The Battle Of Iwo Jima

The Battle Of Iwo Jima During World War II on February 19, 1945, the United States of America and the Empire of Japan fought for Iwo Jima, a small island approximately 660 miles away from Japan. Codenamed Operation Detachment by the United States, the battle lasted for 35 days, ending on March 26, 1945, and it remains the largest battle in Marine Corps history, with some 75,144 men being deployed to fight (Frank). The battle of Iwo Jima also marked the first time that American casualties were higher than Japanese casualties in an amphibious assault. American casualties reached 24,733 while Japanese casualties were a little over 21,570 (Frank Naval History). This number was due to the leadership of the Japanese during the battle. The general who was in command of the Japanese forces at Iwo Jima was Lieutenant General Tadamichi Kuribayashi. During the battle for Iwo Jima, Lieutenant General Kuribayashi would show that he was one of Japans finest Generals. In preparation for the upcoming battle, Lieutenant General Kuribayashi chose to focus his defense on the Northern two-thirds of Iwo Jima, instead on the beaches where the United States would land troops (Frank). Kuribayashi knew that Japan would not beat the United States, simply because of the amount of soldiers the United States would send. Knowing this, Kuribayashi decided to not focus his efforts on the southern beaches and lose quickly to a superior American force, but instead Kuribayashi decided to create strong defensive positions on the rest of the island to increase the amount of American casualties. It was Kuribayashis belief that if his forces could inflict enough American casualties, the United States would not be compelled to invade Japan, fearin g that they would lose too many soldiers. In the Pacific Campaign of World War II, the United States used a strategy called island hopping, where the United States would attack a Japanese controlled island, capture it, and then repeat the process until they got to Japan. This was the United States strategy to defeat Japan, and the island of Iwo Jima was the next island to be captured. Iwo Jima was also strategically important because of the airfields located on it (Burrell). Iwo Jima was close enough to Japan where the United States could use the airfields on Iwo Jima to attack Japan through the air with B-29 bombers. This was the main reason why Japan defended the island so heavily. While the island of Iwo Jima was defensively important to the defense of mainland Japan, it was of little offensive importance because by this time Japans strategy was strictly based of the defense of mainland Japan. One Japanese officer described Iwo Jimas offensive relevance as such, Our first line Army and Naval air forces had been exhausted in the recent Philippines Operation. The anticipation to restore our air forces, bringing their combined number to 3,000 planes, could materialize only by March or April and even then, mainly because the types of airplanes and their performance proved to be impracticable for operations extending beyond 550 miles radius, we could not use them for operations in the Bonin Islands area (Burrell). Before the actually land invasion began, the United States bombed the southern part of Iwo Jima, three days before where they would land their troops. This is where American intelligence significantly failed in two ways. It underestimated Kuribayashis forces by at least a third, and completely missed Kuribayashis intent to make his last stand at the north end of the island, instead of facing the Americans head on at the south end. These errors ended up causing the misdirection of the three day bombardment, the heaviest of the war, to the southern landing beaches, instead of focusing on the northern side of the island, where the majority of Kuribayashis forces would be. When the land invasion did begin, Americans forces were met with no resistance by the Japanese. Instead of attacking the landing forces head on, the Japanese waited for the Americans to advance onto the beach, than ambushed them as they closed in towards the Japanese position. Not only did the ambush cause a great number of initial American casualties, it was difficult for the marines to fight back due to the terrain of the beach. Instead of the beach being made out of sand, it was full of volcanic ash, which made it hard for the landing forces to dig into the ground and defend themselves. One marine described it as, trying to fight in a bin of loose wheat (Frank). American forces were able to eventually break the Japanese line, and on February 23, 1945, the southern end of Iwo Jima was captured by American forces. As the United States pushed forward, they were met with heavy resistance from the Japanese who were well fortified and prepared to face the enemy. The more up north the United States went, the harder it became for them to fight. The Japanese had dug many bunkers into the terrain, and were successful at using ambush tactics against the marines which only made their advance more difficult. As the battle continued, marines started better adapting to fighting the Japanese on rough terrain, and with their superior forces drove the Japanese back until they could retreat no more. Marines fought for a long and tiring 35 days until on March 26, 1945, the island was officially said to be secure by American forces. In addition to being a historic battle in World War II, the battle of Iwo Jima has also had a significant effect on American culture. You can see traces of the battle in many art forms and popular media in America. The Raising of the Flag on Iwo Jima, a picture taken by American photographer Joe Rosenthal, depicts five marines and navy corpsman raising the flag on Mount Suribachi, at the southern end of Iwo Jima, on February 23, 1945. The photograph became a symbol for American patriotism during World War II, and the picture was even commemorated by being put on a postage stamp. You can also see the battle depicted in a movie directed by Clint Eastwood called Letters from Iwo Jima. In the movie Clint Eastwood shows the battle of Iwo Jima from the Japanese side, depicting what Japanese soldiers experienced as the battle was fought. The movie won an Academy Award for best sound editing, and was nominated for three more for its depiction of the historic battle. In conclusion, the battle of Iwo Jima was one of the most important battles in the Pacific front World War II. With the United States successfully able to capture the island of Iwo Jima, they acquired the airfields on the island. With these airfields now under United States control, B-29 bombers would now be able to use the island to launch aerial assaults towards Japan, and would be able to use it as a fueling station closer to Japan. The battle also showed the United States how far the Japanese were willing to go to defend their homeland. Out of the initial more than 20,000 force, only 1,083 Japanese soldiers were captured alive (Frank). This showed the United States that Japanese soldiers were willing to fight to the death to defend their home, and that if the United States was planning on invading Japan, the amount of casualties would have been catastrophic.

Nursing Effectivness Concept Paper Essay

Walker & Avant’s methodology (2005) is used to analyze the concept of the word effective; this provides clarity to the meaning of the concept and identifies its unique attributes, particularly in relation to medical treatment. Antecedents and consequences of presumed effective medical treatment are discussed followed by empirical referents, which aid in illuminating the concept of effectiveness. Assumedly, â€Å"effective† is an adjective most healthcare professionals and their patients would hope to use in describing the outcome of the treatment or the care provided. The purpose of this concept analysis is to understand that for physicians and nurses to provide truly effective treatment, it must attend to multiple needs of the patient, not just their illness. Not only is it important for healthcare providers to construct and implement a treatment plans, but also to involve patients in medical decision making about their treatment. To determine effectiveness, healthcare providers must assess how treatment of the illness effects the patient in addition to their own evaluation of treatment. The dictionary definitions of effective are (a) adequate to accomplish a purpose, producing the intended or expected result; (b) in operation or in force, functioning; (c) producing a deep or vivid impression; (d) prepared and available for service; and (e) a member of the armed forces fit for duty or active service (â€Å"Effective†, n.d. a). According to Stedman’s Medical Dictionary (2006), the medical definitions of effective are (a) the extent to which a treatment achieves its intended purpose; (b) A measure of the accuracy or success of a diagnostic or therapeutic technique when carried out in an average clinical environment. According to Wikipedia (n.d. b), the usage of effective includes (a) mathematics, can be used as a synonym of algorithmically computable; (b) physics, an effective theory is, similar to a phenomenological theory, a framework intended to explain certain effects without the claim that the theory correctly models the underlying processes; (c) heat transfer, effectiveness is a measure of the performance of a heat exchanger; (d) business/management, effectiveness relates to getting the right things done; (e) human–computer interaction, the accuracy and completeness of users tasks while using a system; and (f) medicine, effectiveness relates to how well a treatment works in practice. This concept analysis will focus on effectiveness in relation to treating an illness and patient outcome. As previously stated, it is important to consider how treatments can also have an effect on the patient. A patient’s illness must acutely be treated, but it is imperative to also set long term goals so the most effective and desired outcome can be achieved. Walker & Avant (2005) describe defining, or critical attributes as the characteristics that are most frequently associated with a concept. These attributes are key factors that must be present in defining the concept that is analyzed. Literature reviewed helped determine the characteristics attributed to the concept of effective in terms of nursing and medical treatment including, being free of disease or illness, decreased discomfort and suffering, scientific support, and improved quality of life. Another characteristic of effective nursing and medical treatment that should be considered is cost. Patients are sometimes informed about optional medical treatments that are available, but experimental and not yet approved by the FDA, nor covered by one’s medical insurance. There are many experimental treatments that have proven to be effective in curing illness but sadly, most cannot afford to pay for these treatments. This also applies if a person’s insurance does not cover a specific test, medicine, or treatment. A patient’s personal experience should also be taken into consideration; people with the same illness could receive the same therapy or treatment, but have different outcomes. An 11 year old boy presents to the emergency department with an obvious deformity to his left lower leg after falling off his bike, he is triaged and quickly seen by a physician for treatment. The physician puts a cast on his leg and informs the boy’s parents that his injury is not indicative of surgery and the bone should heal properly while casted. They are told to return in six weeks to have the cast removed and to evaluate the healing progression. The boy’s parents are then advised of activity restrictions, given a prescription for as needed pain medication and discharged home. They returned six weeks later and reported compliancy with the activity restrictions and he that only complained of pain the first couple days following the injury, which was managed well by the prescribed pain medication. The physician’s reassessment of the patient’s leg indicated optimal healing had occurred and the cast was removed, thus achieving the desired outcome. This case identifies that the patient’s pain was well managed and restrictions on activity were followed. The outcome identifies the patient is free of injury and discomfort, and quality of life was not affected, modeling all the critical attributes indicative of effective treatment. An 18 year old male is transported to a hospital via ambulance for an injury he sustained while playing in his high school’s football game. It was is reported to the healthcare team that he was tackled to the ground by an opposing player and Due to the risk of injury to his spinal cord and the patient complaining of sever back pain, radiological tests were performed. Tests showed in addition to the injury sustained during the game, he also suffered from some degree of spinal stenosis. The physicians explained a need for immediate treatment as it was imperative to surgically repair the damage to his spine by undergoing a spinal fusion. The physicians also inform them in order to achieve optimal healing and reduce the risk of further, irreversible long term damage, he will be unable to play football again. This news is very upsetting for the patient because not only is he unable to play again, it was his dream to make football a career and was already accepted to college on a football scholarship. This patient was discharged from the hospital a week after his surgery with outpatient physical therapy sessions if needed and a prescription for pain medication. The healthcare team explained to the patient, despite the possibility of mild back pain, the surgical treatment he underwent was effective. The concept of effective treatment related to this patient’s injury is that of a borderline case. Although the outcome of his treatment restricts his physical activity, healthcare providers were able to successfully treat his injury with surgical intervention. Pain medication was prescribed to decrease any discomfort or pain that may occur because from experience and scientific data, healthcare providers are able to recognize what treatments are proven successful to achieve the best outcome for the patient. A 17 year old girl, suffering from anorexia and bulimia, is admitted to the hospital for the fifth time in seven months. Every admission, including this one, she has received enteral feedings to improve caloric intake and hemodynamic status. The psychological status of this patient is also evaluated by a hospital therapist in addition to ongoing outpatient treatment for her eating disorder. The patient’s parents voice their concerns to the healthcare team about her deteriorating health status and frustrations with outpatient therapy not being effective. They are concerned because even though her health status improves with the treatment she receives in the hospital, outpatient therapy is not helping her maintain it. The physicians recognize with her parent’s concerns and agree she needs intensive therapy from an inpatient facility that specializes in eating disorders. However, the patient’s insurance will not cover extended inpatient treatment and is too expensive for her parents to pay out of pocket, so they must continue treatment that has been seemingly ineffective to her recovery. The outcome in this scenario is that of a contrary case of effective nursing or medical treatment. Although this patient is always acutely treated, she is not free of her disease because she continues to purge food or not eat at all. Her quality of life is also effected due to multiple hospital admits and her daily struggle with food. This patient’s outpatient therapy shows to be ineffective and sadly she continues to suffer with a n eating disorder. It is essential to discuss related framework to identify and clarify the meaning of an analyzed concept. Walker & Avant (2005) define antecedents as events that must occur prior to the occurrence of the concept. In order for a therapy or treatment to be effective, there first must be a person with an injury or illness who seeks medical care. After an individual has gone to an emergency department, urgent care, or physician’s office, they are evaluated by a healthcare team that includes a physician and nurse. Then, the healthcare team diagnosis’s the patient before deciding on the type of treatment warranted to treat their injury or illness. It’s imperative to include the patient in deciding treatment as â€Å"active patient involvement in medical decision making improves their quality of life and outcomes from treatment† (Egger, 1995. p. 384). When a type of treatment has been determined, it may require the patient to legally consent. The patient’s healthcare team is responsible for informing them about the treatment and any associated risks that may occur as a result. Once the patient’s treatment is completed they will be evaluated by the healthcare team, thus resulting in a patient outcome. The consequences, or events that occur as a result of, are the outcomes of a concept (Walker & Avant 2011). The consequences effective medical treatment are improved health status, decreased need for health services, increased patient satisfaction, and healing. All of these outcomes are desired by the patient as well as the healthcare team. These outcomes can have a huge influence on healthcare by providing data for healthcare providers and individuals researching treatment options. â€Å"Outcomes are the ultimate test of the effectiveness of medical care. Patient outcomes are clinical endpoints, functional status, general well-being, and satisfaction with medical care† (Coyle & Battles, 1999. p. 5). Empirical referents can be described as actual phenomena that by their actual existence or presence demonstrated the occurrence of a concept, in which is proven useful in instrument development (Walker & Avant, 2005). It is important to note that empirical referents measure and relate to the defining attributes of effective, not just the concept itself (Walker & Avant, 2011). Since effective (medical treatment) is subjective as well as objective, it is essential to consider both phenomena that occur with this concept. Improved health status is the most significant phenomena associated with effective health treatment, both subjectively and objectively, relating to the attribute of being free from illness or injury and quality of life. The healthcare team objectively considers a patient’s treatment as effective if it has cured illness, resolved injury, or improved quality of life. Scientific research provide healthcare providers with support in determining what medical treatment has proven effective. For patients, aside from being free of illness or injury, quality of life is typically the most important. There are many different treatments that cure illnesses, but sometimes alter a person’s quality of life. A patient can be in remission from cancer by receiving radiation and chemotherapy, but also causing a negative impact on their functionality, appearance, and general well-being. In order to determine how treatment has effected a patient’s quality of life, healthcare providers must formulate their own opinion based off of their knowledge of the patient and assess how the patient feels the treatment has impacted their life. Lastly, a patient’s use of medical services will be decreased or not needed at all. This analysis of the concept of effective medical treatment is defined as an outcome producing the intended or desired outcome. This concept has also shown to be complex, being that it is subjective as well as objective. Healthcare providers and patients must agree that the treatment was effective to the illness or injury. Effective medical treatment is achieved after a person with an illness or injury seeks medical attention and receives treatment for it. A review of literature on this concept concludes that to improve quality of life and patient satisfaction, the healthcare team must integrate the patient’s values and preferences about the intended treatment or therapy (Egger, 1995). References Coyle, Y. M., & Battles, J. B. (1999). Using antecedents of medical care to develop valid quality of care measures. International Journal for Quality in Health Care, 11(1), 5-12. Effective. (n.d. a). In Definitions.net. Retrieved from http://www.definitions.net/definition/effective Effective. (n.d. b). In Wikipedia. Retrieved from http://en.wikipedia.org/wiki/Effective Egger, M. (1995). Systematic reviews in health care: Meta-analysis in context. London: Wiley. Stedman’s Medical Dictionary. (2006). Effectiveness. Retrieved from http://www.medilexicon.com/medicaldictionary/effectivness Walker, L., & Avant, K. (2005). Strategies for theory construction in nursing. (4th ed.). United States of America: Prentice Hall. Walker, L., & Avant, K. (2011). Strategies for theory construction in nursing. (5th ed.). United States of America: Prentice Hall. View as multi-pages

The Importance Of Proper Time Management Towards My Duty

HELEN GOMED’S JOURNAL Week 1 It was a stressful week because it was ANZAC holiday. Usually, the residents were expected to attend the ANZAC ceremony at 0900. Thus the showering and the cares should be finished before then. However, the list of residents assigned to me was one of the hardest ones because 8 out of 9 residents on that list were for shower and clothing assistance and I only have 2 hours to comply. It was quite impossible obviously due to the number of residents to be taking cared of. Fortunately, I still managed to survive by doing the most probable ones that will attend the ceremony and do the rest later on. So I had surveyed them and there were 5 residents for priority cares. And so it became attainable for me to do it. After that, I do not need to hurry because the rest of my residents will not attend the ceremony anyway. I was able to use proper time management towards my duty. 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Joy Harjo - Feminist, Indigenous Poet and Activist

Born: May 9, 1951, Tulsa, OklahomaOccupation: Poet, Musician, Performer, ActivistKnown for: Feminism and American Indian activism, particularly through artistic expression Joy Harjo has been a significant voice in the rejuvenation of indigenous culture. As a poet and musician, she was influenced by the activism of the American Indian Movement (AIM) during the 1970s. Joy Harjos poetry and music often speak of individual womens experiences while examining larger cultural concerns and Native American  traditions. Heritage Joy Harjo was born in Oklahoma in 1951 and is a member of the Mvskoke, or Creek, Nation. She is of part Creek and part Cherokee descent, and her ancestors include a long line of tribal leaders. She took the last name Harjo from her maternal grandmother. Artistic Beginnings Joy Harjo attended the Institute of American Indian Arts high school in Santa Fe, New Mexico. She performed in an indigenous drama troupe and studied painting. Although one of her early band teachers did not allow her to play the saxophone because she was a girl, she picked it up later in life and now performs music solo and with a band. Joy Harjo had her first child at age 17 and worked odd jobs as a single mother to support her children. She then enrolled in the University of New Mexico and received her bachelors degree in 1976. She received her MFA from the prestigious Iowa Writers Workshop. Joy Harjo began writing poetry in New Mexico, inspired by the American Indian activist movement. She is recognized for her poetic subject matter that includes feminism and Indian justice. Books of Poetry Joy Harjo has called poetry the most distilled language. Like many other feminist poets writing in the 1970s, she experimented with language, ​form and structure. She uses her poetry and voice as part of her responsibility to her tribe, to women, and to all people. Joy Harjos poetic works include: The Last Song (1975), her first chapbook, a small collection of poems in which she began questioning oppression, including the colonization of Native land.What Moon Drove Me To This? (1979), Joy Harjos first full-length collection of poetry.She Had Some Horses (1983), considered one of her classics -- it explores the oppression of women, but also their spiritual lives and triumphant awakenings.In Mad Love and War (1990), an examination of both personal relationships and societal struggles of Native Americans.The Woman Who Fell From the Sky(1994), which won the Oklahoma Book Award in Poetry.How We Became Human: New and Selected Poems 1975-2001, a collection that looks back over her three-decade career as a poet. The poetry of Joy Harjo is rich with ​imagery, symbols, and landscapes. What do the horses mean? is one of her readers most frequently asked questions. In reference to meaning, she writes, Like most poets I dont really know what my poems or the stuff of my poetry means exactly. Other Work Joy Harjo was an editor of the anthology Reinventing the Enemys Language: Contemporary Native American Womens Writings of North America. It contains poetry, memoir, and prayer by Native women from more than fifty nations. Joy Harjo is also a musician; she sings and plays the saxophone and other instruments, including flute, ukulele, and percussion. She has released music and spoken word CDs. She has performed as a solo artist and with bands such as Poetic Justice. Joy Harjo sees music and poetry as growing together, although she was a published poet before she publicly performed music. She has questioned why the academic community would want to confine poetry to the page when most poetry in the world is sung. Joy Harjo continues to write and perform in festivals and theaters. She has won the Lifetime Achievement Award from the Native Writers Circle of the Americas and the William Carlos Williams award from the Poetry Society of America, among other prizes and fellowships. She has taught as a lecturer and professor at multiple universities throughout the Southwest United States.