided a brief expression at the ENSO anomalousness and its effects on human wellness. ENSO increases the hazard of drouths and inundations across the Earth. In add-on, there is strong epidemiologic grounds that supports an association of these events and the transmittal of certain diseases. These associations and the affects span the Earth, but the most vulnerable populations are those in the underdeveloped states. The literature reviewed nem con agreed that ( in the short term ) there is a drastic demand to supply information and tools that let these populations to fix for such conditions anomalousnesss. Particularly in countries where ENSO can faithfully be associated with regional or local clime fluctuations such as drouths and inundations ( Kovats, et Al. 1999 ; Moran, et Al. 2006 ; Haines, et Al. 2006 ) . Furthermore, long term guesss in the literature agree as clime continues to increase there is a high likeliness that ENSO conditions anomalousnesss will beef up in badness, continuance, and frequence ( Ashok and Yamagata 2009 ) . An accurate apprehension of this will supply a greater ability for all to restrict exposure to climatic fluctuations and make new schemes for wellness contrivers to cut down disease hazard.

Assessment Criteria Questions Essay

1 1.1 Explain how and why person-centred values must influence all aspects of health and social care work. Answer Person-centred care values must influence all aspects of health and social care work. Health and social care should be based on person-centred values, and should be individualised as this is a law requirement (Human Rights Act 1998, Health and Social care Act 2012, Codes of practice for Social Care Workers, etc.). If person-centre values that underpin all work in the health and social care sector are followed as they should be then all individuals should feel that and health and social workers ensure that: †¢ the individual is supported in accessing their rights †¢ the individual is treated has an individual †¢ the individual is supported to exercise choice †¢ ensure the individual have privacy if they want it †¢ support the individual to be as independent as possible †¢ treat all individuals with dignity and respect 1 1.2 Explain how to evaluate the use of care plans in applying person centred values. Answer We must take into account the history, needs, wishes and preferences of all  individuals when planning care and support. This involves asking the individuals their opinions on every aspect of their daily lives, from what time they wish to get up and have their meals, to what they want to wear and what do they wish to do during the day. Including their personal hygiene and caring needs. Support and treat all service users as individuals and with respect and dignity when considering their needs and preferences. Refer them to the care plan and if they do not agree with something on their care plan, discuss this with them and then report and record the conversation with the manager and it is arranged that the individual should be re-assessed and an updated care plan can be made out with the changes wanted by the individual. 2 2.3 Explain how you adapt your actions and approaches in response to an individual’s changing needs or preferences. An individual care plan is created in agreement and with the individuals consent and will have recorded lots of information regarding the individual, age, family details, likes and dislikes, health needs, culture, mental health and circumstances. The care plan will need to be reviewed frequently; due to changes in the individual’s needs or preferences and any subsequent reviews will also be signed and agreed by him/herself. By including the persons personal values in their care plan you are ensuring that their needs and preferences are met. 3 3.1 Analyse factors that influence the capacity of an individual to express consent. Answer The term â€Å"consent capacity† describes an adult’s ability to understand information relevant to making an informed, voluntary decision. Impairments to reasoning and judgment which may make it impossible for someone to give informed consent include such factors as basic intellectual or emotional  immaturity, high levels of stress such as PTSD or as severe mental retardation, severe mental illness, intoxication, severe sleep deprivation, Alzheimer’s disease, or being in a coma. 3 3.3 Explain what steps to take if consent cannot be readily established. Answer If the person cannot give consent either because they cannot communicate or understand the question then the next of kin can give consent (usually in the order of spouses, parents, children, if there is no-one or in case of emergencies treating staff can give. 4 4.1 Describe different ways of applying active participation to meet individual needs. Active participation is a way of working that recognises an individual’s right to participate in the activities and relationships of everyday life as independently as possible; the individual is regarded as an active partner in their own care or support, rather than a passive recipient. Active participation treats the person as an individual, allowing the service user to actively participate in the decision making regarding his/her own care, activities and relationships of everyday life as independently as possible. In active participation the individual has as an active part in their own care, rather than just being a recipient, this promotes and protects their independence and rights. 4 4.2 Explain how to work with an individual and others to agree how active participation will be implemented. Answer It involves the individuals in making decisions about their lives. Active participation contributes to better health outcomes and the quality of care being delivered. Giving the individual the choice of what to wear, what to eat, when and where to eat it; what the individual would like to do as an activity either with company or by him/herself. This promotes independence, inclusion and autonomy and benefits the individuals by increasing their activity levels and encourages involvement in what directly concerns their life. Being fully involved in these tasks enhances the individual’s wellbeing, increases self-confidence, self-esteem and self-belief. 5 5.4 Describe how to support an individual to question or challenge decisions concerning them that are made by others. Answer By providing the individual with full information on a decision made without being biased/ judgmental in any way ensures the individual has the knowledge to be able to question or challenge any decisions made by others with the view to change then by fully supporting the individual’s rights a meeting to discuss these changes can be arranged with the manager and a risk assessment process could be used to enable the individual to make these changes 6 6.1 Explain the links between identity, self-image and self-esteem. Answer Identity and self-esteem are closely related and developing self-esteem and a strong sense of identity are very important to good mental health. Your sense of identity has to do with who you think you are and how you perceive yourself. It’s about how you define yourself. Self-esteem is how you value yourself. It has to do with your sense of self-worth. Both affect your mental health, your behaviour and how you relate to other people. 6 6.2 Analyse factors that contribute to the well-being of individuals. Answer Spiritual – factors that enrich lives and touch people and are uplifting on a deep level such as religion, music and art. Emotional – factors such as close bonds with family and friends, happy memories, having photos etc Cultural – factors that respect the individual’s likes choices and preferences and that give them a sense of what is normal to them. Religious – factors such as attending church or mosque or visits from their local religious leaders, being able to celebrate religious celebrations, having a quiet place to pray etc Social – factors such as opportunities to be with others, to communicate with others, to share in a group experience. Political – factors such as being involved and having a say in what is happening or should happen in their environment, having their opinions respected etc. 7 7.1 Compare different uses of risk assessment in health and social care. Answer 7 7.2 Explain how risk-taking and risk assessment relate to rights and responsibilities. Answer We all need to take risks in order to have a fulfilled life. Individuals have the right to be as independent as possible and sometimes this means taking risks. For example they might want to be able to take a bath with as little support as possible and this is their right. A risk assessment will provide a plan for the safest way for them to do this. Responsibilities lay with the service provider, the worker and the individual. The service provider has a duty of care to ensure the safety of the individual and employees, the worker has the duty to follow policies, procedures and care plans and not to put the individual at risk and the individual has the duty not to put others at risk. 7 7.3 Explain why risk assessments need to be regularly revised. Answer Risk assessments need to be regularly revised because things change all the time, thus your risks are changing all the time. In order to keep the service users healthy and safe, you must review risks in a timely manner to keep up with the changes. The above is an accurate record of the questioning. Learner signature:Date: Assessor signature:Date: Internal Verifier signature (if sampled):___________________ Date:_________________

Clash of Male and Female Differences in Hemingway Essays

In â€Å"The Hills like White Elephants† by Ernest Hemingway, the theme of abortion is illustrated by the clash of a male and female relationship and the symbolic meanings of the Middle East. While in Spain the American and the girl are torn between one decision: whether to have an abortion or to have a baby. â€Å"The Hills like White Elephants† takes place in a train station in Spain. â€Å"The station [is] between two lines of rails in the sun†(Hills Like White Elephants-Litarary Analysis ). The rails run through a river valley with hills on one side of the valley; dry and barren and those on the other side are described with imagery of living, growing thing; in choosing whether to abort or to have the child, the couple have to choice between two†¦show more content†¦Hemingway uses his characters to explain their surroundings. Only important details are put into the story: â€Å"Almost every detail of setting, even those that may seem innocuous, is a ctually demonstrating the struggle in the two main characters’ minds about whether or not to have an abortion.† (LoveBoat, The Setting of the Hills Like White Elephants). Through the dialogue of the story the couple’s attitude and respect about the conversation they are having indicates resentment and discomfort for one another. In the dialogue in the story it is obvious that the male’s language overpowers hers; â€Å"despite her sarcastic repetition of Know† (OBrien). The complicating factor in this clash is that the man’s knowledge is not informative but controlling towards the girl. The American in the story is characterized as callous and a typical male: always in control. He obviously does not care whether she has the operation; he even oversimplifies the operation pushing her to his side leaving her feeling like she needs to abort the baby. The American talks into the curtain to the barman; â€Å"Lets drink beer, Dos Cervezas† (DiYanni)the man asks for two drinks symbolizing that the American wants his life to stay the same; consisting of only him and the girl. If the girl goes through with the pregnancy he will feel as if he is a mountain; married and have to settle down. The girl on the other hand, is defined as submissive to the American and isShow MoreRelatedJohn Updikes AP and Hemingways Hills Like White Elephants1016 Words   |  4 Pagesthe world today. It is extremely interesting to realize that though love is treasured and valued, in most cases, it takes both genders to create love, and those genders are often separated by inequality. Both these themes coincide well together; the clash of love and gender inequality is interestingly captivating. In John Updikes AP and Ernest Hemingway’s Hills Like White Elephants, both stories send a conclusive message to the reader that equality between both sexes in love and attraction is almostRead MoreEssay on Biographical References in and Hemingways Male Characters3950 Words   |  16 Pagesfeaturing dominant male figures, Ernest Hemingway teases the reader by drawing biographical parallels to his own life. That is, he uses characters such as Nick Adams throughout many of his literary works in order to play off of his own strengths as well as weaknesses: Nick, like Hemingway, is perceptive and bright but also insecure. Nick Adams as well as other significant male characters, such as Frederick Henry in A Farewell to Arms and Jake Barnes in The Sun Also Rises personifies Hemingway in a sequentialRead More Censorship in Schools Essay3746 Words   |  15 Pagesthe issue of censorship. In the realm of the censorship of books in schools alone, several hundred cases have surfaced each year for nearly the past decade. Controversies over which books to include in the high school English curriculum present a clash of values between teachers, school systems, and parents over what is appropriate for and meaningful to students. It is important to strike a balance between English that is meaningful to students by relating to their lives and representing diversityRead MoreBlack Naturalism and Toni Morrison: the Journey Away from Self-Love in the Bluest Eye8144 Words   |  33 PagesA mericans without considering society s insidious racist attempts to retain black men and women as cheap sources of labor, whether enslaved or ostensibly free. A universal characteristic of Morrison s published novels has been her depiction of male and female protagonists failing or succeeding on the difficult journey to freedom through self-awareness. Of course, the struggle to realize one s identity has surfaced repeatedly in literature; however, Morrison s steadfast concentration on the importance