Friedman Family Assessment and Nursing Diagnosis

This essay sample explores The Friedman Family Assessment Model and nursing diagnosis. Keep reading to find more information on how The Friedman Family Assessment Model can be used to identify family risk factors.

The Friedman Family Assessment Model Essay Introduction

A comprehensive family assessment is key to the process of family health promotion (Carpenito, 2010). The Friedman Family Assessment Model will be used for identifying family strengths and weaknesses as well as developmental stages and risk factors. The structure and function of a family will be assessed with the help of an interview in order to identify three nursing diagnoses and develop a plan of nursing intervention.

Structural Assessment

Barner family is a traditional family in a nuclear setup and is composed of two parents and two girls aged 14 and 12. The kids names are Tn and Sh. Ax is the father and is a 38-year-old Caucasian male. He is a truck driver; therefore, most of the week he is absent from a family home. Ts is also Caucasian and is the mother of the family. She is 36 years old and pursuing her nursing degree. She also works one day per week in a hospital. Ax and Ts have been married for 15 years. This is the first marriage for both of them.

Home and Community Environment

Barners live in a single-family house near a community park. Both kids have their own rooms. The family is of Russian descent and is highly religious: it attends the Eastern Orthodox Church every Sunday. The father plays a traditional role of family leader and provider while the mother takes care of the family matters. He makes all decisions in the family, and it seems that the wife supports his role as head of the household.

Therefore, it could be argued that there is no evidence of role conflict in the family. However, the mother complained that she often feels exhausted because of the necessity to perform multiple roles simultaneously. She said that because of the absence of the father in the home due to the nature of his profession, she experiences increasing pressure from time demands stemming from her inability to keep a balance between her classes, work, and home. Therefore, it could be said that she has role overload exacerbated by excessive psychological demands (Potter, Perry, Hall, & Stockert, 2010).

Both parents received an equivalent of a high school diploma in Russia. Ax and Ts moved to the United States ten years ago and lived in California for nine years before moving to Miami. They are employed at steady jobs with the potential for promotion and upward mobility. The family even dreams about buying a bigger house. Taking into consideration the fact that both parents are currently occupying salary-paying positions it could be said that they are a part of an economic middle class. In the framework of the Freidman Family Assessment Model, Barners are in the fifth developmental stage of a family with adolescent/young children (Potter et al., 2010).

Family Functions

Developmental stage 3 was disrupted when Tn was diagnosed with asthma. Moreover, the parents struggled to cope with diminishing privacy at home after the birth of the second child. However, Barners said that the family did not experience any stress-related to individual family members developmental states at the moment of the interview. Tn is the oldest kid, and she immensely enjoys being a good role model for her little sister. She loves helping in the house and often does dishes. She is an extremely shy kid and has problems with overeating. She reports not being able to stop herself from consuming large portions of sugary beverages and sweets on a regular basis.

An imperative mode of communication is typical for the family. All parent-child interactions are associated with parents playing the role of coaches and advisors. It could be argued that protective authority is a favorable mode of communication for children because it makes them feel safe and supported; however, communication norms dictated by imperative mode restrict their self-expression (Galvin, 2015). There is no evidence of violence in the family. Barners reported not having an emergency plan.

Health Care Functions

Ax and Ts reported having been practicing safe sex with one partner. The parents also said that in addition to birth control pills they use latex condoms because they are not planning on having another child. They also confessed to not having a history of STDs and never changing sex partners. Barners family described their current health status as relatively healthy. Even though they value health and would like to improve their condition, the family regularly engages in the risky health behavior of smoking.

Despite the fact they have made numerous attempts to quit the unhealthy habit, they decided that smoking cessation would deprive them of the quickest way to unwind. Moreover, the head of the family consumes alcoholic beverages every week and does not want to change unhealthy behavior saying that it is something I enjoy. Barner family recognized the necessity of focusing more attention on nutrition. All family members reported consuming a significant amount of processed food due to the inability to prepare healthy meals because of busy lifestyles. Taking into consideration that Ax is a truck driver, he less frequently relies on frozen foods; however, his frequency of fast-food restaurant usage is the highest in the family.

As a result of unbalanced diets, all Barners report being overweight. All family members except Ax reports having a normal frequency of bowel movements. The father says that he sometimes experiences problems with constipation and has four bowel movements per week. He also reports having only five to six hours of sleep on a regular basis for the last eight years.

The children have a busy lifestyle because of extracurricular activities. Although they ideally would like to sleep more, they report playing computer games until late at night and, as a result, having only seven to eight hours of sleep. She says that she does not always feel rested because of the lack of sleep but still does not feel motivated to change her schedule. It could be said that the overall health of the immediate members of Barner family is good. The history of the extended family indicates the presence of diabetes and a few members with hypertension. Ts has lost her older brother due to a complication of diabetes. Nonetheless, she does not want to change her nutritional pattern.

The family immunization record was up to date. Mr. Barner was diagnosed with hypertension a year ago. Mrs. Barner reported having a tubal ligation. The family denied any medical history except for the case when Tn was diagnosed with asthma at the age of three. Ax reported taking prescription medications to normalize his bowel and bladder pattern as well as address a hypertension problem. The family on the paternal side was a source of significant support for Barners. However, in 2013 Mr. Barners mother passed away due to cancer. Ax reports that he feels a lack of external support since then.

Diagnoses and Plans

Ineffective Health Maintenance

The family is not able to maintain their health (NANDA-I) (Carpenito, 2013). Barners demonstrated a lack of interest in improving their health patterns and behaviors. They also have a long history of lack of health-seeking behaviors (Carpenito, 2013, p. 302). The causes of ineffective health maintenance in the family: lack of motivation and poor nutrition.

Goal

The patients will voice their intent to develop health maintenance behaviors.

Interventions

  • Determine the familys knowledge of health education, health screening, and self-responsibility facilitation;
  • Determine the familys patterns of health care;
  • Provide Barners with specific information related to health promotion;
  • Discuss the familys food choices;
  • Advice the parents to quit smocking (Carpenito, 2010).

Imbalanced Nutrition: More Than Body Requirements

Intake of a number of nutrients that surpass metabolic needs (NANADA-I) (Carpenito, 2013). All family members are overweight and show sedentary activity patterns. The diagnosis is associated with a dysfunctional eating pattern (Carpenito, 2013).

Goal

All family members will be able to explain why they are at risk of significant weight gain.

Interventions

  • Discuss nutritional intake and explain the rationale for engaging in modification techniques for managing caloric intake.
  • Provide referral to a weight loss program.
  • Instruct the family to change their activity pattern.

Disturbed Sleep Pattern

Three family members complained about prolonged periods without sleep (NANDA-I) (Carpenito, 2013, p. 412). Ax and children had difficulty falling asleep.

Goal

The family members having a persistent problem with falling asleep will report acquiring a balance between rest and activity.

Interventions

  • All causative and contributing factors have to be identified.
  • Reduce environmental distractions.
  • Encourage a sleep routine.
  • Organize daytime activities.
  • Provide necessary health teaching.

References

Carpenito, L. J. (2010). Nursing diagnosis: application to clinical practice. Philadelphia, PA: Lippincott Williams & Wilkins.

Carpenito, L. J. (2013). Handbook of nursing diagnosis. Philadelphia, PA: Lippincott Williams & Wilkins Health.

Galvin, K. (2015). Family communication instructors review copy. New York, NY: Routledge.

Potter, P. A., Perry, A. G., Hall, A., & Stockert, P. A. (2010). Fundamentals of nursing. St. Louis, MO: Mosby Elsevier.

An Evaluation of Paris 2024 Summer Olympics Bidding Process

The International Olympic Committee (I.O.C.) approved France to host the next summer event in 2024. Paris was chosen as a strategic city of welcoming professional sportspersons in international sports, including athletics, football, basketball, and volleyball, among others. The decision of awarding the bid was based on significant social factors relevant to contemporary issues. Executive officials at I.O.C. assessed applicants based on the development history, leadership competence, and rating on public opinion (Heerdt, 2018). Political leadership in France intends on transforming business and social practices in support of environmental sustainability. I believe that the bidding process for hosting the 2024 summer Olympics was fair as political and sociological justifications presented are fundamental and relevant to modern society.

The criteria used by I.O.C. were justified as Paris offers a strategic platform of enhancing sustainability practices. Climate change has resulted in harsh weather conditions, as evidenced in Europe, North America, and Asia. Human life is at a risk of natural disaster in modern times more than it was a decade ago. The situation requires action on conservation practices which will preserve ecological elements supporting life. France is a developed country which can lead a global environmental change. The Paris Climate Accord of 2016 illustrates the countrys commitment towards a sustainable world in future (Kassens-Noor & Lauermann, 2018). It highlights that the 2024 bidding process was fairly awarded to Paris.

Additionally, the bidding process was evaluated and awarded using vital political and sociological factors. For instance, Paris has an existing sporting infrastructure required to host an international event. Athletes from different countries will be assured of secure and reliable accommodation services from hospitality business entities in France. Moreover, the country has state-of-the-art sports stadiums which can aid in expanding the tournament for diverse and inclusive. Socially, I believe that political leadership in Paris facilitates progressive public policies intended to enhance equality in race, gender, and physical disability. I.O.C.s approval of Paris for the 2024 summer Olympics was reasonable and justified.

References

Heerdt, D. (2018). Tapping the potential of human rights provisions in mega-sporting events bidding and hosting agreements. The International Sports Law Journal, 17(3-4), 170-185.

Kassens-Noor, E., & Lauermann, J. (2018). Mechanisms of policy failure: Bostons 2024 Olympic bid. Urban Studies, 55(15), 3369-3384.

Puberty Discussion Board Post

Within the human lifespan, puberty is one of the most significant periods that is characterized by the most vivid changes in the multiple areas of the life of an individual. The scope of rapid changes in the brain and body of a child in adolescence exposes individuals to enhanced anxiety and uncertainty. Thus, parents or caregivers must support the child during this challenging period by explanations, conversations, and informing.

Firstly, to explain physical aspect of puberty to a girl, one should discuss the onset of menstruation. It is crucial to instruct a teenage girl about the biological side of the process to eliminate anxiety and health concerns (Sandhya & Bimala, 2017). Also, this aspect is critically important due to the necessity of hygiene instructions to enhance healthy development. Within the context of psychosocial changes, a parent should explain the changes in the childs perception of the role of peers in his or her life and decision-making (Shetty et al., 2016). By acknowledging the shift of a childs interest toward friends and peer group, the parent might emphasize the importance to avoid substance abuse or other harmful behaviors. The awareness about the psychological challenges will help the teenager to deal with them in a healthy and effective way. Finally, when discussing the cognitive sphere, parents should explain the concept of becoming an adult and thinking as an adult. The child should be supported in the process of perceiving the world in its complexity. Therefore, conversations on such topics as professional development, society, politics, and others should be initiated.

In conclusion, the explanation and informing of teenagers about their pubertal bodily changes, as well as shifts in psychosocial and cognitive domains are essential. They allow for supporting a child in a challenging period of the lifespan and set a foundation for healthy self-perception. The failure to address puberty-related changes in communication with a child might lead to unawareness that will cause significant negative outcomes.

References

Sandhya, P., & Bimala, P. (2017). Awareness and attitude on pubertal changes among community adolescents. International Journal of Caring Sciences, 10(3), 1255-1264.

Shetty, A. K., George, A. P., Beena, K. J., Kabiraj, T., Paul, B., Raj, A. A., & Alex, S. (2016). Effectiveness of planned teaching programme on knowledge regarding pubertal changes among adolescent boys in selected high school of Udupi District. Nitte University Journal of Health Science, 6(2), 17-19.

Adding Yoga to Your Life: Benefits of Yoga

Imagine yourself being healthy, active, and flexible at the age of 80. Is it possible for you to play with your grandkids outdoors at 90? You can answer these questions by yourself if you add yoga to your life. I am sure that this practice is one of the critical components of a healthy lifestyle and one of the factors that will help people to preserve the high quality of their lives in ability. Moreover, it can help you right now to become a better person and find a hobby that will change your life for the better. Today, because of sedentary lifestyles, people face the challenges of overweight, hypertension, and lack of mobility, but by doing yoga, you can solve these problems and acquire multiple benefits.

We all love the comfort and the opportunity to stay at home watching TV or lying on the sofa. However, it might result in the development of unhealthy habits, obesity, and overweight. Accepting the advantages of technologies, we do not notice how we become dependent on them and change our lifestyles for the worse. People start to suffer from different diseases and health issues, deteriorating the quality of their lives. The scope of the problem is evidenced by the fact that the World Health Organization recognizes extra weight and insufficient physical activities as important factors causing a negative impact on the health of the nation.1 It affects broad populations, regardless of their age, gender, and social status, which means that there is a need for an effective method to respond.

The causes for the emergence of this threatening situation differ. First of all, our personal attitudes and behaviors precondition the negative changes in our lifestyles that result in the development of diseases. We disregard physical exercises because of laziness, lack of discipline, and the desire to enjoy comfort. At the same time, there are external causes, such as the dominant culture, and the wide of technologies that make lives easier and decrease the level of activity year by year. This combination has a pernicious impact on the health of people.

In such a way, we now live in comfort, but, at the same time, we suffer from this very comfort, and there is a need for a practical for this problem. Yoga can be viewed as a possible tool to attain the improvement of the situation. It is a physical, mental, and spiritual practice that is aimed at changing a person, his/her mentality, and lifestyle.3 By practicing yoga, people can become more flexible, increase their muscle strengths, enhance cardio health, avoid extra weight, and work on their self-discipline. Statistics show that regular training help to achieve outstanding outcomes and acquire multiple benefits.2 For this reason, adding yoga to our lives is one of the possible ways to become happier and healthier.

Altogether, we all love comfort and, at the same time, it kills us as we start to suffer from obesity, lack of physical activity, and multiple diseases. Our bodies were designed to have some regular physical exercises, and yoga can be viewed as an appropriate tool to achieve success and reconsider our lives. It might seem difficult, but I am sure you should try and it, and you will see all advantages and benefits it gives to you. That is why I recommend you to view it as an option if you look for some opportunities to change your lives for the better.

References

Obesity and Overweight. World Health Organization. 2020. Web.

Swanson, Ann. Science of Yoga: Understand the Anatomy and Physiology to Perfect Your Practice. New York, NY: DK; 2019.

The Benefits of Yoga. American Osteopathic Association. 2020. Web.

Sustainable Tourism as an Oxymoron

Regardless of current travel restrictions imposed by the outbreak of COVID-2019, tourism remains an engaging cultural practice, economic activity, and educational possibility. It is a powerful tool for recreation and social integration. However, tourism inevitably puts pressure on natural resources: it largely depends on air transport and thus contributes to air pollution and climate change. The fashion for everything green and environmentally friendly is taking over the world, and human perception filters have already tuned for keywords, which are often inaccurate. Green leaflets and the inscriptions eco appear on disposable tableware, plastic bags, and other non-eco-friendly items. The notion of sustainable tourism often follows this trend creating misconceptions and false impressions. Rural tourism and green tourism, which are getting increasingly popular, should be reviewed. The extensive use of the term sustainable tourism can easily be misleading for both an ordinary tourist and the owner of a tourist estate starting a business. Strict policies are necessary to avoid unfaithful practices in tourism. This essay aims to review its impact and to prove that even the sustainable model of tourism is still a long-term burden for environmental resources and local communities.

Sustainability and tourism have different goals, which creates potential conflicts of interest on various levels. Tourism-related business activities can have negative impacts on a tourism area, specifically, on the natural, historical and cultural environment; on the community of residents; and on tourists (Modica, 2016, p. 9). However responsible the practices are, visitors inevitably transform parks, lakes, rivers, beaches, ancient urban areas, and tourist attractions. The mere fact of human presence changes natural places of interest. Regardless of rising environmental awareness, human intervention remains a factor that changes wildlife. For example, such seemingly sustainable practices as watching dolphins and seals in the wildlife can become a potential cause of stress for these mammals. If the goal is to observe the untouched wildlife, it is not untouched anymore, as long as humans are involved. Thus, a paradox emerges as the short-term benefits finally damage business and the end-users: the tourists who pay to enjoy the untouched nature. It contributes to the idea that tourism can hardly be sustainable by definition.

If sustainable tourism aims to let visitors enjoy the places untouched by the human presence, this idealistic project is technically complex to implement. The purpose of such travels is to study specific natural and cultural features. It is an acquaintance with the traditional life of the locals, or with the wild nature. For some time, the tourists feel like a part of it and then disappear without leaving any traces. However, in reality, in the long term, eco-tourism leads to environmental degradation like mass-tourism, only at a slower pace. What is more, poor integration of local communities leaves small room for tourists immersion into their cultures (Aslam et al., 2016). Thus, the quest for authenticity, which is often the core of rural tourism as a form of sustainable tourism, is often problematic. Tourists inevitably change the environment, and it undermines the idea of harmonious eco-friendly travels.

What is more, considering that the long-term aim of sustainable tourism is to preserve local cultures, one more challenge is communication. For example, the communities of Sri Lanka are more and more aware that it is impossible to serve tourists with the help of their regional languages Sinhala and Tamil (Aslam et al., 2016). The logical decision for the communities is to master foreign languages, primarily English, to serve the tourists. On the other hand, this requirement troubles an already shaky balance between the authentic experience and the high-quality service. If the adepts of rural tourism seek genuine and authentic immersion into the culture, then they are risking getting biased experience. If a rural community can only use basic English, this affects both the representation of the indigenous culture and the impressions tourists get. A considerable part of linguistically marked verbal communication remains inaccessible. It problematizes the educational dimension of sustainable tourism in culturally diverse regions.

On the other hand, sustainable tourism can be beneficial for local communities where there are few other economic opportunities. If the communities can manage viable economic opportunities on their local level, it reduces unemployment and poverty with minimum pressure on the environment. The infrastructure and facilities should not necessarily meet the Western corporate standards, which makes it both more authentic and economically efficient. One of the key features of tourism is the intangibility of the product (Modica, 2016). It is not easy to define and measure the exact results of sustainable touristic activity, both for the end-user and the provider. Coordinated action and strategic management can make the whole process more predictable, efficient, and competitive. The principles of sustainable tourism  small scale, slow growth, and local control  show that this model is the least harmful to cultural and natural environments. The sustainable model remains the least harmful alternative to the large-scale mass-market pattern. It can serve as an efficient alternative to mass tourism if it is further developed and adapted to environmental needs.

The problem with this approach is that it is not easy to engage local communities in policymaking. In recent decades, tourism has been developing in relatively remote areas, such as Nepal and the outland regions of India. It provides such alternative forms of tourism as eco-tourism and rural tourism both as a local initiative and as a response to growing external demand. As such, it started to play a significant role in rural development. The problem is that the residents themselves are not always interested in policymaking and tourism planning: developing countries still do not fully recognize the participatory approach (Aslam et al., 2016). The lack of awareness and understanding among the communities makes it challenging to implement balanced managerial decisions, which are essential for the notion of sustainability.

To sum up, tourism is significant as both individual experience and economic tools operate on the communitys level and influence large-scale global commercial interests. In this essay, these dimensions of personal and social impact apply to the phenomenon of sustainable tourism. This phenomenon was identified as conscientious traveling to natural areas, which contributes to the protection of nature and improves the well-being of the population. It was shown that practical implementation makes it difficult to apply this scenario to wildlife preservation and regional sustainability. The evidence proves that the notion of sustainability is problematic when it comes to such an activity as tourism.

References

Aslam, M., Cooper, M. J., Othman, N., & Lew A. A. (2016). Sustainable tourism in the global south. Communities, environments, and management. (Aslam, M., & Cooper, M. J., Eds.). Cambridge Scholars Publishing.

Modica, P. (2016). Sustainable tourism management and monitoring. Destination, business, and stakeholder perspectives. FrancoAngeli.

Helping and Supporting Single-Parent Families

Introduction

From the beginning of the 21st century, there is a trend of the increasing number of single-parent families in the US, European countries, China, and Africa. This tendency is characteristic for families across cultures and ethnicities as it involves White people, Asians, African-Americans, and many other nations. For example, as reported by the Census Bureau, in 2019, 15.8 million children lived with a single mother, and 3.2 million lived with a single father in the US (Duffin). In 2019, more than 20 families in China had one parent, and it is a mother in 70% of cases (Chen et al. 316). As for South Africa, Roman states that divorce rates increased to 35% of all married couples, which means that children have to live with one of their parents (578). Although governments make some efforts to support single-parent families, their number and problems grow, and it is important to provide additional financial and social aid to help them adjust to new realities, as well as prevent divorces at a larger scale.

Reasons for Helping Single-Parent Families

Among the challenges that are created by the identified situation, there are social, economic, and psychological difficulties, which limit the opportunities of both parents and children to live a full and successful life. While single parents often face insufficient financial provision, gender-role absence leads to serious consequences for childrens social adjustment. As found in the study by Chen, the proportion of masculine traits in girls who were raised by single fathers was high (319). Accordingly, girls who had only a mother showed higher feminine traits, and boys raised by fathers had expressed masculine traits. The mentioned study also identifies that androgyny is the mainstream of gender-role type in the single-parent groups (Chen 320). In addition, families with a higher income are likely to have more cultural and social ties, which impact the parental child-rearing approach. Those who have a low income are impacted by increased expectations regarding their children and gender stereotypes.

Another argument for the immediate action to support single-parent families is the negative influence on student academic performance. A student achievement gap is discussed by Woessmann, who paid attention to the global trends of the impact of single-parent families on academic success in children (46). The author states that the majority of such families are headed by mothers, while the review of the US, Belgium, Netherlands, and other countries demonstrates that an average child that has only one parent also has lower grades. For example, in the US, the average difference between children from intact and single-parent families is about one grade or 28 points. In Belgium, this disparity archives 35 points, and it is below 10 points in Italy, Germany, and Portugal. Accordingly, special aid is necessary to help children in advancing their process of education.

Although single-parent families became more prevalent within the last decades, some studies show that children from divorced single-parent families are not disadvantaged. Zhang claims that children who lived with divorced mothers perform as those from intact families (89). The educational gradient is found to be positive in Chinese single-mother families, which is related to the fact that divorce is prevalent in economically-advantaged regions of the country. It means that single mothers have enough resources to providforto their children and help them in achieving higher educational attainment. Zhang also states that the benefits of single motherhood include urban residency, better parental awareness, and a lack of financial difficulties (89).

However, in the majority of countries across the world, single-parenting is associated with poverty and blended family roles. Many parents lack knowledge on child-raising, which leads to problems with social adaptation and education. According to the study by Zhang, single-father families can be considered disadvantaged as they do not have sufficient bonds with children. Therefore, there is a need for social assistance programs that would educate single parents on handling the emerging challenge. For example, counseling services can be provided to those who have emotional and psychological issues, while employment opportunities are also important for families with low income or lack thereof. For children having only one parent, social adjustment assistance is critical to prevent misunderstanding with peers and support their academic progress (Woessmann 48). Both parents and children should be taught to apply some strategies for coping with conflicts and disappointment to avoid further psychological complications. The main goal of assistance should be building strong relationships within single-parent families, as well as connecting them to communities.

Conclusion

To conclude, it should be stated that this paper proposes an immediate action to assist single-parent families in their adaptation to new conditions. Considering social and financial pressure, such families should be provided with programs and allowances, so that they can meet their essential needs. Single parenting is associated with childrens social adjustment problems, poor academic performance, and a lack of proper relationships with a mother or father. Even though it was found that single mothers in China can have high incomes and provide for their children, it does not apply to the US and other countries. The main goal of financial, social, and psychological assistance should be building strong relationships within single-parent families, as well as connecting them to communities.

References

Chen, IJun, et al. The Model of Childrens Social Adjustment under the GenderRoles Absence in SingleParent Families. International Journal of Psychology, vol. 54, no. 3, 2019, pp. 316-324.

Duffin, Erin. Number of U.S. Children Living in a Single Parent Family 1970-2019. Statista, Web.

Roman, Nicolette Vanessa. Maternal Parenting in Single and Two-Parent Families in South Africa from a Childs Perspective. Social Behavior and Personality: An International Journal, vol. 39, no. 5, 2011, pp. 577-585.

Woessmann, Ludger. An International Look at the Single-Parent Family. Education Next, vol. 15, no. 2, 2015, pp. 42-49.

Zhang, Chunni. Are Children from Divorced Single-Parent Families Disadvantaged? New Evidence from the China Family Panel Studies. Chinese Sociological Review, vol. 52, no. 1, 2020, pp. 84-114.

The Influence of Pets on the Well-Being of Older People

Cole, A. (2019). Grow old along with me: The meaning of dogs in seniors lives. International Journal of Community Well-Being, 2, 235-252.

This study explores the relationship between older dog owners and their pets. One of the main conclusions in the article is that the relationship between older people and dogs is reliable and friendly. One of the critical issues addressed by the authors is the separation of these people and dogs caused by relocation, health problems, or the death of pets. To solve these problems, it is necessary to develop a support system for the elderly. Now, for instance, there are community foundations and volunteer organizations which help older people. Their existence greatly facilitates the lives of older people and their care for pets. However, despite the doubts and negative emotions associated with the problems related to pets, older people note a significant positive effect of dogs on their lives.

Gee, N. R., Mueller, M. K., & Curl, A. L. (2017). Human-animal interaction and older adults: An overview. Frontiers in psychology, 8, 1416.

The authors of this article consider different types of interaction between older people and animals. First, animals can live at home (such as cats) or outside (such as horses). Second, older people also come into contact with animals during animal-assisted therapy. Therefore, people are aware of the need for older adults to contact animals and increase the number of these interactions. The authors assume that contact with animals has a positive effect on the cardiovascular system. This helps older people avoid diseases such as hypertension, hyperlipidemia, cardiovascular reactivity, and others. Pet ownership also reduces depression and anxiety, which increase over the years. Physical activity related to pets (such as walking dogs) also has a positive effect on the health of older people. Thus, this study provides a detailed description of the positive impact of having pets on older people.

Enders-Slegers, M., & Hediger, K. (2019). Pet ownership and human-animal interaction in an aging population: Rewards and challenges. Anthrozoös, 32(2), 255-265.

The authors of this study consider both the positive aspects and the disadvantages and challenges associated with pet ownership. On the one hand, they mention the benefits of pets in the fight against various physical and mental diseases. They also state that pets help people adjust their daily routines, as they require constant attention. However, on the other hand, having a pet can adversely affect peoples financial situation. Pet care requires a lot of investment, and not always older people can afford it. In addition, family members of older people can often be opposed to having pets. Another significant drawback is the likelihood that older people will pay too much attention to the pet, forgetting about their well-being. Thus, despite all the advantages, pet ownership can lead to negative consequences.

Heuberger R. (2017). Associations of pet ownership with older adults eating patterns and health. Current Gerontology and Geriatrics Research, 2017. Web.

This study focuses on more specific groups of people, for example, comparing owners of cats and dogs. One of the crucial results was that dog owners are more active and open to social contacts. This is due to their need to spend time outside the house often, walking with a dog. In contrast, pet owners spend much more time at home because there is no such need for them and their pets. However, all pet owners have to devote a lot of time to caring for them and solving problems with their health. Despite this, this study confirms the theory of the beneficial effects of pets on older people. For example, these people can control their weight more successfully and take less medication. In addition, the author claims that pet owners feel less lonely than those who do not have any pets. All these factors favor the need for pets in single older adults.

Needell, N. J., & Mehta-Naik, N. (2016). Is pet ownership helpful in reducing the risk and severity of geriatric depression? Geriatrics, 1(4), 24.

This paper is a study of literary sources on the relationship between older people and their pets. The authors purpose is to find out whether the presence of a pet has a beneficial effect on human health. The authors found that, for example, the older a person becomes, the fewer animals affect their level of depression. Therefore, this problem requires other methods of solution. Another substantial disadvantage is the condition of the elderly after the death of pets. Many have difficulty surviving the loss, but in most cases, it is inevitable. The authors also inform readers about the significant costs associated with pets. However, in any case, the presence of a pet in most of the works listed by the authors is rather a positive phenomenon. They note the same benefits as other authors: socialization, physical activity, daily routines, and others. Thus, even despite the disadvantages, pet ownership helps older people with many everyday issues.

Toohey, A. M., Hewson, J. A., Adams, C. L., & Rock, M. J. (2018). Pets, social participation, and aging-in-place: Findings from the Canadian longitudinal study on aging. Canadian Journal on Aging, 37(2), 200-217.

The authors of this paper also conducted a study among many older adults, finding out how much pet ownership affects their well-being. According to the survey, a third of these people had a pet. As it turned out, people who have pets are less likely to participate in various social activities than those who do not have pets. However, these people noted the same level of satisfaction with social contacts and life in general as those who do not have pets. This suggests that, although pets take up a lot of time and effort, being close to them makes the existence of older people more enjoyable and meaningful. Thanks to this, they are not looking for entertainment or new acquaintances. They are already satisfied with what they have and who they care about. In addition, some people experiencing problems with socialization noted that having a pet provides support in this situation, which has a beneficial effect on the psychological state.

Do You Need Steroids in Sports

According to (Goldman, 1984), Steroids are generally classified into corticosteroids and anabolic steroids, but the category linked with sports is that of anabolic steroids. Corticosteroids are legal drugs normally prescribed by doctors to patients with inflammation problems, while anabolic steroids are only considered legal when used under medical prescription. Anabolic steroids are a version of testosterone, which is a male hormone. However, anabolic steroids can be prescribed by doctors to treat particular conditions where the mass of lean muscle have been lost. Anabolic steroids have been banned by recognized organizations of sports on grounds that they can cause health problems to athletes who use them.

Common steroids

There are various types of steroids that are used to perform different functions. They include, androstenedione, which has been widely used by athletes although evidence on its effectiveness has not been found. Andro has been derived from a hormone that occurs naturally and was banned by the administration of drugs in US. This administration argued that, Andro had been found to cause serious problems to the health of athletes who had been using it.

Another type is Primobolan otherwise known as Methenolone, which had been linked to baseball players like Alex Rodriguez. This drug can be taken in form of tablets or injection and has been popularly used to help athletes build strength in their muscles without developing signs of bulkiness or negative effects such as the ones caused by other types of steroids. (Yesalis, 1998)

According to (Smith, 1992), Tetrahydrogestrinone is another form of designer steroid with a chemical structure similar to that of other steroids that have been banned from use. This drug was manufactured in a manner that would allow it to pass through doping tests without being detected. However, its use was banned on grounds that, it was an illegal drug like other steroids and not a legal form of supplement. Clenbuterol is another steroid which is sometimes prescribed to individuals suffering from obstructive pulmonary. This steroid has been found to have serious negative effects as well as increase the mass of lean muscle.

DHEA otherwise known as dehydroepiandrosterone is a form of natural prohormone that is derived from adrenal glands. This prohormone is then converted to testosterone as well as estrogen hormones by the body. Supplements of this particular steroid are offered for sale to reduce aging signs but limitation in its research led to its ban unless prescribed by a doctor. Therefore, it has been included in the list of substances that have been banned by organizations of sports. Anabolic steroids have been banned by all recognized organizations of sports such as NFL, NBA, Olympics and NFL.

Reasons Why Sports Women and Men Use Steroids

Anabolic steroids can sometimes be used to as a form of therapy for various conditions. However, in sports, they are mostly used to enhance performance where sports women and men hope to perform better than they would have done in other sports such as racing and fighting. Anabolic steroids are specifically produced to take the place of testosterones traits that enhance body building while at same time minimize effects on muscles.

Athletes, coaches, physicians as well as trainers who happen to have used anabolic steroids have given reports of noticeable increase in levels of strength, endurance and the mass of lean muscle. However, contrary to their expectations, no studies have been found to prove that they enhance performance in sports women and men. That is, they do not have the ability to improve cardiovascular capacity as well as agility. However, some of those involved in sports insist that anabolic steroids help in recovering from injury though there has not been found enough evidence to support it. (Paterson, 1991)

Dangers Associated With Steroids Usage in Sports

Research on long-term impacts of anabolic steroids usage is yet to be carried out. However, research on impacts of doses that have been prescribed by physicians show that, anabolic steroids have the potential to cause negative effects to sports women and men. Most of the times, these effects have been found to occur even when this type of steroids is taken in minimal doses.

Though research has not yet been done, athletes, parents, doctors, and coaches have provided their observations as well as reports showing that, anabolic steroids have very dangerous side effects. Some of these side effects can be recognized easily such as, rapid increase in weight while others occur internally and cannot be seen by naked eyes. Such effects are never realized in the early stages of using anabolic steroids but in the long run, when damage has already been caused. Some effects can be reversed through treatment as well as therapy while others cannot be reversed.

There are some dangers that are specifically related to men where anabolic steroids tamper with the reproductive system of sportsmen. This may consequently lead to negative effects such as impotence, experiences of pain while urinating, shrunk testicles, enlargement of prostate, and breast development among others. On the other hand, some side effects of anabolic steroids are specific to women where they become masculine. Others include growth of hair on the face, breast reduction, irregular menstrual cycles and deepened voice. However, there is also another category of negative effects applying to both sexes which may result to conditions that are life-threatening. These include, cholesterol reduction, trembling, bad breath, aching joints, rise in blood pressure and cancer.

Anabolic Steroids Dosage and Addiction

These drugs can either be taken in form of injection or pills. This depends on the type as well as purpose of consumption. The dose that is prescribed by doctors is usually up to five milligrams while that consumed by athletes may exceed that by more than twenty times. Addiction to steroids is mostly shown through effects on the brain where mental operations are tampered with. Others are withdrawal symptoms, cravings, situations where one becomes unable to stop steroids usage as well as reverse anorexia in athletes. (Podell, 1996)

Conclusion

There are several programs that are being developed to cater for abusers of steroids. However, sports women and men are encouraged to rely on alternative measures to help them improve on their performance. It is argued that, people who participate in sports should use their abilities and skills in order to excel during competition. Moreover, they should be physically fit, take the right diet and avoid taking illegal drugs to boost their energy. Education on negative effects of steroids is also encouraged where those involved in sports are equipped with information regarding dangers of using steroids. (Della, 2003)

References

Della R. (2003): Drugs in sports: Am Coll Physicians pp 12-15.

Goldman B. (1984): Steroids and Sports: Icarus Press pp 23-26.

Paterson E. (1991): Anabolic Steroids and sports: Whitston pub Co Inc pp 12-16.

Podell J. (1996): Sports in America: Wilson Co pp 50-55.

Smith D. (1992): The efficacy of ergogenic agents in athletic competition: Androgenic- anabolic steroids: Harvey Whitney Books pp 33-38.

Yesalis C. (1998): The Steroids game: Human Kinetic Publishers pp 44-47.

Should Societies Impose Monogamy?

Monogamy refers to exclusive mate selection and bonding among men and women in society. In a population, individuals compete for partners to reproduce with, thus, creating an opportunity for natural selection. Following the variation of conformity among people, preference for a sex partner accounts for the evolutionary changes realized over time in societies. The implication is that a trait necessary for survival stems from successful mating in a society (Moorad 1635). Insights from behavioral science demonstrate that people exhibit variation in traits significantly, especially on personality, which is influenced by genetic makeup.

Moreover, it unveils that certain traits of characters are universal among human populations. For instance, societies all over the world understand jealousy associated with sexuality (Boutwell and Boisvert 114). Therefore, this paper discusses whether societies should impose monogamy, with emphasis on survival and peace within the community.

Survival of a population depends on The survival traits of individuals in a society, which depends on the selection of a sex partner. A study has demonstrated that mating among people within the society impacts the level of fitness of their children (Moorad 1646). It unveils that in a population with polygamous families, the children born exhibit high fertility. However, suitability in reproduction alone does not mount substantial evidence for survival since life expectancy depends on multiple traits and factors. Evidence from the study unveils that polygamy is not tied to the survival of the children (Moorad 1646). Survival depends on socially important genetic traits which help to withstand health challenges such as self-control. Being able to manage impulses is directly linked to promiscuity, the spread of diseases and, death. However, the stability of the environment as created by ancestors also influence self-control (Boutwell and Boisvert 114). Thus, selective mating would enhance the survival of people in a society as opposed to polygamy.

Peaceful co-existence in society is necessary and is influenced by cultures that impact the family life of individuals. When the practiced customs or beliefs in a community are not easily welcomed, it becomes costly in the long-term impacts. For instance, polygamous families are generally unstable following sexual dissatisfaction and impulsive arguments (Jankowiak et al. 81). Co-wives often exhibit contrasting interests following their sexual desires towards one man. Moreover, the exchange of words associated with emotional impulses is typical among co-wives over issues such as health care and basic needs concerns offered by the man. It implies that polygamy is linked to dissatisfaction, as opposed to a monogamous family where selective mating and affection are achieved by couples (Jankowiak et al. 96). Some researchers indicate that a society of monogamous individuals is threatened with conflict from infidelity resulting in abandonment and suicide (Cherkas et al. 655). However, the argument is based on probability and not culturally significant traits. Infidelity is not a culture that impacts society, but a personal motive for sexual satisfaction. Thus, monogamy is appropriate for peaceful co-existence and survival in society.

In conclusion, marriage influences the fate of people in a given society since it confers traits that are vital for survival. The customs and beliefs of the society should be focused on good health and peaceful co-existence of all generations. It is possible to achieve it through exclusive mating. It is through exclusive mating that sexual jealousy leading to emotions and wars can be eliminated. Moreover, good traits can be conferred to offspring by ancestors. Therefore, society should impose monogamy.

References

Boutwell, Brian B. and Danielle Boisvert. Sexual Promiscuity and Self-control: A Behavior Genetic Explanation to an Evolutionary Question. Personality and Individual Differences, vol. 63, 2014, pp. 112-114.

Cherkas, Lynn F., et al. Genetic Influences on Female Infidelity and Number of Sexual Partners in Humans: A Linkage and Association Study of the Role of the Vasopressin Receptor Gene (AVPR1A). Twin Research, vol. 7, no. 6, 2004, pp. 649-658.

Jankowiak, William, Monika Sudakov and Benjamin C. Wilreker. Co-wife Conflict and Co-operation. Ethnology, vol. 44, no. 1, 2005, pp. 81-98.

Moorad, Jacob A. Multi-level Sexual Selection: Individual and Family-level Selection for Mating Success in a Historical Human Population. Evolution, vol. 67 no. 6, 2013, pp. 1635-1648.

Individual Physical Activity Profile in Kuwait

Introduction

Health problems such as obesity and overweight have become common because of poor physical activity. There has been a paradigm shift in lifestyle whereby individuals have neglected even the simplest physical exercises. For instance, not many people walk to school, market, or the workplace. Others prefer to use the lift instead of walking up the stairs. These are some of neglected individual physical activities that can help reduce health problems like obesity and overweight. In Kuwait, the number of obese people among the population is high because of low physical activity (Alsairafi, Khalil and Anwar 6). The habit of being inactive physically has been embedded in the society, making obesity acceptable. However, this is posing a health threat because lack of physical activity can result in an obese and overweight nation. Physical activity is essential in maintaining the body mass index and acts as a treatment of obesity and overweight, leading to a sustainable lifespan. Frequent physical activity can reduce other resulting diseases like stroke, cancer, diabetes, heart diseases, and osteoporosis. The current individual physical activity pattern in Kuwait is disturbing because of low physical activity and increased obesity rate.

Current individual physical activity pattern in Kuwait

Kuwait has a low physical activity rate, with the number of people in the population being high. Al-Isa, Campbell and Desapriya (para 3) note that obesity level has continued to increase with a third of the population being obese. The trend is increasing with the adolescent and the youth engaging less in physical activities. This has been attributed to the fact that there are few physical exercise activities in the country. According to Al-Isa, Campbell, Desapriya, and Wijesinghe (1) a study carried among students in Kuwait showed that there was an emerging trend whereby students faced the risk of being obsess and overweight because of low levels of activity. The study also shows that most of the adults in the Middle East (including Kuwait) have low levels of physical activity. In a survey conducted by Al-Isa et al (4), among 787 students of Kuwait College showed that 45% of the students who participated reported being inactive while 55% claimed to be active. This pattern can be attributed to the fact that most of the population lives sedentary lifestyles and do not engage in physical activities. Students from Kuwait are more likely to be obese because they spend most of their time reading.

Women in Kuwait are less involved in physical activities because there are few exercise facilities for women (Al-Isa et al. 4).This has increased the number of women who do not participate in physical activity. Being plump and overweight among the women of Kuwait is not a negative attribute. This encourages them to keep away from physical activities thus an increase in inactivity rate. In their study Al-Isa et al. (4) found out that among the participants obesity was more prevalent to men than women. The results indicated that obesity prevalence among males was 13% compared to that of females of 10.5%. This is because most of the students do not engage in physical exercise to utilize their energy. According to Al-Isa et al. the trend of physical inactivity and the rate of obesity are not expected to reduce (5). This is because obesity has become prevalent, individual physical activity has reduced, associated health risks and high cost of curbing and controlling them have all increased. Alsairafi, Alshamali and Al-rashed (383) note that there is a risk because the rate of physical inactivity is increasing.

Factors that influence the individual physical activity in Kuwait

There are several factors that influence individual physical activity among the population of Kuwait. The factors are based on the health behavior ecological behavior. According to Schneider (233) the ecological model is based on the social environment that includes community, interpersonal, organizational and the public policy factors. The factors have been subdivided in different categories and discussed in detail.

Public Policy

Schneider (234) describes public policy factors as those that are concerned with the regulations and behavior limitations. They act as the guiding principles to the people in influencing the behavior they would adopt. Kuwait lacks policies that would encourage students engage in physical activities. This is because the educational curriculum has not set aside time for physical activity (Al-Isa et al. 4). Women in Kuwait lack exercise facilities because of poor strategies and policy regarding the same. Women who engage in physical activity in Kuwait schools are few because they really participate in school physical activities. Al-Isa et al. suggest that individuals can be advised to walk home, use staircases in place of elevators and even use physical exercise gadgets in their home places (4).

Community Factors

The community plays a role in influencing the physical activity of an individual (Schneider 234). The rate of individual physical activity in Kuwait is low. This has been attributed to the fact that obesity and plumpness among women is seen as a positive attribute (Al-Isa et al. 4). The culture of the people of Kuwait influences the behavior because of the traditions and the perceptions that are held by the community. The geographical location of Kuwait also influences individual physical activity. The country is located in Middle East that experiences hot climate in most of the times of the year. Thus, the community has made it a belief that the hot climate cannot allow physical activities among the people. This has been adopted by the population making the rate of obesity and low individual activity rate increase. People of Kuwait lack exposure from other states. This according to (Al-Isa et al. 4) plays an integral role influencing the physical activity levels that may have influence on the individual physical activity patterns. Therefore, a shift in the trend can be alleviated through a shift in the cultural beliefs, norms and values held by the people of Kuwait.

Institutional Factors

These are factors that according to (Schneider 234) are related to institutions and organizations like workplaces and schools. The institutional settings are bound to influence individual physical activity. In Kuwait, the educational program does not include time for physical activity. According to study conducted by Al-Isa et al. (4) most of female students in colleges do not engage in physical activities. This is because there are few physical exercise facilities allocated for women. Al-Isa et al. notes that desire to get a higher degree may influence physical activity because students are expected to have high performance thus encouraging sedentary livelihoods (4). Students in colleges and universities spend less than seven hours in physical activity a week (Al-Isa et al. 4). Students put more emphasis on their academic work as opposed to their physical wellbeing, posing the threat of being obese. Obese people in Kuwait always take the excuse that there is not time for physical activity.

Interpersonal Factors

These are the factors that are related to the interpersonal relations of an individual mainly from friends, family, and fellow co-workers (Schneider 233). For example, the family is responsible for activities and behaviors that people adopt from childhood and become part of their lifestyles. Peer pressure from friends and co-workers plays a crucial role in the behavior of an individual. In Kuwait for instance, being plump is acceptable and less regarded as a negative attribute (Al-Isa et al. 4). This is likely to influence individual activity because being plump is no big deal. This can discourage an individual in a family to engage less in physical activity. The norms that exist in a particular society can define the behavior of a particular individual (Schneider 234). In Kuwait, people live in sedentary lifestyles where less energy is expended though physical activity (Al-Isa et al. 3).

Intrapersonal Factors

These factors involve the skills, knowledge, and attitude of an individual towards physical activity (Schneider 233). Obesity is not shunned away in Kuwait because the society has a positive attitude towards obesity. In a study carried by Al-Isa, Campbell and Desapriya (para 21) on factors that influence obesity among elementary school male students showed that lack of activity was a major cause. Some of the factors related to intrapersonal factors as found in the study are that students had the tendency of watching television for more than two hours while other avoided physical activity (Al-Isa, Campbell and Desapriya, para12). This has increased the number of overweight and obese people in Kuwait. Parents lack the knowledge and the required skills that is need in encouraging themselves to engage in physical activities. Alsairafi, Alshamali and Al-rashed (383) note that there is increased physical inactivity even though the hospitals advice hypertensive patient to engage in physical activities.

Conclusion

Obesity and overweight are common among the Kuwait population because of low individual activity rates. The physical activity pattern in Kuwait is expected to worsen because people are less involved. Women have less exercise facilities in Kuwait compared to men. Most people are less involved in physical activity and this could result in an increase in the pattern of physical activity in Kuwait. The factors that influence individual physical activity among the population of Kuwait includes community, intrapersonal, interpersonal, organizational and the public policy factors

Works Cited

Alsairafi Mona, Khalil Alshamali, Anwar Al-rashed. Effect of Physical Activity on Controlling Blood Pressure among Hypertensive Patients from Mishref Area of Kuwait. 2010. Web.

Al-Isa Abdulwahab Naser et al., Social and Health Factors Associated with Physical Activity among Kuwaiti College Students, Journal of Obesity. (2011).1-6.

Al-Isa Abdulwahab, N, Jennifer Campbell, and Ediriweera Desapriya. Factors Associated with Overweight and Obesity among Kuwaiti Elementary Male School Children Aged 6-10 Years, Int J Pediatr. 2010. Web.

Schneider, Mary-Jane. Introduction to Public Health. Sudbury, Mass: Jones and Bartlett Publishers, 2011. Print.