Thursday, May 21, 2020

The Treaty Of Versailles - 2228 Words

Upon signing the Treaty of Versailles in June 1919, then British Prime Minister Lloyd George declared: â€Å"We will have to fight another war in 25 years time, and at three times the cost.† This ominous prediction came true as the controversial peace settlement brought no end to conflict in Europe. The Treaty was described by critics as Carthaginian: a peace so brutal it crushes the defeated side. This was the intention of the Allies, who felt a disabled Germany was the best way to preserve peace. This rationale did not satisfy Germany, who sought to undermine Versailles and succeeded in breaking the Allies’ resolve to enforce the Treaty. Ultimately, the ineffectual peace enabled Nazi ascendancy in the 1920s and 30s. Discontentment with the Weimar government, responsible for signing the Treaty, provided a receptive audience for Hitler s hard-line policies, which were designed specifically to regain German supremacy. The signatories to the Treaty allowed Germany to viol ate successive terms without reprisal, which led inevitably and inexorably to the Second World War. Thus, the real criticism of the Treaty lies in its lack of enforcement. The Treaty’s brutality has been a source of unceasing critical contention. Whilst commentators during the interwar period slammed the Treaty for its vindictive and punishing terms, modern historians claim they could have been far harsher. J.M Keynes, a British economist at the time was the first to use the term ‘Carthaginian peace’ in hisShow MoreRelatedThe Treaty Of Versailles Treaty1188 Words   |  5 Pagesthe defeat of the Central Powers (German Empire, Austro-Hungarian Empire, Ottoman Empire, and the Russian Empire) and the signage of the Versailles Treaty. This treaty along with the League of Nations was created to prevent another global crusade from happening again, but failed and led to World War II, which started only twenty years after the Treaty of Versailles was endorsed. And even with end of the Great War, it was evident that the world would never return to how it once was, four years earlierRead MoreThe Treaty Of The Versailles Treaty Essay1604 Word s   |  7 Pages1.A) Source A believes that the cause of hostilities in poland were the direct result of British actions. The first issue discussed is the unfavorable terms of the Versailles Treaty. Article A states that germany had tried to change some of the harshest policies of the Versailles Treaty however, the British government did not cooperate with their efforts. Additionally the article states that it is British intervention in the domestic policies of poland that prevented a peaceful solution from beingRead MoreThe Treaty Of The Versailles Treaty1861 Words   |  8 PagesWhat responsibility did each of the â€Å"Big Three† have for the failure of the Versailles Treaty to bring peace to Europe? Be sure to discuss what each wanted to accomplish. The treaty of the Versailles was an agreement between France, England and the United states. Its intentions were to prevent a second world war however, it was a total fail. An obvious reason for not being effective could be because not everyone was included in the conference such as Russia, and Central Powers. Instead, Prime ministerRead MoreThe Treaty of Versailles1684 Words   |  7 PagesInvestigation The Treaty of Versailles was created to bring peace between nations after WWI. This investigation will answer the following question: To what extent did the Treaty of Versailles bring peace? In this investigation, the extent of the Versailles Treaty’s success will be evaluated by examining the period of its development, 1918, to the rise of Hitler, 1933. Several sources were used in this investigation including a number of books that look at the terms of the Treaty of Versailles and the reactionsRead MoreTreaty of Versailles1349 Words   |  6 PagesThe Treaty of Versailles was intended to be a peace agreement between the Allies and the Germans, instead with the harsh end terms for Germany, it created political and economic chaos in Germany. By the end of the First World War, Germany had surrendered and signed a peace agreement. The task of forming a peace agreement was now in the hands of the Allies. In December of 1918, the Allies met in Versailles to start on the peace se ttlement. The main countries and their representatives were: The UnitedRead More Treaty of Versailles1280 Words   |  6 Pages The end of World War I was finalized by the signing of the Treaty of Versailles on June 28, 1919. It was signed by Great Britain, France, Italy, and Japan but not the United States, as the U.S. drafted its own treaty with Germany in 1921. Many historians argue that the Treaty of Versailles was the major cause of World War II which occurred twenty years later. On the Treaty’s most superficial level, the extreme punishment and fines that were levied by the Allied Powers on the Germans were causesRead MoreThe Treaty Of Versailles In Germany : The Causes Of The Treaty Of Versailles751 Words   |  4 PagesA treaty that was designed to end all wars actually ended up setting the stage for the worst one that the world has ever seen. The newly formed German democratic government saw the Versailles Treaty as a â€Å"dictated peace† (Diktat). The peac e treaty did not ultimately help to settle the international disputes which had initiated World War I; on the contrary, the treaty exposed the underlying issues which had caused the war in the first place. Hitler was able to gain a foothold in German society andRead MoreTreaty of Versailles1324 Words   |  6 PagesTreaty of Versailles Essay One of the most important documents ever, The Treaty of Versailles was proposed to be a peace settlement between the victorious Allies and the defeated Germans at the outcome of World War I. The document was a major disaster and did not serve any of the purposes it was drawn for. The harsh provisions of the treaty along with its unfair orders to Germany led to the worlds most horrific leader come to power and also set the platform for another war. The treaty became aRead MoreThe Treaty of Versailles1055 Words   |  4 PagesIn 1919 at the Paris Peace Conference The Treaty of Versailles was formally drafted and World War I was finally brought to an end. The treaty was drafted by the Allied Powers, which consisted of Great Britain, France and the United States. This treaty blamed the war solely on Germany, and it required them to pay an amount of â€Å"$33 billion dollars in reparations, cede all of colonies, dismantle their air force, and greatly reduce their other military operat ions†(German Delegation, 291). The GermanRead MoreSignificance Of The Treaty Of Versailles1514 Words   |  7 PagesMadison Welzbacher September 19, 2014 World History Significance of the Treaty of Versailles World War I was a devastating war that had a long-lasting effect on every European country. After the assassination of Franz Ferdinand, the heir to the Austrian throne, and his wife by the hands of a Serbian terrorist group known as the Black Hand. Germany urged Austria-Hungary to attack Serbia, but Russia stepped up to protect the country. Germany ambushed Belgium, and proceeded to Russia, throwing Great

Wednesday, May 6, 2020

A literature Review on inpatient falls - 878 Words

A literature Review on inpatient falls NRS 433V August 3rd, 2014 A Literature Review on inpatient falls According to the reports published by the Centers for Disease Control and Prevention Injury Centre (2007), falls are the third most common cause of unintentional injury death across all age groups and the first leading cause among people 65 years and older. A hospital can be a dangerous and erratic place for inpatients because of its unfamiliar†¦show more content†¦(Barker et al, 2011). Study 2: George P. Forrest, (2012) A comparison of the functional independence measure and Morse Fall Scale as tools to assess risk of fall on an Inpatient Rehabilitation Abstract: Purpose: The purpose of this study was to determine if the Functional Independence Measure (FIM) is as useful as the Morse Fall Scale in determining which patientsShow MoreRelatedThe Patient Protection And Affordable Care Act Of 2010 Essay917 Words   |  4 PagesOverall, there is an emphasis on the healthcare institution’s ability to deliver â€Å"patient centered† care. Moreover, it is recognized that nursing care strongly contributes to patients’ satisfaction of their care. Baker (2012) revealed that 51% of inpatients come from the ED, and base their entire experience on their emergency services. Therefore, nurses working in the ED play an important role in the overall patient satisfaction scores. Several studies show that patients appreciate reliability, responsivenessRead MorePrevention Of Errors And Adverse Effects On Patients That Are Associated With Health Care1200 Words   |  5 PagesOrganization (WHO), is the â€Å"prevention of errors and adverse effects to patients that are associated with health care† (WHO, 2013). Of the many patient safety issues, falls are the most commonly documented undesirable and avoidable event during hospitalization (Quigley White, 2013). The severity of injury sustained from the inpatient fall is categorized as follows; minor: injury that results in the application of a dressing, ice, cleaning of a wound, limb elevation, or topical medication; moderate:Read MoreElderly Adults : A National Health Crisis Concern1318 Words   |  6 PagesFalls among inpatient elderly adults has become a national health crisis concern, leading cause of hospital injuries, and prolonged length of hospital stays (Agency for Healthcare Research and Quality, 2012). Every year, there are approximately 700,000 to 1,000,000 hospitalized falls in hospitals, (Cox, Thomas-Hawkins, Pajarillo, DeGennaro, Cadmus, Martinez, 2014). Cangany, Back, Hamilton-Kelly, Altman, and Lacey (2015) emphasize inpatient falls are the second leading cause of death in hospitalRead MoreInfluence Of Iv Acetaminophen On Opioid Use For Postoperative Pain1158 Words   |  5 Pagestiming (Melnyk Fineout-Overholt 2011). The full PICOT question is as follows: For surgical patients receiving general anesthesia, does the use of post-operative IV acetaminophen influence post-operative opioid usage to control pain during the inpatient hospital stay? The population covers surgical patients receiving general anesthesia. Enough information was not available for one specific type of surgical procedure, so the population was broadened to accept studies including any surgical patientRead MorePhysiotherapists Can Carry Out Assessments On Patients Using Falls Risk Assessment Tools1680 Words   |  7 Pagescarry out assessments on patients using falls risk assessment tools (FRAT). FRATS use questions and observations to categorise patients as low, moderate or high falls risks (Miedany, Gaafary, Toth, Palmer Ahmed, 2011) and identify the necessary level of intervention needed. Wong-Shee, Phillips Hill s (2012) research promotes the use of the TNH-STRATIFY falls score assessment tool. The TNH-STRATIFY has an extensive question list, identifying more falls risk factors. Wong-Shee et al s. (2012)Read MorePersonal And Professional Nursing Practice1749 Words   |  7 PagesFineout-Overholt, Melnyk, Williamson, 2010). More than 600,000 total joint replacements are completed every year in the United States, ranking it as one of the top 15-inpatient surgeries throughout the entire United States (Centers of Disease Control and Prevention, 2013). As a nurse on an inpatient orthopedic unit, fall prevention and pain management are two highly stressed areas when it comes to providing postoperative care. With the healthcare industry stressing the importance of providingRead MoreA Brief Note On The Canadian Association Of Emergency Physicians1289 Words   |  6 Pagesin agreement with the people of Ontario, who state that it is frustrating to wait for hours just to see a doctor or to be transferred to an in-patient unit. Firstly, overcrowding in the ED is due to admitted patients waiting for an inpatient bed to lack of inpatient hospital beds. It can take up to days before these patients are moved out of the ED. Secondly, patients are also lacking access to primary care providers and are using the ED as their primary source of care. Lastly, the shortage ofRead MoreImproving The Care Of The Elderly1305 Words   |  6 Pageswill be discussing fall and fall-risk programs. Fall programs are an essential key when it comes to caring for the elderly. Prevention is the first essential step in the prevention of falls. Falls among the elderly are a common problem, which may result in serious physical, psychological, and financial problems for the patient who has fallen, their family, and care-giving staff (Burland, Martens, Brownell, Doupe, Fuchs, 2013). As we age, even the simplest accident or fall can prove to be a lifeRead MorePrevention of Falls in Hospitalized Older Adults Essay2938 Words   |  12 PagesFalls prevention of hospitalized older adults in acute medical Units: Evidence based nursing interventions. Introduction A fall is a lethal event that results from an amalgamation of both intrinsic and extrinsic factors which predispose an elderly person to the incident (Naqvi et al 2009). The frequency of hospital admission due to falls for older people in Australia, Canada, UK and Northern Ireland range from 1.6 to 3.0 per 10 000 population (WHO 2012). The prevalence of senior citizen’s fallsRead MoreDesign For Change Proposal : Implementing Hourly Rounding1487 Words   |  6 Pagespatient satisfaction while in the hospital is an ongoing issue in hospitals. Developing a plan to make changes within hospitals is the first step in accomplishing this task. The design plan for change is to improve patient safety, decrease risk of falls and increase patient satisfaction by implementing intentional hourly rounding for older adult patients (over the age of 65) admitted to a 40 bed telemetry unit at an acute care hospital. For each hourly round preformed a preselected group of question

Us Healthcare Reform Free Essays

The new healthcare reform act recently passed will be fully implemented by 2014. Every person living legally in the United States will be guaranteed, under the Patient Protection and Affordable Care Act, (PPACA), healthcare insurance. Across the United States, primary care doctors are already preparing for the full impact this will have on their practices. We will write a custom essay sample on Us Healthcare Reform or any similar topic only for you Order Now In keeping with the promise made by President Obama, physicians are already planning to increase their hours while trying to maintain patient care. With this new legislation, there will inevitably be growing pains, for the providers, the patients, and most all for the insurance companies, including Medicare and Medicaid. The Congressional Budget Office (CBO) reports that over 16 million additional adults will be eligible for health care coverage with the new Healthcare Reform Act. That is a substantial increase in patients needing to find a Primary Care Physician ((PCP) ).Shawn Martin, director of government relations for the American Osteopathic Association, says, â€Å"We were really pleased with the emphasis put on primary care and the continuous and comprehensive relationship with the primary care provider. † The reforms will strain the nation’s primary care delivery system, he adds, but â€Å"there are ways of dealing with that. † (Bendix,  J. 2010,  May) Providers that are considered critics of the new reform bill, PPACA, say that while there may be ways of dealing with the growing demand on the w ay they deliver healthcare that does not mean that it will be inexpensive. The growing fear for the average Primary Care Physician is that while the government is busy regulating how they treat their patients: what diagnostic tools they will be entitled to use, which tests they will be allowed to order, and what medications should be prescribed, the compensation that they receive for their services will be cut. Still most providers are currently dealing with this increase is by referring existing patients to specialists that deal solely with their individual diseases: Diabetics will be referred to an Endocrinologist, Cardiac patients will be referred to Cardiologists and so forth and so on.Unfortunately, this system of dealing with the increase is a stopgap and will only prolong the agony; the Primary Care Physician ((PCP) ) will still be responsible for the overall care of their patients and will now have to keep track of the data generated from other healthcare providers. With the influx of new patients on the Primary Care Physician (PCP) , providers are coming up with other ways of handling the added patient load. Some Primary Care Physician (PCP) doctors are extending their hours of operations.Most doctors have implemented a cap within their practices to minimize the number of new patients that can be added to their schedules, thus keeping the impact on their existing patient load to a minimum. Still other (PCP) are preparing their established patients with the new reality that faces them all, patients will no longer have unfettered access to their Primary Care Physician (PCP) . Additionally, providers are concerned that not only will their patient load increase, but their reimbursements will decrease as well, thus creating an unnecessary burden on the practice as a whole.Hopefully, as more information becomes available, providers can put to rest their concerns. The areas most affected by this legislation are the areas of the country that have a shortfall of Family Physicians, Internists, and General Practitioners. Unfortunately, providers in these areas are going to be impacted the greatest. As more and more Americans gain insurance coverage the greater, the demand will be for their time and attention. The American Academy of Family Physicians predicts that an additional 40,000 primary care doctors will be needed over the next 10 years.As time passes, this new ground breaking legislation is suppose to decrease the number of patients treated through our Emergency Rooms (ER), thus keeping the cost of healthcare down. If there is any hope of this happening the number of (PCP) ’s has to increase before 2014, otherwise the patients that cannot get into see their (PCP) will resort to the ER for their non-urgent health issues, just to receive treatment. A cost analysis study was performed by the RAND Corporation and the results published on June 27, 2010.What they found was â€Å"Of all the proposals on the table that would expand health insurance to more Americans, the final health reform law included those that covered the largest number of people at the lowest cost to the federal government,† said Elizabeth A. McGlynn. Medicare and Medicaid (2010,  June). The RAND corporation was also charged with analyzing the inner workings of the reform act, they where asked to evaluate the feasibility of the PPACA to see if it was structured differently would the cost to the federal government would be any less.A couple of possible scenarios that they reviewed and analyzed were; if employers wi th fewer employees were required to provide coverage or pay a penalty how would that influence the cost to our government. Medicare and Medicaid (2010,  June). In essence, the RAND Corporation found in their study that by increasing the fine to $1,200 per person CMS (Center for Medicare and Medicaid) could realistically insure an additional 4 million people per year. Additionally, there are physicians that feel disappointed that the PPACA did not address their issues or concerns, especially compensation.For the past year providers across America held their collective breathe while, they waited to see if Medicare was able to push for a 21. 2 % decrease in payments. In the meantime, providers are seeking additional support form the AMA (American Medical Association). Providers want the AMA’s support in getting legislation passed that would allow â€Å"private contract† rights with Medicare patients, which would allow doctors to charge fees that exceed Medicare rates, with patients paying the balance out of their own pockets or with supplementary insurance making up the difference. Robeznieks,  A. 2010,  June). Furthermore, providers need to start preparing for more accountability when treating their patients. According to the PPACA, providers that are use to their current volume-focused, fee-for-service approach to practicing medicine will soon disappear. In the past, a provider was able to choose the manner in which they treated a patient. In an attempt to stop the raising cost and waste generated by providers in diagnosing patients some type of tracking system needs to be put into place. For centuries, medicine has been defined as the art and science of maintaining and restoring human health. Just like artists who have unique styles and interpretations when creating sculptures or paintings, physicians employ distinctive care delivery methods. In fact, each physician delivers patient care in a unique manner, even for the same type of patient with the same clinical diagnosis and procedure needs. Goodroe,  J.. (2010,  June). Patient Protection and Affordable Care Act represents a major opportunity to achieve numerous key goals at once: improving disease prevention; reforming care delivery; and bending the cost curve of health spending while also realizing greater value for the dollars spent.Reform-based initiatives could produce major gains in a relatively short time. The U. S. Department of Health and Human Services should develop an action plan detailing how the programs that the health reform law sets into motion throughout various agencies can work synergistically. It should also detail how best practices in finance and payment, in the organization and delivery of care, and in prevention can be expanded nationally. Thorpe,  K. ,  ;  Ogden,  L.. (2010). Addressing the compensation issue, in these key areas is what has turned the tide for the opposition concerning the Healthcare Reform Act.Providers want to be compensated for doing their jobs, and doing them well. Thomas Jefferson, former President of the United States, said â€Å"All, too, will bear in mind this sacred principle, that though the will of the majority is in all cases to prevail, that will to be rightful must be reasonable; that the minority possess their equal rights, which equal law must protect, and to violate would be oppression. † Whenever there is, change of this magnitude proposed there would of course be opposition. PPACA will provide healthcare, at a reasonable cost to over 40 million Americans, it will hold all providers to a higher quality of care, and inancially impede them if the care that they provide is not up to government standards, which have not completely been defined. Children will be allowed to remain on their parents’ insur ance plans until they are 26. Compensation to providers will be based on overall treatment of their patients with a bonus structure, still not ironed out, for getting patients healthier and then maintaining their health. Overall PPACA represents an obtainable reform with a little give and take on both sides of the party line as long as each side gives and takes equally. How to cite Us Healthcare Reform, Papers