RHETORICAL AWARENESS Essay Example | Topics and Well Written Essays - 1000 words

RHETORICAL AWARENESS - Essay Example ethical, emotions, practical and intellectual. It leads to effective communication. So in conclusion, it can be said that it is a process through which one tries to communicate something to the other person effectively. Rhetoric has played a major role in western tradition. In relation to rhetorical analysis, usage of rhetorical concepts is essential such as logos, ethos, mediation etc. this is mainly done to identify the social functions that are related to the object of the study. When it is related to any disclosure such as a poem, a speech, a joke or newspaper article, then the specific aim of article is not just to support the claim or makes arguments in relation to it, but it also involves identifying the semiotic strategies which should be employed by the speaker in order to accomplish persuasive goals. 1.2 Importance of rhetorical awareness Different fields have different writing conventions. Rhetorical situation mainly refers to primary features of any college writing situat ion. While facing any rhetorical situation in college it is imperative to have awareness on its various factors such as purpose for which one is writing, the audience for which one is writing to, type of text one is writing, the person one takes in his writing and social context of the situation. Rhetorical awareness is important in order to communicate effectively with the other person. One should be efficient enough to deal with all kind of situations i.e. either to communicate in images, sounds, words or numbers. Student writers should be able to deal with all these situations. Effective writing means making various choices. Each purpose given to students increases their awareness in relation to rhetorical. In it students mainly take responsibility of their ideas from which they try to be writers. These ideas are mainly occurred through independent research and one’s own perceptions. This provides students an opportunity to work at their own discourse, discover challenging things and can express their own ideas, while communicating on a particular purpose. This makes their ideas compelling and convincing to others. Therefore, in order to effectively communicate with other person one should be aware of all rhetorical techniques and writing. 1.3 Effect Rhetorical awareness can lead to effective communication and message can be easily transfers to the respective audience. It creates a positive attitude among student writers. This will help students not only to communicate in words, but they will be able to use sounds, numbers and diagrams as well to convey their message once they are aware of rhetorical. Its awareness helps students not only to gain good grades in class but also helps them in achieving their goals and carrier path. It provides students a sense of discovering, developing and understanding among student writers. 1.4 Evaluation Rhetorical awareness can be evaluated on the basis of skills of a person. Rhetorical situation are very complex a nd involves many factors such as purpose, audience, person to whom one is addressing, social background, text type and personal beliefs of audience and writer’s etc. evaluation is conducted on all these factors. Each area should be studied efficiently. Teacher mainly play role of audience. They are the one who evaluate that either student is aware in relation to a particular purpose assigned to them. They become a reader while evaluating a person’s writing and try to identify what a student is thinking. This creates results in two forms either a thinker or a writer. After doing rhetorical analysis one gets the knowledge of language which is important in achieving persuasion. Sometimes teachers also evaluate writing by playing a role of hypothetical audience, i.e. they may ask students to write

Second Language Acquisition Essay Example | Topics and Well Written Essays - 2250 words

Second Language Acquisition - Essay Example It is important to highlight that his paper delves into the discussion of Second Language Acquisition (SLA). In this, what comes out so clearly is that the second language is not that easy to speak owing to the new nature of the language to the person. In the paper, therefore, it can be easily noted that the audience are twenty five Greek Cypriots students who are from different departments and they are addressed in a foreign language. This therefore gives the problem that arises here now is that the students are to learn the Turkish language to enable them to communicate effectively for proper understanding (Dà ¶rnyei, 2003). The problem that therefore arises is that there is no common medium of communication in regards to the difference in language and therefore the acquisition of the second language for the communication and proper understanding to be very effective (Dà ¶rnyei and Zoltà ¡n 2003). One major factor that needs to be accepted and owned is that when it comes to the learning of the second language or foreign language, processes that are undergone while learning the language and the persons who are engaged in the learning of this kind of language are very much essential (VanPatten, and Alessandro, 2010). The social condition arises to difficult in second language acquisition due to various situations that students find themselves in (Dà ¶rnyei and Zoltà ¡n 2003). Learners typically interact with other learners and some speakers of the target language are affected by through this process. Particular utterances, moves, and verbal exchange are the ones that determine the learners’ caption of the second language acquisition during learning (Horwitz, Elaine K., Michael B., and Joann C., 1986). In such cases, hearing can be learned in a different way opposite to understanding what has been said.

Effects of Vitamin C on Chemotherapy Outcome | Claim Review

Effects of Vitamin C on Chemotherapy Outcome | Claim Review Media Claim on ‘Vitamin C’ gives chemotherapy a boost’ The headline ‘Vitamin C’ gives chemotherapy a boost’ suggested by a US scientist was a misleading and inaccurate statement as the study was looking specific at late stage ovarian cancer. From the study, scientists did not find high dosage of vitamin C help with cancer survival nor reducing the risk of cancer (Ma and Chapman et al., 2014). Yet, the study did show that there was a slight chance of reducing minor chemotherapy side effect. Therefore, the study has been oversimplified and misinterprets results and statements which can lead to assumptions from general public misunderstanding this article resulting in toxicity of vitamin C when overdosed. Overdose of vitamin C can lead to other problems and health disease such as indigestion, diarrhea and iron poisoning which only occurs in people who have rare iron overload disorders – hemochromatosis (Zobel, 1976), lack of vitamin C in the diet can also cause scurvy (Naidu,2003). ‘Vitamin C’ gives chemotherapy a boost’ was published in BBC Health website on 9th February 2014, written by Helen Briggs and science editor. Comments were from Dr Jeanne Drisko, lead researcher Qi Chen and Dr Kat Arnet – science communications manager for Cancer Research UK. The claim is based on a study that was carried out by researchers from University of Kansas in the US and world cancer research fund (WCRF) and American Institute for cancer research (AICR). The article itself was published in the peer-reviewed journal, Science Translation Medicine. Cancer is a condition where specific cells in parts of the body grow and reproduce uncontrollably and forming tumours. Cancer cells can invade and destroy surrounding healthy tissue and organs (King and Rotter et al., 1992). Cancer may also spread to more distant parts of the body through the lymphatic system or bloodstream (Mendelsohn, 2008). Many factors have been identified which can increase risk of cancer such as tobacco use, dietary intake, certain infections, environmental radiation, lack of physical exercise, obesity and genetics which potentially can damage genes and causes mutation in cells (Kushi and Byers et al., 2006). Many researchers have found that there are over 200 different types of cancer cells (Schram and Ng, 2012). However, according to Jemal and Bray et al., 2011, many cancers can be prevented by living healthier life styles, one of the factors is reducing excess smoking which can preclude the risk of getting lungs cancer, plus eating plenty of fresh vegetable and fruits, and reducing the intake of meat and carbohydrates can prevent other health factors such as obesity. Ovarian cancer is where cancer cells are found in ovaries. However, the exact causes of cancer still remain unknown (Hunn and Rodriguez, 2012). Women who have had menopause and have not had any children would have a higher chance of developing ovarian cancer (Vo and Carney, 2007). However, ovarian cancer can affect all ages. There are three types of ovarian cancer – epithelial ovarian cancer; germ cell tumours and stromal tumours (Bandera and Era, 2005). The best and effective treatment for ovarian cancer are the combination of surgery and chemotherapy, all treatments are depending on the stages of cancer (Ehrlich and Teitelbaum et al., 2007). Vitamin C also known as ascorbic acid acts as an antioxidant; an oxidative stress; an enzyme cofactor for the biosynthesis, also most importantly vitamin C acts an electron donor for enzymes (Vobecky and Shapcott et al., 1975). Acting as an antioxidant prevents free radicals during oxidation reaction to form chain reactions in cells which can damage or kill cells. Instead, antioxidant interacts with those chain reactions by removing free radicals and inhibits other oxidation reactions in the cells, protecting against lip peroxidation, reducing nitrates and stimulating the immune system (Bender, 1993). Vitamin C has also shown to inhibit formation of carcinogens and protects DNA from mutagenic attack and most vitamin C is found in critic fruits (Combs, 2012). Furthermore, Ma and Chapman et al., 2014 stated that the study was looking if vitamin C could potentially be a cancer treatment and the study was mainly looking into women who are in their late stage ovarian cancer. BBC’s report on this study was miscellaneous as there were some bias comments towards the study, but BBC did include some accurate quotes from the study such as the sample size only 22 patients were participated which showed that the study was not reliable as the sample size was too small to prove whether vitamin C helped to kill cancer cells or increase survival rate (Park, 2013). Moreover, the title ‘Vitamin C’ gives chemotherapy a boost’ was misleading as the study found no supportive evidences that vitamin C can prevent cancer, only can inhibit some mechanisms and reduce the risk of cancer development (Ma and Chapman et al., 2014). However, the study did show that vitamin C may reduce side effects from treatment for women, yet, the sample s ize was too small which was unable to support the outcome. However, the expert from the study quoted that in order to find out if high-dose vitamin C has an effect on cancer cells, further studies and large clinical trials are needed to ensure safety and effectiveness (Ma and Chapman et al., 2014). Additionally, BBC may have been over analysed the press release from the University itself, as it claimed that ‘Researchers establish benefits of high-dose vitamin C for ovarian cancer patients’. This statement was supported via Park, 1985‘s research which stated that ‘vitamin c is involved in the mechanism of action of the intracellular oxidation state changes which is an identification of genes or protein synthesis.’. This suggested that vitamin C has the ability to regulate specific cellular phenotypes which potentially could improve the efficacy of cancer therapies. Nevertheless, the report stated that the vitamin C treatment worked along with standard chemotherapy drugs which slow down tumour growth in mouse studies, not human. Therefore, the benefits of high-dose vitamin C for cancer cells cannot be taken into account due to the fact that human and mouse have different types of genes and intracellular mechanism (Park, 1985). As a result, there ar e not any beneficial effects on human, but there are beneficial effects on mouse. In addition, within the small group of patients that were tested on, they have found fewer side-effects when vitamin C was given out along with the chemotherapy. According to WCRF and AICR‘s report on diet and ovarian cancers, it showed that vitamin C has no effect on ovarian cancer which do not decrease nor increase the risk of cancer. However, according to Part 2 evidence and judgements and Part three Recommendations chapter twelve- public health goals and personal recommendations from WCRF and AICR, it suggested that the population should consumption an average of non-starchy vegetables and of fruits to be at least 600g (21 oz) daily. This is because there are evidences that diets high in vegetable and fruits could protect against oesophagus cancer not ovarian cancer (Mikirova and Casciari et al., 2012). According to BBC, the researcher’s injected vitamin C into human ovarian cancer cells as well as mice in the laboratory conditions. BBC stated that ‘researchers found ovarian cancer cells were to be sensitive to vitamin C treatment, but normal cells were unharmed (De Laurenzi and Melino et al., 1995). High dosage of vitamin C could prevent cancer was originally suggested by chemist and double Nobel Prize winner Linus Pauling in 1970s in which the clinical trial was abandoned due to failed to replicate the expected results to the theory behind vitamin C and cancer (Cameron and Pauling, 1979). The method used in the study was by injecting vitamin C straight into the bloodstream as it is safer, can be effective, low-cost (Head, 1998). The rate at which human body excrete vitamin C through oral ingestion is a lot faster than by injection through bloodstream (Cameron and Pauling, 1979). Furthermore, patients were not completely blind tested as most of them knew what they were given vitamin C and placebo, therefore, many physiological effects have been taken into account toward the analysis of results. In conclusion, due to lack of supportive evidences, vitamin C has no significant back story in supporting the evidence of beneficial effect on ovarian cancer even though from the study some beneficial effects did show on mice. Furthermore, the clinical trial was tested unfairly as participants knew about the comparison test with placebo, which might have had effected the results, in which the results are not accurate and reliable as the sample size was consisting of 22 participants. Nevertheless, the study did find moderate result from patients who have taken parts in the vitamin C trials; as a result, vitamin C might reduce the side effects of chemotherapy. References Bandera and Era, C. A. 2005. Advances in the understanding of risk factors for ovarian cancer. The Journal of reproductive medicine, 50 (6), pp. 399406. Bender, D. A. 1993. An introduction to nutrition and metabolism. London: UCL Press. Cameron, E. and Pauling, L. 1979. Cancer and vitamin C. Combs, G. F. 2012. The vitamins. Amsterdam: Elsevier/Academic Press. De Laurenzi, V., Melino, G., Savini, I., Annicchiarico-Petruzzelli, M., Finazzi-Agro, A. and Avigliano, L. 1995. Cell death by oxidative stress and ascorbic acid regeneration in human neuroectodermal cell lines. European Journal of Cancer, 31 (4), pp. 463466. Ehrlich, P. F., Teitelbaum, D. H., Hirschl, R. B. and Rescorla, F. 2007. Excision of large cystic ovarian tumors: combining minimal invasive surgery techniques and cancer surgery—the best of both worlds. Journal of pediatric surgery, 42 (5), pp. 890893. Head, K. 1998. Ascorbic acid in the prevention and treatment of cancer. Alternative medicine review: a journal of clinical therapeutic, 3 (3), pp. 174186. Hunn, J. and Rodriguez, G. C. 2012. Ovarian cancer: etiology, risk factors, and epidemiology. Clinical obstetrics and gynecology, 55 (1), pp. 323. Jemal, A., Bray, F., Center, M. M., Ferlay, J., Ward, E. and Forman, D. 2011. Global cancer statistics. CA: a cancer journal for clinicians, 61 (2), pp. 6990. King, R. A., Rotter, J. I. and Motulsky, A. G. 1992. The Genetic basis of common diseases. New York: Oxford University Press. Kushi, L. H., Byers, T., Doyle, C., B, Era, E. V., Mccullough, M., Gansler, T., Andrews, K. S. and Thun, M. J. 2006. American Cancer Society Guidelines on Nutrition and Physical Activity for cancer prevention: reducing the risk of cancer with healthy food choices and physical activity. CA: a cancer journal for clinicians, 56 (5), pp. 254281. Ma, Y., Chapman, J., Levine, M., Polireddy, K., Drisko, J. and Chen, Q. 2014. High-Dose Parenteral Ascorbate Enhanced Chemosensitivity of Ovarian Cancer and Reduced Toxicity of Chemotherapy. Science translational medicine, 6 (222), pp. 2221822218. Mendelsohn, J. 2008. The molecular basis of cancer. Philadelphia, PA: Saunders/Elsevier. Mikirova, N., Casciari, J., Rogers, A., Taylor, P. and Others. 2012. Effect of high-dose intravenous vitamin C on inflammation in cancer patients. J Transl Med, 10 p. 189. Naidu, K. A. 2003. Vitamin C in human health and disease is still a mystery? An overview. Nutrition Journal, 2 (1), p. 7. Park, C. H. 1985. Biological nature of the effect of ascorbic acids on the growth of human leukemic cells. Cancer research, 45 (8), pp. 39693973. Park, S. 2013. The effects of high concentrations of vitamin C on cancer cells. Nutrients, 5 (9), pp. 34963505. Schram, F. R. and Ng, P. K. 2012. What is Cancer?. Journal of Crustacean Biology, 32 (4), pp. 665672. Vo, C. and Carney, M. E. 2007. Ovarian cancer hormonal and environmental risk effect. Obstetrics and gynecology clinics of North America, 34 (4), pp. 687700. Vobecky, J., Vobecky, J., Shapcott, D., Cloutier, D., Lafond, R. and Blanchard, R. 1975. Vitamins C and E in spontaneous abortion. International journal for vitamin and nutrition research. Internationale Zeitschrift fur Vitamin-und Ernahrungsforschung. Journal international de vitaminologie et de nutrition, 46 (3), pp. 291296. WCRF- AICR Diet and Cancer Report. 2014. [online] Available at: http://www.dietandcancerreport.org/cancer_resource_center/downloads/chapters/chapter_12.pdf [Accessed: 10 Mar 2014]. Zobel, M. 1976. Toxicological Evaluation of Some Food Additives Including Anticaking Agents, Antimicrobials, Antioxidants, Emulsifiers and Thickening Agents. Who Food Additives Series, No. 5. 520 Seiten. Geneva 1974. Preis: Sw. fr. 23,—. Food/Nahrung, 20 (6), pp. 681682.

Reservoir Dogs :: essays research papers

"I don't give a fuck what you know or don't know, but I'm gonna torture you anyway, regardless. Not to get information. It's so amusing for me to torture a cop. All you can do is pray for a quick death, which you aint gonna get." Mr. Blonde in Reservoir Dogs, 1992 This guy was the most twisted and sickly perverted guy in the whole movie. He had no reservations about killing people. He was brutal. He loved torture and death. By his own admission he liked to see the peoples' expressions when they died. He was totally ruthless. He had no conscience. I can't really explain why I liked this character so much. I don't EVER want to be like him or do the things he did. There was just something attractive about all his negative personality traits. Before he really starts getting into torturing the cop, he casually turns on the radio as if he needed some music to accompany the grizzly acts he was about to commit. He was a man who insisted on having total control. He liked controlling situations and people. When they were in the jewelry store he advised the employees not to hit the alarm. When they did, he started killing them. This was his way of regaining control of the situation. At the same time he was acting out this concept, he was actually totally out of control. He went fucking crazy in the store. He slaughtered the people lined up in the store like he was shooting clay ducks in a local carnival shooting gallery. I know this is a contradiction, but Mr. Blonde was a contradiction of himself. He had double standards. He hated the cop just because he was a cop. He didn't recognize him as a real person. Mr. Pink and Mr. White confirm this at the warehouse when they discuss him shooting REAL people, which cops are not. They say he just went crazy. They seemed to fear his craziness. His calm facade was a cover for the monstrous things he did to people. When he was in the warehouse with the hostage cop and Mr. Orange he appeared to be very calm. He sat smoking a cigarette while Pink and White argued over the chain of events. He wasn't calm. He couldn't wait to start torturing the hostage cop. You could see it in his face when Pink and White left.

Can Everyone Benefits from Higher Education?

Can Everyone Benefit from Higher Education? Higher education refers to the level of learning that takes place at universities, colleges or degree-awarding institutions, which a person can attend after he or she completes high school or secondary school education. Higher education provides students with further knowledge on specific areas and awards the students with academic degrees or certificates. In the past, higher education was not seen as a â€Å"must† as nowadays because a competition in job market was not as high as at the present time.In formers times, higher education was popular in some societies, mainly western culture, and not so famous in other parts of the world, Thailand and Asian countries for example. Since the world is becoming more globalized, there are so many businesses appeared and all of them require capable employees who can make tasks run smoothly. Business owners hire people who have special knowledge that fit their businesses. Therefore, higher educ ation has become popular and necessary throughout the world.In additional, everyone can gain the benefit from further education. People can benefit from higher education in various ways; for instance, there are specific area of knowledge, practical skills, interpersonal skills, new colleagues and society. In terms of career, these qualities can lead to the better job, higher salaries, larger societies, and more development and advancement in skills, knowledge and performance, especially when compared with people who graduate from high school.In addition, higher education is a key that helps people avoiding unemployment during the time of economic recession when a number of jobs is limit. However, there are some people who do not attend higher education and the reasons are different, depend on personal circumstances. For example, they might not see an importance of going to university or college because they already have special skills that are required in the job market e. g. sport players, artists, singers, stars.Some people might have less opportunity to study than others e. g. money problems or physical disabilities. In some cases, social inequality and intelligence can also be barriers to higher education. For instance, people who are clever but their families are in poverty might not have the opportunity to study because higher education is frequently considered to be expensive. In order to resolve the tuition fee problem, government should support by give scholarships for students who have a good grade or the reasonable conditions.Nevertheless, there are also alternatives to higher education that could be the reason for not attending universities or colleges. Some organizations provide on-the-job trainings to their employee in order to increase work skills, which can be a major cause of ignoring higher education. Some people need some specific professional skills for their job, so they decide to attend vocational trainings or short-term career preparatio n programs instead.There are also some groups of people who believe in the value of self-study so they do not see the necessity of going to universities or colleges. They can learn by themselves through various ways such as reading books, discussing with people or experiencing real situations. In summary, everyone can benefit from higher education; at least they gain more knowledge and skills. The more people are educated, the more the world became more developed and advanced. Thus, higher education is waiting for everyone. Nobody is too old to learn.

The Brief History of the Elderly Barriers

Mental ailment is a significant determinant giving rise to the disease burdens of the elderly people. While the elderly people do not seem to suffer from disproportionate share of most distinct mental ailment such as depression or schizophrenia they do have a much higher prevalence of dementing ailment like Alzheimer†s disease and are subjected to enhanced rates of interpersonal losses. Irrespective of substantial rates of morbidity the proportion of older people acknowledged to be incapacitated and those really receiving sufficient treatment is remarkably low than that of the younger age groups. Deficiency in the treatment of mental illness in the elderly emerge to be a considerable factor in the enhanced suicide rates among the elderly population along with the premature or unsuitable placement of elderly persons in nursing homes. The studies on mental ailment in the elderly people has been disregarded and deserted till very recently. Even with the attention that has been accorded to the prevalence of large number of patients with Alzheimer†s disease, funding for research in relation to the incidence and distressing nature of mental ailment in the elderly continues to be insufficient. Considerable impediments prevail for the elderly in accessing and utilizing mental health services. Community based prevention programs for older people supported by federal and state funds are limited. This is combined with the absence of institutionalized consultancy and treatment programs including medication goals set particularly for older mentally impaired people. (Mental Health Services: Reaching Out to the Elderly. Part One)) An analysis brought out in the Journal of the American Geriatrics Society reveals that while the rates of diagnosis for depression for patients at an age of 65 and older was enhanced radically during the 1990s, considerable differentiations by age, ethnicity, and supplemental insurance coverage still continues in relation to the treatment for those diagnosed patients. The elderly people also perceive themselves to be more stigmatized about having a psychiatric diagnosis and taking medication for treatment. (Books, Articles and Research) Stereotypes related to people who belong to the elderly group and have mental illnesses may intervene with their successful health care delivery. The prospective therapies may not be organized, covered or medications supplied as a result of the prejudice that such persons cannot improve or do not have enough time left in their lives to improve. The elderly are regularly being diagnosed and provided psychoanalysis with disregard or negatively talked about when their health is narrated. Such stereotypes regularly flow into delusions about the professionals delivering their care in diagnosis or entailing medications or counseling. Stigma and ageism are two incidents that largely influence the real assessment of people who are elderly and have mental illnesses and finally their health care. (Books, Articles and Research) The coverage under Medicare is insufficient and serves to enhance the myth that mental illness in the elderly is both to be anticipated and not reactive to the treatment. (Mental Health and the Elderly Position Statement) There exists a large differentiation in Medicare and Medicaid reimbursement between psychiatric care and medical care. This has discouraged many prospective psychiatrists, social workers and psychologists from having a career in geriatric mental health. (Overlooked and Underserved: Elders in Need of Mental Health Care) Another significant element in the lives of our elderly patients is that practically all of the elderly population are dealing with co-morbidities that may incorporate physical ill health along with mental illness and the settings that entail meticulous collaboration among patients, caregivers of the families and practitioners from a variety of health care disciplines. The reimbursement for services under such settings is awkward and is sometimes an impediment to best practices. Medicare imposes a 20 percent co-insurance rate on most outpatient services except for mental health services that necessitates 50 percent co-insurance rate. (Long-Term Care Financing: Blueprints for Reform- Special Committee on Aging, United States Senate) This unjust inclination in the system is considered to be the consequence and the cause for the persistent impediment to the stigma related to mental illness and is considered to be a major impediment for reaching care. Additionally, the distinction creates confusion and improper carrier reimbursement decisions like the continuing decisions by carriers to reimburse only 50 percent for medication management services in patients with Alzheimer†s disease and other dementias in contravention to the particular directives forwarded by the Center for Medicare and Medicaid Services. Long-Term Care Financing: Blueprints for Reform- Special Committee on Aging, United States Senate) A number of researches have revealed that when mental health services are seriously confined, the consequence is higher costs in terms of medication and over utilization of general medical visits. Elderly adults with the mental problems regularly seek health care services in primary care environments where the detection and management of this ailment condition may be less than optimal. (Mental Health and the Elderly Position Statement) The approach of the mental health professionals influences the service of care. Such personnel may demonstrate the same ageism and believe the same typecast about the elderly as those detected in the general population. They are inclined to misinterpret some problems as confronted by the elders in their normal course of ageing instead of the problems necessitating assistance. In addition to this younger, more articulate and more introspective clients may hold more appeal for many professionals. (Mental Health Services: Reaching Out to the Elderly. Part One)) Hence the elderly adults with mental ailments continue to be segregated in nursing homes and other separating environments even as other age groups have started to gain full membership in the community. (Books, Articles and Research) It has been visualized that in no other age group is the combination and interrelationship of physical, social and economic problems as important as that of the elderly. The elderly people continue to take for granted the ailments like sleep disturbances, changes in appetite and mood differences as physical problems. This trend is strengthened by the physicians who sometimes take such symptoms to be the out come of the aging process. The medical practice presently does not necessarily assign time for the detailed medical and social trend that would foster a more real diagnosis. The absence of such organized and complete health care has an adverse impact on all age groups in the United States. However, for elderly adults who appear to have multiple needs, such health systems are largely divided up and become a surprising source of patient confusion. Most elders remove from service emotions which are besieged by the long detentions and complex procedures. For administrators facing the budgetary limits, it has more often been that the elder population has been set aside on the plea that they are older enough to take advantage from the services. It would position to cause that a society that places such great significance on youth and the significance of looking young does not lend encouraging support to improve the mental health care for the geriatric population. Overlooked and Underserved: Elders in Need of Mental Health Care) To conclude, the accessibility to the suitable mental health services is at the center of entailing secular care to elderly Americans in the way that is most preferred by patients, their families and health care practitioners. (Long-Term Care Financing: Blueprints for Reform- Special Committee on Aging, United States Senate) A promising consumer and family movement through energetic advocacy are necessitated to defeat stigma and prevent discrimination against elderly people with mental illness. The reach to elderly mental health services can be developed immediately if we develop the abilities of primary care providers, public schools, the child welfare system and others to assist the elderly with mental health disorders looking for treatment. (Mental Health Gets Noticed) The prescribed drugs are necessary elements for treatment of a number of mental ailments and an outpatient prescribed drug assists along with a complete coverage of psychotropic medications and must be prioritized in the Congressional agenda. Other variations to the Medicare strategy which would be advantageous for geriatric patients with mental health needs are that it include extensive coverage of case management and care plan oversight, which are presently confined to patients who are being delivered with home care or hospice care; complete coverage of Medicare/Medicaid cost sharing for low income patients and revisions in reimbursement policies for services offered in assisted living facilities. Long-Term Care Financing: Blueprints for Reform- Special Committee on Aging, United States Senate) The serious confinements on Medicare reimbursement for mental health services are required to be avoided. The National Institute of Mental Health- NIMH is required to continue financial assistance at appropriate levels of devising the training programs in interdisciplinary mental health care for the elderly that incorporates the disciplines of medicine psychiatry, psychology, psychiatric nursing and clinical social work. Training programs are required to acknowledge that most mental health care takes place in the primary care environment. Instant expansion of the research programs is required to be funded by the NIMH and other agencies on the etiology and treatment of anxiety and depressive problems, paranoia, dementing problems and other behavioral problems which have profound impact on the elderly patients. (Mental Health and the Elderly Position Statement)