Smoking Drinking As A Social Problem - 1682 Words

In this essay, I will explore both sides of the argument to suggest that Binge drinking is either a personal concern or that it is a social problem. UK researchers commonly define binge drinking as consuming more than eight units of alcohol in a single session for men, and more than six units for women (NHS, 2014). Over the years alcohol has caused many social and political debates in regards to whether it is a â€Å"social evil† or if the individual who makes the conscious choice to drink it, is the real deviant. It’s clear to see that alcohol will always be a dominating factor in society if we think alcohol consumption is a 21st-century modern phenomenon then we are mistaken. The first organized campaign about alcohol consumption occurred in the 18th century as Gin had arrived in the United Kingdom from the Netherlands. From The 1720’s onwards Gin became the focus of moral concern amongst the rising middle classes, the society for the reformation of manners hig hlighted the evils of gin drinking. The â€Å"gin panics† have been described as the first modern â€Å"drug scare† amongst society and perhaps caused the first drink related â€Å"moral panics† (Blackshaw, 2013:306-307). As we can see alcohol consumption worries started well over 200 years ago and although we may think today s societies â€Å"social evils† have well moved on from historical ones this quote from David Cameron proves they have not, â€Å"Binge drinking isn’t some fringe issue, it accounts for half of all alcohol consumed in thisShow MoreRelatedSocial Issues Related to Smoking and Alcohol Consumption Essay1265 Words   |  6 Pagesimmediate environment and society as a whole. There are many social consequences such as traffic accidents, workplace-related problems, family and domestic problems, and interpersonal violence. Work People with alcohol dependence and drinking problems are on sick leave more frequently than other employees. In Great Britain, up to 25% of workplace accidents and around 60% of fatal accidents at work may be linked to alcohol. drinking alcohol at work and hangovers  may reduce productivity. PerformanceRead MoreNo Teratogens During Pregancy Essay1169 Words   |  5 PagesA teratogen is any agent or factor that can disrupt the development of an embryo or fetus, which may cause a birth defect or malformation. Whether it is a medication, disease or drug, when the mother is exposed the chances of problems arising with the baby increase. Only ten to fourteen days after conception teratogens can affect the fetus. At that stage in the pregnancy the egg has already been fertilized and attached to the uterus. This is known as the embryonic stage where if health isn’t a priorityRead MoreWhy do teenagers indulge in alcoholism and smoking?873 Words   |  4 PagesOctober 2013 Why do teenagers indulge in alcoholism and smoking? In today’s society many teenagers are introduced to new ideas every day. Teenage years often include adjusting to new people, and experimenting and trying out many unfamiliar ideas. As a teenager some maybe naà ¯ve and not fully think of consequences, and or long term effects of indulging in these type of activities. The cause for teenagers indulging in alcoholism and smoking can be many reasons. For some teens, peer pressure, curiosityRead MoreEssay on Addictions to Smoking and Alcohol836 Words   |  4 Pages Addictions to Smoking and Alcohol A lot of people suffer from the consequences of smoking and drinking alcohol, which often leads to addiction. The word addiction is a very powerful word in this sense, as it means the physical and psychological craving for a substance that develops into a dependency, and continues even though it is causing the addicted person physical, psychological and social harm. The disease of addiction is chronic and progressive; it canRead MoreVarenicline Research Paper804 Words   |  4 Pagesreduce heavy drinking in men. The medication also helps maintain smoking abstinence in individuals. The trial was conducted by the researchers at the Yale School of Medicine, led by Dr. Stephanie S. O’Malley. The trial involved 131 participants from two outpatient clinics who were reported with heavy drinking for two or more times per week and met the criteria for alcohol dependence. The participants were also reported with a smoking habit of two or more times per week. The heavy drinking is equivalentRead MoreRaising Taxes on Tobacco and Alcohol1637 Words   |  6 PagesIt is worth noting however that this did not (and is not anticipated to) deter the heavy drinking habits of people within that country. The consumption of alcohol and smoking goes on undeterred within the country and this we are looking at the legal brews like the bottled beers. By 2004, it was estimated that 40% of the women contacted during a research on alcoholism confessed that their spouses had the problem of alcoholism (WHO, 2004). Considering the above statistics and trends, even on the backgroundRead MoreDriving Behavior That Makes Alcohol Consumption So Dangerous?1050 Words   |  5 Pagescomponents of alcoholism: a preoccupation with drinking, emotional, vocational, social, and family problems, and physical problems. An example of situation when an alcoholic is preoccupied with his drinking would be the hospitalization of a family member. While relatives would worry about the health of the person hospitalized, the alcoholic would only think about how he can get a drink. He will not be able to empathize. An example of emotional problem due to alcoholism is an alcoholic that wouldRead MoreEssay on Teratogen Affects on Pregnancy953 Words   |  4 PagesTeratogen Affects on Pregnancy Oct 9, 2010 Textbook References: Chapter 2 Teratogens: Drugs- smoking p 50 Part II Chapter 2 Teratogens: Drugs- behavioral problem w/smoking p 51 Part II Chapter 2 Teratogens: Drugs- Child Behavioral Problems w/drinking p.52 Part II Chapter 2 Teratogens: Drugs- FAS p 51 Part II There are many potentialRead MoreWhy The United States Ranks So Poorly During The American Health System869 Words   |  4 Pagescare† (Schroeder, 1); the fact that we have access to advance tools and technologies in our health care system does not necessary mean that we are healthier than other countries. Determinants such as behaviors patterns, environmental exposures and social circumstances also greatly influence our health. Secondly, â€Å"even in those instances in which health care is important, too many Americans don’t have health care, receive it too late, or receive poor-quality† (Schroeder, 1). Schroeder also emphasizedRead MorePersuasive Essay On Smoking713 Words   |  3 PagesDuring the past few decades it has come to light that smoking kills. The federal government mandates that every pack of cigarettes carry a warning on it that smoking can lead to health problems including death. But the messages are rather clinical, for example: â€Å"Smoking Causes Lung Cancer, Heart Disease, Emphysema, and May Complicate Pregnancy.† Smoking is a danger to one’s own health but there is now evidence that smoking can affect others as well. Second hand smoke has been shown to cause cancer

Native American Flutes Essay - 1016 Words

Although Native Americans are known for their voice being a vital instrument, most rituals, songs, and dances are accompanied by an assortment of instruments such as, drums, rattles, flutes. Every instrument has it is own meaning and a purpose. In this section, the significance of these instruments as well as their structure and functionality is explored. The drums are a vital aspect to the Native American culture; they understand the drum to be more than an instrument. In a web article written by Elisa Throp entitled, â€Å"The importance of drums to Native American culture†, Elisa says, â€Å"It is a Voice. It is a Heartbeat. It is a prayer to the Great Spirit. The Native American Drum is all of these things, and more.† The drums are what the†¦show more content†¦Lastly, there is the water drum. This drum sounds completely different from the previous types; it is built differently as well. The water drum is made from an iron kettles or hollowed out and dried calabashes, which are then filled to a specific height with water. Even though this particular drum does not have any direct influences in percussion instruments, it can be easily recreated with a present-day household item like a milk jug. All of these drums are used by Native Americans to connect to The Great Spirit and the Earth. Next the rattle, which is just as popular and significant as the drums accomplishes more than keeping the rhythm of the dance, it is also used to showcase the personality of an inner person. Because of their size, rattles are easily customizable and tend to change in look and composition based on tribes. According to â€Å"Native American Rattles and Their Importance†, A variety of materials are used to make these rattles, and tribal differences make themselves known here. Gourds are the material most often associated with Native American rattles, but the range goes much father than that. California tribes use turtle shells, while Plains Indians make of rawhide rattles. The Indians of the Southwest make their rattles [out] of pottery, rawhide, or gourds.† These different types and shapesShow MoreRelatedNative Peoples: Learning About The Extensive Native American Culture691 Words   |  3 PagesNative Peoples Magazine, which was published in the year 1987, is an American Indian magazine that is distributed bi-monthly with the cost of $19.95 for 6 issues or $36.00 for 12 issues. The goal of this magazine is to reach out to people all around the world. Native Peoples Magazine portrays the arts and lifestyles, Native American artists, cooks, fashion designers, and their culture. The magazine can be used as a travel guide for many people. According to the Mailing List Finder of Native PeoplesRead MoreEssay on Native American Sound Instruments1633 Words   |  7 Pages quot;Native American Sound Instrumentsquot; Through my own personal experiences and teachings from Native Americans, that have offered to enlighten me, Ive gathered that there is a sacred nature rich in spirit and soul to them. The Native American lives religion as a way of life. Children of the tribe grow up in this world of spirituality and learn from example that religion can come as easily as taking a breath every day. This is no attempt to lead into the topic of religion, yet it needsRead MoreMusic Of Native American Culture879 Words   |  4 Pagesof Native American Culture. It is used in many different ways, such as expressing one’s feelings or through the use of self-expression. There are unique collection of instruments that are played in ceremonial events, recreation, and even through healing. Some of these instruments are drums, flutes, rattles, and other percussion instruments. The voice is also used quite a lot and may even be the most important one because it is the backbone of music made in Native Americ an Cultures. Native AmericanRead MoreNative American Instruments Essay879 Words   |  4 PagesNative American Musical Intruments are about natives getting together and playing there instruments. They play them on holidays and birthdays, also they play whenever they want entertainment. It’s a tradition for them. There instruments are not metal like ours so it doesn t sound like ours either. There instruments have a whole different tune and sound. Native americans love to play there instruments. Its one of their favorite things to do. I am writing about Native american musical instrumentsRead MoreNative American Musical Instruments And Music980 Words   |  4 PagesNative American Musical Instruments are about natives getting together and playing there instruments. They play them on holidays and birthdays, also they play whenever they want entertainment. It’s a tradition for them. Their instruments are not metal like ours, so it doesn t sound like ours either. Their instruments ha ve a whole different tune and sound. Native Americans love to play their instruments. Its one of their favorite things to do. I am writing about Native American musical instrumentsRead MoreNative American Arts756 Words   |  3 PagesNative Americans treasure one thing in their culture the most; the arts. Native American art is the works created by the natives of North America. Art can come in many forms, but are most present in the visual arts and melodic arts, which can then fall under several categories. Art is considered a symbol of Native American heritage and the overall culture of world art. It has been a major part of their lives for thousands of years. The Native American arts serve the purpose of self-expression, whichRead MoreMusic And Community : Native American Music1199 Words   |  5 Pages CALIFORNIA STATE UNIVERSITY Northridge Music and Community: Native American Music A paper submitted in partial satisfaction of the Requirements for MUS 309, Lecturer: â€Å"Gee† Rabe By Abhimanyu Ranjit Lalchandani Spring 2015 Introduction This paper will demonstrate the various analysis of the Native America music and some details about history of Native American Music and themes which represents the religion and music. It also gives importance’s to the music which are used based on theRead MoreWhat I Learned About The Flute Was So Special1154 Words   |  5 Pagesclass but never actually blowing into the flute for fear of messing up. The very first day of this course gave me confidence. This is because I was starting to learn what about the flute was so special. It did not matter how you played it, what matter is that you were playing. We were students, strangers even, coming together and making music of the people who were here before us. We were partaking in such a special tradition. The Native American people are split up in many tribes over theRead MoreCherokee Indians And Native American Tribes1056 Words   |  5 Pageswhen the topic of Native Americans is discussed it is only about the struggles and hardships they went through but never their actual culture of how and where they originated or how they came to be. There are many interesting things to learn about Cherokee Indians such as their heritage, religion, language, and their traditional songs, dances, and food. The Cherokee people have been identified as one of the most socially and culturally advanced of all other Native American tribes. ArtifactsRead MoreNative American Music Essay1034 Words   |  5 PagesNative American Music In chapter ten, author Bruno Nettle takes the reader to the town of Browning, Montana, where he is about to witness a modern Native American ceremony. As he observes, he notices that only one-half of the people there are actual Native Americans. The rest are are white tourists and innocent observers just like himself. Eventually, somewhere around eighteen singing groups appear from different tribes and reservations. They will be summoning the dancers into what is

New Public Management Approach Free Essays

The Concept of ‘New public management Approach’ New public management (NPM) denotes broadly the government policies, since the 1980s, which aimed to modernize and render more effective the public sector. The basic hypothesis holds that market oriented management of the public sector will lead to greater cost-efficiency for governments, without having negative side-effects on other objectives and considerations. The last two decades to 2006 have been associated with a fundamental shift in the principles of public sector management in all industrialized countries. We will write a custom essay sample on New Public Management Approach or any similar topic only for you Order Now This had, in turn, been a product of a general reinvention of the role of government, its agencies, the means by which services are delivered, and employment practices within public sector organizations. At its core, this has been associated with a move away from a traditional model of public administration towards variants of the ‘new public sector management’ model. The traditional model of public administration, based on the doctrine of the separation of powers, was associated with the delegation of a specific set of functions to public administrators in the implementation of policy and the expenditure of public funds. A central principle associated with this model was the idea that public service employees were independent from the political process. Their role was encapsulated by the maxim of providing advice ‘without fear or favour’. This capacity for independent advice was assured through the idea of a career in the public service and explicit norms of behaviour and professional conduct. It has also been presumed that public service employees were less likely to be motivated by extrinsic rewards, more likely to identify with value of service to the public and the provision of public goods, and have a strong commitment to principles of justice, fairness and equity in discharging their duties. This traditional model of public administration was associated with an expansive view of the role of government, which prevailed throughout much of the twentieth century. This view produced a significant role for government in regulating economic and social relations, owning productive assets and producing goods and services, in a range of areas in the period until the mid to late 1970s. From that time, the role of government and public sector organisations came under sustained scrutiny, with the result that governments privatised production of many goods and services previously seen as the natural domain of government, such as essential services; withdrew from the direct control f production of goods and services funded by the public purse through corporatization and outsourcing; and encouraged the contestability of markets in which the government had previously been a monopoly producer. This general reorientation of the role of government has been associated with changes to internal organizational attributes and management practices within public sector organizations. This ‘new public management’ has shifted the focus from public servic e to service delivery. The principles associated with new public management have been informed by the idea that public service needs to be more responsive to both the preferences of beneficiaries, citizens who pay for service provision through tax, and politicians who represent the collective will and make policy choices. From this perspective, ministers are seen as analogous to customers, and citizens to consumers. New public management has been informed by economic doctrines that have advocated privatization, contestability in the delivery of public goods and services and, where possible, the provision of these goods and services through the private sector. For the core public service, this has also been associated with significant reforms to public employment systems and the norms of what constitutes professional public service. For Australian public service employees, this shift has involved the displacement of core legislative protections associated with independence by ‘value statements’ and ‘codes of ethical conduct’, along with protective legislation for whistleblowers. More generally, this shift has occurred within the context of a decentralization of managerial responsibilities for workforce planning and human resource management to individual departments and agencies. For middle managers, this has meant a significant increase in responsibility for both ensuring probity in managerial practice and dealing with the ethical issues and conflicts that arise in dealing with ministers and stakeholders, the responsible expenditure of public money and the fair and just delivery of services to the community. Developments Some modern authors define NPM as a combination of splitting large bureaucracies into smaller, more fragmented ones, competition between different public agencies, and between public agencies and private firms and incentivization on more economic lines. Defined in this way, NPM has been a significant driver in public management policy around the world, from the early 1980s to at least the early 2000s. NPM, compared to other public management theories, is oriented towards outcomes and efficiency, through better management of public budget. It is considered to be achieved by applying competition, as it is known in the private sector, to organizations in the public sector, emphasizing economic and leadership principles. New public management addresses beneficiaries of public services much like customers, and conversely citizens as shareholders. In 2007, the European Commission produced a white book on governance issues whose objective was to propose a new kind of â€Å"relationship between the state and the citizens,† reform governance, improve public management and render decision-making â€Å"more flexible. † Criticism Some authors say NPM has peaked and is now in decline. Critics like Dunleavy proclaim that NPM is ‘dead’ and argue that the cutting edge of change has moved on to digital era governance focusing on reintegrating concerns into government control, holistic (or joined-up) government and digitalization (exploiting the Web and digital storage and communication within government). In the UK and US NPM has been challenged since the turn of the century by a range of related critiques such as Third Way thinking (see Anthony Giddens) and particularly the rise of ideas associated with Public Value Theory (Mark Moore, Kennedy Business School, John Benington, Warwick Business School) which have re-asserted a focus on citizenship, networked governance and the role of public agencies in working with citizens to co-create public value, generate democratic authorisation, legitimacy and trust, and stress the domains within which public managers are working as complex adaptive systems with characteristics which are qualitatively different from simple market forms, or private sector business principles. In his book Bad Samaritans, economist Ha-Joon Chang claims that â€Å"increased NPM-inspired reforms have often increased, rather than reduced, corruption,† as a result of â€Å"more contacts [of state-sector functionaries] with the private sector, creating new opportunities for bribes† and future, direct or indirect, employment in the private sector. Chang claims that â€Å"corruption often exists because there are too many market forces; not too few. † Robert Nield, a retired Cambridge economics professor and a member of the 1968 Fulton civil service reform committee, has stated, in reference to civil sector reforms implemented by British PM Margaret Thatcher, a pioneer and strong proponent of NPM, â€Å"I cannot think of another instance where a modern democracy has systematically undone the system by which incorrupt public services were brought into being. â€Å" How to cite New Public Management Approach, Essay examples

Oral Antidiabetic Medication Adherence †Free Samples to Students

Question: Discuss about the Oral Antidiabetic Medication Adherence. Answer: Introduction: Patients who suffer from diabetes often need special attention and close monitoring because of their medical situations and conditions. Therefore, the diabetic adult patients need assistance to take medications because, firstly, adult patients are at times not able to manage effectively the condition through adhering to the prescribed medication from the clinical officers. This is because they tend choose their medication and use the one they feel like taking because some may be illiterate and this poses them to other medical problems. Due to this, attention for them need to be adhered to so that they can stick to their medications. Secondly, patient-provider communication is another challenge that patients face. Due to different understanding capacities, the provider may not be able to explain how medication should be taken due to communication barriers and not giving full details of how, when and to what level it should be taken; therefore close attention should be kept to the patients (Mamkin Ten, 2008) Thirdly, the side effects or consequences need to be kept clear to the patient because overdose or under dose can be toxic to the body and therefore older patients should be attended to and should not be left alone as they may overdose, under dose or misuse the medication which is not healthy to them. The combination of the two devices makes it easy to administer medication to the patients because the combination is fast and works more efficiently on the patient. Its also reminds you the action one needs to do or take to the patient. This population needs special attention in order to sustain and maintain their health conditions, the routine of medication, increasing communications so that they may stick to their medical line. Lot is needed in order to cure and provide relieve to the diabetic problems, educating them and also training them will help in adapting healthy lifestyles, having self-control and participating in educational meetings and seminars concerning the issues of coping with diabetes as well as self-evaluation of the knowledge about the disease. The population need to be educated on the benefits of sticking to medications and adhere to them because its for their own benefits and wellbeing. Therefore, the clinical practitioners need to take part in educating the community the importance of finishing the prescribed dose in order to live healthy (Rockwood Mitnitski,2007). They should also read and understand the information given to them by the clinical officers because its from that message that will help them practice healthy living. In case they dont understand the information, they should seek assistance and interpretation from caregivers. Older patients should be attended to carefully especially those who cannot read the medical prescriptions to understand the requirements clearly. In case it happens that they dont adhere to the medication routine, assistance should be rendered to them in a professional way by the caregiver or doctor. This technology is commonly applied to the diabetic patients who need special attention medical and while in use, the older adult should be assisted and attended to when using the machines because of their complexities and technical requirements for their operations. Moreover, the machines are useful because they keep the patient updated of the latest changes in the blood sugar, time for medication and also the tracking record of the changes of the diabetic level of the patient. Elderly people should be assisted and given all the necessary support to ensure full medication compliance is adhered to. They also help in determining when the next dose will be administered. The strengths of using this technology are the advantages that come along with it to the patient(s) and those monitoring them if they are not able to take care of them in one way or another. It has made it easy while injecting medication into the blood by making it simpler then when it was not available. Secondly, it has made it easy for the patient or the elders to keep track of their sugar levels and provide them with the necessary steps they need to take to bring down or regulate its level. Moreover, the technology has been of importance to the patient while monitoring the glucose level which is an essential while managing diabetics by allowing them to see the impact of the measures they need to take to control their diabetes. With the new inventions in medications, people can now go for medical checkups and create awareness among those around them. If they get tested and realize that they have symptoms, its advisable for them to begin medications with immediate effect to curb the growth and development of the disease. This will also help them in keeping tracks of their diets and changes in their lifestyles so that they could practice healthy living ways, adhering to medication and also reading the instructions given by their doctors. It also helps to inform the clinician and the patient how well the medications are working and responding, among others. However, despite the advancement in technology, it has brought a lot of challenges that have affected the patient in one way or another. The technology is costly and thus requires a lot of finances to afford or access them. This has been a challenge for patient to access them and end up dying or spending a lot in order to get cured. Therefore, the caregiver should keep watching and attending to the patient because of their medical situations and requirements. Majority of the patients are not familiar with the machines or devices thus they need attendance from either a clinical officer, nurses or an adult who understands them well and how to administer them to the patients. They should therefore be trained on how to use the medications, machines and reading the prescriptions well to understand whats required for them to do incase their caregivers or doctors are not available. Patients may also lack sufficient education on how results are interpreted so that they may use home testing equipment. Therefore, thorough education and sensitization is necessary because its from this information and prescription that will determine the health state of the patient. Caregivers thus need to educate the patient how to apply the medication ,when or after a given period of time and to which level the patient should take. Thruogh this, the health states of the patient will improve and get better. Caregivers should also be spearheaded in ensuring that they introduce new things or activities that are meant to boast the health conditions of the patient like exercising daily which include light chores; and the change in the diets to boast the immune of the body. Practising all these ensures physical fitness of the patients body reflecting an improvement in the state of the body. Others include physical pain while pricking the fingers, being anxious about ones blood sugar control and heath states. As a result of technological advancements in diabetic treatments, it has brought about many opportunities among them employment of many medical practioners and clinicians, expansions of medical facilities to handle the ever increasing number of diabetic patients who need specialized treatment and also training facilities to train those who will be attending to the diabetic patients who are not educated on how to take medication and use the tools and equipment they are provided. Due to the introduction to these technological advancements in the health system, the technology has made many patients machine-driven because they cant do without them. This has led to many patients to be machine sustained and making them not to do their daily duties and chores as they used to do before they got sick (Chowdhury, 2002) The technology has exposed many diabetic patients to other chronic diseases something that has increased the cost of treatment for the patients thus adding a burden onto the patient. Adherence to medication need to be addressed and improved so that the patient s should stick to their medications. Consequently, clinical officers, physicians, doctors and the pharmacists should develop and implement necessary tools encourage the patients adherence routine. Technological advancement for diabetics are a tremendous step a country undertakes in order to care and treat its citizens and therefore it should be availed in a country. However, this has not been the case with many states because many reasons that makes it not to be possible. Firstly, the cost of acquiring the implements and the equipment may be too high for a country to afford as the expenses involved. This is because if the economic state of a country is not stable, finances for acquiring them which makes it had to have them. This has led to many patients seeking to medication from outside countries. Secondly, the level of knowledge and skills required to run, operate and administer medication to patients may be insufficient for a state to acquire them from the states that have advanced. Due to this, it becomes hard to develop them (Osterberg, 2005). Cultural beliefs and practices at times may hinder the advancement in the medical field because people attribute traditional medicines to be the only cure for diabetes (McGuigan,2005).This has led to less developments in the field of medicine thus patients are made to use the old ways of curing the disease. Patients suffer because the traditional medicines dont perform accurately. Cost of treatment and acquiring the medication in a country maybe very high for the locals to afford the cost and treatment which is hard for the local residents to seek medical help and they opt to fly upcountry where they get diagnosed at low costs and with high standards of professionalism (Bryson, 2009).This has been a major trend which is on the rise within the past couple of years. This is also attributed to the insufficient facilities to handle the rising number of patients who need medical checkups and attentions and they therefore choose to fly outside the country to where they will get better services and medications. Political instability in a country deters development by scaring away potential investors who could have invested in that field in order to care for the diabetic patients. Other forces that can deter its implementations include resistance from the community, unfavorable laws set up in a country among others. Unequal distribution of the national resources and marginalization of other parts of the state makes it hard for the country or state not to develop equally. This is because when funds and other resources are being distributed by the government, areas with powerful leaders tend to take a large portion than those with little powers. This leads to cases of unequal regional imbalances leading to wrangles between the two neighboring communities. This may lead to cases of insecurity, seasonal wars and retardation in developments. Costs are the expenses that are incurred as a result of seeking services and acquiring them. Costs can be direct or indirect depending on how they are incurred. In our case, indirect costs are costs associated with acquisition of the technological devices in the treatment of diabetes. The issues associated with indirect costs are increase in the cost of medical services to the client or patient, the caregiver who monitors and attends to patients and the costs of travelling to seek medical services at times may be seen as an added load to the patient who may raise concerns about them (Blaum, 2008). Despite the high cost of using and acquiring the machines or the new technology in diabetics, it has brought about a new revolution in the diabetic field because monitoring of old elders and those who are not literate about them has become easy. Caregivers and other medical practioners have been able to help patients adhere to the medication. Moreover, patients have been able to monitor the sugar levels and also sticking to their medical routines which has helped patients, caregivers and doctors the opportunity of keeping tracks of the medical performance. As a result of continued use of modern technology in the diabetic patients, it has made it easy to use and apply the right medication to the right illness because of its accessibility has been made easier to the local patients. Self-medication has been adopted by patients who are able to read and understand the requirements and instructions provided which has helped the caregiver and doctor an opportunity to explore better and more advanced medical services and practices. Patients can keep track of their medications because its usability is easy and applications of medication has been simplified. However, despite all the advancement, not all patients are able to access them because they may be expensive which makes it hard for them to access them. This has been a challenge to the patients, caregivers and the doctors. Caregivers have to share the devices with many patients something that can cause delays in services delivery. Consequently, some patients may not be able to understand t he usability of the devices because they may not be able to understand and interpret the information given to them. This has been a challenge to the caregivers and the doctors thus ending up using a lot of time attending to one or few patients thus leaving others unattended. Cultural practices have been a major challenge in the medical field and with time need to be addressed so as to align the old practices into modern ways of dealing with the diseases among different ethnic groups. Medical practitioners should identify each patients or ethnical cultural practices and perception of their shared cultural practices, their own individual belief and how they affect their behaviors (Csordas, 2002).Therefore, its necessary to look and analyze ways of introducing the new medical practices and how to make it friendly to the society. By careful studying the needs and expectations of the society, its important to make steps of educating the people the new ways of life and how to deal with different people from different environments. Clinical officers including care givers should not assume cultural beliefs, instead those working with the knowledge that culture is dynamic and subjective need to create or come up with individualized plans according to each patients needs according to the culture (Flemming, 2009).They should be friendly and not show their total efforts in ensuring their wellbeing is given priority. Moreover, identifying and understanding other cultures and how people relate individually to their own culture enhance communications and understanding with people from different cultures. Thus, culture should not be a barrier to health education. Therefore, medical practioners should be spearheaded in promoting physical activities while understanding cultural beliefs; and barriers and perceptions can allow the clinical officers to give and share advices to individual needs and allowing patients to access medical services with ease. The medical field has been able to make steps ahead and should be supported with all the available resources to see to it that it has reached many people. However, there are many challenges in the field and they need to be recommended prior to avoid future misunderstanding among the practioners in the field. Patients need to have their legal capacities of managing their own affairs regarding the field of medication without influencing anybody (Lau, 2004). I recommend that those in the medical field need to treat their colleagues with respect of both individual and their cultural beliefs, collaborating with other professionals in resolving ethical disagreements, that could have emerged in the line of performing duties, consulting their colleagues for advice, guidance and clarifications when it is in the best interest of the patient among others. They should work hard to ensure that they put their interests aside and put that of the society they are representing ahead by working hand i n hand and team building so that they move together ahead without leaving others behind or having one region of the society developed while the other one left behind something that may trigger violence. As a medical practitioner, its your responsibility of maintaining the profession integrity because issues like competence, dishonesty and fraud, dealing with personal issues such as psychological impairment, substance abuse, among others, can arise and ways should be available to deal with them amicably like a profession. This will enhance public to feel appreciated and that it does not side line them despite their cultural practices and activities. Moreover, as a profession, one should be committed to the welfare of the society by promoting social justice and the welfare of the public, and they should avoid participation in activities that can promote inequality or any form of discrimination among the members. Thus engaging in social work like political and social actions that ultimately help in reducing barriers or indifferences and promotes the betterment of the society and social in general. With all these put in place, the society will develop and all people will feel important and part of the big family practicing same cultural activities and beliefs, each individual not feeling side lined of neglected. This fosters peace and development in the society (Osterberg Blaschke, 2005). For many years now, diabetes has been a deadly killer disease worldwide. Despite this challenge, it has been a milestone for Scientists to come up with modern devices for controlling the levels of diabetes among the patients. The trends in the field include introduction of enhanced devices like the blood glucose monitoring devices, for example the cell phone-enhanced meters, plug-and-play devices, among others; and also increased awareness about this disease(Dreyer,2009). Modern improved devices like the blood glucose monitoring has been a major improvement in the diabetic field of treatment because it has helped in regulating the levels of blood and sugar in patients. They have been made available to patient which has helped them keep track of their blood sugar levels and medications without being assisted by the caregiver or the doctors. Despite their initial high cost of acquiring them, patients can now access them and use them comfortably at their convenience. Through this, medication has been made cheap. These devices like the cell phone-enhanced meters which are plugged into the phones have made it easy to administer medication. This trend has given the caregivers and the doctors the chance to attend to other patients who are not able to use and access the devices (Bean, 2007). The increased awareness that has been created by the media and the social workers has made it clear for people to be aware of the existence of the disease. This has led to many people taking action of being tested of the disease and being educated on the necessary steps they need to take in case they are suffering from the disease. However, cultural practices have been acting as hindrances while addressing this issue but due to the community social workers who have taken the initiative of educating people by accepting the differences in cultural practices and focusing on the development of their society. Through this projects, people combine their efforts to care for the sick ones, the less privileged and those who practice old cultural practices. With the combined efforts, professionals are able to administer their help and efforts for the welfare of the society. They organize activities like sporting activities and projects meant to educate people of this deadly disease and what th ey are supposed to do in case they contract the condition. They get the opportunity of learning the new technology dealing with this menace (Sokol, 2005). Combining all the efforts available in the society, it will build a strong foundation for the society to deal according with the disease among the people. Sick people are also involved in the developments of the society and through them the society will learn from them, handle them the way they are without rejecting them and also assisting them financially in case things get thick for them. Technological advancements have implied challenges for those who will use it in the future because of its complexity in using. This is because it combines a lot of complex things that will make it hard to understand something that may hinder proper performance of the medications and its applications. This will lead to investing a lot of finances in acquiring the devices, the caregivers and also the doctor at large (Chen, 2013). Young people often tend to ignore the prescribed recommendations on medical administrations which exposes them to health hazards which could have been prevented earlier if only they could have taken into precaution all the prescriptions (David C., Kendrick D.2004). With time, more innovations are being invented and innovated leaving behind the outdated devices. Due to this, a lot of resources need to be invested in the field which may lead to financial constrains leading to the crippling of the economy. This will make it hard for the seniors to afford the devices and other expenses accrued to medications (Crivelli, 2016). Different devices take time before they are introduced into the market and this takes time. Due to this, those in need of them will suffer or continue using the old model something that may lead to more health complications leading to increased costs of medication. Insufficient knowledge and understanding makes it hard for them to read and understand the requirements of the devices something that can lead to misusing the devices, medications and also adherence of the patient. This makes it hard for the senior population to get through the disease. 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