Sunday, January 26, 2020

Intravenous therapy is an infusion of medicine and fluids into vein

Intravenous therapy is an infusion of medicine and fluids into vein BACKGROUND OF THE STUDY Intravenous therapy is an infusion of medicine and fluids into a vein. IV therapy is essential part of clinical use. There are also complications which included in IV infusion are local and systemic, local include thrombophlebitis, infiltration, extravasations, nerve injury and systemic include bacteremia, septicemia, emboli, thrombus, circulatory overload etc . Thrombophlebitis,Thrombo means clot Phlebo means vein and itis means inflammation. Thrombophlebitis refers to the presence of a clot plus inflammation in the vein. Phlebitis is defined as the acute inflammation of internal lining of the vein Infusion Nursing Standards of Practice (2000). According to international association of pain (IASP) (1994), pain is an unpleasant sensory experience associated with actual and potential tissue damage. The pain is classified as nociceptive, neuropathic, acute and chronic pain. The nociceptive pain is caused due to damage to somatic or visceral tissue damage which pain from surgical incision ,a broken bone, or arthritis ,the neuropathic pain is caused by damage to peripheral nerves or CNS which include trauma, inflammation ,metabolic diseases like diabetes mellitus, tumors, toxins, and neurologic diseases such as multiple sclerosis and acute pain is dure to post operative pain ,labour pain, and pain from trauma and the chronic pain is for longer periods due to cancer. Pain is a highly unpleasant and professional sensation that cannot be shared with others. It can occupy all a personal thinking, direct all activities and change a person. Yet pain is a difficult concept for a client to communicate. Pain is universal experience its exact nature becomes mystery. Unrelieved pain presents both physiological and psychological hazards to health and recovery. Care givers should include assessment of pain as a fifth vital sign to emphasize its significance and to increase the awareness among the health care professional of the importance of effective pain management. There are many non pharmacological measures which is provided including massage, exercise, transcutaneous electrical nerve stimulation, percutaneous electrical nerve stimulation, accupunture heat therapy, cold therapies, and cognitive therapies including distraction ,hypnosis and relaxation strategies. Edema which is the accumulation of fluid in subcutaneous tissue due to extracellular volume expansion. There is swelling of tissues which can be demonstrated by pressing lightly with the thumb over a bony prominence especially on dorsum of feet and around the ankles. The types of edema include hydrostatic edema, oncotic edema, inflammatory and traumatic edema and lymphatic edema. Phlebitis can be classified into 3 three categories which include mechanical, chemical and bacterial where mechanical is due to the size of cannula is too big for the selected vein causing unnecessary friction on the internal lining leading to inflammation, chemical phlebitis is due to peripheral IV devices when the medication or solution irritate the endothelial lining of the small peripheral vessel wall and bacterial phlebitis is usually precursor to an infection at the infection site. Thrombophlebitis is evident by localized pain,redness, warmth, and swelling around the insertion site or along the path of the vein,immobility of the extremity because of discomfort and swelling. Non pharmacological treatment includes discontinuing the IV, applying a warm compress, elevating of the extremity, and restraining the line in the opposite extremity .In the presence of signs and symptoms of thrombophlebitis, one should not attempt to irrigate the line. Pharmacological and non pharmacological agents are available for relief of pain, edema and inflammation. The cost and side effects are comparatively high in modern medicine. The number of client seeking unconventional treatment has risen considerably. Nonpharmocological therapies, natural therapies, cryotherapies, and aromatherapies are available with less expensive and fewer side effects. Likewise in combact aloveragel is also very much used in reducing pain, edema and severity of inflammation. For local treatment in order to relieve pain, edema and severity of inflammation alovera gel can be used. Since in the era of Ancient Egypt humans having using aloe. They used one of the ingredients of embalming fluid. In the tenth century, the Europeans were introduced, where it became an important ingredient in many herbal medicines. By the sixteenth century, aloe arrived in the West Indies, where still today it is harvested. Alovera is one of the therapeutic herbs as a healing plant. The uses of aloe of popularized in 1950s itself.There are over 300 different types of aloe, but only a few were used traditionally as an herbal medicine. In the middle ages the yellowish liquid found inside the leaves was a favored as purgative. Aloevera gel is the mucilaginious gel produced from the centre (the parenchyma) of the plant leaf. It contains 400 species.The gel portion of the plant is prepared by peeling the outer portion of the skin and the pericap away. It is preparation which is called pure aloevera gel in commerce. Aloevera is thick, tapered with spiny leaves grow from a short stalk near ground level. It is not a cactus, but a member of the tree Lilly family known as Aloe Barbandesis. Some species , in particular Aloevera are used in alternative medicine and in home first aid .Both the translucent inner pulp and the resinous yellow exudates from wounding the Aloe plant are used externally to relive skin disc omforts. The gel found in the leaves is used for soothing minor burns, wounds and various skin conditions like eczema and ringworm. Aloevera gel has both antimicrobial and anti-inflammatory effects. The constituents include gibberlin,lectins,lignins,glucose ,mannose, glucuronic acid other polysaccharides including galctogalacturans and galactoglucoarabinomannas.The most abundant constituents is water(99%).The aloevera gel contain anti-inflammatory agent gibberlin and polysaccharides which effectively decrease inflammation and promote healing.Aloevera effectively relieves pain because it contain salicylic acid .Aloevera contain ligin which helps to penetrate deeply into skin to deliver its therapeutic effects. Most of the nursing interventions fit comfortably within the real of the natural therapys the illness healing paradigm shift and converge, and role of nurses shifts can gives to the healer. Therefore aloevera gel could be a suitable intervention which helps the nurse to reduce pain, edema and phlebitis. NEED FOR THE STUDY IV therapy has become a pervasive world wide as a routine therapy. Nurses yearly still insert, use and monitor millions of peripheral venous catheters (PVC).To diagnose and assess phlebitis severity is essential as a way to prevent a host of severe complications such as septic phlebitis, bacteremia, septicemia, arthritis, osteomyleitis eventually leading to death. However it is still prone to associated complications, of which phlebitis is most common, with prevalence varying between 20% to 80% Workman (2000). Villicampa (2008)Spanish review a national multicentric epidemiological study having the institutional participation of 10 centres. In this study 381 complications appears in the 2701 peripheral catheters studied which represents an incidence level of 14.11%.They reviewed 8700 treatment records this study proved that implementation of strategies to improve the quality of care reduces non instrumental complication persistent pain at the entrance point ,extravasations of edema, second or third degree phlebitis and infection associated with catheters. Nassaji Zaveareh (2007) conducted a prospective study on peripheral interventions catheter related factor .In this study 300 patients admitted to medical and surgical wards from April 2003 to Feb2004 were participated. Variables evaluated were age ,gender, site and size of catheter ,type of insertion and underlying condition were observed for 3 days continuously. Out of that 26 % occurred phlebitis . There were no significant relationship between age catheter bore size trauma and phlebitis. Related risk factors were gender,ie.,female site and type of insertion of catheter, diabetes mellitus and burns. Important role of nurse is to control pain that of thrombophlebitis. The quality of care received in the hospital was often reflected in client care. Among paramedical profession, nursing personals were inserting intravenous line, monitoring, administering intravenous fluids and administering medicines. Maintenance of peripheral intravenous cannulae and removal of peripheral cannulae was an integral component of nursing care. Nordell, et al.,(2002)in a study of 52 patients, found 5 diagnosed cases of thrombophlebitis (10% ) .Out of fifty two patients twenty six hand or wrist venipunctures, he found 3 with thrombophlebitis.Also he had done Fifteen forearm punctures produced the other 2 cases of phlebitis while of the eleven patients undergoing antecubital fossa venipuncture, none were found to have developed thrombophlebitis. The reported incidences of thrombophlebitis vary from a low of 2% 21 up to 15%.33.One well-controlled Swedish study of over 1000 cases reported venous complications of many types at 31% is having thrombophlebitis. Singh , Bhandary ( 2007) , Dhulikhel Hospital Kathmandu University Teaching Hospital, Nepal carried out a prospective observational study to determine the occurrence of peripheral intravenous catheter related phlebitis and to the possible factors associated to its development.A total 230 patients under intravenous catheter were selected peripheral infusion site was examined for signs of phlebitis once a day using jackson Standard visual phlebitis scale and the result obtained was 136(59.1%)patients developed thrombophlebitis. Related risk factors as found in the present study were insertion site (forearm), size of catheter (20G) and dwell time (>=36 hours). There were higher incident of phlebitis among the client with Intra venous drug administration and especially between ages 21 40 years. Therefore more attention and care are needed in these areas by the care provider. In another study the overall phlebitis rate was 39%. Phlebitis developed in 53% of patients with short lines, in 41% of patients with midsized lines, and in 10% of patients with long lines, and these catheters remained in place an average (Â ± SD) of 3.0 Â ± 2.4 days, 4.6 Â ± 3.4 days, and 7.8 Â ± 6.6 days, respectively. The variables that influenced the development of phlebitis, as determined by multivariate analysis, type of catheter, blood hemoglobin levels, and IV therapy with either corticosteroids or erythromycin Lutter et al.,conducted a retrospective survey to identify the complication of venous catheterization in the left lower limb and right lower limb for 1,143 patients. Patients occurred phlebitis in 56% in left lower limb 51% in right lower limb. Aloevera has salicylic acid which include in analgesic effects, it contains ligin which helps to penetrate deeply into skin to deliver the therapeutic effects, it contain anti-inflammatory agent gibberlin and polysaccharides which decrease inflammation and promote healing. Netherlands, conducted a prospective study on treatment of superficial thrombophlebitis with aloevera gel in relieving the local pain, swelling and redness. In this 116 patients were selected with thrombophlebitis and applied for a period of 3 days. The efficacy of aloevera was recorded. There is a drastic improvement in patient received aloevera gel as treatment than the control group Winchers IM (2005). The investigator selected this study because during her clinical experience has observed the many patients who had admitted in the hospital with cannula, developed the catheter related complications such as blockage, pain, redness and thrombophlebitis. This incidence insists the investigator to do some intervention to overcome this problem. Nurses need to be equipped with current interventional skills in relieving the pain, edema severity of inflammation and to prevent and treat complications.Hence the investigator interested in assessing the effectiveness of aloveragel in thrombophlebitis patients in reducing pain, edema, and severity of inflammation. STATEMENT OF THE PROBLEM: A study to assess the effectiveness of aloveragel in reducing pain, edema and severity of inflammation among thrombophlebitis patients in selected hospitals at Kanyakumari District May 2010. OBJECTIVES To assess the pretest level of pain, edema and severity of inflammation for the experimental and control group. To assess the post test level of pain, edema and severity of inflammation in experimental and control group. To compare the pre test level of thrombophlebitis between experimental and control group. To compare the posttest level of thrombophlebitis between the experimental and control group. To compare the pre and post test level of thrombophlebitis for both the experimental group. To compare the pre and post test level of thrombophlebitis for both the control group. To associate the post test level of thrombophlebitis of the experimental and ontrol group with their selected demographic variables. OPERATIONAL DEFINITION Assess Systematically and collecting, validating and communicating the patient data. Effectiveness: In this study effectiveness means reduction of pain and edema and severity of inflammation of thrombophlebitis patients after the administration of aloveragel. Pain Refers the discomfort and irritability felt by the patient intravenous infusion site due to inflammation of vein and it is assessed by numerical pain scale. Edema Refers to the swelling in the infusion site and assessed by edema scale. Phlebitis: Refers to the redness which is occurred due to the intravenous infusion and is assessed by phlebitis scale. Aloeveagel: Refers to green leaves when it is teared which contain semi solid liquid and is applied in affected site. ASSUMPTION Pain,edema and severity of inflammation among thrombophlebitis can be reduced in adults by applying Aloveragel. Patient with thrombophlebitis at intravenous infusion site have pain , edema and inflammation . HYPOTHESIS RH1 There is a significant difference in pre test level of pain, edema and severity of inflammation between experimental and control group. RH2 There is a significant difference in post test level of pain, edema and severity of inflammation between experimental and control group. RH3 There is a significant difference in pre and post test level of pain, edema and severity inflammation among thrombophlebitis patients in experimental group. RH4 There is a significant difference in pre and post test level of pain, edema and severity of inflammation among thrombophlebitis patients for control group. RH5 There is a significant association of post test level of pain, edema and severity of inflammation among thrombophlebitis patients with their selected demographic variables (age, sex, site,duration etc). DELIMITATION The study is delimited for 4 weeks of data collection. The study is limited to a sample of 60 adults. CONCEPTUAL FRAME WORK Conceptual model presents certain views of phenomena in the world that have profound influences on our perception of that world. A model is a simplification of reality or representation of reality. Concepts in the model builds consider relevant and as aids to understanding. The study is mainly focused to find out the effectiveness of aloeveragel in reducing pain,edema and severity of inflammation among thrombophlebitis patients. In order to reduce pain,edema and severity of inflammation aloveragel was applied. The investigator adopted the Kings Goal Attainment theory (1980) as a base for developing the conceptual framework. Imogene Kings Goal attainment theory is based on the personnel and interpersonal systems, including interaction, perception, communication, transaction, role, stress, growth and development, time and action. PERCEPTION: Refers to person representation of reality. It is universal yet highly subjective and unique to each person. Hence the investigator perception was peoples may have pain,edema and severity of inflammation JUDGEMENT: The investigator judged that application of aloeveragel reduces pain,edemaand severity of inflammation thrombophlebitis patients. The investigator to judge the need to reduce the level of pain,edema and severity of inflammation. ACTION: The investigator applied aloeveragel. The thrombophlebitis patient willingness to accept aloeveaagel and participate in the study. REACTION: The investigator and to asset mutual goal setting. INTERACTION: Refers to verbal and non verbal behavior of individual and the environment or two or more individual with a purpose to achieve goal. It includes the goal directed perception and communication. Here the investigator interacts with the thrombophlebitis patient by giving aloeveragel applied 3 times per day. TRANSACTION: Refers to an observable, purposeful behavior of individual interaction with their environment to achieve the desired goal. At this stage the investigator analysis the pain,edema and severity of inflammation among thrombophlebitis patients in order to administer aloeveragel application.The positive outcome in post test is the reduction of pain,edema and severity of inflammation which indicate the aloeveragel application. OUT LINE OF THE REPORT The report is divided into 6 Chapters: Chapter I dealt with background of the study, need for the study, statement of the problem, objectives, operational definitions, research hypotheses, assumptions, delimitations of the study, conceptual framework and outline of the report. Chapter II relates with review of related literature pertaining to various areas of study. Chapter III contains with the research design, variables, setting of the study, population, sample, sample size, sampling technique, criteria for sample selection, development and description of the tool, content validity, reliability of the tool, pilot study, procedure for data collection and analysis of the study. Chapter IV presents the data analysis and interpretation of data Chapter V relates with discussion based on the findings of the study. Chapter VI includes summary, conclusions, nursing implications, limitations and recommendations of the study. The report ends with bibliography and appendices.

Friday, January 17, 2020

Effective Leadership through Communication Essay

An effective leader with a team of multicultural and multilingual individuals, requires basic skills in communication. This paper discusses some basic types of communication and a possible methodology to ensure that the communication is understood. Communication in different forms Firstly it is important to having a basic understanding of communication, Bonvillain discusses this when she states that language is: â€Å"The primary means of interaction between people. Speakers use language to convey their thoughts, feelings intentions and desires to others. Bonvillain then goes on to say that: ‘We learn about people through what they say and how they say it; we learn about ourselves through the ways that other people react to what we say; and how we learn about our relationships with others through the give and take of communicative interactions. ’ (N. Bonvillain, 2003 Language Culture and Communication, p. 1) Jeanne Brett, Kristin Behfar, and Mary C. Kern discuss communications within teams and further analysis the categorisations in a 2006 Harvard Business Journal: â€Å"People tend to assume that challenges on multicultural teams arise from differing styles of communication. But this is only one of the four categories that, according to our research, can create barriers to a team’s ultimate success. These categories are direct versus indirect communication; trouble with accents and ? uency; differing attitudes toward hierarchy and authority; and con? icting norms for decision making. † Both of these statements support that communication can be broken down in to different categories, but the categories differ depending on the context. In my opinion whether the communication is verbal (spoken language) or non-verbal (gesture or body language) or contextual (shared experience), discovering new cultures through experience rather than theory is not without its difficulties, small signals, that may easily be missed, can be key to the formation of a successful team. For example in southern India the simple act of saying thank you can leave an individual offended, this is because â€Å"thank you† is something a senior would say to a junior employee at work to show a power status, and so an individual thanking a peer would be impolite where as in the UK individuals are taught to say thank you from an early age for all transactions. An extremely common gesture in India is the head nod or wobble, this gesture does not necessarily relate to a yes or no response, it can mean â€Å"ok†, â€Å"I hear you speaking† or â€Å"I understand† this can be confusing and one individual in the conversation may not understand the route the conversation has taken if they are not aware of this gesture. This is supported in further research: â€Å"Communication in Western cultures is typically direct and explicit. The meaning is on the surface, and a listener doesn’t have to know much about the context or the speaker to interpret it. This is not true in many other cultures, where meaning is embedded in the way the message is presented. † (Jeanne Brett, Kristin Behfar, and Mary C. Kern Harvard Business Journal, 2006) As with the head nod the use of the smile can differ greatly wherever you are. In India I have been invited to a few weddings; it is the tradition here for the reception to be held prior to the ceremony. The reception consists of the Bride and Groom standing on a stage and all the guests joining them to have a photo taken, in these photos, no one smiles. From my research this is because, for the Bride this can be an unnerving experience, she is about to leave the comfort surroundings of her home, and step in to a new world of her husbands, the bride has been taught to appear shy, and the friends and relatives are respecting that tradition. Depending on the culture a smile can mean different things. In the German culture, according to Nees, a smile â€Å"is used with far more discretion, generally only with those persons one knows and likes† (Nees 2000. P. 93) where as in Korean culture, too much smiling is often perceived as the sign of a shallow person. Dresser notes that this â€Å"lack of smiling by the Koreans has often been misinterpreted as a sign of hostility†. (Dresser, 1996. 21). Challenge: How to manage when in the field In my opinion it is the reaction to these misunderstandings or communication barriers that is the key to the success or failure of the interaction, how the Team Leader reacts and the attitude they exhibit is the difference between learning the greater complexities of an individual’s culture and offending them. This is discussed further on in the paper, in techniques and tools. To ensure the success of a multi-cultural team a single unifying objective needs to be understood by all, Cartmill discusses this point: â€Å"Language lets us get vast numbers of big, smart fellow primates all working together on a single task – building the great wall of China or fighting World War 2 or flying to the moon. † (M. Cartmill, 1998, Gift of Gab p. 56) Putting this in the context of a Raleigh programme the objective remains the same for all, this is to complete a 3 month programme volunteering in remote communities whilst contributing to sustainable development. Although the end goal may be the same, the driving force or the motivation for each individual will be wildly different. For example one individual entered the Expedition to personally develop his social skills by living with a group of people in close proximity and to be taken out of his comfort zone; another individual wanted to be taken seriously and no longer seen as the group clown. For a Team Leader to be successful it is important that they understand the overall group objectives and individuals motivations, that the team leader has open communication channels with all individuals within the team, and that the individuals have the opportunity to share and express their own culture and identity. The Cambridge Encyclopaedia of Language states that: Cheering at a football game, reciting the Pledge of Allegiance, or shouting names or slogans at a public meeting can both re-enforce your group identification and reveal a great deal about you – in particular your culture, regional origins, social background, education level, occupation, age, gender and personality. (Crystal, the Cambridge Encyclopedia of Language, 1997. 13) A Team Leader can achieve this by using the structured personal development journals. The journal breaks down the expedition in to the 3 phases and askes appropriate questions to help the volunteer to think about and express their motivations and aspirations of the expedition. Once the volunteer fills the appropriate section the Team Leader has 1:1 sessions with all individuals in the team, this gives the individual time with the Team Leader specifically to discuss their development and any support they require from the Team Leader, this is also an opportunity for the Team Leader to provide feedback. By having this conversation and writing it down it provides a chronological account of the volunteer’s time on programme thus showing their journey through development and achievements. The Team Leaders and Day Leaders also run group sessions through facilitated reviews, to inform group bonding. E Griffin talks about this in A First look at Communication Theory (1994. p173) It is a very natural inclination when meeting someone to talk about a topic that both parties might enjoy; and should those talks prove interesting, it is equally natural for friendships to form and evolve. The more points of contact you can establish, the more comfortable you feel. Secondly facilitated sessions with the team over the first few weeks to unite them as one team, simple tasks such as a group contract and discussing â€Å"house rules† provides boundaries and a framework for individuals to work from, by doing this through facilitation the team are setting their own boundaries and gaining an understanding of each other, thus also providing a platform to challenge each other if the boundaries are breached. Techniques: Facilitation, Eric Burnes tools A useful tool or methodology I have found is Eric Burne’s Transactional Analysis (TA). In its most basic form the model teaches that there are 3 ego states, Parent (Taught), Adult (thought) and Child (felt), if you communicate with someone from the Child ego state the response you will receive is one from a Parent ego state and vice versa, and the most beneficial form of communication is Adult to Adult. In my opinion is that if this is taken in the context of communication (verbal or non) within multi-cultural teams, if a team leader can address all individuals as an Adult, an adult will respond, warranting a productive team or successful project. It is important to note that the different categories of communication are important at this point as only 7% of meaning is in the words spoken, 38% of meaning is paralinguistic (the way that the words are said) and the final 55% is in facial expression or body language. Adding to this the knowledge that cultural differences can be as simple as a smile, an adult response will encourage the individual to participate in the communication and explain rather than be mocked (child) or scolded (Parent). An example of this would be: The day leader of the group (the day leader is an individual from the team who is chosen by the team to be the temporary leader, and usually is in this position for 3 days) had allocated tasks for the group, on day 3 of their day leader duties there was unrest within the group,(this unrest was fueled by the day leader) a team of 4 had been working on one particular part of the project which was digging cess pits for sanitation units, the day leader had allocated herself to this task for the 3 days and was unhappy at the amount of time standing in a muddy hole. Due to her frustration and the teams bickering, she approached the Team Leader and started shouting about the situation (raised voice, arms crossed in front of body, emotive language = Child ego), how it was extremely unfair that they had this task and how disgusting standing in a puddle was. The Team Leader responded in a (calm voice of normal range, arms to the sides creating neutral body language = Adult ego state) and asked questions such as: Is there anything you could do differently to resolve the situation? How can we all ensure this does not happen again? The response from the day leader was instantaneous, the shouting stopped and the day leader re allocated the team to different roles, set up a rotation system with a suitable handover discussion and communicated the change to the entire team. This is an ideal scenario, the change in response was very fast. Sometimes it may take a few interactions from the Adult ego to bring the other individual to reciprocate appropriately. Conclusion This example demonstrates that the reaction of the Team Leader ensured that the â€Å"issue† was resolved. By doing this through questioning and facilitating a conversation, the day leader felt that they were in control of the group, and were empowered to make decisions, then communicate those decisions, better enabling the day leader to perform their role whilst being supported by the team leader. As it can be the first time they have lead a team, add to this cultural differences and language barriers and It can be a very confusing and intimidating time for a day leader, and the Team Leader should expect confrontations like this, When we talk about culture it is useful to understanding it can be broken down in to basic topics, such as why and when someone smiles, and accepting that it may differ from what we already know. This helps the individual to have an open mind and appreciate that everything they know about human behavior in their own environment, can, and should, be challenged, and the results are likely to appear different from what they currently know.

Thursday, January 9, 2020

Essay about Health and social care diploma unit 305

Unit 4222-305 1. Explain how and why person-centred values must influence all aspects of health and social work Person centred values must influence all aspects of work as it provides a more holistic and individual support service for the individual. Person centred values also support the individual with making their own choices and helps empower the person. Person centred values include; Treating people as individuals Supporting people to access their rights Supporting people to exercise choice Supporting people to be as independent as possible Treating people with dignity and respect Recognising that working with people is a partnership rather than a relationship controlled by professionals 2. Analyse factors that†¦show more content†¦All organisations have a complaints procedure and you could find out the relevant information about how to make a complaint and support the person with making a complaint or complain on their behalf if they wanted too. You could attend meetings with them and provide support with challenging decisions made or questioning these decisions. You should also make sure that the individual is always aware of all choices and options that are open to them. 6. Explain the links between identity, self image and self esteem Self-image is the person we think we are and self-esteem is the worth we attach to our self-image. Identity is all the factors that the individual feels are important to defining who they are for example gender, age, race, religious background, family, home environment, and financial status. 7. Analyse factors that contribute to the well-being of individuals Factors that can contribute to an individual’s wellbeing include physical and mental health, emotional and intellectual fulfilment and overall contentment. Contentment is often achieved by someone’s’ needs being met for example a person with housing issues may feel content once supported to get a property. 8. 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Wednesday, January 1, 2020

Roosevelt, Taft, and Wilson Progressive Presidents

Progress is not something that comes very quickly. It is a gradual process that takes time, in the interest of our country and the Progressive Era, more than a decade. The presidents of this time, Roosevelt, Taft, and Wilson, were like chefs developing a recipe for the betterment of the United States. Every act that was passed, each decision that was made, was a trial or taste-test of the constantly changing recipe for the country. If something angered citizens or drew criticism, the president went back to his office, his kitchen, and was ready to make more changes. Where he left off in the progressive recipe, the next chef took over. He would analyze what had been done, identified his plan of action, and then set to work by either making†¦show more content†¦William Howard Taft spent the majority of his presidency concerning himself with foreign policy and proving to be even more progressive than Roosevelt in terms of busting trusts. Taft was very interested in involving Am erican politics to areas abroad, a foreign policy critics dubbed dollar diplomacy. Along with the help of Washington, Taft encouraged Wall Street bankers to invest their superfluous money into foreign areas of strategic concern to the United States, such as the Far East and regions critical to the Panama Canal. Their investments would supposedly strengthen American defenses and foreign policies, while bringing further prosperity to their homeland- and to themselves (683). Tafts dollar diplomacy, although not coinciding with the domestic progressivism norm exemplified by Roosevelt, was progressive nonetheless as it replaced the necessity of the big stick. Not only interested with matters abroad, Taft focused his eyes on the issue that made his predecessor famous, busting the trusts. In all, Taft brought 90 suits against the trusts during his four year term, largely outnumbering Roosevelts 44 suit total in seven and half years. Tafts most famous and publicized antitrust suit was again st the U.S. Steel Corporation. This suit also brought the most criticism, surprisingly by Tafts creator, Theodore Roosevelt. Under Tafts control, trusts wereShow MoreRelatedThose That Founded The Constitution Intended For A President1403 Words   |  6 Pagesintended for a president to be a man of impeccable prestige but not a man with and excessive amount of power. A great amount of people harbored a considerable amount of rear about if their chief executive became too powerful. Over the time of the Progressive Era, US citizens did not only shift their mindset and notion concerning what the national government should do, but also their views about how strong the president should be. 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