Wednesday, May 6, 2020

Great Britain During World War II - 1428 Words

It’s 4:30am on September 1st, 1939 and the German battleship Schleswig-Holstein awaits for the order to open fire on the Polish garrison of the Westerplatte Fort, Danzig in what was to become the first military engagement of World War II. Meanwhile, sixty two German divisions supported by 1,300 fighter planes prepared for the invasion of Poland. Fifteen minutes later the invasion would take place and spark the beginning of World War II. Two days later at 9am Great Britain would send an ultimatum to Germany, demanding that they pull from Poland or go to war with Great Britain. Four hours later the Ultimatum would expire and Great Britain would officially be at war with Germany on September 3rd, 1939. Six hours later France would also†¦show more content†¦Going out at night was considered to be a dangerous task during the blackout; cars would crash into each other and pedestrians, people would walk into each other, some fell off bridges or fell into ponds. After May 194 1, the bombing raids would become less frequent as Hitler turned his attention to Russia. Nevertheless, the effects of The Blitz were nothing short of devastating. A total of 60,000 people lost their lives, 87,000 were seriously injured and 2 million homes were destroyed. Although the British losses were high, Germany’s losses were higher and at the beginning of September Hitler would decided to cease the raids and plan a new tactic to overthrow Great Britain. Quite a lot of the country was destroyed; therefore they would have to rebuild the country including many big cities like London, Manchester, Glasgow, Cardiff, Belfast etc it left the country in quite a lot of debts as well. They would also have the debt for being in the war to begin with. And not a lot of countries where willing to help so they left the other countries to help their selves, which is why after the war Britain had a massive lack in power. After the economy slowly turned around and Churchill was out of office Attlee would lead the first Labor government with a favoring majority vote, and he has a sweeping mandate to reintroduceShow MoreRelatedThe World War II: Air War1180 Words   |  5 Pages World War II was one of the deadliest military conflicts in history. There were many different battles that took place within this war; some more important than others. World War II began once Germany’s new dictator, Adolf Hitler, decided that he wanted to gain power for Germany and for himself. One of Hitler’s first moves in power was invading Poland on September 1, 1939. Many other countries became involved in this war because of the alliance system. The two sides during this war were the AlliesRead MoreWorld War II : A Brutal And Long War1088 Words   |  5 PagesWorld War II happened during the time that women wanted more rights and wanted to be able to work. 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Challenging Dealing With Elderly Patients †Myassignmenthelp.Com

Question: Discuss About The Challenging Dealing With Elderly Patients? Answer: Introduction This write-up is a reflection of lifespan stage and health related concepts that happen to be most challenging when dealing with elderly patients. It discusses how a health care worker can modify his/her perception and behaviour when dealing with the elderly patients to minimise potential challenges and provide effective health care. The essay follows the case study of Dorothy, a 71-year old Greek widow who had been presented to the emergency unit following a broken arm as a result of fall at her home. The primary contributing factor for this incident is alcohol due to isolation from friends, family and her late husband. The patient experiences memory loss, forgetfulness fatigue, depression and has aggressive behaviour which she attributes it to the feeling of being judged by others. Although the patient had been diagnosed with dementia, there is a concern she might forget to take her medication to relieve pain in the broken arm. Also, the patient is verbally aggressive and non-compl iant at the hospital something which makes it hard for the physicists to monitor her situation effectively. All these problems caused her; falls, loss of memory, black out and not being able to stand for long, things which make it hard for the patient to be discharged since she may return to her drinking routine. Factors Influencing Interaction between Elderly Patients and Healthcare Providers There are a myriad of factors that determine the quality of service delivered by a physicist in regard to his interaction with the patient, but in this write up we will look at the two most common healthcare constructs. Patient behaviour/ cooperation; from the case scenario, it is evident that the patient did not cooperate fully with the service being provided. At time, the healthcare provider was worried that the patient could be discharged only to go home to resume her drinking. The patient also attributes her verbally aggressive behaviour to the feeling of being judged by others. Providers level of competence; from the case scenario, we can point out that the healthcare provider is competent in his work. He understands that opioids and alcohol have adverse effects on the body, hence the need for alcohol withdrawal program. Throughout the case scenario, it is well presented that the doctor is versed in his work and his level of competence high. Why the above constructs are most challenging? First, the patients cooperation and involvement are very challenging since it helps in determining the quality of healthcare service delivery. Clinical outcome depends entirely on the behaviour of the patient and ability to give information or cooperation with the healthcare providers (Drenth-van Maanen et al., 2009). Even if a nurse does her job well and the client does not follow medical orders, the objective will not be achieved. For example, non-compliance of Dorothy at the hospital will make it hard for the physicist to provide effective, quality care for the patient. Patients trust is also significant in achieving the desired results. Ekdahl et al., (2010) assert that providing more information about a disease or a condition can not only help improve patient/doctor interaction but also ease the process of treatment. Second, the practitioner's knowledge, competence and technical skills are also challenging since they determine the quality of healthcare service (Lerolle et al., 2010). Hence, health experts need to improve their competencies to deliver standard services. If a health care provider is not competent enough or does not have the required skills, it will be hard to provide effective health care, especially for the aggressive and non compliant elderly patients. Modifying Perceptions/ To Ensure Effectiveness in Health Care Delivery First, health care providers should provide options whenever possible; According to Mangin (2007), a vast number of elderly patients desire to keep a sense of independence. Whenever possible, provide choices to choose from since it is through the ability to exercise choice where a patient can have a greater sense of confidence, security and esteem. For the case of Dorothy insisting on going back home, the doctor should provide an alternative if he feels that the patients will go back home to resume her drinking habit. Second, health care providers should be provided with enough training or education on how to deal with different types of clients, especially the elderly. It should be noted that effective healthcare delivery involves a decision by both the client and the provider; hence patients should be given a chance to make rightful decisions or be involved in decision making (Ruiz et al., 2013). Lastly, providers should exercise patience and compassion; slow movements, aggressiveness, neediness and apathy are some of the challenges or behaviours that might be experienced when dealing with the elderly (Stuijt et al., 2008). During these times, it is prudent to consider the adults you are dealing with and provide the needed care. Conclusion Although providing care for the elderly is rewarding as well as enjoyable when dealing with some patients /clients, a vast number of physicians find it hard and time-consuming especially when dealing with aggressive, difficult, manipulative and angry patients. Nurses alone cannot meet a wide range of needs of such clients in the current practice setting. However, with changes in healthcare policy, practice organisation, medical sensitisation for the elderly and health policy, health workers can be in a better position to handle elderly patients and ensure effective healthcare is provided. Dealing with elderly patients is not a profession that can be learned only in college, but it is a practice that needs commitment, perseverance, compassion and the willingness to provide healthcare. Although dealing with older patients is difficult compared to other patients, it is of great paramount to exercise the above tenets to ensure smooth sailing in the health service delivery. References Drenth-van Maanen, A. C., van Marum, R. J., Knol, W., van der Linden, C. M., Jansen, P. A. (2009). Prescribing optimization method for improving prescribing in elderly patients receiving polypharmacy. Drugs aging, 26(8), 687-701. Ekdahl, A. W., Andersson, L., Friedrichsen, M. (2010). They do what they think is the best for me. Frail elderly patients preferences for participation in their care during hospitalization. Patient education and counseling, 80(2), 233-240. Lerolle, N., Trinquart, L., Bornstain, C., Tadi, J. M., Imbert, A., Diehl, J. L., ... Gurot, E. (2010). Increased intensity of treatment and decreased mortality in elderly patients in an intensive care unit over a decade. Critical care medicine, 38(1), 59-64. Mangin, D., Sweeney, K., Heath, I. (2007). Preventive health care in elderly people needs rethinking. BMJ: British Medical Journal, 335(7614), 285. Ruiz, M., Cefalu, C., Reske, T., Estrada, J. (2013). Management of elderly and frail elderly cancer patients: the importance of comprehensive geriatrics assessment and the need for guidelines. The American journal of the medical sciences, 346(1), 66-69. Samaras, N., Chevalley, T., Samaras, D., Gold, G. (2010). Older patients in the emergency department: a review. Annals of emergency medicine, 56(3), 261-269. Stuijt, C. C., Franssen, E. J., Egberts, A. C., Hudson, S. A. (2008). Appropriateness of prescribing among elderly patients in a Dutch residential home. Drugs aging, 25(11), 947-954. Valiyeva, E., Herrmann, N., Rochon, P. A., Gill, S. S., Anderson, G. M. (2008). Effect of regulatory warnings on antipsychotic prescription rates among elderly patients with dementia: a population-based time-series analysis. Canadian Medical Association Journal, 179(5), 438-446.