Equity and PFI Strategies in the NHS

Equity and PFI Strategies in the NHS A) Equity NHS hospitals acquire some finance from the private sector and many patients use private health insurance to gain access to treatment; a two tier health care system is emerging (Browne, 2002). From the time the NHS began there has been concern about inequalities in health care. The Black report (1980) looked further at this and the Department of health report â€Å"Saving lives† (1999) rates the importance of equity highly. Equity can conflict with efficiency (Wagstaff, 1991). Sassi (2001) explains that mechanisms of achieving equity are unclear especially when there is the conflict with efficiency. Sassi (2001a) found that for cervical cancer screening, renal transplantation, and neonatal screening for sickle cell disease there was no consistency between NHS policies and equitable principles. Social class has an influence on the incidence and the survivability of many malignancies (Brown, 1997) but despite this fact in the cervical screening program the women most at risk were the least likely to get screened (National Audit Office, 1998). The monetary incentives to achieve screening targets by general practitioners did not address this problem. There are also morally related benefits such as respect for the individual and respect for autonomy that need to be considered. Although â€Å"there should be equal access to health care within the NHS based on equal need† (Davey, 1993) the advent of prescription charges and the extent of the exclusions of dental treatment and of optician services from the NHS (New, 1996) and particularly the exclusion of the bulk of infertility treatment negates this principle. Whilst the prescription charges and optical and dental charges do not, in general, mean that the patient’s need is not met (since the inherent means testing excludes those who are likely to be able to pay themselves) the fertility treatment issue is quite different. Whilst allocation by index of social deprivation or by ethnicity may be a requirement this may conflict with allocation by clinical need. The important question is whether there is equal treatment for equal need. Since those who are poorer in financial terms have the greatest health care needs in addressing the question it becomes apparent that those individuals who are poorer should have an appropriate resource allocation for health care. The system of resource allocation is slightly â€Å"pro poor† (Propper, 2001). The lowest 25% of the population economically do get 25% of the funding (the financial groups were standardised for equality of health care need). Equity in resource allocation does not however mean equity in terms of health actually achieved. The question is whether there is effectiveness of this allocation. Inequalities in health persist across social boundaries (Acheson report, 1988). Propper (2001) analysed â€Å"equal treatment for equal need† accordin g to whether those of equal clinical need but of differing financial means actually had equal treatment. The issue to address is whether there is equal access to healthcare, so this goes a step forward from just equal funding. Interestingly Propper (2001) finds little effect by age. The higher health care expenditure with increased age was generally in the last few months of life regardless of age. There is not currently a fair distribution of health care provision across multi ethnic groups (Erens, 2001). Whether affirmative action policies would assist in a more equitable distribution awaits further evaluation (Sassi, 2004). The Department of Health’s â€Å"Tackling health inequalities† (2003) places much emphasis on targeting racial groups for enhanced care. Health care targeting of ethnic minority groups with greater health care needs has begun to show some evidence of improved outcome (Arblaster, 1996). Health authority funding has tended to be overly weighted according to age distribution (Judge, 1994). Judge (1994) calls for a â€Å"unified weighted capitation system†. Coordination is a problem. Budgetary allocation may be partly determined on the previous year’s spending. Mechanisms of altering care according to need have often not assessed how this might be achieved (Majeed, 1994). Those individuals with the greatest health care needs include young children, the elderly, people living in areas of social deprivation and people from ethnic minority groups (Majeed, 1994). However it is these groups of the greatest need who have general practitioners with the greatest primary care work load (Balarajan, 1992). People from ethnic minorities and those living in areas of social deprivation have the lowest uptakes of immunisation (Baker, 11991). There is a fundamental need still for the equal need – equal access equation and despite the difficulties of trying to achieve a balance (which may be viewed over pessimistically, Doyal, 1997) it remains a worthwhile objective. References Acheson Report. Independent inquiry into inequalities in health report. 1998 Department of Health London: The stationary office. Arblaster L Lambert M Entwistle V et al 1996 A systematic review of the effectiveness of health service interventions aimed at reducing inequalities in health. J Health Serv Res Policy 1: 93-103. Baker D Klein R 1991 Explaining outputs of primary health care: population and practice factors. BMJ303:225-9. Balarajan R Yuen P Machin D 1992 Deprivation and general practitioner workload. BMJ 304:529-34. The Black report 1980 Department of Health and Social Services. Inequalities in health: the Black report. London: DHSS Brown J Harding S Bethune A et al 1997 Incidence of Health of the Nation cancers by social class. Population Trends 90: 40-47 Browne A and Young M 2002 A sick NHS: the diagnosis. The observer Special Reports Sunday April 7, 2002 Davey B, Popay, J. Dilemmas in health care. Buckingham: Open University Press, 1993:27-42. Doyle L 1997 Rationing within the NHS should be explicit: the care for BMJ 314:1114-1118 Erens B Primatesta P Prior G 2001 Health survey for England 1999: the health of minority ethnic groups. London: Stationery Office. Judge K Mays N1994 Equity in the NHS Allocating resources for health and social care in England BMJ 308:1363-6 Majeed FA N Chaturvedi N R Reading R 1994 Equity in the NHS Monitoring and promoting equity in primary and secondary care BMJ 308:1426-29 National Audit Office 1998 The performance of the NHS cervical screening programme in England. London: Stationery Office. New B 1996 The rationing agenda in the NHS BMJ 312:1593-1601 Propper C 2001 Expenditure on Health Care in the UK: A review of the issues. CMPO Working Paper Series No. 01/030 Available on http://www.bris.ac.uk/cmpo/workingpapers/wp30.pdf Accessed 1 May 2006. Sassi F Archard L Le Grand J 2001aEquity and the economic evaluation of health care. Health Technol Assess 5(3). Sassi F Carrier J Weinberg J 2004 Affirmative action: the lessons for health care BMJ328:1213-1214 Saving lives: our healthier nation 1999 Department of Health. London: Stationery Office Tackling health inequalities. A programme for action. 2003 Department of Health. London: DoH, 2003. Wagstaff A 1991 QALYs and the equity-efficiency trade-off. J Health Econ 10: 21-41 B) Private Finance Initiative (PFI) PFI is a partnership between the NHS and a private company. It is increasingly used to purchase a new hospital building. Instead of a capital payment being made revenue payments are made over a number of years. Advantages of PFI Many hospital buildings are extremely old and are clearly no longer suitable for their purpose. The buildings hamper the introduction of new technologies and new ways of working. Costs of new buildings are prohibitively high. The PFI arrangement enables a new building to go ahead where otherwise the opportunity to rebuild would not have arisen at all. PFI certainly overcomes the difficulties that would ensue from a rise in taxes to achieve new hospital builds which would be very unpopular with the public and would be difficult to provide equitably. The PFI does achieve a building with the minimal of public spending at least in the short term. The view of Government is that PFI allows money to be spent on equipment rather than buildings (Ferriman, 1999). There is an argument that PFI is only a procurement issue and other procurement processes are not without problems (McGinty, 2000). The blame laid on PFI may have occurred with alternative means of funding the building of a new hospital. Under the PFI scheme there is a clear incentive, once agreement has been reached, to commence and complete the building work. The private company has a financial interest to see completion to a satisfactory standard. The advantage here for the healthcare provider is that the scheme will complete quickly. There is an ongoing interest in the building by the building and finance companies and this may work to the benefit of the health care provider. Disadvantages of PFI The cost may increase once the building work has begun and this may lead to cost containment negotiations resulting in a decreased number of beds or result in other cutting of health care services. Smith (1999) finds where there is PFI there is an increase in the number of private beds to help to finance the project. This may arise as a choice to increase the revenue from private work as opposed to cutting the number of beds in the new build. The PFI scheme does not really take into consideration the fact that an increasing amount of health care previously provided in hospitals is now done in the community and investment is now in â€Å"services not beds† (McCloskey, 2000). A view, though not universal, (Smith, 1999) is that with PFI the planning is done in the private sector and is therefore not so readily visible. There is increasing evidence that PFI is costing more than the costs of using public money (Pollock, 1997). â€Å"Private capital is always more expensive than public capital† (Smith, 1999). The cost through PFI of construction plus financing costs is 18-60% higher than the building costs (Gaffney, 1999). This is a worrying aspect. It is likely the deficit will be met by cutting costs in the service (Gaffney, 1999). Gaffney (1999) argues comparisons prior to approval of PFI schemes use comparisons with public sector building that involve â€Å"discounting† of costs and adjustments to reflect â€Å"risk transfer† in its appraisal methodology which biases towards approval of PFI. The discounted cash flow analysis makes the PFI look better value than it actually is. Such discounting is appropriate for the private sector where it is useful to maximise profits. Its value in health care where there is not the aim to profit is therefore suspect. The level of concern about PFI has reached the level where the British Medical Association opposes the scheme and wishes the public to be informed of the anticipated long term repercussions and that there be an audit of present such schemes (Beecham, 2002). There is some evidence that PFI is now becoming less popular with private companies (O’Dowd, 2005). There is a concern that some feel that purely because the private sector is involved the procedure must be wrong. It is not the partnership with the private sector that is wrong but the lack of a credible system of achieving an appropriate balance between the financial rewards to the investor and the value for money of the health care provider. If the scales tip the way many fear they will there will be a very serious financial drain on the health service. The Government has now become concerned about the cost implications of PFI and is presently delaying further PFI plans whilst investigating the issue further (O’Dowd, 2006). References Beecham L 2002 PFI schemes should be vigorously opposed BMJ 325:66 Ferriman A 1999 Dobson defends use of the PFI for hospital building BMJ 319:275 Gaffney D, Pollock AM, Price D et al 1999PFI in the NHSis there an economic case? BMJ 319:116-9 McCloskey B Deakin M 2000 Series did not address real planning issues BMJ 320:250 McGinty F 2000 Partnership between private and NHS is not necessarily wrong BMJ 320:250 O’Dowd A 2005 Private sector is losing interest in PFI projects BMJ331:1042 O’Dowd A 2006 Three hospital PFI schemes are delayed while government looks at their cost BMJ332:196 Pollock AM Dunnigan M Gaffney D et al 1997 on behalf of the NHS Consultants Association, Radical Statistics Health Group, and the NHS Support Federation. What happens when the private sector plans hospital services for the NHS: three case studies under the private finance initiative. BMJ 1997; 314: 1266-1271 Smith R 1999 PFI: perfidious financial idiocy BMJ ;319:2-3 C) Managing Scarce Resources Clear mismatch been healthcare resources and needs leads to rationing but the actual mechanism of this is unclear. There are important differences between rationing and priority setting/resource allocation (New, 1996). The former denies a service to individuals whereas the latter concerns value judgments in providing services to groups. Rationing only concerns those treatments which are of proven benefit and is not concerned with evaluation of treatment effectiveness (Nice, 1996). There is healthcare rationing within the NHS today and this is not clear or widely acknowledged and therefore is implicit (Coast, 1997). As a result where treatment is denied to individuals the public do not realize this is due to rationing but on the occasions it finds out there is generally public dissatisfaction, sometimes culminating in litigation as with child B (Price, 1996). Arguments against rationing being explicit include the difficultly of creating such a scheme since there are no ethical rules by which to do it Klein, 1993). â€Å"There is no such thing as a correct set of priorities, or even a correct way of setting priorities (House of Commons Health Committee, 1995). Even if it could be done some consider it is unlikely to work not least because those disadvantaged may bring about dispute and disruption leading to a return to an implicit system (Mechanic, 1995). Coast (1997) sees the disutility (dissatisfaction with the poorer clinical outcome where treatment is denied) of explicit rationing as a distinct problem. With explicit rationing the public would be colluding with decision making and would feel responsibility and disutility where treatment is denied. Coast (1997) argues that in an implicit system the doctors will tend to medicalise the decisions not to treat. When there has been explicit rationing there is no evidence of improved decisio n making but reluctance to determine which treatments should be denied (Cohen, 1994; Donaldson, 1994). Arguments in favour of explicit (openly acknowledged) rationing, a view favoured by healthcare policy makers, include; openness and honesty, possibly leading to a more equitable, efficient service, in which the public can influence the rationing process democratically. Doyal (1979) favours explicit rationing and promotes â€Å"evaluat[ion of] the justice or the efficiency of the rationing process,† and considers the inability to face this is in contrast with the moral foundation of the NHS. Doyal (1979) favours rationing according to need (degree of disability) not by disease popularity, or social worth. Incorporation of uniform clinical guidelines might facilitate the process. Points to consider in a rationing process include (New, 1996); Which services are to be rationed What are the objectives of the rationing process What are the ethically acceptable criteria for rationing Who should do the rationing The Rationing Agenda Group’s function is to increase debate on rationing. This body believes rationing and public involvement in the process are essential (New, 1996). There are various methods of rationing, one includes a cost effective analysis, another involves capacity to benefit (New, 1996). Different approaches are used for different needs for instance infertility treatment may be denied entirely. In any explicit rationing process objectives need clarification and here the objectives might include (New,1996) maximising quality adjusted life years or minimising health inequalities by group or area of residence, The decision making process at national level will include formulae for allocation by geographical area and also work in response to national agendas such as Health of the Nation. At local level there will be health care commissioning incorporating decisions about which health care services to purchase for a community. The processes will be subject to pressure from groups such as; pressure groups, complaint mechanisms and statutory bodies such as community health councils and review by the national Audit Office (New, 1996). Even when a rationing criteria is agreed upon the situation remains complex. Rationing by age may be morally wrong and some would advocate its illegality (Rivin, 1999). Age is a major factor in the rationing of renal transplantation (Lewis, 1989) despite the fact that age does not have a good relationship with prognosis (Wolfe, 1999). Sassi (2001) explains the lack of equity principles in the way such decisions are made in the NHS. O’Boyle (2001) auditing rationing secondary care for excision of skin lesions and found poor patient and general practitioner satisfaction with the process and a high rate of re-referrals. The debate as to the degree of openness of the rationing process continues. The problems of rationing are inherent in the process and openness of the process exposes yet more difficult decision making. References Coast J 1997 Rationing within the NHS should be explicit; the case against BMJ 314:1118-1122 Cohen D 1994 Marginal analysis in practice: an alternative to needs assessment for contracting health care. BMJ 309:781-4. Donaldson C 1994 Commentary: possible road to efficiency in the health service. BMJ 309:784-5. Doyal L 1997 Rationing within the NHS should be explicit: the case for BMJ 1114-1118 House of Commons Health Committee 1995 Priority setting in the NHS: purchasing. London: HMSO 57. Klein R 1993 Dimensions of rationing: who should do what? BMJ 307:309-11. Lewis PA Charny M 1989 Which of two individuals do you treat when only their ages are different and you cant treat both? J Med Ethics 1989; 15: 29-32. Mechanic D 1995 Dilemmas in rationing health care services: the case for implicit rationing. BMJ 310:1655-9. New B 1996 The rationing agenda in the NHS BMJ 312:1593-1601 OBoyle Cole R P C 2001 Rationing in the NHS : An audit of outcome and acceptance of restriction criteria for minor operations BMJ323:428-429 Price D 1996 Lessons for health care rationing from the case of child B BMJ 312:167-9. Rivlin M 1999 Should age based rationing of health care be illegal? BMJ319:1379 Sassi F Le Grand J Archard L 2001 Equity versus efficiency: a dilemma for the NHS BMJ323:762-763 Wolfe R Ashby V Milford E et al 1999 Comparison of mortality in all patients on dialysis, patients on dialysis awaiting transplantation, and recipients of a first cadaveric transplant. N Engl J Med 341: 1725-1730

Simple Reasons Why Some People Can’t Write Essays

There are some students, perhaps those that you may know, that can’t seem to write essays. There are some people that will seem to have it all down to a science, while some people will not know how to complete a full blown essay of any type. You’re going to find that there are a lot of reasons why this is prevalent. If you’re looking at writing, and are having a hard time overall, you may want to look into a few reasons why some have a hard time. The following solutions will help you focus on how to get moving forward with the process of gaining the upper hand in writing essays. It’s going to focus on why some people can’t write, which will then help you correct mistakes that you may be facing off against. These are the simple reasons why some people can’t write essays, which should help you gain the upper hand. Once you know what to work on, you will be able to address those things and correct them moving forward.Ideas Don’t Come Quic kly Some people have a hard time brainstorming ideas and topics. Some don’t really know what to write about or where to even start. Even with a simple prompt, many people aren’t sure how to develop the ideas that an essay requires. In academia, there’s a lot of focused solutions that come through, and finding a way to organize the right ideas into a narrative that works is tough, to say the least. Narrowing down the options is difficult enough, but getting to a point where you’re working on one thesis statement and then creating proper annotated essay elements can become a struggle, which causes many writers to give up before they even get too far in the writing process.Many Students Don’t OutlineThe process of writing an essay should not be done by sitting down at a word processor and going forward. That’s the mistake a lot of students make, and it’s not a good thing. To master essay writing, you have to focus on outlining, and creat ing ideas that are easy to work with after the fact. Sitting down and trying to write is not going to help forward progress, it’s just too difficult to do that. Many students try to do that, but end up losing focus because they don’t have a path towards the finish line, which is why outlines matter so much.Students Don’t Like EditingA lot of students fail at working well with writing essays because there’s an editing process that many don’t like. Editing means changing things, and facing off against writing options that aren’t very good to run through. Students often assume that the writing process takes one major push, and that’s it. But that’s not true. In order to sustain the path of good academic writing, a student has to write a rough draft, then edit it down and consolidation ideas to fit the format of the prompt. In some cases, over extending the writing is not a good thing, which is why editing is so important. Students often don’t like to edit, because it feels like they are erasing the hard work that they’ve been working through.Reading Comprehension Is RoughFor some individuals, the process of reading and comprehending different view points can be difficult to manage. To the point where writing an essay can become somewhat difficult. Writing an essay is made even more difficult when you have to cite sources, and comprehend what others have done within certain academic criteria. Reading comprehension is one thing, but taking the information that one has read and then rewriting, citing it, and creating a greater push forward regarding the writing process can be a bit difficult.Length and Word Counts Are IntimidatingThere are some students that look at the prompts and word counts associated with essays and become intimidated by them. There are some essays that aren’t that long, only around 500 to 1000 words. However, there are some options that require a lot longer of a push. For instance, graduate study work could need upwards of 10,000 words, and they all need to be cited in certain style. Citations and references alone could be several pages, and that’s not including the actual essay formatting. Length and word counts can easily be intimidating when a writer finds that they have been working for hours, and may only have around 700 or 800 words. Crafting long form essays can be daunting for the novice, and for others, it could be a major hurdle that they cannot seem to overcome with relative ease.Waiting Too Long To StartThe moment that an essay is assigned, the student should chase the option to start working on it. Many students wait too long to start, and end up trying to cram all of the writing into one night. This is a mistake that many people make, and it becomes an impossible task to work out. Waiting too long to start is a bad idea because the editing process becomes difficult to manage, and it becomes even harder to work through ideas, thesis statements and more. Procrastination is the enemy of students, especially when it comes to writing essays of an academic format.Rushing Through The ProcessSome people can write a lot in a short time, but when it comes to proper formatting, and essay writing, they seem to find themselves lacking the appropriate time frame to work on the essay prompts. Rushing through the process, forgetting drafts, outlines, and editing is a part of the bigger problem as to why people can’t write proper essays and seem to have a difficult time progressing through a variety of different arenas. Writing essays is tough, but when you rush through any of the writing process, it becomes a lot more difficult to put together the appropriate structure. At the end of the day, there’s a lot of reasons why people can’t seem to write essays. The above are just some of the most common issues that people have.

Justification of Creon in Antigone by Sophocles Essay

Justification of Creon in Antigone by Sophocles Antigone is a tragic play written by Sophocles in about 441b.c. The play is a continuation of the curse put upon the household of Oedipus Rex. Sophocles actually wrote this play before he wrote Oedipus, but it follows Oedipus in chronological order. The story of Antigone begins after the departure of Oedipus, the king of Thebes, into self-exile. Oedipus’ two sons, Eteocles and Polyneices, were left to rule over Thebes. An argument over rights to power forces Polynices to leave Thebes. Some time passes and Polynices returns with the army from Argos and attempts to overthrow his brother. The two brothers fight and kill one another and the war ends. Creon, the uncle of the two†¦show more content†¦Through looking at the history of the era, the intentions of the playwright, and the critical analysis and commentary offered on the play, it is in my opinion that Sophocles intended Creon to be the character who was in the right, not Antigone. The start of theater and drama in Ancient Greece took form in about 5th century b.c, with Sophocles being considered the master of tragedy. In his plays and those of the same genre, classic fables that the people of the era knew well were used to tell the stories. The tragic hero’s of these stories often strive to live honorable and righteous lives, but because of some mistake their lives would often great and noble death. The idea that serving the state was proper way to gain honor was a popular belief during this time period. This philosophy was echoed by Plato in his book, the Republic. Plato dealt with establishing the ideal state. The way to achieve the ideal state was through striving for justice. Justice, according to Plato, is doing only the tasks assigned to them by nature. This is the fundamental notion for his creation of an ideal city. It is both knowing what true justice is and where one belongs in the city that the ideal can be achieved. Justice in a city can be found in an individual as well outside the individual because it is a concept that is universal. If a ruler of a state was to maintain order and control over his peopleShow MoreRelatedPower, Hubris, And Hamartia Sophocles Antigone1627 Words   |  7 PagesHamartia in Sophocles s Antigone Lord Acton, a well-known British historian, writer, and politician, resonated the repercussions of power and dominance by stating that All power tends to corrupt; absolute power corrupts absolutely† (Moreell, Power Corrupts). This is just one of the themes covered in Sophocles s Antigone. Within this dramatic play, Sophocles questions the conventions of hubris, hamartia, and power. They all play a role in the narrative where Antigone, daughterRead MoreHow Power Can Be Corrupted Through Hubris And Invokes The Limits Of Power Of A Ruler1512 Words   |  7 Pages Sophocles shows how power can be corrupted through hubris and invokes the limits of power of a ruler. Also, Sophocles exposes how the presence of dominance can Antigone continues to argue with Creon over the justification of her harsh sentence. Within the heated debate, Antigone says to Creon that â€Å"Not a man here would say the opposite, were his tongue not locked in fear. Unfortunately, tyranny (blessed in so much else besides) can lay down the law down any way it wants† (Sophocles 212). WithinRead MoreEssay on Analyzing Antigone and Creon1313 Words   |  6 PagesSophocles play titled Antigone, embellishes the opposing conflicts between Antigone who stands for the values of family, and Creon who stands for the values of state. Sophocles explores the depths of Antigone’s morality and the duty based on consequence throughout the play, as well as the practical consequences of Creon who is passionate and close-minded. Although Antigone’s moral decisions appear to be more logical and favorable than Creon’s, a personal argument would be that both characters’Read MoreThe Notions of Justice in The Republic and Antigone1707 Words   |  7 Pagesphilosophical literature, notions of justice are presented plainly. Plato’s The Republic and Sophocles’ Antigone both address elements of death, tyranny and immorality, morality, and societal roles. These topics are important elements when addressing justice, whether in the societal representation or personal representation. Antigone uses the concept of death in many ways when unfolding the tragic story of Antigone and her rebellion. The most obvious way is how death is used as a form of capital punishmentRead MoreThe Conflict Of Sophocles Antigone1500 Words   |  6 PagesSophocles’ Antigone centers around a familial feud that develops between Antigone and Creon when Antigone decides to bury her brother and Creon’s niece, Polyneices. While Antigone believes that it is her religious and familial duty to bury her brother, Creon objects, citing the Theban civil war which took place right before the events of the play. Adhering to Greek literary tradition, Sophocles ultimately seeks not just to entertain the audience but also to teach a moral lesson, in this case aboutRead More Antigone Essay1008 Words   |  5 Pages Antigone nbsp;nbsp;nbsp;nbsp;nbsp;Antigone, by Sophocles, is a story about the struggle between Antigone, who represents the laws of the gods and Creon, who represents the laws of the state. The play takes place circa 442 B.C. in the city-state of Thebes. The story revolves around the burial of Polyneices. Polyneices led an army against his brother, Etocles, the King of Thebes. They killed each other in battle and the new king, Creon, made a decree that only Etocles was to be buried becauseRead MoreEssay on Antigone vs. Creon1355 Words   |  6 PagesIn the Greek play Antigone writer Sophocles illustrates the clash between the story’s main character Antigone and her powerful uncle, Creon. King Creon of Thebes is an ignorant and oppressive ruler. In the text, there is a prevailing theme of rules and order in which Antigone’s standards of divine justice conflict with Creon’s will as the king. Antigone was not wrong in disobeying Creon, because he was evil and tyrannical. T he authors of â€Å"Antigone: Kinship, Justice, and the Polis,† and â€Å"AssumptionsRead MoreChoices That Mean Life or Death In Antigone1381 Words   |  6 PagesChoices That Mean Life or Death In Antigone The play Antigone was penned by Sophocles, a Greek writer, sometime in the late 440s B.C. This Greek tragedy uses a combination of literary elements in order to grab the reader’s attention. Two such elements are theme and conflict. Most importantly, Sophocles’s Antigone deals with themes, such as the conflict of family versus state, the conflict of individual versus government, and the conflict ofRead MoreEssay about Gender Bias Critic of Antigone1724 Words   |  7 PagesA Gender Bias Approach to Antigone Just as one stone removed can break a bridge, one flaw can bring a man to ruins. The flaw of one man cannot bring down an entire kingdom, but rather one outlook of the king can lead to the demise of the whole. In Sophocles epic tragedy, Antigone, a strong gender bias is present throughout the tragedy, and is partially responsible for the downfall of the king. To Sophocles the king is not always representative of the people, but acts on his own personal desiresRead MoreAntigone‚Äà ´s Purpose1224 Words   |  5 PagesAntigone’s Purpose In the story of Antigone, originally written by Sophocles, explains the story, of a woman who stands up for her own beliefs against the king. At the time of Sophocles, women had little power and authority. They were expected to listen to their husband, king, or any man that speaks to or asks a woman of something. The story starts up where the story of Oedipus ends, in his death. Trouble and war are about to begin in Thebes, so Antigone travels there to try and stop what may

Alzheimers Disease - 3170 Words

The Role of Caregiving to Patients with Alzheimer’s Disease Megan Zann April 27, 2012 Health Psychology Dr. Ackerman Introduction It is normal to periodically forget your keys or a homework assignment, because you generally remember these things later. However, individuals who suffer from Alzheimer’s disease may forget things more often, but they do not remember them again. The incidence of Alzheimer’s disease has dramatically increased because people are living longer. This is a result of advancements in medical technology that are increasing the human life span. That being said, now there is more responsibility placed on the individual and their caregivers to provide a supportive environment to combat this disease. Alzheimer’s†¦show more content†¦Plaques are formed from deposits of the beta-amyloid protein collecting in the spaces of the brain between the nerve and cell (Unknown Author 2011). Researchers believe that plaques and tangles affect the brain by blocking communication between cells and therefore disrupt the processes needed to survive. â€Å"It is the destruction and death of nerve cells that causes memory failure, personality change, problems carrying out daily activity, and other symptoms of Alzheimer’s disease† (Unknown Author 2011). Risk factors The causes of Alzheimer’s disease are somewhat a mystery. However, specific characteristics have been identified to make individuals more vulnerable to becoming a victim of this disease. Like with many other diseases, family history poses a threat to individuals. If there is a â€Å"genetic mutation on chromosomes 1, 14, and 21† then there is an increased likelihood of developing early on-set Alzheimer’s. In addition to this, people who are carriers of a specific version of apolipoprotein-E-gene are also more likely to develop Alzheimer’s disease. The most important risk factor is age. â€Å"8% among people over age 65 and doubles every 5 years to reach close to 40% among 85-year-olds† (Tampi 2006). Other research suggests that health problems such as high blood pressure, atherosclerosis, high cholesterol, and cardiovascular disease are key components in the progression of this disease. Studies have shown that brain trauma also triggers thisShow MoreRelatedAlzheimers Disease945 Words   |  4 PagesAlzheimer’s Disease Alzheimer’s Disease is a progressive neurological disease; it often attacks the brain tissues causing memory loss of one’s identity and regular behaviors. Statistics indicates that the rate of predicted people to get Alzheimer’s will increase briskly as time goes on. There are currently no cures for such disastrous disease, but there are currently approved treatments available that can help people within the early stages of Alzheimer’s. 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