Saturday, December 28, 2019

Blood Brothers Essay Example for College Students - Free Essay Example

Sample details Pages: 8 Words: 2305 Downloads: 9 Date added: 2017/06/26 Category Literature Essay Type Compare and contrast essay Did you like this example? Compare how Willy Russell portrays the two mothers in â€Å"Blood Brothers†. Blood Brothers is a popular play by Willy Russell. It was written and first performed in 1981. The play tells of twin brothers, separated at birth, with one kept in a low-class family and the other is adopted into a wealthy family. The characters of Mrs Johnston and Mrs Lyons, the mothers, are total opposites. Mrs Johnston is a struggling, single mother of seven, with another two on the way, whereas Mrs Lyons is a privileged, yet childless, married woman. When we are first introduced to Mrs Johnston, she is a single mother ever since her husband left her for a younger woman. She is a low–class Liverpudlian, who is extremely hardworking. Mrs Johnston is described as a woman in her thirties, but looks sixty, because of the stress of work and her children. Mrs Johnston stutters at times, when shes under pressure, like when Mrs Lyons is persuading her to give away one of the twins, â€Å"Erm, well I think its the†¦ but, Mrs Lyons, what†¦Ã¢â‚¬  Act 1 Scene 5. Mrs Johnston is shown as unsure and pressured into something she doesnt want to do. The reader may find it disturbing, since not many mothers give away their children to their employers. Mrs Johnston realises what Mrs Lyons is talking about, but is still confused over the whole situation. When she talks, ellipses are used to show that she pauses in her dialogue, because she is uncertain about the consequences to what she is about to do, â€Å"At er†¦Ã¢â‚¬  Act 1 Scene 5. She is hesitating because she is in doubt and hasnt really decided. Mrs Johnston is lost for words and cant think of anything to say. Mrs Johnston is a superstitious lady, even though she denies it. The reader can see this in a scene between her and Mrs Lyons, â€Å"Mrs Lyons: [Twigging, laughing] Oh, you mean its superstition. Youre superstitious are you? The Mother: No. But you never put new shoes on a table.† Act 1 Scene 3. When Mrs Lyons laid shoes on the table, Mrs Johnston panicked. Mrs Lyons uses Mrs Johnstons belief of superstition against her when trying to keep her ‘son, Edward, one of the twins. Mrs Lyons contrasts really strongly against Mrs Johnston. At first, Mrs Lyons is shown as a bright person in her thirties, unlike the stressed Mrs Johnston who is the same age. Mrs Lyons is an upper middle-class woman. She is also a very patronising woman, who is forceful and pressurising. Mrs Lyons uses negative views about extra children so that Mrs Johnston will have to give away one of the twins to her. She doesnt do this in an aggressive way, but in a dangerously sweet manner, â€Å"Mrs Lyons: Already youre being threatened by the Welfare. With two more how will you avoid some of them being put into care? Surely, surely, Mrs Johnston, its better to give one child to me than to have some of them taken into care! If hes with me youll st ill be able to see him each day as you come into work.† Act 1 Scene 5. She gives Mrs Johnston reasons to give up a child. Mrs Lyons is shown to be self-centred, â€Å"My husband is due back tomorrow! I must have my baby now.† Act 1 Scene 6. She doesnt care about Mrs Johnstons feelings, Mrs Lyons only wants the baby because if Mr Lyons returns and doesnt see it, he will know that his wife was lying. Mrs Lyons is willing to take a child away from its mother, so that she can save her own skin. Mrs Lyons is a very sly and devious woman, as she uses superstition against Mrs Johnston, so that she can keep one of the twins, after Mrs Johnston tries to take him back, â€Å"Mrs Lyons: †¦ You know what they say about twins secretly parted, dont you? The Mother: [Terrified] What, what? Mrs Lyons: They say†¦ they say that if either twin learns he was one of a pair they shall both die immediately! It means, Mrs Johnston, that these brothers shall grow up unaware of the others existence. They shall be raised apart, and never, never ever told what was once the truth. You wont tell anyone, Mrs Johnston, because if you do you shall kill them!† Act 1 Scene 8. Mrs Lyons is being dramatic, but she knows that Mrs Johnston is convinced, because she saw how Mrs Johnston overreacted when she put shoes on the table. Mrs Lyons is very manipulative, but she conceals it very well. This superstition ends up backfiring on Mrs Lyons because Mrs Johnston soon forgets about it, but it continues to haunt Mrs Lyons decades later. She becomes paranoid and obsessive, believing that Mrs Johnston is following her to tell Edward the truth. This shows the reader that the superstition affects her instead of Mrs Johnston, the person it was intended for. When she is trying to convince Mrs Johnston to give away a twin, all she mentions is the materialistic advantages of her lifestyle, â€Å"The Mother: †¦ Hed be able to play on those lawns would nt he? And have his own room and†¦ Mrs Lyons: If he grew up here†¦ as our son†¦ He could have everything.† Act 1 Scene 5. Although she agrees with everything Mrs Johnston says, Mrs Lyons never mentions if she would love the child as if it was hers. The reader could think that Mrs Lyons could give him everything apart from love. The stage directions are in the text because Blood Brothers is a play. They are there because the dialogue doesnt describe how the characters are reacting or what the scenery is like. The stage direction gives the reader an idea of what is happening, without giving too much away, â€Å"The Mother: [Terrified] What, what?† Act 1 Scene 8. If the stage directions werent given, the reader wouldnt know how Mrs Johnston said it. She could have been curious or confused about the situation. The stage directions help with the readers imagination and interpretation of Blood Brothers. The Narrator is also a very good dramati c device. He acts as a shadow of the other character. The Narrator is there as a reminder of Mrs Johnston and Mrs Lyons agreement. The other characters dont acknowledge him which shows he is of a ghostly nature. The Narrator raises suspicion and builds up tension between the characters. He has no emotion and talks of the Devil, â€Å"Theres no use clutching at your rosary The Devils in the backyard, he can see Through the gaps in the curtains he sees it all, Theres no use hiding in the hall. When he raps at the knocker then he knows youre in; No you wont, no youll never get away from him No you wont, no youll never get away from him.† Act 2 Scene 1. The Narrator is trying to tell Mrs Johnston and Mrs Lyons that their pact wont work, because the truth will be known. He uses repetition and rhyme, so that his lines are more catchy and memorable. The Narrator is a creepy and disturbing character because he knows the future and talks about the Devil, which makes him God-like and all seeing. He is a neutral character because he doesnt choose sides and we dont know anything about him, other than he knows the fate of each character. The Narrator also represents superstition because he is there throughout the play, reminding the reader of the lie Mrs Lyons told. The dialogue of the two families is very diverse. Mrs Johnston uses ‘common English and Mrs Lyons uses ‘standard English. Mrs Johnston uses ‘common English in her dialect and many slang terms throughout the play, â€Å"Oh its, its smashing thank you, Mrs Lyons.† Act 1 Scene 3. This shows that she wasnt brought up in a rich family or she wasnt properly educated. Mrs Lyons uses ‘standard English in her language, since she is quite wealthy and possibly well educated. Instead of calling her son Eddie, she calls him Edward, â€Å"Edward! Edward its time for bed.† Act 2 Scene 3. Childhood is very prominent in the play. The reader can see a difference i n the twins upbringing. Eddie seems to have grown up very fast because at the age of seven, he is already very polite and well spoken. His parents have influenced him because he is like a miniature adult. The reader can see that Mrs Lyons was very overprotective when she brought Eddie up, because he is already familiar with things like dictionaries at such a young age, â€Å"Eddie: In the dictionary. Dont you know what a dictionary is?† Act 2 Scene 2. Eddie speaks like he has used a dictionary a lot, whereas Mickey doesnt know what one is, but agrees to make himself look smarter. In contrast, Mickey is more wild and untamed. He plays childhood games, like mounted Police and Indians, and runs around with a toy gun. Mrs Johnston probably let him do whatever he wanted, because she had his other siblings to look after as well. This is something that Eddie never did, â€Å"Were playing mounted Police, and Indians. Im a Mountie. Mam, Mam, you know this morning weve wiped out three thousand Indians.† Act 2 Scene 1. A gun is mentioned throughout the play. At first, a harmless air gun is used a toy. This symbolises the fate of the twins. The child versions think its just a toy used to vandalise, but as they grow up, real guns are used. At the end of the play, when Mickey feels that Eddie has taken everything away from him, he produces an authentic looking gun. Even then it isnt real. The child and the adult Mickey thinks of guns as a relic of power. When Mrs Lyons moves to the countryside, she orders that poplars be planted, so that the council estate cant be seen. The poplars are a barrier between Mrs Lyons and Mrs Johnston. Mrs Lyons wants sever all ties with the Johnston family, but they manage to move to the countryside as well. Superstition plays a big part in Blood Brothers. With the Narrator as a constant reminder, the reader sees that Mrs Lyons superstition affects every character in the play. Mrs Lyons is most affected. Simple t hings that a mother would tell a child would be nonsense to her, but knowing that Mrs Johnston is superstitious helped her get a child. At that point, superstition was an advantage to her. But when she faces the reality of what she has done, Mrs Lyons becomes deluded. The idea of motherhood and surrogacy is also present. Mrs Johnston and Mrs Lyons raise their sons very differently. Mrs Johnston lets Mickey be carefree and wild, but he isnt allowed to play near the ‘big houses in the park. Mrs Lyons raises Eddie the way she desires, but he finds his way back to his biological family. She becomes insane because of Eddies bonds with his real family. This reveals her real personality, compulsive and aggressive. Surrogacy is shown as a bad thing in Blood Brothers, because Mrs Johnston was reluctant to give away her child. Mrs Lyons manipulative personality is seen here, in her desperation to have a child, as she forces Mrs Johnston to give away her son. Blood brothers are als o one of the themes mentioned. It started off as a childs alliance to his friend, but carries on until adulthood. The twins do forget about it at times in their life, but it keeps returning. The one who came up with the idea, Mickey, is the one who ends up dismissing it. He thinks nothing of it any more, â€Å"Eddie: [Pause] I thought†¦ I thought we always stuck together. I thought we were†¦ blood brothers. Mickey: That was kids stuff, Eddie, didnt anyone tell you? [Pause. Mickey looking at him. An ironic snort] But I suppose you still are a kid, arent you?† Act 4 Scene 2. Social class and division is also mentioned. Whilst Mickey and Eddie overcome that boundary, their mothers havent. Mrs Johnston is treated very badly because of her low-class status. When Mickey is in trouble with the police, the Policewoman is very patronising and shows Mrs Johnston no respect, â€Å"[to Mrs Johnston] And he was about to commit a serious crime, love, a serious crime. Now do you understand that? [The Mother nods] You dont want to end up in court again do you? Eh? [Shakes her head] Because thats whats going to happen if I have any more trouble from one of yours†¦ † Act 2 Scene 7. The Policewoman uses a threatening tone and rhetorical questions, such as ‘Eh? She also uses repetition because she thinks that Mrs Johnston is poorly educated and inferior to her. Since Eddie was also there at the time, the Policewoman paid a visit to his house too, â€Å"As I say, it was more if a prank really, Mrs Lyons. Id just dock his pocket money if I was you. But one thing I would say, and excuse me if Im interfering, but Id not let him mix with the likes of them in the future. Make sure he keeps with his own kind, Mrs Lyons, not running round with them at the other end†¦Ã¢â‚¬  Act 2 Scene 7. The Policewoman is more polite to Mrs Lyons. She refers to the incident as a crime to Mrs Johnston, but tells Mrs Lyons it was a prank. She doesnt use repetition with Mrs Lyons. She is inside Mrs Lyons house because Mrs Lyons is a respected woman and if the neighbours saw, people would talk. The Policewoman is very two-faced, treating one mother better because of her status. The town, where the characters live, is separated. The reader can see a definite social division. There is the wealthy ‘in the big houses near the park and the workers in the council estate. Don’t waste time! Our writers will create an original "Blood Brothers Essay Example for College Students" essay for you Create order

Friday, December 20, 2019

Lord Krishnas Disobedience In The Bhagavad Gita - 1234 Words

Throughout Barbara Miller’s translation of the Bhagavad-Gita, Lord Krishna reminds Arjuna of his obligation to act for the good of his people, advising him not to discard his warrior duties or reject the idea of fighting against his own kin. In the Bhagavad-Gita, Arjuna exhibits disobedience by discarding his duties and obligations as a warrior through his protest and by choosing not to engage in combat on the battlefield. His personal morality motivated him to act justly, but does not validate his decision not to fight. Although disobedience may provide cultures opportunities to evaluate situations holistically, disobedient people often disavow their own consequences. The Bhagavad-Gita reveals, through Krishna’s confrontation with Arjuna,†¦show more content†¦Arjuna questions Krishna’s intent by stating â€Å"I see omens of chaos, Krishna; I see no good in killing my kinsmen in battle† (27). Through this statement, Arjuna once again challenges th e will of Krishna by choosing to look past the action of fighting and focuses on the result of his kin dying—the fruits of action. Krishna, in his response to Arjuna, retains the idea that Arjuna must serve a greater good and that his dharma, his sacred duty, is to do this as well. Further, through the statement â€Å"A man cannot escape the force of action by abstaining from actions; he does not attain success just by renunciation. No one exists for even an instant without performing an action,† Krishna displays the concept that disobedience or abstaining from a cause harms society more than it benefits it (43). Rather, the mere act of abstaining demonstrates some sort of deed-- this deed, or renunciation of a cause, will not obtain success but rather prohibit success from transpiring. The Bhagavad-Gita thus implies that killing and destruction, no matter how evil they appear, do not truly reflect the end goal of a cause, and that disobedience does not truly exhibit rejection of what one considers wrong. The fruits of action become imperative again as Krishna relays the difference between action and the results of actions. Further, Krishna frowns upon disobedience because Arjuna’s refusal to act impairs the ability to benefit society.Show MoreRelatedDisobedience In The Bhagavad Gita1010 Words   |  5 PagesThe Devaluation of Devotion Through Disobedience Throughout Barbara Miller’s translation of The Bhagavad-Gita, Lord Krishna reminds Arjuna of his obligations to act for the good of his people, advising him not to discard his warrior duties or reject the idea of fighting against his own kin. In The Bhagavad-Gita, Arjuna exhibits disobedience through his initial decision not to engage in combat on the battlefield, and he also discards his duties and obligations as a warrior through this protest. His

Thursday, December 12, 2019

Brain Drain Essay Example For Students

Brain Drain Essay One of the major concerns of todays companies is the shortage of labor, especially in management. The baby boomers are nearing retirement age in the United States and the birth rate is dropping. These circumstances, coupled with the booming economy are the main causes of the labor shortage. There is a high demand for labor but the once seemingly bottomless pool of employees and managers that companies drew from has started to dry up. What are the factors that contributed to the problem and how are todays corporations going to handle this problem? The type of labor needed in todays society has been undergoing a constant change. There is an increase in demand for workers but there is a much greater demand for educated white-collar workers, especially management material. Projections state that the growth in managerial positions will increase 20% by the year 2010 yet the population aged 35-50 will decrease nearly 10%. What these figures say is the already diminishing supply of executive s is going to dwindle even more over the next 10 years. There is a shortage of blue-collar workers now and there will also be an even greater shortage of them in the future. In order for employers to find people who are willing to perform unskilled, repetitive jobs they are going to have to be willing to raise the level of compensation offered to employees. If McDonalds needs someone to flip hamburgers they better be prepared to pay double to triple minimum wage. There are a wide variety of employment opportunities and todays workforce can afford to be selective when choosing a job. The demand for employees is high while the supply is low. The figures on the change in average population ages and growth in industrialized nations is beginning to make the corporate world stand up and take notice. If the trends continue as they have been for the past thirty years, the shortage of labor is going to continually get worse with each year that passes. The predictions from the United States C ensus Bureau state that between 1990 and 2000 the increase of the American population over 60 will be 10.5% but in 2010 to 2020, the increase will be 32.5%. The change in the 60 plus population in the United States is projected to nearly triple in thirty years. Compare these figures to the increase in under sixty-year-old population. From 1990 to 2000, the increase in under sixty year olds will be 6.5% and it is projected to drop to 2.8% by 2010. If you look at the changes in the workplace you will see that the average age of an employee is steadily rising as the average age of retirement continues to drop. The projected increase in 55-64 year olds in the workforce from 1996 to 2006 is a staggering 54%. The projected change in the 25-34 year old bracket is -8.8%. These trends are not only true in the United States. Japan is also going to be coping with similar problems. Today the people over age 65 compose 16% of Japans population, but by the year 2020 it is projected that percentag e will soar to 26.3%. Japan, just like the United States is going to have to attempt to retain some of this group in the workforce to compensate for the continually falling birthrate in their country. This problem is very true in Europe too. Since 1995 Germany, France and Italy have experienced a continual fall in working population ages 15-64. This trend is projected to continue into the year 2000. Our aging population is also choosing to retire much earlier than they once did. This is a factor contributing to the strong economy we are enjoying now. The old are growing older, living longer and they are healthier than ever. Breakthroughs in medicine have enabled people to live much longer. The advancements our pharmaceutical companies research and development departments have made are staggering. Diseases that once were a death sentence are curable. Organs that are failing in the human body can be replaced or rebuilt. There are even some types of cancer that are considered curable. These things were not true twenty years ago. There also is a trend in this country towards remaining healthy. Americans are taking much better care of themselves; there is a genuine concern towards health. People are not smoking as much as they did in previous decades and there is a trend towards exercise. We take vitamins, we go out for a weekend run or bike ride and we are eating healthier. All these factors contribute to a longer life expectancy and a rising demand for products and services. Another major contributor was the big push in the eighties, out with the old, in with the new school of thought, forcing the older management and executives into early retirement has left the companies of today in dire need of top caliber people. This coupled with the fact that each year more and more baby boomers decide to retire early. The gains the baby boomers stand to receive far outweigh the costs in most cases. Their 401k plans and stock options have sky rocketed in value because of th e strong economy we have been experiencing for nearly twenty years now. Todays older working population has the choice to continue working or retire because for the most part, they are financially sound. Many are choosing the retirement option. They no longer have to deal with the day-to-day grind, the high pressure and rigorous schedules that are demanded of senior executives in todays world. They have worked hard for many years and now have the option to retire and enjoy the remainder of their lives. Its a choice that is hard to say no to. Its a choice that has proven to be very costly to todays businesses. Space probes EssayThe companies of today are aware of the constantly growing problem and are working towards a solution. I think that they are moving in the right direction. Offering flexibility in what was once a very rigid structured hierarchy is certainly a step in the right direction. People in todays world lead very different lives than they did 4o years ago. A rewarding profession is not exclusively defined by the income generated anymore, rewarding can also mean personally rewarding. A good employee doesnt necessarily work 40 hours each and every week, some work part time or are involved in a job-sharing program. In order to keep the workforce meeting the needs of the economy, the employer must continue to become more flexible and remain open to suggestions. Todays companies are on the right track. I believe that with proper management and forward thinking, we will be able to cope with the ever-increasing shortage of labor. BibliographyGrey Dawn by Peter PetersonCenter for S trategic and International StudiesNewsweek magazineBusiness Week magazineThe Economist magazineSt Petersburg Times NewspaperThe United States Census BureauCNN.comEconomics Essays

Wednesday, December 4, 2019

HSC Multicultural Issue In Healthcare

Question: Write an essay on HSC Multicultural issue in healthcare. Answer: Introduction Diabetes mellitus is one of the prevalent diseases that have encircled the maximum amount of the human pool in its trap globally. In the US, this disease affects twenty-four million of individuals (Reidy et al., 2014). The patient with this illness cannot secrete enough insulin or cannot use the natural amount of insulin secreted properly. Insulin hormone regulates the blood sugar level in organisms. If the body has higher blood sugar level, it might be detrimental to the various parts of the body (Inzucchi et al., 2014). A patient with Diabetes might experience kidney failure. Diabetes injures the blood vessels in the kidney, leading to retention of more amounts of salt, water and waste materials (Sellares et al., 2012). This leads to various critical problems in the body. To manage this disease patients must adhere to specific treatments which include physical activity, dietary restrictions, self-monitoring of the level of glucose, etc. (Levey Coresh, 2012) The aim of this context is to review various studies based on the effects of Diabetes in our family with a particular focus on kidney failure. Further, the outcome of this disease and the plan of action that could be developed to take precaution and stay safe in life, work places, and the educational institute will be discussed. Method For this study, the author undertakes qualitative analysis including the literature research for supporting the argument and critically analyze on the chosen subject. PubMed, NCBI and Google Scholar are searched with keywords "Kidney failure", "Diabetes", "Diabetes care", Diabetes care and control, psychological impacts of kidney failure, Renal failure and depression, Diabetes management etc. Literature review Empirical studies reflect the fact that there is a significant and positive relationship between treatment adherence amongst diabetes patient and the social support (Vanmassenhove et al., 2013). Regarding the Diabetes patients, non-adherence is linked with reduced glycemic control, long-term complications including, neuropathy,retinopathy and renal disease (Jha et al., 2013). Diabetes mellitus show the close association with several renal infections which include emphysematous pyelonephritis and cystitis,"candidiasis and perinephric (Inzucchi et al., 2015). Individual studies revealed that Diabetes patients are five times more chances and frequency of "acute pyelonephritis at autopsy in comparison to the non-diabetics (Tonelli et al., 2014). Around seventy two percent of twenty patients in 1980 were observed to have chronic emphysematous cystitis (Jha et al., 2013). Acute urinary infections frequent in diabetic women since they have short urethra which is readily accessible to micro organisms (Vanmassenhove et al., 2013). The presence of this disease predisposes to certain severe infections in patients with less diabetic control, acute ketoacidosis, neuropathy, etc. (Fox et al., 2012). A literature review shows that if the cause of the renal failure is due to Diabetes, with urinary tract obstruction, then sepsis can produce a favorable outcome (Reidy et al., 2014). Moreover, NSAIDs drugs should be avoided in case of patients with Diabetes nephropathy (Inzucchi et al., 2015). One study reveals that the outcome of the renal failure was active, almost around forty-seven patients recovered from renal failure with appropriate treatment using renal transplantation (Fox et al., 2012). Studies reveal that if there exist a family history revolving kidney disease, then it can elevate the chances of a risk of diabetic nephropathy (Levey Coresh, 2012). But some procedures can be changed to lower the risk of diabetic nephropathy. These changes or prevention measures include controlling the increase in the blood sugar levels, controlling the weight, monitoring the disease related nerve or vision complications (Sellares et al., 2012). Kidney failure requires artificial means of excretion for survival as the result of which such patients undergo a "number of lifestyles, dietary, and fluid restrictions to accommodate their illness." According to (Buckingham, et al., 2013) such lifestyle changes and constraints disrupt the social functioning with patients struggling hard to maintain "vitamin, iron, and protein levels." (Finnegan-John Thomas, 2012) said that "such restrictions impact on patients' illness beliefs, sense of personal control leading to anxiety and depression, inhibiting coping, and adjustment." According to (Poppe et al., 2013) End-stage renal failure has the significant influence on family members, therefore, irrespective of age every patient needs family's support who are also affected by the lifestyle changes. There are several diabetic patients who want to manage the disease on their own, but family members also learn how to handle such disease living with and witnessing their affected loved ones (Finnegan-John Thomas, 2012). Several patients prefer to take self-care," for example, preparing their machines or needling their fistulas for hemodialysis treatment. Patients reported a sense of independence and autonomy which was critical in coping with the routine of therapy. An experienced patient can provide peer support and education. Social support and mental support from the family members provides practical help to the patients who can buffer the stresses to live with the illness (Hippisley-Cox Coupland, 2016). Studies conducted by Novo Nordisk named as Diabetes Attitudes, Wishes and Needs 2 or (DAWN2) (Rosland et al., 2012). It intended to realize the unmet needs of diabetic patients and their families. The results of this study would enhance self-management and psychological support in diabetes care". According to this study, 60% of the relatives of diabetics undergo tremendous emotional stress worrying about the proposed complications likely to affect the person they are living with (Rosland et al., 2012). Non-adherence to medication in many cases has been reported to cause depression and other psychosocial effects in patients consequently impacting their family (Cole Reiss, 2013). ESRD also transforms personal relationships. A study by (Buckingham et al., 2013) shows that "Fatigue, infertility, low energy, and mood, physical changes to the body, for example, catheter, weight gain, and scarring, all played a role in undermining confidence and self-esteem. Sexual activity and intimacy we re also reported as significantly compromised requiring adjustment for both patients and their partners. Changes in perceptions of roles within the relationship were also evident." A similar study was published by Joslin in Diabetic Medicine, called theImpact of continuous glucose monitoring on diabetes management and marital relationships of adults with Type 1 diabetes and their spouses: a qualitative study (Cole Reiss, 2013). The majority of the "spouses" stay uneducated about such diseases and requirement of continuous glucose monitoring. It is the contributing factor in problems associated with management of diabetes (Levey Coresh 2012). According to (Chiang et al., 2014) family members should be included in the diabetes management else a due lack of knowledge and information they can never assist their loved ones in tackling the disorder. In this study, it was indicated that majority of the spouses are concerned about the hypoglycemia, or low blood sugar. Therefore, to reduce the anxiety and stress among spouses, it is mandatory for them to use CMG and understand its operation (Poppe et al., 2013). A study by Joslin indicated that "collaborative diabetes management and relationships with patients" are positively influenced by CMG as it helps in decreasing the anxiety in spouses due to higher awareness. Clinical studies by (Cole Reiss, 2013) identified that the cases in which family member regularly visited with the patient to clinics, management sessions and showed greater involvement were capable of creating an open home environment that suits easy management of diabetes. They were able to provide open discussing or dialogue and friendly support system to make patients more comfortable and stress-free (Rosland et al., 2012). Patients need a home environment that has more diabetes-friendly lifestyle (Inzucchi et al., 2015). People with diabetes crave for the atmosphere where the surrounding people are cognitive about their condition which in fact makes them they have collaborators and feel less alone (Jha et al., 2013). From the above literature review, it is apparent that psychological support is essential to assist patients in tackling lifestyle restrictions. It will, therefore, enhance "personal control through self-management strategies" which is critical, as outlined in the National Service Frameworks (Department of Health, 2005). According to NICE need assessment is important in creating an evidence base for developing a comprehensive health psychology service to run concurrently with a renal counseling support service as a means of responding to the recommendations made by the National Services Frameworks. Discussion and analysis The literature review has given an in-depth knowledge of the consequences of Diabetes and kidney failure and the role of family members in its management. The findings reveal that patients with renal impairment have the considerable impact on the quality of their life and give an insight into complexities, psychological and medical consequences of such chronic illness. Within the renal setting, patients with psychological distress should be supported and assisted by practitioners and psychologists to help enhance their coping style. It can be achieved by providing services or multidisciplinary care approaches which incorporate a holistic framework. In the next section, I am going to describe my personal experience with family. One of my maternal uncles John expired during my childhood and I went through a period of anxiety, depression, and chaos in my house. He died due to kidney failure, and I remember the experiences right from his final stage till his death, his family and friends struggling hard to save his life till his last breath but in vain, their pain, guilt, and agony faces still flashes in my mind. I learned a lesson with this incidence and was greatly influenced being close to him. Last year my other maternal uncle was diagnosed with diabetes. This time, everybody is more involved in his disease management including me. I accompany him when he goes to measure his A1C level, and I ensure that he takes his insulin injections and gets blood glucose monitoring on the timely basis. I always request him to not to miss on his urine test required for predicting Kidney disease. I always assist him in meal planning, performing physical activity and made sure he adhere to his medication. Mostly I cook for him only protein low diet. The family history of "diabetes and kidney failure" is a major risk factor for kidney disease and it is well known to run in families. Therefore, I insist my mother, father, and sister for the regular check-up to detect any signs kidney disease and be preventive. I do not want to undergo similar experiences once again in my life. I keep reading a lot shuffling through the journals, articles, magazines, and blogs finding out any modern therapy or curative medicines recently launched in the market with success rate. I keep informing friends and my family about the recent researches going on in this field to keep them updated, and I learn new recipes related to low protein diet which I prepare for my parents thrice a week. In order gain more knowledge on this subject, I consult my teachers, counselors, and professors to learn to be as much preventive as I could to enhance active and healthy lifestyle. Every morning since last year my parents and I are attending meditation classes. There are several positive changes in our lives; it has increased self-efficacy and self-esteem. I am sure we all will be able to manage adverse health issues by continuing such practices. Conclusion Living with "chronic illness such as kidney failure" can significantly compromise the "belief system" and undermines every phase of life. Several interventions have been developed to empower patients with ESRD, including educational programs and training sessions. Both parents and carers are acquiring good approaches and contacts to services required to empower them in managing their lifestyle and health (Rosland et al., 2012).It is essential that health care providers teach these patients that they are the leaders for their disease, how to control and that self-management care is not an easy task if they are not motivated. However, by assisting and following those on the regular basis will help these patients and their family to live a healthy lifestyle while becoming "their doctors in self-managing their condition." References: American Diabetes Association. (2013). Economic costs of diabetes in the US in 2012.Diabetes care,36(4), 1033-1046. Buckingham, J. L., Donatelle, E. P., Thomas Jr, A., Scherger, J. E. (2013).Family medicine: principles and practice. R. Taylor (Ed.). Springer Science Business Media. Chiang, J. L., Kirkman, M. S., Laffel, L. M., Peters, A. L. (2014). Type 1 diabetes through the life span: A position statement of the American Diabetes Association.Diabetes Care,37(7), 2034-2054. Cole, R. E., Reiss, D. (Eds.). (2013).How do families cope with chronic illness?. Routledge. Finnegan-John, J., Thomas, V. J. (2012). The psychosocial experience of patients with end-stage renal disease and its impact on quality of life: findings from a needs assessment to shape a service.ISRN Nephrology,2013. Fox, C. S., Matsushita, K., Woodward, M., Bilo, H. J., Chalmers, J., Heerspink, H. J. L., ... Tonelli, M. (2012). Associations of kidney disease measure with mortality and end-stage renal disease in individuals with and without diabetes: a meta-analysis.The Lancet,380(9854), 1662-1673. Hippisley-Cox, J., Coupland, C. (2016). Diabetes treatments and risk of amputation, blindness, severe kidney failure, hyperglycemia, and hypoglycemia: the open cohort study in primary care.BMJ,352, i1450. Inzucchi, S. E., Bergenstal, R. M., Buse, J. 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