Thursday, October 31, 2019
Stewardship and Sustainability Assignment Example | Topics and Well Written Essays - 750 words
Stewardship and Sustainability - Assignment Example 2 Sustainability has its basis on a simple principle, which is all things that we require for our survival and well-being depend, either directly or indirectly, on our natural environment. Therefore, sustainability creates and maintains the terms under which humans and nature can live in productive harmony that allows for the fulfillment of the economic social and other requirements of present and future generations. Further, sustainability may also be defined as a set of values; stewardship, respect for limits, interdependence, economic restructuring, fair distribution (Chapin et al, 2010.). 3. In this study, the Amazon rainforest is a good case study. Amazon rainforest covers most of the Amazon Basin of South America and it is a moist broadleaf forest . This basin covers seven million square kilometers, whereby five and a half million square kilometers are covered by the rainforest. Moreover, the Amazon constitute over half of the planet's remaining rainforests, and it comprises th e largest and most species-rich extend area of land of tropical rainforest in the world. However, deforestation in the Amazon Rainforest threatens many species such as tree frogs, which are very sensitive to environmental changes. Moreover, this deforestation causes a lot of damage on the general ecosystem. 4 Stewardship and sustainability take different approaches when it comes to natural resource use. Stewardship concentrates on management and planning of natural resources. Furthermore, it incorporates personal responsibility and caring of natural resources. Moreover, commitment is expected in stewardship therefore, those using the natural resources have to be accountable for the resources. Sustainability puts weight on principles and set values on existing in a way that will not compromise the future generations. For instance; Edwards (2005) studied sustainability statements from almost forty different organizations concerned with sustainability issues and developed a list of sev en common themes ;stewardship, respect for limits, interdependence, economic restructuring ,fair distribution ,intergenerational perspective and nature as a model and teacher. Here, natural resources are used to a manner that will satisfy the present generation without compromising the satisfaction of the future generation. Stewardship is interlinked to sustainability; poor stewardship definitely leads to unsustainable use of resources. Generally, sustainability entails stewardships (Edwards, 2005). 5. As much as stewardship and sustainable resource use are interlinked and good for ensuring proper environmental management. Issues arise on whether the need to use resources sustainable so as not to jeopardize future generation really holds any weight. This is because, evolution continues and the satisfaction the present generation gets from resources presently may not be needed in future due to change of lifestyles and priorities. For instance; the reliance on agriculture may be reduc ed due to the day to day advancement of technology. Therefore, not much attention will be on the agriculture sector. Furthermore, stewardship and sustainability are complex terms which cannot be understood without the necessary education (Berkowitz et al, 2012). 6. In the recent years, deforestation in Amazon Rainforest has been on the increase
Tuesday, October 29, 2019
Relationship between Catholic Church and Nazi Regime Essay
Relationship between Catholic Church and Nazi Regime - Essay Example So, the idea of dechristianizing Germany was clearly evidenced when, in 1933, Hitler, through his Propaganda Minister Joseph Goebbels started exercising control over the Catholic Church by interfering with its youth groups, schools, cultural societies and even workers clubs. As the sole authority over the land, Nazi could not tolerate the existence of any other authority whose legitimacy had not been granted by the state. So, the church is one of such independent institutions, had to be fiercely fought. The dechristianization of Germany had to be done by openly subordinating the church and stripping it off the powers it earlier enjoyed. So, as this author recounts, Hitler had to seriously take the antichurch war without ever looking back. At one time, he decided to eliminate political Catholicism so as to make the church be under a full control of the state to the extent that it could no longer influence the political climate of Germany. This was effected by molesting, harassing and arresting a large number of church leaders and the clergy. This really created a lot of fear to the church and its followers. It was so sad that even the clergy on whom many people relied on for inspiration and guidance would now be indiscriminately arrested without any proper justification. As events unfolded, the Nazi regime later decided to take more stern action against the church. Kertzer says that the government dissolved the Catholic Churchââ¬â¢s youth leagues maybe because it was viewed as a radical group that would give rise to dissents. Nonetheless, the state continued targeting the nuns, clergy and lay leaders who were arrested and charged with serious criminal offenses such as the smuggling of currency that came with harsh sentences.Ã
Sunday, October 27, 2019
Electoral Processes And Governance In The Philippines Politics Essay
Electoral Processes And Governance In The Philippines Politics Essay The first election in the Philippines was held in May 1898 under American rule. 112 years later, there are many parts of the country where elections are characterized with private armies, violence and massive cheating. The failure of the electoral system to conduct fair and clean elections and the massive electoral fraud hinder the purpose of elections to recruit honest and accountable politicians and to integrate society. Also, the legitimacy of the elected government is weak. Ã Ã Politicians therefore need to garner support from patrons and oligarchs to finance electoral campaigns and to organize voter support. Once elected, they return by giving access to government resources and appointing key allies in the bureaucracy. Among citizens, a widespread view that elected governments coming to power from corrupt electoral procedures does not truly represent their interests. As a result, it is difficult to push for reforms because of weaker government and institutions and stronger v ested interests. History The Philippines was under Spanish rule for more than 300 years. Under this era, the country was ruled by friars and appointed Spanish officials. In 1898, the Philippines declared independence and established the first republic in Asia. In the same year, the Treaty of Paris was signed where control of the Philippines was transferred from Spain to the United States. The Americans introduced democracy, elections and democratic institutions. As a result, the features of the Philippine constitution, legislation, political parties and elections are modeled after the US. Under the US colonial period, Philippine politics was characterized between the interaction of US colonial officers and Filipino politicians. The Americans indirectly control the country by manipulating Filipino politicians to enact American policies. As a result, electoral campaigns did not provide an avenue for public participation. Rather, it was reflective of negotiations between national politicians and provincial elites (Teehankee, 2002). The Philippine commonwealth was established in the 1935 constitution. The constitution provided a presidential form of government with a unicameral National assembly. An amendment in 1940 changed it to a bicameral legislative assembly made of the House of Representatives (lower house) and Senate (upper house). When US colonial rule ended, they left a weak central government and power was fragmented among the provinces with varying degrees. Wealth and power through political connections had overshadowed productivity and programs for national development. Electoral results were not competitive because of the ability of landed elites to control electoral outcomes. Elections for local positions like the lower house allowed landed elites to merge and strengthen their power as showed by their ability to prevent the passage of land reforms (Teehankee, 2002). Elections during the Marcos regime Marcos declared Martial Law in 1972. Elections were suspended in the first 6 years and a new constitution was also established. Marcos changed the Philippine Congress with an Interim National Assembly. An Interim National Legislature (Interim Batasang Pambasa or IBP) was enacted instead because of amendments to the 1971 constitution. An election was held in 1978 to fill positions for the IBP. Marcos dominated the elections with his New Society Movement party (KBL) because opposing groups created parties that focused on regions rather than the national legislature. The Marcos regime managed to give legitimacy to its regime through the conduct of elections. However, there was massive electoral fraud and manipulation of institutions. For example, Marcos allowed block voting system wherein a vote for the party translates to vote for the whole electoral slate. This was a tremendous advantage for the KBL because they had the resources to finance a nationwide electoral campaign. Also, it was easier to tamper ballots and commit fraud. During Marcos term, he tried to centralize power on himself and break the patronage system. He appointed officials not based on merit or patronage but on loyalty to him. He also siphoned the states resources and distributed it to himself and to his cronies. For his critics, he used violence and force. Media companies were closed or under heavy government control. One of his major critics, Benigno Aquino Jr., was assassinated in August 1983. In May 1985, Marcos announced Snap elections to prove or gain political legitimacy. The former elites managed to organize the opposition under Aquinos widow, Corazon Aquino who came from a landed family. The Commission on Elections announced Marcos as the winner in spite of massive cheating. On the other hand, the National Citizens Movement for Free Elections (NAMFREL) an election watchdog announced Corazon Aquino as the president based on their quick count. Marcos dictatorship ended in 1986 through the People Power Revolution. In addition to the military and political figures, the Church was involved in calling and mobilizing people to participate. Marcos and his family eventually fled to Hawaii and Corazon Aquino was sworn as the 11th President of the Philippines. Elections Post-Marcos During Aquinos term, a new constitution was enacted to return to a bicameral legislature and to limit the power of the presidency. For example, a president cannot run for presidency again. Media and press were free and democratic institutions were restored [Bello, 1988]. However, landed elites returned to power after the fall of Marcos and dominated the lower house. The pre-Marcos patronage system was back again. As a result, the Aquino administration failed to effectively conduct Agrarian reform. Aquino was succeeded by Fidel Ramos, a military general in 1992. Ramos attempted to push for political reforms. After all, he had the strong support of the military. However, it was hard to push for reforms because of a weak party system and stronger congress (Hutchcroft and Rocamora, 2003). The Congress was filled with representatives from the same political families. Only 54 representatives had no close relative in politics compared to 145 belonging to political families. At least 64 were children of political figures, 23 had spouses and 46 had siblings active in politics. At the end of Ramos term, a plan to shift to parliamentary system was exposed by the media. These changes would have allowed Ramos to extend his term after 1998. It was heavily opposed by the Catholic Church and former President Aquino for fear that the term extension would be used to serve political agendas (Rocamora, 1988). Estradas Rise and Fall Estrada was sworn into office in 1998 amidst the Asian Financial Crisis. Unlike previous presidents, Estrada was a movie actor so he was popular among the masses who were tired of traditional politicians. His electoral campaign focused on the poor and the aversion of the masses against typical politicians provided victory to Estrada rather than depending on local elites for voter support. However, Estradas promised populist policies and anti-poverty programs never took place (Fabella, 2007). Instead, the benefits were given to Estradas families and cronies. The fall of Estrada started with his involvement in Jueteng, an illegal gambling game popular among the poor. To sustain operation, protection money is paid among protectors who are usually in the local government or in the police. Estrada tried to legalize Jueteng through the Philippine Amusement and Gaming Corporation, a government agency that oversees legal gambling activities. If legalized, the protection money will be central ized to the government and franchise holders. Local operators and receivers of Jueteng money will be out of the picture. Luis Chavit Singson, a governor and rumored Jueteng operator could not accept such outcome because the franchise for his area was not given to him. Chavit exposed Estradas involvement to Jueteng which led to an impeachment case. Public uproar started when the senate which was dominated by Estradas allies refused to open the second envelope which was thought to contain strong evidence against Estrada. People went to the streets again and People Power II occurred which led to the downfall of Estrada. Ã Arroyo Administration Gloria Macapagal-Arroyo (GMA) took over the presidency after Estradas downfall. While finishing Estradas term, she experienced the Oakwood Mutiny and Jose Pidal scandal where a bank account containing US$8 million was allegedly owned by her husband. The money was supposedly a payment to then senator Arroyo to prevent her from running for presidency in the 1998 elections. Ignacio Iggy Arroyo, the brother of Arroyos husband announced his ownership of the controversial bank account. He faced tax evasion charges which were eventually ruled out due to legal technicalities. The scandal died and was later elected as congressman. After finishing Estradas term, Arroyo ran for presidency in spite of her prior announcement that she would not. She won by a slow margin of 1 million votes against Fernando Poe Jr., a movie actor and presidential candidate of the opposition. Arroyo was accused of electoral fraud and Poe filed an electoral protest. The congress mooted the electoral protest because of Poes death. However, it heavily weakened Arroyos legitimacy because she used state resources to fund her electoral campaign. Another strong attack against Arroyos presidency came from leaked tapes of her talking to Comelec Commissioner Virgilio Garcilliano which the media named as Hello Garciscandal. The leaked tape featured a womans voice similar to Arroyo asking for one million votes and an assurance of victory. In the beginning, the Malacanang palace denied the issue but was later retracted. Arroyo admitted and apologized in front of national television. She insisted that there was no cheating and she just wanted to protect her votes. Arroyo successfully finished her term in 2010 but not without challenges and controversies. She ran for lower congress in 2010 and won. Discussion The weakness of the electoral process could bring problems of legitimacy and weak position of the central government to push for reforms. The fragility of the electoral process could be traced from the failure of state agencies to be independent and enforce the rule of law. The Commission on Elections (Comelec) is an independent constitutional body that manages the elections and is mandated to give life and meaning to the basic principle that sovereignty resides in the people and all government authority emanates from them. Through the years, the commission has been involved in electoral scandals, has failed to strictly enforce electoral laws and has been accused of siding with the administration. In 1986 SNAP Elections, the Comelec announced former President Ferdinand Marcos as president in spite of massive electoral fraud. Another incident was the 2004 Hello Garci controversy under Arroyos term.Ã In 2006, the Supreme Court nullified the contract for the automation of the canvassing and counting of ballots between the COMELEC and Mega Pacific eSolutions Inc because the law and bidding rules were not followed. In 2007, the then Chairman Benjamin Abalos was involved in the ZTE-National Broadband Network deal where he was said to pocket in millions (US D) if the project was pushed through. The controversy eventually led to his resignation. The Comelec also fall shorts to provide fast and reliable solutions for electoral process because of huge costs and bribery in the courts. The poor track record and lack of credibility of the Comelec prove its inability to enforce the rules which influences the conduct of Philippine politics. The Comelec also failed to ensure a level playing field in the electoral process because of weak law enforcement. Winning became dependent on money, force and violence and not on programs and platforms. The growing costs of campaign expenses deter effective participation. Those who run are rich or have wealthy financiers. This provides an incentive for corruption to recoup the costs of electoral campaign and return favors from supporters. Also, it can result to political dynasties. The current president, Benigno Aquino III and his defeated running mate Sen. Manuel Roxas II both came from influential political families namely the Cojuangco-Aquino and Araneta-Roxas-Fores clans. Their reported campaigns for the 2010 elections cost P440 million and P280 million respectively. Antonio Cojuangco, Aquinos second cousin and a rich businessman, reportedly donated P100 million in his campaign. However, their election finances estimate were very much in doubt and were said to be much higher beca use they used television and radio in their electoral campaign which were very expensive. Former President Gloria Arroyo also came from a political clan and was a daughter of a former president. Her sons were congressmen during her term. In addition to financial support, politicians also seek the endorsement of organizations such as the Makati Business Club, Catholic Bishops Conference of the Philippines (CBCP) and the Iglesia ni Cristo (INC). The first is sought for their campaign contributions. The CBCP and INC are religious organizations and are believed to command influence on voters. For example, INC is believed to vote as a block and is estimated to deliver 5-8 million votes. In addition to money and endorsements, Philippine elections are filled with election related violence. The latest of which that brought the Philippines to the international arena was the Maguindanao Massacre which killed 57 people. Once elected, the core strength of the president is from his appointing power and control over government funds. The benefits received from supporters during the campaign are paid in return through endowment of huge government contracts and positions in key government agencies. Appointed officials could also appoint their staff. This kind of system results to a far reaching and deep source of patronage. As a result, the government has a weaker capacity to push for reforms because it has to satisfy vested interests. An example would be Estrada. The legalization of Jueteng will bring huge sums of money to the government or to his allies. However, because Chavit was left out of the picture triggered his downfall. Corazon Aquino could have successfully pushed for agrarian reform because of the momentum during her presidency. The law for agrarian reform was passed but has failed to translate into results because it was against the interest of the landed elites in congress. Conclusion The Philippines has a lot to improve in its conduct of elections. Because the electoral process is easily manipulated through money and violence, the politicians elected have most of time always been the same from political clans or landed elites. It also deters participation from new leaders and it does not become representative of the people. The presidents that have passed post-Marcos have cronies, friends or allies to satisfy. As a result, the Philippines have been left behind by her neighbors in the road to Economic growth. A step to improve the electoral process, the Philippines had its first electronic voting system in 2010. Although electoral fraud still exist which critics argue are harder to trace and easier to do, it is still a step forward compared to manual canvassing from the local precinct station to the Congress. There is also a pressing need to improve civil service. This includes putting deserving people in the job because of merit and competency and not connections. This implies that the central government must reduce its appointment of officials and start paying government employees well. It is also important to strengthen the independence of the Judiciary system and the Ombudsman. In the Philippines, the chief magistrates of the Supreme Court are appointed by the president so there is a conflict of interest in times when the president who appointed them is accused. Resolution on electoral disputes should be fast and credible. Lastly, the public should demand more accountability from the Comelec and politicians themselves. In spite of the shortcomings of the electoral process, it is still better to exercise their right to vote.
Friday, October 25, 2019
Religious Hypocrisy in Mark Twains The Adventures of Huckleberry Finn :: Adventures Huckleberry Huck Finn Essays
à Huckleberry Finn ââ¬â Religious Hypocrisy à à Every so often a piece of literature is written that can question the beliefs of millions of people with what they hold to be true. Nothing is held to be truer than the feeling of righteousness, being faithful, morally pure, and the idea of an exalted higher purpose- religion. The Adventures of Huckleberry Finn questions this truth. Indirectly, Mark Twain argues and criticizes the great deal of religious hypocrisy the American culture faces. Through the masterful use of satire and anecdote, the author conveys his repulsion to the dishonest church goers and religious practices, often cloaked behind a veil of humor. Mark Twain uses mountains of satirical imagery to help carry his theme. I took up, and held it in my hand. I was trembling, because I'd got to decide, forever, betwixt two things, and I knowed it. As a runaway boy, Huck Finn has the painstaking choice of doing the right thing to write a letter to the owner of a runaway slave and tell where the slave was, or go to hell if he helps the slave Jim, his friend. Morally, Huck is taught to give Jim in, but he sacrifices himself to take up wickedness again and steal Jim out of slavery. Defying his religious teachings, ironically, Huck does the most Christ like thing. à Mark Twain creatively puts in incidents that the reader can infer to represent religion and the church followers who refuse to learn the teachings. Another time, when Huck talks to a skiff with two men in it with guns looking for runaway slaves, he lies to stop them from searching his raft and finding Jim. He tells them that his pap got smallpox, and he needed their help to move the raft. The guys who were so concerned to rave through the raft are making excuses not to. Now we're trying to do you a kindness; so you just put twenty miles between us. The men don't want the smallpox so they feel sorry for Huck and they give him a twenty-dollar gold piece each. The men symbolize the church followers who solve any problem they have by giving money to the church and believing that they solved the problem but in reality only ran away from it. Religious Hypocrisy in Mark Twain's The Adventures of Huckleberry Finn :: Adventures Huckleberry Huck Finn Essays à Huckleberry Finn ââ¬â Religious Hypocrisy à à Every so often a piece of literature is written that can question the beliefs of millions of people with what they hold to be true. Nothing is held to be truer than the feeling of righteousness, being faithful, morally pure, and the idea of an exalted higher purpose- religion. The Adventures of Huckleberry Finn questions this truth. Indirectly, Mark Twain argues and criticizes the great deal of religious hypocrisy the American culture faces. Through the masterful use of satire and anecdote, the author conveys his repulsion to the dishonest church goers and religious practices, often cloaked behind a veil of humor. Mark Twain uses mountains of satirical imagery to help carry his theme. I took up, and held it in my hand. I was trembling, because I'd got to decide, forever, betwixt two things, and I knowed it. As a runaway boy, Huck Finn has the painstaking choice of doing the right thing to write a letter to the owner of a runaway slave and tell where the slave was, or go to hell if he helps the slave Jim, his friend. Morally, Huck is taught to give Jim in, but he sacrifices himself to take up wickedness again and steal Jim out of slavery. Defying his religious teachings, ironically, Huck does the most Christ like thing. à Mark Twain creatively puts in incidents that the reader can infer to represent religion and the church followers who refuse to learn the teachings. Another time, when Huck talks to a skiff with two men in it with guns looking for runaway slaves, he lies to stop them from searching his raft and finding Jim. He tells them that his pap got smallpox, and he needed their help to move the raft. The guys who were so concerned to rave through the raft are making excuses not to. Now we're trying to do you a kindness; so you just put twenty miles between us. The men don't want the smallpox so they feel sorry for Huck and they give him a twenty-dollar gold piece each. The men symbolize the church followers who solve any problem they have by giving money to the church and believing that they solved the problem but in reality only ran away from it.
Thursday, October 24, 2019
Nursing Article Research Abstract
The nursing journal which I have selected is by Showalter Et al (2000), titled ââ¬Å"Patients' and their spouses' needs after total joint arthroplasty: a pilot studyâ⬠, from the journal Orthopedic Nursing.à The aim of the paper was to determine the experiences and the requirements of the patients and their spouses following hospitalization for two specific forms of orthopedic surgeries namely total hip and total knee arthroplasty. The study was performed on a small-scale basis and only 5 subjects (patients) and their spouses were included.à The study was performed by a personal interview that was videotaped for future research.à The design included in the study was descriptive. The study was conducted in one health center In Richmond USA. The findings revealed that the patients and their spouses required greatest help in making transitions. The patients felt the greatest distress when they were unable to get back to their activities within the stipulated period of time.à The spouses of the patient felt insecure when the patient was unable to perform the daily activities within the stipulated period of time. The transition period was marked by disturbances felt when the patient was unable to recover within the stipulated period of time as planned before the surgery.à Some of the issues that were a concern included post-operative pain, problems with rehabilitation, and application of skills at home, which are learned in the hospital. During the transition period, the spouses and the patients have to change their roles, relationships, abilities and behaviors, so that a faster recover process is enabled.à The healthcare professionals have to also ensure that the patients are educated about the various problems that can be encountered and means of solving these problems.à The patients and the spouses have to also be taught that the entire recovery process should be given realistic considerations. Further, certain groups (known as ââ¬Ëfocus groupsââ¬â¢) have to be trained to ensure that the healthcare professionals are sufficiently educated about the transition changes that are needed.à However, the author has suggested for the need for further research studies when it comes to determining and fulfilling the needs of patients and their spouses following total joint replacement surgeries.à Focus groups seems to be one effective way of educating the healthcare processionals, who in turn that can meet the needs of the patients and their spouses. References: Showalter, A., Burger, S, & Salyer, J. (2000). ââ¬Å"Patients' and their spouses' needs after total joint arthroplasty: a pilot study.â⬠Orthop Nurs, 19(1), 62. http://www.ncbi.nlm.nih.gov/pubmed/11062624?ordinalpos=1&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVAbstractPlusDrugs1 http://www.orthopaedicnursing.com/pt/re/orthonurs/selectreference.htm;jsessionid=HYTTQ6SxLSksKl8cQjpvksfZ0g1SVBqTfJnZTwwKZXnmQB6QGlJX!1759956393!181195629!8091!-1!1205390899957?an=00006416-200311000-00012&id=P136&data=00006416_2000_19_49_showalter_arthroplasty_%7C00006416-200311000-00012%23xpointer(id(R15-12))%7C1160700%7C%7Covftdb%7C&lu=ovid:/bib/medline/11062624/ui Medline Link Record Unique Identifier 11062624. Authors Showalter A; Burger S; Salyer J. Authors Full Name Showalter, A; Burger, S; Salyer, J. Institution Total Joint Arthroplasty Program, Medical College of Virginia Hospitals at Virginia Commonwealth University, Richmond, USA. Title Patients' and their spouses' needs after total joint arthroplasty: a pilot study. Source Orthopaedic Nursing. 19(1):49-57, 62, 2000 Jan-Feb. Abbreviated Source Orthop Nurs. 19(1):49-57, 62, 2000 Jan-Feb. NLM Journal Name Orthopaedic nursing / National Association of Orthopaedic Nurses Publishing Model Journal available in: Print Citation processed from: Print Country of Publication UNITED STATES. MeSH Subject Headings Adaptation, Psychological Aged Aged, 80 and over *Arthroplasty, Replacement/ae [Adverse Effects] Arthroplasty, Replacement/nu [Nursing] *Arthroplasty, Replacement/px [Psychology] *Attitude to Health Focus Groups Humans Middle Aged *Needs Assessment/og [Organization & Administration] Nursing Methodology Researc h Orthopedic Nursing Patient Education as Topic Pilot Projects *Postoperative Care/mt [Methods] Postoperative Care/nu [Nursing] *Postoperative Care/px [Psychology] Social Support *Spouses/px [Psychology] Abstract PURPOSE: To describe the experiences and needs of patients and their spouses during hospitalization and recovery from either total hip or total knee arthroplasty. DESIGN: Descriptive. SAMPLE: A purposive sample of 5 patients and their spouses in one health sciences center. METHODS: Qualitative study using a videotaped focus group interview. FINDINGS: Content analysis revealed two perspectives of one theme: patients and their spouses need ââ¬Å"help making transitions.â⬠Situational and role transitions that were problematic for patients reflected distress over not being able to resume activities they enjoyed within an expected time frame. Incongruence between expectations and reality was the source of distress. As a consequence of role reversal, spouses experienced feelings of insecurity and being overwhelmed. Health and illness transitions that patients experienced were also related to incongruence between expectations of the recovery period and the reality that recovery is a slow process. Pain experienced during post discharge recovery and rehabilitation, and problems encountered when applying information and skills learned in the hospital to the home setting were sources of concern. CONCLUSION: The needs and experiences of patients and spouses after total joint arthroplasty reflect transitional changeââ¬âchanges in roles, relationships, abilities, and behaviors. Health care professionals can facilitate transitions by providing education that reflects ââ¬Å"best case-worst case scenariosâ⬠so that expectations of the recovery process are realistic. By being the link between hospital and home, health care professionals can lend support to patients as they continue the recovery process. As a program evaluation strategy, focus groups provide useful information to health care professionals who are interested in the needs and expectations of health care consumers. IMPLICATIONS FOR NURSING RESEARCH: Further exploration of the needs of patients and their spouses following joint replacement surgery is warranted. Use of focus group methodology might provide additional insight into the needs of this population and suggest ways in which health care professionals can modify existing programs to help these patients and their spouses make the transitions. ISSN Print 0744-6020. Publication Type Journal Article. Date of Publication 2000 Jan-Feb Year of Publication 2000 Entry Date 20001109 Revision Date 20071115 Update Date 20071203 Ã
Wednesday, October 23, 2019
Home Is Where by Ligaya Fruto
The girl sat tensely on the edge of the Consulate bench, her face carefully devoid of expression. The bird-of paradise pattern was gaudy on her aloha shirt, the thong sandals looked slovenly on her feet, and on her head, riding the loose curls, was perched a big hibiscus flower. Her hands were tightly fisted in the pockets of her old jeans as she listened to the older woman seated before the passport clerkââ¬â¢s desk. She looked at the woman, then at the clerk, with one eyebrow slightly raised. Too many movies, the clerk thought amusedly as he listened to the older woman talk. He smoothed the passport application that she handed him and read: Benita Medina Sales, born in Narvacan, Ilocos Sur, in 1908. On the back, in the space for names of persons to accompany the passport applicant, he read: Lucille Sales, born in Wailoku, Maui, Territory of Hawaii, on June 14, 1931. ââ¬ËYour daughter is going to the Philippines with you, Mrs. Sales? â⬠the clerk asked. ââ¬Å"Of course she is going with me. â⬠The woman said, turning to the girl on the bench. The girl looked back at her, and the two locked stares for a long moment while the clerked fidgeted with the papers. She gave these to the clerk and the latter leafed through them with some interest. He glanced quickly at the woman as a copy of divorce decree appeared in the batch. He checked the names on both documents, then studied the remaining papers. A frayed certificate showed the old Philippine Commonwealth seal, and next to this were two thick photo copies of the girlââ¬â¢s birth certificate. ââ¬Å"You can see I was born here,â⬠the girl spoke up. ââ¬Å"I am an American citizen. I cannot go to the Philippines. I will not go! â⬠ââ¬Å"Oh yes you are going,â⬠the motherââ¬â¢s voice shook a little. You are coming home with me. â⬠ââ¬Å"This is my home,â⬠the girl said. ââ¬Å"I am an American citizen. I will live here all my life. â⬠ââ¬Å"You are a Filipino,â⬠the motherââ¬â¢s face flushed, then paled. ââ¬Å"Your father and I are Filipinos. You and I are going back to our country. We are going home. â⬠Home, the girl thought, and her hand moist inside her pockets. Where was it? For her it was here, where the roads wound between the mountains and the sea, where the breeze was cool while the sun was hot, where flowers grew by the roadside and never seemed to die, such ws the continuity of the earthââ¬â¢s ichness. The sea was gentle, the lawns were smooth, and the people . . . At the thought of her friends, the girlââ¬â¢s young face worked a little. She did not know what the Philippines looked like. She had no idea of the people. Her mother said that they were her own people, but she felt no kinship. ââ¬Å"I will not go,â⬠she thought desperately. ââ¬Å"I will not go to the Philippines, I am an American citizen. The Philippines is so far away, and those who come from there have such terrible things to say about the war. I wonââ¬â¢t go. My mother canââ¬â¢t make me go. The woman looked at the girl, and a dull ache began to throb in her temples. What an unnatural child, she thought sadly. She seemed to feel no love of home at all. She herself never stopped thinking of it: fields of rice glistening to the sun: tobacco plants maturing in the heat: nipa houses hidden in bamboo groves. The people talked her language. They are the same fresh fish from the creeks and cooked carabao meat in the animalââ¬â¢s blood. They worked in the fields. At night they gathered about the looms, the women weaving and listening to the talk of the men. That was home, where one could belong and not feel like a stranger who, just passing through, must leave a fee of toil and heartbreak, then pass over still more foreign roads. The clerk looked first at the mother, then at the daughter wondering idly what thoughts kept them silent. ââ¬Å"How long have you been here? â⬠he asked the woman. ââ¬Å"Nineteen years,â⬠she replied. ââ¬Å"I came with my husband in 1928. He worked for an experimental station. â⬠ââ¬Å"Did you live in Maui just before Lucille was born, sixteen years ago? Why are you going back to the Philippines now? The clerk asked with some interest. The woman clasped her handbag. She glanced at her daughter, then turned to the clerk, her paler face flushing a little in embarrassment. ââ¬Å"I have always wanted to go back,â⬠she said softly. ââ¬Å"And now that my husband and I . . . Besides, I have the money . . . â⬠The clerk nodded understandingly. He took up the batch of papers before him and examined the divorce decree. Extreme mental cruelty, it said, and a smile almost escaped him. The phrase somehow seemed absurd. He looked at the woman with overt interest, wondering what type of a man she had married. Perhaps a man with some education, for it was plain that the woman had schooling. He noted the sureness of the handwriting on the application form. Her speech, too, was not the pidgin English that most plantation folk employed. ââ¬Å"The women here. â⬠The woman burst out, as though in spite of herself. ââ¬Å"Ah the women here . . . â⬠Her face showed her disdain. She remembered with acute suffering the young bride who had accompanied her husband to this land fo promise, and the almost unbearable homesickness which had made adjustment not only to a new husband but to new surroundings so pitifully difficult. She recalled to the loss of first one child and then another and at the coming of Lucille. Lucille was her last child, the only one who had lived. Staring at the divorce decree, she thought of her husbandââ¬â¢s infidelities. She thought of them not too much as separate experiences but as haziness piled upon haziness in protective merging. Through many years of such unhappiness, she had clung to one bright hope ââ¬âthe hope of going home some day. It might take five years, she told herself then, or ten ââ¬âeven twenty. But eventually she would go home. And now here was this child frustrating her. This was a strangeling she had nourished in her bosom. She spoke a jargon which she, her mother, barely understood. She dressed like a boy, behaved like a hoyden. She chewed gum all day long, sang and danced without restraint, went to endless movies. And now she flaunted her American citizenship as though that were important. Her nose was short, her hair was black, and her skin was the clear brown of her motherââ¬â¢s and her fatherââ¬â¢s skin. The mere fact of birth in a strange place did not make her a citizen of that place. Or did it? This is not your country, she had told her again and again. You were only born here. I shall take you at last to the place to which you and I belong. A country like this and yet not quite like this. You will see, she had said, you will notice the difference when we get there. Sometimes she thought the girl was interested, but then something would happen ââ¬âa glimpse of the sea beyond the park perhaps, or a plumeria tree in full bloom ââ¬âand the girlââ¬â¢s jaw would set in stubborn resistance and she would say that here, in Hawaii, she had been born and here she would remain. This is my home,â⬠she would repeat, ââ¬Å"I am not going away. â⬠The same resistance was in her daughterââ¬â¢s eyes now. The line of her jaw was hard, and her lips, carelessly rouged, were pressed together. ââ¬Å"How long will it take before I get my passport? â⬠the woman asked, turning to the clerk. ââ¬Å"Oh, perhaps two hours,â⬠the clerk replied, checking the papres. à ¢â¬Å"we need three copies of your pictures. Oh, here they are,â⬠and he detached the pictures from the sheaf of papers. He smiled and looked at the girl. The fighting, stubborn expression had been caught accurately by the camera. ââ¬Å"You still want your daughter included in your passport? â⬠he asked the woman, more to tease the girl than to get an answer. ââ¬Å"Of course, she is coming with me ââ¬âif I have to drag her aboard ship! â⬠ââ¬Å"I wonââ¬â¢t go,â⬠said the girl, raising her voice, the line of her jaw taut. ââ¬Å"You canââ¬â¢t make me go. I will go back to my father. He will not send me away and I. . . â⬠She stopped as her mother rose from her seat and took a step toward her. Defiance hardened in the girlââ¬â¢s eyes as she stared up her mother, ââ¬Å"I am an American Citizen, I tell you,â⬠she said, breathing hard, flinging her words sharply against her motherââ¬â¢s anger. She opened her lips to say more when a slap, ringing swift, fell across her mouth. ââ¬Å"You! â⬠the woman cried, her face so pale it was frightening. ââ¬Å"You, you. . . â⬠she repeated, her lips trembling so that the words couldnââ¬â¢t take shape. She raised her hand once more, then dropped it, slowly crumpled in her chair, sobs suddenly and tearingly shaking her body. The girl stared at her mother aghast. She could not ââ¬âshe would never ââ¬âunderstand all this.
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