The causes of the civil war Essay Example | Topics and Well Written Essays - 2500 words

The causes of the civil war - Essay Example In the South, slavery was becoming an outdated method of agricultural production as industrialization was taking hold. Similar economies in the Caribbean, Latin America, and Europe had already abandon the practice of slavery and there was no reason to believe that the US would not soon follow. However, by 1860 events and policies enacted since the nations birth had moved the US to the brink of civil war. If slavery was not really at the heart of Americas motivation for going to war, then what were the reasons? The reasons why nations go to war are usually various and complicated, and the American Civil War is not an exception. Although the main reason which provoked the two sides in the Civil war was slavery, three different aspects of the impact of slavery were at the center of the disagreements. These aspects are political, economic, and social. Slavery was certainly a moral issue in regards to the Civil War and was always a contributing influence to the multiple causes of war. Since Americas inception its leaders, such as Thomas Jefferson, well understood that slavery must soon be abolished. In an 1805 letter to William Burwell, Jefferson wrote, "The value of the slave is every day lessening; his burden on his master daily increasing. Interest is therefore preparing the disposition to be just; and this will be goaded from time to time by the insurrectionary spirit of the slaves".1 However, the founding fathers failed to include slavery in the original documents. In addition, the Federation was designed as a weak federal government with significant states rights. States rights, a central issue of the Civil War, had been heavily debated since the Continental Congress. The Articles of Confederation, the first US Constitution, confirmed that the Federal government should be weak and the states should retain their individual po wer.2 The need to abolish slavery, and the weak federal system helped perpetuate the issue towards ultimate war. The conflicting goals

Course evaluation paper Essay Example | Topics and Well Written Essays - 750 words

Course evaluation paper - Essay Example (AHRQ, 2007) (See Table I – Recommended Immunization Schedule for Persons Aged 0 – 6 Years in the United States on page 6) As part of delivering good quality service to selected patients, segmenting the patient population is necessary to enable the community nurses to provide effective health care strategies in delivering a safe, efficient, effective, timely, patient centered, and equitable health care to patients. (Lynn et al., 2007; Institute of Medicine, 2001) The expected outcome for the community health care that focuses on immunization is to ensure that there will be a reduction of morbidity and mortality among the infants and children throughout the community. (Zimmerman et al., 1987) The intended target population for rendering the community health care which focuses on immunization is patients below six (6) years of age and below. In order for nurses to accurately identify the target patient population within a selected community, nurses will have to study the existing computerized patient record (CPR) within the community health care computer system. (Rivo, 1998) Adding the total number of children below six years of age plus the patients who are currently pregnant, the nurses could easily determine the total number of additional babies each month. In the absence of CPR system, nurses should ask the pregnant women to fill out a simple survey form which will be used in determining the size of target population for immunization and health care education for expectant mothers. Considering that there are some babies born within the community each month and the fact that the immunization schedule for new born infants up to six (6) years old is more likely to overlap at the time the schedule is due, the implementation of community health care immunization program should be continuously offered to the community at least once or