Tuesday, February 25, 2020

Annie John by Jamaica Kincaid Position Paper Essay

Annie John by Jamaica Kincaid Position Paper - Essay Example Mrs. John distanced herself from Annie and Annie also became rebellious. The book ends when Annie leaves for England. She also leaves behind her strained relationship with her mother. This essay traces the gradual degradation of their relationship. The incidents chosen for discussion are on Annie's desire to play with the trunk, her carelessness in laying the bedspread, her doing things differently from her mother, her dream, the name-calling, the physical maturity that alienates Annie from her parents and her final parting from her family. Annie started experiencing the rift in her relationship when her mother distanced herself from Annie. During her early years, Annie had a dependent relationship with her mother. They did many things together and enjoyed spending time together. For example, they used to enjoy looking at the mementos in their trunk which included clothes that Annie wore from her infanthood. When Annie turned twelve years old, her maturity made her mother cease doing this. When she suggested to her mother to look through the trunk, Mrs. John replied in the negative. Annie wrote that; 'A person I did not recognize answered in a voice I did not recognize, "Absolutely not! You and I don't have time for that anymore."' (Kincaid 27). Mrs. John's refusal changed Annie's close relationship with her mother ceased because she felt shocked, disappointed and hurt when she said that 'the ground wash out from under me.......' (Kincaid 27). Mrs. John decided to wean Annie off from her so she enrolled Annie to learn new things like manners and piano lessons. The narration hinted that Mrs. John was very angry, ashamed and disgusted when Annie was disobedient to her teachers' instructions. Mrs. John often expressed her disapproval of Annie by turning down her mouth. She also said that Annie would have to live in her own house and choose her own ways. She wanted Annie to be prepared for this to happen in the future. The mother and daughter relationship had shifted from its old comfortable ways. Annie did not have the security of living with her mother forever since Mrs. John told her that she expected Annie to grow up and move away. Annie realized this too and this strained her close relationship with mother. Annie's close relationship with her mother was constrained because she reached maturity. She could fathom her mother's disapproval or resentment and thus deliberately avoided her. For example, when Annie had laid her bedspread in a lopsided way that did not place the embroidery in the centre of her bed. The flower had an intricate design that had to occupy a central position when laid flat out on the bed. Mrs. John made a fuss about this and reprimanded Annie for being careless. Annie agreed with her and was silent because she could have felt alienated and isolated from her mother for displeasing her. She kept out of her mother's way to avoid further confrontation. (Kincaid 30). Annie's growing maturity made her aim for independence in her relationship with her mother. She thought she could achieve that by being different from her mother or rebellious with her mother. Annie strived to antagonize her by doing things that she could not tolerate. (Kincaid 87). Annie and her mother had become hypocrites and had

Saturday, February 8, 2020

Cardiopulmonary Resuscitation Essay Example | Topics and Well Written Essays - 1750 words

Cardiopulmonary Resuscitation - Essay Example The decision of â€Å"do not resuscitate† is made by the patient if he is functionally able to convey it. If otherwise, the family members may have to make the decision when it is called surrogate decision (Torke, 2011). The subject has been the topic of discussion along with other end-of-life decisions due to the ethical and legal bearings (Sham et al, 2007). The decisions on the withholding of the treatment for the sustenance of life would be relaying the message that the patient accepts the progression of the disease and that he trusts the healing physician. There will be an underlying desire to reduce the burden on others. The wish to live and die naturally could also be influencing his decision (Sham et al, 2007). Research has elicited various factors influencing the doctors when the DNR (do not resuscitate) orders are made. These are based on the themes of a probability of survival, the desire of the patient, the quality of life prior to present illness and the quality e xpected after it (Sham et al, 2007). Federal and State policies in the US advice advance care planning where the patient may be encouraged to make his decision for other end-of-life decisions but DNR has been excluded (Sham et al, 2007). The BBC News has reported that the British Medical Association and the Royal College of Nursing in the UK have issued guidelines which indicated that the DNR orders could be issued only in consultation with the patients and families (BBC Ethics Guide, 2011). In Australia, the not-for-resuscitation (NFR) orders formed part of the medical practice but policies have still not yet provided a fool-proof method of implementation (Sidhu et al, 2007). Researchers indicate that current policies showroom for improvement: there are no standardised forms or patient information leaflets (Sidhu et al, 2007). A clinical audit had been conducted by Salins and Jansen as a retrospective study to determine the accuracy of documentation of NFR orders in patients who had died at the Lyell McEwin Hospital (2011).   This hospital was part of a teaching hospital in South Australia in 2007.   Eighty-eight files could be accessed for information.Â