Approaches to Palliative Care

Approaches to Palliative Care Palliative approach refers to the provision of a holistic care for patients who are no longer responsive to curative treatment and dying. The approach provides primary care services to improve the quality of life of the dying patients through addressing pain and other distressing symptoms and integrating physical, psychosocial and spiritual care to ensure a good death for the patients (Koutoukidis, Stainton and Hughson 2013, p. 865). It also offers support for families of the terminally ill patients to cope with grief and bereavement in the end-of-life stage of the patients (ACT Health 2014). In palliative care, nurses are directly involved in ensuring a holistic care for the patients and liaising with the patients’ families. They deal with pain relief, provide emotional support for both the patients and families and communicate the patients’ disease conditions with other care specialists through regular team meeting and clinical discussion. They also carry out assessme nt, care plan and bereavement follow up with families and friends of the patients to help them cope with grief and loss (Tasmanian Palliative Care Service 2013, p. 9). An advanced care directive is a written statement about the wishes of the patients regarding their medical treatment choices and future health care. It is a way that individuals, especially those who are in chronic or life-limiting condition like Mr. Guzman, communicate their wishes to the carers when they are unable to make decision on their health care choices, which can help avoid unwanted treatment and reduce family stress in any emergency situation (The Advance Care Directive Association 2012). The advanced care directive is implemented within the legal framework of Victoria. The Medical Treatment Act 1988 allows the patients to refuse medical treatment that are not consistent with their cultural or personal beliefs in most of the circumstances, and The Guardianship and Administration Act 1986 enables the patients to appoint an enduring guardian to make decision on their health care (Victorian Department of Health 2014, p. 53). According to the Victorian legislation, medical pra ctitioners must usually seek for the patients’ consent regarding their health care choice in the advanced care directive before providing any medical treatment to the patients (Victorian Department of Health 2014, p. 54). The current best practice regarding pain management for palliative care patients consists of both non-pharmacological and pharmacological approaches. The non-pharmacological approach in palliative care is primarily enabling the patients to regularly access to family members or religious leaders to ensure their psychological, spiritual and religious needs are met. This approach may help address the emotional components of pain and improve the psychological wellbeing and physical health of the terminally ill patients (Hughes 2012, p. 26). Pharmacological approach involves using drug therapies to effectively manage the pain. Hughes (2012, p. 25) suggests that the first attempt of analgesia may not be able to fully control the patients’ pain, and ongoing commitment to assess and adjust the pain control technique can give the patients confidences, which thereby reduces pain. Therefore, patient-centred care is important as it enables health practitioners to assess and decide on spec ific doses and forms of analgesia that should be given to the patients. It is also mentioned that health practitioners do not normally use opioid analgesia to their full potential though they are safe and cost effective medications. For effective pain control management, does, duration of treatment and the patients’ current condition, such as renal and hepatic function, should be taken into account to ensure the patients receive adequate pain relief with less side effects (National Institute for Health and Clinical Excellence 2012). Filipinos believe in bahala na, which means leaving one’s fate to God. They also believe that a person’s suffering is the God’s will, and only prayer can save the person’s life. Families and friends of the dying patients should, therefore, pray for the patients rather than discussing advanced care directive and terminal prognosis with them as it frustrates the patients and makes them feel hopeless. Discussing end-of-life issue with the patients is also believed to bring unwanted outcome to the patients’ health condition (Mazanec and Tyler 2003, p. 54). Such attitude to dying conflicts with modern health practices in which the dying patients are provided with full disclosure of the fact of illness and treatment and are able to make decision on their future health care. Patients with Filipino decent may also want to die at home or die in their home countries. Those who are catholic may require a priest to perform ‘sacrament of the sick’ a nd may not allow the nurses to wash their dead bodies, making it difficult for health professionals to provide holistic care for the patients before and after death (Mazanec and Tyler 2003, p. 54). When a person is dying, numerous common symptoms may occur in the last day or the last few hours before death. Confusion and delirium may usually occur during the end-of-life stage due to metabolic and electrolyte imbalance, hypoxemia and toxin accumulation. The patient also demonstrates increased weakness, fatigue and drowsiness and requires more sleep. In addition to decreased oral intake including food and fluid, they are also presented with the symptoms of decreased cardiac output, cool extremities, cyanosis and decreased urine output due to diminished blood perfusion and renal failure. Breaths become shallow and accessory muscle is used as the patient is struggling with breathing. They also have raised temperature and urinal and faecal incontinence (INCTR Palliative care 2009). Nurses know that patients are close to death as they become less interested in food, and their mouths become very dry. They have trouble swallowing pills and medicines and are unable to cooperate with car egivers. Their skin become dark or pale, and heart rate is fast and irregular. Nurses also realize that they become confused, disoriented and restless (American Cancer Association 2014). Last offices are performed as soon as Mr. Guzman passed away. Though different hospitals may have different policies regarding this procedure, the dead person’s body is usually straightened, arms are placed at the side of the body, pillows are removed, eyes are closed, denture is placed in the mouth if available, and a rolled towel is placed under the jaw to prevent sagging. All jewellery and personal stuffs are removed and kept at a safe place unless the families wish to keep it with the patient (Funnell and Koutoukidis 2008, p. 175). Nurses also apply a firm pressure on the lower abdomen of the body to drain all the fluid and prepares the death body for removal to a hospital mortuary or holding area by removing all tubes and drainage, washing, dressing, wrapping and labeling the body appropriately. Other specific cultural or religious practices concerning how to care for the body after death must be adhered to as fully as possible. If there is no specific requirement, two nu rses should carry out a post-mortem care, and the body is subsequently taken to the hospital mortuary (Funnell and Koutoukidis 2008, p. 175). Grief has a negative effect on families and friends of the dead person though the death is anticipated. Some families may become shock, while others may become angry, anxious and resentful. They may also feel a whirlwind of emotions from intense grief and loss to relief and comfort from the fact that someone they love will no longer be suffering (Koutoukidis, Stainton and Hughson 2013, p. 873). Grief also affects health professionals, particularly nurses, who provide direct care for the dead person. Stress, loss of motivation to continue providing health care for other terminally ill patients and social withdrawal may be commonly seen, which negatively affect their work performance and socialization (Wilson and Kirshbaum 2011, p. 560). Some recommendations for nurses to deal with grief and loss include talking to someone they trust about how they feel and the difficulty of trying to coping with the problem, discussing it with other carers and health professionals at the facility or c ontacting the National Carer Counseling to gain advice on how to deal with grief and loss effectively (Carer Victoria 2005). The sense of loss and grief may not ease with time for some families and carers. Prolonged grief can be a serious concern and require further support to prevent negative consequences from happening. Supports that are available for families and health professionals to cope with grief and loss include counseling and bereavement support services provided by the Australian Centre for Grief and Bereavement in Victoria, which offers a range of bereavement support programs and experienced counselors including social workers, psychologists and psychotherapists to help individuals cope with grief and loss (Australian Centre for Grief and Bereavement 2014). Hospital and community health care center, palliative care agencies, volunteer groups and church and religious organizations are also available sources from which families and health professionals can seek support. National Association of Loss and Grief Victoria also offers supports for families, clinicians and stakeholders in the health an d community service sectors to deal with grief and loss such as providing a package of loss and grief resources and making a discussion with counselors, psychologists and general practitioners available for those who find it difficult to deal with grief and loss (National Association for Loss and Grief Victoria 2011). Word count: 1530 References: ACT Health 2014, Palliative care, viewed 12 May 2014, http://www.health.act.gov.au/health-services/palliative-care/. American Cancer Association 2014, When death is near, viewed 13 May 2013, http://www.cancer.org/treatment/nearingtheendoflife/nearingtheendoflife/nearing-the-end-of-life-death. Australian Centre for Grief and Bereavement 2014, Counselling, viewed 15 May 2014, http://www.grief.org.au/grief_and_bereavement_support/counselling_services. Carer Victoria 2005, Dealing with grief when your family member dies, viewed 15 May 2014, http://www.survivingthemaze.org.au/bcfc/PDFS/GEN-04-15.pdf. Funnell, R Koutoukidis G 2008, Tabbner’s nursing care: Theory and practice, 5th edn, Elsevier, NSW. Hughes, LD 2012, ‘Assessment and management of pain in older patients receiving palliative care’, Nursing Older People, vol. 24, no. 6, pp. 23-29. INCTR Palliative Care 2009, Signs and symptoms at the end of life, viewed 13 May 2013, http://inctr-palliative-care-handbook.wikidot.com/signs-and-symptoms-at-the-end-of-life. Koutoukidis, G, Stainton, K Hughson, J 2013, Tabbner’s nursing care: Theory and practice, 6th edn, Elsevier, NSW. Mazanec, P Tyler, MK 2003, ‘Cultural consideration in end-of-life care’, Australian Journal of Nursing, vol. 103, no. 3, pp. 50-58. National Association for Loss and Grief Victoria 2011, National Association for Loss Grief Annual Conference 2011, viewed 16 May 2014, http://www.nalagvic.org.au/ab-currentwork.htm. National Institute for Health and Clinincal Excellence 2012, Opioids in palliative care: safe and effective prescribing of strong opioids for pain in palliative care of adults, viewed 13 May 2014, www.nice.org.uk/nicemedia/live/13745/59285/59285.pdf. Tasmanian Palliative Care Service 2013, Information booklet, viewed 12 May 2014, https://www.dhhs.tas.gov.au/__data/assets/pdf_file/0005/8987/tas-palliative-care-info-booklet.pdf. The Advance Care Directive Association 2012, What is advance care planning?, viewed 12 May 2014, http://www.advancecaredirectives.org.au. Victorian Department of Health 2014, Advance care planning: Have the conversation, a strategy for Victorian health service 2014-2018, viewed 12 May 2014, http://docs.health.vic.gov.au/docs/doc/C1BEDB926ED9A6E7CA257C9A0005231A/$FILE/Advance%20care%20planning%20-%20strategy%202014-18.pdf. Wilson, J Kirshbaum, M 2011, ‘Effects of patient death on nursing staff: a literature review’, British Journal of Nursing, vol. 20, no. 9, pp. 559-563.

History Cxc Adjustments to Emancipation

Adjustments to Emancipation| Coming of the Chinese, Europeans, Indians and Africans | Akia Selver| TABLE OF CONTENTS 1. Introduction†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. Page 1 2. Bakcground†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ Page 2 3. Africans†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ Page 3 4. Europeans†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. Page 5. Madeirans†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. Page 6. East Indians†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. Page 7. Contracts†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. Page 8. Effects†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢ € ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ Page 9. Bibliography †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ Page INTRODUCTION This project is based on the topic Adjustments to Emancipation from 1838 – 1876. It focuses on the Coming of the Chinese, Europeans, Indians and Africans into the Caribbean. Information is provided about their reasons for migration, working conditions and their effects on the Caribbean. Slavery was the initial labour system used by Europeans on their plantations in the Caribbean. It was implemented in the 1600s, the Europeans forcefully took people from the African continent to the Caribbean on various trips. The path in which the slaves were carried between Africa and the Caribbean is now known to historians as the triangular trade. These Africans and those from the African lineage became slaves on the plantations where they were not seen as humans and were treated as animals or property. After the freedom of the enslaved population on the plantations in the 1830s, the planters were faced with irregularity of labour on the estates. This was because many of the slaves had left the plantation to go start a new life. In addition, the remaining population had cultivated land of their own; often when it was harvest time instead of harvesting the crops on the estates, the freed people would harvest their own crops which posed a problem to the planters. As a result of this major problem, planters now had to develop new strategies to regulate the labour force on the estates. A major remedy to the inconsistency of the labour on the estates was the importation of indentured workers. AFRICANS Since Britain had abolished the slave trade, her warships had patrolled the seas looking for foreign boats carrying slaves. Most of the captures they were of Brazilian and Cuban ships. When they were released they were usually taken to two British colonies, St Helena or Sierrre Leone. both colonies were in danger of being overcrowded so the British government was willing to encourage the liberated Africans to emigrate to the Caribbean. Most of the imported were free slaves, most notably of the Jamaican Maroons deputed in 1796. After 1841 most liberated Africans were brought to the Caribbean either as soon as they were taken from a slave ship or after a short time on St Helena. hese Africans were unused to European ways and had not been seasoned to plantation labour. They usually left the plantations as soon as they could and settled as squatters in the interiors. The scheme lasted from 1841 to about 1862. It was very popular at first but declined after 1850 for two reasons. Firstly the private ships that were chartered at the beginning to carry the emigrants from African made the Africans think about slav ery all over again. secondly the agents in west Africa undoubtedly lured the Africans with false promises of money and land. As soon as the news leaked back it was hard to attract more Africans. A total of 36000 immigrants arrived. COUNTRY| # of Immigrants| British Guiana| 14000| Jamaica| 10000| Trinidad| 8000| The rest arrived in Grenada, St Vincent, St Lucia and St Kitts. EUROPEANS Jamaica was the main country to import European labour. This was done to raise the white population and at the same time provide plantation labour. This experiment was a failure. From 1834 to 1838, thousands of Scots and Irish and a few hundred Germans came to Jamaica. Most died due to tropical diseases as they lacked immunity to them. Others refused to work because of expected duties and found out that it was the work of blacks. They sought other employment or asked to be repatriated. In 1841 the Jamaican government made another attempt and imported more whites from Britain. After more deaths and requests to be sent home, the government finally realized that plantation labour from Northern Europe was a hopeless prospect. A total of 200 immigrants arrived in St. Kitts. MADEIRANS In the 1830s Planters in Trinidad and Guyana turned to Madeira, the Portuguese colony in the Atlantic where sugar was the main crop. The first 125 Madeiran cane workers come to Trinidad in 1834, through Mr. Seale, an English merchant. 559 landed in Guyana the following year. Private importations of Madeiran began in 1835 but were suspended in 1839 while the British government examined the conduct of the schemes. Maideiran immigration was re-opened on an official basis in 1841 and large numbers went to British Guiana. The numbers decreased after 1846. In 1848 the scheme was suspended again. It was resumed in 1850, but was not popular. By 1856 Portuguese Madeirans controlled nearly all the retailing businesses in Guyana and St Vincent. The immigration period lasted from 1835 to 1882. The scheme was very irregular, the death rate was of the new arrivals were high and most of them went into trading as soon as their contracts ended. In addition, the Madeiran Government objected to the scheme, since so many of its citizens were leaving, and implemented measures making it difficult for their recruitment.. In all 36,000 came. COUNTRY| # of Immigrants| British Guiana| 30,000| Antigua| 2,000| Trinidad| 1,000| Jamaica| 100| The rest were dispersed among Grenada, ST Vincent, ST Kitts and Nevis. In Madeira, workers were paid only one third of what they could earn in the islands per day, so they were attracted by the higher wages being offered in the Caribbean, especially British Guiana. MALTESE Before 1840 a small number of Maltese came to the British West Indies, mainly British Guiana and Grenada. The Maltese were not satisfied with the conditions and asked to be return home. Malta was incapable of providing enough immigrants to solve the labour problem on West Indian sugar estates. CHINESE In 1802 the first governor off Trinidad received permission to import Chinese laborers from Malay. Many Chinese were already moving to places like Malaya in South-east Asia where European plantations and trading posts were growing fast. They were easily persuaded to move and acquire indentures in Trinidad with the promise of small plots of land of after five years. In 1806, 162 Chinese immigrants landed in Trinidad. At their own request 61 returned in 1807. After seven years only 30 of the original immigrants lived in Trinidad and none of them worked on a plantation. In 1844 British Guiana tried to persuade Chinese who had previously emigrated to Malacca, Singapore and Penang. However, they were unwilling and were happy where they were. In 1852 large-scale Chinese immigration began from Macao. The immigrants were convicts or prisoners of war and included no women, which had unhappy consequences for the scheme in British Guiana. In 1859 a family immigration scheme was started. An agent was sent from British Guiana in 1860 to Canton to accumulated Chinese families from rural areas of Fukien and Kwangtung. Trinidad joined the scheme in 1864 and shared the cost of agency. The scheme was more successful but the agents practiced some deception, they did not inform the Chinese of the work they were going to do and made false promises about repatriation. The Chinese recruits were small farmers and market gardener not plantation labourers. Reason for migration: Most hoped for better living as shopkeepers or petty traders. They were promised small plots of land after 5 years. COUNTRY| # of Immigrants| British Guiana| 12000| Jamaica| 5000| Trinidad| 2500| EAST INDIANS In 1836 John Gladstone , a Guyanese plantation owner, applied to the Secretary of State for the Colonies for permission to import Indian labourers. In 1838, 396 arrived and the great flood of Indian immigration begun. The Caribbean seemed attractive with high wages, shelter, medical care and a chance to find new occupations besides agriculture. It was immediately proclaimed a success. However, their fate was terrible. Investigations by the Anti-Slavery Society found evidence of fluffing and other forms of punishment. 9 of the Indians on the Gladstone estates died before their time of indenture was over. In July 1838 the Indian government suspended emigration to the West Indies while an investigation of the conditions in British Guiana was carried out by the Commission of Enquiry. In 1844 immigration officially resumed and lasted until 1917. The planters’ demand from East Immigrant labour was very strong in the 1840s. In British Guiana the government spent ? 50,000 a year on immigration. Trinidad and Jamaica were also importing Indians on a large scale. Indians were easily recruited as India was a British colony. British ships and trading costs were already there and the British government could easily provide British officials to supervise the scheme. Planters were satisfied with the Indians because they were hard-working, accustomed to tropical agriculture and re-indentured themselves. Up to 1848 the Indian immigrants, known as ‘coolies’, were drawn from the poor on the streets of the cities of Bombay, Calcutta and Madras. These cities always remained the ports of embarkation. After 1848 they were drawn from the provinces of Agra-Oudh and Buhar which always suffered terribly. Many of these emigrants were peasant farmers. In 1848, after giving loans to the governments of British Guiana, Trinidad and Jamaica, she wanted especially in British Guiana where the government much stricter supervision over immigration. Britain was spending ? 50 000 per year n immigration, was also allowing Indian immigrants to go to non- British colonies, the French, Dutch and Danish. In these territories it was not possible to oversee the treatment of put towards immigration, it was decided in 1876 to Trinidad and Jamaica were also importing Indians stop the transportation of Indians into all non- on a large scale, but the Jamaican government was British colonies except Surina m, Guadeloupe and Martinique. In 1886 Guadeloupe and Martinique British Guiana and Trinidad, were also banned, and only Surinam continued importing Indians until 1917. The scheme may seem successful but in many ways it did not live up to expectations. It deprived human beings of freedom for long periods of time, there was great mortality and suffering for the immigrants and grave social problems were caused in West Indian territories. By 1917, 416,000 East Indian immigrants had entered the British West Indies. COUNTRY| # of Immigrants| British Guiana| 239,000| Trinidad| 134,00| Jamaica| 33,000| St Lucia| 4,000| Grenada| 3,000| St Vincent| 2,700| St Kitts| 300| Reasons for Migration: Many craftsmen had lost their jobs due to competition from mechanized factories and mills of England. * India was becoming overpopulated and there was not enough land to divide among the younger generation. * Wages in India had fallen to 1/2d per day and there was a series of famine during the period 1857-1877 that led to an increase in food prices. * Those escaping the police and the caste system were also willing to migrate. CONTRACTS At first black West Indian labour ers moved from one island to another without contracts. When planters started paying the cost of the passage they insisted on contracts. However, as these contracts were signed on arrival, there was little a planter could do if the terms were refused. The British government insisted that all indentured contracts had to state clearly the length of service, the number of hours to be worked each day, rates of pay and the conditions for a return passage. For most of the 1840s, the British government ship, single men, single women, and married would only permit contracts signed on arrival in couples were all berthed separately. It was very rare government gave way to planters and permitted for a voyage to be completed without loss of life. Contracts to be signed at the port of embarkation. The average mortality rate on board was about This was better from the planters’ point of view, but 4 per cent until the 1850s, when it went as high as 17 per cent. On one ship in 1856 no fewer worse for the immigrants who had no protection than 120 of the 385 immigrants on board died against false promises before it reached British Guiana. The conditions of the contracts varied according rate declined again in the 1860s and were under to the scheme and the colony involved. The indignities suffered immigrants, the British government would allow on passage did not end once the surviving contracts of only one year. In 1848 this was extended immigrants had landed and been set to work. to three years and in 1863 the planters got what they Their warm clothing was of little further use, had been pressing for from the beginning – five- and nothing more suitable for wear in the year contracts signed at the port of embarkation. The government offered contracts. A field labourer on a plantation had to 5-acre (2 ha) lots of Crown Land to immigrants work seven hours per day, and a factory labourer, on the expiry of their contract. The wages were Is per day (later Is 6d) for Guiana government modified the clause about a man over sixteen, provided that he was healthy, return passages to require the immigrant to pay a and 8d per day for a woman or boy under sixteen, quarter of the cost himself. In 1898 this was raised For the first three months after arrival, food would be supplied to the immigrant and 4d per day could The British Guiana Labour Laws of 1864 be deducted from his wages for this. The labourers greatly favoured the planter at the expense of the were to be housed in ‘barracks’ rent-free, and would immigrant. A breach of the labour laws was regarded receive free medicine and hospitalisation. The clause about free return passages was the For minor offences such as the failure to answer most controversial. The planters and colonial one’s name at the muster roll in the morning, harsh governments did not want repatriation terms, which fines of up to ? 5 could be imposed. Other minor were insisted on by the governments of the countries offences were punishable by up to three months in of origin and by the British government. At first, prison. If a planter broke his side of the contract, immigrants were promised free return passages on such as the failure to pay full wages, the immigrant completion of their contract. In 1854 they could had no recourse to the court, but could only go to claim repatriation only after living for ten years in the Petty Debts Department. EFFECTS SUGAR INDUSTRY * Their introduction resulted in the increased supply of labour. This of course created competition for estate work. * It is fair to argue that after 1845 many plantations that used immigrant labour found that they had a sure, steady supply of labour. Remember that the immigrants were contracted to work for a specified period. * Decrease in the price of labour. More land was bought and more mechanization was introduced in British Guiana * By the 1850's and 60's when there would have been a considerable importation of immigrants, the wages offered for work on estates were considerably lower than that which was offered immediately after Emancipation. * The introduction of immigrants, the cost of production decreased giving some estates a fighting chance to realise a decent profit. * As a result of the above factor s, sugar production increased, particularly in Trinidad and British Guiana. In these two territories also new estates were opened during this period, bringing these two colonies to a place of relative prosperity by 1870. In other instances, the closure of some estates was avoided. SOCIAL AND CULTURAL * New races were introduced, this resulted in a ‘permanent' change in the racial composition of the colonies. * The sexual relations of the Chinese and Indians with the Negroes resulted in a further mixing of the races. * Worsening of relations between the two groups  ­ Indians and Negroes. * The introduction of a culture, new language and the religions. * New foods * New festivals such as Hosein, Holi and Divali. Summary Chart of Immigration Labour brought to the West Indies 1834-1917 COUNTRY| Europeans (1834-1841)| Madeirans (1835-1882)| Africans(1841-1862)| Chinese (1852-1893)| East Indians (1838-1917)| British Guiana| | 30000| 14000| 12000| 239000| Jamaica| 5000| 100| 10000| 5000| 33000| Trinidad| | 2000| 8000| 3000| 134000| Grenada| | 800| 1500| | 3000| St Vincent| | 500| 1000| | 2700| St Lucia| | 500| 500| | 4000| St Kitts| 200| 200| 500| | 300| Antigua| | 2000| | | | Total| 5200| 36100| 35500| 20000| 416000| BIBLIOGRAHPY 1. Caribbean Story Bk 2: The Inheritors 2. Emacipation to Emigration

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The Myth of Gilgamesh, Hero King of Mesopotamia

Gilgamesh is the name of a legendary warrior king, a figure based on the fifth king of the first dynasty of the Mesopotamian capital of Uruk, sometime between 2700–2500 BCE. Real or not, Gilgamesh was the hero of the first recorded epic adventure tale, told in the ancient world from Egypt to Turkey, from the Mediterranean coast to the Arabian desert for well over 2,000 years. Fast Facts: Gilgamesh, Hero King of Mesopotamia Alternate Names: King Gilgamesh of UrukEquivalent: Bilgames (Akkadian), Bilgamesh  (Sumerian)Epithets: He Who Saw the DeepRealms and Powers: King of Uruk, responsible for building the city wall, and King of the Underworld and Judge of the DeadFamily: Son of the Babylonian King Lugalbanda (also known as Enmerkar or Euechsios) and the goddess Ninsumun or Ninsun.  Culture/Country: Mesopotamia / Babylon / UrukPrimary Sources: Babylonian epic poem written in Sumerian, Akkadian, and Aramaic; discovered at Nineveh in 1853 Gilgamesh in Babylonian Mythology The earliest surviving documents referring to Gilgamesh are cuneiform tablets found throughout Mesopotamia and made between 2100–1800 BCE. The tablets were written in Sumerian and describe events in Gilgameshs life that were later woven into a narrative. Scholars believe that the Sumerian tales may have been copies of older (non-surviving) compositions from the court of the Ur III kings (21st century BCE), who claimed descent from Gilgamesh. The earliest evidence of the stories as a narrative was likely composed by scribes at the cities of Larsa or Babylon. By the 12th century BCE, the epic of Gilgamesh was widespread throughout the Mediterranean region. Babylonian tradition says that the exorcist Si-leqi-unninni of Uruk was the author of the Gilgamesh poem called He Who Saw the Deep, about 1200 BCE. The 11th tablet of the Epic of Gilgamesh, in which Utnapishtim tells the story of the Great Flood. CM Dixon / Getty Images A nearly complete copy was found in 1853 in Nineveh, Iraq, partly at the Library of Ashurbanipal (r. 688–633 BCE). Copies and fragments of the Gilgamesh epic have been found from the Hittite site of Hattusa in Turkey to Egypt, from Megiddo in Israel to the Arabian desert. These fragments of the tale are variously written in Sumerian, Akkadian, and several forms of Babylonian, and the latest ancient version dates to the time of the Seleucids, Alexander the Greats successors in the fourth century BCE.   Description   In the most common form of the story, Gilgamesh is a prince, son of King Lugalbanda (or a renegade priest) and the goddess Ninsun (or Ninsumun). Though he was a wild youth at the outset, during the epic tale Gilgamesh pursues a heroic quest for fame and immortality and becomes a man with an enormous capacity for friendship, endurance, and adventure. Along the way he also experiences great joy and sorrow, as well as strength and weakness. Drawing of a statue of Mesopotamian ruler Gilgamesh, as he holds a lion under his arm. Stock Montage / Getty Images Epic of Gilgamesh   In the beginning of the story, Gilgamesh is a young prince in Warka (Uruk), fond of carousing and chasing women. The citizens of Uruk complain to the gods, who together decide to send a distraction to Gilgamesh in the form of a large hairy creature, Enkidu. Enkidu disapproves of Gilgameshs wastrel ways and together they set off on a journey through the mountains to the Cedar Forest, where a monster lives: Huwawa or Humbaba, a monstrously fearsome giant of immemorial age. With the help of the Babylonian sun god, Enkidu and Gilgamesh defeat Huwawa and kill him and his bull, but the gods demand that Enkidu be sacrificed for the deaths.   Enkidu dies, and Gilgamesh, heartbroken, mourns by his body for seven days, hoping it will come alive again. When Enkidu isnt revived, he holds a formal burial for him and then vows he will become immortal. The rest of the tale concerns that quest. Seeking Immortality Gilgamesh seeks immortality in several places, including the establishment of a divine tavern owner (or barmaid) on the sea coast, across the Mediterranean, and through a visit to the Mesopotamian Noah, Utnapishtim, who obtained immortality after surviving the great flood. After many adventures, Gilgamesh arrives at the home of Utnapishtim, who, after recounting the events of the Great Flood, eventually tells him that if he can sleep for six days and seven nights, he will obtain immortality. Gilgamesh sits down and instantly falls asleep for six days. Utnapishtim then tells him he must go the bottom of the sea to find a special plant with healing powers. Gilgamesh is able to find it, but the plant is stolen by a serpent who uses it and is able to molt its old skin and be reborn. Gilgamesh weeps bitterly and then gives up his quest and returns to Uruk. When he finally dies, he becomes the god of the underworld, a perfect king and judge of the dead who sees and knows all.   Engraved weight depicting the hero Gilgamesh fighting two snakes, steatite or chlorite. Sumerian civilization, 3rd millennium BCE. G. Dagli Orti / Getty Images Plus Gilgamesh in Modern Culture   The epic of Gilgamesh is not the only Mesopotamian epic about a half-human, half-god king. Fragments of epics have been found concerning several kings including Sargon of Agade (ruled 2334 to 2279 BCE),  Nebuchadnezzar I of Babylon (1125–1104 BCE), and Nabopolassar of Babylon (626–605 BCE). However, Gilgameshs is the earliest narrative poem recorded. Plot points, heroic aspects, and even whole stories are thought to have been an inspiration for the Old Testament of the Bible, the Iliad and the Odyssey, the works of Hesiod, and the Arabian nights. The Gilgamesh epic is not a religious document; it is a story of a dimly historical hero who interfered with and was guarded by several gods and goddesses, a story that evolved and was embroidered over its 2,000-year-long existence. Sources and Further Reading Abusch, Tzvi. The Development and Meaning of the Epic of Gilgamesh: An Interpretive Essay. Journal of the American Oriental Society 121.4 (2001): 614–22. Dalley, Stephanie. Myths from Mesopotamia: Creation, The Flood, Gilgamesh, and Others. Oxford: Oxford University Press, 1989.George, Andrew R. The Babylonian Gilgamesh Epic: Introduction, Critical Edition and Cuneiform Texts, 2 vols. Oxford: Oxford University Press, 2003.idem. The GilgameÃ… ¡ Epic at Ugarit. Aula Orientalis 25.237–254 (2007). Print.Gresseth, Gerald K. The Gilgamesh Epic and Homer. The Classical Journal 70.4 (1975): 1–18. Heidel, Alexander. Gilgamesh Epic and Old Testament Parallels. Chicago IL: The University of Chicago Press, 1949. Milstein, Sara J. Outsourcing Gilgamesh. Empirical Models Challenging Biblical Criticism. Eds. Person Jr., Raymond F., and Robert Rezetko. Ancient Israel and Its Literature. Atlanta, GA: SBL Press, 2016. 37–62.