Prejudice And Discrimination In Social Care

Prejudice And Discrimination In Social Care As human beings, we socially categorise people as members of social groups rather than as individuals. The reason why we do so is because it provides useful information that cannot immediately be perceived and it allows us to ignore unnecessary information (Bruner 1957 cited in Smith and Mackie: 145). The danger of this social categorisation is that it makes a group seem more similar to each other than they would be if they were not categorised. (McGarty et al cited in Smith E and Mackie D: 165) The process of seeing ones self as a member of a group or self categorisation can have positive effects for individuals within a group. Tajfel (1972) argues that people seek to derive positive self-esteem from their group memberships. (Smith E and Mackie D: 189) As social care practitioners, we work with various social groups such as people with disabilities, the travelling community, young offenders, children in care, the elderly and many others social groups. These groups have been socially categorised and can often be considered as outgroups by society. They are often considered by society to be vulnerable groups and are often pushed to the margins of society and excluded from the mainstream. (Thompson: 2003) The definition of social care is the provision of care, protection, support, welfare and advocacy for vulnerable or dependant clients, individually or in groups (Joint Committee on Social Care Professionals cited in Share P and Lalor L: 5) Each individual who is in need of social care can socially identify themselves as part of a group. Tajfels Social Identity theory suggests that members of a group gain a self-concept and self-esteem as a result of their group membership. Seeing oneself as a group member means that the groups typical characteristics become norms and standards for ones own behaviour. (Turner et al cited in Smith and Mackie: 195). This, therefore results in members of the group acting in group typical ways. This theory can help us to understand the behaviours of various groups we are working with as social care practitioners. For example, a group of young adults who are engaging in criminal activity may be doing so as this behaviour is a norm within their group. It also enables us to see why these groups are considered as outgroups in society and can help us to understand why these groups are seen as oppressed by mainstream society. Tajfel s theory also tells us that often the individuals who make up the group are seen as uniform and their diversity is underestimated. This is certainly common with people who have intellectual disabilities. The ingroup, which in this case is the group who does not have intellectual disabilities, often views the outgroup, or the people with disabilities as all being the same. The individuals who have disabilities are categorised because of their disability rather than their individualistic characteristics and are therefore stereotyped due to their disability. Stereotypes can be described as over generalised sets of beliefs about members of a particular social group. (Schultz and Oskamp: 63) They are the views we form about groups as a result of social categorisation and reduce the complexity of the world into a few simple guidelines that suggest how members of certain groups should be treated (Schultz: 63) They act as generalisations about a group of people in which identical characteristics are assigned to virtually all members of the group, regardless of actual variation among members. (Aronson et al: 2004:466) These stereotypes can lead to both positive and negative evaluations being made about the members of the group. They can also lead to the target group acting in stereotypical ways, for example, one of the reasons why a group of young offenders may be engaging in criminal activity could be a result of stereotype threat. This refers to being at risk of acting in a manner consistent with a negative stereotype about ones group. (Schultz: 69) The group of offenders are seen as an out-group and may feel their offending behaviour is justified because they have been oppressed, but their treatment must be disproportionately severe (Harrower J, 2001:4) Prejudices, hostile or negative attitudes towards a distinguishable group of people, based solely on the membership in that group.'(Aronson et al: 2004:467) can have extremely adverse effects on the individuals within these categorised social groups. Any group that shares a socially meaningful common characteristic can be a target for prejudice (Smith and Mackie: 143) Prejudices against people in marginalised and vulnerable groups are prevalent in the society in which we live. By virtue of their role and the social groups they engage with, social care practitioners witness the impact of inequality on the everyday lived experience of people affected'(Share and Lalor: 110) Ethnic groups such as the travelling community are constantly subjected to prejudices. Much research has been carried out in recent years in relation to this. One survey found that 42 percent of the population held negative attitudes towards the travelling community (Behaviour and Attitudes in Ireland 2000) and another revealed that 72 percent of the settled community did not want the travelling community to live amongst them. (Lansdowne Market research 2001). People with disabilities are another group in society which are subject to prejudices. Often society has the assumption that disability is a form of illness (Oliver: 1990 cited in Thompson: 128) People with disabilities have also been viewed as not fully human, or even subhuman (Brandon: 4). Despite the fact that societys attitude towards people with disabilities has improved over time as a result of moving away from the medical model to the social model of disability which involves the integration of people with disabilities into our communities, people with disabilities are still not regarded as complete human beings of an equal status to the remainder of society. (Share and Lalor: 334) Research suggests that prejudice is learned from the groups in which we belong. Racial and ethnic identity is a major focal point for prejudiced attitudes. (Aronson: 457) Discrimination can be defined as unequal or unfair behaviour toward an individual based on his or her membership in a particular group (Schultz: 63) and is commonly seen in the area of Social Care at many levels. Thompson (2003) outlines many processes closely linked with discrimination. He refers to Invisibilzation, a type of discrimination whereby dominant groups are constantly presented to us, for example through the media, and are strongly associated with power, status, prestige and influence, while other groups are rarely, if ever seen in this light'(Thompson: 2003.13) This is true of many social groups in social care. People with disabilities are rarely seen in the media. Infantilisation, which Thompson refers to as ascribing a child-like state to an adult (Share and Lalor: 2009:278) is also common in social care. Society tends to regard people who are elderly or who have a disability as child-like and dependant, unable to interact in their own right. (Thompson: 88) Thompson also argues that discrimination occurs in other forms such as marginalisation, welfarism, medicalization, dehumanization and trivialization. The Experience of discrimination in Ireland (2004), a piece of research carried out by the Equality Authority, found that people with disabilities reported one of the highest rates high rates of incidents of discrimination both while accessing services and at work. Various theories in the area of social psychology focus on the ways to minimise prejudice and discrimination within society. Allports theory known as the Contact Hypothesis, suggests that intergroup contact can lead to reducing prejudice but only under a number of suitable conditions. These conditions are that (a) the groups in the situation have equal status, (b) are not competitive and (c) have support from the relevant authorities for the contact and (d) have common goals. As social care practitioners, we can promote Allports theory through the work we do with the various vulnerable groups we are involved with. This can be done by promoting social inclusion within the community. Although attitudes towards groups such as people with disabilities have changed over recent years, there is much work needed in order to ensure that this group has equal status within our society. The same can be said for the other vulnerable groups we work with as social care practitioners. The subject of prejudice and discrimination is highly relevant to the area of social care and with the help of research carried out in this particular area of social psychology, we can have a clearer understanding of the reasons why, as human-beings, we develop and utilise these actions and behaviours. By having this understanding, we can develop skills and mechanisms to help reduce prejudice and discrimination, and combat the damaging effects that they can have on vulnerable groups in society.

Free Narrative Essays - Canoeing :: Personal Narrative Essays

Canoeing: A to Z We were practicing methods of paddling Ruth Elvedt discusses in her book, Canoeing: A to Z. We did the side stroke, which pulls the canoe sideways. We did the back stroke, which makes the canoe reverse course. We also did the classic forward stroke to go forward. We became quite proficient in the art of spinning the canoe around in circles from combining the methods Ms. Elvedt discusses in her book. The numerous people who were floating close by laughed at us and called us idiots because of our unique practice of paddling. We interviewed Rich's uncle, Earl Keys, who claims to have floated The Current over a hundred times, prior to our departure for the river. He had warned us when we questioned him about his numerous float trips down Current River to be extremely careful when we came to a fast moving bend in the river called Wallace's Point. He said, "Wallace's Point is lined with so many root wads (root wads are clumps of tree stumps, roots, branches, leaves, and whatever else might float down the river) along the banks, and it has so many sunken canoes and sunken logs along it's main channel that safe passage through it is impossible - unless you stick to the right side of the bend." As we neared the end of a long straight away in the river, I noticed the speed of the water was increasing exponentially. A look farther down the river told me what I had been dreading this whole trip now lay before us, and we were going into Wallace's Point from the wrong side of the river! "Rich! Back-right stroke! Back-right stroke! Hurry! Don't you see that we're going in the wrong way? BACK-RIGHT STROKE!" I bellowed as a rush of excitement and worry hit me. "Hey, take it easy man. We can do this. We'll just paddle like crazy to the other side. Got it?" was Rich's unusually calm reply to my maniacal outburst. So we both put our backs into it and made it to the other side of the river; however, before we knew it we were moving faster than most people can run, and steering the canoe was becoming very

Renal Problems And Septic Shock Health And Social Care Essay

Systemic inflammatory response syndrome ( SIRS ) is expressed as febrility or hypothermia, tachycardia, tachypnea which may be associated with leucocytosis or leukopenia. SIRS generates broad spread inflammatory reaction in organic structure in response to external abuse which is protective for an person when its effects are restricted to pathogens, in other state of affairss inflammatory reactions are hurtful when they are directed against normal tissues in add-on to pathogens. [ 1,2 ] SIRS can ensue from legion conditions but termed as Sepsis, merely when infection sets in and morbific agent is detected. Sepsis consequences from an single response to external infection, which begins with systemic redness ab initio, followed by curdling abnormalcies and eventually deranged fibrinolysis. When sepsis causes one or more organ disfunction, the syndrome is termed Multiple Organ Dysfunction Syndrome ( MODS ) or terrible sepsis. [ 3 ] Sepsis-induced hypotension which is furnace lining to f luid boluses is termed Septic daze. Hypothermia associated with infected daze indicates hapless tegument and visceral perfusion, is normally associated with hapless forecast and high mortality rates of up to 30 to 40 % . Several serum biomarkers suggested holding diagnostic or predictive value in infected daze, but a unequivocal biomarker for everyday clinical usage is yet to be identified. One such marker is serum lactate which indicates pronounced hypoperfusion and tissue hypoxia in infected daze. Similarly serum Creatinine should besides be considered as marker of lessening organ perfusion in sepsis and Acute Kidney Injury should be regarded as index of ongoing organ harm and likely possibility of oncoming of infected daze. [ 4 ] AKI is due to sudden and drastic decrease in kidney map ( within 48 hours ) characterized by absolute addition in serum Creatinine ( & gt ; 50 % from baseline ) or a decrease in urine end product ( oliguria of & lt ; 0.5 ml/kg/hour for & gt ; 6 hours ) . Nephritic hypoperfusion and ischaemia during infected daze amendss nephritic tubules taking to acute cannular mortification ( ATN ) and have been demonstrated to be a common etiologic factor for AKI development during sepsis [ 5,6 ] . ATN was found to be a consistent histopathological determination in these patients, this would strongly propose that ischaemia and nephritic tubular cell mortification are likely an of import pathogenetic mechanism. [ 7,8 ] Acute kidney hurt have marked impact on the result of critically sick patients. Disease badness tonss such as the Acute Physiology and Chronic Health Evaluation ( APACHE II ) and Sequential Organ Failure Assessment mark ( SOFA ) both have included nephritic disfunction as forecaster of morbidity and mortality ; on the other manus liver disfunction tonss, coagulopathy, thrombocytes and other critical organ maps are non much stressed in APACHE II hiting system. To set up a unvarying definition of nephritic harm, RIFLE categorization was formulated which characterizes Risk, Injury, Failure, Loss and End-stage Kidney ( RIFLE ) . [ 9 ] An of import facet of the RIFLE categorization is that it grades the badness of acute kidney hurt on the footing of alterations in serum creatinine and urine end product from the baseline status. [ 10 ] Urine end product is an of import physiologic mark of organic structure fluid position, and unstable instability is common in critically sick patients due to extravasation of fluid into extravascular infinite or due to 3rd infinite losingss and eventually the nephritic disfunction. This farther suggest that reduced organ perfusion in infected daze plays a cardinal function in development of AKI taking to cut down creatinine clearance and increased serum creatinine degrees. [ 11,12 ] In this survey we compared increasing serum creatinine degrees with plasma lactates and SOFA tonss to observe oncoming of sepsis and infected daze and to prove the hypothesis that ongoing acute kidney hurt can bespeak reduced organ perfusion and oncoming of infected daze in critically sick patients.Patients and Methods:This survey was carried out to happen a correlativity between lifting serum creatinine degrees and oncoming of infected daze in 115 critically sick patients admitted in ICU and were managed following Surviving Sepsis guidelines. [ 13 ] Human ethical blessing was taken by the institutional moralss commission. Written informed consents were obtained from control topics and patients or their relations. The control groups were the healthy relations attach toing the patient. Entire 90 controls were taken, among them 65 were males and 25 females with a mean ( SD ) age of 36.5 ( 8 ) old ages. Among patient group 67 were males and 48 females with mean ( SD ) age 37.5 ( 6 ) old ages. Patients included in our survey had either of the undermentioned characteristics: ( 1 ) Clinical characteristics proposing infection ; ( 2 ) Core temperature & gt ; 38AÂ °C or & lt ; 35AÂ °C ; ( 3 ) Heart beats & gt ; 100/min ; ( 4 ) Respiratory rates & gt ; 30 breaths/min or demand for supportive mechanical airing and ( 5 ) Inadequate organ map or daze within 12 hours of registration. Patients excluded were: ( 1 ) aged patients older than 75 old ages ; ( 2 ) NYHA category III or IV patients ; ( 3 ) liver inadequacy ( Child C ) ; ( 4 ) HIV, HBsAg positive serology, Cancer patients. Demographic characteristics like age, sex, primary site of infection, morbific beings and disease badness scores including Acute Physiology and Chronic Health Evaluation Scores ( APACHE II ) and Sequential Organ system Failure Assessment mark ( SOFA ) were recorded for each patient ‘s at the clip of admittance in ICU and later. The plasma of these patients was tested for serum creatinine and lactates degrees at the clip of entry in ICU, so after every 24 hours till their stay in ICU. All the samples collected and patient inside informations gathered during the survey were coded to look into for prejudice and patient confidentiality was maintained as per the guidelines for surveies of human patients. Blood sample aggregation: First blood sample was collected prior to get down of antimicrobic, steroid therapy or vasopressors. Blood samples were collected from cardinal venous line ( 9 milliliter ) into sterilized tubings incorporating 1ml trisodium citrate ( TSC ) at the clip of patient admittance I ICU and later. Plasma was separated by extractor at 10,000 revolutions per minute for 15 min. The plasma was stored at -70AÂ °C for farther analysis and repeated freezing melt of samples was avoided in order to forestall debasement of plasma.Statistical analysis:The informations were analyzed by nonparametric analysis of discrepancy ( ANOVA ) with Newman-Keuls multiple comparing post-test. The relation between serum creatinine degrees, plasma lactates and APACHE & A ; SOFA mark was tested by finding the Pearson correlativity coefficient ( R ) . A P-value of less than 0.05 was considered important. All statistical analyses were performed with the Graph Pad InStat 5.0 demo plan ( Graph P ad Software, USA ) .Consequences:Among 115 patients admitted in ICU during the period April 2009 to May 2010, 45 patients were of SIRS, 39 patients were in sepsis and 31 patients in province of infected daze ( Table 1 ) . Sepsis was diagnosed on the footing of specific civilization studies from assorted possible sites of infection, including blood civilization study. Out of 115 patients studied there were 67 male patients and 48 females with a mean ( SD ) age of 37.5 ( 6 ) old ages. Mean serum creatinine degrees in healthy control group was 0.83 AÂ ± 0.26 mg/dl, runing from 0.4 to 1.6 mg/dl. In SIRS group, the average serum creatinine degrees were 3.45 AÂ ± 1.26 mg/dl, runing from 1.2 to 6.2 mg/dl ( Figure 1 ) . The APACHE II and SOFA score correlated linearly with serum creatinine degrees ( r2=0.74, P & lt ; 0.001 for APACHE & A ; r2=0.69, P & lt ; 0.001 for SOFA ; Figure2 ) bespeaking nephritic hurt with badness of redness. In sepsis patients average degrees were 7.15 AÂ ± 1.3, runing from 4.0 to 9.3 mg/dl. Pearson ‘s coefficient showed additive correlativity of serum creatinine and sepsis badness tonss ( r2 = 0.65, P & lt ; 0.001 for APACHE and r2 = 0.62, P & lt ; 0.001 for SOFA ; Figure2 ) . In patients of infected daze with nephritic disfunction really high serum creatinine degrees were observed with mean of 10.31 AÂ ± 2.29 mg/dl with values runing from 6.0 to 15.2 mg/dl, these values were significantly ( P & lt ; 0.01 ) higher than those with sep sis ( 7.01 AÂ ± 1.3 mg/dl ) , SIRS ( 3.49 AÂ ± 1.10 mg/dl ) and the control group ( 0.83 AÂ ± 0.26 mg/dl ) . Detection of metabolic acidosis in arterial blood gas analysis was evaluated farther by blood lactate appraisal ( Figure 3 ) . Blood lactate degrees in SIRS group were ( 5.14 AÂ ± 1.24mmol/L ) with scope from 2.2 to 7.8 mmol/L. Similarly blood lactate degrees in sepsis ( 7.73 AÂ ± 1.4mmol/L ) and infected daze group ( 9.53 AÂ ± 1.2mmol/L ) were significantly high ( 95 % CI in sepsis 7.25 to 8.21 ; daze 8.9 to 10.16 mmol/L ) . In control group mean values were 0.93 AÂ ± 0.39mmol/L ( 95 % CI 0.84 to 1.0 mmol/L ) . In order to detect a relation between extent of nephritic hurt and oncoming of infected daze, creatinine clearance ( taken as step of nephritic map ) was so compared with blood lactate degrees ( taken as index of anaerobiotic metamorphosis and daze ) , Pearson ‘s coefficient showed reverse relation between lifting lactate degrees and Creatinine clearance in patients with terrible sepsis and infected daze ( Figure 4 ; r2=0.48, P & lt ; 0.001in sepsis ; r2=0.56, P & l t ; 0.001in infected daze ) . The patients included in this survey were non given any nephrotoxic drugs and drug dose were modified as per criterion chronic nephritic disease guideline to forestall farther nephritic hurt [ 14 ] .Discussion:Patients come oning to infected daze during their stay in ICU may hold altered sensorium, deranged liver map, malabsorption syndrome or may hold respiratory trouble. It was observed in our survey that all such patients with infected daze have one common characteristic of crazed kidney map with AKI. The pathophysiology of AKI in infected daze is ill understood due to miss of histopathologic information, which in bend requires nephritic biopsy to observe any parenchymal or vascular alterations in nephritic tissue ; such biopsies are non routinely performed in most ICU set up. [ 15,16 ] In absence of such information, we performed an indirect appraisal of nephritic map during oncoming of infected daze. These observations were based on serum creatinin e degrees and creatinine clearance which was so correlated with disease badness tonss ( APACHE II and SOFA ) and serum lactate degrees ( index of anaerobiotic metamorphosis and daze ) . Assorted carnal surveies of AKI have been done which helps in more complex and invasive measurings of nephritic maps. [ 17 ] Most of these carnal surveies were based on either ischemia-reperfusion hurt or drug induced hurt and informations generated from such surveies may assist us in understanding the pathophysiology in a infected patient with AKI. A major paradigm developed from these observations in animate beings and worlds with daze is that AKI is due to nephritic hypoperfusion and ischaemia. This fact supported our position of utilizing AKI as index for decreased organ perfusion and oncoming of infected daze. [ 18 ] Under basal conditions blood flow to kidney is 360 ml/min/100gm of tissue where as blood flow to encephalon ( 50ml/min/100gm ) , bosom ( 70ml/min/100gm ) , lungs ( 25ml/min/100gm ) and liver ( 95ml/min/100gm ) . [ 19 ] Among all the variety meats, kidneys have really high flow rates, approximately three times higher than other critical variety meats, therefore metab olic maps of kidneys were more likely to be affected earliest by decrease in blood flow during infected daze, this may ensue non merely in a decrease in glomerular filtration but besides, in metabolic impairment perchance doing cell decease, acute cannular mortification and terrible AKI. [ 20 ] Glomerular filtration rate ( GFR ) is governed by glomerular filtration force per unit area, which in bend is determined by the relationship between the sensory nerve and motorial arteriolas. When the sensory nerve arteriola constricts due to hypoxia in infected daze, glomerular filtration force per unit area will fall and urine end product and GFR will besides diminish, ensuing reduced creatinine clearance and increased serum creatinine. [ 21 ] Arterial lactate concentration correlates with badness of infected daze and reflects metabolic changes associated with hemodynamic via media. Therefore, the association between high lactate degree and diminishing creatinine clearance are built-in to the badness of the daze and of multi-organ failure. [ 22 ] In add-on, epinephrine extract during infected daze besides enhances lactate production by itself ; the higher adrenaline dosage required in more terrible patients may besides hold contributed to this association. Following the natural history of infected daze in most ICU, it is impossible to happen patients deceasing of infected daze but without nephritic failure, the huge bulk of patients deceasing of multiorgan failure has a outstanding nephritic constituent and requires nephritic replacing therapy during their class in ICU. Renal biopsy during infected daze is non performed routinely because of important hazards owing to azotemic or infected coagulopathy and patient instability. However, this restriction does non impair the relevancy of our observations sing the pathophysiology of infected daze, as kidneys have highest blood flow per gm of tissue and AKI is changeless characteristic of terminal phase multiorgan failure so any via media in nephritic map in critically sick patients should be considered as indicant of decreased organ map and likely oncoming of infected daze.Decision:Kidneies are invariably involved in multiorgan failure of infected daze. Nephritic lesions associated with AKI in infected daze are more complex than the simple ague cannular hurt, so reduced creatinine clearance should be regarded as index of underlying mechanism of decreased organ perfusion and likely possibility of oncoming of infected daze in critically sick patients.

Definition Of Child Pornography - 888 Words

If you have been charged with the possession, receipt, transportation or production of child pornography, Attorney Gabriel L. Grasso can help. Over his nearly 30 years in practice, he has successfully represented individuals facing federal prosecution. The Definition of Child Pornography According to federal law, child pornography refers to any kind of visual depiction that displays sexually explicit conduct that involves individuals who are under the age of 18. The Law in Reference to Child Pornography Federal law forbids the production, importation, distribution, possession or reception of any images representing child pornography. Violating child pornography laws is serious and convicted offenders face large fines as well as severe†¦show more content†¦When an image portrays something being inserted into the child, SOC applies. Furthermore, if infants and/or toddlers were portrayed in the pictures, the level increases by 4. If the defendant demonstrated a pattern of activity that involved sexually abusing or exploiting a minor, the level increases by 5. Two or more instances of the defendant sexually exploiting or sexually abusing a minor is considered a pattern, even when the exploitation or abuse never actually occurred. Another factor that determines the level of an offense is the number of images the defendant has: 10 to 149 – 2-level increase 150 to 299 – 3-level increase 300 to 599 – 4-level increase 600 images or more – 5-level increase Videos and video clips are equal to 75 images. Grouping Counts Related to Possession, Receipt and/or Transportation of Child Pornography If there are multiple counts of conviction in a single case, the court has to determine a single, offense level that represents all the counts of conviction. This process is referred to as ‘grouping.’ Groups of counts that are closely related may be combined to create a single Group. 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