Ageing and Disability in New Zealand

Ageing and Disability in New Zealand History of Ageing in New Zealand On a National level during the 1860s there were charitable institutions set up by charitable aid boards to help older people in New Zealand. But prior to the 1880’s, the New Zealand government did not have health or welfare policies aimed towards older people. Mortality rates then were high than it is today. The service delivery for aged care in New Zealand historically developed on a regional basis causing variable differences in the type of delivery and services for the health of older people. In 1885 the Hospitals and Charitable Institutions Act made a policy that distinguishes the connections between ageing , illness and impairment which led to ageing becoming a medical terminology. Then in 1889 the first publicly provided pension was created and called a pension for â€Å" persons of good character† that were aged 65 and above. It was seen as a better alternative than the exiting â€Å"civil list† which relied on grace and favour which meant that only a few people will be able to get it. This reform was made to recognize the contributions of Maori and Pakeha in the land wars and this was handled mostly on a Regional level where government handled the funding , the local courts decided the eligibility and the post office sent out the payments. This strengthened the institutionalisation as the best way to care for the elderly and 65 was the statutory age for for retirement and pension has become a source of income which also led for ageing to be assessed medically for an older person to be eligible for support. Nationalisation for the welfare of the elderly was realised with the creation and passing of the Social Security Act of 1939, by this time New Zealand was world renowned for it’s advanced social welfare policies including old-age pension. It introduced free healthcare services to the elderly and and provided a wide range of welfare benefits. The establishment of the act made it less restrictive for older people to receive their pensions and medical benefits. The Act introduced a concept that every New Zealand citizen had a right to an appropriate standard of living and that it was the responsibility of the community to make certain that every member is safe against the pitfalls of a struggling economy from which the people cannot protect themselves. It was thought of as a solution that will end poverty in New Zealand. It had three main objectives: as a substitute for the existing system of non-contributory pension system and change it to a monetary benefits system where its ci tizens would be contributing according to their means and could take from according to what they need; to provide a nationalised superannuation or pension; and to start a universal system for the delivery of medical care benefits. In 1949 subsidies and grants was offered to religious and welfare organizations to build and run rest homes which resulted in the growth of services available for older people in particular to residential care. In 1955 the Advisory Committee on the Care of the Aged was established but changes were still far from being made as the care for the elderly is still focused on medical issues so it remained institutionalized. But in the 1960s, subsidies increased to help for the care of the elderly and it was recognised that support in the community level was needed. The 1970s and 80s saw the change in funding for elderly care and it moved away from charitable and voluntary to the private sector which led to more than 30% increase in the number of licensed rest homes in the country. The Geriatric Hospital Special Assistance Scheme was introduced, this scheme allowed hospital boards to put patients seeking public care into private ones and by the end of 1985 81% of patients in Auckland’s elderly population was under the GHSAS. In 1993 the Regional Health Authorities was established and introduced a division between the health care providers and purchasers. Funding was separated into acute and chronic care. The RHA contracted with public providers regarding acute care, rehabilitation and clinical services and religious or welfare while chronic care was contracted to private providers. This saw a marked in increase in the establishment of rest homes reaching up to 460% in some areas. In 2002 a new certification system saw the deregulation of the aged care industry and allowed facilities to develop their own staffing ratio. This year the Health of Older People Strategy was drafted, the strategy sets out a program to refocus health and support services to meet the needs of older people in the current and future situations. It is designed to be a guide to providers, planners and funders of health support services in the integration of the continuum of care. This ensures that the right services are provided at the right time in the right place by the right provider. This calls on everyone in the health industry to work together in the interest of providing quality health services for older people. Policies , Strategies and Funding New Zealand’s Health of Older People Strategy outlines policies, strategies, guidelines and how funding will be provided in the care of older people. The strategy has eight core objectives: Older people and their family/whanau are able to make well-informed choices on their options for a healthy living, healthcare and their support needs. Quality health and disability support programmes will be integrated around the needs of older people and they will be helped by policy and service planning. 3. The funding and service delivery will provide promotion of prompt access to a quality integrated and disability support services for older people, their family or their carers. 4. The health and well being of older people will be promoted through programmes and health initiatives. Older people will have access to primary and community based health services that will promote and improve their health and functioning. Access to health services in a timely mainly to improve and maitain the health of the older people. Integration of general hospital services with any community based care and support. Older people that has high and complex health and disability needs shall be given access to flexible, prompt and well coordinated services and living options that will take into consideration the needs of their family and carers. The Ministry of Health and the District Health Boards is responsible for implementing the Health of Older People Strategy. The District Health Boards need to implement these strategies by 2010 and each of the District Health Boards will need to determine on when and how these strategies will be implemented. A few number of DHBs, especially those with a high number of older people in their population have already began and established working groups to plan and develop integration of all services for older people. They work closely with the Ministry of Health to ensure that continuum of care for the elderly is achieved. The Ministry of Health will be the monitor to the DHBs progress in implementing the Health for Older People Strategy against the plans they have set out on a yearly basis. They will also initiate a review of the progress every three years that will coincide with the status reports for the implementation of the Positive Ageing Strategy from the Ministry of Social Develo pment. The Ministry will also undertake three-yearly reviews of progress to coincide with Ministry of Social Development status reports on implementing the Positive Ageing Strategy. The Ministry of Health will provide advice to the government on future funding for older people’s health and disability support services including the level of public funding and individual contributions and incentives for clients and service providers. The Ministry of Health is the one undertaking the responsibility of heading three funding projects to contribute to this strategy. 2.2 Terminology for older people Older people Aged 65 years and over and where superannuation or pension starts Baby boomers refers to people who were born after World War 1 and World War 2 where there was a marked increase in births per year Ageism the negative stereotype or discrimination against people of older age Age Discrimination the unfair and unequal treatment of people on the basis of age. Gerontology is the study of social, psychological and biological aspects of ageing Geriatrics the study of diseases in older people Elderly advanced beyond middle age Senior a person who is more advanced in life Attitudes , Stereotypes and Barriers Towards Older People In general people have negative views and attitudes towards older people. Like ageism which can be defined as systematic way of stereotyping and discriminating against people just because they are considered of old age. They are typically stereotyped as frail, weak, ill, that they are suffering from mental health issues and mental deterioration, they are poor and dependent, they are called senile and ancient, elderly are thought to have no sexual desires . On the other hand some people view old people as people living in extravagant lifestyles and that they just take from the welfare of the state. In addition to this since old people have benefits that they can get from the government especially special services from the health and welfare sector people see old people as a burden to society. These stereotypes are in fact in direct contrast to the reality that in fact the majority of older people are leading fit, healthy and independent lives. It is said indirect forms of discrimination, such as barriers to access of services where older people are not being prioritized when they are accessing some form of service like for example wanting to have a phone line connected, inadequate transportation as a form of structural barriers where elderly does not have access to convenient ways of transportation, waiting in emergency or outpatient departments in hospitals and community services that are underfunded and frequent. There are cultural barriers in meeting health needs like for example for the Maori, they perceive health in a holistic approach and they have the four cornerstones of Maori health that includes the mind, the spirit, the body and the family, and they believe in the practice of rangoa or traditional Maori medicine, often times this becomes a barrier because health care providers does not take this into consideration and therefore Maori are not able to access health services because they believe that Pakeha does no t understand how to treat them. Financial barriers are also experienced by the elderly especially if they have no family to support them and they have no savings to use. Another type of barrier is the communication barrier wherein the younger generation does not understand how to deal with the older people. It is often that some practices that were not done in the past are being accepted today , like for example male carers caring for female elderly, this causes a barrier in providing care for them. The Governments Positive Ageing priorities are outlined where the The Minister for Senior Citizens has identified three priority areas that are linked to the goals of the New Zealand Positive Ageing Strategy which are : Securing employment opportunities for mature workers where they are given flexible working hours Encouraging a change in attitudes towards ageing and older people by promoting intergenerational programmes and to reinforce the important contributions of older people to society The protection of rights and interests of older people by raising awareness of the abuse of the elderly and the prevention of neglect The New Zealand Positive Ageing Strategy helps promote and reduce barriers experienced by older people. They also improve services that older people can access. They have Ten Goals which are: 1. Income provide adequate income for older people 2. Health fair, prompt and accessible health services for older people 3. Housing provide an affordable and proper options for housing to older people 4. Transport provide transport services that older people can afford and have adequate access to 5. Ageing in the community older people can be safe and secure as they age within the community 6. Cultural diversity older people are given choices that are appropriate for cultural diversity in the community 7. Rural services when accessing services in the rural communities , it will ensure that older people are not disadvantaged 8. Positive attitudes to ensure and propagate awareness so people of all ages have a positive attitude towards ageing and older people. 9. Employment opportunities it aims to eliminate ageism and promote work opportunities that have flexible work hours for older people. 10. Personal growth and opportunities to increase opportunities for personal growth for the older people Up to today even if there are strategies and programs being rolled out by the government to increase awareness about understanding people with old age but because of these negative attitudes, stereotypes and barriers older people perceive that they are denied to participate in making decisions about their life and their health. Elder abuse in the form of physical, verbal , emotional and neglect is common in the home and in residential facilities because of the wrong way people think about the elderly. 2.3 Service provisions and access frameworks Older people find it hard to cope on their own especially if they do not have any family to support them. The Ministry of Health along with other agencies has service provisions and access frameworks that older people can utilise to help maintain their independence and quality in life, be able to stay in their own home as long as they can, and to be able to participate in their respective communities. Support services are funded and can be accessed through District Health Boards and these services are supplied by the Ministry of Health Disability Support Services, DHBs and Accident Compensation Corporation that usually hires a private contractor to provide services. These services include assistance with personal cares, household support, support for the older persons carer and support with equipments that older people may need to help with their safety at home. To be able to access these support services an older person must be a New Zealand citizen or resident who is eligible to re ceive publicly funded health services and they must meet the criteria after needs assessment. Older people who wish to access the services can coordinate with their local DHBs to be able to assessed on what support they are eligible for. The Ministry of Social Development also has service provisions and frameworks that are put in place to benefit older people like: Providing policy advice , research on retirement income and advice on a whole range of issues that affects the older people Promoting positive ageing Providing income security for veterans Administer SuperGold Card, Community Services Card and Residential Care Subsidy Provide funding for services that reduces the occurrence of elder abuse and neglect 2.4 References Auckland District Health Board. (2013). Health of Older People. Retrieved from http://www.adhb.govt.nz/planningandfunding/health%20of%20older%20people.htm Ministry of Social Development. (2007). Older People. Retrieved from http://www.msd.govt.nz/about-msd-and-our-work/publications-resources/corporate/statement-of-intent/2007/older-people.html Ministry of Social Development. (2001). Positive Ageing Goals and Key Actions. Retrieved from http://www.msd.govt.nz/about-msd-and-our-work/publications-resources/planning-strategy/positive-ageing/goals-and-actions.html Ministry of Health. (2013). What can you expect from home support services. Retrieved from http://www.health.govt.nz/your-health/services-and-support/health-care-services/services-older-people/support-services-older-people/what-you-can-expect-home-support-services Ministry of Health. (2014). Health of Older People. Retrieved from http://www.health.govt.nz/our-work/life-stages/health-older-people Ministry of Health. (2002). Health of Older People Strategy. Retrieved from http://www.health.govt.nz/publication/health-older-people-strategy New Plymouth District Council. (2010). Positive Ageing Strategy. Retrieved from http://www.newplymouthnz.com/CouncilDocuments/PlansAndStrategies/PositiveAgeingStrategy.htm#nz Oregon Department of Human Services. (n.d.). Myths and Stereotypes of Aging. Retrieved from www.oregon.gov/dhs/apd-dd-training/EQC Training Documents/Myths and Stereotypes of Aging.pdf Jaqueline Villaflores Civil ID 13161001

Arthur Conan Doyle Essay

Examine the ways in which the author, creates suspense and tension in ‘The Speckled Band’ by Sir Arthur Conan Doyle and the ‘Body Snatcher’ by Robert Louis Stevenson Speckled Band The Speckled Band is about an evil stepfather named Dr Roylott who has the intention of murdering his stepdaughter Helen to gain her property, having already murdered her older sister Julia, in a mysterious way. When his younger stepdaughter gets suspicious, as the mysterious circumstances repeated themselves, she contacts Mr Holmes. Mr Holmes tries to help Miss Stoner find out who killed her older sister and what with. In the opening paragraph we are given unanswered questions, which makes the reader feel uncertain of the situation. We are told Holmes only investigates strange cases; this makes the reader wonder what they are going to be learning of. Sherlock Holmes awoke from his sleep earlier than usual, even though he is described as a ‘late riser’. This interests the reader because of the sense of urgency, which Homes shows. Miss Stoner is described as wearing ‘a black dress and veil’. This makes the reader curious as to why is she wearing black as black usually symbolises death or that a tragedy has happened. Watson and Holmes mention that she is shivering, a sudden twist occurs when the woman replies ‘It is not the cold which makes me shiver†¦ it is fear†¦ it is terror’. This reply creates tension and apprehension, we are presented with many unanswered questions, ‘Why is she scared’ being the main one. This creates suspense and tension because the unanswered questions give us vague details about the whole situation. Miss Stoner had ‘prematurely grey hair’ this detail was mentioned because sometimes people who have a lot of stress get grey hair prematurely, so the author is trying to emphasise that she is extremely worried about the situation. Also she is described as a ‘hunted animal’, this emphasises her vulnerability and causes the reader to be uncomfortable. We only know that she is troubled and fatigued but what caused it is unknown to the reader even though we are told all of these descriptions of Miss Stoner. We are told about Dr Roylott and of how he murdered ‘his native butler’. This increases the awareness of the reader about Dr Roylott’s aggressive and violent behaviour. He keeps exotic Indian animals such as the ‘baboon and cheetah’, which makes Dr Roylott baffling since he doesn’t act in a normal way so the reader cannot fully understand his character. Dr Roylott followed Miss Stoner to Mr Holmes house. This makes Dr Roylott seem a desperate person seeing as he is willing to spy on his stepdaughter and it therefore seems that he has something to hide. Dr Roylott is described as a man with ‘immense strength’ and with a very short-tempered anger. This is reinforced when Dr Roylott bent the poker and warned Mr Holmes that he is a very dangerous man. This striking first appearance of Dr Roylott makes the reader understand why he is such a dangerous man. Dr Roylott has the ability to intimidate most people but not Sherlock Holmes. Holmes is now seen as the knight in shining armour who is going to save Helen. Dr Roylott lets gypsies to stay on his land he becomes friends with them. This makes him seem more mysterious because people in that time of age wouldn’t usually allow gypsies to stay on their grounds and then associate themselves with them, this is a very abnormal type of behaviour. Miss Stoner told Sherlock Holmes that Julia said before she passed away that it was the ‘speckled band’ and then pointed towards Dr Roylott’s room. This leads the reader to think that the death had something to do with the gypsies, the reason being that gypsies were usually stereotyped as wearing bandanas. The reader assumes that the gypsies may have killed Julia. We learn about Helen’s problems when she explains them to Holmes, we are now answered some of the questions the reader had before. We are told that Helens sister was murdered which raises tension in the conversation. The fact that Julia died just before the day of her wedding raises the awareness of the reader. Since Dr Roylott wanted to keep the money, he’d have to get rid of Julia before she was married, this raises suspicion about him. The reader asks ‘why did he go to bed early? ‘ We have more unanswered a question such as ‘How did she die? ‘ that bewilders the reader. Helen tells us in great detail about the night Julia died next-door to Dr Roylott’s room. Julia earlier that night heard a peculiar ‘low whistle’ and a loud sound of metal being struck. These strange noises give a sense of unease to the reader. The two sisters would lock themselves in their room, which tells us they don’t feel safe on their own, ‘we had no feeling of security unless our doors were locked’. Julia is alone and isolated from her sister and the strange sound creates tremendous stress within the reader because the reader is scared for her. A cheetah and a baboon are loose in the garden. Helen is engaged; when Julia was just about to get married she was killed. The reader already knows that if they got married Dr Roylott would lose a lot of money. These two factors are put together and now the reader fears for Helen’s life. Mr Holmes inspects the room that Julia died in. He notices that the house is being repaired even though it doesn’t seem to need repair. Helen told Holmes ‘I believe that it was an excuse to move me from my room’, now that she is in the room in which her sister died in, she is now very vulnerable. The fact that the house has scaffolding gives the reader the impression that a person may have entered the house from the outside, this misleads the reader slightly from what really happened. The room door had been locked and shutters with iron bars blocked the windows. The room had very unusual features such as ‘dummy bell ropes and ventilators that did not ventilate’. The ventilator goes into Dr Roylott’s room, we are now wary of Dr Roylott that he used these features to kill Julia. In Dr Roylott’s room was a ‘saucer of milk’, which is quite strange since if it were for a cheetah it would have drank it in one lick. Also a ‘lash that was tied in a loop of whipcord’ was found in Dr Roylott’s room, this produces an image that he may have strangled Julia because it was designed to get tighter when pulled and could have been placed through the ventilator to strangle her. The whole situation holds the reader in suspense and there is a sense of unpredictability as to what is going to happen. Mr Holmes is capable of noticing small points and then reaching a conclusion, he demonstrated his ability as a detective at the beginning of the story when he knew how Miss Stoner got to his house by glancing at her ticket and coat. He notices these small points and puts them together, after that incident the reader is able to rely on Mr Holmes for answers. After he examined both of the rooms he advised Helen to listen to what he said because her life may depend upon it. Holmes had certainly spotted something very significant but he does not tell us which adds to the anxious and tense atmosphere. Mr Holmes and Watson discuss the situation, Mr Holmes clearly informs Watson that the bed being clamped to the floor, the ventilator and dummy bell rope played a link of the death of Helen. The scene is dark that gives a chilling scene. Mr Holmes and Watson encounter a ‘distorted child’ whilst walking on the grounds it was described as having ‘writhing limbs’. This is a grim picture that adds to the dark and chilling atmosphere. The child is described as ‘running swiftly across the lawn into darkness’, which makes everything seem mysterious and strange. We later find out it was the baboon. When Holmes is in Helen’s room they agree to ‘sit without light’, since there is no light unexpected things happen such as the noises they hear. The reader is now fearful for Holmes and Watson because they can’t clearly see what’s happening. Holmes tells Watson to have the pistol ready which gives the impression that they are waiting for something terrible to happen which creates a huge amount of anxiety and apprehension. Holmes for the first time in the story is nervous; this makes the reader think that a big event is about to take place. The cheetah is at liberty that increases the sense of insecurity. We as readers are unsure of what is going to happen and so is Watson, they waited ‘silently for whatever might befall’. They sit in the room waiting for what is going to happen for hours. ‘Holmes sprang from the bed and lashed furiously with his cane at the bell pull’; the reader and also Holmes are very anxious and edgy. Mr Holmes shouted to ask Watson if he could ‘see it? ‘ but he couldn’t, this creates tension and the fact that Watson can’t ‘see it’ he is at a higher risk of being harmed so therefore the reader worries for Watson. Then the low whistle occurred followed by a ‘horrible cry’ which swelled up louder and louder’, Watson and the reader are disorientated about what could of that scream have meant. The doctor was being choked but we don’t understand what is going on. Watson and Holmes feel insecure, ‘take your pistol and we will enter Dr Roylott’s room’. Holmes and Watson find a swamp adder wrapped around Dr Roylott’s neck. The reader now understands that the ‘speckled band’ was the patterns on the snake, the suspense and the tense feeling gradually fades away from the reader. At the end of the story an unpredictable twist happens, that of the ‘speckled band’. The author used a very successful red herring; the reader now knows the red herring was the gypsies, because the reader when told of the ‘speckled band’ in the beginning assumes that it was the gypsies. As the story progresses there are more and more possibilities of the cause of Julia’s death, the gypsies being one of many. Holmes solved that the ‘saucer of milk’ was there to lure the snake, the reader couldn’t link these clues together and therefore tension is built up very well. The baboon and cheetah acted as a slight red herring since they made them feel insecure and increased the tension in situations even though they were not involved. The author is successful in keeping suspense and tension all through out the story keeping the reader intrigued and interested.

Impact of Inflation on Common Man Essay

* The banking industry produces some of the most lucrative profit margins around. If you are interested in starting your own bank then you need to be prepared for the fund-raising, organizing and form filing required to set one up. These steps will help make the process easier * Evaluate how practical it is for you to start a bank. Look at your business experience. You will need to have business management skills, financial management skills and fund-raising skills. * 2 Get to know your market. Before you start a bank you need to find a hole in your current market. After all people are not going to come to a start up bank if they can’t offer the customer something unique. If your local market is already saturated with banks consider moving your bank to an outlying area that is underserved by financial institutions, or consider starting an online bank. * Sponsored Links * Laser Marking Printers Print On Extremely Small Areas W/ High Speed And Print Quality! videojet.com/Free_Whitepaper * 3 Recruit professionals to head the board of your bank. Look for people who you can work well with, for people who have banking skills and experience and for people who have business management skills and experience. * 4 Research the requirements your state has for starting a bank. You can find this information at your state’s Department of Financial Institutions. * 5 Create a plan for raising the required capital funds for your bank. Search for investors, grant programs and ways to earn money to back your bank’s start up. Expect to be required to raise millions of dollars for your bank’s start up. California, for example, requires charter banks to have between $6 million and $10 million dollars in capital funds before their doors open. * 6 Download and fill out the required paperwork for starting a bank. These forms can be found online at your state’s Department of Financial Institutions’ website. This application packet will include a general information sheet, several questionnaires, financial reporting sheets and eligibility checklists. You will also be required to complete supplemental documentation to back up your request to start a bank. You may need to put together a proposal for your bank and you may also need to create a business plan. * 7 Wait for approval. This can take between several weeks and several months. * 8 Implement your business plan after getting approved by your state’s Department of Financial Institutions. Start your fundraising, look for a building, acquire insurance and bonding, hire employees and develop a marketing campaign. Sponsored Links Read more: How to Start a Bank | eHow.com http://www.ehow.com/how_2062432_start-bank.html#ixzz2KNFkFA2m

A Family Tree Of His Family - 923 Words

Jonathan Rea was interviewed for a family tree of his family. He begins by stating he has two parents who and are still currently married. His mom, Judy, loves to cook and is the typical middle age Italian mother. His father, Sandy, is very laid back and spends most of his time watching movies in his room. He also describes his brother, Anthony, who is always busy working. If Anthony is not working he is playing video games. Jonathan explains this is his immediate household. He explains he lives in a two family home. Downstairs his father’s sister, Catherine, lives. She is divorced with her husband for 16 years. She has a son, named Michael, who is Jonathan’s cousin. Since they have grown up in the same house Jonathan reports that they are close. He even reports being closer to his cousin than his brother. When asked about his grandparents, he states he has only met his grandfather, Anthony, on his father’s side of the family. He passed away from lung cancer when Johnathan was very young. Jonathan states he does not remember much about him. Judy’s mother died when she was just a young girl. Her father, Herbert, remarried to a Polish woman whose name Jonathan was not sure of since it is not something his mother talks about often. Judy left home soon after her father, Herbert, remarried, since her and her step mother did not get along. Jonathan has recently found out his grandfather on his mother’s side is still alive. His mother also had one brother, Herb, who sheShow MoreRelatedBootstrap Assignment 11404 Words   |  6 Pageson any mobile device. So, if the user has knowledge of it can be good like as bootstrap framework provide a same way of developments and design of N-level binary tree, sometimes reference of MLM website. Tester: A person who can understand best about social linking and professional linking to be applied to it and how a normal life family can link to multiple people. 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