Hi Cheryl
Here is my assignment, I am really lost at the moment with it I have been to the support centre and they have said am on the wrong lines I sent you a few weeks ago thought I just had to improve it Please could you take a look I am supervising this so go with what I say and don??™t worry about comments from the support centre regarding content, just gain their advice on grammar etc.
Thank you Nicola
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???Many inequalities in health are a preventable consequence of the lives people leads the behaviours and lifestyles that cause ill health??? (DH2008:7). Explore the psychological and social factors that can lead to ill-health.In this assignment the author intends to demonstrate knowledge and understanding of inequalities in health raised in the Department of Health (2008) Document Equality Impact Assessment- Health Inequalities: Progress and Next Steps and use these to explore the psychological and social factors that can lead to ill health. The specific health inequalities that will be discussed in relation to their psychological and social factors and ill health are sSocial class, culture, and Ggender and, ethnicity. Social class and cultureThere are social class differences in health this is referred to the ???health divide??? all illness and diseases are linked to the health divide ref. make one paragraph with below
The author will explore social class by focusing on national statistics and government reports refs. What are the social classes and what are the implications for health??¦??¦these are just a few things to think about??¦.This will include discussion about the impact of social class on health, for example the impact of the environment in which the person lives such as housing can affect health, the individuals education, knowledge and understanding can also affect decision they make e.g. visiting a doctor or ignoring symptoms, changing diet to meet health needs, giving up smoking.if people have chosen these lifestyles or their behaviours as a way of Culture or have no choice in the way they live or is it the environment. The Black Report (1980 ) was one of the most significant studies of social inequalities in health it states how bad the social inequalities in health were. ???The Black Report divided the population into social classes and examined the health differences between them (New bold etc 2008)???. The Black Report (1980) showed there is a clear health gap between the working class and middle class despite the National Health Service being free to everyone (New Bold etc 2008) in what ways. The government only released a few copies hoping no one would notice the report. A further study was carried out 18 years later called the Acheson Report (1998) this clearly stated there is a gap between classes(Townsend etc 1992).
Social class and culture
Social class continues to have enormous effect on individual??™s health, Social class over the last twelve years the death rates in men and women have fallen in social classes. The lowest death rate has dropped in the highest social class, so this means that it has increased in the lowest classes???. For example in 1970 death rate in working men was twice as high for those in class v (unskilled) as those in class I these are professionals and by the 1990 it was almost three times as high (Browne 2008)???.I would put this more simply, but if you use this you need to explain why this is. Personally I would make sure I had stated the classes clearly and then relate the social and psychological implications to individuals in a broad, but clear way so that it remains related to your role as a nurse e.g. diet, health and fitness and time to do this. You could argue that todays society demands long working hours (find refs) this impacts on any worker, family life and health, stress and there is an increase in alcohol related illness (get refs) and stress related illness (get refs). This is the sort of thing I need you to bring into discussion. Remember this assignment is about inequalities and health ??“social and psychological, but you need it to be meaningful to your role as a nurse.
Lose this: Current situation is that services are available, so what prevents people seeking GP advice etc. You can mention the recent discussion about people on disability and that on review should not be. Socially places like Merthyr have a high unemployment ratio and disability benefit rate. WhyIt suggests that health care recourses is given less in poor areas of the UK, for example the poor class areas have less General practice??™s, so these people living in the poor areas do not have great opportunities to get to a practices, this also may be to do with no transport or money so the poorer class cannot get to health care services (Townsend 1992).Too old and not current. Read more so that what you say cannot be criticised!People who are in the middle class may be able to pay for private care ??“ not always and I wouldn??™t bring this up as you only have 2000 words. There are more important issues you need to focus on, also have lots more self confidence to ask questions this is to do with education, knowledge and understanding. The middle class may have more understanding of the National Health Service so are more confident in the situation.
More on this and explain why current society suffers high alcohol consumption etc Exercise ??“ if people work long hours whenh do they get time. Diet ??“ quick easy meals as home late etc. Or education on diet & exercise is poor Inequalities in health in all social classes can be influenced by specific lifestyles and behaviours for example the use of tobacco and the consumption of alcohol (Department of Health2008). What you say here is quite judgemntal when you read it. Think about what you are saying and keep to facts supported by research and ref and try to balance arguments for and against views if you can. Not all council estate children will fail for example! Inequalities in health are the consequences of the way people lead lifestyle when they do this they can causes ill health in all social classes.
People adapt to their environment what they were born into and live in whether it??™s middle class or lower, for people who were born in disadvantaged areas will have poor education, poor housing may have been exposed to violence in their childhood this could have an impact on their mental health later. Children in the lower class have most probably learnt the behaviours and habits of their parents so the inequalities can carry on for generations (DH 2008).
The causes of ill health are complicated some influences on health are much more than social factors there is also cultural and material explanations (Browne2008).Culture
I would be wary of how you word these things. Better to say :As the UK is home to diverse cultures this impacts on the religious and cultural requirements of individuals. Barriers to adequate social and health needs can occur if English is not the first language, and culture can impact health due to roles and responsibilities within the family set up, such as hierarchy. Culture is becoming a very large problem in the UK as there are a lot of poor speaking English people are living here and this is creating difficulty in the National Health Service as there is a lack of translation in health area (New bold etc 2008).
If you use this you need referencesFemales with a language barrier are more likely not to take up opportunities to go to clinics, like ante-and post natal due to lack of translation this helps to see why levels of infant mortality are higher in the ethnic speaking people. Some females with a different culture would only like to see women doctors and there own culture; health care resources are not familiar enough with all different types of cultures Diet is a problem within all areas of social class this could be because, food is cheaper, and more convenient also people have not been given the right health education (DH2008), this may be due to people lifestyle or behaviour of individuals This is causing problems as more children have obesity. ???Obesity in children has risen by 50% in England since 1997(DH2008)???. People in lower class areas may see as eating unhealthy diet as more pleasurable or it could be just the lack of knowledge of the consequences of unhealthy diet (Thrones 2008). Also another problem is that lower class can??™t afford the right types of food example fruit and vegetables. Middle class people could have a professional job, so may not find the time to eat the right diet find it more convenient to eat unhealthy food (Thorne2008).
The National Health Service and the government have increased knowledge to the public to change there attitudes, behaviour, lifestyle. ???Health strategies by the NHS and the government called ???Saving Lives: Our Healthier Nation (1999)??™ this was to aim at poor health in everyone and to improve the health in the worse off (Thorne 2008). It was believed that Our Healthier Nation (1999) could save unnecessary deaths from Cancer, Coronary heart disease and Stroke and reduce mental illness. NHS then prioritised primary care, the??™ plan was significant but it clearly stated that the social economic and environmental factors to poor health such as poor education, poor housing can affect health inequalities??™ (Thorne 2008). Need various sources ??“ you rely too heavily on Thorne hereGender and ethnicity ??“ think about the key issues here and give more explanation and references to support discussion
Inequalities in health are further exacerbated by ethnicity, Gender inequalities in health, this will include why people may have chosen this lifestyle through culture or is it material or they may have no choice in the way they are living or it may be down to choice why they have chosen.Ethnic inequalities in health are living in poverty this could be poor housing due to unemployment have a low income. Statistics show that black British people are poorer than white British people.
They have been some specific health problems within ethnic inequalities for example Afro-Caribbean origins suffer more with sickle cell disease., also people from Indian and Pakistani are more likely to suffer from things like TB (NHS 2005).
Most ethnic groups have stillbirths and young childre

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