When we think about society, there is often a stark...

When we think about society, there is often a stark contrast between the controversy projected in the media that our society faces, and the mellow, safe view we have of our own smaller, more tangible, ‘local’ society. This leads us to believe that our way of life is protected, and our rights secured by that concept of society that has been fabricated and built upon. However, what if society were not what we perceive it to be, and the government chose to exercise its power in an oppressive manner? As a society we would like to think that we are above such cruelty, yet as The Lonely Crossing of Juan Cabrera by J. Joaquin Fraxedas recounts the state of Cuba in the 1990’s, we must also remember that all societies and governments view the†¦show more content†¦Juan vividly recalled the image of â€Å"the red and white splatter as a bullet smashed into Andres’s skull, scattering pieces of his brain on the water.† (Fraxedas 23). Andres lost his lif e doing something that could be perceived in numerous different ways. The severity of breaking the statuesque is primarily a matter of perception, and as seen in this book, the government often determines the perspective that its society sees and is exposed to. As the story progresses, the examples of risks change from those of the society rejected, to those that an individual faces when they do not belong to a society at all. There is safety in numbers and power in a group. Juan and Raul braved the fierce weather conditions without any protection that a vessel made by a larger group would offer, food that society could provide had to be left far behind, and yet, worst of all, after living the last few days of his life in these hellish conditions, Raul fell victim to the most primitive risk of all. It is almost like Raul knew it was going to happen, as if his demise was inevitable. At one point he voiced his concerns to Juan, uttering â€Å"I felt like I was never going to see land again.† (Fraxedas 51). Death by nature is not something that is considered to be a major risk from within the well-structured walls of safety that a society provides, and yet the absence of medical facilities, modern weapons, protection, or communication c an pose a major riskShow MoreRelatedThe Lonely Crossing of Juan Cabrera by Joaquin Fraxedas762 Words   |  3 PagesWhen we think about society there is often a stark contrast between the controversy projected in our media about the issues that our society faces and the mellow, safe view we have of our own smaller, more tangible ‘local’ society. This leads us to believe that our way of life is protected and our rights secured by that concept of society that has been fabricated and built upon during the course of our short lives. However, what if society were not what we perceive it to be, and the government choseRead MoreRacism in Disney Movies Essay5488 Words   |  22 Pagescreated especially for children can indoctrinate entire generations. Disney movies, like all other media â€Å"are powerful vehicles for certain notions about our culture,† such as racism. (Giroux 32). Racist scenes in Disney movies are often identified as simply being â€Å"symbols of th e time† when the films were produced. Furthermore, Disney racism is often passed over as simple humor, or as a simple guide to childrens understanding of cultures. These explanations of racism in the films are incompleteRead MoreOrganisational Theory230255 Words   |  922 Pagesshould we understand the organization? Jan Ole Similà ¤, Assistant Professor, Nord-Trà ¸ndelag University College, Norway I really enjoyed this new text and I am sure my students will enjoy it, too. 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Sustainable development in the caribbean Free Essays

Introduction According to the International Institute for Sustainable Development sustainable development â€Å"is development that meets the needs of the present without compromising the ability of future generations to meet their own needs (IISD, 2011). Sustainable development in the Caribbean context can be viewed by looking at both the benefits and challenges it presents to the region. Some of the benefits associated to sustainable development, are â€Å"preserves functionality and diversity of system while providing a wide range of economic benefits. We will write a custom essay sample on Sustainable development in the caribbean or any similar topic only for you Order Now Promotes the diversification of forest products, and preserves the natural services provided by forests† (Mongabay.com, 2011). The challenges of sustainable development in the Caribbean are governance; governments are unable to adequately update laws and regulation or to implement them because most of the islands lack strong community level governing institutions. Vulnerability, the small size and open economies make the countries of the Caribbean highly vulnerable to external market conditions. They depend economically on fragile natural resources while geography exposes them to natural hazards, such as climate change. The epidemic of HIV/AIDS makes the Caribbean vulnerable as well. Human resources, even though there is a high literacy rate in the Caribbean, the educational system fails to deliver the necessary skills required to compete in the global market. The human resource pool that is already available in the Caribbean reduces as highly skill individual migrate with their skills and education (Unicef.org, 2004). These are the benefits and the challenges that can be looked at when discussing sustainable development in the Caribbean context. Reference IISD (2011). What is Sustainable DevelopmentRetrieved on 19 June 2011 from http://www.iisd.org/sd/ Mongabay.com (2011). Sustainable Development: Cost and Benefits. Retrieved on 21 June 2011 from http://rainforests.mongabay.com/10benefits.htm Unicef.org (2004). Sustainable Development Strategy for the Caribbean Region – 2005-2009. Retrieved on 21 June 2011 from http://www.unicef.org/lac/spbarbados/Planning/donors/USAID_Devplan.pdf How to cite Sustainable development in the caribbean, Essay examples

English Proficiency In Health Care Samples †MyAssignmenthelp.com

Question: Discuss about the English Proficiency In Health Care. Answer: Barriers and enablers to accessing care in patients who do not speak English Non-English speaking patients always remain at health disadvantages due to lesser access to fewer preventive services and access to care compared to English speaking patients. Language difference between care provider and patient, and the increase in the number of patients with limited English language proficiency is one of the major barrier to effective and quality care. Linguistic barrier contribute to misunderstanding among patients in the area of diagnosis, treatment and options to access care. This limitation in English language proficiency also increases the risk for adverse events in such patients compared to English speaking patients. They face difficulty in understanding instruction and thereby remain oblivious about the care options. Research has shown that patients with limited English language proficiency have greater risk of line infections, surgical delays, readmission in hospitals and longer hospital stays due to poor and timely access of health care service. The inter actions with health care staffs is seriously affected in such cases and worse health outcome is reported due to limited access to health care and fewer health care visits (Calo et al., 2015). Gap in language and communications in health care staffs also contribute to barriers in accessing care for limited English speaking patients. Evidence points out that when patients and physician do not speak same language,, effective communication process is affected contributing to poor access to high quality care. In case of an area with high percentage of limited English proficiency patient, hospital must provided patients with access to professional interpreters to decrease readmission rates and promotes time care and treatment of patients. Such situation also creates challenges for health care system because of rise in communication barriers due to language gap and this also affects the capability of the health care professional to provide high quality patients centered care (Karliner, Prez-Stable, Gregorich, 2017). Due to the increase in diversity of the patients population in terms of language and culture, more attention to mitigating language and cultural barrier is likely to act as enabler to improve access to care in patients who do not speak English. Access to professional interpreters is most effective in address language barrier in care delivery and improving communication between patients and care providers. Interpreters ensure that patients can use resources in a better way. Study also shows that professional interpreters decrease length of stay and rehospitalization rates in limited English speaking patients (Basu, Costa Jain, 2017). Poor language concordance between care provider and patient also contribute to dilemmas for physician in the delivery of care. Effective communication and employing other strategies to communicate with such patients also becomes difficult due to time constraints/ acuity of situations and ease of availability of translation aid. Physicians can overcome these difficulties if they get appropriate support from health care organization to understand patients concerns and make the right judgment. Team based approach an open line of communication may also mitigate the difficulties faced by non-English speaking patients (Parsons et al., 2014). As language and culture are closely linked to each other and they also results in differential access to case, focusing on cultural competency skills in health care staffs is also critical to improve accessibility to health care service (Betancourt et al., 2016). References Basu, G., Costa, V. P., Jain, P. (2017). Clinicians Obligations to Use Qualified Medical Interpreters When Caring for Patients with Limited English Proficiency.AMA Journal of Ethics,19(3), 245. Betancourt, J.R., Green, A.R., Carrillo, J.E. and Owusu Ananeh-Firempong, I.I., 2016. Defining cultural competence: a practical framework for addressing racial/ethnic disparities in health and health care.Public health reports. Calo, W. A., Cubillos, L., Breen, J., Hall, M., Rojas, K. F., Mooneyham, R., ... Garcia, N. (2015). Experiences of Latinos with limited English proficiency with patient registration systems and their interactions with clinic front office staff: an exploratory study to inform community-based translational research in North Carolina.BMC health services research,15(1), 570. Karliner, L. S., Prez-Stable, E. J., Gregorich, S. E. (2017). Convenient access to professional interpreters in the hospital decreases readmission rates and estimated hospital expenditures for patients with limited English proficiency.Medical care,55(3), 199-206. Parsons, J. A., Baker, N. A., Smith-Gorvie, T., Hudak, P. L. (2014). To Get byor get help? A qualitative study of physicians challenges and dilemmas when patients have limited English proficiency.BMJ open,4(6), e004613.