This question is answered in connection with a patient, Mrs X, who is 74 years old and suffering from unstable angina along with early stages of dementia. The points are once again taken from the inside of the diagram outwards.
Mrs X is a widow, and the absence of her husband is a source of pain for her. It may contribute to her listlessness, because she misses him even though he died several years ago. She has one son, but he does not visit much, and this too is difficult.
Mrs X is inactive most of the time because she has pain on exertion at unpredictable times, and this makes her scared of doing too much. She also spends frequent spells in hospital because of her angina. This makes her life unpredictable, and she is prone to confusion and depression.
Living in a flat which is several stories off the ground makes it difficult for Mrs X to get out and about. I suspect also that heating might be too expensive for her, because she seems to be hospitalized more in winter than in summer.
One of the problems of Mrs X is that she feels excluded from a lot of modern society, and often talks about the past. The modern world is too complex for her, and she is retreating into memories that she feels comfortable with.
Poverty can lead to desperate choices such as taking up criminal activities to make ends meet. This can involve danger, such as guns , or social consequences such as prison. These are bad for both physical and mental health, and can start a person off n a series of poor personal choices.
Every hospital, trust or NHS institution has to have an equality and diversity policy, and this ensures that managers and staff constantly review all of their work to eliminate any instances where inequality could arise. See NHS Employers website under “Equality and Diversity” at: ...
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(Student Workbook Coursework Example | Topics and Well Written Essays - 2000 Words - 1)
“Student Workbook Coursework Example | Topics and Well Written Essays - 2000 Words - 1”, n.d. https://studentshare.net/nursing/445742-student-workbook.
William's argument is that such circumstance is tantamount to serving a kind of bondage as graduates are forced to pay back the money they owe to academic institutions. Williams cited grim statistics that supported his point. The most important of these is that two-thirds of American college students finish school with an average of $30,000 in educational bills.
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