Risk Of Falls Among Elderly Health And Social Care Essay

Risk Of Falls Among Elderly Health And Social Care Essay The loss of strength, balance, and mobility are no longer considered inevitable consequence of aging. Physiological impairments related to functional dependency are potentially reversible with appropriate exercise intervention (Morgan, 2005; Nelson et al., 2004). Furthermore strength training research programs have been especially helpful in improving balance, physical performance and reducing falls (Hoglund, Sadovsky, Classie, 2009; Kruger, Buchner, Prohaska, 2009; Nelson et al., 2004). Several interventional researchers have been conducted to prevent falls among elderly people (Judge, 2003; Kim, Yoshida, Suzuki, 2010; McMurdo, Millar, Daly, 2000). In this study we will examine a home-based training intervention to improve strength of muscles which can directly improve balance and reduce the risk of falls among community dweller elderly or through increased self-efficacy. Problem statement Risk of falls due to balance impairment among elderly people is reversely associated with muscular strength (Clemson, Cumming, 2004). Effectiveness of muscle exercise interventions to improve balance and reduce the risk of falls in aged people with high risk for falling have been a matter of controversial in different studies (Salminen et al., 2001). While some found exercise training programs successful in reducing the risk of falls (Cheung, Au, Lam, Jones, 2008; Clemson et al., 2010; Gobbi et al., 2009a; Nelson et al., 2004), others have found contrary results (Au-Yeung et al., 2002; Clemson et al., 2010; Rubenstein et al., 2000). The need for a home-based training exercise program is felt by some researchers (Kamide, Shiba, Shibata, 2009). Muscle strengthening exercise intervention by home facilities has its own advantages and disadvantages. Home-based exercise program, in comparison to clinic-based interventions which are very luxurious and seem to be very tempting and promising (Takano et al., 2010), sounds to be more feasible. As a matter of fact, the lack of public availability of high-tech facility in developing courtiers, transportation barriers for elderly, the problem of cost-benefit and cost effectiveness of any high-tech program are major barriers to use clinical-based exercise programming for elderly people (Nelson et al., 2004). Moreover, it is estimated that about one half of seniors aged 85 years or above rarely leave their homes and interventional trials targeting on those housebound aged are scarce(Ashworth, Chad, Harrison, Reeder, Marshall, 2005). Nelson et al 2004 summarized that a home-based exercise program in community-dwelling elders with functional impairment is feasible and effective in improving functional performance, despite limited supervision. They also added that home-based exercise programs that focus on strength and balance training improve functional performance in elderly people and should be promoted by the allied health community (Nelson et al 2004). Low price and organizational flexibility make it an alternative or a supplement to other forms of physical exercise and active lifestyle (Hinrichs et al, 2009) On the other hands, compliance, which is a major problem in centered-based exercise among elderly people, can be achieved by home-based programs. Previous researches emphasis that adherence to any exercise program is low among elderly people especially in long run (Campbell et al., 1997; Dishman, 1991; Gobbi et al., 2009b; Sturnieks, St George, Lord, 2008e; Sun et al., 2005). Blanchard 2008 stated that less than 15 percent of elderly people participate in center-based exercise program. He added that to achieve a larger number of participants, there has been a shift toward implementing home-based rehabilitation programs. Home-based muscular strength training can be considered as an alternative to expensive and low compliance clinical-based muscle training (Blanchard, 2008). There have been some problems in previous home-based programs. They still rely on most expert personnel who closely supervise their patients and provide them with high standard care at their home (Gardner, Robertson, McGee, Campbell, 2002; Nelson et al., 2004; Luukinen et al., 2007a). The others emphasize on individualized tailored programs (Clemson et al., 2010) which raises the cost of intervention program. Moreover, these programs, although were reported to be effective, lack in large scale randomization was the main limitation of the studies (Nelson et al., 2004). Moreover, because of low health literacy among Iranian elderly population, any home-based training intervention without proper supervision and adherence will not be able to achieve its objectives (Carpenter, 2010a). A well cited study suggested that elderly people need supervision to improve strength in a home-based setting (Baker et al., 2001). To overcome the problem of health illiteracy among elderly people we plann ed to involve participants adult children who have the most interaction with the client in training program to supervise him/her during training and fill up the log books. Fear of falling, a risk factor for falls, is being understood as an emerging public health problem (Denkinger et al., 2010; Hill, Schwarz, Kalogeropoulos, Gibson, 1996; Li, Fisher, Harmer, McAuley, 2005). Evidence suggests that both fallers and non fallers experience psychological problems associated with falls (Honaker, 2001). Previous researches have termed psychological factors as fear, diminished self efficacy and loss of confidence(Topping, 1994; Gai, Gomes, Jansen, 2009; Legters, Verbus, Kitchen, Tomecsko, Urban, 2006; Pednekar, 2007). In community dwelling elderly, a complex interaction has been found among fear of falling, falls self- efficacy, increased physical impairments and diminished functional ability and activity participation (Legters et al., 2006; Maxwell, 2006; Mihalko, 1997; Tinetti, Richman, Powell, 1990b; Pednekar, 2007). This interactive cycle encompasses fear of falling which leads to activity restriction and further decreasing physical capabilities such as functional mobility, balance and strength which leads to decreased confidence and fear of falling (Pednekar, 2007). A home-based training exercise should be directed toward strengthening weak muscles and balance. The consequence of muscular weakness and co-contraction is lack of confidence (Tinetti, Richman, Powell, 1990a) which makes elderly people loss their self-confidence and fear of falls (Hill et al., 1996). Fear of falling deteriorates the balance reactions and leads to increased risk of falls and increased risk of injury (Okada, Hirakawa, Takada, Kinoshita, 2001). Loss of confidence among elderly people results in functional limitations and may cause restriction in activity due to fear of falling, which is very common problem among community-dwelling older adults with or without experience of falls (Hansma, Emmelot-Vonk, Verhaar, 2010). Under a public health perspective, the access to home-exercise programs seems to be easier. Once implemented, a home-exercise program should be capable to reach a broad audience (Ashworth et al 2005). So, it is logical that improved muscular strength can result in self-confidence, reduce fear of falls, increase balance and decrease risk of falls. A great number of studies have proposed that only additional research with frail elderly individuals will help answer if home-based training would improve balance in older ages (Nelson et al., 2004; Baker et al., 2001). We, therefore, decided to test the hypothesis that an individual home-based muscle strength training in high risk individuals (60 years old and above elderly people with previous history of falls in last 12 months) would be feasible with minimal expert supervision and would result in clinically important improvements in balance and functional performance. The role of care givers in this study is to fill the log books, because most of the elderly subjects have health illiteracy. Significant of the study This dissertation contributes to the scientific literature in different interrelated ways. Firstly, the finding of this study can contribute to the body of knowledge in regard to falls among elderly. Falls have been explored by several researchers from different aspects; however it needs more scientific and empirical investigations to find out the ways to prevent the fall or alleviate the incidence of falls among frail elderly community-dwellers. To achieve a better understanding of falls, its consequences and prevention of falls, this area of research needs a richer body of knowledge to illuminate the way for other researchers to explore the ways to reduce risk of falls. Secondly, the findings of this study, practically, can contribute to alleviate the problem of falls among frail elderly people in community. This study looks the problem of falls from both biological (muscular strength) and psychological (self-efficacy) point of view. So, any falls prevention program has to consider the results of this dissertation as evidence to plan a comprehensive program on falls. In addition, finding of this dissertation can be used by falls prevention planners. All programs designed to prevent falls can benefit from this study, because it is planned to reduce morbidity and reduces burden of falls for person, family and healthcare services. American Geriatrics Society recommends some activities including exercise and/or physical to prevent falls among elderly people. Health professionals after orienting to the program can deliver and supervise the exercise training program for older people. The program has been tested as a single intervention but could be delive red in a multifactorial falls prevention program, too. Thirdly, the findings of this study can be used by other health practitioners in different disciplines to utilize exercise training to reduce the risk of falls among their elderly clients. So many other researchers have investigated the benefits of the exercise for other high risk groups such as patients with chronic diseases e.g. Parkinson Disease (PD), Multiple Sclerosis (MS), Stroke, Arthritis and other neuromuscular or articular diseases, depression, anxiety, etc. This study highlights the importance of exercise training among elderly people. Moreover, the current study is one of the first studies on the problem of falls in Iranian elderly community. In developing countries where sources are limited, the exercise program can be offered first to those with high risk e.g. history of falls, aged 70 and older. However, other aged people can benefit the advantages of this program. Objectives This study is planned to investigate the relationship between muscular strength to risk of fall among community dweller elderly people. To achieve this objective, the following specific goals are followed: To describe the subjects muscular strength, self-efficacy, fear of falls and balance before and after intervention To examine the relationship between subjects background variables, muscular strength, self-efficacy and fear of falls before and after intervention To examine the relationship between subjects muscular strength and risk of falls before and after intervention Hypotheses The home-based training exercise can improve muscular strengths among elderly people. Strong muscles can directly increase physical balance which is considered as proxy for decreased risk of falls among elderly people. Moreover stronger muscled can increase self-efficacy and reduce fear of falling and decreased risk of falls among elderly people. Definition of key words History of falls Conceptual: History of falls is previous experience of the event of falls. In this study, fall is an unexpected, involuntary loss of balance by which a person comes to rest at a lower or ground level (Kelly Dowling, ). Other researchers have defined falls as An unintentional descent that may or may not result in an injury, and in which any motion of descent may not necessarily result in a landing. (Berry et al., 2010). Operational: In this research, history of falls is defined as any report of falls incidence by which a person comes to rest at a lower or ground level, in subjects of the study. Any incidence of falls in last 12 months is considered as history of falls. Moreover, the number of falls during intervention is questioned. Data are collected by a questionnaire. In the questionnaire history of falls during last 12 months and causes of falls are questioned. No history of falls, one incidence of falls and two or more falls are categorized as non-faller, accidental faller and recurrent faller, consecutively. Fear of Falls Conceptual: fear of falling, first described as ptophobia, by Bhala, ODonnell, Thoppil, 1982, which means a phobic reaction to standing or walking and was subsequently classified by Murphy Isaacs in 1982 as Post fall syndrome (Jung, 2008). Operational: In this study Falls Efficacy Scale (FES) is used to assess clients fear of falling. It is a rating scale with 10 items to assess clients confidence in performing daily activities. Each item is rated from 1, meaning extreme confidence to 10, meaning no confidence at all. Participants with lower self-efficacy report avoiding most of activities because of fear of falling and get higher FES scores. On the other hands, participants with higher self-efficacy report less avoiding most of activities because of fear of falling and represent lower FES scores. Balance Conceptual: Benjuya, Melzer, Kaplanski defined balance as the ability to maintain an upright posture during both static and dynamic tasks (Bird, Hill, Ball, Williams, 2009). Operational: In this study balance is the subjects score in Berg Balance Scale. Total Score is varies between 0 and 56. In interpretation of Berg Balance Scale low, medium and high risk of falls are corresponded to 41-56, 21-40 and 0-20, respectively. Muscular strength Conceptual: Muscular strength is defined as the maximal ability of a muscle to contract and generate force (Hanney, Kolber, Schack-Dugre, Negrete, Pabian, 2010). Operational: operationally muscular strength in lower extremity and hand grip are assessed. For lower extremity muscular strength the chair stand test commonly used. The chair stand test is a physical performance test used to assess lower-extremity function. A 5 repetition test is a measure of strength (Ward et al., 2010). Subjects hand grip force score in their left and right hands will be recorded. Individual patients whose grip strength is less than the lower limit of the confidence intervals can be considered to be impaired grip (Bohannon, Peolsson, Massy-Westropp, Desrosiers, Bear-Lehman, 2006). Exercise Conceptual: A subset of physical activity. It is planned and repetitive body movement, which improves or maintains one or more components of physical fitness (e.g., cardiovascular endurance, muscular strength, balance, flexibility)(Pate, 1995). Operational: operationally exercise is a set of muscular strengthening action used to increase balance in terms of Berg Balance Score (BBS) and reduce the risk of falls among participants of the study. Self efficacy: Conceptual: Bandura (1986) defined self-efficacy as, Peoples judgments of their capabilities to organize and execute courses of action required attaining designated types of performances (p. 391). Self efficacy means ones self confidence towards learning. People usually engage in certain behaviors when they believe they are capable of implementing those behaviors successfully, this means that they have high self-efficacy (Bandura, 2007). Operational: In this study subjects scores in the Activities-specific Balance Confidence (ABC) Scale are considered as their self-efficacy. The Activities-specific Balance Confidence Scale is a scale with 16 items; each item is rated from 0% (no confidence) to 100% (complete confidence). Clients are asked to rate the level of confidence that they will lose their balance in daily activities. Conceptual Model This study will be conducted based on a modern biologic theory called wear and tear theory and Orems self-care theory. In this study the wear and tear theory is used to explain why muscular strength and balance deteriorates during old ages. Orems self-care theory is utilized to explain how self-care through exercise can maintain and improve an old persons ability for balance and reduce the risk of falls. Moreover, Banduras self-efficacy explains the moderating role of self-efficacy between muscular strength, fear of falls and balance to risk of falls among elderly people. Proposed conceptual framework Background Age Gender Marital Status Education Mental status SES Chronic Diseases Medication Health literacy ADL/IADL Self-rated Health (IV) Muscular Strength Fear of Falls Self-Efficacy (DV) Falls Risk (Balance) Chapter Two There has been a lack of investigation on effectiveness of home-based exercise, since there have been few randomized control trials (RCTs) evaluating home-based exercise (Kamide et al 2009). Home-based exercise programs are thought to be effective in improving functional performance and balance in functionally impaired elders (Nelson et al 2004). It is demonstrated that participation in a supervised home-based exercise program was associated with significant improvements in exercise beliefs, including exercise self-efficacy and outcomes expectation (Matsuda, Shumway-Cook, Ciol, 2010). This study is trying to investigate effectiveness of home-based exercise on reducing the risk of falls among elderly people based on theoretical framework and review of related literature. This chapter is devoted to disclose two main sections of the dissertation. First, the theoretical framework of the study will be discussed and then the main related literature to this study will be reviewed. Theoretical Framework In this section, theories of wear and tear and self-care are introduced. The wear and tear theory explains the process of biologic changes during old ages which makes humans cells and tissues degenerated. Moreover, self-care theory explains how anyone (self-care agent) can exert some measurements and actions to maintain health and well being. Wear and Tear Theory Wear and tear theory of ageing was first introduced by Dr. August Weismann in 1982 (Salvi, Akhtar, Currie, 2006). The wear and tear theory of aging believes that the effects of aging are caused by damage done to cells and body systems over time. Essentially, these systems wear out due to use. Once they wear out, they can no longer function correctly (Giampapa Williamson, 2004). According to the theory, aging occurs through wear and tear that leads to the progressive accumulation of damage(Murphy Partrige, 2008) The theory postulates that the daily grind of life, in particular disuse or overuse, literally wears the body out, leading to disease states (tears). The degeneration of muscles, cartilage and eventual grinding of bone on bone is examples of the aging process on body joints, as wear and tear exceed the bodys ability to repair (MacWilliam, 2002). The wear and tear profile over the course of time determines such degradations as loss of information (genetic and epigenetic mutations during the life course), loss of structural integrity (increases in entropy), and breakdowns in the emergent property of complexity (Juckett, et al. 2009). Based on wear and tear theory, senile muscular muscles atrophy starts after middle ages, especially when muscles are disused or overused (Giampapa et al., 2004). The process of degeneration is associated with senile changes in body and progressively reduces muscular bulk. There are good evidences to support that type 2 muscles are more prone to degenerated than type 1 muscles (Mannion et al., 2000). Deterioration in muscular size and number in old ages causes muscular atrophy and in combination of other senile changes in other organs (neurons) (Klitgaard et al., 2008) eventually ends up a loss of muscular strength and balance disorder which may predisposes old people to risk of falls (Sturnieks, 2008). Lack of muscular strength and balance affects patients self-efficacy and make them more susceptible to falls (Campbell et al., 1997), because of fear of falls(Denkinger et al., 2010). Self-care theory Self care theory was given by Dorothea Orem between 1959 and 2001 with a unique philosophy that patients have different level of independently. Orems self-care framework is based on the three components of self-care deficit theory, self-care theory and the nursing system theory (Denyes, Orem, Bekel, 2001). Self-care is defined by WHO as activities individuals, families, and communities perform in order to enhance their health, prevent diseases, limit illnesses, and restore health (Klainin Ounnapiruk, 2010). These activities are undertaken by lay people on their own behalf, either independently or in participative collaboration with healthcare professionals. There are several examples for self-care behavior including seeking health-related information, exercising and consuming healthy diets (Klainin et al., 2010). Self-Care Agency Self-care agency, as defined by Orem (2001), refers to the power of individuals to engage in self-care and their capability for self-care. The person who uses this power or self-care ability is the self-care agent. Self-care agency is acquired and affected by family members and care giver. They specifically may affect the clients adherence to behavioral changes and treatment regimens and overall outcomes (Rutledge et al., 1999). There is a power component to self-care agency, which addresses the importance of knowledge, attitudes, and skills that enable the individual to engage in self-care (Kumar, 2007) Nursing System Nursing system are interventions needed when individual is unable to perform the necessary self-care activities and categorized in three distinct levels as follow: Wholly compensatory in which care givers provides entire self-care for the client. An example of this category is an elderly person hospitalized in critical care unit who need a care giver for his basic needs to survive. Partial compensatory in which a care giver and client perform care; client can perform selected self-care activities, but also accepts care done by the care giver for needs the client cannot meet independently. An example of this category is an elderly person who needs help for some activities such as ambulating, but is able to perform most activities by his own. Supportive-educative in which training is planned to help the client develop/learn their own self-care abilities through knowledge, education, support and encouragement. A good example of this category is educating the elderly client to perform exercise to strengthen the muscles or to teach how to do insulin self-injection. In this research, the third category of nursing system will be applied among elderly people to strengthen their upper and lower extremities muscle to improve their balance and reduce the risk of falls Review of literature A recent study, by Matsuda et al 2010, proposed that effectiveness of any exercise to improve physical function varies with level of frailty, format and intensity of exercise program, and kind of supervision. A systemic review summarized the best evidence for effectiveness of interventions designed to reduce the incidence of falls in older people living in the community, concluded that home-based exercises and Tai Chi were specific exercise programs that showed benefit (Carpenter, 2010b). Home-based exercise program among relatively healthy older adult are proven to be effective in functional performance than group-based programs. In an Iranian study researchers conducted a 12 weeks home-base exercise training in 40 -65 years old Iranian women to prevent osteoporosis and increase muscular strength and balance (Shirazi et al., 2007). In another study researchers conducted a home base training exercise on Parkinson disease patient. They concluded that individuals with Parkinsons disease can significantly improve functional performance measures utilizing a convenient, cost effective, home-based exercise intervention (Nocera, Gainesville, Horvat, Athens, 2008). Other recent studies on standing exercise and balance training program on balance confidence, balance performance, and gait in debilitated, ambulatory community-dwelling older adults supported that exercise can improve balance, However, definitive conclusions need to await validation from more rigorously designed studies before the present training program can be confidently recommended to physical therapists engaged in home care practice(Miller, Magel, Hayes, 2010). In New Zealand, the Otago Exercise Program is designed as a home-based training exercise with combination of strength, balance exercises and walking program to prevent falls. The program is individually designed program three times a week and progressed over time. Four randomized controlled trials in different setting disclosed the effects of training program among elderly people. In another supervised 6-week, multidimensional home-based exercise program, researchers found that the program was safe and associated with improvements in physical and exercise-related belief outcome measures(Matsuda et al., 2010). Some researchers have used some technical instrument to improve balance and reduce the risk of falls among elderly people (Runge, Rehfeld, Resnicek, 2000). However, any community home-based program should integrate the training into peoples everyday life. It would be feasible, economic and more acceptable for elderly people rather than high technical procedures. A randomized controlled pilot study with 12-week physical and/or nutritional intervention program was followed by six months of home-based exercises for the training groups, followed up with training diaries aiming to describe the effects of a physical training and nutritional intervention program on the physical activity level and activities of daily living (ADL) in frail elderly people found moderate correlations between increases in physical activity level and ADL as well as between the amounts of home-based exercises and ADL for the two training groups (Rydwik, Frandin, Akner, 2009). Another study found that a 6-month, home-based exercise program consisting of progressive strength training, balance exercises and general physical activity improves functional performance and balance in functionally impaired elders (Nelson et al., 2004). Finding of another study concluded that an exercise class even once every 2 weeks is very effective in enhancing physical function in ambulatory i ndividuals aged over 73 years, provided that it is supplemented by a home-based exercise program (Suzuki, Kim, Yoshida, Ishizaki, 2004). However they suggested a large scale study to confirm their results and to evaluate the most effective exercises for the prevention of falls. Researchers concluded that incorporation of exercises in daily life is important in maintaining an appropriate level of physical function in the elderly. Prevention of falls and injuries is not easy, however, because they are complex events caused by a combination of intrinsic impairments and disabilities (Kannus, Niemi, Parkkari, Palvanen, Sievznen, 2007) fall prevention in elderly people consists of regular strength and balance training, vitamin D and calcium supplementation, reduction of the number and doses of psychotropic medication, cataract surgery, and professional home-hazard assessment and management in people with a history of falling (Kannus, Sievenen, Palvanen, Jervinen, Parkkari, 2005). On the other hand, a single-factor intervention such as exercise could also reduce many impairments and disabilities and more distant risk factors for falling simultaneously. Muscle mass diminishes considerably between the ages of 20 and 80 years (Sturnieks, St George, Lord, 2008d). Sarcopenia is a common problem among elderly people and is associated with loss of muscle mass and strength (Iannuzzi-Sucich, 2002). Understanding age-related changes in the physiological systems imperative to balance is of importance to prevent falls in older people and reduce the injury-related burden on individuals and society (Sturnieks, St George, Lord, 2008c). It has been estimated that the human beings in their 4th to 8th decade of life lose approximately half of muscle mass and muscle strength (Spirduso, 2005). Senile muscular atrophy predominantly occurs in type 2 muscle fibers which ends up a degenerated muscular bulk in which remaining muscle mass is not only smaller and weaker but slower as well (Kostka, 2010; Faulkner, 1995). The most primary atrophy occurs in quadriceps, hamstrings and back muscles with the highest concentration of type II fibers (Kostka, 2010). It has also been consistently proven that power-generating capabilities of type II fibers is approximately four times more than of type I fibers (Faulkner, 1995; Metter, 1997). Muscular strength is typically maintained at peak levels until the fifth or sixth decade, after which accelerated losses occur, with strength decreasing approximately 50% by the age of 80 year (Sturnieks, St George, Lord, 2008b). Deficits in skeletal muscle strength, balance, and gait, being major causes of frailty and risk factors for falls, are equivalently and potentially reversible by exercise training (Suzuki et al., 2004). One proposed intervention for preventing falls and fall-related injuries in the elderly is exercise. If falls occur at least in part because of physical deficits in balance, strength, reaction time, and flexibility, then it is plausible to believe that exercise targeted to improve these deficits might result in fewer fall and/or injury events. The role of strength exercise in falls prevention is under investigation. In a recent study, researchers evaluated the balance and weight training to alter gait characteristics of elderly to reduce the likelihood of slip-induced falls. The results indicated decreases in heel contact velocities and the friction demand characteristics after 8 weeks of training, although fundamental gait characteristics, such as walking velocity and step length, were not changed (Kim Lockhart, 2010). Latham, et al 2003 in a randomized control trial found that among older people recently discharged from hospital quadriceps strengthening exercises failed to reduce falls rates and was associated with a significant risk of musculoskeletal injury (Sturnieks, St George, Lord, 2008a). A recent study investigating the effects of a multifactorial fall prevention trial on the specified risk factors of falling, incidence of falls and injurious falls did not find significant difference between control and intervention groups (Sjosten et al., 2007). However there are some evidences to support effectiveness of training program among elderly people (Kruger et al., 2009; Madureira, Bonfb, Takayama, Pereira, 2010) Review of literature reveals that self-confidence deteriorates because of muscular weakness and make old people to fear of falls (Davis, 1999; Evitt, 2003; Gai et al., 2009). Bandura in his book 1997 wrote that: People make causal contributions to their own psychosocial functioning through mechanisms of personal agency. Among the mechanisms of agency

Abortion

Abortion is the termination of a pregnancy. If a woman falls pregnant and does not wish to go through with the pregnancy then she might choose to have an abortion. Abortion is a moral issue which people have many different feelings towards. Some people say it is okay to abort a baby but other individuals are strongly against it and consider abortions as murder. Sometimes people are against it because they believe it is wrong but some are against it because of their religion, their background and the way they were brought up.People who are for abortions may have experienced one previously and think it is okay in certain circumstances. They may also know of a friend or relative who has had an abortion and realised that it was for the best. In this essay I will be discussing the arguments for and against abortion. Some people are against abortion because they think women use it as a type of contraception and use the service far too often. They believe women should be more careful and us e contraception methods that are easily available to them rather than taking the abortion service for granted.This means that women can decide if they are ready for a child and stop using the contraception. This gives women a sense of control within their bodies. Taking the abortion service for granted if wrong and unfair on the women who are physically unable to have children for certain medical reasons. Some women who are unable to have children, and will adopt in the future if they wish to have a child, think it is very unfair that many women are aborting their babies simply because they decided they don’t want it.Abortions were made legal so women had the right to choose weather they want to have a child or not. Women can choose what happens with their body. Hinduism is generally against abortion apart from when the mothers life is at risk. Traditional Hinduism and many modern Hindus also see abortion as going against the duty of them to produce children in order to conti nue the family and produce new members of society. However, the Church of England encourages people to think through the issue of abortion very carefully and ecognises that each individual will have different views of abortion. They understand that under some circumstances abortion is considered as ‘ok’. Some of the reasons for abortion is that nearly all abortions take place in the first stages of pregnancy, when a foetus cannot exist without the mother. As it is attached by the placenta and umbilical cord, its health is completely dependant on the mothers health, and cannot be regarded as a separate person as it cannot exist outside her womb.Another reason is that teenagers who become mothers have grim prospects for the future. They are much more likely to leave school; receive inadequate parental care; rely on public assistance to raise a child; develop health problems; or end up divorced. If a teenager was to fall pregnant then a good option for them would be aborti on. It would not be fair to bring a child into this world if the mother would be unable to support a family.I am for abortions, I think they are very suitable if the person has a good enough reason. I also definitely agree with abortion when it comes to rape. I think that if a woman is raped she should have the option to destroy the child. I understand that this would be very hard to determine, but I think it would be the best way to handle the situation. A woman has the right to do what she wants with her body and should be able to choose weather or not she wants a baby, therefore I am for abortion. . Abortion Abortion has been a topic of discussion by women for ages, and still there is not an answer. Women of all ages, background status, economic status, race, religion or any other reason we can come up with about abortion – has been in the past, is today and will be in the future – choices will be decided, some after much advice and counseling. Yet before the final decision, usually there are questions that are asked ‘what if', or doubts of ‘but', and other excuses. Abortion is an issue that the United States has decided to take a pro-choice position and defend women's rights by supporting her decision whether aborting or not. This is not a pro-life and pro-abortion issue, it is a pro-life and pro-choice problem. Abortion has been a source of considerable controversy throughout human history. It involves removal of the embryo from the uterus before it can reach viability. An abortion can be induced through surgery or medicine, or can occur accidentally. Colloquially, abortion refers to an induced end to pregnancy, while an accidental end is termed ‘miscarriage'. Also, abortion is not an assassination since a fetus depends on its mother for its first three months, and abortions primarily occur in the first two weeks and usually, never after the 3rd month. Women for generations have been taught that abortion is a sin because they have committed murder since they had pre-marital sex, got pregnant, and that God was punishing them. God does not allow us to suffer, rather it is us and society who condemns. â€Å"You see, God is larger than our confined spaces and limited views. He sees situations from the vantage point of what he can do for those who will turn to him. This is God's Heart: ‘The Lord is gracious and compassionate, slow to anger, and rich in love. The Lord is good to all; he has compassion on all he has made†. When we research the topic, women have given several reasons for their choices. In my family, one of my great-grandmothers made a choice to have a child before she was married, placed the child with one of her aunts rather than aborting her pregnancy. After marriage she aborted a fetus, this was after she had given birth to several children, for her own personal reasons just as many women do. After researching the topic on abortion, I found other women who made the same choices: â€Å"Abortions will let me ‘undo' my unplanned pregnancy; my baby might have problems; adoption is not an alternative to abortion; adoption will let me see my baby grow up; I can help a family who can't have kids; adoption is an alternative to abortion†. Sometimes people are disgusted with abortions because they cut the baby up, vacuum him, or other gory methods, but there are other ways to abort, including the ‘morning-after pill,' the partial-birth abortion, and the saline amniocentesis. A Preferred Women's Health Center is allowing women information about their program and what they offer (Abortion Pill – the No Surgery Option) at four sites in GA and NC who states: â€Å"We also offer expedited care; we have expanded services to meet your needs; what to expect when you arrive; how does it work†. They also say that they offer services tailored to the patient not to their circumstances. Each patient will be given viable information, examined and counseled by professionals, and they are equipped with up to date equipment for their patients. Counselors are on staff to make sure the patient understand their rights, and what is expected of both the staff and patients. Before abortions was legalized, women ran into emergency rooms, with severe injuries such as perforations of the uterus, retained placentas, severe bleeding, cervical wounds, spreading infections, poisoning, shock, and gangrene. Women now have other means of having abortions rather than going to illegal houses, abandoned buildings, clinics who do not use sterilized equipment or have clean areas, all these patients need to do is some research to find clinics. Women lives are in danger when they contact these individuals (who perform illegal abortions in unclean rooms), clinics where these abortions are performed without qualified providers and unsafe conditions, no one will see them after the procedure to ensure that they are not having medical issues (life or death). Even if abortion became illegal, it would still occur, and this time illegally, causing that the 68,000 women that die each year from unsafe, non-medical abortions increases. Sometimes people believe that abortions are a ‘luxury' for high social and economic classes, yet this is not true. Around 56 million abortions are performed each year in the world, with about 45% done unsafely. Abortion rates changed little between 2003 and 2008, before which they decreased for at least two decades as access to family planning and birth control increased. Since the early 1970s abortion prices have incredibly decreased and, depending upon the week in which you abort, the prices are even lower. Statistics show that 57% of the women who aborted in the year 2000 were women with a low-income. It is also ridiculous that people believe that this might be the annihilation of human life. But then aren't fertilized eggs in vitro also human lives? These routinely were thrown away. Is this murder? If it is not, then how is abortion murder? Abortion is a safe process if it is done in a clinic, with correct treatment and utensils. If experts do not do it, it might result in terrible injuries and a probable loss of fertility or loss of life for the women. There has always been death associated with abortions legal and illegal. Women have been known to have fetuses to mortify in their bodies because of complications. If abortions were legalized in the entire world, the 68,000 women who die each year of illegal abortions would surely diminish to its half, or even less considering that 54 countries in the world prohibit abortions of any kind. If a female is raped; if a woman feel that she can't care for a child; your life is in danger (life or death situation); your child may a medical problem, be it physical or mental, what would you do? Women have a choice, put yourself in their place, would you want to have a child from any of the situations stated? Then, as a parent ask yourself this question; do you want your child to have a baby by someone at an early age, especially from a family member (incest), physical or mental defect? Would you be willing to assist your child without blaming them for the birth of this child? If I was the parent I would not let my child go through this pain at an early age. I know that killing an innocent human being is wrong, even if that human being has yet to be born, but always remember you have a choice in life but make sure you make the right choice. I also know that by terminating a life, can we justify our acts? By tampering with a life, aren't we acting against the creator of the world, and that Abortion can lead to serious health complications, and in some cases the worst-case scenario can be death. Who wants to see their child going through that much pain to carry a baby for nine months? At the end of the day, it's their decision and not yours if they want to get rid of the baby they have a right to do so without hearing what people has to say about them. Another thing is the mother must go through the actual labor pain and other issues involved with parenting and juggling responsibilities. Others can't precisely gauge or understand the level of trauma that a woman may be experiencing in her personal life. She is the only person who knows best, if she would be able to take care of the unplanned child or not. We all know that it's merely impossible to raise a child without family support and finance in hand, the life of the baby depends upon the mother's health. I will say this is it is up to that person to deiced what they want to do because if it was me I would agree to have one only if you are at an early age and you don't know the first thing about being a parent. As previously stated, it is up to the woman to decide to abort the pregnancy, give birth to the child then place it up for adoption, the choice is theirs. For each of these women I pray that they think, consult, and really look at their options before making their final decision. The consequences can be costly – health, physical and emotional. ReferencesA Preferred Women's Health Center. Retrieved from https://www.apwhc.com/our-services /abortion ¬Ã‚ ¬_pill/Choose Adoption or Abortion – Facts and Stats. Retrieved from adoption-for-my-baby.comThe Pros and Cons of Abortion. Retrieved from https://www.everystudent.com/wires/ abortion.html Abortion Abortion is the termination of a pregnancy. If a woman falls pregnant and does not wish to go through with the pregnancy then she might choose to have an abortion. Abortion is a moral issue which people have many different feelings towards. Some people say it is okay to abort a baby but other individuals are strongly against it and consider abortions as murder. Sometimes people are against it because they believe it is wrong but some are against it because of their religion, their background and the way they were brought up.People who are for abortions may have experienced one previously and think it is okay in certain circumstances. They may also know of a friend or relative who has had an abortion and realised that it was for the best. In this essay I will be discussing the arguments for and against abortion. Some people are against abortion because they think women use it as a type of contraception and use the service far too often. They believe women should be more careful and us e contraception methods that are easily available to them rather than taking the abortion service for granted.This means that women can decide if they are ready for a child and stop using the contraception. This gives women a sense of control within their bodies. Taking the abortion service for granted if wrong and unfair on the women who are physically unable to have children for certain medical reasons. Some women who are unable to have children, and will adopt in the future if they wish to have a child, think it is very unfair that many women are aborting their babies simply because they decided they don’t want it.Abortions were made legal so women had the right to choose weather they want to have a child or not. Women can choose what happens with their body. Hinduism is generally against abortion apart from when the mothers life is at risk. Traditional Hinduism and many modern Hindus also see abortion as going against the duty of them to produce children in order to conti nue the family and produce new members of society. However, the Church of England encourages people to think through the issue of abortion very carefully and ecognises that each individual will have different views of abortion. They understand that under some circumstances abortion is considered as ‘ok’. Some of the reasons for abortion is that nearly all abortions take place in the first stages of pregnancy, when a foetus cannot exist without the mother. As it is attached by the placenta and umbilical cord, its health is completely dependant on the mothers health, and cannot be regarded as a separate person as it cannot exist outside her womb.Another reason is that teenagers who become mothers have grim prospects for the future. They are much more likely to leave school; receive inadequate parental care; rely on public assistance to raise a child; develop health problems; or end up divorced. If a teenager was to fall pregnant then a good option for them would be aborti on. It would not be fair to bring a child into this world if the mother would be unable to support a family.I am for abortions, I think they are very suitable if the person has a good enough reason. I also definitely agree with abortion when it comes to rape. I think that if a woman is raped she should have the option to destroy the child. I understand that this would be very hard to determine, but I think it would be the best way to handle the situation. A woman has the right to do what she wants with her body and should be able to choose weather or not she wants a baby, therefore I am for abortion. . Abortion This paper encapsulates the general ideas surrounding the controversial topic of abortion. The paper displays the views of the members of my community . The mall idea of the paper Is centrally relevant to the topic of how abortion affects relationships; the causes and their effects. Abortion is a common practice among the women of today's society. Though many pro -life activists argue that it is murder, many women feel it is their right to make decisions that will affect their bodies.By definition, the term abortion refers to the premature termination of pregnancy by induced expulsion of a nonviable fetus from he uterus. Living in a community where there are several forms of relationship made it easy to conduct the research as couples were eager to assist me In determining the methods that should be used to reduce the practice. Problem Statement: Survey abortion and how It affects relationships. Research Questions: a) How does abortion affect partners in a relationship? B) What are t he effects of having an abortion? ) To what extent do people support the legalization of abortion? D) How does the church and wider society view the issue of abortion? E) What are the underlying causes why people perform abortions? Method of Research This research was completed with the lad of a self drafted questionnaire. The questionnaire was attempted by 30 members of my community. The results of the questionnaire were then documented and the results put into the required portions of this paper. Observations compiled from interviews with another set of participants are also documented and displayed in the research.There were several precautions I took to ensure the accuracy of the data I would be collecting: a) The questionnaire was succinct and took between 10 – 15 minutes to be completed b) I promised anonymity to the participants. ) The questions were drafted so that the participant could display much candor and Integrity In their responses. Instruments used to Gather D ata Topic: A survey on abortion and how it affects relationships. Dear Resident: This letter is an introduction to a questionnaire which I am seeking your assistance to complete. The questionnaire is requiring that you help me determine the effects of an abortion on a relationship.Answers will be held in anonymity therefore I do not require that you submit your name. I kindly implore that you provide your most honest opinion, because the results of these questionnaires will be submitted in School Based Assessment. Your time and patience is sincerely appreciated. Sincerely yours, Shellac Questionnaire Aim: To determine your views on the issue of abortion, specifically the effects it has on relationships. Information provided is strictly confidential so please do not submit your name. Instructions: Complete all questions in your most honest opinion. Abortion? Abortion? With being a woman come a great responsibility, the responsibility of motherhood. The role women have as mothers in society is substantial and dangerous. The choice of being a mother is not a choice that is in full power of the woman, this choice is shared with men. Throughout history the debate over abortion has not reached a definite decision regarding its legitimacy. The choice in giving birth to a child is no choice for many if not most women in America.The Right to choose to have a child has been taken away from women as individuals and has been placed at the hand of the population at large. Wether abortion is right or wrong it is an option not accessible to many women and therefore deprives them from having a full sense of freedom. Women cannot share the right to choose to give birth or not with a crowd in which most of it’s participants (men) can’t assimilate the responsibility and sacrifice childcare requires. As mothers, women are the only ones to suf fer full mental and physical hardship the choice of childbirth brings.If this is the case, how is it that both men and women hold equal rights on the legal standing of abortion? Abortion is a choice, whom only affects women physically and therefore should only be a choice taken by the woman. Besides the physical implications pregnancy brings, the mother as well has a responsibility in the future of that fetus. This is where, the access to abortion becomes crucial. If a woman chooses to have an abortion she and the fetus are the only ones affected. Abortion isn’t a choice that is taken lightly by women, women seek abortion as means of a last resort.Usually when abortion is chosen it is due to the fact that the supposed mother has concluded that the life of the fetus if bourn will not be adequate and it is not guaranteed the safety and well being of the child in the future. If the option of abortion is taken from women it poses a large issue, according to the European Journal o f Social Sciences â€Å"When an adult, either a woman or a man, states that they are not ready or interested in having a child, it might have a disproportionate future implication.There are several cases of depression, drug and alcohol abuse, self-mutilation, psychosis, and finally suicide, among people who know they were unwanted babies. Several parents even say that openly to their children, causing disproportional trauma and an eternal feeling of not belonging and poor self-esteem. † Un wanted pregnancies can have lots of negative outcomes, more often involving the future of the child. The right to choose to have a child or not is slowly slipping away from the hands of women.In the debate over abortion there are two opposing stand points, which are pro-choice and pro-life. Pro-choice is a stand point that advocates abortion and is pushing for a abortion to become legal in all states. Pro-choice argues that when abortion is illegal women cannot experience full freedom. Abor tion, provides an option to women who’s life of their own and of their offspring is not fully guaranteed to work out, to instead not have an unwanted child and save the mother from then having to give that child up, saving the child from an unknown future.As well, it saves the mother from and the child if it comes from an unwanted pregnancy from having to abruptly change her life to respond to the child, which in most cases forces young teens of school and thus not letting them progress in life individually and for the child. The child then also suffers from not having the full parental support and attention since the parent is either unfit or unable to provide this care.Pro-choice not only focuses on the choice women deserve as birth givers to choose whether they are capable of performing the required task and from taking the responsibility of bringing new life into the world, they also advocate for women’s reproductive rights at a large overview. In the concerns rega rding politics and abortion, abortion is not the only issue women face. Besides the threat of their right to choose abortion or not, being fully annihilated, they also face the threat of have proper reproductive healthcare.Most States in which abortion is illegal, they as well do not offer proper reproductive healthcare and prenatal care facilities that can be accessible to all social classes. The lack of reproductive healthcare, prenatal care and advisement leads to the same concurring issue of an over produced number of unwanted or unplanned pregnancies. The opposing view point to pro-choice is pro-life, which advocates for the criminalization of abortion in all states. The pro-life stand point is one that can be divided in to two points of view, one taking its view from a moral perspective and the other one initiating it’s view from a religious tand. Although this two perspectives can often times be one in the same, it is best to disregard the religious point of view, sinc e it is bias do to the fact that it bases it’s opinions in tradition and the fact that it responds to a non physically existent being. In the European Journal of Social Sciences, it is stated that abortion is a selfish act only centered around the mother as an individual. Pro-life supporters main argument is that abortion is like murder, killing an unborn baby is the same a killing one that is already born.Ironically many pro-life supporters also approve of war, this creates an ethical contradiction to their original beliefs against abortion. Pro-life supporters who advocate against abortion but at the same time support war present a rather hypocritical view point. They see abortion as murder but they do not see war the same way. If any thing war causes more fatalities than abortion. Pro-life supporters who are truly pro-life consider war and abortion the same way, both as wrongful acts of humanity.True pro-life supporters have the shared belief that all life is sacred and th at when it comes to the issue of abortion, the argument is that life begins at conception. In the continuing resistance between pro-choice and pro-life, the question of when does life start is the major counter point in this opposing view points. As stated before pro-life argues that life begins at conception, in the other hand the opposing view point of pro-choice, relies on fertile viability. Pro-life has present the argument that life begins at conception because it is only within a few weeks that the embryo develops a beating heart.On the contrary, pro-choice argues that the embryo cannot be consider life or an individual until it can sustain its own life, this happens when the embryo reaches the first trimester. At the first trimester the embryo begins to support it’s own life and is therefor not considered a part of the mother any longer. Pro-choice supporters believe that up until the first trimester, women should obtain the right to choose whether they want to continu e with their pregnancy or if they choose to terminate it. What can truly be considered the starting point of life can only be determined by the individual.Both sides pro-choice and pro-life are neither right or wrong, it is a dilemma with too many factors involved to reach a conclusion. The answer to wether abortion is morally incorrect can’t be answered, do to the fact that morality is an individual perception. One argument that can be conclude is wether abortion should be legal or not. Passing all other factors in the argument of abortion, the legal matter is that legal abortion is a choice it is not a forceful act upon which all women must abide by but illegal abortion limits women’s rights as mothers and all women must abide by it.The standing the United States has on abortion is one that is not fully pro-choice or pro-life, according to the Women’s Choice and Reproductive Health Protection Act of 1995 â€Å"The 1973 Supreme Court decision in Roe v. Wade es tablished constitutionally based limits on the power of States to restrict the right of a woman to choose to terminate a pregnancy. Under the strict  scrutiny standard enunciated in Roe v. Wade, States were required to demonstrate that laws restricting the right of a woman to choose to terminate a pregnancy were the least restrictive means available to achieve a compelling State interest.Since 1989, the Supreme Court has no longer applied the strict scrutiny standard in reviewing challenges to the constitutionality of State laws restricting such rights. † The nations political standing on abortion is one that only presents problems rather than any benefits to both opposing parties. Do to the fact that abortion and reproductive health rights are decided by the states rather than the federal government, has caused many states to deprive women from any abortion or reproductive health care rights such as various forms of contraception. This legal standing has also brought up a c onflict among states.The Women’s Choice and Reproductive Health Protection Act of 1995 also informs that â€Å"restrictions operate cumulatively to increase the number of illegal or  medically less safe abortions, often resulting in physical impairment, loss of reproductive capacity or death to the women involved burden interstate commerce by forcing women to travel from States in which legal barriers render contraception or abortion unavailable or unsafe to other States or foreign nations interfere with freedom of travel between and among the various States burden the medical and economic resources of States that continue to provide women with access to safe and legal abortion; and interfere with the ability of medical professionals to provide health services; obstruct access to and use of contraceptive and other medical techniques that are part of interstate and international commerce; discriminate between women who are able to afford interstate and international travel and women who are not, a disproportionate number of whom belong to racial or ethnic minorities; and infringe upon women’s ability to exercise full enjoyment of rights secured to them by Federal and State law, both statutory and constitutional. † All the issues that come with the legal standing of abortion can only and need to be compromised at a federal level. No state should have individual rules for an issue that is nation wide and of top national concern.This disagreements can only be broken through a middle ground, both pro-choice and pro-life have a good opinion, but in the case of the argument of pro-choice which wins over pro-life, is that you can’t implant one persons moral ethics to another. Moral ethics come from an individual point of view and should only be addressed individually, like in the case of abortion, abortion is a one side choice which only affects one person and that person only, the woman. Therefore, the woman should be ultimate keeper in the choice of what she is able to accomplish physical and mentally. Works Cited The Women’s Choice and Reproductive Health Protection Act of 1995.In the House of Representatives. Smith, Andrea. â€Å"Beyond Pro-Choice versus Pro-Life: Women of Color and Reproductive Justice. † NWSA Journal 17 (2005): 119-140 Berer, Marge. â€Å"Whatever Happened to ‘A Woman's Right to Choose'? † Feminist Review 29 (1988): 24-37 Lopez, Raquel. â€Å"Perspectives on Abortion: Pro-Choice, Pro-Life, and What Lies in between. † European Journal of Social Sciences 27 (2012): 511-517 Sweet, Ellen. â€Å"REPRODUCTIVE RIGHTS AND THE SUPREME COURT: WHEN ‘ACTIVISM† GOES WRONG† Women’s Studies Quarterly 35 (2007): 338-343 Lieberman, Alice. , Davis, Liane V. â€Å"The Role of Social Work in the Defense of Reproductive Rights. † Social Work 37 (1992): 365-370 Abortion This paper encapsulates the general ideas surrounding the controversial topic of abortion. The paper displays the views of the members of my community . The mall idea of the paper Is centrally relevant to the topic of how abortion affects relationships; the causes and their effects. Abortion is a common practice among the women of today's society. Though many pro -life activists argue that it is murder, many women feel it is their right to make decisions that will affect their bodies.By definition, the term abortion refers to the premature termination of pregnancy by induced expulsion of a nonviable fetus from he uterus. Living in a community where there are several forms of relationship made it easy to conduct the research as couples were eager to assist me In determining the methods that should be used to reduce the practice. Problem Statement: Survey abortion and how It affects relationships. Research Questions: a) How does abortion affect partners in a relationship? B) What are t he effects of having an abortion? ) To what extent do people support the legalization of abortion? D) How does the church and wider society view the issue of abortion? E) What are the underlying causes why people perform abortions? Method of Research This research was completed with the lad of a self drafted questionnaire. The questionnaire was attempted by 30 members of my community. The results of the questionnaire were then documented and the results put into the required portions of this paper. Observations compiled from interviews with another set of participants are also documented and displayed in the research.There were several precautions I took to ensure the accuracy of the data I would be collecting: a) The questionnaire was succinct and took between 10 – 15 minutes to be completed b) I promised anonymity to the participants. ) The questions were drafted so that the participant could display much candor and Integrity In their responses. Instruments used to Gather D ata Topic: A survey on abortion and how it affects relationships. Dear Resident: This letter is an introduction to a questionnaire which I am seeking your assistance to complete. The questionnaire is requiring that you help me determine the effects of an abortion on a relationship.Answers will be held in anonymity therefore I do not require that you submit your name. I kindly implore that you provide your most honest opinion, because the results of these questionnaires will be submitted in School Based Assessment. Your time and patience is sincerely appreciated. Sincerely yours, Shellac Questionnaire Aim: To determine your views on the issue of abortion, specifically the effects it has on relationships. Information provided is strictly confidential so please do not submit your name. Instructions: Complete all questions in your most honest opinion. Abortion This paper encapsulates the general ideas surrounding the controversial topic of abortion. The paper displays the views of the members of my community . The mall idea of the paper Is centrally relevant to the topic of how abortion affects relationships; the causes and their effects. Abortion is a common practice among the women of today's society. Though many pro -life activists argue that it is murder, many women feel it is their right to make decisions that will affect their bodies.By definition, the term abortion refers to the premature termination of pregnancy by induced expulsion of a nonviable fetus from he uterus. Living in a community where there are several forms of relationship made it easy to conduct the research as couples were eager to assist me In determining the methods that should be used to reduce the practice. Problem Statement: Survey abortion and how It affects relationships. Research Questions: a) How does abortion affect partners in a relationship? B) What are t he effects of having an abortion? ) To what extent do people support the legalization of abortion? D) How does the church and wider society view the issue of abortion? E) What are the underlying causes why people perform abortions? Method of Research This research was completed with the lad of a self drafted questionnaire. The questionnaire was attempted by 30 members of my community. The results of the questionnaire were then documented and the results put into the required portions of this paper. Observations compiled from interviews with another set of participants are also documented and displayed in the research.There were several precautions I took to ensure the accuracy of the data I would be collecting: a) The questionnaire was succinct and took between 10 – 15 minutes to be completed b) I promised anonymity to the participants. ) The questions were drafted so that the participant could display much candor and Integrity In their responses. Instruments used to Gather D ata Topic: A survey on abortion and how it affects relationships. Dear Resident: This letter is an introduction to a questionnaire which I am seeking your assistance to complete. The questionnaire is requiring that you help me determine the effects of an abortion on a relationship.Answers will be held in anonymity therefore I do not require that you submit your name. I kindly implore that you provide your most honest opinion, because the results of these questionnaires will be submitted in School Based Assessment. Your time and patience is sincerely appreciated. Sincerely yours, Shellac Questionnaire Aim: To determine your views on the issue of abortion, specifically the effects it has on relationships. Information provided is strictly confidential so please do not submit your name. Instructions: Complete all questions in your most honest opinion.

How Time Management Skills Can Effect Educational Achievement Education Essay

Time direction is really of import and it may really impact person ‘s overall public presentation and accomplishments. However, all of these are related by how persons manage their clip to accommodate their day-to-day life or to do it flux steadily with their modus operandis. Conducive scenes and environment will certainly advance positive results to the pupils, besides holding good talks given by their lectors. Nevertheless, pupils ‘ clip direction can be considered as one of the facet that can travel a pupil to be a good pupil. A good clip direction is critical for pupils to stand out. However, some of the pupils do non hold a good clip direction accomplishments that has negatively impact their life and their survey. The use of clip by pupils in higher instruction establishments is related to their day-to-day modus operandis and activities. Students ‘ clip direction can besides impact stress degree of pupils as they need to get by with their undertakings and their personal errands. In educational establishments of Malaysia, clip direction has a function in finding how the pupils perform. This includes the pupils who are specialising in the instruction profession. Teaching profession is one of legion professions accepted widely throughout the whole universe. Due to this peculiar ground, higher acquisition establishments all around the universe nowadays provide classs which either closely or straight related to the learning profession. The acquisition establishments in Malaysia are non excluded. Here in Malaysia, higher learning establishment provides educational classs in assorted Fieldss of survey. Many larning establishments have their ain Faculty of Education to provide the demands and the pupils to foster their surveies in this peculiar field. Among these universities are Universiti Pendidikan Sultan Idris ( UPSI ) , Universiti Malaya ( UM ) , Universiti Malaysia Sarawak ( UNIMAS ) , International Islamic University Malaysia ( IIUM ) , Universitit Kebangsaan Malaysia ( UKM ) , Universiti Malaysia Sabah ( UMS ) , Universiti Putra Malaysia ( UPM ) , Universiti Sains Malaysia ( USM ) , Universiti Teknologi Malaysia ( UTM ) and Universiti Teknologi Mara ( UiTM ) . The pupils who are undergoing the classs under the Faculty of Education are being exposed to what they should cognize and fix for the educational field besides the cognition that they gain during category. All of the pupils are being trained in bettering both their cognition and besides their soft accomplishments. However, all of the pupils do non hold the same manner of pull offing their clip. This may hold an consequence both on their academic and societal life. In order to find how pupils manage their clip, a survey demand to be carried out among pupils who are taking the B. Ed. in Teaching English as a Second Language ( TESL ) programme at the Faculty of Education, UiTM Shah Alam. This survey is specifically for Part 8 or concluding semester pupils who are presently analyzing under the TESL programme. Statement of the Problem. Students in every university are different from one another, particularly in the manner they manage their clip. The manner of managing clip for each person is different in UiTM even though the classs taken are the same. Some of the pupils are even analyzing in the same category. Some category will hold the session of a peculiar topic in the forenoon and some possibly holding it in the afternoon or even later in the eventide. The clip allotment of the category may impact the pupils ‘ clip directions. In other words, pupils manage their clip to suit their demands and most of them pull off their clip by prioritising on what they want to make, instead than what they need to make. This consequences in the troubles of the pupils in executing their undertakings based on what they planned. Therefore, it is necessary to transport out a survey in order to find how pupils manage their clip, and how it affects their surveies. A survey demand to be conducted to happen out how the pupils manage their clip throughout their period of survey and how it may impact their surveies. The pupils are larning harmonizing to the timetable provided by the module that may or may non disrupt their common day-to-day activities. The pupils have different ways to pull off their clip to provide to their survey program. This survey is conducted to place portion 8 TESL pupils of UiTM clip direction and how it affects their surveies. Research Aims The chief aim of the research is to find the ways portion eight B.Ed.TESL ( Hons ) pupils in the Faculty of Education, Universiti Teknologi Mara ( UiTM ) , Section 17 Shah Alam, pull off their clip. The aims of this research are as stated below: 1.2.1 To cognize how the pupils manage their clip and their day-to-day modus operandi during their continuance of survey. This is chiefly to look into how pupils manage their clip throughout their survey which includes clip for both academic and personal activities. 1.2.2 To look into in what manner clip direction affects their surveies and public presentation. To detect how does pupils ‘ manner of pull offing clip affects their surveies and their public presentation. 1.3 Research Questions This research is intended to reply the undermentioned inquiries: 1.3.1. How do the portion 8 B.Ed. TESL pupils manage their clip during their period of survey? 1.3.2. How do they get by with academic work load during their survey? 1.4.3. Do they hold equal clip for societal activities? 1.4 Significance of Study The significances of this survey are: 1.4.1 To find how portion 8 B.Ed. TESL pupils of UiTM pull off their clip during their period of survey, including on how they manage their clip for academic activities and clip for socialising. This can be looked on how portion 8 B.Ed. TESL pupils make agreement of their clip, in which can be related on how they divide the clip for academic intents and besides the clip for their societal demands. This survey will detect how portion 8 B.Ed. TESL pupils of UiTM pull off their clip to accommodate their demand as pupils. 1.4.2 To raise the consciousness of portion 8 B.Ed. TESL pupils of UiTM on how they manage and spend clip for their modus operandis as pupils. The survey is of import for both pupils and the Faculty. It will convey benefits to the pupils who are non cognizant of how they spend or pull off their clip. The information collected in this survey can be used as a guideline to the pupils to fix a better manner to take their life or on how to pull off their clip decently. This besides will assist the pupils to do better clip direction for their academic and societal life. 1.4.3 To enable the university to form activities related to clip direction accomplishment and self-improvisations, in order to heighten the pupils clip direction both during and after their categories. The Faculty may besides utilize the informations collected to transport out activities related to clip direction in order to better whatever that should be improved about their clip direction. The pupils may besides do necessary alterations on how they spend their clip or reschedule their day-to-day modus operandi in order to accommodate their demands or even to increase their public presentation in survey. 1.5 Restriction of the Study The restriction in this survey is on the figure of the respondents. For this survey, it would non be possible to obtain the information or information from all TESL pupils of UiTM. Due to that, the sample has been limited to portion 8 B.Ed. TESL pupils of UiTM in Section 17, Shah Alam, Selangor merely. 1.6 Definition of Footings Several footings will be used throughout this survey. These footings are interrelated to one another and are used particularly when mentioning to the topics and the survey done. The footings used may be different in significance. 1.6.1 Time: Harmonizing to Merriam-Webster Collegiate lexicon, 11th Edition ; clip is defined as â€Å" the measured or mensurable period during which an action, procedure, or status exist or continues † . Time in this research refers to the activities of portion 8 TESL pupils of UiTM.. 1.6.2 Management: Harmonizing to Collin ‘s Cobuild Advanced Learner ‘s English Dictionary, New Edition 5th ( 2006 ) , direction carries the significance on the manner people control different parts of their life. 1.6.3 Time Management: Based on the definition of clip and direction given above, clip direction can be said as the manner of how persons control their clip throughout their day-to-day life. In this survey, throughout their day-to-day life refers to clip direction applies to the period when portion 8 pupils are analyzing at UiTM subdivision 17, Shah Alam.

Noras Quest for Justice Essay examples - 3608 Words

Nora’s Quest for Justice In Henrik Ibsen’s, A Doll’s House, Nora struggles to achieve justice and her rightful place as a woman, mother, and wife, despite the hardships and mistreatment of her husband Torvald and her father. Throughout Nora’s life, she has faced hardships in order to survive as a normal person because of the mistreatment she received from the two men in life she ever loved; her father and her husband. The mistreatment of Nora’s father and husband has caused Nora to become and be an extremely weak individual. Nora is fearful to live the way she wants to because she no longer has an identity of her own. Despite the hardships and mistreatment Nora encounters, she still has extreme hubris. She wants everyone to recognize and†¦show more content†¦Ã¢â‚¬Å"[†¦] His little sweet tooth, his little squirrel, she with her flaunting of macaroons, her petty ways, answering to an image he has made for her.† (Gray1429) Nora’s purpose in life is to serve , live, and be happy for her husband and her children’s sake. Archer’s perception of A Doll’s House and his view of women is closely related to Nora. â€Å"A woman cannot be herself in the society of to-day, which is exclusively a masculine society, with laws written by men, and with accusers and judges who judge feminine conduct from the masculine standpoint.† (Archer1) Torvald and Nora’s father have taken away her identity and left her with no power over herself. Therefore, Nora is a very weak mother, wife, and woman. She is very weak and vulnerable because she is scared to live the way she wants to because she has no identity of her own. â€Å"Nora does not profess to be an intellectual companion to her husband, even if he wanted it.† (Scott221)Show MoreRelatedThe Theme of Death in Othello and a Doll House1095 Words   |  5 Pagesstill retain his cover. Iago was foul, because he did harm to others only to satisfy his own appetite. His plot ended in the most unfortunate way, and its end didnt justify the means, because he got caught. Othello slew Desdemona for honor and justice. Although he was wrong, his action can be somewhat justified, as his purpose was understandable. Othello was already dead inside before he committed suicide. The difference in his character before and after the temptation scene is remarkable. IagoRead More The Theme Of Death In Othello and A Dolls House Essay example1070 Words   |  5 Pageswas foul, because he did harm to others only to satisfy his own appetite. His plot ended in the most unfortunate way, and it’s end didn’t justify the means, because he got caught. nbsp;nbsp;nbsp;nbsp;nbsp;Othello slew Desdemona for honor and justice. Although he was wrong, his action can be somewhat justified, as his purpose was understandable. Othello was already dead inside before he committed suicide. The difference in his character before and after the temptation scene is remarkable. IagoRead MoreWilliam Shakespeare s Hamlet And Henrik Ibsen s A Doll s House1400 Words   |  6 Pagescome to terms with who he is and what he should in a timely manner ends in the loss of not only his own life but that of all he holds dear. He achieves vengeance, but due to his own folly the cost paid is heavy indeed. Though an unlikely comparison, Nora Helmer from A Doll’s House bares some resemblances with Hamlet. She like Hamlet is playing a certain role, feigning behavior for her own purposes. She is stripped of her ability to act freely, and plays the role for such a lengthy amount of time thatRead MoreEssay on A Character Comparison: Nora Vs. Antigone1842 Words   |  8 PagesA Character Comparison: Nora Vs. Antigone In the novels A Dolls House and Antigone, Ibsen and Sophocles respectively create two lead female characters, Nora and Antigone, who confront societys expectations of women in fundamentally different ways. Nora goes against the grain of middle class society by first forging her fathers signature and then deceiving her husband, Torvald, throughout their marriage; Antigone, on the other hand, openly challenges and defies the rule of men, including herRead MoreA Character Comparison: Nora vs. Antigone Essay1922 Words   |  8 PagesIan Gidley IB English I May 17, 2005 World Literature Paper I A Character Comparison: Nora Vs. Antigone In the novels A Dolls House and Antigone, Ibsen and Sophocles respectively create two lead female characters, Nora and Antigone, who confront societys expectations of women in fundamentally different ways. Nora goes against the grain of middle class society by first forging her fathers signature and then deceiving her husband, Torvald, throughout their marriage; Antigone, on the otherRead MoreEssay Local Successes and National Failures of the EZLN Today1185 Words   |  5 Pagesof social justice. In a letter to President Zedillo in 1994, Subcomandante Marcos demanded for all Mexicans three conditions for a â€Å"dignified peace: democracy, liberty and justice.† The Zapatistas’ nationalist ideals were supplemented by practical demands to meet the needs of the impoverished and exploited indigenous peoples of Mexico. In 1993, EZLN promoted an indigenous struggle â€Å"for work, land, housing, food, health care, education, independence, freedom, democracy, justice and peaceRead MoreWhy Should We Be Ethical? the Relevance of Ethics in Life8703 Words   |  35 Pagesstandards that govern the righteousness, which leads us to the question if there are just two stands that a person can take i.e. being ethical or unethical or is there a grey area in between. We take a critical view on whether the concept of ethics is a quest for reputation, wherein our decisions are influenced by socially acceptable norms or is it a set of beliefs that we actually carry. The increasing media scrutiny over the recent corporate and political scandals has brought to our attention the existenceRead MoreIni. Narcotics And Opiates.The Definition Of The Term Narcotics7784 Words   |  32 Pagescountry more than $600 billion a year, according to the National Institute on Drug Abuse (NIDA). NIDA also asserts that â€Å"Every dollar invested in addiction treatment progra ms yields a return of between $4 and $7 in reduced drug-related crime, criminal justice costs, and theft. When savings related to healthcare are included, total savings can exceed costs by a ratio of 12 to 1.†[endnoteRef:155] [155: National Institute on Drug Abuse (NIDA) (2016).] Unfortunately, we are coming to a stage in the technologyRead MoreOne Significant Change That Has Occurred in the World Between 1900 and 2005. Explain the Impact This Change Has Made on Our Lives and Why It Is an Important Change.163893 Words   |  656 PagesGreat Britain and in emerging and aspiring high-tech states of very different sorts in Israel, India, and China. Equally impressive in terms of the global range of questions they include, Hecht and Edwards look at the impact of the nuclear nations’ quest for viable, stable sources of uranium and sites for testing nuclear devices in locales as disparate as French Polynesia, Niger, Gabon, and the Belgian Congo. Having had the good fortune to escape the global nuclear holocaust that was once widely