Battle of San Juan Hill in the Spanish-American War

The Battle of San Juan Hill was fought on July 1, 1898, during the Spanish-American War (1898). With the beginning of the conflict in April 1898, leaders in Washington, DC began planning for the invasion of Cuba. Moving forward later that spring, American forces landed in the southern part of the island near the city of Santiago de Cuba. Advancing west, plans were made for capturing the San Juan Heights which overlooked the city and harbor. Moving forward on July 1, Major General William R. Shafters men launched an assault on the heights. In heavy fighting, which included a charge by the famed 1st US Volunteer Cavalry (The Rough Riders), the position was taken. Consolidating around Santiago, Shafter and his Cuban allies commenced a siege of the city which ultimately fell on July 17. Background After landing in late June at Daiquirà ­ and Siboney, Shafters US V Corps pushed west towards the port of Santiago de Cuba. After fighting an indecisive clash at Las Guasimas on June 24, Shafter prepared to assault the heights around the city. While 3,000-4,000 Cuban insurgents, under General Calixto Garcà ­a Ià ±iguez blocked the roads to the north and prevented the city from being reinforced, the Spanish commander, General Arsenio Linares, elected to spread his 10,429 men across Santiagos defenses rather than focus against the American threat (Map). The American Plan Meeting with his division commanders, Shafter instructed Brigadier General Henry W. Lawton to take his 2nd Division north to capture the Spanish strong point at El Caney. Claiming that he could take the town in two hours, Shafter told him to do so then return south to join in the attack on the San Juan Heights. While Lawton was assaulting El Caney, Brigadier General Jacob Kent would advance towards the heights with the 1st Division, while Major General Joseph Wheelers Cavalry Division would deploy to the right. Upon returning from El Caney, Lawton was to form on Wheelers right and the entire line would attack. As the operation moved forward, both Shafter and Wheeler fell ill. Unable to lead from the front, Shafter directed operation from his headquarters via his aides and telegraph. Moving forward early on July 1, 1898, Lawton commenced his attack on El Caney around 7:00 AM. To the south, Shafters aides established a command post atop El Pozo Hill and American artillery rolled into place. Below, the Cavalry Division, fighting dismounted due to a lack of horses, moved forward across the Aguadores River towards their jumping off point. With Wheeler disabled, it was led by Brigadier General Samuel Sumner (Map). Armies Commanders Americans Major General William R. ShafterMajor General Joseph Wheeler15,000 men, 4,000 guerillas, 12 guns, 4 Gatling guns Spanish General Arsenio Linares800 men, 5 guns Casualties American - 1,240 (144 killed, 1,024 wounded, 72 missing)Spanish - 482 (114 killed, 366 wounded, 2 captured) Fighting Begins Pushing forward, American troops experienced harassing fire from Spanish snipers and skirmishers. Around 10:00 AM, the guns on El Pozo opened fire on the San Juan Heights. Reaching the San Juan River, the cavalry waded across, turned right, and began forming their lines. Behind the cavalry, the Signal Corps launched a balloon which spotted another trail that could be used by Kents infantry. While the bulk of Brigadier General Hamilton Hawkins 1st Brigade had passed the new trail, Colonel Charles A. Wikoffs brigade was diverted to it. Encountering Spanish snipers, Wikoff was mortally wounded. In short order, the next two officers in line to lead the brigade were lost and command devolved to Lieutenant Colonel Ezra P. Ewers. Arriving to support Kent, Ewers men fell into line, followed by Colonel E.P. Pearsons 2nd Brigade which took a position on the extreme left and also provided the reserve. For Hawkins, the objective of the assault was a blockhouse atop the heights, while the cavalry was to capture a lower rise, Kettle Hill, before attacking San Juan. Delays Though American forces were in a position to attack, the did not advance as Shafter was awaiting Lawtons return from El Caney. Suffering through intense tropical heat, the Americans were taking casualties from Spanish fire. As men were hit, parts of the San Juan River valley were dubbed Hells Pocket and Bloody Ford. Among those irritated by the inaction was Lieutenant Colonel Theodore Roosevelt, commanding the 1st US Volunteer Cavalry (The Rough Riders). After absorbing enemy fire for some time, Lieutenant Jules G. Ord of Hawkins staff asked his commander for permission to lead the men forward. The Americans Strike After some discussion, a cautious Hawkins relented and Ord led the brigade into the attack supported by a battery of Gatling guns. Having been rallied to the field by the sound of the guns, Wheeler officially gave Kent the order to attack before returning to the cavalry and telling Sumner and his other brigade commander, Brigadier General Leonard Wood, to advance. Moving forward, Sumners men formed the first line, while Woods (including Roosevelt) comprised the second. Pushing forward, the lead cavalry units reached a road halfway up Kettle Hill and paused. Pushing on, several officers, including Roosevelt called for a charge, surged forward, and overran the positions on Kettle Hill. Consolidating their position, the cavalry provided supporting fire to the infantry which was moving up the heights towards the blockhouse. Reaching the foot of the heights, Hawkins and Ewers men discovered that the Spanish had erred and placed their trenches on the topographical rather than the military crest of the hill. As a result, they were unable to see or shoot at the attackers. Taking San Juan Hill Scrambling up the steep terrain, the infantry paused near the crest, before pouring over and driving out the Spanish. Leading the attack, Ord was killed as entered the trenches. Swarming around the blockhouse, American troops finally captured it after entering through the roof. Falling back the Spanish occupied a secondary line of trenches to the rear. Arriving on the field, Pearsons men moved forward and secured a small hill on the American left flank. Atop Kettle Hill, Roosevelt attempted to lead an attack forward against San Juan but was followed by only five men. Returning to his lines, he met with Sumner and was given permission to take the men forward. Storming forward, the cavalrymen, including the African-American Buffalo Soldiers of the 9th and 10th Cavalry, broke through lines of barbed wire and cleared the heights to their front. Many sought to pursue the enemy to Santiago and had to be recalled. Commanding the extreme right of the American line, Roosevelt was soon reinforced by infantry and repulsed a half-hearted Spanish counterattack. Aftermath The storming of the San Juan Heights cost the Americans 144 killed and 1,024 wounded, while the Spanish, fighting on the defensive, lost only 114 dead, 366 wounded, and 2 captured. Concerned that the Spanish could shell the heights from the city, Shafter initially ordered Wheeler to fall back. Assessing the situation, Wheeler instead ordered the men to entrench and be prepared to hold the position against attack. The capture of the heights compelled the Spanish fleet in the harbor to attempt a breakout on July 3, which led to their defeat at the Battle of Santiago de Cuba. American and Cuban forces next began a siege of the city which finally fell on July 17 (Map).

The Yellow Wallpaper By Charlotte Perkins Gilman - 1423 Words

The terms â€Å"social status† and â€Å"influence† are two that go hand in hand. When one is given a high ranking on the social ladder, they are also given influence, a powerful tool that can be used for good, but also as a weapon if mishandled (which it often is). Many things in society make up social status and can also be found to have a direct relationship with influence, including wealth, sex, age, profession, education, and even race. In the short story â€Å"The Yellow Wallpaper† by Charlotte Perkins Gilman, this correlation and abuse of influence is portrayed through an inside look into the deteriorating mind of a woman whose life is being controlled by her influential, high in social status husband. Although he believes that he is doing the†¦show more content†¦Even most college professors hold a doctoral degree. Society regards anyone with the title of â€Å"doctor† to a much higher standard than anyone else. An excellent example of thi s is in Gilman’s story, in which a doctor (who is also her husband) diagnoses her with hysteria and prescribes her a treatment of solitude. Although she believes otherwise, she must listen to her husband for two reasons: he is male and he is a doctor, two titles that deem him to have more influence than she does. However, this â€Å"treatment† only makes matters worse and her condition proceeds to decline throughout the course of the text. The concept of solitude was at that time known as the â€Å"rest cure.† It was recommended that women diagnosed with the condition of hysteria be isolated from anything that may set them off. In the story, the main character was not allowed to leave the room much, if at all. However, instead of curing her, it drove her crazy. This deterioration of her health can easily be compared to Michael Foucauld’s idea of panopticism. Panopticism was based off a real structure known as the panopticon. In the eighteenth century, it was a prison laid out in such a way that the prisoners could be seen, yet could not see whom it was that was looking at them. Similar in concept to the two-way mirror used in police stations, the prisoners knew that they were being watched, but could not see it for themselves. The

Possible Community Health Hesi Topics Free Essays

Potential Community Health HESI Topic Areas These are some additional areas you may want to considering being familiar with: Ancathosis nigricans A skin condition characterized by dark, thick, velvety skin in body folds and creases. Most often, acanthosis nigricans affects your armpits, groin and neck. There’s no specific treatment for acanthosis nigricans † but treating any underlying conditions, such as diabetes and obesity, may cause the changes in your skin changes to fade Characteristics of acanthosis nigricans include: Skin changes. We will write a custom essay sample on Possible Community Health Hesi Topics or any similar topic only for you Order Now Skin changes are the only signs of acanthosis nigricans. You’ll notice dark, thick, velvety skin in body folds and creases † typically in your armpits, groin and neck. Sometimes the lips, palms or soles of the feet are affected as well. Slow progression. The skin changes appear slowly, sometimes over months or years. Possible itching. Rarely, the affected areas may itch. Acanthosis nigricans is often associated with conditions that increase your insulin level, such as type 2 diabetes or being overweight. If your insulin level is too high, the extra insulin may trigger activity in your skin cells. This may cause the characteristic kin changes. Question pertained to nurse checking for lice and noticing dark patch of skin on neck. Advisor role Antepartum – risk factors Anthrax incubation and exposure Assess trends and patterns Assessing income Assessment – validation Assignments – home care; Make sure students know how to prioritize home health clients (i. e. which ones to see/call back first. ) When given the choice between a patient with COPD who is short of breath, a terminally ill pt who refuses to eat or drink, or a pt with congestive heart failure who has gained 3 lbs, choose the last one. Asthma triage Battering-communication If the question pertains to a nurse suspecting a female patient has been abused and the woman has her child in the room with her, the nurse should ask the child to leave the room and question the woman about the abuse. The question does not pe rtain to the child being abused. Breast cancer-risk (who is at greatest risk) Calculate rate – population COBRA-cost (client still has to pay for expenses) When the question asks what would be a concern for a person who has lost their Job but has COBRA, the answer is paying for health care/expenses. Communicable disease (pertussis) Community – assessment Community Assessment – TB Community data source Community education – evaluate Community resource – elderly Community resources-population age Community resources – rural Community strategies – mental deficiencies Cultural competence Cultural -lactose intolerant Cultural – Native American (Native Americans are at high risk for diabetes – have the highest rates, so the nurse needs to screen for and educate about this). Culturally sensitive teaching CV disease – African American Diabetes AIC If a nurse is working in a community with high rates of diabetes and implements a rogram, at the end of 1 year (or whatever evaluation period is stated) the nurse will want to evaluate hemoglobin A1 C levels to determine effectiveness of program. Disaster – Cholera (Priority for treating those with cholera: fluid and electrolytes) Disaster- Professional Disaster – red tag triage Disaster planning Disaster Preparedness – START Disaster triage – color system Elder abuse-Home setting Elder health – assessment Employee health Epidemiological triad host Epidemiological triad agent Fall in home Family assistance – ophthalmic meds Family ecomap Flu vaccine-priority Gatekeeper Genetic risk – assessment Geriatrics – home nutrition Geriatric syndrome – home health GTD-hCG values Health Promotion Program – Planning Heart healthy diet – limit Heat stroke If an adolescent is playing sports at school and goes to the school nurse with red, dry skin and other symptoms of heat stroke, the first thing the nurse should do is call for emergency personnel (not assess). Hepatitis A – risk Hep B vaccine – pregnancy Hepatovax B allergy Home care referral Home Health – Management Home health – PT Home safety – post arthroplasty Hypertension-BP measure Immunize – 3rd world country Immunization rates Increase vaccination rates Infant mortality rate Influenza -prophylactic Relenza Lillian Wald – Henry Street (she established the Henry Street Settlement) Lipid screening Long-term care-infection Long-term car – fall prevention Meals-on-wheels Medicare Menomune vaccine Migrant worker risks Morbidity data – gather Morbidity data-glaucoma If a nurse is working with an elderly population and most of them are choosing to get a surgery that will CURE glaucoma, then the nurse will be concerned with assessing revalence of glaucoma (not morbidity). Needs assessment Neighborhood safe houses Neuman model – line of defense Obese children-parent involvement Occupational health – smoking Occupational nurse practitioner role Oral contraceptives – smokers Osteoporosis – prevention Outcome evaluation Polypharmacy – GERI Post vaccination teaching Primary prevention – adolescents Primary prevention – WIC Priority – HF lab results Program goal setting ty Care – nursing nome Quality Care – public clinic management Quality health – bicycle safety Rash with fever – PEDI (chicken pox) Ritalin evaluation – adolescent Assessing intervention with ADHD in an adolescent: get their feedback on improvement, as their self-esteem is priority School age screen (obesity) School nurse role If an adolescent comes to a school nurse and tells her she is pregnant, the nurse will want to implement measures to ensure the teen and her baby are healthy. These things include referral to prenatal care, encouraging prenatal vitamins, etc. The nurse will NOT tell the parents and things like arranging childcare or teaching breastfeeding are not something the school nurse will be involved in. creening – DM – PEDI Screening priority Question regarding hypothyroidism and the nurse recognizes that mental dysfunction is a long-term consequence. What is screening priority? Answers included screening for T3 in preschoolers or children (? ), iodine screening in people over 60, TSH in women over 45, and T4 in newborns. The answer is T4 in newborns. Seat belt safety-adolescents Secondary prevention – tobacco Secondary prevention – children Sensitivity of tests Social organization Stakeholder If a community health nurse is going into a community to try to develop or implement n intervention, remember one of the key things he/she must do is form a relationship with someone who would be identified as the stakeholder. Stakeholders will be someone who is invested in the health of the community and will be invested in the program to be implemented. They will be vital in the nurse gaining access into the community, the success of the program, and ensuring the sustainability of the program. STD-Reporting If an adolescent goes to the health dept and is diagnosed with chlamydia, the nurse must report this. It is a reportable disease that is monitored by the state and the CDC, and the disease intervention specialist must be informed to do contact tracing. How to cite Possible Community Health Hesi Topics, Papers