Tuesday, December 31, 2019

Beowulf Is The Oldest Recorded Poem - 1328 Words

The epic poem, Beowulf, is the oldest recorded poem in English and at 3200 lines long, comprises roughly ten percent of the surviving poetry in Old English. Although written in this language, Beowulf focuses on the feats of the poem’s namesake Beowulf, a Geatish prince, and the invading Germanic tribes in Denmark. Understood early on in the poem, these tribes have a lengthy and powerful warrior culture; a culture heavily influenced by heroic virtues, blood vengeance, and paganism. Along with these values of the Germanic tribes, many aspects of Christian tradition coexist within the poem, which is most notably seen through viewing Beowulf as a Christ like figure. This depiction of Beowulf in correlation with the Christian allegories throughout Beowulf creates tension in the poem between the values of the Germanic tribes and Christian belief system. This has led to the widely supported theory that Beowulf manuscript is the work of a single, Christian poet. That is, the suggested religion of the narrator leads to conflicting ideologies within the poem because the author added many of the Christian features to the manuscript not originally found in the oral version. To explore this tension, I wish to consider in greater detail the values of the warrior societies found in the Beowulf, look at specific events in the poem, and analyze how these events relate to Christian tradition in correlation with the ideals of the Germanic tribes and affect the plot of the story overall. InShow MoreRelatedBeowulf Is The Oldest Recorded English Poem898 Words   |  4 PagesAlthough â€Å"Beowulf† is the oldest recorded English poem, it is amazing how it can still relate to life today. â€Å"Beowulf† is an Old English epic poem created by an unknown Anglo-Saxon author whose intention for this poem was that it be read aloud and passed down orally. In the epic â€Å"Beowulf,† it is easy to see how different the values of the Anglo-Saxons are compared to the values of our modern society when it comes to honor and value. In the epic poem, â€Å"Beowulf,† a major theme is the differences andRead MoreEssay On Translation Of The Movie Beowulf953 Words   |  4 PagesBeowulf is the oldest surviving epic poem in Old English literature. It is a tale as old as time, passed down through stories around the campfire, told through the ancient lips of our ancestors. There were many translations recorded as soon as writing was developed, but one was more accurate and popular than the rest. In the year 2007, the movie Beowulf was produced, and it combined many translations of the poem. There were major similarities and differences between the most accurate translationRead MoreTrace the Development of English Lit During Any One Period...as Part of Your Discussion Highlight How Significant Events in the Influence the Writing...Additionally Show How Characteristics of the Genre the Writer Uses3085 Words   |  13 Pagesplace the accent on the first syllable and to slur over subsequent syllables. The poem Beowulf, which has achieved national epic status in England and Judith, are among the most important works of this period. Other writings such as the Anglo-Saxon Chronicle are significant to the study of the era, as it provides preserving chronology of early English history, while the poem Cà ¦dmons Hymn to date survives as the oldest extant work of literature in English. Researchers have suggested that there are

Monday, December 23, 2019

Should Marijuana Be Legalized - 1329 Words

The college campuses in the United States have the majority of the population that uses drugs among society (Wadley Carlier, 2014). The ages of these students range from â€Å"18 to 24† that are the most likely candidates to use marijuana and are more susceptible to use and find themselves addicted while they are in college (College Drug Abuse, 2015). There is conflict on college campuses between the state and federal government laws because the college is ran by the state by falls under federal laws when marijuana is involved. The students may experience long term effects of the use of marijuana in their lifetime that they don’t factor into their health because they are not able to understand the risks involve with use. There are many aspects of marijuana that effect college campuses and the students need to find alternatives to stay on the straight and narrow path to become successful drug free adult. The campuses in the United States are facing a new predicament wit h marijuana regulations. Some sates have legalized the use of marijuana but the federal law does not permit any of the students to possess legalized marijuana in any form while attending college (Medical Marijuana: Campus Policies and the Law, 2011). Federal law prohibits the use of marijuana from being used since most colleges are federally funded. The states that have legalized marijuana have trouble with students on campus and find a lot of conflicting situations since the college follows federal laws whenShow MoreRelatedShould Marijuana Be Legalized?849 Words   |  4 Pageswhether marijuana should be legalized. Around 23 states have legalized marijuana for medical and recreational use. In the state of Illinois, medicinal use of marijuana has been passed on April 17, 2013. Since January 2014, patients are able to obtain marijuana with a doctor s recommendation. The new debate is whether marijuana should be legalized for the general public as a recreational drug. Although some b elieve that marijuana is harmless, and that it has beneficial medicinal uses, marijuana shouldRead MoreShould Marijuana Be Legalized?1715 Words   |  7 PagesMarijuana in Society Cannabis, formally known as marijuana is a drug obtained from the tops, stems and leaves of the hemp plant cannabis. The drug is one of the most commonly used drugs in the world. Only substances like caffeine, nicotine and alcohol are used more (â€Å"Marijuana† 1). In the U. S. where some use it to feel â€Å"high† or get an escape from reality. The drug is referred to in many ways; weed, grass, pot, and or reefer are some common names used to describe the drug (â€Å"Marijuana† 1). Like mostRead MoreShould Marijuana Be Legalized?1489 Words   |  6 Pagescannabis plant or marijuana is intended for use of a psychoactive drug or medicine. It is used for recreational or medical uses. In some religions, marijuana is predominantly used for spiritual purposes. Cannabis is indigenous to central and south Asia. Cannabis has been scientifically proven that you can not die from smoking marijuana. Marijuana should be legalized to help people with medical benefits, econo mic benefits, and criminal benefits. In eight states, marijuana was legalized for recreationalRead MoreShould Marijuana Be Legalized?1245 Words   |  5 PagesMarijuana is a highly debatable topic that is rapidly gaining attention in society today.   Legalizing marijuana can benefit the economy of this nation through the creation of jobs, increased tax revenue, and a decrease in taxpayer money spent on law enforcement.   Ã‚  Many people would outlaw alcohol, cigarettes, fast food, gambling, and tanning beds because of the harmful effects they have on members of a society, but this is the United States of America; the land of the free and we should give peopleRead MoreShould Marijuana Be Legalized?1010 Words   |  5 PagesThe legalization of marijuana became a heated political subject in the last few years. Twenty-one states in America have legalized medical marijuana. Colorado and Washington are the only states where marijuana can be purchased recreationally. Marijuana is the high THC level part of the cannabis plant, which gives users the â€Å"high† feeling. There is ample evidence that supports the argument that marijuana is beneficial. The government should legalize marijuana recreationally for three main reasonsRead MoreShould Marijuana Be Legalized?1231 Words   |  5 Pagesshows the positive benefits of marijuana, it remains illegal under federal law. In recent years, numerous states have defied federal law and legalized marijuana for both recreational and medicinal use. Arizona has legalized marijuana for medical use, but it still remains illegal to use recreationally. This is absurd, as the evidence gathered over the last few decades strongly supports the notion that it is safer than alcohol, a widely available substance. Marijuana being listed as a Schedule I drugRead MoreShould Marijuana Be Legalized?1350 Words   |  6 Pagespolitics in the past decade would have to be the legalization of marijuana. The sale and production of marijuana have been legalized for medicinal uses in over twenty states and has been legalized for recreational uses in seven states. Despite the ongoing support for marijuana, it has yet to be fully legalized in the federal level due to cultural bias against â€Å"pot† smoking and the focus over its negative effects. However, legalizing marijuana has been proven to decrease the rate of incrimination in AmericaRead MoreShould Marijuana Be Legalized? Essay1457 Words   |  6 PagesSHOULD MARIJUANA BE LEGALIZED? Marijuana is a drug that has sparked much controversy over the past decade as to whether or not it should be legalized. People once thought of marijuana as a bad, mind-altering drug which changes a person’s personality which can lead to crime and violence through selling and buying it. In the past, the majority of citizens believed that marijuana is a harmful drug that should be kept off the market and out of the hands of the public. However, a recent study conductedRead MoreShould Marijuana Be Legalized?1145 Words   |  5 PagesLegalizing Marijuana Marijuana is a drug that has been actively used for centuries. This drug can be traced back to 2737 BC by the Chinese emperor Shen Nung. He spoke about the euphoric effects of Cannabis and even referred to it as the â€Å"Liberator of Sin.† Since early on, marijuana was seen as a medicinal plant that was recommended for medical uses. Marijuana is currently in schedule I, which means that physicians are not allowed to prescribe it in the United States (Hart, Ksir 2013). This drugRead MoreShould Marijuana Be Legalized?1596 Words   |  7 Pages But what needs to be known before a user can safely and completely make the decision if trying Marijuana is a good idea? Many do not want the drug to be legalized because they claim that Cannabis is a â€Å"gateway drug†, meaning it will cause people to try harder drugs once their body builds up a resistance to Marijuana, because a stronger drug will be needed to reach a high state. This argument is often falsely related to the m edical side of the debate over legalization. It is claimed that this would

Sunday, December 15, 2019

Sociology of Sport Film Review Free Essays

Bend it like beckham is based on Jess, a 17 year old British born, Sikh girl who has an undying passion for football, her favourite player is David Beckham and he is exactly who jess wants to be. But jess’s parents have taken every effort to stay in touch with the families Indian heritage. Jess’ father and mother are after their daughter to go to law school, learn to cook a traditional Indian dinner, and settle down with a nice Indian boy — the latter of which is high on the agenda of her older sister Pinky, who is soon to wed her long-time beau Teetu. We will write a custom essay sample on Sociology of Sport Film Review or any similar topic only for you Order Now However, her family is unaware that Jess has a secret passion ,football. Her parents don’t know that in her spare time she likes to play a friendly game in the park with some of the boys in the neighbourhood. One day, while Jess and her pals kick the ball around, she meets Jules, who is quite impressed with Jess’ skills. Jules plays with a local semi-pro women’s football team, the Hounslow Harriers, and she thinks Jess has what it takes to make the team. Jess knows that her parents would never approve of their daughter playing football, so she doesn’t tell them, and starts spinning an increasingly complex series of lies as she tries to keep up a double life as a student and a footballer. Jess soon discovers a number of her new friends have their own problems to overcome; Jules dreams of playing pro ball in America, but has to deal with her stubborn and disapproving mother, while Joe, Hounslow’s Irish coach, still struggles with the disappointment of a career as a professional athlete which was dashed by a knee injury. Throughout Bend it like Beckham, clear sociological factors all appear, from stereotypical ideologies through to race, class and gender, bend it like Beckham is a enjoyable, funny film that can be used to explain more clearly how ideologies, identity, power and social influences all have a part to play in everyone’s lives. Ideologies are beliefs and ideas that people form to give meaning to their life experiences and make sense of the world, there are different types of ideologies, including class, race and gender ideologies and these ideologies form identities. Identity is about belonging, about what you have in common with some people and what differentiates you from others. At its most basic it gives you a sense of personal location, the stable core to your individuality. But it is also about your social relationships, your complex involvement with others’ (Weeks 1990 p. 88 cited in Rutherford 1990 p. 88) Class ideologies are the beliefs that people have to understand economic inequalities, identify them in terms of their class position and evaluate the manner in which economic inequalities are and how they should be integrated into the organization of social worlds. Class ideology is not an as important factor in the movie as the other forms of ideology but it picked up upon slightly when the father mentions that they are not rich, also the environment in which the movie is filmed portrayed her family as working class, however she is planning to go to university and wins a scholarship at the end so her education is pretty good. Racial ideology is one of the main ideologies depicted in the movie, it is a set of ideas and beliefs that people use to give meaning to skin colour and to evaluate people in terms of racial classifications. Racial ideologies vary around the world, but they are powerful when people use them to classify humans into racial categories. In the film, jess is Sikh, this means the family generally follow strict cultural life preferences due to their religion and these preferences cause restrictions in jess’s freedom, she shouldn’t even show as much skin as a football kit reveals in general, let alone play football itself, with girls from other cultural backgrounds, she is seen as disgracing the family for her participation. Racism is touched upon in a scene during which she retaliates to a tackle and receives a red card, only to find out that she was called a ‘paki’. The coach explains to her that he also received discrimination due to him being Irish. This informs us of the constraints of racial barriers still produced now, even in today’s multi-cultural society. Another factor in the movie is that Jess and Joe ( the Irish coach) end up falling for each other which is another racial barrier that is not regularly crossed due more to the beliefs and culture of jess and her families religion. Gender ideology is also a set of ideas and beliefs but that masculinity, femininity, and male-female relationships. It is the Basis for defining what it means to be a man or a woman, evaluating and judging people and relationships and determining what is natural and moral related to gender. The main issue relating the gender ideologies in this film relates to the race ideology and that is that she opposes the obvious stereotype of an Indian woman, An Indian woman’s identity is created by the tradition’s of an Indian woman, for example according to ideologies her job is to cook and look after the house and children. however her interest is not a family and learning how to cook, but to become a professional female footballer and attend university to study for a degree. By Jess opposing this gender ideology, she is creating her own identity as an Indian woman footballer, trying to keep her femininity by falling for the Irish coach, sticking to her Indian traditions by wearing the clothes and learning to cook, however she does this all and still able to play football up to a scholarship standard, doing the best job to define her own identity. She also defies the stereotypical footballer, which for a start, is male, and is rarely Indian, in English society anyway. , emphasising on her identity as a woman footballer, not a man. Jess opposes her parents and other groups of people with the same traditions and beliefs, who feel that women shouldn’t play football, and this is a clear example of femininity, also during a scene where jess is involved in a match, the same is being watched by 4 of jess’ male friends who shout sexist remarks at the team members, not in a malicious way but this still shows the males idea of women as an object, during this scene, jess’s secret gay friend ( who is also Indian and therefore causes another constraint in that omosexuality is frowned upon more than it is in other cultures) asks the boys, which are also his friends, as to why they can’t see the woman as footballers, and they all just laugh, which emphasises peoples stereotypical thoughts of women. In the film they also talk about the opinion that even Indian boys should not play football, so for a female Sikh to play is deemed as even worse, Jess is completely contradicting two ideologies, her ge nder ideology, and her race ideology. But this way creating her own identity, its is a struggle for Jess to fight all the ideologies present to achieve her goal. Ideologies of women in sport mean that there are several gender barriers to overcome people still feel that sport is male dominant and there are certain sports that are for men, and certain sports that are for women, and bend it like Beckham contradicts this belief. Power is also noticeable in the movie and there are different power hierarchies, the football coach is male, so still portrays the male dominance in the sport as he is seem as the leader and the team of females still have to do as he says. Also the parents have different levels of parent, jess’s mother seems to have influence over the father, and they both have influence over their daughter. Jess feels that she is being constrained and sees the football team as a social structure; Identity is formed in the relationships between ‘social structures’ and an individual ‘subjectivity’ (Hughson et al 2005 p. 110). She feels she can use this social structure to assert her agency; Jess knows that sporting achievement is a sign of social mobility, therefore she knows that her constraints could decrease in society if she can achieve high in a football career, barriers would decline and she would exceed expectation due to the stereotypes she is grouped in and op portunities in life would come more easily. So Jess is taking her individualism as a Sikh female to create a relationship with a social structure, which is the football club. and she can achieve all this by the opportunity to play football. The film shows she achieving this to her best of her ability as she gets scouted and wins a scholarship to a top university to play football, where she can individually change peoples perception of Indian woman, and also influence other Indian females to start playing football. The one key moment in the movie that I felt best exhibits all the main sociological factors of identity, ideology and power comes on 6 minutes into the movie, jess is walking through the local park when her male friend sees her and asks her to join in, as soon as she starts playing to can see power and gender ideologies already, the group of men that she is playing have there tops off for a start, and being able to take there tops off to play football shows male dominance and masculinity, which shows power is present as the men believe they are in charge because they are male. Also they say sexist comments to jess about her football capabilities as a female for example, one of the men say â€Å" can you chest it like Beckham, you know, give it sum bounce (emphasising on her chest) , it wasn’t malicious as they were all friends but it was another means so showing the gender ideology and male dominance, as well as gender discrimination. The movie continues and jess gets hold of the ball and takes it round all the boys before scoring, unknowingly being watched by Jules, her soon to be football partner and best friend. Jules runs off and Jess continues to play football. The movie then continues into Jess’s room where she talks to her poster of David beckham, she says â€Å"its not fair that the boys never have to come home and help† what she is saying is that because of her families religion, there are rules that must abided to and one of them is that the women are the ones in the home, for cooking and cleaning and the boys are the ones who work.. This is one of the main barriers to participation she has, her ethnicity means she is going against her families beliefs by playing football. She also asks the question, of if she had an arranged marriage, would they let her play football? This emphasises on the constraint that her ethnicity causes for her participation in the sport. Her father then walks in the room and starts to moan about all the posters of ‘a bald man’ on her wall, the opposite of how a man should look like according to her religion. The clip carries on into the engagement party located at her house, and by the large amount of people in the house, which is small as it is, this can be looked upon as defining her class ideology of a working class family, as they may not be able to afford a bigger area of the night. Now jess is dressed in all her traditional Indian clothing, a big contrast to her shorts and Manchester united top she wore down the park. Jess is handing out a plate of food and an old lady, says to her that it will be her turn soon to get married and does she want a proper Sikh with a full bear and a turban, the direct opposite to David beckham, this links to race ideology as saying that their religion has a typical man and that her marriage and Sikh life in evitable, it also just hints on the barriers she must overcome to achieve her dream, she doesn’t want the traditional normal life of a female Sikh, she wants to be a professional footballer. This key moment continues but now the scene is set back at the park, again she is playing football with the same group of topless men, whereas three girls who know jess, are watching on, checking out the men. Jess makes this a stark contradiction to the stereotypical scenario because even though she is female, she is playing football, in her football shirt, with the lads, rather than sit with the girls. She contradicts her own stereotype by playing football, she is not the Sikh girl everyone wants her to be. Jess finds it easier to fit in with the girls by knowing the boys, he is very much a tomboy who would rather be out getting muddy than buying new clothes. Again contradicting her own gender ideology, she also comes across as gay to many of the Sikhs because of her unorthodox activities. While playing football Jules goes over to jess, and in front of the lads asks her if she plays for any team, immediately afterwards one of the males says â€Å" yer like who, Southport united sari squad† this is a dig at her ethnicity not at her gender or sex, so this explains my point that she has to overcome two main barriers that are her gender and her ethnicity, both ideologies constrain her from participation, and also male dominance and masculinity also don’t help with her problem of her being a female footballer either and the power influence can be seen underlying the movie. This is where my key moment ended. In summary, I have learnt that social identities and ideologies are formed from sport societies, in today’s world, Groups and societies are characterised by shared values and conflicts of interest and sports forms are culturally produced, reproduced and/or transformed, sports forms are social constructions that change as power relations change and as narratives and discourses change. n relation to identity, ideology and power, Bend it like Beckham touches on several key sociological dimensions, it mainly focuses on how her cultural identity constraints her from participating in the sport she loves as her parents strict beliefs and traditions and they feel that she should be a proper Sikh and learn to cook Indian food, not play football. She should be focusing on becoming a lawyer according to her parents. She also has to deal with the fact that she is a woman and football is a male dominated game, therefore, for an Indian female to wanting to play football, she must overcome social barriers and constraints to achieve her goal, and the film is based on her attempt to achieve this. Sport is a very important influence in everyone’s social lives, it effects peoples participation, culture and social groups, is a reflection on peoples social life. How to cite Sociology of Sport Film Review, Essay examples

Saturday, December 7, 2019

Cyp Core free essay sample

Understand child and young person development 2. 1 Explain how children and young peoples development is influenced by a range of external factors. Health Status A mixture of genetics and other factors can affect a child or young persons health. There maybe conditions such as Cystic Fibrosis (lung disease) sickle cell disease (abnormal red blood cells) diabetes etc that all have an impact, even general things like the common cold or viruses can have an affect on a child. Disability Conditions such as spina bifida and cerebral palsy have a physical effect on children and their development. In spina bifida the spinal cord doesn’t develop properly during pregnancy, as a result the Childs legs may not be able to be used. They may also have a curvature of the spine they will most probably be in a wheelchair. Physical disabilities can put a child at a disadvantage in lost of ways. If they have restricted movements they may find it difficult joining in things such as sport. We will write a custom essay sample on Cyp Core or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page This can affect their confidence and ability to make friends with other children. Sensory impairment-Visual-Hearing If a child has a hearing problem this would have an impact on their development, t can affect speech and communication, they may not want to join in with other children’s games if they can’t communicate. Visual impairment means a child cannot watch and learn from others, they may find it difficulties when in a new environment such as a new pre-school, or school. A chid with a disability could have delays in all areas of leaving so would need support to minimise delays. Learning Difficulties A child who has learning difficulties can be affected in many ways including emotional/intellectually/socially depending on diagnosis. These children need to be encouraged to develop to the best of their abilities; help should always be sought from professionals. These learning difficulties maybe because of birth difficulties, genetic disease, or they may just have difficulties with reading and writing.

Friday, November 29, 2019

Kya Dil Ne Kaha Review Essay Example

Kya Dil Ne Kaha Review Essay Kya Dil Ne Kaha is a love story of two youngsters who though they like each other, have different ideologies.Esha, the beautiful darling daughter of Rajendra (Raj Babbar) and Sudha (Neena Kulkarni), has been raised in a typical close knit Indian joint family with traditional Indian values and morals. She is all set to go to New Zealand for further studies where she is to stay in the house of a family friend, Mr. Ashok Patel (Ashok Saraf), who has been living in New Zealand for a long time with his wife and only son, Amit (Dilip Thadeswar).Rahul, a rebellious young man who has his own set of ideals and thoughts, is the son of Siddharth (Rajesh Khanna) and Maya (Smita Jaykar). He has been brought up in New Zealand since his childhood days.At college Esha is introduced to Rahul and his friends. Her first impression of Rahul is that he is arrogant and a flirt. But soon she realizes that he is an honest fun loving guy who has got a unique takeout on life. She starts liking Rahul and soon both of them are in love with each other. Amit on the other hand falls in love with Esha but before he can express his love for her, he finds out about Esha and Rahul. He smilingly accepts his fate and does not reveal his feelings for her.Amidst all the fun and pranks with friends a whole year passes and they all graduate. Now that Esha has done her graduation she has to come back to India. Rahul also promises her that he alongwith his family will also come back to India for good.Esha comes back and true to Rahuls words he also follows with his family.Soon, Eshas family comes to know that Esha is in love with Rahul and they approach Rahuls parents to take their consent. Happily, Rahuls parents are overjoyed with the proposal and give their consent. In the midst of all the happiness, Rahul sternly announces he is not prepared to marry her under any circumstances.Rahul says, that though the loves Esha, he is not prepared to marry her since he does not believe in he institution of marr iage.Rahul blames his parents for their unhappy marriage and refuses to listen to anything on the contrary.The lovers drift apart Both the families are at a loss on how to resolve the dilemma.Though both of them miss each other the rebel in Rahul is not ready to budge.Esha being a traditional girl does not agree to Rahuls point of view and disagrees on his viewpoint.How destiny plays a dramatic role and what happens to Rahul and Eshas love story is the musical journey of Kyaa Dil Ne Kahaa.The Film: Kuch Tum Kaho Kuch Hum KaheinProduced By: Dr. D. Rama NaiduDirected by: Ravi ShankarMusic: Anu MalikLyrics: SameerCast: Fardeen Khan, Introducing Richa Pallod with Vikram Gokhale, Farida Jalal Others.KUCH TUM KAHO KUCH HUM KAHEIN is a family film that unfolds the canvas of the different relations and bonds that signify a typical Indian joint family.KUCH TUM KAHO KUCH HUM KAHEIN stars Fardeen Khan as Abhay. He is a city boy. Abhays joy knows no bounds when he receives an invitation from h is grandfather (Vikram Gokhale) from his native place.Very amiable and lovable as he is, Abhay soon wins the heart of all the family members in Dadajis house. In a very youthful and playful manner, Abhay falls in love with Mangla (Richa Pallod). But, even before his love story turns fruitful, some hard truths from the past surface up. Abhay decides to heal the wounds suffered in the past.O.S.T.The melodious music of Kuch Tum Kaho Kuch Hum Kahein is by Anu Maliik with lyrics penned by Sameer. Kuch Tum Kaho Kuch Hum Kahein has seven tracks rendered by Alka Yagnik, Kumar Sanu, Udit Narayan, Sonu Nigam, Hariharan, Shaan, Prashant, Preeti, Pinky, K.K., Sunidhi Chauhan for the first time Fardeen Khan also renders a song.

Monday, November 25, 2019

The Boy Without a Name by Allan Ahlberg and Back in the Playground Blues by Adrian Mitchell Essay Example

The Boy Without a Name by Allan Ahlberg and Back in the Playground Blues by Adrian Mitchell Essay Example The Boy Without a Name by Allan Ahlberg and Back in the Playground Blues by Adrian Mitchell Paper The Boy Without a Name by Allan Ahlberg and Back in the Playground Blues by Adrian Mitchell Paper Essay Topic: Black Boy Literature From the poems that I have studied I feel that the feelings conveyed by the poets show a mixed view of school days. In both The Boy Without a Name by Allan Ahlberg and Back in the Playground Blues by Adrian Mitchell, a negative outlook on school is shown but in the poem In Mrs Tilchers Class by Carol Ann Duffy, a much more positive vibe is being sent out about school. In the poem A Boy Without a Name, the speaker is the bully. The bully is looking back at his school experiences and he remembers a boy who everyone ignored because he had a skin condition. As he reflects on this he realises that he cannot remember the boys name. The title clearly confirms this statement. The fact that the speaker can remember the names of other children and not the name of his victim shows the inhumanity of the bully when he was younger and how he treated the boy as if he were inferior to himself. The structure of the poem is consistent throughout. The rhythm of the poem is steady; this is possibly to show the consistency of the bullying that the boy received. The poem has limited rhyming. This is probably because the poem is similar to a speech and the speaker would prefer to keep the rhyming in the poem as subtle as possible so as not to take the seriousness away from what he is talking about. The language that Ahlberg uses emphasises the rejection experienced by the boy. The fact that the children would only be seen sharing a ruler under protest gives us a good understanding of how the boy was treated on a daily basis. Also, the language used is of a remorseful nature as the speaker, who is now an adult, is looking back and thinking, I hope his mother loved him, indicating that during the victims childhood no one else did. The way the speaker described the severity of the boys skin condition as red and raw also shows the sympathy that he has for the boy now. It expresses how bad the boys medical condition was and how serious it was, it is a key comparison to the treatment that the boy received by his peers. It helps us to visualise the horror of the boys condition, which again, helps us to understand and to sympathise with the victim. The poem Back in the Playground Blues is similar to The Boy Without a Name in the sense that it portrays a negative image of school. This poem is about the school playground. In this case it is known as the Killing Ground due to the severe bullying which the Rulers inflicted on their victims, for no apparent reason. This poem describes the feelings of one particular victim. The structure of this poem is interesting, as it does not stay the same throughout. The rhythm of the first stanza is slow to show that the person is reflecting back on their childhood. Also, the shorter sentences are said separately to emphasise the weakness of the victim. The second stanza is said softly and timidly to show the vulnerability of the victim. The rhythm in the third stanza is said as a singsong or taunt at the victim. It is reinforcing the reasons why the person gets bullied on to them. Get it for being chicken Get it for fighting back are good examples of what may have been said by the bullies. This shows how the victims were taunted. The final stanza of the poem is a conclusion of the rest of the poem. We can see this in the line, It prepares them for a lifetime. The last stanza is also said like a rhyme to get at the victim. It is said deeply to add a chill to the poem. The rhythm is a key factor in this poem as it sets the mood and tone. In the third stanza, which is almost like a taunt, we get a sense of how the bullies victimised the boy. The language that Mitchell has used shows great emphasis on the fear experienced by the speaker. The language used shows a great sense of fear, vulnerability and unexpectancy. Words such as black and broken create a sense of darkness and violence. The fact that the playground id described as three miles long and five miles wide shows how vulnerable the speaker feels, as we know that these measurements were merely exaggerated to show the great fear that the victim is feeling. The title of the poem also suggests that it was a time of oppression for the speaker as the word blues originates from the era of black slavery in America. The blues was a type of music created by the black slaves as their way of expressing their sadness and oppression on the injustice towards themselves. In the poem, In Mrs Tilchers Class the outlook of school life is completely different to the previous two poems. It sends out a message that school is a good place. The speaker in this poem has had happy experiences in school compared to the previous two speakers. This poem is about a child who is influenced by their schoolteacher but with time they mature and feel that they do not need school and are impatient to be grown. The structure of this poem stays consistent. This may be used to show the stability of school compared to the outside world and also to show that school is a regimented place and has set rules and guidelines. The language used is very childlike and immature at the beginning of the poem. Words such as sugar paper and coloured paper represent the innocence of the child and show how naive the child is. In this poem we can see that by using these words that the child sees school as a place of enjoyment rather than of work. Although the poem is quite childlike, there are many mature words such as enthralling and tangible, which shows that the person is speaking when they are much older and it shows how much the person has matured since the time that the poem is set. It also shows that the person has now been educated enough to not want to attend school or possibly to leave school as they can express themselves using a wider vocabulary for example. The uses of childhood images are very effective. The phrase shed left a good gold star by your name, almost brings you back to your own childhood when you had similar experiences. Duffys use of these images makes it easier for the reader to relate to the experiences of the speaker. The huge jump from childhood straight to adulthood is put in to show how quickly children grow up. One day they are in school getting gold stars and the next day they are at the stage where they hate school and they feel that they are too mature to go to school and they become more independent and rebellious. This poem sends this message out to all who read it. The poem has a steady rhythm, which again is used to create a sense of stability and regimentation, which is a key part of school especially primary school. After studying these three poems, I feel that the statement, school days are the best days of our lives could easily be argued both ways but I feel in the case of the three poems the bad experiences override the good experiences of school days and so on the basis of the three poems that I have studied I feel that this statement could be well argued and firmly backed up by evidence from the poems.

Friday, November 22, 2019

Ethical Concerns Essay Example | Topics and Well Written Essays - 500 words

Ethical Concerns - Essay Example A patient had been confined in a private room in this health institution for almost one month due to chronic illness with diverse complications. Due to her long stay and numerous laboratory, diagnostic and therapeutic examinations, her statement of account reached a staggering amount which could not be immediately covered by the funds of the patient and her family. She had been accompanied by her daughter who helps by providing physical, emotional and financial support. However, due to the critical condition that her mother experiences, their account was classified as â€Å"red tag†. Patients with red tags are immediately referred to the Customer Relations Department who monitors their status and closely coordinates with the Accounting and Cashier Department for settlement and collection purposes. Once a patient has been classified as â€Å"red tag†, any procedure (therapeutic, diagnostic, laboratory, etc.) need to be immediately settled prior to the administration of the procedure, regardless of the necessity and the kind of the procedure to be undertaken. The rationale for this is to prevent further increases in the amount due to the hospital which might not be collected nor paid. The patient regularly needs any of the abovementioned procedures to monitor her health progress and to identify and assess whether present medications need to be adjusted (increase or decrease in dosage and frequency of administration). However, since this patient was already classified as â€Å"red tag†, and since the daughter still needs to look for alternative sources of funds to settle the staggering amount, the required regular procedures could not be undertaken. In this regard, being a hospital with medical and ethical responsibilities to their patients, does their red tag policy contradict conformity to ethical standards? Based on the underlying definition of ethics, one should examine the rules that govern human action and

Wednesday, November 20, 2019

Lighting the Way to the Future Case Study Example | Topics and Well Written Essays - 500 words

Lighting the Way to the Future - Case Study Example The model is workable for United States because according to the data, residential houses use up to 45% of energy for space heating alone (U.S. Energy Information Administration , 1). The data also shows that residential houses use 18% of energy for water heating (Boston Business, 12). Thus, if the country would use the BTP in its buildings, it would become energy-efficient. While the approach would be appropriate in the U.S, it is undesirable. Reason being, the Unites States weather is not like the one in China. Another reason is that the technology that the country uses in buildings is not similar to the one in China. Hence, to use BTP in the country would mean change in building models. The setting of Corporate Average Fuel Economy (CAFÉ) Standards has been successful. The government first created the law in 1975. The government set the limits for the improvement of usage of fuel for cars from 27.5mpg to 37.8 mpg (Crovitz, 7). What the law essentially means is that the government requires the combination of the usage of fuel by cars and trucks to an average of 34.1 mpg (35% rise) by 2016. The reason the setting of the standards is successful is because of the improvement that automakers continue to make. For instance, BMW, fuel use in 2008 was 22.5%. In 2013, it became 27.4%. Similarly, Nissan’s fuel use in 2008 was 22.7%. In 2013, it became 23.1% (Crovitz, 11). If compared to the tax that the government adds for every gasoline that a car owner purchases in a gas station, the CAFÉ standards are better than the tax. Reason being, with a growing economy, people have more disposable income than they had. Therefore, they will have a cushion for the tax t hat the government adds. It will end up having no effect in energy consumption and conservation efforts. Office of Energy Efficiency and Renewable Energy. "Building Technologies Office | Department of Energy." Office

Monday, November 18, 2019

Statement of objectives for Public Policy Essay Example | Topics and Well Written Essays - 500 words

Statement of objectives for Public Policy - Essay Example anagement at Polytechnic Institute of New York University, I share The University of Arkansas’ thrust in participating in community service through planning and outreach programs. I am determined to assist in improving the capacity of public service in a dynamic urban society through furthering education and community engagement. With my master degree, I was credited with 3 Advanced Certificates in Management from the same university, to wit: Advanced Certificate in Information Management, Advanced Certificate in Telecommunication Management, and Advanced Certificate in Human Resource. Equipped with these academic achievements, I am prepared to undertake greater challenges in higher education. My ultimate goal is to be an instrument of change to my country once I completed the Public Policy PhD Program at the University of Arkansas. I believe it is one of the most prestigious institutions which can accord an interdisciplinary approach to the program. I am optimistic in learning various public policies and programs specifically in the area of leadership policy. I would like to be given the opportunity to share the theoretical and practical applications of public policy in Saudi Arabia, which unselfishly provided me with 100% scholarship through the King Abdullah Graduate Studies Scholarship Program. If accepted, I plan to spend part of my time developing greater insight into one of my primary research interests – exploring leadership roles through various applications in contemporary public organizations. For individuals who exemplify characteristics and behavior that demonstrate the concept of leadership in serving society, the most important consideration is to take accountability through an examination of policy design, policy leadership and applications of managerial skills in interorganizational environments. The potentials for research in these areas are vast and diverse and may assist organizations in adapting to changes in the global environment. The

Saturday, November 16, 2019

John Stuart Mill and Utilitarianism Essay Example for Free

John Stuart Mill and Utilitarianism Essay John Stuart Mill published Utilitarianism in 1861 in installments in Frasers Magezine it was later brought out in book form in 1863. The book offers a candidate for a first principle of morality, a principle that provides us with a criterion distinquishing right and wrong. The unilitarian candidate is the principle of utility, which holds that actions are right in proportion as they tend to promote happiness; wrong as they tend to produce the reverse of happpiness. By happiness is intended pleasure and the absence of pain; by unhappiness, pain and the privation of pleasure. One version of cecular utilitarianism was represented by William Godwin the husband of Mary Wollstonecraft and father of Mary Shelley, who achieved great notoriety with the publication of hil Political Justice of 1793. Godwins use of the principle of utility for the cause of radical political and social critique began the identification of utilitarianism with anti-religiosity and with dangerous democratic values. The second version of secular utilitarianism, and the one that inspired Mill, arose from the work of Jeremy Bentham. Benthan, who was much more successful than Godwin at building a movement around his ideas, employed the principle of utility as a device of political, social, and legal criticism. Benthams interest in the principle of utility did not arise from concern about ethical theory as much as from concern about lefislative and legal reform. Though Bentham and Godwin intended it to have this function in the late eighteenth century, utilitarianism became influential only when tied with the political machinery of the Radical party, which had particular prominence on the English scene in the 1830s.

Thursday, November 14, 2019

Antigone: The Theme of Family Loyalty Essay -- Sophocles’ Antigone

The notion of honor and justice is prevalent throughout all types of literature. In Greek culture, honor is essential for creating a solid foundation within a society and family. Honor will follow you until the day you perish, and beyond. The honor for men in Greece is spiritual in that loved ones show respect to the deceased by giving them a proper burial. Nevertheless, when a man acts upon betrayal of the city, that man looses the privilege to die in such honor. This is evident in the life of Antigone when her two brothers, Polyneices and Eteocles, both die at each other’s hands at war when deciding the ruler of Thebes. Polyneices cannot have a proper burial, because the new king, Antigone’s uncle, Creon created a law that decrees that anyone who tries to give Polyneices a proper burial will have a dire consequence: death. In Sophocles’ Antigone, the quest that Antigone endures to stay true to her pure intentions of honoring Polyneices by giving him a proper b urial is in juxtaposition with the fact that her defiance towards Creon is not only to do with Polyneices, but also to show appeasement to the gods. Antigone’s firm belief that her brother Polyneices should have a proper burial is established by her conviction in that the law of the gods is above all else. This law proclaims that all men be mourned and honored by family and friends through means of a suitable burial. Antigone’s need to put honor upon Polyneices’ soul is so grand that she ignores the advice of everyone around her, including her sister Ismene, who tries to pull her away from performing this criminal act because it will disobey the law set by King Creon, and lead to her demise. However, Antigone does not care about the repercussions because even though â€Å"[s... ... For Antigone, â€Å"if [she] dared to leave the dead man, [her] mother’s son, dead and unburied, that would have been [the] real pain,† not death (510-512). Her desire to free the spirit of her brother so that it can be at peace explains the true reason of her rebellious nature. Although Antigone has a bad reputation with Creon, and possibly Ismene, for being insubordinate, she stays true to her values throughout the entire play by following the law of gods, not so that she could appease them, but because she admired its value of honor and respect to loved ones that have passed away. This devotion and determination to give her brother a proper burial shows the true essence of her being: that loyalty to family is in fact hold above all else. Work Cited Sophocles. "Antigone." The Norton Anthology of World Masterpieces. Ed. Knox and Mack. New York: Norton, 1995.

Monday, November 11, 2019

Improving Management Essay

It has been established that Company Q is a small grocery chain that has recently decided to close two of their stores in heavily populated areas due to profit loss and high crime statistics. The necessity to close two stores is a significant economic failure for both the community and the stake holders involved in the franchise. Company Q has demonstrated that improvements need to be made to restore their reputation within the community and gain the confidence it needs to succeed among the share holders of the company. Since Company Q has closed these two stores, the loss of employment by members of the community has been recognized along with the need for citizens to travel further outside of the community for groceries. This takes tax revenue away from the city and has also resulted in two vacant buildings. In a community already plagued with crime, this adds to the potential of additional crime. In order to salvage Company Q’s reputation with the community and restore trust with the shareholders, significant changes will need to be made. Based on the closure of two stores, the social responsibility that Company Q exudes is very poor and concerted effort will need to be displayed in order to prove they are a socially responsible company. Part B For several years, customers of Company Q have requested that Company Q offer a more health conscience and organic variety of foods. Due to the recent closure of two stores, it is noted that there are now funds available to provide this request at the remaining open franchises. Company Q recognizes that in order to regain the customer’s trust, they need to be accommodating to the desires and needs of their customers. The first recommendation is to continue to provide the healthier, organic food varieties being requested. This action recognizes the customer’s desires and validates that Company Q is listening and wants to be accommodating.  Money that is no longer being utilized to manage the two stores that are closed can now be allocated to the high margin items at the stores that remain open. Company Q has been asked by the local food bank to donate day-old products instead of throwing it away. Company Q has denied this request citing worries about fraud and possibilities of employees stealing and stating that they were actually donating it. Our first recommendation is to rescind this policy and work with your local food bank to be able to obtain this otherwise wasted food. The reputation with the community is already fragile after the closure of two nearby stores. In order to build trust with the community and the shareholders of Company Q, simply providing the requested healthier, organic food will not be enough. Extra effort being demonstrated by Company Q will need to be recognized. The next recommendation would be to create an Action Committee within each of Company Q’s open stores. This Action Committee will work together to create a system that  monitors the amount of high margin items being purchased from the distributor and then being sold to the customer. The products that can be donated to the local food bank will be recorded. These records will be maintained by the Action Committee and preferably a member of the managerial staff. The donated product can be considered a tax write off at year end. Since there is a committee monitoring what is coming in and what is being donated out, it will help minimize the potential of fraud or possible theft by employees. This Action Committee can then determine which products are being sold on a consistent basis and which products are being donated. The purchasing of high margin items from the distributors can be adjusted so that more popular items are being sold and fewer items are being donated. This action will demonstrate to the community that Company Q cares about the citizens and they want to be an active part of the community. It also can instill trust with Company Q’s employees that they are not the reason the business wasn’t donating to the local food bank, and that they believe their employees are trusting and have integrity. A final recommendation would be for Company Q to establish their own volunteer program consisting of members of management. If additional employees of Company Q desire to be part of the volunteer committee, it is completely on a volunteer basis. This volunteer team will periodically represent Company Q at local events. They can volunteer time at the food bank, local homeless shelters, charitable events and so forth. The team can organize events to paint over graffiti in the part of town where they previously closed two of their stores. The presence of Company Q in the community can help restore trust that was lost when two stores were closed and the community suffered. The stockholders in Company Q will also see a significant change in the community’s perspective of their company. Based on these three recommendations, we believe that Company Q will exemplify the social responsibility expected by a company this size and that has such a presence in this populated community. Upon request, additional recommendations can be made to ensure Company Q sustains and improves upon its reputation with the public.

Saturday, November 9, 2019

Environmental changes Essay

Organizations adapt to environmental changes such as the adoption of a new technology, a change in market dynamic or new regulatory policies and as such the Affordable Care Act was put into place (Frates, 2014). The Affordable Care Act puts consumers back in charge of their health care. Under the law, a new â€Å"Patient’s Bill of Rights† gives the American people the stability and flexibility they need to make informed choices about their health (U.S. Department of Health & Human Services, 2014). This has made leaders feel as if the government is making all the health decisions about a patient instead of allowing the physicians to do so. With that said, leaders must apply strategic management into their organizations by creating short term strategic planning which allows the office to meet incremental milestones on the path to an ultimate goal creates an opportunity to highlight achievements, identify and resolve setbacks, and encourage forward motion (Burger & Giger, 2014). Contingency Theory and Resource Dependence Theory are applicable to health care organizations due to the environmental dependency. With health care as unpredictable as it is having both theories used allows the facilities to be prepared for multiple different outcomes. Frates, J. (2014). Health care management: Theory in action. San Diego, CA: Bridgepoint Education, Inc. Burger, J., & Giger, A. (2014, February 13). How Healthcare Organizations Can Improve This Year. Retrieved from http://businessjournal.gallup.com/content/167108/healthcare-organizations-improve-year.aspx U.S. Department of Health & Human Services. (2014, October 2). About the Law | HHS.gov/healthcare. Retrieved from http://www.hhs.gov/healthcare/rights/ Markets have been increasingly complex, turbulent, and interrelated. Actual and potential opportunities and threats to an organization’s existing market(s) must be identified and evaluated (Hitt, Ireland, & Hoskisson, 2013). Today’s business environment requires the decision makers to shape the organization as a dynamic organization that can rapidly initiate and implement strategic processes and respond quickly to strategic changes in the industry or to strategic processes of competitors in as short a period of time as possible. This Discussion also asks: How can healthcare leaders apply strategic management to their organizations? Healthcare leaders can apply strategic management to their organizations by ensuring all the task and activities include it in small bits and pieces of the change. Once that change is completed with no problems a new task can be added to the list. Sometimes smaller changes go unnoticed and are quicker to be accepted than a larger change that employees feel are pushed onto them.

Thursday, November 7, 2019

6 summer job opportunities for teachers -TheJobNetwork

6 summer job opportunities for teachers -TheJobNetwork One of the perks of committing your life to the noble profession of teaching is the prospect of a summer off. Yet, many new teachers soon learn that not working during July and August isn’t financially possible. Others just get bored and crave the daily stimulation that comes with holding down a job. No matter what your reason is for taking on summer work, there are quite a few jobs that take advantage of the teaching skills you put to use from September through June. 1. TutorTutoring is probably the most obvious after-school job for teachers; in fact, you might even already provide after-school tutoring sessions for your students. One-on-one instruction can also provide a welcome alternative to the September–June routine if you decide to tutor in a subject different from the one you usually teach. Tutoring tends to pay very well- in the range of $30 to $100 per hour.2. ESL teacherIf you are a foreign language teacher or a multilingual English teacher, a job teaching En glish as a Second Language may be a good fit for you. Like tutoring positions, ESL jobs tend to be one-on-one situations, giving you a break from the difficulties of managing an entire class. You’d also be performing a very valuable service by helping someone communicate better in a country that is still dominantly English-speaking. Part-time ESL teachers tend to make up to $24 per hour.3. Test-prep teacherMost American students are expected to perform well on standardized tests such as the SAT or ACT in order to progress through the educational system. While the classroom is becoming more and more geared toward preparing students for such tests, most students still do the majority of their test prep outside of normal class hours.Since summer is the ideal time for students to get ready for the tests they are required to take, it is also the ideal time for teachers to lead such classes. Instructors for companies such as Kaplan earn about $24 per hour.4. Summer learning program teacherFor many kids, summer learning loss can be a real problem- students forget what they learned during the school year while taking it easy over a long vacation. Summer learning programs can help reduce learning loss by keeping kids in the swing of using their brains. Companies such as Catapult Learning are dedicated to keeping the educational ball rolling during summer months, and they need teachers like you to do the job. The pay is competitive, too- teachers can even earn up to $1,000 a week, depending on the program and subject.5. Camp counselorSo we’ve been focusing a lot on teaching here, but maybe you just need a break from that kind of work for a couple of months a year. Fair enough. You can still take advantage of your ability to communicate with and organize kids as a camp counselor. The activities you plan and perform in the great outdoors may be the perfect alternative to teaching in a cramped classroom during the chillier months. The average camp counselor o nly makes $230 per week, but that figure rises to $310 for head counselors.6. Tour guideLike counseling campers, guiding tours is in the vicinity of teaching without duplicating the work you have to do most of the year. The outdoor parks or sites and museum environments in which tour guides work provide a pleasant break from the typical classroom, yet you’d still be addressing and instructing groups of people. Since there is a wide variety in the kinds of places through which you might guide a tour, there is wide variation in how much you could get paid as a tour guide. The average ranges from $50–$150 per day, which can be a nice supplement to your usual teaching salary.

Monday, November 4, 2019

Operation Anaconda 2 Essay Example | Topics and Well Written Essays - 1000 words

Operation Anaconda 2 - Essay Example ce inputs received from various agencies it was figured out that Afghanistan and the Taliban government is proving to be a big support for such elements. And the rest is history. When the war started off, it was perceived that once the Taliban government is over and the terrorists are flushed out of their safe heavens, the allied forces will hand over reins of power to the local government and make an early exit from the country. But the irony is, even after six years, no respectable exit route appears in sight and the allied forces appear to have stuck up in a catch-22 situation. The operation anaconda began well after a series of spirited air strikes on the pointed targets in and around Kabul and Kandahar. These airstrikes were to make the ground situation less troublesome for the allied, so that the mission of the forces could be accomplished in minimum possible time. Now, when after six years, the US has a new president, who has been critical of the erstwhile policies of his predecessor on many fronts, the situation doesn’t appear to be any different. Afghanistan is in the midst of the presidential elections and if media reports are an indication, notwithstanding the allegations of widespread fraud cases, the incumbent president is expected to be back as well. But, there’s still no ray of hope for the US forces. This certainly raises question marks on the efficacy of intelligence organizations like CIA and SOF in correctly analyzing the inputs. Today when the forces appear desperate to the leave the battlefield, the war seems to have become unwinnable amidst the dwindling support for these efforts amongst the citizens. It is quite apparent that the intelligence inputs proved inadequate on many counts. Just before the start of the operation anaconda, the Taliban militia was getting support from Pakistani military and their intelligence establishment. After the Pakistan government was coerced to support the allied forces efforts in digging out the

Saturday, November 2, 2019

King arthur Essay Example | Topics and Well Written Essays - 1000 words

King arthur - Essay Example According to legend, he was the son of Uther Pendragon, king of Britain, and Ygraine of Cornwall. During his childhood, Arthur's identity was kept anonymous. Upon his maturity, he was abruptly presented to the people as their king and became a prudent and brave ruler ("Microsoft Encarta"). On the other hand, in the early Latin chronicles, Arthur is characterized as a "dux bellorum," i.e. a military leader rather than a king or emperor ("Camelot Project"). Despite the varying depiction, Arthur consistently appears as the epitome of ideal kingship ("Wikipedia"). Based on the Arthurian romances that gained popularity in the 12th century, Arthur gained the throne as he was the only one who had successfully withdrawn the Excalibur, a magical sword, from a stone. Many others attempted but failed since this act could not be accomplished apart from the "true king." This implied that Arthur was indeed the divinely appointed king and the true heir of Uther Pendragon ("Wikipedia"). He then established a court at Camelot, which is believed to be the modern Caerleon on the southern border of Wales or the great hill fort at South Cadbury in Somerset ("The New Dictionary of Cultural Literacy"). At Camelot, Arthur gathered the Knights of the Round Table, which were comprised of Sir Aglova... ne; Sir Ector de Maris, son of King Ban of Benwick; Sir Florence, son of Sir Gawain; Sir Gaheris; Sir Galahad, Sir Lancelot's son and the hero of the quest for the Holy Grail; Sir Gareth; Sir Gawain, Arthur's nephew, who at some points appeared as the embodiment of knightly courtesy and bitter opponent of Lancelot; Sir Geraint; Sir Kay, Arthur's villainous foster brother; Sir Lamorak; Sir Lancelot; Sir Lucan; Sir Palamedes the Saracen; Sir Percival; Sir Tristan; and Sir Yvain, son of King Uriens of Gore (Lacy). These knights were awarded the highest order of chivalry at the court of King Arthur as narrated in the literary cycle, the Matter of Britain. According to Sir Thomas Malory, the knights abided by a set of rules called the Code of Chivalry. Provisions of this code include not committing outrage or murder; fleeing treason; not succumbing to cruelty but instead giving mercy to those who ask; helping and never forcing ladies, gentlewomen or widows; and not taking up wicked battles for love or worldly goods. Aside from Arthur and his knights, the Arthurian legend also featured notable characters such as Merlin, a powerful wizard possessing the gifts of prophesy and metamorphosis who partook in the court at Camelot and revealed the existence of the Holy Grail to Arthur, and Queen Guinevere, the wife of Arthur. Moreover, it gives an account of the knights' numerous quests, perhaps the most famous of which is the search for the Holy Grail ("Wikipedia"), and Arthur's wars and victories, which extended to the European continent where he triumphantly fought the Roman Empire forces ("Microsoft Encarta"). One of the main themes in the Arthurian legend is the downfall of Arthur's kingdom, which is primarily attributed to two reasons. In the chronicle tradition, the

Thursday, October 31, 2019

Global Strategy Plan Essay Example | Topics and Well Written Essays - 2500 words

Global Strategy Plan - Essay Example Because of worldwide business expansion, the recognition of IBM-International Business Machines Corporation extended throughout the world. In the era of innovation, IBM product line has increased significantly. IBM first introduced LAN-Local Area of Networks and became the pioneer of LAN. This process allows PC users to exchange data, information, files etc. and to share printers within an office complex. In the twenty first century, IBM has become a renowned name in IT service management, consulting business and computer software-hardware industry. Samuel J. Palmisano is the president and CEO of IBM since 2002. (History of IBM, 27 March 2010, pp. 1-13)Â   Brief History- This article creates a complete dynamic model of global strategic planning for IBM. This dynamic model shows many aspects of strategic planning system of IBM. Within this dynamic model of framework, some issues like competitive assessment, focusing on strategic issues, portfolio planning, threat or opportunity analysis, business intelligence and performance management will be emphasized and analyzed. Over the years, IBM has refined their strategic planning process. This strategic planning process works as a structure for decision-making. Like many other multinational business giants, IBM management team emphasizes on global business development. Staring with IT services, IBM is now diversifying themselves into different business solution providers like IT infrastructure, enterprise solutions, business consulting, outsourcing services and business intelligence etc. At IBM, Information Technology means achieving high and real business performance that is reflected in th e business objective and venerable business commitment. IBM provides high-class business solutions with greater efficiency and accessibility to their clients. The management of IBM wants to anticipate and adapt to future changes and uncertainties rather than the victim of them. The IT, IT enabled

Tuesday, October 29, 2019

Dementia in UK Essay Example for Free

Dementia in UK Essay There are currently 800,000 people withdementia in the UK. There are over 17,000 younger people with dementia in the UK. There are over 25,000 people with dementia from black and minority ethnic groupsin the UK. There will be over a million people with dementia by 2021. Two thirds of people with dementia are women. The proportion of people with dementia doubles for every 5 year age group. One third of people over 95 have dementia. 60,000 deaths a year are directly attributable to dementia. Delaying the onset of dementia by 5 years would reduce deaths directly attributable to dementia by 30,000 a year. The financial cost of dementia to the UK will be over ? 23 billion in 2012. There are 670,000 carers of people with dementia in the UK Family carers of people with dementia save the UK over ? 8 billion a year. 80% of people living in care homes have a form of dementia or severe memory problems. Two thirds of people with dementia live in the community while one third live in a care home. Only 44% of people with dementia in England, Wales and Northern Ireland receive a diagnosis UK dementia statistics Affects 820,000 people in the UK Financial cost is over ? 23bn pa, that is twice that of cancer, three times the impact of heart disease and four times that of stroke Two thirds (425,000) of people live in the community, one third (244,000) in a care home Two thirds of people with dementia are women (446k) and one third men (223,000) Affects 1 in 100 people aged 65-69, 1 in 25 aged 70-79 and 1 in 6 people aged over 80 Key risks from assessment are falls and walking about (60% experience walking about) 25 million people, or 42% of the UK population, are affected by dementia through knowing a close friend or family member with the condition. (Source: Alzheimers Research Trust / YouGov poll, 2008) 163,000 new cases of dementia occur in England and Wales each year one every 3. 2 minutes The number of people in UK with dementia is expected to double in the next 40 years to 1. 7million people Statistics courtesy Alzheimers Research Trust and www. alzheimers. org. uk Government Policy The National Dementia Strategy The objectives of the project are to develop a national dementia strategy and implementation plan for publication in October 2008. The strategy will address three key themes raising awareness, early diagnosis and intervention and improving the quality of care. For more information: visit National Dementia Strategy Dementia affects 820,000 people in the UK. 25 million of the UK population have a close friend orfamily member with dementia. As well as the huge personal cost, dementia costs the UK economy ? 23 billion a year, more than cancer and heart disease combined. Despite these figures, dementia researchis desperately underfunded. Impact of dementia in the UK There are over 820,000 people living with dementia in the UK today, a number forecast to rise rapidly as the population ages. Just 2. 5% of the government’s medical research budget is spent on dementia research, while a quarter is spent on cancer research. One in three people aged over 65 will die with a form of dementia. Dementia costs the UK economy ? 23 billion per year. That is twice that of cancer, three times the impact of heart disease and four times that of stroke. Combined government and charitable investment in dementia research is 12 times lower than spending on cancer research. ?590 million is spent on cancer research each year, while just ? 50 million is invested in dementia research. Heart disease receives ? 169 million per year and stroke research ? 23 million. 1. What is dementia? The term ‘dementia’ is used to describe a collection of symptoms, including a decline in memory, reasoning and communication skills, and a gradual loss of skills needed to carry out daily activities. These symptoms are caused by structural and chemical changes in the brain as a result of physical diseases such as Alzheimer’s disease. Dementia can affect people of any age, but is most common in older people. One in ? ve people over 80 has a form of dementia and one in 20 people over 65 has a form of dementia. Researchers are still working to ? nd out more about the different types of dementia, and whether any have a genetic link. It is thought that many factors, including age, genetic background, medical history and lifestyle, can combine to lead to the onset of dementia. Dementia is a progressive condition. This means that the symptoms become more severe over time. Understanding how this progression happens can be useful in helping someone with dementia anticipate and plan for change. The way each person experiences dementia, and the rate of their decline, will depend on many factors – not just on which type of dementia they have, but also on their physical make-up, their emotional resilience and the support that is available to them. Typically symptoms will include: †¢ Loss of memory – for example, forgetting the way home from the shops, or being unable to remember names and places. †¢ Mood changes – these happen particularly when the parts of the brain which control emotion are affected by disease. People with dementia may feel sad, angry or frightened as a result. †¢ Communication problems – a decline in the ability to talk, read and write. There are different types of dementia caused by different diseases of the brain. Because these diseases affect the brain in different ways, they produce different symptoms. Some of the most common forms of dementia are listed below: 1. 2 Who is affected and how? Dementia can affect anyone regardless of gender, ethnicity, socio-economic situation and residential status. Nearly two-thirds of people with the disorder live in the community, while the other third reside in a residential home. A small number of people with dementia are from black and minority ethnic (BME) groups. This is due to the current younger age profile in London’s BME communities. As this population ages, with a higher prevalence of physical conditions which may contribute to dementia, the rate of dementia is expected to increase. A detailed analysis of the London population segments affected by dementia is available in appendix 1. This highlights that most cases of dementia are late-onset and therefore affect people aged 65 and over. Approximately one in 40 cases is early-onset dementia and occurs before the age of 65. Many factors, including age, genetic background, medical history and lifestyle can combine to lead to the onset of the disorder. Key points to emerge from recent studies and consultations with people with dementia and their carers showed: †¢ Dementia is poorly understood, it remains a stigmatised condition and those affected often experience social exclusion and discrimination. †¢ Seeking help is frustrating; access to services typically includes contact with the NHS, local councils and the third sector; sometimes being referred elsewhere and often duplicating activities. †¢ Current services do not meet the needs of people with dementia. †¢ Services are fragmented and lack robust integration and strong partnership working. †¢ There are gaps in provision and the quality of specialist services remains inconsistent. †¢ Reliability and continuity of services are compromised because many staff lack the requisite knowledge and skills to respond appropriately to those affected. †¢ Most health and social care services are not delivering the outcomes that are important to people with dementia: early diagnosis and treatment, easily accessible services, information and advice and high quality support. 8 Healthcare for London IntroductionDementia services guide 9 3 Source: Based on Dementia UK prevalence rates applied to GLA populations Introduction THE DIFFICULTY OF DIAGNOSING ALZHEIMERS Most diagnoses of Alzheimers are delayed until more than two years after symptoms first appear because patients and families ignore, deny, or dont recognize common signs of early Alzheimers, according to a 2006 Alzheimers Foundation of America survey. Fifty-seven percent of caregivers who answered the poll said they put off seeking diagnosis for symptoms of memory loss, confusion, and language difficulties because they — or the person they cared for — were in denial about having the disease, or because they feared the social stigma associated with AD. Another 40 percent didnt seek a diagnosis because they knew little about Alzheimers or its symptoms, they said. 38 percent of those surveyed said it was the patient who resisted going to see a doctor; 19 percent of caregivers admitted they themselves didnt want to face the possibility that something was wrong. Spouses were three times less likely than children of people with Alzheimers to delay seeking diagnosis, the survey found. What Is Dementia? by Maureen Dezell with Carrie Hill, Ph. D. Dementia itself is not a disease but a term that describes different brain disorders that cause memory loss and other symptoms of cognitive decline. While various kinds of dementia are more common the longer we live, none is a part of normal aging. Dementia specialists recommend you see a doctor to evaluate any of these problems or symptoms, which may point to dementia: Problems retaining recent memories and learning new information, losing and misplacing objects, regularly forgetting appointments or recent conversations, or asking the same question over and over. Problems handling complex tasks; trouble balancing a checkbook, following a recipe, or performing routine tasks that involve a complextrain of thought. Trouble reasoning. Difficulty dealing with everyday problems, such as a flat tire. Uncharacteristic rash behavior, including poor financial or social judgment. Difficulty with spatial ability and orientation. Driving and navigating familiar surroundings becomes difficult; trouble recognizing local landmarks. Difficulty with language. Problems speaking, listening, and following or participating in conversations. Behavioral or personality changes. An active, engaged person seems listless and unresponsive. Trusting people become suspicious. What Is Dementia? by Maureen Dezell with Carrie Hill, Ph. D. . While various kinds of dementia are more common the longer we live, none is a part of normal aging. Dementia specialists recommend you see a doctor to evaluate any of these problems or symptoms, which may point to dementia: Problems retaining recent memories and learning new information, losing and misplacing objects, regularly forgetting appointments or recent conversations, or asking the same question over and over. Problems handling complex tasks; trouble balancing a checkbook, following a recipe, or performing routine tasks that involve a complextrain of thought. Trouble reasoning. Difficulty dealing with everyday problems, such as a flat tire. Uncharacteristic rash behavior, including poor financial or social judgment. Difficulty with spatial ability and orientation. Driving and navigating familiar surroundings becomes difficult; trouble recognizing local landmarks. Difficulty with language. Problems speaking, listening, and following or participating in conversations. Behavioral or personality changes. An active, engaged person seems listless and unresponsive. Trusting people become suspicious. Who gets dementia? . Rarely, dementia affects younger people. Dementia is said to be early-onset (or young-onset) if it comes on before the age of 65. There are some groups of people who are known to have a higher risk of developing dementia. These include people with: Downs syndrome or other learning disabilities. People with Downs syndrome are more likely to develop Alzheimers disease. Parkinsons disease. Risk factors for cardiovascular disease (angina, heart attack, stroke and peripheral vascular disease). The risk factors for cardiovascular disease (high blood pressure, smoking, high cholesterol level, lack of exercise, etc) are risk factors for all types of dementia, not just vascular dementia. Severe psychiatric problems such as schizophrenia or severe depression. It is not clear why this is the case. Lower intelligence. Some studies have shown that people with a lower IQ and also people who do not have very high educational achievement are more likely to develop dementia. A limited social support network. Low physical activity levels. A lack of physical activity can increase your risk of dementia. (See separate leaflet called Physical Activity for Health for more details. ) Dementia also seems to run in some families so there may be some genetic factors that can make someone more likely to develop dementia. We do know that a few of the more rare causes of dementia can be inherited (can be passed on through genes in your family). Can medication help people with dementia? There is no cure for dementia and no medicine that will reverse dementia. However, there are some medicines that may be used to help in some causes of dementia. Medication is generally used for two different reasons. Firstly, as treatment to help with symptoms that affect thinking and memory (cognitive symptoms). Secondly, as treatment to help with symptoms that affect mood and how someone behaves (non-cognitive symptoms). With improved nursing care and more widespread use of antibiotics to treat intercurrent infections, individuals now commonly survive 10 years or longer with dementia. This was not always the case – in the 1950s, the pioneering geriatric psychiatrist Sir Martin Roth and colleagues used distinctions in duration of illness to show that dementia differed from other severe psychiatric syndromes, notably depression, in the elderly. At that time, most elderly people hospitalized with dementia in the UK survived for approximately 2 years; Sex. All prevalence studies show that women are more often affected by dementia than are men. Typically, health services treat twice as many women as men with dementia. This contrast is explained only partly by the longer life expectancy of women because, even when this is taken into account, a slight excess of incidence is still evident in women. 2009 Health Press Ltd. Fast Facts:Dementia Lawrence J Whalley and John CS Breitner SOCIAL MODEL OF DEMENTIA While the clinical model of dementia presented above describes the changes occurring within the brain, the way that dementia affects a person in day-to-day life will vary from one individual to the next. For many years, people with dementia were written off as incapable, regarded as little more than ‘vegetables’ and often hidden from society at large. During the 1980s and 1990s, there was a move away from regarding people with dementia as incapable and excluding them from society, and towards a ‘new culture of dementia care’, which encouraged looking for the person behind the dementia (Gilleard, 1984; Kitwood ; Benson, 1995; Kitwood,1997). People with dementia could now be treated as individuals with a unique identity and biography and cared for with greater understanding. Building on this work, others (notably Marshall, 2004) have advocated that dementia should be regarded as a disability and framed within a social model. The social model, as developed in relation to disability, understands disability not as an intrinsic characteristic of the individual, but as an outcome produced by social processes of exclusion. Thus, disability is not something that exists purely at the level of individual psychology, but is a condition created by a combination of social and material factors including income and financial support, employment, housing, transport and the built environment (Barnes et al. , 1999). From the perspective of the social model, people with dementia may have an impairment (perhaps of cognitive function) but their disability results from the way they are treated by, or excluded from, society. For people with dementia, this model carries important implications, for example: ? the condition is not the ‘fault’ of the individual ? the focus is on the skills and capacities the person retains rather than loses ? the individual can be fully understood (his or her history, likes/dislikes, and so on) ? the influence is recognised of an enabling or supportive environment ? the key value is endorsed of appropriate communication ? opportunities should be taken for rehabilitation or re-enablement ? the responsibility to reach out to people with dementia lies with people who do not (yet) have dementia (Gilliard et al. , 2005). The social model of care seeks to understand the emotions and behaviours of the person with dementia by placing him or her within the context of his or her social circumstances and biography. By learning about each person with dementia as an individual, with his or her own history and background, care and support can be designed to be more appropriate to individual needs. If, for example, it is known that a man with dementia was once a prisoner of war, it can be understood why he becomes very distressed when admitted to a locked ward. If care providers have learned that a person with dementia has a strong dislike for a certain food, it can be understood why the person might spit it out. Without this background knowledge and understanding, the man who rattles the door may be labelled a ‘wanderer’ because he tries to escape and cowers when approached, or the person who spits out food is labelled as ‘antisocial’. Moreover, a variety of aspects of care may affect a person as the dementia progresses. Some extrinsic factors in the care environment can be modified, for instance noise levels can be highly irritating but are controllable. Other intrinsic factors, such as the cultural or ethnic identity of the person with dementia, may also have a bearing on how needs are assessed and care is delivered. Some aspects will be more important or relevant to one person than to another. The social model of care asserts that dementia is more than, but inclusive of, the clinical damage to the brain. ), and while we do not know what precise forms of training are effective, it is reported to lead to better identification of abuse (a random controlled trial by Richardson and colleagues (2002) provides good evidence of this). Agreed multi-agency policy and practice guidance is available at local level and identifies the approaches to be taken when abuse or neglect are suspected. A national recording system for referrals of adult abuse has been piloted (Department of Health, 2005b), which found that older people with mental health problems were among those referred to local authorities’ adult protection systems; a variety of interventions were adopted, although information on the outcomes is not available. Recommendations from a series of high-profile inquiries into care settings in hospitals (for example, Rowan Ward, Department of Health/Care Services Improvement Partnership, 2005) are relevant to commissioners, regulatory bodies and practitioners in seeking to lower the risk of abuse. The law in this area is developing and the Mental Capacity Act 2005 introduces a new criminal offence of ill treatment or neglect of a person who lacks capacity. DISCLOSURE/STIGMA Assessment and reaching a conclusion about the diagnosis leads to a point where this information should be shared with the person with dementia. This is especially challenging in dementia for a number of reasons: ? the difficulty of accurate diagnosis ? the challenge of imparting ‘bad news’ ? uncertainty about whether or not the person will understand what is being said ? uncertainty about whether or not the person will retain what is said ? lack of follow-up support. Studies, in which people with dementia have been invited to tell the story of how they reached a memory assessment service and what the assessment process felt like, indicate that this is not an easy journey for them (Keady ; Gilliard, 2002). Often, they have been aware of their memory difficulties for some time before sharing this information with others (usually, but not always, their close family). This awareness may occur in quite private activities, like doing crossword puzzles. In the meantime, those who are closest to the person may also have been aware of the difficulties but have fought shy of sharing their concerns. Disclosing their concerns to each other is often what triggers a visit to the GP and referral to a memory assessment service (Keady ; Gilliard, 2002). People have reported that their visits to the memory assessment service can also be quite an ordeal (Keady ; Gilliard, 2002). This is often like no other outpatient clinic. The doctor may speak to the carer separately from the person being assessed, leading to suspicion about what is being said. The assessment process itself may prove embarrassing, even humiliating. People report that they are aware that some of the questions are simple and feel foolish that they are unable to answer. They may establish strategies for managing this (Keady ; Gilliard, 2002). Whilst recognising that most people are seeking to make sense of what is happening to them, it is important to acknowledge that some will find it hard to listen to their diagnosis and there will be some who will not want to be told at all. They know they have a problem with their memory and that they are not able to function as they once did or as their peers do. They want to know what is wrong with them, and they need the clinician to be honest with them. Telling someone that he or she has a memory problem is only telling him or her what he or she already knows. People should be told their diagnosis as clearly and honestly as possible. The moment of sharing the diagnosis may not be comfortable for any of those concerned – neither the clinician, nor the person with dementia, nor his or her carer (Friel McGowan, 1993). Without this knowledge, people cannot begin to make sense of what is happening, nor can they plan effectively for their future. They should be given a choice of treatments and need information about practical support and entitlements, like Lasting Powers of Attorney and advance decisions to refuse treatment (more information can be found in Section 4. 9. 4 and in the Mental Capacity Act 2005 [The Stationery Office, 2005]). They will want to make decisions about how they spend their time before life becomes more difficult for them (for example, visiting family abroad). Following the disclosure of the diagnosis, people with dementia and their families may want further support and opportunities for talking. Pre- and post-assessment counselling services should be part of the specialist memory assessment service. Recent work (Cheston et al. , 2003a) has shown the value of psychotherapeutic support groups for people with dementia, allowing them space to share their feelings with others. Joint interventions with the person with dementia and family carers, such as family therapy, recognise the fact that the diagnosis does not impact on just one person but on a whole family system (Gilleard, 1996). Other services have used volunteer ‘befrienders’ to maintain contact with people who are newly diagnosed and who can offer both practical support and information together with a ‘listening ear’. People with early dementia are also taking responsibility for their own support by forming groups, which may meet regularly or may be virtual networks using the internet (see, for example, www. dasninternational. org). Sensitivity is required in ensuring that information about the diagnosis is given in a way that is easily understood by the person concerned and acceptable to the family. Gentle questioning at an early stage will help to ascertain what people can, and want, to be told. There is much we can learn from earlier work on sharing the diagnosis with people with cancer (for example, Buckman, 1996). It is especially important to be aware of different cultural sensitivities and the stigma that dementia holds for many people. This can range from subjective feelings of shame to a real exclusion from community and family life. Age and ethnicity are both factors in the sense of stigma associated with a diagnosis of dementia (Patel et al. , 1998). 4. 9 BASIC LEGAL AND ETHICAL CONCEPTS IN CONNECTION WITH DEMENTIA CARE 4. 9. 1 Introduction The ethical problems that arise in the context of dementia mainly relate to autonomy, which is compromised in dementia to varying degrees. Respect for autonomy is recognised as a key principle in health and social care (Beauchamp ; Childress, 2001). Many of the ethical tensions that arise in looking after people with dementia do so because of, on the one hand, the requirement that autonomy ought to be respected and, on the other, the reality of increasing dependency, where this entails a loss of personal freedom. Person-centred care is a means of respecting personal autonomy wherever it is threatened (Kitwood, 1997). As Agich has stated, ‘Autonomy fundamentally importantly involves the way individuals live their daily lives; it is found in the nooks and crannies of everyday experience’ (Agich, 2003). Hence, respecting the person’s autonomy will involve day-to-day interactions and will be achieved if the person with dementia is not positioned in such a way as to impede his or her remaining abilities. Such ‘malignant positioning’ can be the result of inappropriate psychosocial structures. The fundamental way to combat this tendency, which undermines the person’s selfhood, is to encourage good-quality communication (Kitwood, 1997; Sabat, 2001). Another way in which selfhood might be undermined is through structural or procedural barriers to good-quality care, and service providers should take an active role in promoting the individual’s autonomy and his or her legal and human rights. Furthermore, services may discriminate against people with dementia if eligibility criteria are drawn up in such a way as to exclude them or because of an assumption that people with dementia cannot benefit from a service because staff lack confidence and skills in working with this group. Discrimination may also occur if a service does not offer people with dementia the support they may need in order for them to be able to make use of the service. The Disability Discrimination Acts (1995 and 2005), which include dementia within the definition of disability, aim to end the discrimination that many disabled people face in their everyday lives by making direct or indirect discrimination against disabled people unlawful in a range of areas including access to facilities and services and buying or renting property. The discussion that follows will briefly focus on human rights, consent, capacity and confidentiality. 4. 9. 2 Human rights Human rights are enshrined, as far as the United Kingdom is concerned, in the Convention for the Protection of Human Rights and Fundamental Freedoms (Council of Europe, 2003). The relevant UK legislation is the Human Rights Act 1998, which came into force in 2000. The principle of respect for autonomy is implicit throughout the Convention. A number of the articles of the Convention are potentially relevant to people with dementia. For example, Article 2 asserts that everyone has a right to life, Article 3 prohibits torture, but also â€Å"inhuman or degrading treatment†, and Article 8 concerns the right to respect for the person’s private and family life. Article 5 asserts the right of people to liberty and security. It states that â€Å"No one should be deprived of his liberty†, except in very specific circumstances. It also asserts that if someone is deprived of his or her liberty, there should be recourse to a court. Article 5 was central to the ‘Bournewood’ case. The European Court declared, amongst other things, that the man concerned (who had a learning disability) had been deprived of his liberty, in contravention of Article 5 (see Department of Health, 2004, for further information). The crucial distinction to emerge from the case was that between deprivation of liberty and restriction of liberty. Whilst the former is illegal, except insofar as there are legal safeguards of the sort provided by the Mental Health Act 1983 (HMSO, 1983), the latter may be permissible under the sort of circumstances envisaged by Section 6 of the Mental Capacity Act 2005 (TSO, 2005). This discusses using restraint as a proportionate response to the possibility of the person suffering harm. Guidance on the distinction between ‘restriction’ and ‘deprivation’ of liberty has been provided by the Department of Health and the National Assembly for Wales (Department of Health, 2004). 4. 9. 3 Consent In brief, for consent to be valid it must be: ? informed ? competent ? uncoerced ? continuing. Each of these concepts requires interpretation and judgement, as none of them is entirely unproblematic (Department of Health, 2001a). For instance, people can be more or less informed. The ‘Sidaway’ case (1984) established that the legal standard as regards informing a patient was the same as for negligence (see the ‘Bolam case’, 1957). In other words, the person should be given as much information as a ‘responsible body’ of medical opinion would deem appropriate. However, since then, there has been a shift away from a professional-centred standard towards a patient-centred standard. In the ‘Pearce’ case (1998), one of the Law Lords declared that information should be given where there exists ‘a significant risk which would affect the judgement of a reasonable patient’. Department of Health guidelines (Department of Health, 2001c) have pointed out that, although informing patients about the nature and purpose of procedures may be enough to avoid a claim of battery, it may not be sufficient to fulfill the legal duty of care. There may be other pieces of information relevant to the individual patient that it would be negligent not to mention. Hence the General Medical Council (GMC)’s insistence that doctors should do their best ‘to find out about patients’ individual needs and priorities’ (GMC, 1998). The GMC guidance goes on to say: ‘You should not make assumptions about patients’ views’. These points are very relevant when it comes to consent in the context of dementia. It should be kept in mind that consent is not solely an issue as regards medical procedures. The ‘nooks and crannies of everyday experience’ (Agich, 2003) – what to wear or to eat, whether to go out or participate in an activity and whether to accept extra home or respite care – are all aspects of life to which the person with dementia may or may not wish to consent. If the person has capacity with respect to the particular decision, but does not wish to consent, he or she should be supported in making an autonomous decision. 4. 9. 4 Decision-making capacity In England and Wales, a lack of capacity has been defined thus: ‘. . . a person lacks capacity in relation to a matter if at the material time he is unable to make a decision for himself in relation to the matter because of an impairment of, or a disturbance in the functioning of, the mind or brain’ (Mental Capacity Act 2005 [TSO, 2005, Section 2]). A person is further defined as unable to make a decision if he or she is unable: ‘(a) to understand the information relevant to the decision, (b) to retain this information, (c) to use or weigh that information as part of the process of making the decision, or (d) to communicate his decision (whether by talking, using sign language or any other means)’ (Mental Capacity Act 2005 [TSO, 2005, Section 3(1)]). The Mental Capacity Act 2005 (TSO, 2005), which will apply in England and Wales31, sets out a framework for making decisions for people who are unable to make decisions for themselves. Its detailed provisions, along with its Code of Practice (currently in draft form [DCA, 2005]), should be referred to by all those involved in such decision making. In outline, the main provisions of the Act: ? offer a definition of lack of capacity (Sections 2–3) ? outline a process for the determination of a person’s best interests (Section 4) ? create Lasting Powers of Attorney, which allow a person to appoint a donee to make decisions about his or her health and welfare (Sections 9–14) ? establish the Court of Protection in a new form, with powers to make declarations and appoint deputies in difficult cases or where there are disputes concerning decisions about a person’s health and welfare (Sections 15–23) ? bring under statute and clarify the law regarding advance decisions to refuse treatment (Sections 24–26) ? set out safeguards co