Nursing Reflection Quotes

The Age of Chivalry is gone. That of sophisters, economists, and calculators has succeeded; and the glory of Europe is extinguished for ever. Never, never more, shall we behold the generous loyalty to rank and sex, that proud submission, that dignified obedience, that subordination of the heart, which kept alive, even in servitude itself, the spirit of an exalted freedom. The unbought grace of life, the cheap defence of nations, the nurse of manly sentiment and heroic enterprize is gone!

Gulls wheel through spokes of sunlight over gracious roofs and dowdy thatch, snatching entrails at the marketplace and escaping over cloistered gardens, spike topped walls and treble-bolted doors. Gulls alight on whitewashed gables, creaking pagodas and dung-ripe stables; circle over towers and cavernous bells and over hidden squares where urns of urine sit by covered wells, watched by mule-drivers, mules and wolf-snouted dogs, ignored by hunch-backed makers of clogs; gather speed up the stoned-in Nakashima River and fly beneath the arches of its bridges, glimpsed form kitchen doors, watched by farmers walking high, stony ridges. Gulls fly through clouds of steam from laundries' vats; over kites unthreading corpses of cats; over scholars glimpsing truth in fragile patterns; over bath-house adulterers, heartbroken slatterns; fishwives dismembering lobsters and crabs; their husbands gutting mackerel on slabs; woodcutters' sons sharpening axes; candle-makers, rolling waxes; flint-eyed officials milking taxes; etiolated lacquerers; mottle-skinned dyers; imprecise soothsayers; unblinking liars; weavers of mats; cutters of rushes; ink-lipped calligraphers dipping brushes; booksellers ruined by unsold books; ladies-in-waiting; tasters; dressers; filching page-boys; runny-nosed cooks; sunless attic nooks where seamstresses prick calloused fingers; limping malingerers; swineherds; swindlers; lip-chewed debtors rich in excuses; heard-it-all creditors tightening nooses; prisoners haunted by happier lives and ageing rakes by other men's wives; skeletal tutors goaded to fits; firemen-turned-looters when occasion permits; tongue-tied witnesses; purchased judges; mothers-in-law nurturing briars and grudges; apothecaries grinding powders with mortars; palanquins carrying not-yet-wed daughters; silent nuns; nine-year-old whores; the once-were-beautiful gnawed by sores; statues of Jizo anointed with posies; syphilitics sneezing through rotted-off noses; potters; barbers; hawkers of oil; tanners; cutlers; carters of night-soil; gate-keepers; bee-keepers; blacksmiths and drapers; torturers; wet-nurses; perjurers; cut-purses; the newborn; the growing; the strong-willed and pliant; the ailing; the dying; the weak and defiant; over the roof of a painter withdrawn first from the world, then his family, and down into a masterpiece that has, in the end, withdrawn from its creator; and around again, where their flight began, over the balcony of the Room of Last Chrysanthemum, where a puddle from last night's rain is evaporating; a puddle in which Magistrate Shiroyama observes the blurred reflections of gulls wheeling through spokes of sunlight. This world, he thinks, contains just one masterpiece, and that is itself.

In Plaster I shall never get out of this! There are two of me now: This new absolutely white person and the old yellow one, And the white person is certainly the superior one. She doesn't need food, she is one of the real saints. 
At the beginning I hated her, she had no personality -- She lay in bed with me like a dead body 
And I was scared, because she was shaped just the way I was 
 Only much whiter and unbreakable and with no complaints. I couldn't sleep for a week, she was so cold. I blamed her for everything, but she didn't answer. 
I couldn't understand her stupid behavior! 
When I hit her she held still, like a true pacifist. 
Then I realized what she wanted was for me to love her: She began to warm up, and I saw her advantages. 

Without me, she wouldn't exist, so of course she was grateful. 
I gave her a soul, I bloomed out of her as a rose 
Blooms out of a vase of not very valuable porcelain, And it was I who attracted everybody's attention, 
Not her whiteness and beauty, as I had at first supposed. 
I patronized her a little, and she lapped it up -- 
You could tell almost at once she had a slave mentality. 

I didn't mind her waiting on me, and she adored it. 
In the morning she woke me early, reflecting the sun 
From her amazingly white torso, and I couldn't help but notice 
Her tidiness and her calmness and her patience: She humored my weakness like the best of nurses, 
Holding my bones in place so they would mend properly. In time our relationship grew more intense. 

She stopped fitting me so closely and seemed offish. 
I felt her criticizing me in spite of herself, 
As if my habits offended her in some way. She let in the drafts and became more and more absent-minded. 
And my skin itched and flaked away in soft pieces 
Simply because she looked after me so badly. Then I saw what the trouble was: she thought she was immortal. She wanted to leave me, she thought she was superior, 
And I'd been keeping her in the dark, and she was resentful -- Wasting her days waiting on a half-corpse! 
And secretly she began to hope I'd die. Then she could cover my mouth and eyes, cover me entirely, 
And wear my painted face the way a mummy-case Wears the face of a pharaoh, though it's made of mud and water. 

I wasn't in any position to get rid of her. She'd supported me for so long I was quite limp -- I had forgotten how to walk or sit, So I was careful not to upset her in any way 
Or brag ahead of time how I'd avenge myself. Living with her was like living with my own coffin: Yet I still depended on her, though I did it regretfully. I used to think we might make a go of it together -- 
After all, it was a kind of marriage, being so close. 
Now I see it must be one or the other of us. She may be a saint, and I may be ugly and hairy, 
But she'll soon find out that that doesn't matter a bit. I'm collecting my strength; one day I shall manage without her, 
And she'll perish with emptiness then, and begin to miss me. --written 26 Feburary 1961

The difference between "active" and "busy" is that the former includes reflection and is directed, whereas the busy life feels out of control and does not seem purposeful or meaningful.

What is life? Life is living in this moment, experiencing and experimenting but experience isn’t life. Life is reflecting and meditating but reflection isn’t life. Life is helping and guiding but philanthropy isn’t life. Life is eating and drinking but food isn’t life. Life is reading and dancing but art isn’t life. Life is kissing and pleasuring but sex isn’t life. Life is winning and losing but competition isn’t life. Life is loving and caring but love isn’t life. Life is birthing and nurturing but children aren’t life. Life is letting go and surrendering but death isn’t life. Life is all these things but all these things aren’t life. Life is always more.

The door opened and Gideon walked in. I held his gaze when I said, "If Gideon's dick touched anything but his hand or me, we'd be over." His brows rose. "Well, then." I smiled sweetly and winked. "Hi, ace." "Angel." He looked at Cary. "How are you feeling this morning?" Cary's lips twisted wryly. "Like I got hit by a bus. . . or a bat." "We're working on getting you set up at home. It looks like we can make that happen by Wednesday." "Big tits, please," Cary said. "Or bulging muscles. Either will do." Gideon looked at me. I grinned. "The private nurse." "Ah." "If it's a woman," Cary went on, "can you get her to wear one of those white nurse dresses with the zipper down the front." "I can only imagine the media frenzy over that sexual-harassment lawsuit," Gideon said dryly. "How about a collection of naughty-nurse porn instead?" "Dude." Cary smiled wide and looked, for a moment, like his old self. "You're the man." Chapter 12, pg 214

Anna Arkadyevna read and understood, but it was distasteful to her to read, that is, to follow the reflection of other people’s lives. She had too great a desire to live herself. If she read that the heroine of the novel was nursing a sick man, she longed to move with noiseless steps about the room of a sick man; if she read of a member of Parliament making a speech, she longed to be delivering the speech; if she read of how Lady Mary had ridden after the hounds, and had provoked her sister-in-law, and had surprised everyone by her boldness, she too wished to be doing the same. But there was no chance of doing anything; and twisting the smooth paper knife in her little hands, she forced herself to read.

It is now sixteen or seventeen years since I saw the queen of France, then the dauphiness, at Versailles; and surely never lighted on this orb, which she hardly seemed to touch, a more delightful vision. I saw her just above the horizon, decorating and cheering the elevated sphere she just began to move in,—glittering like the morning-star, full of life, and splendor, and joy. Oh! what a revolution! and what a heart must I have, to contemplate without emotion that elevation and that fall! Little did I dream that, when she added titles of veneration to those of enthusiastic, distant, respectful love, that she should ever be obliged to carry the sharp antidote against disgrace concealed in that bosom; little did I dream that I should have lived to see such disasters fallen upon her in a nation of gallant men, in a nation of men of honour and of cavaliers. I thought ten thousand swords must have leaped from their scabbards to avenge even a look that threatened her with insult.—But the age of chivalry is gone.—That of sophisters, economists, and calculators, has succeeded; and the glory of Europe is extinguished forever. Never, never more shall we behold that generous loyalty to rank and sex, that proud submission, that dignified obedience, that subordination of the heart which kept alive, even in servitude itself, the spirit of an exalted freedom. The unbought grace of life, the cheap defence of nations, the nurse of manly sentiment and heroic enterprise, is gone! It is gone, that sensibility of principle, that chastity of honour which felt a stain like a wound, which inspired courage whilst it mitigated ferocity, which ennobled whatever it touched, and under which vice itself lost half its evil by losing all its grossness.

Mother Teresa was once asked by a journalist why she does what she does, that is, how she is able to take the dying poor from the streets of Calcutta, nurse and love them. Her response reflected her deep self-knowledge: “I realized a long time ago that I had a Hitler within me.”2 This realization became the basis of her self-transcendence and of her unique holiness.

When Khubchand, his beloved, blind, bald, incontinent seventeen-year-old mongrel, decided to stage a miserable, long-drawn-out death, Estha nursed him through his final ordeal as though his own life somehow depended on it. In the last months of his life, Khubchand, who had the best of intentions but the most unreliable of bladders, would drag himself to the top-hinged dog-flap built into the bottom of the door that led out into the back garden, push his head through it and urinate unsteadily, bright yellowly, inside Then with bladder empty and conscience clear he would look up at Estha with opaque green eyes that stood in his grizzled skull like scummy pools and weave his way back to his damp cushion, leaving wet footprints on the floor. As Khubchand lay dying on his cushion, Estha could see the bedroom window reflected in his smooth, purple balls. And the sky beyond. And once a bird that flew across. To Estha - steeped in the smell of old roses, blooded on memories of a broken man - the fact that something so fragile, so unbearably tender had survived, had been allowed to exist, was a miracle. A bird in flight reflected in an old dog's balls. It made him smile out loud.

When the cities are gone, he thought, and all the ruckus has died away, when sunflowers push up through the concrete and asphalt of the forgotten interstate freeways, when the Kremlin and the Pentagon are turned into nursing homes for generals, presidents and other such shitheads, when the glass-aluminum skyscraper tombs of Phoenix Arizona barely show above the sand dunes, why then, why then, why then by God maybe free men and wild women on horses, free women and wild men, can roam the sagebrush canyonlands in freedom—goddammit!—herding the feral cattle into box canyons, and gorge on bloody meat and bleeding fucking internal organs, and dance all night to the music of fiddles! banjos! steel guitars! by the light of a reborn moon!—by God, yes! Until, he reflected soberly, and bitterly, and sadly, until the next age of ice and iron comes down, and the engineers and the farmers

The only certainty, whether spoken or not, is that the doctors, nurses, and technicians are fighting not only death but their own uncertainties as well. In most resuscitations, those can be narrowed down to two main questions: Are we doing the right things? and, Should we be doing anything at all?

As Stephen Levine says, “When your fear touches someone’s pain it becomes pity; when your love touches someone’s pain, it becomes compassion.

There was no perfect family. The Cleavers were on television. We are all walking wounded. We are all dysfunctional. It is only a matter of degree that separates us from each other. This is life. There are good times, difficult times, happy times, sad times. It is the name of the game.

During her time at Miss Porter’s School in Farmington she had often become depressed and was hobbled by fatigue. In 1887, when she was twenty, she wrote in her diary, “Tears come without any provocation. Headache all day.” The school’s headmistress and founder, Sarah Porter, offered therapeutic counsel. “Cheer up,” she told Theodate. “Always be happy.” It did not work. The next year, in March 1888, her parents sent her to Philadelphia, to be examined and cared for by Dr. Silas Weir Mitchell, a physician famous for treating patients, mainly women, suffering from neurasthenia, or nervous exhaustion. Mitchell’s solution for Theodate was his then-famous “Rest Cure,” a period of forced inactivity lasting up to two months. “At first, and in some cases for four or five weeks, I do not permit the patient to sit up or to sew or write or read,” Mitchell wrote, in his book Fat and Blood. “The only action allowed is that needed to clean the teeth.” He forbade some patients from rolling over on their own, insisting they do so only with the help of a nurse. “In such cases I arrange to have the bowels and water passed while lying down, and the patient is lifted on to a lounge at bedtime and sponged, and then lifted back again into the newly-made bed.” For stubborn cases, he reserved mild electrical shock, delivered while the patient was in a filled bathtub. His method reflected his own dim view of women. In his book Wear and Tear; or, Hints for the Overworked, he wrote that women “would do far better if the brain were very lightly tasked.

The labor to leave this world takes from one to three weeks. The key sign that tells us labor has begun is when a person begins sleeping with their eyes partially open, eyelids at half-mast. It takes energy to keep your eyes open; it takes energy to keep them closed. The normal position for our eyelids is at half-mast.

Crying loudly is childish, in that it reflects a belief, on the cryer’s part, that someone is around to hear the noise, and come a-running to make it all better. Crying in absolute silence, as Daniel does this morning, is the mark of the mature sufferer who no longer nurses, nor is nursed by, any such comfortable delusions.

In this country, we think of dying primarily as a medical event. It’s much more than that. It’s about relationships: to ourselves, those we may be caring for, or those caring for us. Caring for the dying can be an intense, intimate, and deeply enlivening experience. Death can be an extraordinary mirror through which we see ourselves.

There is the type of man who has great contempt for "immediacy," who tries to cultivate his interiority, base his pride on something deeper and inner, create a distance between himself and the average man. Kierkegaard calls this type of man the "introvert." He is a little more concerned with what it means to be a person, with individuality and uniqueness. He enjoys solitude and withdraws periodically to reflect, perhaps to nurse ideas about his secret self, what it might be. This, after all is said and done, is the only real problem of life, the only worthwhile occupation preoccupation of man: What is one's true talent, his secret gift, his authentic vocation? In what way is one truly unique, and how can he express this uniqueness, give it form, dedicate it to something beyond himself? How can the person take his private inner being, the great mystery that he feels at the heart of himself, his emotions, his yearnings, and use them to live more distinctively, to enrich both himself and mankind with the peculiar quality of his talent? In adolescence, most of us throb with this dilemma, expressing it either with words and thoughts or with simple numb pain and longing. But usually life suck us up into standardized activities. The social hero-system into which we are born marks out paths for our heroism, paths to which we conform, to which we shape ourselves so that we can please others, become what they expect us to be. And instead of working our inner secret we gradually cover it over and forget it, while we become purely external men, playing successfully the standardized hero-game into which we happen to fall by accident, by family connection, by reflex patriotism, ro by the simple need to eat and the urge to procreate.

Downstairs, entertaining company, Desdemona heard her son’s clarinet and, as if orchestrating a harmony, let out a long sigh. For the last forty-five minutes Gus and Georgia Vasilakis and their daughter Gaia had been sitting in the living room. It was Sunday afternoon. On the coffee table a dish of rose jelly reflected light from the sparkling glasses of wine the adults were drinking. Gaia nursed a glass of lukewarm Vernor’s ginger ale. An open tin of butter cookies sat on the table.

As I reflect back on all of the years of our family’s life together, what I remember best is not the mountains of dirty dishes and pots and pans and socks left on the floor and piles of laundry. I reflect instead on precious times shared with Clay, the kids, and those we welcomed into our home—snuggling on the couch together, nursing babies and rocking them to sleep, sharing movies and huge bowls of popcorn, comforting children after a nightmare, and all those heartfelt kisses and cards that said “I love you!

5-4-10 Tuesday 8:00 A.M. Made a large batch of chili and spaghetti to freeze yesterday. And some walnut fudge! Relieved the electricity is still on. It’s another beautiful sunny day with fluffy white clouds drifting by. The last cloud bank looked like a dog with nursing pups. I open the window and let in some fresh air filled with the scent of apple and plum blossoms and flowering lilacs. Feels like it’s close to 70 degrees. There’s a boy on a skate board being pulled along by his St. Bernard, who keeps turning around to see if his young friend is still on board. I’m thinking of a scene still vividly displayed in my memory. I was nine years old. I cut through the country club on my way home from school and followed a narrow stream, sucking on a jawbreaker from Ben Franklins, and I had some cherry and strawberry pixie straws, and banana and vanilla taffy inside my coat pocket. The temperature was in the fifties so it almost felt like spring. There were still large patches of snow on the fairways in the shadows and the ground was soggy from the melt off. Enthralled with the multi-layers of ice, thin sheets and tiny ice sickles gleaming under the afternoon sun, dripping, streaming into the pristine water below, running over the ribbons of green grass, forming miniature rapids and gently flowing rippling waves and all the reflections of a crystal cathedral, merging with the hidden world of a child. Seemingly endless natural sculptures. Then the hollow percussion sounds of the ice thudding, crackling under my feet, breaking off little ice flows carried away into a snow-covered cavern and out the other side of the tunnel. And I followed it all the way to bridge under Maple Road as if I didn't have a care in the world.

The next year, in March 1888, her parents sent her to Philadelphia, to be examined and cared for by Dr. Silas Weir Mitchell, a physician famous for treating patients, mainly women, suffering from neurasthenia, or nervous exhaustion. Mitchell’s solution for Theodate was his then-famous “Rest Cure,” a period of forced inactivity lasting up to two months. “At first, and in some cases for four or five weeks, I do not permit the patient to sit up or to sew or write or read,” Mitchell wrote, in his book Fat and Blood. “The only action allowed is that needed to clean the teeth.” He forbade some patients from rolling over on their own, insisting they do so only with the help of a nurse. “In such cases I arrange to have the bowels and water passed while lying down, and the patient is lifted on to a lounge at bedtime and sponged, and then lifted back again into the newly-made bed.” For stubborn cases, he reserved mild electrical shock, delivered while the patient was in a filled bathtub. His method reflected his own dim view of women. In his book Wear and Tear; or, Hints for the Overworked, he wrote that women “would do far better if the brain were very lightly tasked.

What do you consider to be the greatest blessing which you have reaped from your wealth? One, he said, of which I could not expect easily to convince others. For let me tell you, Socrates, that when a man thinks himself to be near death, fears and cares enter into his mind which he never had before; the tales of a world be- low and the punishment which is exacted there of deeds done here were once a laughing matter to him, but now he is tormented with the thought that they may be true: either from the weakness of age, or because he is now drawing nearer to that other place, he has a clearer view of these things; suspicions and alarms crowd thickly upon him, and he begins to reflect and consider what wrongs he has done to others. And when he finds that the sum of his transgres- sions is great he will many a time like a child start up in his sleep for fear, and he is filled with dark forebodings. But to him who is conscious of no sin, sweet hope, as Pindar charmingly says, is the kind nurse of his age: ’Hope,’ he says, ’cherishes the soul of him who lives in justice and holiness, and is the nurse of his age and the companion of his journey;– hope which is mightiest to sway the restless soul of man.

The alienating effects of wealth and modernity on the human experience start virtually at birth and never let up. Infants in hunter-gatherer societies are carried by their mothers as much as 90 percent of the time, which roughly corresponds to carrying rates among other primates. One can get an idea of how important this kind of touch is to primates from an infamous experiment conducted in the 1950s by a primatologist and psychologist named Harry Harlow. Baby rhesus monkeys were separated from their mothers and presented with the choice of two kinds of surrogates: a cuddly mother made out of terry cloth or an uninviting mother made out of wire mesh. The wire mesh mother, however, had a nipple that dispensed warm milk. The babies took their nourishment as quickly as possible and then rushed back to cling to the terry cloth mother, which had enough softness to provide the illusion of affection. Clearly, touch and closeness are vital to the health of baby primates—including humans. In America during the 1970s, mothers maintained skin-to-skin contact with babies as little as 16 percent of the time, which is a level that traditional societies would probably consider a form of child abuse. Also unthinkable would be the modern practice of making young children sleep by themselves. In two American studies of middle-class families during the 1980s, 85 percent of young children slept alone in their own room—a figure that rose to 95 percent among families considered “well educated.” Northern European societies, including America, are the only ones in history to make very young children sleep alone in such numbers. The isolation is thought to make many children bond intensely with stuffed animals for reassurance. Only in Northern European societies do children go through the well-known developmental stage of bonding with stuffed animals; elsewhere, children get their sense of safety from the adults sleeping near them. The point of making children sleep alone, according to Western psychologists, is to make them “self-soothing,” but that clearly runs contrary to our evolution. Humans are primates—we share 98 percent of our DNA with chimpanzees—and primates almost never leave infants unattended, because they would be extremely vulnerable to predators. Infants seem to know this instinctively, so being left alone in a dark room is terrifying to them. Compare the self-soothing approach to that of a traditional Mayan community in Guatemala: “Infants and children simply fall asleep when sleepy, do not wear specific sleep clothes or use traditional transitional objects, room share and cosleep with parents or siblings, and nurse on demand during the night.” Another study notes about Bali: “Babies are encouraged to acquire quickly the capacity to sleep under any circumstances, including situations of high stimulation, musical performances, and other noisy observances which reflect their more complete integration into adult social activities.

I also took care of a four year-old that was in the dying process. Both of his parents were already dead. His maternal grandparents were caring for him. In the weeks before he died he told everyone he was taking a trip, that he was going to live with his “parents.” In the hours before his death, he began looking around the room as if searching for something or someone. We asked him what he was doing, and he told us he was looking for his mother. It was as if the room was filled with people we couldn’t see. Just before he died, he raised his arm, pointed to the corner of his room and called his mother by name. He stayed focused on that corner until his last breath. You can’t convince me his mother wasn’t there to help him make the change from this world to the next. We do not die alone!

The problem, Augustine came to believe, is that if you think you can organize your own salvation you are magnifying the very sin that keeps you from it. To believe that you can be captain of your own life is to suffer the sin of pride. What is pride? These days the word “pride” has positive connotations. It means feeling good about yourself and the things associated with you. When we use it negatively, we think of the arrogant person, someone who is puffed up and egotistical, boasting and strutting about. But that is not really the core of pride. That is just one way the disease of pride presents itself. By another definition, pride is building your happiness around your accomplishments, using your work as the measure of your worth. It is believing that you can arrive at fulfillment on your own, driven by your own individual efforts. Pride can come in bloated form. This is the puffed-up Donald Trump style of pride. This person wants people to see visible proof of his superiority. He wants to be on the VIP list. In conversation, he boasts, he brags. He needs to see his superiority reflected in other people’s eyes. He believes that this feeling of superiority will eventually bring him peace. That version is familiar. But there are other proud people who have low self-esteem. They feel they haven’t lived up to their potential. They feel unworthy. They want to hide and disappear, to fade into the background and nurse their own hurts. We don’t associate them with pride, but they are still, at root, suffering from the same disease. They are still yoking happiness to accomplishment; it’s just that they are giving themselves a D– rather than an A+. They tend to be just as solipsistic, and in their own way as self-centered, only in a self-pitying and isolating way rather than in an assertive and bragging way. One key paradox of pride is that it often combines extreme self-confidence with extreme anxiety. The proud person often appears self-sufficient and egotistical but is really touchy and unstable. The proud person tries to establish self-worth by winning a great reputation, but of course this makes him utterly dependent on the gossipy and unstable crowd for his own identity. The proud person is competitive. But there are always other people who might do better. The most ruthlessly competitive person in the contest sets the standard that all else must meet or get left behind. Everybody else has to be just as monomaniacally driven to success. One can never be secure. As Dante put it, the “ardor to outshine / Burned in my bosom with a kind of rage.” Hungry for exaltation, the proud person has a tendency to make himself ridiculous. Proud people have an amazing tendency to turn themselves into buffoons, with a comb-over that fools nobody, with golden bathroom fixtures that impress nobody, with name-dropping stories that inspire nobody. Every proud man, Augustine writes, “heeds himself, and he who pleases himself seems great to himself. But he who pleases himself pleases a fool, for he himself is a fool when he is pleasing himself.”16 Pride, the minister and writer Tim Keller has observed, is unstable because other people are absentmindedly or intentionally treating the proud man’s ego with less reverence than he thinks it deserves. He continually finds that his feelings are hurt. He is perpetually putting up a front. The self-cultivator spends more energy trying to display the fact that he is happy—posting highlight reel Facebook photos and all the rest—than he does actually being happy. Augustine suddenly came to realize that the solution to his problem would come only after a transformation more fundamental than any he had previously entertained, a renunciation of the very idea that he could be the source of his own solution.

With as yet no house of my own to keep, I had little that needed buying, but enjoyed myself in browsing among the newly replenished shelves, for the pure joy of seeing lots of things for sale again. It had been a long time of rationing, of doing without the simple things like soap and eggs, and even longer without the minor luxuries of life, like L’Heure Bleu cologne. My gaze lingered on a shop window filled with household goods—embroidered tea cloths and cozies, pitchers and glasses, a stack of quite homely pie tins, and a set of three vases. I had never owned a vase in my life. During the war years, I had, of course, lived in the nurses’ quarters, first at Pembroke Hospital, later at the field station in France. But even before that, we had lived nowhere long enough to justify the purchase of such an item. Had I had such a thing, I reflected, Uncle Lamb would have filled it with potsherds long before I could have got near it with a bunch of daisies.

I’ll send the nurse in here in a minute, okay?” Waste of time, I thought. “Okay, but…do you think there’s anything we can do about my ears?” I really didn’t want to feel this way anymore. “Marcy will be in here in just a second,” he repeated. He wasn’t acknowledging my self-diagnosis at all. What kind of doctor is this? Marcy soon entered the room with a plastic cup with a bright green lid--the perfect reflection of my skin tone. “Do you think you can give us a urine sample, hon?” she asked. I can give you a vomit sample, I thought. “Sure,” I said, taking the cup and following Marcy to the restroom like a good little patient. And don’t call me hon, I thought. I was cranky. I needed something to eat, and I felt like bursting into tears. A minute later, I exited the bathroom and handed Marcy the sample cup, which I’d wiped clean with a paper towel. “Okay, hon,” she said. “You can just head back to the room and I’ll be back in a sec.” Stop calling me hon.

Well brought up folks no longer believe in the devil, but as their ideas are no more rational than those of our nurses, they do but disguise devil and angel under a pedantic wordiness honored with the name of philosophy. They do not say "devil" nowadays, but "the flesh," or "the passions." The"angel" is replaced by the words "conscience" or "soul," by "reflection of the thought of a divine creator" or "the Great Architect," as the Free- Masons say. But man's action is still represented as the result of a struggle between two hostile elements. And a man is always considered virtuous just in the degree to which one of these two elements --the soul or conscience-- is victorious over the other --the flesh or passions. It is easy to understand the astonishment of our great-grandfathers when the English philosophers, and later the Encyclopedists, began to affirm in opposition to these primitive ideas that the devil and the angel had nothing to do with human action, but that all acts of man, good or bad, useful or baneful, arise from a single motive: the lust for pleasure.

If subjective confidence is not to be trusted, how can we evaluate the probable validity of an intuitive judgment? When do judgments reflect true expertise? When do they display an illusion of validity? The answer comes from the two basic conditions for acquiring a skill: an environment that is sufficiently regular to be predictable an opportunity to learn these regularities through prolonged practice When both these conditions are satisfied, intuitions are likely to be skilled. Chess is an extreme example of a regular environment, but bridge and poker also provide robust statistical regularities that can support skill. Physicians, nurses, athletes, and firefighters also face complex but fundamentally orderly situations. The accurate intuitions that Gary Klein has described are due to highly valid cues that the expert’s System 1 has learned to use, even if System 2 has not learned to name them. In contrast, stock pickers and political scientists who make long-term forecasts operate in a zero-validity environment. Their failures reflect the basic unpredictability of the events that they try to forecast.

Gulls wheel through spokes of sunlight over gracious roofs and dowdy thatch, snatching entrails at the marketplace and escaping over cloistered gardens, spike-topped walls and treble-bolted doors. Gulls alight on whitewashed gables, creaking pagodas and dung-ripe stables; circle over towers and cavernous bells and over hidden squares where urns of urine sit by covered wells, watched by mule-drivers, mules and wolf-snouted dogs, ignored by hunchbacked makers of clogs; gather speed up the stoned-in Nakashima River and fly beneath the arches of its bridges, glimpsed from kitchen doors, watched by farmers walking high, stony ridges. Gulls fly through clouds of steam from laundries’ vats; over kites unthreading corpses of cats; over scholars glimpsing truth in fragile patterns; over bath-house adulterers; heartbroken slatterns; fishwives dismembering lobsters and crabs; their husbands gutting mackerel on slabs; woodcutters’ sons sharpening axes; candle-makers, rolling waxes; flint-eyed officials milking taxes; etoliated lacquerers; mottled-skinned dyers; imprecise soothsayers; unblinking liars; weavers of mats; cutters of rushes; ink-lipped calligraphers dipping brushes; booksellers ruined by unsold books; ladies-in-waiting; tasters; dressers; filching page-boys; runny-nosed cooks; sunless attic nooks where seamstresses prick calloused fingers; limping malingerers; swineherds; swindlers; lip-chewed debtors rich in excuses; heard-it-all creditors tightening nooses; prisoners haunted by happier lives and ageing rakes by other men’s wives; skeletal tutors goaded to fits; firemen-turned-looters when occasion permits; tongue-tied witnesses; purchased judges; mothers-in-law nurturing briars and grudges; apothecaries grinding powders with mortars; palanquins carrying not-yet-wed daughters; silent nuns; nine-year-old whores; the once-were-beautiful gnawed by sores; statues of Jizo anointed with posies; syphilitics sneezing through rotted-off noses; potters; barbers; hawkers of oil; tanners; cutlers; carters of night-soil; gate-keepers; bee-keepers; blacksmiths and drapers; torturers; wet-nurses; perjurers; cut-purses; the newborn; the growing; the strong-willed and pliant; the ailing; the dying; the weak and defiant; over the roof of a painter withdrawn first from the world, then his family, and down into a masterpiece that has, in the end, withdrawn from its creator; and around again, where their flight began, over the balcony of the Room of the Last Chrysanthemum, where a puddle from last night’s rain is evaporating; a puddle in which Magistrate Shiroyama observes the blurred reflections of gulls wheeling through spokes of sunlight. This world, he thinks, contains just one masterpiece, and that is itself.

Missy and I haven’t spent a lot of time asking God why Mia was born with her difficulties. We have accepted that it’s yet another opportunity to glorify Him. A couple of years after Mia was born, one of the nurses at St. Francis Medical Center in Monroe called Missy. The nurse told her that there was a couple at the hospital, and they had just given birth to a baby with a cleft lip and soft palate. The couple was really struggling with the shock, and the nurse told Missy she remembered how we handled it. Missy and I went to the hospital and talked to the parents. Missy told the nurses to call us whenever a similar situation occurred. A few months later, Missy and Mia were in Dallas for a checkup. The nurse from St. Francis called Missy and told her there was another baby born with the same condition. Since Missy was out of town, she called me. “Jason, you have to go up there,” she said. “I can’t do this,” I said. “The parents are devastated,” she said. “You have to go.” “I can’t,” I said. After I hung up the phone, I thought about the situation for several minutes. I remembered how Missy and I felt when Mia was born, and I knew the parents at the hospital needed all the support in the world. I called Missy back and told her I was going. When I walked into the hospital room, the parents were there with some family members. Everybody was crying, and it seemed like the normal joy of a child being born was missing. They looked at me like, “Who is this guy?” I was so quiet I could have heard a pin drop. Their new son was with the other babies in the nursery, and I could see him through the glass wall that separated the waiting room and the nursery. I’d brought along before-and-after photos of Mia. I took them out of my pocket and held them up. “I have a girl named Mia, and when she was born she looked a lot like him,” I said. “All I can tell you is that you can make it through this. It is going to be okay.

The alienating effects of wealth and modernity on the human experience start virtually at birth and never let up. Infants in hunter-gatherer societies are carried by their mothers as much as 90 percent of the time, which roughly corresponds to carrying rates among other primates. One can get an idea of how important this kind of touch is to primates from an infamous experiment conducted in the 1950s by a primatologist and psychologist named Harry Harlow. Baby rhesus monkeys were separated from their mothers and presented with the choice of two kinds of surrogates: a cuddly mother made out of terry cloth or an uninviting mother made out of wire mesh. The wire mesh mother, however, had a nipple that dispensed warm milk. The babies took their nourishment as quickly as possible and then rushed back to cling to the terry cloth mother, which had enough softness to provide the illusion of affection. Clearly, touch and closeness are vital to the health of baby primates—including humans. In America during the 1970s, mothers maintained skin-to-skin contact with babies as little as 16 percent of the time, which is a level that traditional societies would probably consider a form of child abuse. Also unthinkable would be the modern practice of making young children sleep by themselves. In two American studies of middle-class families during the 1980s, 85 percent of young children slept alone in their own room—a figure that rose to 95 percent among families considered “well educated.” Northern European societies, including America, are the only ones in history to make very young children sleep alone in such numbers. The isolation is thought to make many children bond intensely with stuffed animals for reassurance. Only in Northern European societies do children go through the well-known developmental stage of bonding with stuffed animals; elsewhere, children get their sense of safety from the adults sleeping near them. The point of making children sleep alone, according to Western psychologists, is to make them “self-soothing,” but that clearly runs contrary to our evolution. Humans are primates—we share 98 percent of our DNA with chimpanzees—and primates almost never leave infants unattended, because they would be extremely vulnerable to predators. Infants seem to know this instinctively, so being left alone in a dark room is terrifying to them. Compare the self-soothing approach to that of a traditional Mayan community in Guatemala: “Infants and children simply fall asleep when sleepy, do not wear specific sleep clothes or use traditional transitional objects, room share and cosleep with parents or siblings, and nurse on demand during the night.” Another study notes about Bali: “Babies are encouraged to acquire quickly the capacity to sleep under any circumstances, including situations of high stimulation, musical performances, and other noisy observances which reflect their more complete integration into adult social activities

Indeed, sola Scriptura has served for some moderns as a banner for private judgment and against catholicity. In so doing, however, churches and Christians have turned from sola Scriptura to solo Scriptura, a bastard child nursed at the breast of modern rationalism and individualism. Even the Reformational doctrine of perspicuity has been transformed in much popular Christianity and some scholarly reflection as well to function as the theological equivalent of philosophical objectivity, namely, the belief that any honest observer can, by the use of appropriate measures, always gain the appropriate interpretation of a biblical text. Yet this is a far cry from the confession of Scripture’s clarity in the early Reformed movement or even in its expression by the post-Reformation dogmatics of the Reformed churches. On top of this type of mutation, we regularly encounter uses of the doctrine of the “priesthood of all believers” that ignore or minimize the role of church officers as well as the principle of sola Scriptura to affirm a lived practice of “no creed but the Bible.”25 Right or not, then, many people embrace sola Scriptura, thinking that they are embracing individualism, anti-traditionalism, and/or rationalism. Similarly, right or not, many critique sola Scriptura as one or more of these three things.

There is a saying amongst my people that reflects this. Within every heart lives two dragons, a dragon of Hope and a dragon of Hate, both mighty and powerful in equal measure. They war constantly, always struggling for dominance to be the rightful ruler of your heart. You feed them with your actions. All that drives us in life is fuelled by either hope or hate. Hate is the dark mirror of hope, empowering our hearts with the same fire and energy but striving for different ends. Hate drives us to bring those above us to ruin, while hope exalts us to raise ourselves up beyond where we are. We want to better ourselves, or drag down someone else so we are on top. The destruction of the gnomes had taken with it the dragon of our hate, but hope could not flare up to take its place; hope was already dead within us. We were soulless, cast adrift and ready to settle down to wait for death. I remember these times as being some of the hardest of them all, not because of pain, or suffering, or loss…but because I no longer felt anything at all. Both dragons lay dead, and my heart was a barren wasteland cloaked in winter. While this wounded me greatly, it was better than the alternative. I said many things, did many things, that I regret in this time of my life, but I always feel the slightest bit of pride that at that moment, right when I had nothing, I didn’t feed Hate and nurse it back to health. Most manage to find an equilibrium in their hearts between Hate and Hope, controlling the former while encouraging the latter, and for most, this is a happy and content existence. Some find that Hope’s strength overpowers Hate easily, and that they are able to do noble things effortlessly and naturally simply by following their intrinsic sense of righteousness. However, some embrace that hateful dragon within them, that boiling black pit of rage that simmers and bubbles out of sight, ushering them into darkness and wickedness too numerous to count. They embrace this powerful ally and use it to great effect. Sometimes my surface friends wonder why anyone would do this, would willingly plunge themselves into shadow and wrath. Even humans, that most flexible and different of species, almost universally espouse the idea that good is preferable to evil, and that it is better to be noble than to be malicious, even when they do not believe it. Why would anyone listen to that whisper from Hate, the dark voice urging them to abandon Hope and to

Chapter 15 Grace One morning, after an uneventful sojourn at the bath house. The ward received a rare visit from the Physician Superintendent. He walked into the day room accompanied by the charge nurse just as me and Art were preparing the patients for lunch. “Do you say Grace before meals?” inquired the Superintendent of the charge. “Yes Sir.” The charge was well aware of the hospital rules and snapped almost to attention in reply. His response was true. Our charge, being a stickler for the rule book of the institution, always insisted on saying grace. The order was; “Stand behind your chairs.” Usually bellowed by the deputy although Art and I occasionally got the chance. The seventy odd patients milling round in the dining gallery would stand behind their chairs in absolute silence. Years of institutional living had taught them that meals would only be served after a period of absolute silence, followed by grace. The charge, not leaving his chair, would open his office door and poking his head out would call. “For whayouare aboutorecieve maythelor mayoutruly thankful.” To which the patients would dutifully chorus “Amen” and sit down to eat. On this day the “Big Chief” was present and Art and I could tell things were going to be different. “Stand behind your chairs.” Was said. Nothing happened.—Louder, “Stand behind your chairs.” Nothing.—Art bellowed “Stand behind your chairs.” The effect was electric and the mass moved into its lunchtime position of silence standing behind their chairs in the dining room. The charge had slipped into his long white nursing coat. He was going to assist with lunch. He moved away from the side of the Physician Superintendent and stood in the centre of the dining room. There he adopted a posture which he adjudged spiritually appropriate. Hands clasped in front of him, eyes lowered, he bowed his head. Not wishing to get on the wrong side of our boss. Art and I stood one either side of him and followed suit. Absolute silence reigned. Before the charge could proceed any further with this charade the ward kitchen door opened to reveal Benny and Jimmy. They were two long standing ward worker patients who’s job it was to prepare the plates on the servery ready for the meal. Patients assisting with serving meals was against the “rules” and Benny realising that the Superintendent was present blurted out. “For Christ’s sake shut that bloody door.” Seventy nine patients solemnly responded with “Amen.” and promptly sat down in eager anticipation of their dinner. “I see.” said the Physician Superintendent and walked poker faced from the dining room with the red faced charge trailing in his wake. We never said Grace again after that.

It was her concern and commitment to a friend which last year involved her in perhaps the most emotional period of her life. For five months she secretly helped to care for Adrian Ward-Jackson who had discovered that he was suffering from AIDS. It was a time of laughter, joy and much sorrow as Adrian, a prominent figure in the world of art, ballet and opera, gradually succumbed to his illness. A man of great charisma and energy, Adrian initially found it difficult to come to terms with his fate when in the mid-1980s he was diagnosed as HIV positive. His word as deputy chairman of the Aids Crisis Trust, where he first met the Princess, had made him fully aware of the reality of the disease. Finally he broke the news in 1987 to his great friend Angela Serota, a dancer with the Royal Ballet until a leg injury cut short her career and now prominent in promoting dance and ballet. For much of the time, Angela, a woman of serenity and calm practicality, nursed Adrian, always with the support of her two teenage daughters. He was well enough to receive a CBE at Buckingham Palace in March 1991 for his work in the arts--he was a governor of the Royal Ballet, chairman of the Contemporary Arts Society and a director of the Theatre Museum Association--and it was at a celebratory lunch held at the Tate Gallery that Angela first met the Princess. In April 1991 Adrian’s condition deteriorated and he was confined to his Mayfair apartment where Angela was in almost constant attendance. It was from that time that Diana made regular visits, once even brining her children Princes Willian and Harry. From that time Angela and the Princess began to forge a supportive bond as they cared for their friend. Angela recalls: “I thought she was utterly beautiful in a very profound way. She has an inner spirit which shines forth though there was also a sense of pervasive unhappiness about her. I remember loving the way she never wanted me to be formal.” When Diana brought the boys to see her friends, a reflection of her firmly held belief that her role as mother is to bring them up in a way that equips them for every aspect of life and death, Angela saw in William a boy much older and more sensitive than his years. She recalls: “He had a mature view of illness, a perspective which showed awareness of love and commitment.” At first Angela kept in the background, leaving Diana alone in Adrian’s room where they chatted about mutual friends and other aspects of life. Often she brought Angela, whom she calls “Dame A”, a gift of flowers or similar token. She recalls: “Adrian loved to hear about her day-to-day work and he loved too the social side of life. She made him laugh but there was always the perfect degree of understanding, care and solicitude. This is the point about her, she is not just a decorative figurehead who floats around on a cloud of perfume.” The mood in Mount Street was invariably joyous, that sense of happiness that understands about pain. As Angela says: “I don’t see death as sad or depressing. It was a great journey he was going on. The Princess was very much in tune with that spirit. She also loved coming for herself, it was an intense experience. At the same time Adrian was revitalized by the healing quality of her presence.” Angela read from a number of works by St. Francis of Assisi, Kahil Gibran and the Bible as well as giving Adrian frequent aromatherapy treatments. A high spot was a telephone call from Mother Teresa of Calcutta who also sent a medallion via Indian friends. At his funeral they passed Diana a letter from Mother Teresa saying how much she was looking forward to meeting her when she visited India. Unfortunately Mother Teresa was ill at that time so the Princess made a special journey to Rome where she was recuperating. Nonetheless that affectionate note meant a great deal to the Princess.

To believe that you can be captain of your own life is to suffer the sin of pride. What is pride? These days the word “pride” has positive connotations. It means feeling good about yourself and the things associated with you. When we use it negatively, we think of the arrogant person, someone who is puffed up and egotistical, boasting and strutting about. But that is not really the core of pride. That is just one way the disease of pride presents itself. By another definition, pride is building your happiness around your accomplishments, using your work as the measure of your worth. It is believing that you can arrive at fulfillment on your own, driven by your own individual efforts. Pride can come in bloated form. This is the puffed-up Donald Trump style of pride. This person wants people to see visible proof of his superiority. He wants to be on the VIP list. In conversation, he boasts, he brags. He needs to see his superiority reflected in other people’s eyes. He believes that this feeling of superiority will eventually bring him peace. That version is familiar. But there are other proud people who have low self-esteem. They feel they haven’t lived up to their potential. They feel unworthy. They want to hide and disappear, to fade into the background and nurse their own hurts. We don’t associate them with pride, but they are still, at root, suffering from the same disease. They are still yoking happiness to accomplishment; it’s just that they are giving themselves a D– rather than an A+. They tend to be just as solipsistic, and in their own way as self-centered, only in a self-pitying and isolating way rather than in an assertive and bragging way. One key paradox of pride is that it often combines extreme self-confidence with extreme anxiety. The proud person often appears self-sufficient and egotistical but is really touchy and unstable. The proud person tries to establish self-worth by winning a great reputation, but of course this makes him utterly dependent on the gossipy and unstable crowd for his own identity. The proud person is competitive. But there are always other people who might do better. The most ruthlessly competitive person in the contest sets the standard that all else must meet or get left behind. Everybody else has to be just as monomaniacally driven to success. One can never be secure. As Dante put it, the “ardor to outshine / Burned in my bosom with a kind of rage.

I know my role is to walk toward death with those who are dying. But the lesson that keeps repeating itself is this: in all its odd forms, love always wins over fear.

The power of sharing our stories is a power that can change the world. Sharing our stories releases creative energy, which allows future possibilities to emerge rather than allowing untold and unexamined stories to quietly suck the life out of us by nursing unacknowledged wounds of the past.

He might have been a wafer in the hands Of priests this day, or music from the lips: Of red-robed choristers, instead he slips Away from church, shakes off our linen bands To don his apron with a nurse: he grips And lifts a stretcher, soothes with gentle hands The frail flesh of the dying, gives them hope, Breathes with the breathless, lends them strength to cope.

Whether intuition generates delusion or insight depends on whether you work in a world full of valid cues you can unconsciously register for future use. “For example, it is very likely that there are early indications that a building is about to collapse in a fire or that an infant will soon show obvious symptoms of infection,” Kahneman and Klein wrote. “On the other hand, it is unlikely that there is publicly available information that could be used to predict how well a particular stock will do—if such valid information existed, the price of the stock would already reflect it. Thus, we have more reason to trust the intuition of an experienced fireground commander about the stability of a building, or the intuitions of a nurse about an infant, than to trust the intuitions of a stock broker.

The whole commerce between master and slave is a perpetual exercise of the most boisterous passions [Jefferson had written], the most unremitting despotism on the one part, and degrading submissions on the other. Our children see this, and learn to imitate it. . . . The parent storms, the child looks on, catches the lineaments of wrath, puts on the same airs in the circle of smaller slaves, gives a loose to his worst passions, and thus nursed, educated, and daily exercised in tyranny, cannot but be stamped by it with odious peculiarities. The man must be a prodigy who can retain his manners and morals undepraved by such circumstances. . . . if a slave can have a country in this world, it must be any other in preference to that in which he is to be born to live and labor for another . . . or entail his own miserable condition on the endless generations proceeding from him. . . . Indeed, I tremble for my country when I reflect that God is just: that his justice cannot sleep forever.

The Christians would stay and nurse people. Sometimes they caught the disease and died. People were astonished. What was that about? Oh, they replied, we are followers of this man Jesus. He put his life on the line to save us. So that’s what we do as well.

Consciousness is there in animal life. Beyond animal instincts, humans also have inherent recognition of good and evil in their conscience. Belief in deterministic justice and rewards in afterlife fulfils our aspiration to have true and fair reward for every small act of goodness and evil in afterlife. Every moment of a nurse and that of a cured or dead patient is not meaningless if one believes and prepare for afterlife by achieving excellence in morals. Imam Ghazali wrote that wealth is useful till we die, relatives till we are put in grave and only good deeds will be the currency on judgement day. If we have good deeds to take in next life, then we can have everlasting happiness that is not infected and affected by any Corona Virus.

Bloodwork is familiar. Like the stream flowing into the river blood flows through veins, arteries, platelets, and walls. Carol stepped outside. It was times like this that she remembered that there had been a time that she had wanted to be a nurse like her mother. The only thing was that she couldn’t stand the sight of blood. Night-time. She felt as if she was being lit from within. As if something that had been asleep inside of her was flickering itself into an awakened state. She knew Jerome smoked and she absolutely hated it when he did that in the house. They were supposed to have boundaries. Sometimes, it felt as if she was the only one who actually followed the rules. The night air moved through her. She closed her eyes. She wanted a bowl of tin roof ice cream. Carol was particular about chocolate. She liked the dark bitter kind. First the silence of the evening passed through her. The silence of the trees. Then the silence of the birds. She felt almost as if she was one with the moonlight while insects folded and unfolded their Lilliputian angel wings. Their angel ways. And all she had to do was reflect. Yes, reflect!

UNRRA, whose mandate was to coordinate Allied relief, was viewed as a test case for future patterns of international organizations.3 Designed to prime the liberal economic order and foster democratic governments to preserve a peaceful world order, it was conceived as a vital program not only to save lives but also to safeguard American and British strategic interests. For many of its creators, UNRRA “reflected their faith in the ability to bind compassion and technocracy, to create a muscular, modernized, spirit of progress.”4

Go sing hymns outside the windows of the nearest nursing home. Go sit in the woods or by a pond and just be still. Memorize Scripture—better yet, memorize Scripture with friends. Sing. Write poetry, read fiction, journal your prayers to God and send a text to a friend you are thinking about. Countless other examples could be given.

The fact that women can achieve social ascent by their own efforts far more strongly than in the past is also reflected on the marriage market. Surgeons no longer pursue nurses, but rather anaesthetists or other surgeons. Academic women marry men with similar qualifications and status.104 This educational homogamy is a side effect of women’s increased qualification levels and their improved status on the labour market. It also constitutes an emancipatory gain when women rise by avenues other than a socially asymmetrical marriage, yet it means at the same time that a social closure takes place on the marriage market.

Sir Roland Penrose, my only authority for this episode, states that Picasso “was obliged to rush her to Paris, nursing her with ice-packs on the journey, while little Paulo was violently car-sick all the way.” I am sure Sir Roland’s account is exact: I am equally sure that if Picasso had time for reflection it would have occurred to him that the common lot was more attractive from a distance; that it was not at all suitable for a painter; that the entrance-fee to the community was far too high, the price for being an insider excessive. Yet if these thoughts did in fact come to him, they remained deep in his consciousness for the time, finding no outward expression for some years.

Teaching academic writing to Bachelor of Science in Nursing (BSN) students is crucial early in their academic journey and should continue throughout their program. Here's a breakdown: Foundation Level (First Year): Introducing basic academic writing skills at the onset helps students develop a strong foundation. This includes understanding essay structure, proper citation methods (APA, MLA), and critical reading and writing skills NURS FPX 4010 Assessment 2. Core Nursing Courses: As students progress into core nursing courses, integrating academic writing into these subjects is beneficial. Assignments related to evidence-based practice, research papers, case studies, and reflective writing can aid in linking theoretical knowledge to practical application through writing.NURS FPX 4010 Assessment 3 Clinical Practice Integration: Incorporating writing assignments that reflect on clinical experiences or patient interactions helps students articulate their observations, reflections, and professional development, enhancing their communication skills.online class help services Advanced Nursing Courses: In advanced years, focus on more complex academic writing, such as scholarly articles, thesis or capstone projects, and literature reviews. This phase aligns with deeper research and specialization within nursing fields. Continuous Improvement: Encourage ongoing improvement by providing resources, workshops, and feedback on writing. Additionally, revisiting and reinforcing academic writing skills periodically ensures students maintain and enhance these crucial abilities.nursfpx.com By introducing and reinforcing academic writing skills across various stages of the BSN program, students develop proficiency in communicating their ideas effectively, a skill essential for their future practice, research endeavors, and professional growth.

Even though the Thirteenth Amendment in 1865 ended slavery, it left a loophole that let the dominant caste enslave people convicted of a crime. This gave the dominant caste incentive to lock up lowest-caste people for subjective offenses like loitering or vagrancy at a time when free labor was needed in a penal system that the dominant caste alone controlled. After a decade of Reconstruction, just as African-Americans were seeking entry to mainstream society, the North abandoned its oversight of the South, pulled its occupying troops out of the region, and handed power back to the former rebels, leaving the survivors of slavery at the mercy of supremacist militias nursing wounds from the war. The federal government paid reparations not to the people who had been held captive, but rather to the people who had enslaved them. The former Confederates reinscribed a mutation of slavery in the form of sharecropping and an authoritarian regime that put people who had only recently emerged from slavery into a world of lynchings, night riders, and Klansmen, terrors meant to keep them subservient. As they foreclosed the hopes of African-Americans, they erected statues and monuments everywhere to the slave-owning Confederates, a naked forewarning to the lowest caste of its subjugation and powerlessness. It was psychic trolling of the first magnitude. People still raw from the trauma of floggings and family rupture, and the descendants of those people, were now forced to live amid monuments to the men who had gone to war to keep them at the level of livestock. To enter a courthouse to stand trial in a case that they were all but certain to lose, survivors of slavery had to pass statues of Confederate soldiers looking down from literal pedestals. They had to ride on roads named after the generals of their tormenters and walk past schools named after Klansmen. Well into the twentieth century, heirs to the Confederacy built a monument with Lee, Stonewall Jackson, and Jefferson Davis carved in granite, bigger than Mount Rushmore, in Stone Mountain, Georgia. If the Confederacy had lost the war, the culture of the South and the lives of the lowest caste did not reflect it. In fact, the return to power of the former Confederates meant retribution and even harder times to come.

She did like the convent. The house of Our Lady of Grackles was quiet and dull, the things that people expected of her were clear-cut and not shrouded behind diplomatic words. She was not exactly a novice, but she worked in the garden with them and knit bandages and shrouds. She liked knitting and cloth and fibers. Her hands could work and she could think anything she wanted and no one asked to know what it was. If she said something foolish, it reflected only on her, and not the entire royal family. When she shut the door to her room, it stayed shut. In the royal palace, the doors were always opening, servants coming and going, nurses coming and going, ladies-in-waiting coming and going. Princesses were public property. She had not realized that a nun had more power than a princess, that she could close a door.

The higher your HbA1c, the more you are also glycating the proteins in the lenses of your eyes, in kidney tissue, arteries, skin, etc.32 In effect, HbA1c provides an ongoing index of aging rate: The higher your HbA1c, the faster you are aging. So HbA1c is much more than just a feedback tool for blood glucose control in diabetics. It also reflects the rate at which you are glycating other proteins of the body, the rate at which you are aging. Stay at 5 percent or less, and you are aging at the normal rate; over 5 percent, and time for you is moving faster than it should, taking you closer to the great nursing home in the sky. So foods that increase blood glucose levels the most and are consumed more frequently are reflected by higher levels of HbA1c that in turn reflect a faster rate of organ damage and aging. So if you hate your boss at work and you’d like to hasten his approach to old age and infirmity, bake him a nice coffee cake.

Diane Louise Jordan Diane Louise Jordan is a British television presenter best known for her role in the long-running children’s program Blue Peter, which she hosted from 1990 until 1996. She is currently hosting BBC1’s religious show, Songs of Praise. Also noted for her charity work, Diane Louise Jordan is vice president of the National Children’s Home in England. When in late 1997 I was invited by the Right Honorable Gordon Brown, Chancellor of the Exchequer, to sit on the Diana, Princess of Wales Memorial Committee, I was clueless as to why I’d been chosen. I was in the middle of a filming assignment in the United States when the call came through. Sitting on the bed in my New York hotel room, still with the receiver in my hand after agreeing to the chancellor’s request, I kept asking myself, “Why me?” The rest of the committee seemed to me to be high fliers of great influence or closely related to her. I was neither. I didn’t fit. But, perhaps, that’s the point. A lot of us think we don’t fit, don’t believe we’re up to much. Yet the truth is we’re all part of something big, and we’re all capable of inspiring others to be the best that they can be. This is what Princess Diana believed. The Princess influenced and inspired many through her life, and now I had an opportunity to be part of something that ensured her influence would continue. It was out responsibility as the Memorial Committee to sift through more than ten thousand suggestions by the British public to find an appropriate memorial to the life and work of the Princess. It was unanimously felt that the memorial should have lasting impact and reflect the many facets of Diana, so we came up with four commemorative projects: the Diana Nurses, a commemorative 5 pound coin, projects in the Royal Parks, and the Diana, Princess of Wales Memorial Award, for young people between the ages of eleven and eighteen. The Diana Award, as it is now known, was set up to acknowledge and support the achievements of young people throughout Britain. Each year the award is given to individuals or groups who have made an outstanding contribution to their community by improving the lives of others, especially the more vulnerable, or by enhancing the communities in which they live. The Diana Award is also given to those who’ve shown exemplary progress in personal development, particularly if it involves overcoming adversity. I’ve been associated with the Diana Award since it was established in 1999. And now, as a trustee, I’m extremely honored to be further involved, as I believe that the award holders are a living part of the late Princess’s legacy. They represent the kind of brave, caring, idealistic values Diana admired and championed. Like the late Princess, this award simply shines a light on what is already there, already being achieved. It’s as if Diana herself is telling the recipients how fantastic they are. The Princess said her job was to love people, and through this award she is still doing that. Recently, I was at an award holders ceremony. I was overwhelmed to be in an environment surrounded by beautiful young people committed to wanting the best. Like Princess Diana, they all demonstrate, in their individual ways, that when we strive to do our best, whether by overcoming personal adversity or contributing to the well-being of others, it changes us for the better. We see a glimpse of how we could all be if, like Diana, we have the courage to expose our hearts.

I feel like that on a lot of days. And it's at these times that I reflect on what it will be like to see my mother. A lot of people say that she was a "Fannie Lou Hammer" type of woman. My mother would challenge the plantation owners if they were unfair. She died because her body was too weak to nurse me, a seven-month-old baby. She died that I might live. I look forward to crossing the threshold of heaven and rushing into her arms. I'll tell her that I picked up the mantle of reconciliation and ran hard until my day was done. I want to know that she is proud of me. I want to hear her say, "You did well, son." Then I'll go looking for my two sons, Spencer and Wayne. It's going to be some kind of reunion. That "great camp meeting in the sky"...where we'll see Jesus and touch the face of God. Yes, my steps are a little slower now...but my spirit is energized. I still have joy. I am full of hope for the future. We will get there. We will get there - together. We will get there - as one. "When we all get to heaven, what a day of rejoicing that will be! When we all see Jesus, we'll sing and shout the victory!

Erik Lannen, a beacon of empathy in the world of healthcare. As a seasoned Nurse holding both a Nursing Degree and a Master's in Christian Ministry, Erik's professional journey is a testament to his passion for healing. Acknowledged for outstanding contributions, Erik is a member of esteemed healthcare associations, reflecting his commitment to excellence.